Hospital

LAFOLLETTE MEDICAL CENTER

La Follette, TN · CCN 440033 · Rates published

8,884 distinct procedures filed

46 distinct payers

303,143 rate rows

2026-05-24 last MRF observed

Data quality

286,120 of 303,143 rate rows are consumer-grade (94.4%)

17,023 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 — reason	Rows
per-diem day rate — not a per-procedure price	12,263
exceeds 10× this hospital's gross charge — excluded from medians	2,306
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1,266
template filing: same amount across many unrelated codes — excluded	997
placeholder amount (≤ $0.02) — excluded from medians	191

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.tennovalafollette.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/452528273_tennova-lafollette-medical-center_standardcharges.csv
Found on page	https://www.tennovalafollette.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	06c888e4fddb7315… · 126,183,158 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
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$443,075.05	$443,075.05	$443,075.05	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	34	$1,912.68	$2,173,646.36	$427,287.44	nat. median $386,529 1.1× median
7 OTHER	Lung Transplant	32	$2,224.53	$1,643,763.87	$284,413.33	nat. median $169,933 1.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	33	$2,224.53	$643,409.94	$188,449.26	nat. median $239,422 0.8× median
633 OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	2	$188,085.89	$188,085.89	$188,085.89	nat. median $4,769 outlier · 39.4×
636 OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	2	$172,715.86	$172,715.86	$172,715.86	nat. median $53 outlier · 3288.6×
634 OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	$156,174.17	$156,174.17	$156,174.17	nat. median $414 outlier · 377.2×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	39	$2,224.53	$490,275.55	$142,563.09	nat. median $181,005 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	39	$2,224.53	$353,907.30	$140,580.53	nat. median $146,562 1.0× median
613 OTHER	Neonate, Birth Weight <750 Grams, Died	2	$123,318.29	$123,318.29	$123,318.29	nat. median $42,666 outlier · 2.9×
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	39	$2,224.53	$721,400.57	$120,028.02	nat. median $134,983 0.9× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	33	$2,224.53	$572,194.06	$90,863.12	nat. median $111,558 0.8× median
632 OTHER	Neonate, Birth Weight 750-999 Grams, Died	2	$88,877.87	$88,877.87	$88,877.87	nat. median $8,778 outlier · 10.1×
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	39	$2,224.53	$563,073.09	$81,538.69	nat. median $64,729 1.3× median
14 OTHER	Allogeneic Bone Marrow Transplant	33	$1,912.68	$179,718.95	$80,073.98	nat. median $100,915 0.8× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	37	$2,224.53	$163,076.30	$74,125.59	nat. median $90,581 0.8× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	32	$2,224.53	$359,907.46	$70,404.64	nat. median $94,894 0.7× median
215 OTHER	Other Heart Assist System Implant	39	$2,224.53	$254,697.74	$68,067.61	nat. median $92,359 0.7× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	$2,224.53	$230,894.57	$66,256.28	nat. median $90,130 0.7× median
6 OTHER	Liver Transplant Without Mcc	32	$2,224.53	$465,884.90	$63,393.40	nat. median $52,924 1.2× median
8 OTHER	Simultaneous Pancreas And Kidney Transplant	32	$2,224.53	$449,874.70	$61,747.27	nat. median $57,589 1.1× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	30	$21,138.20	$207,978.27	$60,824.47	nat. median $65,342 0.9× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	39	$2,224.53	$247,382.04	$57,784.96	nat. median $76,493 0.8× median
231 OTHER	Coronary Bypass With Ptca With Mcc	40	$2,224.53	$237,545.83	$57,397.99	nat. median $74,989 0.8× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	39	$1,912.68	$424,064.99	$56,995.73	nat. median $66,849 0.9× median
8650038 OTHER	Y90 Ibritum Rx-dose	33	$17,399.83	$125,014.01	$56,824.55	nat. median $57,393 1.0× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	39	$2,224.53	$410,973.16	$55,223.21	nat. median $67,670 0.8× median
635 OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	2	$55,065.86	$55,065.86	$55,065.86	nat. median $666 outlier · 82.7×
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	39	$2,224.53	$294,259.63	$54,249.24	nat. median $74,209 0.7× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	40	$2,224.53	$229,848.37	$52,989.31	nat. median $72,612 0.7× median
570 OTHER	Skin Debridement With Mcc	39	$2,224.53	$426,944.36	$52,961.30	nat. median $33,751 1.6× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	39	$2,224.53	$163,718.54	$52,770.40	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	39	$2,224.53	$136,393.96	$52,603.07	nat. median $68,309 0.8× median
