Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MAURY REGIONAL HOSPITAL

Columbia, TN · CCN 440073 · Rates published

41,643 distinct procedures filed
30 distinct payers
565,352 rate rows
2026-05-06 last MRF observed
Data quality

560,398 of 565,352 rate rows are consumer-grade (99.1%)

4,954 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,425
per-diem day rate — not a per-procedure price 2,295
percent-of-charges filed in the dollar field — excluded from medians 117
placeholder amount (≤ $0.02) — excluded from medians 117
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/maury-site-494/media/r/6c3ba5371fd34253b5675e6bf48e9ac2/626002623_maury-regional-medical-center_standardcharges.csv
Found on page https://www.mauryregional.com/billing-and-insurance/understanding-charges/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 550dab2b3be5ef39… · 47,493,758 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
OTHER 		Inj- Hemgenix- Per Tx Dose 13 $1,680,000.00 $4,375,000.00 $3,672,900.00 nat. median
$3,685,267
1.0× median
C9172
OTHER 		Inj- Beqvez- Per Tx Dose 11 $3,605,000.00 $3,731,175.00 $3,605,000.00 nat. median
$3,675,000
1.0× median
J1413
OTHER 		Inj Delandistrogene Mox Rokl 15 $1,318,400.00 $4,944,000.00 $3,325,454.76 nat. median
$3,327,860
1.0× median
J3394
OTHER 		Inj- Lovotibeglogene Autotem 11 $3,286,000.00 $3,401,010.00 $3,318,860.00 nat. median
$3,286,000
1.0× median
J3393
OTHER 		Inj- Betibeglogene Autotemce 11 $2,968,000.00 $3,071,880.00 $2,997,680.00 nat. median
$2,968,000
1.0× median
J3399
OTHER 		Inj Onase Abepar-xioi Treat 15 $889,156.24 $4,683,348.52 $2,436,386.51 nat. median
$2,472,216
1.0× median
Q2042
OTHER 		Tisagenlecleucel Car-pos T 17 $175,755.32 $1,349,441.79 $541,773.40 nat. median
$591,726
0.9× median
Q2055
OTHER 		Idecabtagene Vicleucel Car 17 $177,868.00 $1,342,798.35 $539,752.28 nat. median
$558,082
1.0× median
Q2056
OTHER 		Ciltacabtagene Car-pos T 17 $197,160.00 $1,344,164.75 $537,665.90 nat. median
$583,076
0.9× median
Q2054
OTHER 		Lisocabtagene Mara Car Pos T 17 $173,967.20 $1,317,651.50 $529,644.23 nat. median
$562,538
0.9× median
Q2041
OTHER 		Axicabtagene Ciloleucel Car+ 17 $158,152.00 $1,248,112.70 $504,139.64 nat. median
$533,230
0.9× median
Q2053
OTHER 		Brexucabtagene Car Pos T 17 $158,152.00 $1,174,352.52 $472,043.66 nat. median
$489,720
1.0× median
C9073
OTHER 		Brexucabtagene Autoleucel Ca 1 $371,504.49 $371,504.49 $371,504.49 nat. median
$384,190
1.0× median
MS-018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 $156,483.17 $574,567.97 $235,952.87 nat. median
$309,559
0.8× median
MS-612
OTHER 		Neonate- Birthwt <750g-- Discharged Alive 1 $217,286.57 $217,286.57 $217,286.57 nat. median
$272,926
0.8× median
MS-636
OTHER 		Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 1 $199,388.70 $199,388.70 $199,388.70 nat. median
$183,596
1.1× median
MS-633
OTHER 		Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 1 $179,138.52 $179,138.52 $179,138.52 nat. median
$297,836
0.6× median
MS-001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $106,274.75 $313,701.88 $176,237.01 nat. median
$224,278
0.8× median
MS-631
OTHER 		Neonate- Birthwt 750-999g- Discharged Alive 1 $174,511.45 $174,511.45 $174,511.45 nat. median
$197,901
0.9× median
MS-927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $36,531.60 $318,692.10 $148,423.42 nat. median
$175,322
0.8× median
MS-003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 17 $69,910.40 $287,912.11 $134,088.36 nat. median
$169,886
0.8× median
MS-359
OTHER 		Concomitant Aortic And Mitral Valve Procedures 1 $112,353.56 $112,353.56 $112,353.56 nat. median
$25,994
outlier · 4.3×
MS-681
OTHER 		Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 1 $102,819.68 $102,819.68 $102,819.68 nat. median
$119,200
0.9× median
Q0480
OTHER 		Driver Pneumatic Vad- Rep 17 $89,999.93 $254,999.80 $102,499.92 nat. median
$109,316
0.9× median
MS-004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 17 $45,070.29 $189,822.42 $89,854.69 nat. median
$107,587
0.8× median
MS-635
OTHER 		Neonate- Birthwt 1000-1499g- Died 1 $84,974.31 $84,974.31 $84,974.31 nat. median
$62,333
1.4× median
MS-014
OTHER 		Allogeneic Bone Marrow Transplant 17 $44,501.01 $145,910.80 $81,972.36 nat. median
$91,600
0.9× median
MS-007
OTHER 		Lung Transplant 17 $38,536.64 $145,543.29 $81,765.89 nat. median
$95,292
0.9× median
MS-634
OTHER 		Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive 1 $80,655.19 $80,655.19 $80,655.19 nat. median
$106,754
0.8× median
MS-613
OTHER 		Neonate- Birthwt <750g- Died 1 $77,067.16 $77,067.16 $77,067.16 nat. median
$40,143
1.9× median
406903441
OTHER 		Icd Energen Is-1/df4-dr 9 $47,012.00 $90,263.04 $75,219.20 nat. median
$75,219
1.0× median
30791
OTHER 		System Evoke Stimltor G4 60cm[permsys-60-2-g4] 9 $44,418.00 $85,282.56 $71,068.80 nat. median
$1,138
outlier · 62.5×
30793
OTHER 		System Evoke Stimltor G4 90cm[permsys-90-2-g4] 9 $44,418.00 $85,282.56 $71,068.80 nat. median
$605
outlier · 117.5×
405810920
OTHER 		Pegloticase 8 mg/mL Inj 9 $43,998.00 $84,476.16 $70,396.80 nat. median
$70,397
1.0× median
