Hospital

PALO PINTO GENERAL HOSPITAL

Mineral Wells, TX · CCN 450565 · Rates published

1,969 distinct procedures filed

9 distinct payers

19,502 rate rows

2026-05-22 last MRF observed

Data quality

18,037 of 19,502 rate rows are consumer-grade (92.5%)

1,465 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	746
per-diem day rate — not a per-procedure price	707
exceeds 10× this hospital's gross charge — excluded from medians	8
placeholder amount (≤ $0.02) — excluded from medians	4

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

Source MRF file	https://res.cloudinary.com/dpmykpsih/raw/upload/palo-pinto-site-485/media/r/64e3b805d588478eb05a4918d9375497/751256948_palo-pinto-general-hospital_standardcharges.csv
Found on page	https://ppgh.com/patients-visitors/billing-insurance/price-transparency/
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint	95e0afd374cd9a44… · 3,582,021 bytes · first seen 2026-05-17

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
018 OTHER	Chimeric Antigen Receptor (car) T-cell Immunotherapy	3	$39,278.52	$309,205.63	$158,218.96	nat. median $424,868 outlier · 0.4×
003 OTHER	Ecmo Or Trach W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck W Major O.…	3	$78,433.66	$228,163.23	$129,923.49	nat. median $218,232 0.6× median
004 OTHER	Tracheostomy W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck Without Maj…	3	$48,990.06	$118,133.27	$63,870.28	nat. median $150,232 outlier · 0.4×
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	$42,622.01	$105,857.28	$56,911.68	nat. median $82,426 0.7× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	1	$51,815.21	$51,815.21	$51,815.21	nat. median $42,495 1.2× median
233 OTHER	Coronary Bypass With Cardiac Catheterization With Mcc	3	$32,183.85	$66,979.29	$48,274.31	nat. median $68,249 0.7× median
215 OTHER	Other Heart Assist System Implant	3	$8,019.00	$89,490.41	$47,292.76	nat. median $92,359 0.5× median
231 OTHER	Coronary Bypass With Ptca With Mcc	3	$35,064.53	$72,306.46	$44,607.94	nat. median $74,989 0.6× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$5,451.30	$81,844.36	$44,207.97	nat. median $90,130 outlier · 0.5×
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	3	$37,969.57	$67,558.86	$39,742.29	nat. median $65,342 0.6× median
021 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	3	$31,105.51	$48,432.55	$38,406.39	nat. median $58,177 0.7× median
793 OTHER	Full Term Neonate With Major Problems	1	$37,439.50	$37,439.50	$37,439.50	nat. median $30,947 1.2× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	3	$24,359.98	$53,143.17	$36,914.62	nat. median $56,351 0.7× median
791 OTHER	Prematurity With Major Problems	1	$36,543.40	$36,543.40	$36,543.40	nat. median $31,819 1.1× median
228 OTHER	Other Cardiothoracic Procedures With Mcc	3	$25,669.19	$85,817.88	$35,521.44	nat. median $48,497 0.7× median
456 OTHER	Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten…	4	$8,665.38	$72,268.40	$35,510.15	nat. median $76,493 outlier · 0.5×
222 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	2	$6,569.10	$36,606.52	$34,779.14	nat. median $4,745 outlier · 7.3×
011 OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	3	$20,717.73	$173,595.96	$34,587.11	nat. median $56,278 0.6× median
023 OTHER	Craniotomy W Maj Device Imp Or Acute Complex Cns Pdx W Mcc Or Chemother Imp Or E…	3	$23,385.30	$49,873.12	$34,160.40	nat. median $59,073 0.6× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	$5,484.51	$66,340.02	$34,141.54	nat. median $72,612 outlier · 0.5×
454 OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	3	$25,185.15	$44,311.05	$33,014.22	nat. median $34,066 1.0× median