10 OTHER	Pancreas Transplant	32	$2,224.53	$276,570.35	$49,665.24	nat. median $62,879 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	37	$2,224.53	$113,256.41	$49,365.64	nat. median $29,655 1.7× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	39	$2,224.53	$109,219.88	$48,687.21	nat. median $46,003 1.1× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	33	$2,224.53	$108,665.50	$48,440.26	nat. median $61,133 0.8× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	39	$1,912.68	$156,065.25	$47,919.86	nat. median $54,564 0.9× median
955 OTHER	Craniotomy For Multiple Significant Trauma	39	$2,224.53	$154,566.65	$46,740.78	nat. median $62,467 0.7× median
459 OTHER	Spinal Fusion Except Cervical With Mcc	30	$21,876.27	$134,500.15	$46,087.60	nat. median $50,246 0.9× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	$2,224.53	$123,141.32	$45,710.77	nat. median $60,727 0.8× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	$2,224.53	$100,527.53	$44,815.16	nat. median $56,507 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	39	$2,224.53	$100,179.75	$44,660.25	nat. median $54,881 0.8× median
608 OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	2	$43,518.62	$43,518.62	$43,518.62	nat. median $12,228 outlier · 3.6×
454 OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	30	$16,499.29	$93,848.92	$42,885.29	nat. median $34,066 1.3× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	39	$2,224.53	$146,135.57	$42,756.25	nat. median $58,866 0.7× median
318 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	$35,957.69	$49,534.29	$42,745.99	nat. median $18,600 outlier · 2.3×
837 OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	39	$1,912.68	$355,917.41	$42,639.61	nat. median $38,617 1.1× median
28 OTHER	Spinal Procedures With Mcc	39	$2,224.53	$92,277.50	$41,944.32	nat. median $52,701 0.8× median
276 OTHER	Non-maligant Breast Disorders	38	$2,224.53	$92,252.75	$41,933.07	nat. median $3,947 outlier · 10.6×

Other procedures at this hospital

Browse this hospital's 8,884 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$443,075.05	$443,075.05	$443,075.05	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	39	34	—	—	$1,912.68	$2,173,646.36	$427,287.44	2026-05-24
7	OTHER	Lung Transplant	33	32	—	—	$2,224.53	$1,643,763.87	$284,413.33	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	34	33	—	—	$2,224.53	$643,409.94	$188,449.26	2026-05-24
633	OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	2	2	—	—	$188,085.89	$188,085.89	$188,085.89	2026-05-24
636	OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	2	2	—	—	$172,715.86	$172,715.86	$172,715.86	2026-05-24
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	2	—	—	$156,174.17	$156,174.17	$156,174.17	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	45	39	—	—	$2,224.53	$490,275.55	$142,563.09	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	45	39	—	—	$2,224.53	$353,907.30	$140,580.53	2026-05-24
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$123,318.29	$123,318.29	$123,318.29	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	45	39	—	—	$2,224.53	$721,400.57	$120,028.02	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	34	33	—	—	$2,224.53	$572,194.06	$90,863.12	2026-05-24
632	OTHER	Neonate, Birth Weight 750-999 Grams, Died	2	2	—	—	$88,877.87	$88,877.87	$88,877.87	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	45	39	—	—	$2,224.53	$563,073.09	$81,538.69	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	34	33	—	—	$1,912.68	$179,718.95	$80,073.98	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	42	37	—	—	$2,224.53	$163,076.30	$74,125.59	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	33	32	—	—	$2,224.53	$359,907.46	$70,404.64	2026-05-24
215	OTHER	Other Heart Assist System Implant	45	39	—	—	$2,224.53	$254,697.74	$68,067.61	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	40	—	—	$2,224.53	$230,894.57	$66,256.28	2026-05-24
6	OTHER	Liver Transplant Without Mcc	33	32	—	—	$2,224.53	$465,884.90	$63,393.40	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	33	32	—	—	$2,224.53	$449,874.70	$61,747.27	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	30	30	—	—	$21,138.20	$207,978.27	$60,824.47	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	39	—	—	$2,224.53	$247,382.04	$57,784.96	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	46	40	—	—	$2,224.53	$237,545.83	$57,397.99	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	45	39	—	—	$1,912.68	$424,064.99	$56,995.73	2026-05-24
8650038	OTHER	Y90 Ibritum Rx-dose	41	33	$99,999.00	$26,999.73 73% off	$17,399.83	$125,014.01	$56,824.55	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	45	39	—	—	$2,224.53	$410,973.16	$55,223.21	2026-05-24