MS-002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $50,040.46 $122,723.08 $68,945.55 nat. median
$91,287
0.8× median
MS-212
OTHER 		Testes Procedures Age 0-17 15 $7,190.96 $146,348.65 $68,158.47 nat. median
$87,208
0.8× median
MS-215
OTHER 		Other Heart Assist System Implant 17 $48,110.99 $184,728.63 $67,612.88 nat. median
$80,736
0.8× median
L8702
OTHER 		Ewhf S/d Uprt Micro Sensor 13 $65,871.74 $167,972.94 $67,518.53 nat. median
$68,802
1.0× median
A9543
OTHER 		Y90 Ibritumomab- Rx 17 $16,842.94 $166,965.28 $67,440.88 nat. median
$66,156
1.0× median
MS-426
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $11,906.58 $140,726.52 $66,850.90 nat. median
$84,247
0.8× median
MS-005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 17 $43,686.51 $118,599.16 $66,628.74 nat. median
$85,046
0.8× median
MS-632
OTHER 		Neonate- Birthwt 750-999g- Died 1 $64,772.71 $64,772.71 $64,772.71 nat. median
$97,126
0.7× median
30794
OTHER 		Stimulator/chrgng Sys Cl G4[cls-chg-g4] 9 $40,284.00 $77,345.28 $64,454.40 nat. median
$1,374
outlier · 46.9×
J9029
OTHER 		Instill Adstiladrin- Tx Dose 17 $24,720.00 $161,554.66 $63,988.32 nat. median
$66,509
1.0× median
30786
OTHER 		Stimulator Evoke Closed Loop[3042] 9 $38,994.50 $74,869.44 $62,391.20 nat. median
$536
outlier · 116.4×
MS-216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $41,221.19 $151,354.15 $60,986.63 nat. median
$76,284
0.8× median
MS-850
OTHER 		Acute Leukemia With Other Procedures 14 $41,831.24 $123,752.66 $59,075.79 nat. median
$70,217
0.8× median
19130
OTHER 		Generator Protege MRI [3771ans] 10 $85.00 $71,703.36 $57,885.53 nat. median
$1,418
outlier · 40.8×
Q2043
OTHER 		Sipuleucel-t Auto Cd54+ 17 $13,392.37 $140,288.84 $56,665.69 nat. median
$55,946
1.0× median
25050
OTHER 		Kit Micro-intro 21gx7cm 4fr [kit-069-05] 9 $34,776.00 $66,769.92 $55,641.60 nat. median
$2,625
outlier · 21.2×

Other procedures at this hospital

Browse this hospital's 41,643 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
MS-850 OTHER Acute Leukemia With Other Procedures 20 14 — — $41,831.24 $123,752.66 $59,075.79 2026-05-06
MS-834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 29 17 — — $23,765.71 $87,261.87 $34,581.95 2026-05-06
MS-245 OTHER Aicd Generator Procedures 29 17 — — $19,033.78 $69,887.38 $30,574.62 2026-05-06
406907556 OTHER Aicd Intica Neo 7 Hf-t Df-1 Is-1 Promri 9 9 $55,384.00 $26,030.48 53% off $27,692.00 $53,168.64 $44,307.20 2026-05-06
406907545 OTHER Aicd Resonate X4 Crt-d 9 9 $48,618.00 $22,850.46 53% off $24,309.00 $46,673.28 $38,894.40 2026-05-06
MS-014 OTHER Allogeneic Bone Marrow Transplant 24 17 — — $44,501.01 $145,910.80 $81,972.36 2026-05-06
22871 OTHER Allograft Fem Condyle Fresh Lt [32247002] 9 9 $30,062.00 $14,129.14 53% off $15,031.00 $28,859.52 $24,049.60 2026-05-06
24870 OTHER Allograft Fem Condyle Fresh R [32247001] 9 9 $30,062.00 $14,129.14 53% off $15,031.00 $28,859.52 $24,049.60 2026-05-06
21517 OTHER Allograft Hemicondyle Lt Lat [fca80] 9 9 $30,534.00 $14,350.98 53% off $15,267.00 $29,312.64 $24,427.20 2026-05-06
MS-239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 17 — — $22,872.56 $107,645.49 $31,513.73 2026-05-06
MS-474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 29 17 — — $19,406.30 $81,505.26 $28,058.85 2026-05-06
MS-616 OTHER Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 29 17 — — $13,183.42 $51,922.41 $24,191.70 2026-05-06
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 17 — — $13,047.47 $96,672.53 $41,716.32 2026-05-06
MS-269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 17 — — $3,548.86 $60,091.91 $26,031.72 2026-05-06
MS-016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 24 17 — — $25,279.44 $67,220.00 $37,764.05 2026-05-06
MS-017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 24 17 — — $17,986.20 $67,220.00 $37,764.05 2026-05-06
Q2041 OTHER Axicabtagene Ciloleucel Car+ 28 17 — — $158,152.00 $1,248,112.70 $504,139.64 2026-05-06
406907391 OTHER Bi-v Medtrc Viva Quad Xt Crt- 9 9 $50,232.00 $23,609.04 53% off $25,116.00 $48,222.72 $40,185.60 2026-05-06
406907390 OTHER Bi-v Medtrnc Viva Quad S Crt-d 9 9 $45,080.00 $21,187.60 53% off $22,540.00 $43,276.80 $36,064.00 2026-05-06
MS-461 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 29 17 — — $16,074.22 $82,440.43 $39,162.60 2026-05-06
MS-608 OTHER Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $37,076.11 $37,076.11 $37,076.11 2026-05-06
C9073 OTHER Brexucabtagene Autoleucel Ca 2 1 — — $371,504.49 $371,504.49 $371,504.49 2026-05-06
Q2053 OTHER Brexucabtagene Car Pos T 26 17 — — $158,152.00 $1,174,352.52 $472,043.66 2026-05-06
30188 OTHER Cage Ankle Laterality Intermed[113012-102] 9 9 $38,628.00 $18,155.16 53% off $19,314.00 $37,082.88 $30,902.40 2026-05-06
MS-360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $50,748.10 $50,748.10 $50,748.10 2026-05-06
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 15 — — $32,091.25 $94,938.08 $44,215.20 2026-05-06
MS-222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 8 5 — — $33,634.09 $123,496.17 $42,812.98 2026-05-06
MS-223 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 8 5 — — $27,259.17 $105,910.81 $33,295.10 2026-05-06