234 OTHER	Coronary Bypass With Cardiac Catheterization Without Mcc	3	$21,960.86	$46,754.59	$33,009.00	nat. median $50,947 0.6× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	3	$24,904.73	$51,324.23	$31,706.67	nat. median $56,120 0.6× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	$15,016.59	$64,125.69	$31,453.06	nat. median $68,309 outlier · 0.5×
224 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	2	$7,336.98	$32,003.48	$30,405.89	nat. median $16,458 1.8× median
270 OTHER	Other Major Cardiovascular Procedures With Mcc	3	$21,400.01	$45,237.85	$30,316.24	nat. median $101 outlier · 298.9×
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	3	$21,725.01	$52,187.92	$30,081.49	nat. median $58,866 0.5× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	3	$28,722.50	$57,671.48	$29,562.99	nat. median $67,670 outlier · 0.4×
474 OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	3	$16,820.66	$68,600.52	$28,844.83	nat. median $31,407 0.9× median
245 OTHER	Aicd Generator Procedures	3	$22,359.82	$43,243.09	$28,421.33	nat. median $43,285 0.7× median
031 OTHER	Ventricular Shunt Procedures With Mcc	3	$18,031.99	$65,294.91	$28,290.90	nat. median $43,686 0.6× median
457 OTHER	Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten…	4	$5,641.65	$50,151.04	$28,264.19	nat. median $52,731 0.5× median
269 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	3	$17,819.30	$48,525.48	$28,057.84	nat. median $39,944 0.7× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$14,298.93	$55,972.44	$27,519.73	nat. median $60,727 outlier · 0.5×
236 OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	3	$16,853.70	$40,364.73	$27,352.79	nat. median $40,949 0.7× median
226 OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	2	$21,738.78	$28,741.49	$27,306.73	nat. median $1,982 outlier · 13.8×
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	3	$11,100.24	$60,012.20	$27,231.51	nat. median $54,603 outlier · 0.5×
459 OTHER	Spinal Fusion Except Cervical With Mcc	3	$9,134.37	$29,263.13	$26,901.17	nat. median $50,246 0.5× median
012 OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	3	$15,825.75	$114,453.00	$26,777.77	nat. median $42,588 0.6× median
022 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	3	$20,070.15	$64,581.30	$26,688.99	nat. median $36,711 0.7× median
955 OTHER	Craniotomy For Multiple Significant Trauma	3	$7,404.21	$58,973.51	$26,651.69	nat. median $62,467 outlier · 0.4×
267 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	3	$23,131.72	$41,767.70	$26,328.71	nat. median $45,097 0.6× median
034 OTHER	Carotid Artery Stent Procedures With Mcc	3	$16,415.10	$46,211.31	$26,216.94	nat. median $39,972 0.7× median
273 OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	3	$15,847.64	$41,577.30	$26,005.82	nat. median $36,757 0.7× median
461 OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	3	$13,475.97	$53,370.03	$25,753.97	nat. median $53,999 outlier · 0.5×
223 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	2	$15,291.18	$27,004.00	$25,655.97	nat. median $4,281 outlier · 6.0×
981 OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	3	$19,030.21	$42,166.31	$25,652.51	nat. median $33,955 0.8× median
834 OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	3	$10,031.85	$48,432.55	$25,643.35	nat. median $47,300 0.5× median
028 OTHER	Spinal Procedures With Mcc	4	$20,800.00	$52,906.59	$25,299.54	nat. median $61,887 outlier · 0.4×
024 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	$16,241.23	$34,451.41	$25,167.28	nat. median $39,522 0.6× median

