Hospital

PHYSICIANS REGIONAL MEDICAL CENTER

Powell, TN · CCN 440120 · Rates published

8,885 distinct procedures filed

35 distinct payers

251,501 rate rows

2026-05-06 last MRF observed

Data quality

237,285 of 251,501 rate rows are consumer-grade (94.3%)

14,216 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	12,480
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1,101
template filing: same amount across many unrelated codes — excluded	429
placeholder amount (≤ $0.02) — excluded from medians	149
exceeds 10× this hospital's gross charge — excluded from medians	57

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

Source MRF file	https://www.tennovanorthknoxville.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/452535623_tennova-north-knoxville-medical-center_standardcharges.csv
Found on page	https://www.tennovanorthknoxville.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	7544fdd0347c63a5… · 123,751,405 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
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$302,851.92	$357,046.47	$329,949.19	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	25	$1,912.68	$2,030,643.31	$306,149.61	nat. median $386,529 0.8× median
7 OTHER	Lung Transplant	25	$2,323.53	$1,535,621.51	$201,770.58	nat. median $169,933 1.2× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	$2,323.53	$601,080.34	$186,764.53	nat. median $239,422 0.8× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	28	$2,323.53	$458,020.58	$143,110.55	nat. median $181,005 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	$2,323.53	$330,623.93	$141,206.96	nat. median $146,562 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	28	$2,323.53	$673,940.00	$93,816.51	nat. median $134,983 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	25	$1,912.68	$155,035.79	$79,516.71	nat. median $100,915 0.8× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	27	$2,323.53	$534,549.71	$76,972.92	nat. median $111,558 0.7× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	27	$2,323.53	$142,851.79	$73,913.18	nat. median $90,581 0.8× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	25	$2,323.53	$336,229.34	$69,477.78	nat. median $94,894 0.7× median
215 OTHER	Other Heart Assist System Implant	28	$2,323.53	$237,941.31	$68,271.66	nat. median $92,359 0.7× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$2,323.53	$215,704.14	$65,983.68	nat. median $90,130 0.7× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	23	$22,220.16	$194,295.49	$59,882.79	nat. median $65,342 0.9× median
8650038 OTHER	Y90 Ibritum Rx-dose	21	$17,478.59	$105,125.42	$57,676.92	nat. median $57,393 1.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	28	$2,323.53	$231,106.91	$57,396.49	nat. median $76,493 0.8× median
231 OTHER	Coronary Bypass With Ptca With Mcc	29	$2,323.53	$221,917.81	$56,477.66	nat. median $74,989 0.8× median
613 OTHER	Neonate, Birth Weight <750 Grams, Died	2	$50,459.99	$59,489.67	$54,974.83	nat. median $42,666 1.3× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	28	$2,323.53	$274,900.45	$53,822.68	nat. median $74,209 0.7× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	$2,323.53	$214,726.76	$52,201.74	nat. median $72,612 0.7× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	28	$2,323.53	$526,028.80	$51,919.31	nat. median $64,729 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	28	$2,323.53	$152,947.58	$51,331.85	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	28	$2,323.53	$127,420.68	$51,165.94	nat. median $68,309 0.7× median
1410018 OTHER	Oth Ster Supp Lvl 18	6	$19,399.86	$99,999.26	$49,499.63	nat. median $37,000 1.3× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	27	$2,323.53	$105,805.33	$48,886.46	nat. median $29,655 1.6× median
10 OTHER	Pancreas Transplant	25	$2,323.53	$258,374.93	$48,721.14	nat. median $62,879 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	28	$2,323.53	$93,389.58	$47,749.78	nat. median $46,003 1.0× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	25	$2,323.53	$92,904.80	$47,742.86	nat. median $61,133 0.8× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	28	$2,323.53	$383,935.45	$47,198.48	nat. median $67,670 0.7× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	29	$1,912.68	$145,797.80	$46,973.76	nat. median $54,564 0.9× median
955 OTHER	Craniotomy For Multiple Significant Trauma	28	$2,323.53	$144,397.79	$46,217.12	nat. median $62,467 0.7× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$2,323.53	$115,039.92	$44,745.69	nat. median $60,727 0.7× median
459 OTHER	Spinal Fusion Except Cervical With Mcc	23	$15,208.52	$125,651.45	$44,689.57	nat. median $50,246 0.9× median
318 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	$40,711.45	$47,996.65	$44,354.05	nat. median $18,600 outlier · 2.4×
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$2,323.53	$85,788.75	$44,315.78	nat. median $56,507 0.8× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	28	$1,912.68	$396,165.98	$44,235.68	nat. median $66,849 0.7× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	28	$2,323.53	$85,484.65	$43,713.41	nat. median $54,881 0.8× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	28	$2,323.53	$133,042.36	$42,467.53	nat. median $58,866 0.7× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	29	$2,323.53	$137,915.80	$41,748.19	nat. median $56,351 0.7× median
454 OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	23	$19,441.92	$79,948.84	$41,305.81	nat. median $34,066 1.2× median
276 OTHER	Non-maligant Breast Disorders	28	$2,323.53	$82,365.88	$40,980.12	nat. median $3,947 outlier · 10.4×
28 OTHER	Spinal Procedures With Mcc	28	$2,323.53	$78,574.70	$40,597.55	nat. median $52,701 0.8× median
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	28	$2,323.53	$102,786.92	$40,301.16	nat. median $52,731 0.8× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	25	$1,912.68	$125,632.37	$40,082.12	nat. median $50,271 0.8× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	28	$1,160.82	$77,750.23	$39,764.11	nat. median $42,432 0.9× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	28	$2,323.53	$85,493.19	$39,681.45	nat. median $56,120 0.7× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	28	$2,323.53	$113,346.76	$39,656.54	nat. median $45,878 0.9× median
23 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	$2,323.53	$203,708.62	$39,526.75	nat. median $56,822 0.7× median
1410017 OTHER	Oth Ster Supp Lvl 17	6	$15,238.89	$78,551.00	$38,882.75	nat. median $26,500 1.5× median
8 OTHER	Simultaneous Pancreas And Kidney Transplant	25	$2,323.53	$420,277.68	$38,811.82	nat. median $57,589 0.7× median