MS-224 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 8 5 — — $30,676.22 $112,635.58 $38,836.44 2026-05-06
MS-225 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 8 5 — — $25,651.20 $96,901.88 $29,596.64 2026-05-06
MS-361 OTHER Cardiac Defibrillator Implant With Mcc 1 1 — — $52,473.56 $52,473.56 $52,473.56 2026-05-06
MS-276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 15 — — $28,128.77 $83,215.57 $38,755.71 2026-05-06
MS-226 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 5 — — $24,784.36 $91,002.12 $35,477.71 2026-05-06
MS-227 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 5 — — $21,132.29 $77,592.61 $27,873.70 2026-05-06
MS-362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $32,398.11 $32,398.11 $32,398.11 2026-05-06
MS-216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $41,221.19 $151,354.15 $60,986.63 2026-05-06
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $26,428.04 $97,037.32 $40,808.37 2026-05-06
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $24,025.61 $88,216.17 $37,594.45 2026-05-06
MS-219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $35,135.99 $167,457.26 $48,894.33 2026-05-06
MS-220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $23,777.86 $87,306.50 $33,470.58 2026-05-06
MS-221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $18,064.59 $72,000.00 $29,021.27 2026-05-06
MS-034 OTHER Carotid Artery Stent Procedures With Mcc 29 17 — — $10,663.61 $52,240.80 $24,329.93 2026-05-06
406907441 OTHER Cath Impella Pump 9 9 $64,400.00 $30,268.00 53% off $32,200.00 $61,824.00 $51,520.00 2026-05-06
406907568 OTHER Cath Inari Flowtriever System Kit 9 9 $30,912.00 $14,528.64 53% off $15,456.00 $29,675.52 $24,729.60 2026-05-06
10150 OTHER Cath Vent Asst Dev Impella 2.5 [5042] 9 9 $64,400.00 $30,268.00 53% off $32,200.00 $61,824.00 $51,520.00 2026-05-06
10151 OTHER Cath Vent Asst Dev Impella Cp4 [0048-0003] 9 9 $64,400.00 $30,268.00 53% off $32,200.00 $61,824.00 $51,520.00 2026-05-06
25930 OTHER Catheter Thromecto Triever 20f [21-101] 9 9 $30,912.00 $14,528.64 53% off $15,456.00 $29,675.52 $24,729.60 2026-05-06
MS-471 OTHER Cervical Spinal Fusion With Mcc 29 17 — — $22,057.00 $93,540.26 $30,390.05 2026-05-06
MS-837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 17 — — $22,737.70 $103,405.00 $31,443.11 2026-05-06
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 25 15 — — $156,483.17 $574,567.97 $235,952.87 2026-05-06
Q2056 OTHER Ciltacabtagene Car-pos T 25 17 — — $197,160.00 $1,344,164.75 $537,665.90 2026-05-06
MS-429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 14 — — $37,874.66 $112,047.62 $53,488.16 2026-05-06
MS-430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 14 — — $24,841.54 $73,490.70 $35,082.24 2026-05-06
MS-454 OTHER Combined Anterior/posterior Spinal Fusion W Cc 10 6 — — $27,587.55 $101,294.75 $35,281.43 2026-05-06
MS-453 OTHER Combined Anterior/posterior Spinal Fusion W Mcc 10 6 — — $35,344.01 $129,774.57 $51,364.21 2026-05-06
MS-455 OTHER Combined Anterior/posterior Spinal Fusion Without Cc/mcc 10 6 — — $23,904.04 $87,769.80 $26,859.80 2026-05-06
MS-359 OTHER Concomitant Aortic And Mitral Valve Procedures 1 1 — — $112,353.56 $112,353.56 $112,353.56 2026-05-06
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 29 17 — — $21,867.57 $105,005.52 $48,903.87 2026-05-06
MS-234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 29 17 — — $14,824.17 $71,471.57 $33,286.22 2026-05-06
MS-231 OTHER Coronary Bypass With Ptca With Mcc 30 17 — — $25,460.53 $113,838.37 $53,547.74 2026-05-06
MS-232 OTHER Coronary Bypass With Ptca Without Mcc 30 17 — — $19,146.96 $82,064.28 $38,601.71 2026-05-06
MS-235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 29 17 — — $20,076.75 $79,048.34 $36,814.92 2026-05-06
MS-236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 29 17 — — $13,422.36 $55,241.95 $25,727.65 2026-05-06
MS-323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 15 — — $19,341.94 $57,220.78 $27,182.23 2026-05-06
MS-025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 29 17 — — $19,954.34 $73,267.46 $27,981.27 2026-05-06
MS-955 OTHER Craniotomy For Multiple Significant Trauma 29 17 — — $26,280.07 $98,561.68 $42,721.75 2026-05-06
MS-023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 17 — — $25,906.86 $110,991.71 $35,694.37 2026-05-06
MS-024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 17 — — $17,263.52 $68,803.78 $23,785.61 2026-05-06
J7330 OTHER Cultured Chondrocytes Implnt 2 2 — — $36,053.26 $36,053.26 $36,053.26 2026-05-06
Q0480 OTHER Driver Pneumatic Vad- Rep 22 17 — — $89,999.93 $254,999.80 $102,499.92 2026-05-06
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 29 17 — — $69,910.40 $287,912.11 $134,088.36 2026-05-06
L6880 OTHER Elec Hand Ind Art Digits 22 17 — — $25,488.00 $72,216.00 $29,028.00 2026-05-06
L5856 OTHER Elec Knee-shin Swing/stance 22 17 — — $25,608.89 $72,558.52 $29,165.68 2026-05-06
L7181 OTHER Electronic Elbo Simultaneous 22 17 — — $42,743.66 $121,107.05 $48,680.29 2026-05-06
L7180 OTHER Electronic Elbow Sequential 22 17 — — $34,460.53 $97,638.17 $39,246.71 2026-05-06