635	OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	2	2	—	—	$55,065.86	$55,065.86	$55,065.86	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	45	39	—	—	$2,224.53	$294,259.63	$54,249.24	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	40	—	—	$2,224.53	$229,848.37	$52,989.31	2026-05-24
570	OTHER	Skin Debridement With Mcc	45	39	—	—	$2,224.53	$426,944.36	$52,961.30	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	45	39	—	—	$2,224.53	$163,718.54	$52,770.40	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	45	39	—	—	$2,224.53	$136,393.96	$52,603.07	2026-05-24
10	OTHER	Pancreas Transplant	33	32	—	—	$2,224.53	$276,570.35	$49,665.24	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	42	37	—	—	$2,224.53	$113,256.41	$49,365.64	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	45	39	—	—	$2,224.53	$109,219.88	$48,687.21	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	34	33	—	—	$2,224.53	$108,665.50	$48,440.26	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	45	39	—	—	$1,912.68	$156,065.25	$47,919.86	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	45	39	—	—	$2,224.53	$154,566.65	$46,740.78	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	30	30	—	—	$21,876.27	$134,500.15	$46,087.60	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	40	—	—	$2,224.53	$123,141.32	$45,710.77	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	40	—	—	$2,224.53	$100,527.53	$44,815.16	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	45	39	—	—	$2,224.53	$100,179.75	$44,660.25	2026-05-24
608	OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	2	2	—	—	$43,518.62	$43,518.62	$43,518.62	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	30	30	—	—	$16,499.29	$93,848.92	$42,885.29	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	45	39	—	—	$2,224.53	$146,135.57	$42,756.25	2026-05-24
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$35,957.69	$49,534.29	$42,745.99	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	45	39	—	—	$1,912.68	$355,917.41	$42,639.61	2026-05-24
28	OTHER	Spinal Procedures With Mcc	45	39	—	—	$2,224.53	$92,277.50	$41,944.32	2026-05-24
276	OTHER	Non-maligant Breast Disorders	43	38	—	—	$2,224.53	$92,252.75	$41,933.07	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	46	40	—	—	$2,224.53	$147,628.18	$41,897.76	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	45	39	—	—	$2,224.53	$349,603.29	$41,086.13	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	45	39	—	—	$2,224.53	$121,328.93	$41,013.57	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	39	—	—	$2,224.53	$111,652.81	$40,847.19	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	45	39	—	—	$1,471.40	$91,334.65	$40,720.15	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	33	32	—	—	$1,912.68	$134,479.72	$40,630.71	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	45	39	—	—	$2,224.53	$91,513.83	$40,234.69	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	44	38	—	—	$2,224.53	$218,054.30	$40,124.38	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	45	39	—	—	$2,224.53	$96,257.86	$39,138.68	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	45	39	—	—	$2,224.53	$284,225.87	$38,734.66	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	45	39	—	—	$2,224.53	$328,797.11	$38,453.36	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	45	39	—	—	$2,224.53	$119,628.25	$38,387.43	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	45	39	—	—	$2,224.53	$115,023.29	$38,335.85	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	45	39	—	—	$2,224.53	$171,110.09	$38,298.39	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	42	37	—	—	$2,224.53	$85,844.81	$38,274.68	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	45	39	—	—	$1,912.68	$84,734.63	$37,780.15	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	40	—	—	$2,224.53	$84,425.06	$37,486.58	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	34	33	—	—	$1,912.68	$83,896.54	$37,389.45	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	45	39	—	—	$2,224.53	$280,778.05	$37,238.62	2026-05-24
647	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	2	2	—	—	$36,621.08	$36,621.08	$36,621.08	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	46	40	—	—	$615.87	$81,626.67	$36,395.69	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	45	39	—	—	$2,224.53	$80,595.06	$35,936.16	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	40	—	—	$2,224.53	$98,693.13	$35,541.52	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	45	39	—	—	$2,224.53	$289,622.59	$35,192.32	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	45	39	—	—	$2,224.53	$105,499.58	$34,948.53	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	45	39	—	—	$2,224.53	$76,713.08	$34,869.58	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	45	39	—	—	$2,224.53	$148,901.48	$34,778.62	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	45	39	—	—	$2,224.53	$295,896.07	$34,142.71	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	45	39	—	—	$2,224.53	$76,168.88	$33,964.50	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	45	39	—	—	$2,224.53	$126,702.49	$33,693.64	2026-05-24