Other procedures at this hospital

Browse this hospital's 8,885 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

85	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	37	28	—	—	$1,912.68	$55,546.87	$16,138.95	2026-05-06
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	37	28	—	—	$2,323.53	$35,820.57	$16,159.01	2026-05-06
98	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	37	28	—	—	$1,912.68	$31,328.56	$16,246.24	2026-05-06
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	37	28	—	—	$2,323.53	$51,282.80	$16,359.94	2026-05-06
56	OTHER	Degenerative Nervous System Disorders With Mcc	36	27	—	—	$1,912.68	$38,014.08	$16,431.14	2026-05-06
357	OTHER	Other Digestive System O.r. Procedures With Cc	37	28	—	—	$2,323.53	$72,840.97	$16,446.90	2026-05-06
709	OTHER	Penis Procedures With Cc/mcc	37	28	—	—	$2,323.53	$49,261.61	$16,457.37	2026-05-06
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	37	28	—	—	$1,912.68	$81,156.58	$16,498.84	2026-05-06
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	37	28	—	—	$2,323.53	$31,862.90	$16,521.64	2026-05-06
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	37	28	—	—	$2,323.53	$38,022.32	$16,532.80	2026-05-06
347	OTHER	Anal And Stomal Procedures With Mcc	37	28	—	—	$2,323.53	$209,445.19	$16,565.70	2026-05-06
113	OTHER	Orbital Procedures With Cc/mcc	37	28	—	—	$2,323.53	$43,785.27	$16,614.78	2026-05-06
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	37	28	—	—	$2,323.53	$58,007.35	$16,669.99	2026-05-06
1062275	OTHER	Ic-prq Cor Stnt 2p	30	24	$70,618.41	$15,995.07 77% off	$6,606.00	$70,618.41	$16,742.26	2026-05-06
1061556	OTHER	Ic-prq Crd St-at-ang	40	29	$99,999.77	$22,649.95 77% off	$569.75	$99,999.77	$16,742.26	2026-05-06
783	OTHER	Cesarean Section With Sterilization With Mcc	40	30	—	—	$1,882.15	$132,269.63	$16,793.98	2026-05-06
1061238	OTHER	Ic-vsd Cls Perc W-IM	40	29	$99,999.53	$22,649.89 77% off	$1,142.40	$99,999.53	$16,823.93	2026-05-06
1061237	OTHER	Ic-asd Cls Perc W-IM	40	29	$99,999.79	$22,649.95 77% off	$842.47	$99,999.79	$16,823.93	2026-05-06
1061571	OTHER	Ic-prq De Cor Rev Ch	37	28	$99,999.77	$22,649.95 77% off	$1,309.27	$99,999.77	$16,823.93	2026-05-06
1061566	OTHER	Ic-prq De Cr Stnt Ar	37	28	$99,999.77	$22,649.95 77% off	$1,309.27	$99,999.77	$16,823.93	2026-05-06
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	38	29	—	—	$2,323.53	$32,492.72	$16,846.27	2026-05-06
35	OTHER	Carotid Artery Stent Procedures With Cc	37	28	—	—	$2,323.53	$38,761.29	$16,873.15	2026-05-06
333	OTHER	Rectal Resection With Cc	37	28	—	—	$2,323.53	$153,811.63	$16,877.23	2026-05-06
792	OTHER	Prematurity Without Major Problems	38	29	—	—	$1,065.60	$33,291.73	$16,902.92	2026-05-06
330	OTHER	Major Small And Large Bowel Procedures With Cc	38	29	—	—	$2,323.53	$50,451.71	$16,917.09	2026-05-06
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	36	27	—	—	$2,323.53	$52,661.70	$17,134.64	2026-05-06
1062102	OTHER	Cc-per Trscth Aortic	40	29	$99,999.43	$22,649.87 77% off	$796.34	$99,999.43	$17,223.85	2026-05-06
1062101	OTHER	Cc-per Trscth Mitral	40	29	$99,999.54	$22,649.90 77% off	$961.61	$99,999.54	$17,223.85	2026-05-06
397	OTHER	Coagulation Disorders	35	27	—	—	$2,323.53	$41,306.69	$17,229.51	2026-05-06
545	OTHER	Connective Tissue Disorders With Mcc	37	28	—	—	$1,912.68	$33,705.22	$17,274.11	2026-05-06
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	37	28	—	—	$2,323.53	$81,371.13	$17,319.07	2026-05-06
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	37	28	—	—	$2,323.53	$42,094.11	$17,323.66	2026-05-06
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	37	28	—	—	$2,323.53	$33,834.99	$17,538.09	2026-05-06
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	37	28	—	—	$2,323.53	$33,191.22	$17,539.71	2026-05-06
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	37	28	—	—	$2,323.53	$152,937.77	$17,559.08	2026-05-06
164	OTHER	Major Chest Procedures With Cc	37	28	—	—	$2,323.53	$38,056.27	$17,748.60	2026-05-06
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	37	28	—	—	$2,323.53	$34,397.33	$17,827.93	2026-05-06
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	38	29	—	—	$2,323.53	$40,523.77	$17,859.42	2026-05-06
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	37	28	—	—	$1,912.68	$34,945.71	$17,907.52	2026-05-06
1410076	OTHER	Lead Aicd End Dul L6	10	7	$51,549.38	$11,675.93 77% off	$5,154.94	$51,549.38	$17,964.96	2026-05-06
8690062	OTHER	Brachtx Src Ytrium90	40	30	$99,999.25	$22,649.83 77% off	$6,603.09	$99,999.25	$17,973.82	2026-05-06