MS-266 OTHER Endovascular Cardiac Valve Replacement W Mcc 29 17 — — $27,204.22 $138,404.86 $38,231.51 2026-05-06
MS-267 OTHER Endovascular Cardiac Valve Replacement Without Mcc 29 17 — — $3,357.66 $103,922.17 $29,904.35 2026-05-06
MS-317 OTHER Endovascular Cardiac Valve Replacement With Mcc 21 15 — — $28,092.44 $83,108.10 $39,866.83 2026-05-06
MS-318 OTHER Endovascular Cardiac Valve Replacement Without Mcc 1 1 — — $33,084.53 $33,084.53 $33,084.53 2026-05-06
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 24 16 — — $4,878.00 $64,441.83 $25,271.31 2026-05-06
L8701 OTHER Ewh S/d Uprt Micro Sensor 16 13 — — $33,480.90 $85,376.30 $34,317.93 2026-05-06
L8702 OTHER Ewhf S/d Uprt Micro Sensor 16 13 — — $65,871.74 $167,972.94 $67,518.53 2026-05-06
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 17 — — $36,531.60 $318,692.10 $148,423.42 2026-05-06
MS-933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 17 — — $11,161.62 $58,127.57 $27,071.56 2026-05-06
MS-981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 17 — — $16,694.22 $63,863.89 $29,743.12 2026-05-06
MS-790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 28 17 — — $795.00 $79,862.44 $37,194.07 2026-05-06
MS-793 OTHER Full Term Neonate With Major Problems 28 17 — — $795.00 $56,026.50 $26,093.04 2026-05-06
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 17 — — $16,799.86 $89,724.34 $41,787.02 2026-05-06
20992 OTHER Gen Prclm 6.68 X 5.02 X 1.35 [3662] 9 9 $45,583.00 $21,424.01 53% off $22,791.50 $43,759.68 $36,466.40 2026-05-06
20474 OTHER Gen Proc 5.55 X 4.95 X 1.34 [3660] 9 9 $46,871.00 $22,029.37 53% off $23,435.50 $44,996.16 $37,496.80 2026-05-06
20214 OTHER Generator Asp Hc Impl [105] 9 9 $52,984.00 $24,902.48 53% off $26,492.00 $50,864.64 $42,387.20 2026-05-06
22475 OTHER Generator Demipulse [103] 9 9 $46,579.00 $21,892.13 53% off $23,289.50 $44,715.84 $37,263.20 2026-05-06
14861 OTHER Generator Interstim Ii [3058] 9 9 $30,088.00 $14,141.36 53% off $15,044.00 $28,884.48 $24,070.40 2026-05-06
14388 OTHER Generator Nrv Demipulse 18gr [104] 9 9 $38,640.00 $18,160.80 53% off $19,320.00 $37,094.40 $30,912.00 2026-05-06
19130 OTHER Generator Protege MRI [3771ans] 10 10 $74,691.00 $35,104.77 53% off $85.00 $71,703.36 $57,885.53 2026-05-06
17795 OTHER Generator Vgs Nrv Stim Aspresr [106] 9 9 $46,369.00 $21,793.43 53% off $23,184.50 $44,514.24 $37,095.20 2026-05-06
23111 OTHER Graft Afx2 Main 22x40/ I 13-40 (bea22-40/113-40) 9 9 $37,350.00 $17,554.50 53% off $18,675.00 $35,856.00 $29,880.00 2026-05-06
15395 OTHER Grft Freeflo Valiant 40x40x100 [vamf4040c100tu] 9 9 $43,780.00 $20,576.60 53% off $21,890.00 $42,028.80 $35,024.00 2026-05-06
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 25 17 — — $106,274.75 $313,701.88 $176,237.01 2026-05-06
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 17 — — $50,040.46 $122,723.08 $68,945.55 2026-05-06
MS-969 OTHER HIV With Extensive O.r. Procedures With Mcc 29 17 — — $21,544.78 $84,960.65 $40,359.81 2026-05-06
17811 OTHER Icd 2 Chmbr Is-1 Df-1 Evera Xt [ddbb1d1] 9 9 $34,390.00 $16,163.30 53% off $17,195.00 $33,014.40 $27,512.00 2026-05-06
406907566 OTHER Icd Acticor 7 Hf-t Qp 9 9 $55,384.00 $26,030.48 53% off $27,692.00 $53,168.64 $44,307.20 2026-05-06
406907505 OTHER Icd Acticor 7 Vr-t Dx 429525 9 9 $30,397.00 $14,286.59 53% off $15,198.50 $29,181.12 $24,317.60 2026-05-06
406907437 OTHER Icd Bi-v Amplia MRI Quad Crt-d 9 9 $48,686.00 $22,882.42 53% off $24,343.00 $46,738.56 $38,948.80 2026-05-06
406907364 OTHER Icd Bi-v Assura Quadra 9 9 $56,672.00 $26,635.84 53% off $28,336.00 $54,405.12 $45,337.60 2026-05-06
406907363 OTHER Icd Bi-v Assura Unify 9 9 $47,656.00 $22,398.32 53% off $23,828.00 $45,749.76 $38,124.80 2026-05-06
406907526 OTHER Icd Bi-v Cobalt Hf Crt-d Dtpb2d4 9 9 $47,012.00 $22,095.64 53% off $23,506.00 $45,131.52 $37,609.60 2026-05-06
406907524 OTHER Icd Bi-v Cobalt Hf Quad Crt-d Dtb2qq 9 9 $47,012.00 $22,095.64 53% off $23,506.00 $45,131.52 $37,609.60 2026-05-06
406907525 OTHER Icd Bi-v Cobalt Hf Quad Crt-d Dtpb2q1 9 9 $47,012.00 $22,095.64 53% off $23,506.00 $45,131.52 $37,609.60 2026-05-06
406907512 OTHER Icd Bi-v Crtd Cobalt Hf MRI Is1 Df1 Dtpb2d1 9 9 $47,012.00 $22,095.64 53% off $23,506.00 $45,131.52 $37,609.60 2026-05-06
406907396 OTHER Icd Bi-v Ilesto Hf-t 383547 9 9 $48,944.00 $23,003.68 53% off $24,472.00 $46,986.24 $39,155.20 2026-05-06
406907423 OTHER Icd Bi-v Inogen X4 Crt-d 9 9 $39,928.00 $18,766.16 53% off $19,964.00 $38,330.88 $31,942.40 2026-05-06
406907397 OTHER Icd Bi-v Uni Assura Cd3357-40c 9 9 $56,672.00 $26,635.84 53% off $28,336.00 $54,405.12 $45,337.60 2026-05-06
406907362 OTHER Icd Bi-v Viva S Crtd 9 9 $59,390.00 $27,913.30 53% off $29,695.00 $57,014.40 $47,512.00 2026-05-06
406907361 OTHER Icd Bi-v Viva Xt Crtd 9 9 $60,678.00 $28,518.66 53% off $30,339.00 $58,250.88 $48,542.40 2026-05-06
406907467 OTHER Icd Biv Claria MRI Df4 Dtma1qq 9 9 $48,717.00 $22,896.99 53% off $24,358.50 $46,768.32 $38,973.60 2026-05-06
406907472 OTHER Icd Biv Dynagen X4 Crt-d G156 9 9 $41,731.00 $19,613.57 53% off $20,865.50 $40,061.76 $33,384.80 2026-05-06
406907395 OTHER Icd Boston Incepta N-164 Bi-v 9 9 $61,824.00 $29,057.28 53% off $30,912.00 $59,351.04 $49,459.20 2026-05-06