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$24,970.42	$42,186.36	$33,578.39	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	38	33	—	—	$2,224.53	$179,852.10	$33,311.50	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	45	39	—	—	$2,224.53	$113,965.48	$33,144.70	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	30	30	—	—	$14,296.29	$111,080.35	$33,008.98	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	43	38	—	—	$2,224.53	$177,013.12	$32,774.12	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	45	39	—	—	$2,224.53	$123,171.67	$32,628.67	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	45	39	—	—	$2,224.53	$73,122.06	$32,607.27	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	45	39	—	—	$2,224.53	$129,527.03	$32,529.62	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	45	39	—	—	$2,224.53	$71,010.76	$32,277.62	2026-05-24
799	OTHER	Splenectomy With Mcc	45	39	—	—	$2,224.53	$77,162.47	$32,159.91	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	45	39	—	—	$2,224.53	$105,051.52	$31,839.80	2026-05-24
245	OTHER	Aicd Generator Procedures	46	40	—	—	$2,224.53	$73,993.99	$31,768.56	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	44	38	—	—	$2,224.53	$94,310.91	$31,723.39	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	45	39	—	—	$2,224.53	$71,039.89	$31,679.76	2026-05-24
362	OTHER	Cardiac Defibrillator Implant Without Mcc	2	2	—	—	$31,436.28	$31,436.28	$31,436.28	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	45	39	—	—	$2,224.53	$251,058.06	$31,259.78	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	42	37	—	—	$2,224.53	$67,819.93	$30,827.24	2026-05-24
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$26,264.51	$34,631.84	$30,448.17	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	44	38	—	—	$577.07	$140,311.52	$30,416.52	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	45	39	—	—	$305.28	$158,853.89	$30,138.08	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	44	38	—	—	$2,224.53	$129,287.07	$30,113.14	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	45	39	—	—	$2,224.53	$76,289.39	$30,021.80	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	45	39	—	—	$2,224.53	$132,769.05	$30,017.94	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	39	—	—	$2,224.53	$93,616.69	$29,803.43	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	45	39	—	—	$2,224.53	$125,604.34	$29,696.65	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	45	39	—	—	$2,224.53	$66,168.48	$29,509.77	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	45	39	—	—	$2,224.53	$89,123.22	$29,491.92	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	45	39	—	—	$2,224.53	$67,962.05	$29,397.63	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	45	39	—	—	$2,224.53	$75,757.92	$29,347.08	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	45	39	—	—	$1,561.43	$65,523.88	$29,222.63	2026-05-24
1410018	OTHER	Oth Ster Supp Lvl 18	13	11	$99,999.26	$26,999.80 73% off	$17,399.87	$99,999.26	$28,709.79	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	45	39	—	—	$2,224.53	$174,913.30	$28,556.72	2026-05-24
791	OTHER	Prematurity With Major Problems	45	39	—	—	$1,912.68	$63,914.62	$28,505.78	2026-05-24
648	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	2	2	—	—	$27,967.53	$27,967.53	$27,967.53	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	45	39	—	—	$1,912.68	$104,961.81	$27,962.15	2026-05-24
1061618	OTHER	Cc-imp Press Sen Ang	42	37	$99,999.00	$26,999.73 73% off	$289.60	$99,999.00	$27,883.49	2026-05-24
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	39	35	—	—	$2,224.53	$65,588.33	$27,768.36	2026-05-24
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	45	39	—	—	$2,224.53	$158,791.17	$27,743.89	2026-05-24
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	45	39	—	—	$2,224.53	$65,325.46	$27,552.35	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	45	39	—	—	$2,224.53	$122,694.33	$27,383.84	2026-05-24
34	OTHER	Carotid Artery Stent Procedures With Mcc	45	39	—	—	$2,224.53	$72,106.49	$27,285.32	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Mcc	45	39	—	—	$2,224.53	$60,717.91	$27,081.79	2026-05-24