8510062	OTHER	Brachtx Src Ytrium90	40	30	$99,999.25	$22,649.83 77% off	$6,603.09	$99,999.25	$17,973.82	2026-05-06
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	37	28	—	—	$2,323.53	$42,320.72	$18,034.52	2026-05-06
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	37	28	—	—	$2,323.53	$41,298.70	$18,085.21	2026-05-06
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	37	28	—	—	$1,912.68	$47,671.28	$18,110.57	2026-05-06
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	37	28	—	—	$1,912.68	$35,114.96	$18,197.80	2026-05-06
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	38	29	—	—	$2,323.53	$70,863.15	$18,286.42	2026-05-06
1410730	OTHER	Lead Neurostimulat 7	13	10	$80,834.60	$18,309.04 77% off	$8,002.63	$80,834.60	$18,309.04	2026-05-06
1410016	OTHER	Oth Ster Supp Lvl 16	9	6	$37,012.62	$8,383.36 77% off	$7,180.45	$37,012.62	$18,321.25	2026-05-06
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	37	28	—	—	$2,323.53	$62,384.51	$18,485.64	2026-05-06
253	OTHER	Other Vascular Procedures With Cc	37	28	—	—	$2,323.53	$83,958.74	$18,571.20	2026-05-06
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	37	28	—	—	$2,323.53	$35,855.42	$18,579.45	2026-05-06
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	37	28	—	—	$2,323.53	$206,127.98	$18,850.64	2026-05-06
849	OTHER	Radiotherapy	37	28	—	—	$1,912.68	$188,936.68	$18,965.04	2026-05-06
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	37	28	—	—	$2,323.53	$54,322.02	$19,001.72	2026-05-06
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	37	28	—	—	$1,912.68	$48,974.59	$19,222.10	2026-05-06
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	37	28	—	—	$2,323.53	$61,097.34	$19,251.74	2026-05-06
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	37	28	—	—	$1,912.68	$56,812.65	$19,277.18	2026-05-06
288	OTHER	Acute And Subacute Endocarditis With Mcc	37	28	—	—	$1,912.68	$133,283.75	$19,310.57	2026-05-06
1061647	OTHER	S-perc Trns L Atr Ap	23	13	$99,999.60	$22,649.91 77% off	$674.17	$99,999.60	$19,399.92	2026-05-06
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	36	28	—	—	$2,323.53	$38,127.15	$19,408.17	2026-05-06
963	OTHER	Other Multiple Significant Trauma With Mcc	37	28	—	—	$1,912.68	$89,365.24	$19,495.07	2026-05-06
503	OTHER	Foot Procedures With Mcc	37	28	—	—	$2,323.53	$144,973.08	$19,500.17	2026-05-06
654	OTHER	Major Bladder Procedures With Cc	37	28	—	—	$2,323.53	$57,944.65	$19,553.92	2026-05-06
1157901	OTHER	Lithotripsy	7	6	$39,323.34	$8,906.74 77% off	$7,628.73	$39,323.34	$19,661.67	2026-05-06
1110864	OTHER	Lithotripsy	7	6	$39,323.34	$8,906.74 77% off	$7,628.73	$39,323.34	$19,661.67	2026-05-06
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	37	28	—	—	$2,323.53	$82,074.92	$19,684.20	2026-05-06
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	37	28	—	—	$2,323.53	$48,220.82	$19,749.79	2026-05-06
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	37	28	—	—	$2,323.53	$39,766.45	$19,889.69	2026-05-06
1413110	OTHER	Cochlear Imp System4	13	10	$99,999.00	$22,649.77 77% off	$9,899.90	$99,999.00	$20,000.00	2026-05-06
1414710	OTHER	Joint Device Implt11	13	10	$99,999.17	$22,649.81 77% off	$9,899.92	$99,999.17	$20,000.00	2026-05-06
1414955	OTHER	Stnt Coat/cov W/del5	13	10	$99,999.62	$22,649.91 77% off	$9,899.96	$99,999.62	$20,000.00	2026-05-06
1414022	OTHER	Anchor/scrw Level 22	13	10	$99,999.24	$22,649.83 77% off	$9,899.92	$99,999.24	$20,000.00	2026-05-06
1414709	OTHER	Joint Device Implt10	13	10	$99,999.88	$22,649.97 77% off	$9,899.99	$99,999.88	$20,000.00	2026-05-06
1417388	OTHER	Gen Neuro Sinus Lvl2	13	10	$99,999.99	$22,650.00 77% off	$9,900.00	$99,999.99	$20,000.00	2026-05-06
1413175	OTHER	Inf Pump Program Lv4	13	10	$99,999.87	$22,649.97 77% off	$9,899.99	$99,999.87	$20,000.00	2026-05-06
1414904	OTHER	Watchman Atr App L1	13	10	$99,999.99	$22,650.00 77% off	$9,900.00	$99,999.99	$20,000.00	2026-05-06
1410037	OTHER	Aicd Dual Chamber L3	10	7	$62,290.39	$14,108.77 77% off	$6,229.04	$62,290.39	$20,000.00	2026-05-06
1414905	OTHER	Watchman Atr App L2	13	10	$99,999.36	$22,649.86 77% off	$9,899.94	$99,999.36	$20,000.00	2026-05-06
1414576	OTHER	Genratr Neurostm 3	13	10	$99,999.98	$22,650.00 77% off	$9,900.00	$99,999.98	$20,000.00	2026-05-06
1417274	OTHER	Wireless Press Sens	13	10	$99,999.00	$22,649.77 77% off	$9,899.90	$99,999.00	$20,000.00	2026-05-06
1411702	OTHER	Impella Device L3	13	10	$99,999.00	$22,649.77 77% off	$9,899.90	$99,999.00	$20,000.00	2026-05-06