406907567 OTHER Icd Cobalt Crt-d Xt Hf Quad MRI Is4 Df4 9 9 $50,304.00 $23,642.88 53% off $25,152.00 $48,291.84 $40,243.20 2026-05-06
406907527 OTHER Icd Cobalt Dr MRI Ddpb3d1 9 9 $33,488.00 $15,739.36 53% off $16,744.00 $32,148.48 $26,790.40 2026-05-06
406907511 OTHER Icd Cobalt Dr MRI Is1 Df4 Ddpb3d4 9 9 $33,488.00 $15,739.36 53% off $16,744.00 $32,148.48 $26,790.40 2026-05-06
406907528 OTHER Icd Cobalt Vr MRI Dvpb3d4 9 9 $29,624.00 $13,923.28 53% off $14,812.00 $28,439.04 $23,699.20 2026-05-06
406907569 OTHER Icd Cobalt Xt Vr MRI Df4 Dvpa2d4 9 9 $31,698.00 $14,898.06 53% off $15,849.00 $30,430.08 $25,358.40 2026-05-06
17810 OTHER Icd Crt-d Bivntrclr Viva Qd Xt [dtba1qq] 9 9 $47,656.00 $22,398.32 53% off $23,828.00 $45,749.76 $38,124.80 2026-05-06
406907453 OTHER Icd Defib Dynagen Crt-d G151 9 9 $41,731.00 $19,613.57 53% off $20,865.50 $40,061.76 $33,384.80 2026-05-06
406907575 OTHER Icd Emblem MRI S-icd A219 9 9 $54,830.00 $25,770.10 53% off $27,415.00 $52,636.80 $43,864.00 2026-05-06
406903441 OTHER Icd Energen Is-1/df4-dr 9 9 $94,024.00 $44,191.28 53% off $47,012.00 $90,263.04 $75,219.20 2026-05-06
406907417 OTHER Icd Evera MRI S Dr Ddmc3d4 9 9 $36,450.00 $17,131.50 53% off $18,225.00 $34,992.00 $29,160.00 2026-05-06
406907434 OTHER Icd Evera MRI Xt Dr Ddmb1d1 9 9 $35,806.00 $16,828.82 53% off $17,903.00 $34,373.76 $28,644.80 2026-05-06
406907416 OTHER Icd Evera MRI Xt Dr Ddmb1d4 9 9 $37,996.00 $17,858.12 53% off $18,998.00 $36,476.16 $30,396.80 2026-05-06
406907418 OTHER Icd Evera MRI Xt Vr Dvmb1d4 9 9 $33,810.00 $15,890.70 53% off $16,905.00 $32,457.60 $27,048.00 2026-05-06
406907359 OTHER Icd Evera S Dr 9 9 $50,989.00 $23,964.83 53% off $25,494.50 $48,949.44 $40,791.20 2026-05-06
406907360 OTHER Icd Evera S Vr 9 9 $44,781.00 $21,047.07 53% off $22,390.50 $42,989.76 $35,824.80 2026-05-06
406907357 OTHER Icd Evera Xt Dr 9 9 $51,891.00 $24,388.77 53% off $25,945.50 $49,815.36 $41,512.80 2026-05-06
406907358 OTHER Icd Evera Xt Vr 9 9 $45,683.00 $21,471.01 53% off $22,841.50 $43,855.68 $36,546.40 2026-05-06
406907522 OTHER Icd Forifyassura Dr Cd2357-40q 9 9 $47,656.00 $22,398.32 53% off $23,828.00 $45,749.76 $38,124.80 2026-05-06
406907307 OTHER Icd Fortify Assura Vr 1357-40c 9 9 $39,925.00 $18,764.75 53% off $19,962.50 $38,328.00 $31,940.00 2026-05-06
406907377 OTHER Icd Fortify Assura Vr 1357-40q 9 9 $44,436.00 $20,884.92 53% off $22,218.00 $42,658.56 $35,548.80 2026-05-06
406907546 OTHER Icd Gallant Dr Umri US Cddra500q 9 9 $35,271.00 $16,577.37 53% off $17,635.50 $33,860.16 $28,216.80 2026-05-06
406907580 OTHER Icd Gallant Hf Icd Umri US 9 9 $47,957.00 $22,539.79 53% off $23,978.50 $46,038.72 $38,365.60 2026-05-06
406907538 OTHER Icd Gallant Vr Cdvra500q 9 9 $32,847.00 $15,438.09 53% off $16,423.50 $31,533.12 $26,277.60 2026-05-06
406907431 OTHER Icd Itrevia 7 Hf-t Qp 1035182 9 9 $41,989.00 $19,734.83 53% off $20,994.50 $40,309.44 $33,591.20 2026-05-06
406907550 OTHER Icd Momentum Crt-d Is-1/df-1/is-1 9 9 $47,434.00 $22,293.98 53% off $23,717.00 $45,536.64 $37,947.20 2026-05-06
406907558 OTHER Icd Momentum El Is-1/df-1-vr 9 9 $39,856.00 $18,732.32 53% off $19,928.00 $38,261.76 $31,884.80 2026-05-06
406907547 OTHER Icd Resonate El Icd Df4-dr 9 9 $39,856.00 $18,732.32 53% off $19,928.00 $38,261.76 $31,884.80 2026-05-06
406907292 OTHER Icd St Jude Fortift Dr 9 9 $60,286.00 $28,334.42 53% off $30,143.00 $57,874.56 $48,228.80 2026-05-06
17813 OTHER Icd Sys Crt D Df4 Conn Viva Xt [dtba1d1system] 9 9 $43,664.00 $20,522.08 53% off $21,832.00 $41,917.44 $34,931.20 2026-05-06
406907537 OTHER Icd Unify Assura Cd3357-40c 9 9 $39,928.00 $18,766.16 53% off $19,964.00 $38,330.88 $31,942.40 2026-05-06
406907520 OTHER Icd-vr Visia MRI Dvgb1d4 9 9 $32,007.00 $15,043.29 53% off $16,003.50 $30,726.72 $25,605.60 2026-05-06
Q2055 OTHER Idecabtagene Vicleucel Car 26 17 — — $177,868.00 $1,342,798.35 $539,752.28 2026-05-06
69930 OTHER Implant Cochlear Device 30 17 — — $1,295.00 $74,871.63 $29,361.42 2026-05-06
61886 OTHER Implant Neurostim Arrays 30 17 — — $1,478.00 $69,329.46 $27,188.02 2026-05-06
29650 OTHER Implant Snm Interstim X 9 9 $41,933.00 $19,708.51 53% off $20,966.50 $40,255.68 $33,546.40 2026-05-06
0268T OTHER Implt/rpl Crtd Sns Dev Gen 27 17 — — $5,469.00 $69,329.46 $27,188.02 2026-05-06
0266T OTHER Implt/rpl Crtd Sns Dev Total 25 16 — — $648.00 $105,449.53 $41,352.76 2026-05-06
MS-853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 17 — — $21,962.73 $80,641.77 $31,291.00 2026-05-06
J1413 OTHER Inj Delandistrogene Mox Rokl 20 15 — — $1,318,400.00 $4,944,000.00 $3,325,454.76 2026-05-06
J3399 OTHER Inj Onase Abepar-xioi Treat 23 15 — — $889,156.24 $4,683,348.52 $2,436,386.51 2026-05-06
C9172 OTHER Inj- Beqvez- Per Tx Dose 13 11 — — $3,605,000.00 $3,731,175.00 $3,605,000.00 2026-05-06
J3393 OTHER Inj- Betibeglogene Autotemce 14 11 — — $2,968,000.00 $3,071,880.00 $2,997,680.00 2026-05-06
J1411 OTHER Inj- Hemgenix- Per Tx Dose 19 13 — — $1,680,000.00 $4,375,000.00 $3,672,900.00 2026-05-06
J3394 OTHER Inj- Lovotibeglogene Autotem 14 11 — — $3,286,000.00 $3,401,010.00 $3,318,860.00 2026-05-06