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	44	38	—	—	$2,224.53	$92,063.31	$26,985.96	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	45	39	—	—	$2,224.53	$319,086.83	$26,927.10	2026-05-24
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	45	39	—	—	$2,224.53	$74,401.19	$26,924.45	2026-05-24
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	45	39	—	—	$2,224.53	$83,255.17	$26,855.00	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	38	33	—	—	$2,224.53	$166,551.91	$26,728.12	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	45	39	—	—	$2,224.53	$97,426.83	$26,499.85	2026-05-24
460	OTHER	Spinal Fusion Except Cervical Without Mcc	30	30	—	—	$9,489.16	$60,593.96	$26,423.48	2026-05-24
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	44	38	—	—	$2,224.53	$96,623.67	$26,186.36	2026-05-24
332	OTHER	Rectal Resection With Mcc	45	39	—	—	$2,224.53	$75,113.27	$26,153.29	2026-05-24
265	OTHER	Aicd Lead Procedures	45	39	—	—	$2,224.53	$73,997.70	$26,136.74	2026-05-24
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	45	39	—	—	$2,224.53	$58,277.82	$25,994.84	2026-05-24
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	45	39	—	—	$2,224.53	$79,641.31	$25,902.62	2026-05-24
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	45	39	—	—	$2,224.53	$271,778.77	$25,901.02	2026-05-24
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	45	39	—	—	$2,224.53	$104,295.58	$25,847.73	2026-05-24
335	OTHER	Peritoneal Adhesiolysis With Mcc	45	39	—	—	$2,224.53	$69,616.92	$25,823.92	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	45	39	—	—	$2,224.53	$118,822.26	$25,793.44	2026-05-24
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	45	39	—	—	$2,224.53	$117,357.98	$25,788.87	2026-05-24
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	45	39	—	—	$2,224.53	$120,984.64	$25,770.96	2026-05-24
271	OTHER	Other Major Cardiovascular Procedures With Cc	46	40	—	—	$2,224.53	$98,502.57	$25,727.36	2026-05-24
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	45	39	—	—	$2,224.53	$105,484.86	$25,715.50	2026-05-24
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	45	39	—	—	$1,912.68	$57,407.70	$25,607.24	2026-05-24
279	OTHER	Cellulitis Age 0-17	42	37	—	—	$2,224.53	$57,329.16	$25,572.26	2026-05-24
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	45	39	—	—	$1,912.68	$79,637.41	$25,507.84	2026-05-24
252	OTHER	Other Vascular Procedures With Mcc	45	39	—	—	$2,224.53	$93,657.69	$25,277.63	2026-05-24
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	45	39	—	—	$2,224.53	$97,841.34	$25,271.67	2026-05-24
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	45	39	—	—	$2,224.53	$56,168.02	$25,055.02	2026-05-24
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	45	39	—	—	$2,224.53	$67,981.32	$25,054.73	2026-05-24
1413004	OTHER	Aicd Ohr Thn Sgl/du1	13	11	$99,999.98	$26,999.99 73% off	$470.00	$99,999.98	$24,999.99	2026-05-24
1410038	OTHER	Aicd Dual Chamber L4	13	11	$99,999.96	$26,999.99 73% off	$470.00	$99,999.96	$24,999.99	2026-05-24
1410049	OTHER	Pmkr Singl Rate-rsl4	13	11	$99,999.69	$26,999.92 73% off	$470.00	$99,999.69	$24,999.92	2026-05-24
1061579	OTHER	Ep-atr Fib Pulm Vn I	47	39	$99,999.66	$26,999.91 73% off	$817.20	$99,999.66	$24,999.92	2026-05-24
1061578	OTHER	Ep-ablate Vent Tacy	47	39	$99,999.66	$26,999.91 73% off	$868.72	$99,999.66	$24,999.92	2026-05-24
1061577	OTHER	Ep-ablate Sprvnt Art	47	39	$99,999.66	$26,999.91 73% off	$720.89	$99,999.66	$24,999.92	2026-05-24
1410094	OTHER	Pmkr Othr Th Sngl L4	13	11	$99,999.70	$26,999.92 73% off	$470.00	$99,999.70	$24,999.92	2026-05-24
1411003	OTHER	Aicd Ohr Thn Sgl/du3	13	11	$99,999.57	$26,999.88 73% off	$470.00	$99,999.57	$24,999.89	2026-05-24
1413006	OTHER	Aicd Single Chamber2	13	11	$99,999.49	$26,999.86 73% off	$470.00	$99,999.49	$24,999.87	2026-05-24
1410069	OTHER	Pmkr Dual Rate-rs L5	13	11	$99,999.46	$26,999.85 73% off	$470.00	$99,999.46	$24,999.87	2026-05-24
1413005	OTHER	Aicd Single Chamber1	13	11	$99,999.49	$26,999.86 73% off	$470.00	$99,999.49	$24,999.87	2026-05-24
1411002	OTHER	Aicd Ohr Thn Sgl/du2	13	11	$99,999.31	$26,999.81 73% off	$470.00	$99,999.31	$24,999.83	2026-05-24
1410039	OTHER	Aicd Dual Chamber L5	13	11	$99,999.21	$26,999.79 73% off	$470.00	$99,999.21	$24,999.80	2026-05-24
1411004	OTHER	Aicd Ohr Thn Sgl/du4	13	11	$99,999.00	$26,999.73 73% off	$470.00	$99,999.00	$24,999.75	2026-05-24
1413007	OTHER	Aicd Single Chamber3	13	11	$99,999.00	$26,999.73 73% off	$470.00	$99,999.00	$24,999.75	2026-05-24
1410040	OTHER	Aicd Dual Chamber L6	13	11	$99,999.00	$26,999.73 73% off	$470.00	$99,999.00	$24,999.75	2026-05-24
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	45	39	—	—	$2,224.53	$54,494.77	$24,770.35	2026-05-24
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	45	39	—	—	$2,224.53	$55,364.87	$24,697.25	2026-05-24