1411701	OTHER	Impella Device L2	13	10	$99,999.00	$22,649.77 77% off	$9,899.90	$99,999.00	$20,000.00	2026-05-06
1414763	OTHER	Mesh Implantable 14	13	10	$99,999.89	$22,649.98 77% off	$9,899.99	$99,999.89	$20,000.00	2026-05-06
1414907	OTHER	Tavr L2	13	10	$99,999.99	$22,650.00 77% off	$9,900.00	$99,999.99	$20,000.00	2026-05-06
1410093	OTHER	Pmkr Othr Th Sngl L3	10	7	$70,307.61	$15,924.67 77% off	$7,030.76	$70,307.61	$20,000.00	2026-05-06
1414484	OTHER	Conn Tissue Human 10	13	10	$99,999.44	$22,649.87 77% off	$9,899.94	$99,999.44	$20,000.00	2026-05-06
1417059	OTHER	Tissue Non-human 11	13	10	$99,999.00	$22,649.77 77% off	$9,899.90	$99,999.00	$20,000.00	2026-05-06
1414906	OTHER	Tavr L1	13	10	$99,999.99	$22,650.00 77% off	$9,900.00	$99,999.99	$20,000.00	2026-05-06
1410048	OTHER	Pmkr Singl Rate-rsl3	10	7	$63,024.38	$14,275.02 77% off	$6,302.44	$63,024.38	$20,000.00	2026-05-06
1413125	OTHER	Genrate Neuro Rech 4	13	10	$99,999.41	$22,649.87 77% off	$9,899.94	$99,999.41	$20,000.00	2026-05-06
1413109	OTHER	Cochlear Imp System3	13	10	$99,999.70	$22,649.93 77% off	$9,899.97	$99,999.70	$20,000.00	2026-05-06
1414607	OTHER	Graft Vascular 8	13	10	$99,999.84	$22,649.96 77% off	$9,899.98	$99,999.84	$20,000.00	2026-05-06
800	OTHER	Splenectomy With Cc	37	28	—	—	$2,323.53	$101,702.46	$20,000.46	2026-05-06
974	OTHER	HIV With Major Related Condition With Mcc	37	28	—	—	$1,912.68	$78,318.56	$20,193.08	2026-05-06
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	36	27	—	—	$2,323.53	$40,735.67	$20,212.88	2026-05-06
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	37	28	—	—	$2,323.53	$92,362.10	$20,215.60	2026-05-06
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	37	28	—	—	$2,323.53	$47,602.39	$20,227.39	2026-05-06
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	37	28	—	—	$2,323.53	$51,179.17	$20,294.94	2026-05-06
619	OTHER	O.r. Procedures For Obesity With Mcc	38	29	—	—	$2,323.53	$38,866.99	$20,326.76	2026-05-06
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	37	28	—	—	$2,323.53	$91,697.49	$20,484.46	2026-05-06
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	35	27	—	—	$2,323.53	$40,783.73	$20,715.31	2026-05-06
668	OTHER	Transurethral Procedures With Mcc	37	28	—	—	$2,323.53	$90,451.46	$20,739.83	2026-05-06
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	37	28	—	—	$2,323.53	$139,929.43	$20,900.94	2026-05-06
472	OTHER	Cervical Spinal Fusion With Cc	37	28	—	—	$2,323.53	$49,721.39	$20,914.31	2026-05-06
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	37	28	—	—	$2,323.53	$40,513.39	$20,980.22	2026-05-06
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	37	28	—	—	$2,323.53	$50,479.69	$21,001.87	2026-05-06
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	37	28	—	—	$2,323.53	$43,603.22	$21,004.49	2026-05-06
263	OTHER	Vein Ligation And Stripping	37	28	—	—	$2,323.53	$81,414.53	$21,246.47	2026-05-06
662	OTHER	Minor Bladder Procedures With Mcc	37	28	—	—	$2,323.53	$41,082.09	$21,273.34	2026-05-06
1410040	OTHER	Aicd Dual Chamber L6	10	7	$99,999.00	$22,649.77 77% off	$9,999.90	$99,999.00	$21,324.89	2026-05-06
1411004	OTHER	Aicd Ohr Thn Sgl/du4	10	7	$99,999.00	$22,649.77 77% off	$9,999.90	$99,999.00	$21,324.89	2026-05-06
1413007	OTHER	Aicd Single Chamber3	10	7	$99,999.00	$22,649.77 77% off	$9,999.90	$99,999.00	$21,324.89	2026-05-06
1410039	OTHER	Aicd Dual Chamber L5	10	7	$99,999.21	$22,649.82 77% off	$9,999.92	$99,999.21	$21,324.91	2026-05-06
1411002	OTHER	Aicd Ohr Thn Sgl/du2	10	7	$99,999.31	$22,649.84 77% off	$9,999.93	$99,999.31	$21,324.92	2026-05-06
1413005	OTHER	Aicd Single Chamber1	10	7	$99,999.49	$22,649.88 77% off	$9,999.95	$99,999.49	$21,324.94	2026-05-06
1410069	OTHER	Pmkr Dual Rate-rs L5	10	7	$99,999.46	$22,649.88 77% off	$9,999.95	$99,999.46	$21,324.94	2026-05-06
1413006	OTHER	Aicd Single Chamber2	10	7	$99,999.49	$22,649.88 77% off	$9,999.95	$99,999.49	$21,324.94	2026-05-06
1411003	OTHER	Aicd Ohr Thn Sgl/du3	10	7	$99,999.57	$22,649.90 77% off	$9,999.96	$99,999.57	$21,324.95	2026-05-06
1410049	OTHER	Pmkr Singl Rate-rsl4	10	7	$99,999.69	$22,649.93 77% off	$9,999.97	$99,999.69	$21,324.97	2026-05-06
1410094	OTHER	Pmkr Othr Th Sngl L4	10	7	$99,999.70	$22,649.93 77% off	$9,999.97	$99,999.70	$21,324.97	2026-05-06
1410038	OTHER	Aicd Dual Chamber L4	10	7	$99,999.96	$22,649.99 77% off	$10,000.00	$99,999.96	$21,325.00	2026-05-06
1413004	OTHER	Aicd Ohr Thn Sgl/du1	10	7	$99,999.98	$22,650.00 77% off	$10,000.00	$99,999.98	$21,325.00	2026-05-06
