Hospital

TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL

Jefferson City, TN · CCN 440056 · Rates published

8,884 distinct procedures filed

38 distinct payers

491,946 rate rows

2026-05-24 last MRF observed

Data quality

462,960 of 491,946 rate rows are consumer-grade (94.1%)

28,986 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	24,834
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2,434
template filing: same amount across many unrelated codes — excluded	1,314
placeholder amount (≤ $0.02) — excluded from medians	290
exceeds 10× this hospital's gross charge — excluded from medians	114

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

Source MRF file	https://www.tennovajefferson.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/452528414_tennova-jefferson-memorial-hospital_standardcharges.csv
Found on page	https://www.tennovajefferson.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	e2959fafb7cb8651… · 119,266,713 bytes · first seen 2026-05-08

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
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	$1,545.60	$2,259,448.19	$434,093.26	nat. median $386,529 1.1× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$303,123.62	$357,366.79	$330,245.20	nat. median $0
7 OTHER	Lung Transplant	26	$1,877.60	$1,708,649.29	$297,672.60	nat. median $169,933 1.8× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	$1,877.60	$668,807.70	$183,798.76	nat. median $239,422 0.8× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	32	$1,877.60	$509,628.53	$140,226.12	nat. median $181,005 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	32	$1,877.60	$367,877.33	$139,676.63	nat. median $146,562 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	32	$1,877.60	$749,876.90	$124,619.57	nat. median $134,983 0.9× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	28	$1,877.60	$594,780.67	$93,912.72	nat. median $111,558 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	32	$1,877.60	$585,299.66	$84,818.51	nat. median $64,729 1.3× median
14 OTHER	Allogeneic Bone Marrow Transplant	26	$1,545.60	$170,882.03	$77,774.28	nat. median $100,915 0.8× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	31	$1,877.60	$155,173.47	$72,521.43	nat. median $90,581 0.8× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	26	$1,877.60	$374,114.34	$68,501.03	nat. median $94,894 0.7× median
215 OTHER	Other Heart Assist System Implant	32	$1,877.60	$264,751.59	$66,522.84	nat. median $92,359 0.7× median
6 OTHER	Liver Transplant Without Mcc	26	$1,877.60	$484,275.10	$65,626.45	nat. median $52,924 1.2× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	33	$1,877.60	$240,008.83	$65,066.19	nat. median $90,130 0.7× median
8 OTHER	Simultaneous Pancreas And Kidney Transplant	26	$1,877.60	$467,632.92	$63,846.90	nat. median $57,589 1.1× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	32	$1,545.60	$440,804.40	$59,454.02	nat. median $66,849 0.9× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	26	$21,138.20	$216,187.94	$59,356.72	nat. median $65,342 0.9× median
8650038 OTHER	Y90 Ibritum Rx-dose	24	$17,478.59	$125,014.01	$58,529.29	nat. median $57,393 1.0× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	32	$1,877.60	$427,195.79	$58,132.36	nat. median $67,670 0.9× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	$1,877.60	$257,147.13	$56,361.02	nat. median $76,493 0.7× median
231 OTHER	Coronary Bypass With Ptca With Mcc	33	$1,877.60	$246,922.64	$56,260.08	nat. median $74,989 0.8× median
570 OTHER	Skin Debridement With Mcc	32	$1,877.60	$443,797.42	$55,247.22	nat. median $33,751 1.6× median
613 OTHER	Neonate, Birth Weight <750 Grams, Died	2	$50,583.04	$59,634.74	$55,108.89	nat. median $42,666 1.3× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	32	$1,877.60	$305,875.15	$52,864.30	nat. median $74,209 0.7× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	33	$1,877.60	$238,921.33	$51,367.86	nat. median $72,612 0.7× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	32	$1,877.60	$170,181.11	$50,903.06	nat. median $68,249 0.7× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	32	$1,877.60	$141,777.93	$50,739.18	nat. median $68,309 0.7× median
1410018 OTHER	Oth Ster Supp Lvl 18	7	$20,299.85	$99,999.26	$50,049.63	nat. median $37,000 1.4× median
10 OTHER	Pancreas Transplant	26	$1,877.60	$287,487.60	$48,096.40	nat. median $62,879 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	31	$1,877.60	$117,727.06	$48,034.57	nat. median $29,655 1.6× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	26	$1,877.60	$102,658.99	$47,121.62	nat. median $61,133 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	32	$1,877.60	$103,191.27	$46,905.12	nat. median $46,003 1.0× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	33	$1,545.60	$162,225.72	$46,378.67	nat. median $54,603 0.8× median