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	45	39	—	—	$2,224.53	$54,739.19	$24,418.54	2026-05-24
264	OTHER	Other Circulatory System O.r. Procedures	45	39	—	—	$2,224.53	$53,461.67	$24,300.76	2026-05-24
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	45	39	—	—	$2,224.53	$54,429.28	$24,280.49	2026-05-24
411	OTHER	Cholecystectomy With C.d.e. With Mcc	46	40	—	—	$2,224.53	$65,153.49	$24,066.62	2026-05-24
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	45	39	—	—	$2,224.53	$55,753.61	$23,977.35	2026-05-24
162	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age 0-17	2	2	—	—	$23,773.72	$23,773.72	$23,773.72	2026-05-24
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	45	39	—	—	$2,224.53	$85,287.09	$23,720.08	2026-05-24
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	45	39	—	—	$1,912.68	$51,923.74	$23,601.70	2026-05-24
652	OTHER	Kidney Transplant	38	33	—	—	$2,224.53	$134,625.66	$23,591.27	2026-05-24
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	45	39	—	—	$2,224.53	$177,756.16	$23,575.41	2026-05-24
37	OTHER	Extracranial Procedures With Mcc	45	39	—	—	$2,224.53	$52,755.98	$23,535.11	2026-05-24
1061647	OTHER	S-perc Trns L Atr Ap	26	18	$99,999.60	$26,999.89 73% off	$674.17	$99,999.60	$23,499.90	2026-05-24
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	42	37	—	—	$2,224.53	$51,567.25	$23,439.66	2026-05-24
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	46	40	—	—	$2,224.53	$125,696.92	$23,335.94	2026-05-24
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	45	39	—	—	$2,224.53	$89,021.29	$23,309.65	2026-05-24
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	45	39	—	—	$2,224.53	$100,055.02	$23,263.73	2026-05-24
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	45	39	—	—	$2,224.53	$51,976.10	$23,187.71	2026-05-24
500	OTHER	Soft Tissue Procedures With Mcc	45	39	—	—	$2,224.53	$134,474.00	$23,163.52	2026-05-24
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	45	39	—	—	$2,224.53	$123,127.89	$23,072.99	2026-05-24
229	OTHER	Other Cardiothoracic Procedures Without Mcc	45	39	—	—	$2,224.53	$69,441.74	$23,062.39	2026-05-24
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	45	39	—	—	$2,224.53	$50,573.45	$22,987.93	2026-05-24
665	OTHER	Prostatectomy With Mcc	45	39	—	—	$2,224.53	$88,927.76	$22,875.29	2026-05-24
324	OTHER	Urinary Stones Without Cc	42	37	—	—	$2,224.53	$50,702.96	$22,833.69	2026-05-24
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	45	39	—	—	$2,224.53	$53,473.57	$22,770.35	2026-05-24
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	45	39	—	—	$2,224.53	$50,833.93	$22,678.92	2026-05-24
1410017	OTHER	Oth Ster Supp Lvl 17	13	11	$78,551.00	$21,208.77 73% off	$13,667.87	$78,551.00	$22,551.99	2026-05-24
263	OTHER	Vein Ligation And Stripping	45	39	—	—	$2,224.53	$87,147.95	$22,427.75	2026-05-24
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	45	39	—	—	$2,224.53	$50,174.76	$22,385.30	2026-05-24
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	45	39	—	—	$2,224.53	$67,455.76	$22,267.69	2026-05-24
662	OTHER	Minor Bladder Procedures With Mcc	45	39	—	—	$2,224.53	$49,400.71	$22,040.49	2026-05-24
1414576	OTHER	Genratr Neurostm 3	17	15	$99,999.98	$26,999.99 73% off	$470.00	$99,999.98	$22,000.00	2026-05-24
1417388	OTHER	Gen Neuro Sinus Lvl2	17	15	$99,999.99	$27,000.00 73% off	$470.00	$99,999.99	$22,000.00	2026-05-24
1414904	OTHER	Watchman Atr App L1	17	15	$99,999.99	$27,000.00 73% off	$470.00	$99,999.99	$22,000.00	2026-05-24
1414907	OTHER	Tavr L2	17	15	$99,999.99	$27,000.00 73% off	$470.00	$99,999.99	$22,000.00	2026-05-24
1414906	OTHER	Tavr L1	17	15	$99,999.99	$27,000.00 73% off	$470.00	$99,999.99	$22,000.00	2026-05-24
1414763	OTHER	Mesh Implantable 14	17	15	$99,999.89	$26,999.97 73% off	$470.00	$99,999.89	$21,999.98	2026-05-24
1414709	OTHER	Joint Device Implt10	17	15	$99,999.88	$26,999.97 73% off	$470.00	$99,999.88	$21,999.97	2026-05-24
1413175	OTHER	Inf Pump Program Lv4	17	15	$99,999.87	$26,999.96 73% off	$470.00	$99,999.87	$21,999.97	2026-05-24
1414607	OTHER	Graft Vascular 8	17	15	$99,999.84	$26,999.96 73% off	$470.00	$99,999.84	$21,999.96	2026-05-24
1413109	OTHER	Cochlear Imp System3	17	15	$99,999.70	$26,999.92 73% off	$470.00	$99,999.70	$21,999.93	2026-05-24
1414955	OTHER	Stnt Coat/cov W/del5	17	15	$99,999.62	$26,999.90 73% off	$470.00	$99,999.62	$21,999.92	2026-05-24
1414484	OTHER	Conn Tissue Human 10	17	15	$99,999.44	$26,999.85 73% off	$470.00	$99,999.44	$21,999.88	2026-05-24
1413125	OTHER	Genrate Neuro Rech 4	17	15	$99,999.41	$26,999.84 73% off	$470.00	$99,999.41	$21,999.87	2026-05-24
1417404	OTHER	Gen Neuro Ext Cntrl	21	17	$99,999.43	$26,999.85 73% off	$445.50	$99,999.43	$21,999.87	2026-05-24
1414905	OTHER	Watchman Atr App L2	17	15	$99,999.36	$26,999.83 73% off	$470.00	$99,999.36	$21,999.86	2026-05-24