Other procedures at this hospital

Browse this hospital's 1,969 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

003	OTHER	Ecmo Or Trach W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck W Major O.…	4	3	—	—	$78,433.66	$228,163.23	$129,923.49	2026-05-22
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	1	1	—	—	$51,815.21	$51,815.21	$51,815.21	2026-05-22
004	OTHER	Tracheostomy W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck Without Maj…	4	3	—	—	$48,990.06	$118,133.27	$63,870.28	2026-05-22
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	4	3	—	—	$42,622.01	$105,857.28	$56,911.68	2026-05-22
018	OTHER	Chimeric Antigen Receptor (car) T-cell Immunotherapy	4	3	—	—	$39,278.52	$309,205.63	$158,218.96	2026-05-22
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	4	3	—	—	$37,969.57	$67,558.86	$39,742.29	2026-05-22
793	OTHER	Full Term Neonate With Major Problems	1	1	—	—	$37,439.50	$37,439.50	$37,439.50	2026-05-22
791	OTHER	Prematurity With Major Problems	1	1	—	—	$36,543.40	$36,543.40	$36,543.40	2026-05-22
231	OTHER	Coronary Bypass With Ptca With Mcc	4	3	—	—	$35,064.53	$72,306.46	$44,607.94	2026-05-22
233	OTHER	Coronary Bypass With Cardiac Catheterization With Mcc	4	3	—	—	$32,183.85	$66,979.29	$48,274.31	2026-05-22
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	4	3	—	—	$31,105.51	$48,432.55	$38,406.39	2026-05-22
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	4	3	—	—	$28,722.50	$57,671.48	$29,562.99	2026-05-22
228	OTHER	Other Cardiothoracic Procedures With Mcc	4	3	—	—	$25,669.19	$85,817.88	$35,521.44	2026-05-22
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	4	3	—	—	$25,185.15	$44,311.05	$33,014.22	2026-05-22
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	4	3	—	—	$24,904.73	$51,324.23	$31,706.67	2026-05-22
232	OTHER	Coronary Bypass With Ptca Without Mcc	4	3	—	—	$24,359.98	$53,143.17	$36,914.62	2026-05-22
792	OTHER	Prematurity Without Major Problems	1	1	—	—	$23,497.25	$23,497.25	$23,497.25	2026-05-22
023	OTHER	Craniotomy W Maj Device Imp Or Acute Complex Cns Pdx W Mcc Or Chemother Imp Or E…	4	3	—	—	$23,385.30	$49,873.12	$34,160.40	2026-05-22
225	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	2	—	—	$23,238.68	$52,384.32	$24,459.70	2026-05-22
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	4	3	—	—	$23,131.72	$41,767.70	$26,328.71	2026-05-22
245	OTHER	Aicd Generator Procedures	4	3	—	—	$22,359.82	$43,243.09	$28,421.33	2026-05-22
234	OTHER	Coronary Bypass With Cardiac Catheterization Without Mcc	4	3	—	—	$21,960.86	$46,754.59	$33,009.00	2026-05-22
226	OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	3	2	—	—	$21,738.78	$28,741.49	$27,306.73	2026-05-22
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	4	3	—	—	$21,725.01	$52,187.92	$30,081.49	2026-05-22
227	OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	3	2	—	—	$21,690.35	$88,240.59	$22,830.01	2026-05-22
270	OTHER	Other Major Cardiovascular Procedures With Mcc	4	3	—	—	$21,400.01	$45,237.85	$30,316.24	2026-05-22
028	OTHER	Spinal Procedures With Mcc	5	4	—	—	$20,800.00	$52,906.59	$25,299.54	2026-05-22
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	4	3	—	—	$20,717.73	$173,595.96	$34,587.11	2026-05-22
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	4	3	—	—	$20,070.15	$64,581.30	$26,688.99	2026-05-22
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	4	3	—	—	$19,859.93	$44,459.24	$23,032.22	2026-05-22
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	4	3	—	—	$19,030.21	$42,166.31	$25,652.51	2026-05-22
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	4	3	—	—	$18,550.72	$39,884.75	$20,495.21	2026-05-22
789	OTHER	Neonates, Died Or Transferred To Another Acute Care Facility	1	1	—	—	$18,254.32	$18,254.32	$18,254.32	2026-05-22
031	OTHER	Ventricular Shunt Procedures With Mcc	4	3	—	—	$18,031.99	$65,294.91	$28,290.90	2026-05-22
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	4	3	—	—	$17,819.30	$48,525.48	$28,057.84	2026-05-22
329	OTHER	Major Small And Large Bowel Procedures With Mcc	4	3	—	—	$17,443.35	$40,853.77	$20,558.00	2026-05-22
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	4	3	—	—	$17,259.27	$36,604.16	$20,072.33	2026-05-22
332	OTHER	Rectal Resection With Mcc	4	3	—	—	$17,179.56	$50,109.84	$24,917.81	2026-05-22
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	4	3	—	—	$16,853.70	$40,364.73	$27,352.79	2026-05-22
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	4	3	—	—	$16,820.66	$68,600.52	$28,844.83	2026-05-22