955 OTHER	Craniotomy For Multiple Significant Trauma	32	$1,877.60	$160,667.96	$45,422.80	nat. median $62,467 0.7× median
837 OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	32	$1,545.60	$369,966.78	$44,607.22	nat. median $38,617 1.2× median
459 OTHER	Spinal Fusion Except Cervical With Mcc	26	$15,327.47	$139,809.37	$44,559.38	nat. median $50,246 0.9× median
318 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	$40,831.08	$48,137.69	$44,484.39	nat. median $18,600 outlier · 2.4×
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	33	$1,877.60	$128,002.16	$44,188.37	nat. median $60,727 0.7× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	33	$1,877.60	$94,845.20	$43,964.42	nat. median $56,507 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	32	$1,877.60	$94,511.28	$43,818.17	nat. median $54,881 0.8× median
163 OTHER	Major Chest Procedures With Mcc	32	$1,877.60	$363,403.42	$43,012.56	nat. median $47,944 0.9× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	32	$1,877.60	$148,033.05	$41,480.65	nat. median $58,866 0.7× median
454 OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	26	$16,499.29	$88,432.65	$41,200.71	nat. median $34,066 1.2× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	33	$1,877.60	$153,455.61	$40,851.16	nat. median $56,351 0.7× median
276 OTHER	Non-maligant Breast Disorders	32	$1,877.60	$89,470.35	$40,486.65	nat. median $3,947 outlier · 10.3×
653 OTHER	Major Bladder Procedures With Mcc	32	$1,877.60	$341,775.94	$40,420.86	nat. median $54,646 0.7× median
28 OTHER	Spinal Procedures With Mcc	32	$1,877.60	$86,923.77	$40,300.33	nat. median $52,701 0.8× median
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	$1,877.60	$111,652.81	$40,007.57	nat. median $52,731 0.8× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	26	$1,545.60	$139,788.13	$39,791.22	nat. median $50,271 0.8× median

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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	62	28	—	—	$1,545.60	$2,259,448.19	$434,093.26	2026-05-24
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	4	2	—	—	$303,123.62	$357,366.79	$330,245.20	2026-05-24
7	OTHER	Lung Transplant	52	26	—	—	$1,877.60	$1,708,649.29	$297,672.60	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	56	28	—	—	$1,877.60	$668,807.70	$183,798.76	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	74	32	—	—	$1,877.60	$509,628.53	$140,226.12	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	74	32	—	—	$1,877.60	$367,877.33	$139,676.63	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	74	32	—	—	$1,877.60	$749,876.90	$124,619.57	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	56	28	—	—	$1,877.60	$594,780.67	$93,912.72	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$585,299.66	$84,818.51	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	52	26	—	—	$1,545.60	$170,882.03	$77,774.28	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	70	31	—	—	$1,877.60	$155,173.47	$72,521.43	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	52	26	—	—	$1,877.60	$374,114.34	$68,501.03	2026-05-24
215	OTHER	Other Heart Assist System Implant	74	32	—	—	$1,877.60	$264,751.59	$66,522.84	2026-05-24
6	OTHER	Liver Transplant Without Mcc	52	26	—	—	$1,877.60	$484,275.10	$65,626.45	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	76	33	—	—	$1,877.60	$240,008.83	$65,066.19	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	52	26	—	—	$1,877.60	$467,632.92	$63,846.90	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	74	32	—	—	$1,545.60	$440,804.40	$59,454.02	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	52	26	—	—	$21,138.20	$216,187.94	$59,356.72	2026-05-24
8650038	OTHER	Y90 Ibritum Rx-dose	62	24	$99,999.00	$22,129.78 78% off	$17,478.59	$125,014.01	$58,529.29	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	74	32	—	—	$1,877.60	$427,195.79	$58,132.36	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	74	32	—	—	$1,877.60	$257,147.13	$56,361.02	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	76	33	—	—	$1,877.60	$246,922.64	$56,260.08	2026-05-24
570	OTHER	Skin Debridement With Mcc	74	32	—	—	$1,877.60	$443,797.42	$55,247.22	2026-05-24
613	OTHER	Neonate, Birth Weight <750 Grams, Died	4	2	—	—	$50,583.04	$59,634.74	$55,108.89	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	74	32	—	—	$1,877.60	$305,875.15	$52,864.30	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	76	33	—	—	$1,877.60	$238,921.33	$51,367.86	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	74	32	—	—	$1,877.60	$170,181.11	$50,903.06	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	74	32	—	—	$1,877.60	$141,777.93	$50,739.18	2026-05-24