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	37	28	—	—	$2,323.53	$63,017.88	$21,496.56	2026-05-06
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	37	28	—	—	$2,323.53	$49,955.57	$21,586.16	2026-05-06
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	37	28	—	—	$2,323.53	$41,758.96	$21,622.21	2026-05-06
665	OTHER	Prostatectomy With Mcc	37	28	—	—	$2,323.53	$83,077.25	$21,664.85	2026-05-06
1417404	OTHER	Gen Neuro Ext Cntrl	18	12	$99,999.43	$22,649.87 77% off	$9,899.94	$99,999.43	$21,790.38	2026-05-06
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	37	28	—	—	$2,323.53	$47,120.11	$21,801.90	2026-05-06
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	37	28	—	—	$2,323.53	$42,335.36	$21,919.30	2026-05-06
364	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	2	2	—	—	$20,284.24	$23,914.05	$22,099.15	2026-05-06
229	OTHER	Other Cardiothoracic Procedures Without Mcc	37	28	—	—	$2,323.53	$64,747.17	$22,274.04	2026-05-06
324	OTHER	Urinary Stones Without Cc	35	27	—	—	$2,323.53	$42,220.83	$22,284.07	2026-05-06
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	38	29	—	—	$2,323.53	$93,472.45	$22,289.35	2026-05-06
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	37	28	—	—	$2,323.53	$115,027.37	$22,317.99	2026-05-06
652	OTHER	Kidney Transplant	31	25	—	—	$2,323.53	$125,768.70	$22,375.04	2026-05-06
500	OTHER	Soft Tissue Procedures With Mcc	37	28	—	—	$2,323.53	$125,627.03	$22,376.31	2026-05-06
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	37	28	—	—	$1,912.68	$43,288.33	$22,410.47	2026-05-06
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	37	28	—	—	$2,323.53	$47,378.43	$22,434.06	2026-05-06
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	37	28	—	—	$2,323.53	$62,279.07	$22,524.05	2026-05-06
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	38	29	—	—	$2,323.53	$117,427.38	$22,622.78	2026-05-06
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	35	27	—	—	$2,323.53	$44,741.64	$22,681.16	2026-05-06
37	OTHER	Extracranial Procedures With Mcc	37	28	—	—	$2,323.53	$44,016.07	$22,785.56	2026-05-06
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	37	28	—	—	$2,323.53	$166,061.67	$22,792.79	2026-05-06
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	37	28	—	—	$2,323.53	$79,676.10	$22,964.60	2026-05-06
362	OTHER	Cardiac Defibrillator Implant Without Mcc	2	2	—	—	$21,123.94	$24,904.01	$23,013.97	2026-05-06
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	37	28	—	—	$2,323.53	$253,898.59	$23,029.13	2026-05-06
264	OTHER	Other Circulatory System O.r. Procedures	37	28	—	—	$2,323.53	$44,633.14	$23,103.61	2026-05-06
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	37	28	—	—	$2,323.53	$52,085.61	$23,224.64	2026-05-06
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	37	28	—	—	$2,323.53	$45,479.23	$23,253.81	2026-05-06
411	OTHER	Cholecystectomy With C.d.e. With Mcc	37	28	—	—	$2,323.53	$50,634.57	$23,302.20	2026-05-06
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	38	29	—	—	$2,323.53	$45,750.24	$23,408.11	2026-05-06
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	37	28	—	—	$2,323.53	$45,536.49	$23,569.20	2026-05-06
1061578	OTHER	Ep-ablate Vent Tacy	40	29	$99,999.66	$22,649.92 77% off	$868.72	$99,999.66	$23,727.17	2026-05-06
1061579	OTHER	Ep-atr Fib Pulm Vn I	40	29	$99,999.66	$22,649.92 77% off	$817.20	$99,999.66	$23,727.17	2026-05-06
1061577	OTHER	Ep-ablate Sprvnt Art	40	29	$99,999.66	$22,649.92 77% off	$720.89	$99,999.66	$23,727.17	2026-05-06
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	37	28	—	—	$2,323.53	$63,508.87	$23,851.19	2026-05-06
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	37	28	—	—	$2,323.53	$46,297.32	$23,961.35	2026-05-06
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	37	28	—	—	$1,912.68	$74,398.11	$24,276.12	2026-05-06
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	37	28	—	—	$2,323.53	$46,999.65	$24,323.34	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	37	28	—	—	$2,323.53	$91,404.41	$24,532.91	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	37	28	—	—	$2,323.53	$87,496.00	$24,538.93	2026-05-06
335	OTHER	Peritoneal Adhesiolysis With Mcc	38	29	—	—	$2,323.53	$65,036.86	$24,613.84	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	37	28	—	—	$2,323.53	$97,434.03	$24,637.45	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	37	28	—	—	$2,323.53	$74,401.75	$24,691.89	2026-05-06
279	OTHER	Cellulitis Age 0-17	35	27	—	—	$2,323.53	$48,014.96	$24,846.64	2026-05-06