33270 OTHER Ins/rep Subq Defibrillator 29 17 — — $1,054.00 $73,452.93 $28,805.07 2026-05-06
63685 OTHER Ins/rplc Spi Npg/rcvr Pocket 30 17 — — $917.00 $69,329.46 $27,188.02 2026-05-06
33276 OTHER Insj Phrnc Nrv Stim Sys 22 16 — — $15,951.00 $105,449.53 $41,661.32 2026-05-06
0408T OTHER Insj/rplc Cardiac Modulj Sys 26 16 — — $5,755.00 $73,452.93 $28,805.07 2026-05-06
33249 OTHER Insj/rplcmt Defib W/lead(s) 28 17 — — $685.00 $73,452.93 $28,805.07 2026-05-06
0571T OTHER Insj/rplcmt Icds Ss Eltrd 25 16 — — $648.00 $73,452.93 $28,805.07 2026-05-06
33231 OTHER Insrt Pulse Gen W/mult Leads 29 17 — — $1,054.00 $73,452.93 $28,805.07 2026-05-06
J9029 OTHER Instill Adstiladrin- Tx Dose 22 17 — — $24,720.00 $161,554.66 $63,988.32 2026-05-06
MS-021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 17 — — $25,099.47 $103,158.72 $35,619.41 2026-05-06
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 17 — — $32,309.00 $118,630.76 $51,665.84 2026-05-06
L2006 OTHER Kaf Sng/dbl Swg/stn Mcpr Cus 21 17 — — $33,931.33 $96,138.77 $38,455.51 2026-05-06
17836 OTHER Kit Allgrft Brst Lexhd 13x22cm [sf3300] 9 9 $30,945.00 $14,544.15 53% off $15,472.50 $29,707.20 $24,756.00 2026-05-06
22234 OTHER Kit Charging Montage Sc1210a 9 9 $45,853.00 $21,550.91 53% off $22,926.50 $44,018.88 $36,682.40 2026-05-06
25507 OTHER Kit Chrg Alpha 16 Ipg [sc-1240a] 9 9 $46,368.00 $21,792.96 53% off $23,184.00 $44,513.28 $37,094.40 2026-05-06
25050 OTHER Kit Micro-intro 21gx7cm 4fr [kit-069-05] 9 9 $69,552.00 $32,689.44 53% off $34,776.00 $66,769.92 $55,641.60 2026-05-06
26851 OTHER Kit Wavewriter Ipg 16 [sc-1416] 9 9 $46,368.00 $21,792.96 53% off $23,184.00 $44,513.28 $37,094.40 2026-05-06
405810353 OTHER Leuprolide 45 Mg/6 Months Inj 9 9 $36,711.00 $17,254.17 53% off $18,355.50 $35,242.56 $29,368.80 2026-05-06
MS-956 OTHER Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 29 17 — — $17,357.52 $131,082.89 $24,632.58 2026-05-06
Q2054 OTHER Lisocabtagene Mara Car Pos T 26 17 — — $173,967.20 $1,317,651.50 $529,644.23 2026-05-06
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 24 17 — — $43,686.51 $118,599.16 $66,628.74 2026-05-06
MS-006 OTHER Liver Transplant Without Mcc 24 17 — — $19,970.27 $57,117.08 $30,339.37 2026-05-06
MS-007 OTHER Lung Transplant 24 17 — — $38,536.64 $145,543.29 $81,765.89 2026-05-06
MS-820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 17 — — $18,851.42 $78,216.78 $36,960.84 2026-05-06
MS-823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 17 — — $21,249.61 $85,858.12 $29,277.63 2026-05-06
MS-653 OTHER Major Bladder Procedures With Mcc 29 17 — — $19,161.63 $74,889.18 $34,877.89 2026-05-06
MS-163 OTHER Major Chest Procedures With Mcc 29 17 — — $17,015.33 $62,476.13 $28,837.79 2026-05-06
MS-396 OTHER Major Head And Neck Procedures With Mcc 1 1 — — $31,551.05 $31,551.05 $31,551.05 2026-05-06
MS-329 OTHER Major Small And Large Bowel Procedures With Mcc 29 17 — — $15,237.50 $61,687.58 $28,729.56 2026-05-06
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 15 — — $11,906.58 $140,726.52 $66,850.90 2026-05-06
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 15 — — $11,460.72 $95,417.67 $45,327.33 2026-05-06
MS-428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 15 — — $9,066.86 $73,942.08 $35,125.54 2026-05-06
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 14 — — $30,446.04 $90,070.94 $42,997.15 2026-05-06
MS-448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 20 14 — — $18,543.17 $54,857.74 $26,187.43 2026-05-06
MS-826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 17 — — $21,685.55 $107,700.90 $29,878.26 2026-05-06
29791 OTHER Nail Dualcomp Hindft 10.5x210[ar-9090-02s] 9 9 $32,200.00 $15,134.00 53% off $16,100.00 $30,912.00 $25,760.00 2026-05-06
30075 OTHER Nail Dualcomp Hindft 10.5x240[ar-9090-03s] 9 9 $33,812.00 $15,891.64 53% off $16,906.00 $32,459.52 $27,049.60 2026-05-06
30733 OTHER Nail Dualcomp Hindft 11.5x240[ar-9090-07s] 9 9 $33,812.00 $15,891.64 53% off $16,906.00 $32,459.52 $27,049.60 2026-05-06
MS-635 OTHER Neonate- Birthwt 1000-1499g- Died 1 1 — — $84,974.31 $84,974.31 $84,974.31 2026-05-06
MS-633 OTHER Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 1 1 — — $179,138.52 $179,138.52 $179,138.52 2026-05-06
MS-634 OTHER Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive 1 1 — — $80,655.19 $80,655.19 $80,655.19 2026-05-06
MS-636 OTHER Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 1 1 — — $199,388.70 $199,388.70 $199,388.70 2026-05-06
MS-646 OTHER Neonate- Birthwt 1500-1999g- W Signif O.r. Proc- Without Mult Major Prob 1 1 — — $46,719.69 $46,719.69 $46,719.69 2026-05-06
MS-648 OTHER Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Major Prob 1 1 — — $35,817.67 $35,817.67 $35,817.67 2026-05-06
MS-649 OTHER Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Minor Prob 1 1 — — $26,316.70 $26,316.70 $26,316.70 2026-05-06
MS-647 OTHER Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Mult Major Prob 1 1 — — $52,095.87 $52,095.87 $52,095.87 2026-05-06
MS-650 OTHER Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Other Prob 26 15 — — $16,746.00 $69,465.64 $28,825.91 2026-05-06