1410018	OTHER	Oth Ster Supp Lvl 18	16	7	$99,999.26	$22,129.84 78% off	$20,299.85	$99,999.26	$50,049.63	2026-05-24
10	OTHER	Pancreas Transplant	52	26	—	—	$1,877.60	$287,487.60	$48,096.40	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	70	31	—	—	$1,877.60	$117,727.06	$48,034.57	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	52	26	—	—	$1,877.60	$102,658.99	$47,121.62	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	74	32	—	—	$1,877.60	$103,191.27	$46,905.12	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	76	33	—	—	$1,545.60	$162,225.72	$46,378.67	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	74	32	—	—	$1,877.60	$160,667.96	$45,422.80	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	74	32	—	—	$1,545.60	$369,966.78	$44,607.22	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	52	26	—	—	$15,327.47	$139,809.37	$44,559.38	2026-05-24
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	4	2	—	—	$40,831.08	$48,137.69	$44,484.39	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	76	33	—	—	$1,877.60	$128,002.16	$44,188.37	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	76	33	—	—	$1,877.60	$94,845.20	$43,964.42	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	74	32	—	—	$1,877.60	$94,511.28	$43,818.17	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	74	32	—	—	$1,877.60	$363,403.42	$43,012.56	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	74	32	—	—	$1,877.60	$148,033.05	$41,480.65	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	52	26	—	—	$16,499.29	$88,432.65	$41,200.71	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	76	33	—	—	$1,877.60	$153,455.61	$40,851.16	2026-05-24
276	OTHER	Non-maligant Breast Disorders	72	32	—	—	$1,877.60	$89,470.35	$40,486.65	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	74	32	—	—	$1,877.60	$341,775.94	$40,420.86	2026-05-24
28	OTHER	Spinal Procedures With Mcc	74	32	—	—	$1,877.60	$86,923.77	$40,300.33	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	74	32	—	—	$1,877.60	$111,652.81	$40,007.57	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	52	26	—	—	$1,545.60	$139,788.13	$39,791.22	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	74	32	—	—	$1,877.60	$95,126.22	$39,395.46	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$126,118.23	$39,370.85	2026-05-24
1410017	OTHER	Oth Ster Supp Lvl 17	16	7	$78,551.00	$17,383.34 78% off	$15,945.85	$78,551.00	$39,314.78	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	74	32	—	—	$1,134.17	$86,018.51	$39,099.32	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	74	32	—	—	$1,877.60	$226,661.70	$38,876.76	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	74	32	—	—	$1,877.60	$100,057.51	$38,300.15	2026-05-24
213	OTHER	Splenic Procedures Age 0-17	4	2	—	—	$34,778.65	$41,002.20	$37,890.43	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	74	32	—	—	$1,877.60	$295,445.31	$37,520.84	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	70	31	—	—	$1,877.60	$80,747.35	$37,436.71	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	74	32	—	—	$1,877.60	$177,864.43	$37,070.19	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	74	32	—	—	$1,545.60	$81,677.61	$36,922.55	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	74	32	—	—	$1,877.60	$124,350.42	$36,816.83	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	74	32	—	—	$1,877.60	$119,563.69	$36,766.31	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	76	33	—	—	$1,877.60	$87,757.63	$36,100.84	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	74	32	—	—	$1,877.60	$291,861.39	$36,021.68	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	52	26	—	—	$1,545.60	$78,876.70	$35,853.04	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	76	33	—	—	$1,877.60	$77,249.29	$35,558.93	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	74	32	—	—	$1,877.60	$75,706.73	$35,099.70	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	74	32	—	—	$1,877.60	$307,576.18	$34,932.61	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	76	33	—	—	$1,877.60	$102,588.91	$34,196.28	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	74	32	—	—	$1,877.60	$301,055.06	$34,017.56	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	74	32	—	—	$1,877.60	$154,779.17	$33,587.84	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	74	32	—	—	$1,877.60	$105,499.58	$33,428.56	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$75,481.15	$33,371.56	2026-05-24
1110865	OTHER	Bilat Lithotripsy	12	6	$58,224.09	$12,884.99 78% off	$11,819.49	$58,224.09	$33,245.96	2026-05-24