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	37	28	—	—	$1,912.68	$51,562.93	$24,882.05	2026-05-06
265	OTHER	Aicd Lead Procedures	37	28	—	—	$2,323.53	$69,129.43	$24,924.01	2026-05-06
332	OTHER	Rectal Resection With Mcc	37	28	—	—	$2,323.53	$70,171.61	$24,940.41	2026-05-06
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	37	28	—	—	$2,323.53	$98,545.07	$24,991.57	2026-05-06
271	OTHER	Other Major Cardiovascular Procedures With Cc	38	29	—	—	$2,323.53	$92,022.14	$24,993.52	2026-05-06
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	37	28	—	—	$2,323.53	$108,039.07	$25,055.68	2026-05-06
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	37	28	—	—	$2,323.53	$77,067.71	$25,151.55	2026-05-06
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	37	28	—	—	$2,323.53	$85,855.62	$25,174.47	2026-05-06
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	37	28	—	—	$2,323.53	$48,844.49	$25,274.19	2026-05-06
460	OTHER	Spinal Fusion Except Cervical Without Mcc	26	23	—	—	$11,181.54	$56,607.51	$25,428.54	2026-05-06
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	37	28	—	—	$2,323.53	$90,266.85	$25,457.46	2026-05-06
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	31	25	—	—	$2,323.53	$155,594.55	$25,498.47	2026-05-06
904	OTHER	Skin Grafts For Injuries With Cc/mcc	37	28	—	—	$2,323.53	$91,017.17	$25,774.31	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	37	28	—	—	$2,323.53	$76,644.22	$26,133.31	2026-05-06
1061618	OTHER	Cc-imp Press Sen Ang	36	28	$99,999.00	$22,649.77 77% off	$289.60	$99,999.00	$26,176.37	2026-05-06
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	37	28	—	—	$2,323.53	$69,506.37	$26,203.51	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	37	28	—	—	$2,323.53	$316,088.58	$26,206.16	2026-05-06
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	36	27	—	—	$2,323.53	$86,006.51	$26,265.67	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	37	28	—	—	$2,323.53	$53,999.84	$26,373.91	2026-05-06
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	37	28	—	—	$2,323.53	$112,951.69	$26,375.32	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	37	28	—	—	$2,323.53	$67,362.64	$26,579.84	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	37	28	—	—	$1,912.68	$98,056.43	$26,733.94	2026-05-06
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	37	28	—	—	$2,323.53	$61,027.73	$26,850.02	2026-05-06
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	37	28	—	—	$2,323.53	$148,344.38	$27,031.76	2026-05-06
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	32	26	—	—	$2,323.53	$61,273.31	$27,056.52	2026-05-06
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	37	28	—	—	$2,323.53	$163,405.85	$27,323.49	2026-05-06
791	OTHER	Prematurity With Major Problems	37	28	—	—	$1,878.21	$53,773.45	$27,521.23	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	38	29	—	—	$1,189.12	$55,180.62	$27,951.12	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	37	28	—	—	$2,323.53	$83,259.85	$28,250.74	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	37	28	—	—	$2,323.53	$70,773.84	$28,665.84	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	37	28	—	—	$2,323.53	$63,490.86	$28,716.97	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	37	28	—	—	$2,323.53	$57,021.62	$28,830.45	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	37	28	—	—	$2,323.53	$91,887.85	$28,982.48	2026-05-06
1110865	OTHER	Bilat Lithotripsy	7	6	$58,224.09	$13,187.76 77% off	$11,295.47	$58,224.09	$29,112.04	2026-05-06
1157902	OTHER	Bilat Lithotripsy	7	6	$58,224.09	$13,187.76 77% off	$11,295.47	$58,224.09	$29,112.04	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	37	28	—	—	$2,323.53	$86,182.97	$29,113.49	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	37	28	—	—	$2,323.53	$124,034.25	$29,307.37	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	37	28	—	—	$2,323.53	$70,231.56	$29,348.49	2026-05-06
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	37	28	—	—	$2,323.53	$120,781.34	$29,403.63	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	37	28	—	—	$2,323.53	$148,402.97	$29,451.75	2026-05-06
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	35	27	—	—	$2,323.53	$57,188.35	$29,574.73	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	36	27	—	—	$2,323.53	$131,080.50	$29,733.18	2026-05-06
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	2	—	—	$27,331.04	$32,221.85	$29,776.44	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	38	29	—	—	$2,323.53	$234,541.08	$30,512.85	2026-05-06