1414022	OTHER	Anchor/scrw Level 22	17	15	$99,999.24	$26,999.79 73% off	$470.00	$99,999.24	$21,999.83	2026-05-24
1414710	OTHER	Joint Device Implt11	17	15	$99,999.17	$26,999.78 73% off	$470.00	$99,999.17	$21,999.82	2026-05-24
1413110	OTHER	Cochlear Imp System4	17	15	$99,999.00	$26,999.73 73% off	$470.00	$99,999.00	$21,999.78	2026-05-24
1411702	OTHER	Impella Device L3	17	15	$99,999.00	$26,999.73 73% off	$470.00	$99,999.00	$21,999.78	2026-05-24
1411701	OTHER	Impella Device L2	17	15	$99,999.00	$26,999.73 73% off	$470.00	$99,999.00	$21,999.78	2026-05-24
1417059	OTHER	Tissue Non-human 11	17	15	$99,999.00	$26,999.73 73% off	$470.00	$99,999.00	$21,999.78	2026-05-24
1417274	OTHER	Wireless Press Sens	17	15	$99,999.00	$26,999.73 73% off	$470.00	$99,999.00	$21,999.78	2026-05-24
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	45	39	—	—	$2,224.53	$48,804.14	$21,774.75	2026-05-24
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	45	39	—	—	$2,224.53	$54,034.60	$21,772.15	2026-05-24
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	45	39	—	—	$2,224.53	$48,750.31	$21,750.77	2026-05-24
472	OTHER	Cervical Spinal Fusion With Cc	45	39	—	—	$2,224.53	$53,222.89	$21,691.64	2026-05-24
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	45	39	—	—	$2,224.53	$149,783.62	$21,678.41	2026-05-24
668	OTHER	Transurethral Procedures With Mcc	45	39	—	—	$2,224.53	$96,821.28	$21,519.01	2026-05-24
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	42	37	—	—	$2,224.53	$48,162.49	$21,488.92	2026-05-24
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	45	39	—	—	$2,224.53	$98,866.48	$21,388.07	2026-05-24
619	OTHER	O.r. Procedures For Obesity With Mcc	46	40	—	—	$2,224.53	$46,867.48	$21,303.40	2026-05-24
974	OTHER	HIV With Major Related Condition With Mcc	45	39	—	—	$1,912.68	$102,159.84	$21,294.14	2026-05-24
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	45	39	—	—	$2,224.53	$98,155.06	$21,292.58	2026-05-24
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	44	38	—	—	$2,224.53	$54,783.34	$21,270.77	2026-05-24
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	43	37	—	—	$2,224.53	$46,617.21	$21,189.64	2026-05-24
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	45	39	—	—	$2,224.53	$50,954.67	$21,006.68	2026-05-24
800	OTHER	Splenectomy With Cc	45	39	—	—	$2,224.53	$108,864.60	$20,787.53	2026-05-24
654	OTHER	Major Bladder Procedures With Cc	45	39	—	—	$2,224.53	$62,025.26	$20,720.73	2026-05-24
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	45	39	—	—	$2,224.53	$46,330.59	$20,672.89	2026-05-24
503	OTHER	Foot Procedures With Mcc	45	39	—	—	$2,224.53	$155,182.45	$20,666.50	2026-05-24
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	45	39	—	—	$2,224.53	$51,616.65	$20,512.06	2026-05-24
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	45	39	—	—	$1,912.68	$60,813.54	$20,441.63	2026-05-24
677	OTHER	Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With…	2	2	—	—	$20,423.26	$20,423.26	$20,423.26	2026-05-24
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	45	39	—	—	$2,224.53	$87,854.84	$20,381.45	2026-05-24
963	OTHER	Other Multiple Significant Trauma With Mcc	45	39	—	—	$1,912.68	$95,658.57	$20,230.12	2026-05-24
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	43	38	—	—	$2,224.53	$44,443.41	$20,133.92	2026-05-24
288	OTHER	Acute And Subacute Endocarditis With Mcc	45	39	—	—	$1,912.68	$142,669.93	$20,104.99	2026-05-24
849	OTHER	Radiotherapy	45	39	—	—	$1,912.68	$202,242.08	$20,050.30	2026-05-24
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	45	39	—	—	$2,224.53	$66,367.29	$20,046.80	2026-05-24
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	45	39	—	—	$1,912.68	$52,423.51	$20,013.08	2026-05-24
1410730	OTHER	Lead Neurostimulat 7	17	15	$80,834.60	$21,825.34 73% off	$379.92	$80,834.60	$20,000.00	2026-05-24
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	45	39	—	—	$2,224.53	$58,147.52	$19,799.44	2026-05-24
1061570	OTHER	Ic-prq De Cr Rev Ami	22	17	$99,999.77	$26,999.94 73% off	$511.00	$99,999.77	$19,699.96	2026-05-24
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	45	39	—	—	$2,224.53	$220,644.04	$19,516.76	2026-05-24
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	45	39	—	—	$2,224.53	$43,423.45	$19,377.89	2026-05-24
253	OTHER	Other Vascular Procedures With Cc	45	39	—	—	$2,224.53	$89,871.33	$19,373.51	2026-05-24
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	45	39	—	—	$2,224.53	$66,777.79	$19,112.72	2026-05-24
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	45	39	—	—	$1,912.68	$51,028.41	$19,086.08	2026-05-24
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	45	39	—	—	$1,912.68	$42,576.62	$19,000.67	2026-05-24
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	46	40	—	—	$2,224.53	$75,853.51	$18,991.98	2026-05-24