1157902	OTHER	Bilat Lithotripsy	12	6	$58,224.09	$12,884.99 78% off	$11,819.49	$58,224.09	$33,245.96	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	74	32	—	—	$1,877.60	$131,703.90	$32,535.42	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	74	32	—	—	$1,877.60	$71,456.84	$32,480.38	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	74	32	—	—	$1,877.60	$118,464.12	$31,992.54	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	62	28	—	—	$1,877.60	$186,951.52	$31,835.13	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	74	32	—	—	$1,877.60	$69,784.56	$31,772.95	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	52	26	—	—	$14,296.29	$115,465.10	$31,668.26	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	72	32	—	—	$1,877.60	$184,000.48	$31,604.65	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	74	32	—	—	$1,877.60	$128,033.71	$31,460.76	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	74	32	—	—	$1,877.60	$134,639.94	$31,384.23	2026-05-24
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	4	2	—	—	$28,552.31	$33,661.67	$31,106.99	2026-05-24
245	OTHER	Aicd Generator Procedures	76	33	—	—	$1,877.60	$76,914.80	$30,934.79	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$66,532.17	$30,846.04	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	74	32	—	—	$1,877.60	$72,375.96	$30,833.09	2026-05-24
799	OTHER	Splenectomy With Mcc	74	32	—	—	$1,877.60	$80,208.36	$30,717.79	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	72	31	—	—	$1,877.60	$98,033.71	$30,438.60	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	74	32	—	—	$1,877.60	$105,051.52	$30,404.30	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$260,968.24	$30,128.42	2026-05-24
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	4	2	—	—	$27,601.30	$32,540.48	$30,070.89	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	70	31	—	—	$1,877.60	$63,440.47	$29,700.63	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	72	31	—	—	$1,877.60	$145,850.13	$29,294.45	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	74	32	—	—	$1,877.60	$76,289.39	$29,189.15	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	74	32	—	—	$1,877.60	$165,124.43	$29,019.09	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	74	32	—	—	$1,877.60	$134,390.51	$28,971.99	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	74	32	—	—	$1,877.60	$138,009.93	$28,877.80	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	74	32	—	—	$1,877.60	$61,940.02	$28,677.45	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	74	32	—	—	$1,877.60	$70,644.76	$28,565.37	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$102,241.41	$28,559.92	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	74	32	—	—	$1,877.60	$78,748.36	$28,514.86	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	74	32	—	—	$1,877.60	$93,616.69	$28,409.93	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	74	32	—	—	$1,877.60	$92,641.25	$28,104.85	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	74	32	—	—	$1,440.97	$61,235.89	$27,834.50	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	74	32	—	—	$1,877.60	$181,817.77	$27,455.17	2026-05-24
791	OTHER	Prematurity With Major Problems	74	32	—	—	$1,545.60	$59,690.73	$27,132.15	2026-05-24
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	74	32	—	—	$1,877.60	$282,506.88	$27,031.98	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	74	32	—	—	$1,545.60	$109,105.04	$26,867.15	2026-05-24
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	74	32	—	—	$1,877.60	$67,904.09	$26,721.29	2026-05-24
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	58	27	—	—	$1,877.60	$68,177.34	$26,675.50	2026-05-24
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	74	32	—	—	$1,877.60	$165,059.24	$26,651.30	2026-05-24
1061618	OTHER	Cc-imp Press Sen Ang	72	31	$99,999.00	$22,129.78 78% off	$289.60	$99,999.00	$26,559.44	2026-05-24
34	OTHER	Carotid Artery Stent Procedures With Mcc	74	32	—	—	$1,877.60	$74,952.80	$26,454.43	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Mcc	74	32	—	—	$1,877.60	$60,084.33	$26,251.04	2026-05-24
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	72	31	—	—	$1,877.60	$95,697.38	$25,901.73	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$316,199.72	$25,843.51	2026-05-24
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	74	32	—	—	$1,877.60	$77,338.08	$25,840.90	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	74	32	—	—	$1,877.60	$122,694.33	$25,756.82	2026-05-24
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$83,255.17	$25,522.33	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	74	32	—	—	$1,877.60	$101,272.63	$25,420.98	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	62	28	—	—	$1,877.60	$173,126.33	$25,386.30	2026-05-24