570	OTHER	Skin Debridement With Mcc	37	28	—	—	$2,323.53	$398,855.91	$30,574.66	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	36	27	—	—	$2,323.53	$88,106.24	$30,758.72	2026-05-06
799	OTHER	Splenectomy With Mcc	37	28	—	—	$2,323.53	$72,085.99	$30,896.11	2026-05-06
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$28,414.30	$33,498.96	$30,956.63	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	37	28	—	—	$2,323.53	$65,046.75	$31,012.82	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	37	28	—	—	$2,323.53	$60,003.99	$31,025.95	2026-05-06
245	OTHER	Aicd Generator Procedures	38	29	—	—	$2,323.53	$69,125.96	$31,115.79	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	37	28	—	—	$2,323.53	$96,709.82	$31,171.81	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	37	28	—	—	$2,323.53	$326,603.07	$31,180.48	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	37	28	—	—	$2,323.53	$121,005.51	$31,869.06	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	37	28	—	—	$2,323.53	$115,068.27	$31,947.26	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	37	28	—	—	$2,323.53	$62,717.77	$31,964.36	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	31	25	—	—	$2,323.53	$168,019.72	$32,027.31	2026-05-06
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	26	23	—	—	$16,846.02	$103,772.43	$32,106.12	2026-05-06
277	OTHER	Cellulitis Age >17 W Cc	37	29	—	—	$2,323.53	$165,367.52	$32,291.05	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	37	28	—	—	$2,323.53	$106,467.75	$32,490.77	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	37	28	—	—	$2,323.53	$64,488.91	$32,931.24	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	37	28	—	—	$2,323.53	$118,366.80	$33,045.63	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	37	28	—	—	$1,912.68	$332,501.79	$33,336.42	2026-05-06
471	OTHER	Cervical Spinal Fusion With Mcc	37	28	—	—	$2,323.53	$276,429.23	$33,499.52	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	38	29	—	—	$2,323.53	$69,487.51	$33,582.81	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	37	28	—	—	$2,323.53	$139,105.33	$34,121.23	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	37	28	—	—	$2,323.53	$97,122.30	$34,293.05	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	37	28	—	—	$2,323.53	$270,568.48	$34,560.45	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	38	29	—	—	$2,323.53	$92,200.16	$34,581.23	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	37	28	—	—	$2,323.53	$68,359.29	$35,332.39	2026-05-06
270	OTHER	Other Major Cardiovascular Procedures With Mcc	38	29	—	—	$2,323.53	$69,426.58	$35,797.33	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	37	28	—	—	$2,323.53	$307,165.72	$35,957.61	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	38	29	—	—	$2,323.53	$78,870.78	$36,518.64	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	26	25	—	—	$1,912.68	$71,246.16	$36,595.77	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	37	28	—	—	$2,323.53	$262,305.81	$36,608.74	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	37	28	—	—	$2,323.53	$107,455.97	$37,019.69	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	37	28	—	—	$2,323.53	$111,757.97	$37,070.84	2026-05-06
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	37	28	—	—	$1,912.68	$75,191.93	$37,198.05	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	37	28	—	—	$2,323.53	$265,526.80	$37,415.12	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	37	28	—	—	$2,323.53	$159,852.84	$37,680.35	2026-05-06
278	OTHER	Cellulitis Age >17 Without Cc	35	27	—	—	$2,323.53	$72,949.79	$37,698.40	2026-05-06
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$34,630.92	$40,828.03	$37,729.47	2026-05-06
6	OTHER	Liver Transplant Without Mcc	26	25	—	—	$2,323.53	$435,234.58	$38,320.42	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	37	28	—	—	$2,323.53	$89,925.11	$38,572.56	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	26	25	—	—	$2,323.53	$420,277.68	$38,811.82	2026-05-06
1410017	OTHER	Oth Ster Supp Lvl 17	9	6	$78,551.00	$17,791.80 77% off	$15,238.89	$78,551.00	$38,882.75	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	37	28	—	—	$2,323.53	$203,708.62	$39,526.75	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	37	28	—	—	$2,323.53	$113,346.76	$39,656.54	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	37	28	—	—	$2,323.53	$85,493.19	$39,681.45	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	37	28	—	—	$1,160.82	$77,750.23	$39,764.11	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	26	25	—	—	$1,912.68	$125,632.37	$40,082.12	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	37	28	—	—	$2,323.53	$102,786.92	$40,301.16	2026-05-06