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	45	39	—	—	$1,912.68	$42,383.09	$18,914.46	2026-05-24
164	OTHER	Major Chest Procedures With Cc	45	39	—	—	$2,224.53	$41,579.91	$18,899.96	2026-05-24
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	45	39	—	—	$2,224.53	$44,207.06	$18,892.69	2026-05-24
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	45	39	—	—	$2,224.53	$45,301.05	$18,839.27	2026-05-24
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	45	39	—	—	$2,224.53	$41,755.96	$18,767.14	2026-05-24
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	45	39	—	—	$2,224.53	$44,019.15	$18,666.23	2026-05-24
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	45	39	—	—	$2,224.53	$45,724.94	$18,471.38	2026-05-24
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	45	39	—	—	$2,224.53	$87,101.49	$18,466.75	2026-05-24
396	OTHER	Major Head And Neck Procedures With Mcc	2	2	—	—	$18,460.75	$18,460.75	$18,460.75	2026-05-24
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	45	39	—	—	$2,224.53	$163,708.04	$18,372.19	2026-05-24
1062102	OTHER	Cc-per Trscth Aortic	47	39	$99,999.43	$26,999.85 73% off	$796.34	$99,999.43	$18,365.72	2026-05-24
1062101	OTHER	Cc-per Trscth Mitral	47	39	$99,999.54	$26,999.88 73% off	$961.61	$99,999.54	$18,365.72	2026-05-24
631	OTHER	Neonate, Birth Weight 750-999 Grams, Discharged Alive	2	2	—	—	$18,355.99	$18,355.99	$18,355.99	2026-05-24
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	45	39	—	—	$2,224.53	$41,112.85	$18,348.63	2026-05-24
545	OTHER	Connective Tissue Disorders With Mcc	45	39	—	—	$1,912.68	$40,964.46	$18,282.53	2026-05-24
783	OTHER	Cesarean Section With Sterilization With Mcc	48	41	—	—	$1,597.28	$141,584.39	$18,110.11	2026-05-24
792	OTHER	Prematurity Without Major Problems	45	39	—	—	$904.31	$40,491.55	$18,071.87	2026-05-24
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	45	39	—	—	$2,224.53	$40,376.62	$18,065.62	2026-05-24
330	OTHER	Major Small And Large Bowel Procedures With Cc	45	39	—	—	$2,224.53	$54,004.64	$18,061.34	2026-05-24
35	OTHER	Carotid Artery Stent Procedures With Cc	45	39	—	—	$2,224.53	$41,490.95	$18,017.03	2026-05-24
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	45	39	—	—	$2,224.53	$39,577.80	$17,989.91	2026-05-24
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	44	38	—	—	$2,224.53	$56,370.27	$17,957.07	2026-05-24
1061571	OTHER	Ic-prq De Cor Rev Ch	44	38	$99,999.77	$26,999.94 73% off	$1,067.72	$99,999.77	$17,928.43	2026-05-24
1061566	OTHER	Ic-prq De Cr Stnt Ar	44	38	$99,999.77	$26,999.94 73% off	$1,067.72	$99,999.77	$17,928.43	2026-05-24
397	OTHER	Coagulation Disorders	42	37	—	—	$2,224.53	$44,215.61	$17,913.54	2026-05-24
8690062	OTHER	Brachtx Src Ytrium90	46	39	$99,999.25	$26,999.80 73% off	$470.00	$99,999.25	$17,886.57	2026-05-24
8510062	OTHER	Brachtx Src Ytrium90	46	39	$99,999.25	$26,999.80 73% off	$470.00	$99,999.25	$17,886.57	2026-05-24
1061238	OTHER	Ic-vsd Cls Perc W-IM	47	39	$99,999.53	$26,999.87 73% off	$1,137.26	$99,999.53	$17,840.98	2026-05-24
1061237	OTHER	Ic-asd Cls Perc W-IM	47	39	$99,999.79	$26,999.94 73% off	$842.47	$99,999.79	$17,840.98	2026-05-24
1061556	OTHER	Ic-prq Crd St-at-ang	47	39	$99,999.77	$26,999.94 73% off	$569.75	$99,999.77	$17,840.98	2026-05-24
402	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures Age >17 Without Cc/mcc	2	2	—	—	$17,821.10	$17,821.10	$17,821.10	2026-05-24
1062275	OTHER	Ic-prq Cor Stnt 2p	37	33	$70,618.41	$19,066.97 73% off	$7,055.00	$70,618.41	$17,812.69	2026-05-24
333	OTHER	Rectal Resection With Cc	45	39	—	—	$2,224.53	$164,643.44	$17,697.59	2026-05-24
1410093	OTHER	Pmkr Othr Th Sngl L3	13	11	$70,307.61	$18,983.05 73% off	$330.45	$70,307.61	$17,576.90	2026-05-24
691	OTHER	Kidney Transplant With Hemodialysis With Mcc	2	2	—	—	$17,527.84	$17,527.84	$17,527.84	2026-05-24
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	45	39	—	—	$2,224.53	$62,092.38	$17,492.55	2026-05-24
113	OTHER	Orbital Procedures With Cc/mcc	45	39	—	—	$2,224.53	$46,868.74	$17,436.03	2026-05-24
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	45	39	—	—	$2,224.53	$40,699.95	$17,355.01	2026-05-24
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	45	39	—	—	$2,224.53	$38,857.54	$17,343.99	2026-05-24
709	OTHER	Penis Procedures With Cc/mcc	45	39	—	—	$2,224.53	$52,730.74	$17,280.47	2026-05-24
357	OTHER	Other Digestive System O.r. Procedures With Cc	45	39	—	—	$2,224.53	$77,970.62	$17,270.11	2026-05-24
56	OTHER	Degenerative Nervous System Disorders With Mcc	43	37	—	—	$1,756.73	$40,691.13	$17,219.83	2026-05-24
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	45	39	—	—	$2,224.53	$37,820.11	$17,190.96	2026-05-24

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