460	OTHER	Spinal Fusion Except Cervical Without Mcc	52	26	—	—	$9,489.16	$62,985.82	$25,321.56	2026-05-24
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	74	32	—	—	$1,877.60	$54,278.48	$25,164.78	2026-05-24
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	74	32	—	—	$1,877.60	$109,648.74	$25,129.25	2026-05-24
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	74	32	—	—	$1,877.60	$100,437.76	$25,110.95	2026-05-24
332	OTHER	Rectal Resection With Mcc	74	32	—	—	$1,877.60	$78,078.27	$24,835.10	2026-05-24
265	OTHER	Aicd Lead Procedures	74	32	—	—	$1,877.60	$76,918.67	$24,818.89	2026-05-24
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	74	32	—	—	$1,545.60	$57,372.84	$24,777.44	2026-05-24
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	74	32	—	—	$1,877.60	$108,412.51	$24,776.04	2026-05-24
279	OTHER	Cellulitis Age 0-17	70	31	—	—	$1,877.60	$53,367.59	$24,742.46	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	74	32	—	—	$1,877.60	$85,964.35	$24,698.22	2026-05-24
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	74	32	—	—	$1,877.60	$78,201.20	$24,675.98	2026-05-24
271	OTHER	Other Major Cardiovascular Procedures With Cc	76	33	—	—	$1,877.60	$102,390.83	$24,657.01	2026-05-24
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	74	32	—	—	$1,877.60	$82,785.05	$24,564.70	2026-05-24
335	OTHER	Peritoneal Adhesiolysis With Mcc	74	32	—	—	$1,877.60	$72,364.96	$24,512.51	2026-05-24
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	74	32	—	—	$1,877.60	$117,357.98	$24,478.19	2026-05-24
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	74	32	—	—	$1,877.60	$52,252.75	$24,225.58	2026-05-24
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	74	32	—	—	$1,877.60	$101,703.49	$24,206.34	2026-05-24
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	74	32	—	—	$1,545.60	$82,781.00	$24,178.95	2026-05-24
252	OTHER	Other Vascular Procedures With Mcc	76	33	—	—	$1,877.60	$97,354.70	$24,094.86	2026-05-24
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	74	32	—	—	$1,877.60	$51,481.55	$23,842.84	2026-05-24
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	74	32	—	—	$1,877.60	$70,664.80	$23,759.21	2026-05-24
1061578	OTHER	Ep-ablate Vent Tacy	80	33	$99,999.66	$22,129.92 78% off	$868.72	$99,999.66	$23,740.14	2026-05-24
1061577	OTHER	Ep-ablate Sprvnt Art	80	33	$99,999.66	$22,129.92 78% off	$691.49	$99,999.66	$23,740.14	2026-05-24
1061579	OTHER	Ep-atr Fib Pulm Vn I	80	33	$99,999.66	$22,129.92 78% off	$817.20	$99,999.66	$23,740.14	2026-05-24
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	74	32	—	—	$1,877.60	$50,880.82	$23,564.21	2026-05-24
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	74	32	—	—	$1,877.60	$50,646.10	$23,480.68	2026-05-24
362	OTHER	Cardiac Defibrillator Implant Without Mcc	4	2	—	—	$21,226.54	$25,024.97	$23,125.76	2026-05-24
264	OTHER	Other Circulatory System O.r. Procedures	74	32	—	—	$1,877.60	$49,654.19	$23,020.79	2026-05-24
411	OTHER	Cholecystectomy With C.d.e. With Mcc	74	32	—	—	$1,877.60	$56,339.87	$23,002.18	2026-05-24
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	74	32	—	—	$1,877.60	$50,583.23	$22,992.38	2026-05-24
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	74	32	—	—	$1,877.60	$57,954.41	$22,926.31	2026-05-24
37	OTHER	Extracranial Procedures With Mcc	74	32	—	—	$1,877.60	$48,976.62	$22,706.65	2026-05-24
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	74	32	—	—	$1,877.60	$88,653.69	$22,671.88	2026-05-24
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	74	32	—	—	$1,877.60	$184,772.85	$22,503.77	2026-05-24
1157901	OTHER	Lithotripsy	12	6	$39,323.34	$8,702.26 78% off	$7,982.64	$39,323.34	$22,453.62	2026-05-24
1110864	OTHER	Lithotripsy	12	6	$39,323.34	$8,702.26 78% off	$7,982.64	$39,323.34	$22,453.62	2026-05-24
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	70	31	—	—	$1,877.60	$49,782.96	$22,394.55	2026-05-24
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	74	32	—	—	$1,877.60	$52,716.84	$22,359.47	2026-05-24
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	74	32	—	—	$1,545.60	$48,177.50	$22,336.15	2026-05-24
652	OTHER	Kidney Transplant	62	28	—	—	$1,877.60	$139,939.83	$22,301.16	2026-05-24
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	76	33	—	—	$1,877.60	$130,658.64	$22,279.41	2026-05-24
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	74	32	—	—	$1,877.60	$127,988.20	$22,244.81	2026-05-24
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$67,650.95	$22,240.83	2026-05-24
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	74	32	—	—	$1,877.60	$104,004.56	$22,220.54	2026-05-24
364	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	4	2	—	—	$20,370.77	$24,016.07	$22,193.42	2026-05-24