MS-676 OTHER Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- Without Mult Major Prob 1 1 — — $24,946.21 $24,946.21 $24,946.21 2026-05-06
MS-677 OTHER Neonate- Birthwt 2000-2499g- Without Signif O.r. Proc- W Mult Major Prob 1 1 — — $32,617.51 $32,617.51 $32,617.51 2026-05-06
MS-632 OTHER Neonate- Birthwt 750-999g- Died 1 1 — — $64,772.71 $64,772.71 $64,772.71 2026-05-06
MS-631 OTHER Neonate- Birthwt 750-999g- Discharged Alive 1 1 — — $174,511.45 $174,511.45 $174,511.45 2026-05-06
MS-613 OTHER Neonate- Birthwt <750g- Died 1 1 — — $77,067.16 $77,067.16 $77,067.16 2026-05-06
MS-612 OTHER Neonate- Birthwt <750g-- Discharged Alive 1 1 — — $217,286.57 $217,286.57 $217,286.57 2026-05-06
MS-681 OTHER Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 1 1 — — $102,819.68 $102,819.68 $102,819.68 2026-05-06
C9760 OTHER Non-blind Interatrial Shunt 23 16 — — $11,561.00 $64,441.83 $25,271.31 2026-05-06
MS-876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 23 16 — — $16,881.76 $52,790.25 $25,077.54 2026-05-06
405810763 OTHER Ocrelizumab 300 Mg/10 Ml Inj Soln 9 9 $58,730.00 $27,603.10 53% off $29,365.00 $56,380.80 $46,984.00 2026-05-06
64568 OTHER Opn Impltj Crnl Nrv Nea&pg 29 17 — — $685.00 $69,329.46 $27,188.02 2026-05-06
64582 OTHER Opn Mpltj Hpglsl Nstm Ary Pg 27 17 — — $917.00 $69,329.46 $27,188.02 2026-05-06
MS-228 OTHER Other Cardiothoracic Procedures With Mcc 30 17 — — $22,629.17 $112,712.54 $32,113.73 2026-05-06
MS-356 OTHER Other Digestive System O.r. Procedures With Mcc 29 17 — — $13,859.59 $57,305.41 $26,688.66 2026-05-06
MS-628 OTHER Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 29 17 — — $17,535.11 $88,947.29 $24,686.56 2026-05-06
MS-319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 27 15 — — $17,190.13 $63,117.97 $28,033.55 2026-05-06
MS-215 OTHER Other Heart Assist System Implant 29 17 — — $48,110.99 $184,728.63 $67,612.88 2026-05-06
MS-423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 17 — — $12,727.75 $64,872.22 $25,447.98 2026-05-06
MS-673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 29 17 — — $14,629.24 $56,283.09 $26,212.54 2026-05-06
MS-270 OTHER Other Major Cardiovascular Procedures With Mcc 29 17 — — $3,544.16 $72,879.58 $32,114.99 2026-05-06
MS-277 OTHER Other Major Cardiovascular Procedures With Mcc 23 15 — — $21,124.28 $62,493.62 $29,687.05 2026-05-06
MS-907 OTHER Other O.r. Procedures For Injuries With Mcc 29 17 — — $11,363.67 $53,517.03 $24,924.31 2026-05-06
MS-958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 29 17 — — $18,022.67 $66,174.83 $25,713.26 2026-05-06
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 17 — — $26,724.42 $100,274.06 $46,700.31 2026-05-06
MS-166 OTHER Other Respiratory System O.r. Procedures With Mcc 29 17 — — $14,618.76 $53,676.52 $24,571.47 2026-05-06
406907509 OTHER Pacemaker Dual Transcatheter Pacing System Micra 9 9 $34,132.00 $16,042.04 53% off $17,066.00 $32,766.72 $27,305.60 2026-05-06
MS-010 OTHER Pancreas Transplant 24 17 — — $17,419.44 $88,792.90 $49,883.65 2026-05-06
MS-405 OTHER Pancreas- Liver And Shunt Procedures With Mcc 29 17 — — $12,660.26 $72,929.16 $33,965.05 2026-05-06
J9266 OTHER Pegaspargase Injection 26 17 — — $2,319.48 $69,029.85 $27,341.24 2026-05-06
405810920 OTHER Pegloticase 8 mg/mL Inj 9 9 $87,996.00 $41,358.12 53% off $43,998.00 $84,476.16 $70,396.80 2026-05-06
MS-273 OTHER Percutaneous Intracardiac Procedures W Mcc 29 17 — — $14,881.18 $54,640.06 $24,465.08 2026-05-06
406907373 OTHER Pm Boston Invive Is-4 H219 9 9 $38,627.00 $18,154.69 53% off $19,313.50 $37,081.92 $30,901.60 2026-05-06
405811243 OTHER Polatuzumab Vedotin 140 Mg Inj 9 9 $51,480.00 $24,195.60 53% off $25,740.00 $49,420.80 $41,184.00 2026-05-06
J9600 OTHER Porfimer Sodium Injection 28 17 — — $4,236.68 $60,868.86 $24,105.20 2026-05-06
MS-856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 29 17 — — $16,576.84 $60,866.12 $28,227.15 2026-05-06
MS-791 OTHER Prematurity With Major Problems 28 17 — — $795.00 $54,540.70 $25,401.06 2026-05-06
406907324 OTHER Remove/rpl Icd Only Multiple 9 9 $30,102.00 $14,147.94 53% off $15,051.00 $28,897.92 $24,081.60 2026-05-06
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 29 17 — — $25,103.79 $92,174.99 $41,271.76 2026-05-06
MS-466 OTHER Revision Of Hip Or Knee Replacement With Mcc 29 17 — — $14,843.03 $68,440.86 $31,874.73 2026-05-06
405811316 OTHER Risankizumab-rzaa 600 Mg/10 Ml IV Soln 9 9 $31,357.00 $14,737.79 53% off $15,678.50 $30,102.72 $25,085.60 2026-05-06
33287 OTHER Rmv&rplcmt Phrnc Nrv Stim Pg 23 17 — — $15,951.00 $69,329.46 $27,188.02 2026-05-06
33264 OTHER Rmvl & Rplcmt Dfb Gen Mlt Ld 29 17 — — $1,054.00 $73,452.93 $28,805.07 2026-05-06
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 29 17 — — $30,863.63 $115,438.46 $43,523.85 2026-05-06
MS-140 OTHER Simple Pneumonia And Pleurisy Age 0-17 27 15 — — $4,018.22 $61,269.40 $26,460.30 2026-05-06
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 15 — — $27,926.68 $88,283.95 $49,597.73 2026-05-06
MS-008 OTHER Simultaneous Pancreas/kidney Transplant 24 17 — — $21,600.12 $60,595.89 $34,042.64 2026-05-06
MS-402 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 15 — — $10,259.48 $52,556.49 $24,966.50 2026-05-06