28	OTHER	Spinal Procedures With Mcc	37	28	—	—	$2,323.53	$78,574.70	$40,597.55	2026-05-06
276	OTHER	Non-maligant Breast Disorders	36	28	—	—	$2,323.53	$82,365.88	$40,980.12	2026-05-06
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	26	23	—	—	$19,441.92	$79,948.84	$41,305.81	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	38	29	—	—	$2,323.53	$137,915.80	$41,748.19	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	37	28	—	—	$2,323.53	$133,042.36	$42,467.53	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	37	28	—	—	$2,323.53	$85,484.65	$43,713.41	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	37	28	—	—	$1,912.68	$396,165.98	$44,235.68	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	38	29	—	—	$2,323.53	$85,788.75	$44,315.78	2026-05-06
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$40,711.45	$47,996.65	$44,354.05	2026-05-06
459	OTHER	Spinal Fusion Except Cervical With Mcc	26	23	—	—	$15,208.52	$125,651.45	$44,689.57	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	38	29	—	—	$2,323.53	$115,039.92	$44,745.69	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	37	28	—	—	$2,323.53	$144,397.79	$46,217.12	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	38	29	—	—	$1,912.68	$145,797.80	$46,973.76	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	37	28	—	—	$2,323.53	$383,935.45	$47,198.48	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	26	25	—	—	$2,323.53	$92,904.80	$47,742.86	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	37	28	—	—	$2,323.53	$93,389.58	$47,749.78	2026-05-06
10	OTHER	Pancreas Transplant	26	25	—	—	$2,323.53	$258,374.93	$48,721.14	2026-05-06
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	35	27	—	—	$2,323.53	$105,805.33	$48,886.46	2026-05-06
1410018	OTHER	Oth Ster Supp Lvl 18	9	6	$99,999.26	$22,649.83 77% off	$19,399.86	$99,999.26	$49,499.63	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	37	28	—	—	$2,323.53	$127,420.68	$51,165.94	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	37	28	—	—	$2,323.53	$152,947.58	$51,331.85	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	37	28	—	—	$2,323.53	$526,028.80	$51,919.31	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	38	29	—	—	$2,323.53	$214,726.76	$52,201.74	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	37	28	—	—	$2,323.53	$274,900.45	$53,822.68	2026-05-06
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$50,459.99	$59,489.67	$54,974.83	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	38	29	—	—	$2,323.53	$221,917.81	$56,477.66	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	37	28	—	—	$2,323.53	$231,106.91	$57,396.49	2026-05-06
8650038	OTHER	Y90 Ibritum Rx-dose	32	21	$99,999.00	$22,649.77 77% off	$17,478.59	$105,125.42	$57,676.92	2026-05-06
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	26	23	—	—	$22,220.16	$194,295.49	$59,882.79	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	38	29	—	—	$2,323.53	$215,704.14	$65,983.68	2026-05-06
215	OTHER	Other Heart Assist System Implant	37	28	—	—	$2,323.53	$237,941.31	$68,271.66	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	26	25	—	—	$2,323.53	$336,229.34	$69,477.78	2026-05-06
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	35	27	—	—	$2,323.53	$142,851.79	$73,913.18	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	29	27	—	—	$2,323.53	$534,549.71	$76,972.92	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	26	25	—	—	$1,912.68	$155,035.79	$79,516.71	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	37	28	—	—	$2,323.53	$673,940.00	$93,816.51	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	37	28	—	—	$2,323.53	$330,623.93	$141,206.96	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	37	28	—	—	$2,323.53	$458,020.58	$143,110.55	2026-05-06
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	28	—	—	$2,323.53	$601,080.34	$186,764.53	2026-05-06
7	OTHER	Lung Transplant	26	25	—	—	$2,323.53	$1,535,621.51	$201,770.58	2026-05-06
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	25	—	—	$1,912.68	$2,030,643.31	$306,149.61	2026-05-06
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$302,851.92	$357,046.47	$329,949.19	2026-05-06

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