1417404	OTHER	Gen Neuro Ext Cntrl	38	13	$99,999.43	$22,129.87 78% off	$7,999.95	$99,999.43	$22,129.87	2026-05-24
500	OTHER	Soft Tissue Procedures With Mcc	74	32	—	—	$1,877.60	$139,782.19	$22,096.28	2026-05-24
324	OTHER	Urinary Stones Without Cc	70	31	—	—	$1,877.60	$47,005.37	$22,006.02	2026-05-24
1413004	OTHER	Aicd Ohr Thn Sgl/du1	16	7	$99,999.98	$22,130.00 78% off	$20,000.00	$99,999.98	$21,995.00	2026-05-24
1410038	OTHER	Aicd Dual Chamber L4	16	7	$99,999.96	$22,129.99 78% off	$20,000.00	$99,999.96	$21,994.99	2026-05-24
1410049	OTHER	Pmkr Singl Rate-rsl4	16	7	$99,999.69	$22,129.93 78% off	$20,000.00	$99,999.69	$21,994.93	2026-05-24
1410094	OTHER	Pmkr Othr Th Sngl L4	16	7	$99,999.70	$22,129.93 78% off	$20,000.00	$99,999.70	$21,994.93	2026-05-24
1411003	OTHER	Aicd Ohr Thn Sgl/du3	16	7	$99,999.57	$22,129.90 78% off	$20,000.00	$99,999.57	$21,994.90	2026-05-24
1413006	OTHER	Aicd Single Chamber2	16	7	$99,999.49	$22,129.89 78% off	$20,000.00	$99,999.49	$21,994.89	2026-05-24
1413005	OTHER	Aicd Single Chamber1	16	7	$99,999.49	$22,129.89 78% off	$20,000.00	$99,999.49	$21,994.89	2026-05-24
1410069	OTHER	Pmkr Dual Rate-rs L5	16	7	$99,999.46	$22,129.88 78% off	$20,000.00	$99,999.46	$21,994.88	2026-05-24
1411002	OTHER	Aicd Ohr Thn Sgl/du2	16	7	$99,999.31	$22,129.85 78% off	$20,000.00	$99,999.31	$21,994.85	2026-05-24
1410039	OTHER	Aicd Dual Chamber L5	16	7	$99,999.21	$22,129.83 78% off	$20,000.00	$99,999.21	$21,994.83	2026-05-24
1413007	OTHER	Aicd Single Chamber3	16	7	$99,999.00	$22,129.78 78% off	$20,000.00	$99,999.00	$21,994.78	2026-05-24
1411004	OTHER	Aicd Ohr Thn Sgl/du4	16	7	$99,999.00	$22,129.78 78% off	$20,000.00	$99,999.00	$21,994.78	2026-05-24
1410040	OTHER	Aicd Dual Chamber L6	16	7	$99,999.00	$22,129.78 78% off	$20,000.00	$99,999.00	$21,994.78	2026-05-24
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	74	32	—	—	$1,877.60	$47,131.08	$21,850.99	2026-05-24
665	OTHER	Prostatectomy With Mcc	74	32	—	—	$1,877.60	$92,438.07	$21,811.10	2026-05-24
229	OTHER	Other Cardiothoracic Procedures Without Mcc	74	32	—	—	$1,877.60	$72,042.63	$21,782.98	2026-05-24
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	74	32	—	—	$1,877.60	$52,429.42	$21,735.05	2026-05-24
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	74	32	—	—	$1,877.60	$46,498.19	$21,557.56	2026-05-24
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	74	32	—	—	$1,877.60	$55,584.37	$21,521.96	2026-05-24
263	OTHER	Vein Ligation And Stripping	74	32	—	—	$1,877.60	$90,588.00	$21,393.80	2026-05-24
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	74	32	—	—	$1,877.60	$70,118.49	$21,235.50	2026-05-24
662	OTHER	Minor Bladder Procedures With Mcc	74	32	—	—	$1,877.60	$45,754.97	$21,212.98	2026-05-24
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	74	32	—	—	$1,877.60	$48,516.26	$20,947.39	2026-05-24
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	74	32	—	—	$1,877.60	$56,167.55	$20,944.80	2026-05-24
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	74	32	—	—	$1,877.60	$45,130.49	$20,923.44	2026-05-24
472	OTHER	Cervical Spinal Fusion With Cc	74	32	—	—	$1,877.60	$55,323.79	$20,665.80	2026-05-24
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	70	31	—	—	$1,877.60	$44,566.11	$20,661.78	2026-05-24
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	74	32	—	—	$1,877.60	$155,696.13	$20,652.71	2026-05-24
668	OTHER	Transurethral Procedures With Mcc	74	32	—	—	$1,877.60	$100,643.17	$20,495.08	2026-05-24
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	74	32	—	—	$1,877.60	$102,769.10	$20,365.58	2026-05-24
1061647	OTHER	S-perc Trns L Atr Ap	42	16	$99,999.60	$22,129.91 78% off	$674.17	$99,999.60	$20,299.92	2026-05-24
619	OTHER	O.r. Procedures For Obesity With Mcc	76	33	—	—	$1,877.60	$43,322.68	$20,281.85	2026-05-24
974	OTHER	HIV With Major Related Condition With Mcc	74	32	—	—	$1,545.60	$78,371.03	$20,272.69	2026-05-24
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	74	32	—	—	$1,877.60	$56,945.84	$20,246.56	2026-05-24
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	74	32	—	—	$1,877.60	$102,029.60	$20,245.23	2026-05-24
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	74	32	—	—	$1,877.60	$52,966.04	$20,179.83	2026-05-24
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	72	31	—	—	$1,877.60	$45,325.60	$20,071.60	2026-05-24
1414022	OTHER	Anchor/scrw Level 22	26	12	$99,999.24	$22,129.83 78% off	$7,999.94	$99,999.24	$20,000.00	2026-05-24
1417388	OTHER	Gen Neuro Sinus Lvl2	26	12	$99,999.99	$22,130.00 78% off	$8,000.00	$99,999.99	$20,000.00	2026-05-24
1414576	OTHER	Genratr Neurostm 3	26	12	$99,999.98	$22,130.00 78% off	$8,000.00	$99,999.98	$20,000.00	2026-05-24
1417274	OTHER	Wireless Press Sens	26	12	$99,999.00	$22,129.78 78% off	$7,999.92	$99,999.00	$20,000.00	2026-05-24