MS-450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 14 — — $23,386.60 $69,186.44 $33,027.52 2026-05-06
Q2043 OTHER Sipuleucel-t Auto Cd54+ 27 17 — — $13,392.37 $140,288.84 $56,665.69 2026-05-06
MS-576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 17 — — $10,381.91 $72,480.46 $34,431.21 2026-05-06
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 17 — — $19,103.78 $82,729.26 $38,529.22 2026-05-06
MS-904 OTHER Skin Grafts For Injuries With Cc/mcc 29 17 — — $8,979.26 $51,870.02 $24,157.25 2026-05-06
MS-459 OTHER Spinal Fusion Except Cervical With Mcc 14 9 — — $30,117.27 $159,952.12 $42,051.60 2026-05-06
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 29 17 — — $38,458.64 $190,306.69 $52,988.16 2026-05-06
MS-457 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 29 17 — — $26,062.62 $119,286.46 $36,916.49 2026-05-06
MS-458 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 29 17 — — $19,608.04 $100,017.22 $27,696.03 2026-05-06
MS-028 OTHER Spinal Procedures With Mcc 29 17 — — $12,985.14 $81,672.00 $38,036.83 2026-05-06
23497 OTHER Spinal Stim Wavewriter Ipg Chg [sc-1060a] 9 9 $47,141.00 $22,156.27 53% off $23,570.50 $45,255.36 $37,712.80 2026-05-06
MS-799 OTHER Splenic Procedures With Mcc 29 17 — — $16,563.85 $63,875.98 $30,285.31 2026-05-06
22691 OTHER Stent Valiant Fflo S 34x34x100 [vamf3434c100tu] 9 9 $43,780.00 $20,576.60 53% off $21,890.00 $42,028.80 $35,024.00 2026-05-06
30786 OTHER Stimulator Evoke Closed Loop[3042] 9 9 $77,989.00 $36,654.83 53% off $38,994.50 $74,869.44 $62,391.20 2026-05-06
30794 OTHER Stimulator/chrgng Sys Cl G4[cls-chg-g4] 9 9 $80,568.00 $37,866.96 53% off $40,284.00 $77,345.28 $64,454.40 2026-05-06
MS-326 OTHER Stomach- Esophageal And Duodenal Procedures With Mcc 29 17 — — $20,399.53 $74,902.09 $31,777.13 2026-05-06
J9226 OTHER Supprelin La Implant 26 17 — — $6,652.81 $115,643.06 $46,483.98 2026-05-06
30791 OTHER System Evoke Stimltor G4 60cm[permsys-60-2-g4] 9 9 $88,836.00 $41,752.92 53% off $44,418.00 $85,282.56 $71,068.80 2026-05-06
30793 OTHER System Evoke Stimltor G4 90cm[permsys-90-2-g4] 9 9 $88,836.00 $41,752.92 53% off $44,418.00 $85,282.56 $71,068.80 2026-05-06
18082 OTHER System Icd 1chmbr Evera MRI Xt [dvmb1d4system] 9 9 $32,007.00 $15,043.29 53% off $16,003.50 $30,726.72 $25,605.60 2026-05-06
18081 OTHER System Icd 2 Chmbr Evera S Dr [ddmc3d4] 9 9 $32,200.00 $15,134.00 53% off $16,100.00 $30,912.00 $25,760.00 2026-05-06
30260 OTHER System Painteq Linq Bilateral[si-c-b] 9 9 $54,096.00 $25,425.12 53% off $27,048.00 $51,932.16 $43,276.80 2026-05-06
26672 OTHER System Thromb Aspir Flowtrievr [ftppp] 9 9 $30,912.00 $14,528.64 53% off $15,456.00 $29,675.52 $24,729.60 2026-05-06
33289 OTHER Tcat Impl Wrls P-art Prs Snr 28 17 — — $1,054.00 $64,891.67 $25,447.71 2026-05-06
MS-212 OTHER Testes Procedures Age 0-17 23 15 — — $7,190.96 $146,348.65 $68,158.47 2026-05-06
Q2042 OTHER Tisagenlecleucel Car-pos T 25 17 — — $175,755.32 $1,349,441.79 $541,773.40 2026-05-06
22444 OTHER Tissue Allodrem 10x20cm1.2-2.8 (15201020) 9 9 $32,996.00 $15,508.12 53% off $16,498.00 $31,676.16 $26,396.80 2026-05-06
29084 OTHER Tissue Matrix Strattice Reconstructive Extra Thick 15x35 Rectangle 9 9 $38,908.00 $18,286.76 53% off $19,454.00 $37,351.68 $31,126.40 2026-05-06
MS-012 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Cc 29 17 — — $13,612.26 $55,129.11 $25,675.10 2026-05-06
MS-011 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Mcc 29 17 — — $17,389.25 $72,488.52 $33,759.84 2026-05-06
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 29 17 — — $45,070.29 $189,822.42 $89,854.69 2026-05-06
38240 OTHER Transplt Allo Hct/donor 29 17 — — $685.00 $122,006.50 $47,845.69 2026-05-06
405811298 OTHER Ublituximab-xiiy 150 Mg/6 Ml Inj 9 9 $32,450.00 $15,251.50 53% off $16,225.00 $31,152.00 $25,960.00 2026-05-06
MS-278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 15 — — $22,719.99 $67,214.33 $31,303.51 2026-05-06
MS-363 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $29,440.07 $29,440.07 $29,440.07 2026-05-06
MS-364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $25,066.89 $25,066.89 $25,066.89 2026-05-06
MS-736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 29 17 — — $9,893.96 $52,897.72 $24,635.88 2026-05-06
MS-739 OTHER Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 29 17 — — $6,253.21 $53,479.41 $24,906.79 2026-05-06
MS-031 OTHER Ventricular Shunt Procedures With Mcc 29 17 — — $18,965.11 $112,233.85 $26,743.17 2026-05-06
MS-463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 17 — — $17,745.99 $72,557.03 $34,467.58 2026-05-06
MS-901 OTHER Wound Debridements For Injuries With Mcc 29 17 — — $11,961.45 $59,519.34 $27,719.74 2026-05-06
28713 OTHER Wound Graft Surgiclose 300cm [50205n23d0d] 9 9 $32,262.00 $15,163.14 53% off $16,131.00 $30,971.52 $25,809.60 2026-05-06
27207 OTHER Wound Matrix Mesh Bilayer 8x10 [mwm8101] 9 9 $38,100.00 $17,907.00 53% off $19,050.00 $36,576.00 $30,480.00 2026-05-06
A9543 OTHER Y90 Ibritumomab- Rx 29 17 — — $16,842.94 $166,965.28 $67,440.88 2026-05-06
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