1414709	OTHER	Joint Device Implt10	26	12	$99,999.88	$22,129.97 78% off	$7,999.99	$99,999.88	$20,000.00	2026-05-24
1411701	OTHER	Impella Device L2	26	12	$99,999.00	$22,129.78 78% off	$7,999.92	$99,999.00	$20,000.00	2026-05-24
1414955	OTHER	Stnt Coat/cov W/del5	26	12	$99,999.62	$22,129.92 78% off	$7,999.97	$99,999.62	$20,000.00	2026-05-24
1410093	OTHER	Pmkr Othr Th Sngl L3	16	7	$70,307.61	$15,559.07 78% off	$14,272.44	$70,307.61	$20,000.00	2026-05-24
1414906	OTHER	Tavr L1	26	12	$99,999.99	$22,130.00 78% off	$8,000.00	$99,999.99	$20,000.00	2026-05-24
1413175	OTHER	Inf Pump Program Lv4	26	12	$99,999.87	$22,129.97 78% off	$7,999.99	$99,999.87	$20,000.00	2026-05-24
1414904	OTHER	Watchman Atr App L1	26	12	$99,999.99	$22,130.00 78% off	$8,000.00	$99,999.99	$20,000.00	2026-05-24
1410037	OTHER	Aicd Dual Chamber L3	16	7	$62,290.39	$13,784.86 78% off	$12,644.95	$62,290.39	$20,000.00	2026-05-24
1414905	OTHER	Watchman Atr App L2	26	12	$99,999.36	$22,129.86 78% off	$7,999.95	$99,999.36	$20,000.00	2026-05-24
1414763	OTHER	Mesh Implantable 14	26	12	$99,999.89	$22,129.98 78% off	$7,999.99	$99,999.89	$20,000.00	2026-05-24
1414710	OTHER	Joint Device Implt11	26	12	$99,999.17	$22,129.82 78% off	$7,999.93	$99,999.17	$20,000.00	2026-05-24
1417059	OTHER	Tissue Non-human 11	26	12	$99,999.00	$22,129.78 78% off	$7,999.92	$99,999.00	$20,000.00	2026-05-24
1413110	OTHER	Cochlear Imp System4	26	12	$99,999.00	$22,129.78 78% off	$7,999.92	$99,999.00	$20,000.00	2026-05-24
1413125	OTHER	Genrate Neuro Rech 4	26	12	$99,999.41	$22,129.87 78% off	$7,999.95	$99,999.41	$20,000.00	2026-05-24
1414607	OTHER	Graft Vascular 8	26	12	$99,999.84	$22,129.96 78% off	$7,999.99	$99,999.84	$20,000.00	2026-05-24
1413109	OTHER	Cochlear Imp System3	26	12	$99,999.70	$22,129.93 78% off	$7,999.98	$99,999.70	$20,000.00	2026-05-24
1411702	OTHER	Impella Device L3	26	12	$99,999.00	$22,129.78 78% off	$7,999.92	$99,999.00	$20,000.00	2026-05-24
1414907	OTHER	Tavr L2	26	12	$99,999.99	$22,130.00 78% off	$8,000.00	$99,999.99	$20,000.00	2026-05-24
1414484	OTHER	Conn Tissue Human 10	26	12	$99,999.44	$22,129.88 78% off	$7,999.96	$99,999.44	$20,000.00	2026-05-24
1410048	OTHER	Pmkr Singl Rate-rsl3	16	7	$63,024.38	$13,947.30 78% off	$12,793.95	$63,024.38	$20,000.00	2026-05-24
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	74	32	—	—	$1,877.60	$43,196.51	$19,846.26	2026-05-24
800	OTHER	Splenectomy With Cc	74	32	—	—	$1,877.60	$113,161.89	$19,771.67	2026-05-24
503	OTHER	Foot Procedures With Mcc	74	32	—	—	$1,877.60	$161,308.08	$19,651.96	2026-05-24
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	74	32	—	—	$1,877.60	$53,654.15	$19,526.40	2026-05-24
654	OTHER	Major Bladder Procedures With Cc	74	32	—	—	$1,877.60	$64,473.62	$19,514.62	2026-05-24
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	74	32	—	—	$1,877.60	$91,322.80	$19,370.06	2026-05-24
963	OTHER	Other Multiple Significant Trauma With Mcc	74	32	—	—	$1,545.60	$99,434.57	$19,277.17	2026-05-24
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	74	32	—	—	$1,545.60	$63,214.07	$19,241.28	2026-05-24
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	74	32	—	—	$1,545.60	$54,492.86	$19,186.88	2026-05-24
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	72	32	—	—	$1,877.60	$41,415.80	$19,101.07	2026-05-24
288	OTHER	Acute And Subacute Endocarditis With Mcc	74	32	—	—	$1,545.60	$148,301.64	$19,096.66	2026-05-24
849	OTHER	Radiotherapy	74	32	—	—	$1,545.60	$210,225.32	$18,932.95	2026-05-24
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	74	32	—	—	$1,877.60	$66,367.29	$18,854.59	2026-05-24
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	74	32	—	—	$1,877.60	$60,442.81	$18,794.47	2026-05-24
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	74	32	—	—	$1,877.60	$229,353.67	$18,646.65	2026-05-24
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	74	32	—	—	$1,877.60	$40,015.81	$18,552.09	2026-05-24
1410016	OTHER	Oth Ster Supp Lvl 16	16	7	$37,012.62	$8,190.89 78% off	$7,513.56	$37,012.62	$18,524.82	2026-05-24
253	OTHER	Other Vascular Procedures With Cc	74	32	—	—	$1,877.60	$93,418.88	$18,373.24	2026-05-24
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	74	32	—	—	$1,877.60	$69,413.75	$18,289.53	2026-05-24
1061570	OTHER	Ic-prq De Cr Rev Ami	36	15	$99,999.77	$22,129.95 78% off	$456.00	$99,999.77	$18,165.97	2026-05-24
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	74	32	—	—	$1,545.60	$39,202.74	$18,147.66	2026-05-24
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	76	33	—	—	$1,877.60	$78,847.73	$18,094.60	2026-05-24
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	74	32	—	—	$1,545.60	$53,042.69	$18,088.96	2026-05-24
1410076	OTHER	Lead Aicd End Dul L6	16	7	$51,549.38	$11,407.88 78% off	$10,464.52	$51,549.38	$18,068.06	2026-05-24
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	74	32	—	—	$1,545.60	$39,016.89	$18,061.46	2026-05-24
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	74	32	—	—	$1,877.60	$47,089.25	$17,986.30	2026-05-24
8690062	OTHER	Brachtx Src Ytrium90	82	32	$99,999.25	$22,129.83 78% off	$6,603.09	$99,999.25	$17,973.82	2026-05-24
8510062	OTHER	Brachtx Src Ytrium90	82	32	$99,999.25	$22,129.83 78% off	$6,603.09	$99,999.25	$17,973.82	2026-05-24
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	74	32	—	—	$1,877.60	$45,952.07	$17,897.73	2026-05-24
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	74	32	—	—	$1,877.60	$44,019.15	$17,840.89	2026-05-24
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	74	32	—	—	$1,877.60	$38,414.76	$17,809.79	2026-05-24
164	OTHER	Major Chest Procedures With Cc	74	32	—	—	$1,877.60	$42,344.30	$17,731.42	2026-05-24
1410730	OTHER	Lead Neurostimulat 7	26	12	$80,834.60	$17,888.70 78% off	$6,466.77	$80,834.60	$17,670.44	2026-05-24
1062102	OTHER	Cc-per Trscth Aortic	80	33	$99,999.43	$22,129.87 78% off	$796.34	$99,999.43	$17,632.20	2026-05-24
1062101	OTHER	Cc-per Trscth Mitral	80	33	$99,999.54	$22,129.90 78% off	$961.61	$99,999.54	$17,632.20	2026-05-24
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	74	32	—	—	$1,877.60	$37,797.29	$17,495.78	2026-05-24
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	74	32	—	—	$1,877.60	$90,539.71	$17,476.50	2026-05-24
347	OTHER	Anal And Stomal Procedures With Mcc	74	32	—	—	$1,877.60	$233,044.65	$17,466.39	2026-05-24
545	OTHER	Connective Tissue Disorders With Mcc	74	32	—	—	$1,545.60	$37,654.75	$17,429.67	2026-05-24
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	74	32	—	—	$1,877.60	$170,170.19	$17,382.95	2026-05-24
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	74	32	—	—	$1,877.60	$37,090.40	$17,364.01	2026-05-24
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	74	32	—	—	$1,877.60	$45,724.94	$17,311.69	2026-05-24
397	OTHER	Coagulation Disorders	70	31	—	—	$1,877.60	$45,960.96	$17,060.49	2026-05-24
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	72	31	—	—	$1,877.60	$58,595.41	$17,045.55	2026-05-24
783	OTHER	Cesarean Section With Sterilization With Mcc	80	34	—	—	$1,474.05	$147,173.25	$16,946.89	2026-05-24
330	OTHER	Major Small And Large Bowel Procedures With Cc	74	32	—	—	$1,877.60	$56,136.40	$16,910.10	2026-05-24
792	OTHER	Prematurity Without Major Problems	74	32	—	—	$834.55	$37,200.72	$16,909.42	2026-05-24
35	OTHER	Carotid Artery Stent Procedures With Cc	74	32	—	—	$1,877.60	$43,128.75	$16,866.69	2026-05-24
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	74	32	—	—	$1,877.60	$36,323.38	$16,840.15	2026-05-24
1061238	OTHER	Ic-vsd Cls Perc W-IM	80	33	$99,999.53	$22,129.90 78% off	$1,068.85	$99,999.53	$16,823.93	2026-05-24
1061237	OTHER	Ic-asd Cls Perc W-IM	80	33	$99,999.79	$22,129.95 78% off	$795.82	$99,999.79	$16,823.93	2026-05-24
1062275	OTHER	Ic-prq Cor Stnt 2p	58	25	$70,618.41	$15,627.85 78% off	$6,302.00	$70,618.41	$16,823.93	2026-05-24
1061571	OTHER	Ic-prq De Cor Rev Ch	74	32	$99,999.77	$22,129.95 78% off	$1,087.39	$99,999.77	$16,823.93	2026-05-24
1061566	OTHER	Ic-prq De Cr Stnt Ar	74	32	$99,999.77	$22,129.95 78% off	$1,087.39	$99,999.77	$16,823.93	2026-05-24
1061556	OTHER	Ic-prq Crd St-at-ang	80	33	$99,999.77	$22,129.95 78% off	$549.61	$99,999.77	$16,823.93	2026-05-24
333	OTHER	Rectal Resection With Cc	74	32	—	—	$1,877.60	$171,142.52	$16,715.80	2026-05-24
113	OTHER	Orbital Procedures With Cc/mcc	74	32	—	—	$1,877.60	$48,718.82	$16,611.49	2026-05-24
357	OTHER	Other Digestive System O.r. Procedures With Cc	74	32	—	—	$1,877.60	$81,048.41	$16,606.56	2026-05-24
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	74	32	—	—	$1,877.60	$42,306.52	$16,530.52	2026-05-24
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	74	32	—	—	$1,877.60	$35,631.80	$16,519.50	2026-05-24
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	74	32	—	—	$1,877.60	$64,543.40	$16,513.03	2026-05-24
709	OTHER	Penis Procedures With Cc/mcc	74	32	—	—	$1,877.60	$54,812.21	$16,456.03	2026-05-24
56	OTHER	Degenerative Nervous System Disorders With Mcc	72	31	—	—	$1,545.60	$42,297.36	$16,416.04	2026-05-24
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	74	32	—	—	$1,545.60	$90,300.98	$16,345.58	2026-05-24
85	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	74	32	—	—	$1,545.60	$61,805.67	$16,255.97	2026-05-24
98	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	74	32	—	—	$1,545.60	$35,045.07	$16,247.47	2026-05-24
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	74	32	—	—	$1,877.60	$39,856.69	$16,161.32	2026-05-24

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