471	OTHER	Cervical Spinal Fusion With Mcc	5	4	—	—	$16,640.00	$43,004.09	$21,808.03	2026-05-22
229	OTHER	Other Cardiothoracic Procedures Without Mcc	4	3	—	—	$16,470.44	$78,173.91	$23,076.49	2026-05-22
034	OTHER	Carotid Artery Stent Procedures With Mcc	4	3	—	—	$16,415.10	$46,211.31	$26,216.94	2026-05-22
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	4	3	—	—	$16,345.71	$34,211.59	$22,196.92	2026-05-22
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	4	3	—	—	$16,241.23	$34,451.41	$25,167.28	2026-05-22
335	OTHER	Peritoneal Adhesiolysis With Mcc	4	3	—	—	$16,067.35	$33,006.80	$19,985.33	2026-05-22
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	4	3	—	—	$15,868.71	$39,520.00	$20,306.65	2026-05-22
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	4	3	—	—	$15,847.64	$41,577.30	$26,005.82	2026-05-22
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	4	3	—	—	$15,825.75	$114,453.00	$26,777.77	2026-05-22
794	OTHER	Neonate With Other Significant Problems	1	1	—	—	$15,609.77	$15,609.77	$15,609.77	2026-05-22
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	4	3	—	—	$15,451.56	$35,552.51	$18,048.39	2026-05-22
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	4	3	—	—	$15,373.93	$63,312.84	$23,656.82	2026-05-22
223	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	2	—	—	$15,291.18	$27,004.00	$25,655.97	2026-05-22
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	4	3	—	—	$15,016.59	$64,125.69	$31,453.06	2026-05-22
458	OTHER	Spinal Fus Except Cerv W Spinal Curvature, Malignancy, Infection Or Extensive Fu…	5	4	—	—	$14,779.26	$35,634.57	$21,810.64	2026-05-22
271	OTHER	Other Major Cardiovascular Procedures With Cc	4	3	—	—	$14,721.80	$54,007.56	$23,525.91	2026-05-22
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	4	3	—	—	$14,513.23	$32,246.00	$21,818.16	2026-05-22
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	4	3	—	—	$14,323.67	$32,421.81	$17,126.10	2026-05-22
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	4	3	—	—	$14,302.60	$37,594.24	$18,956.56	2026-05-22
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	4	3	—	—	$14,298.93	$55,972.44	$27,519.73	2026-05-22
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	4	3	—	—	$14,073.39	$29,732.71	$18,030.78	2026-05-22
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	4	3	—	—	$13,985.01	$29,365.66	$16,044.32	2026-05-22
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	4	3	—	—	$13,864.00	$48,525.48	$23,052.60	2026-05-22
252	OTHER	Other Vascular Procedures With Mcc	4	3	—	—	$13,714.49	$39,583.08	$22,939.07	2026-05-22
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	4	3	—	—	$13,643.64	$31,400.94	$15,157.72	2026-05-22
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	4	3	—	—	$13,568.70	$28,936.24	$21,090.63	2026-05-22
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	4	3	—	—	$13,528.62	$36,947.69	$17,824.58	2026-05-22
037	OTHER	Extracranial Procedures With Mcc	4	3	—	—	$13,524.51	$30,555.88	$19,504.89	2026-05-22
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	4	3	—	—	$13,475.97	$53,370.03	$25,753.97	2026-05-22
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	4	3	—	—	$13,472.47	$32,267.97	$23,104.61	2026-05-22
264	OTHER	Other Circulatory System O.r. Procedures	4	3	—	—	$13,413.41	$31,967.27	$14,744.38	2026-05-22
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	4	3	—	—	$13,297.77	$42,341.33	$21,348.47	2026-05-22
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	4	3	—	—	$13,221.37	$26,380.01	$17,554.85	2026-05-22
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	4	3	—	—	$13,043.43	$35,618.14	$15,674.40	2026-05-22
500	OTHER	Soft Tissue Procedures With Mcc	4	3	—	—	$13,025.61	$29,322.73	$15,258.34	2026-05-22
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	4	3	—	—	$12,983.49	$40,203.15	$19,266.95	2026-05-22
C1767	OTHER	Uro/neuro Generator	15	8	$23,360.00	$11,680.00 50% off	$12,964.80	$13,081.60	$13,081.60	2026-05-22
246	OTHER	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	3	2	—	—	$12,909.14	$40,798.89	$13,587.42	2026-05-22
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	4	3	—	—	$12,651.84	$27,264.77	$13,766.05	2026-05-22
619	OTHER	O.r. Procedures For Obesity With Mcc	4	3	—	—	$12,642.34	$25,739.93	$13,767.94	2026-05-22
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	4	3	—	—	$12,629.54	$106,124.58	$20,861.90	2026-05-22
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	4	3	—	—	$12,552.57	$47,363.07	$21,408.24	2026-05-22
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	4	3	—	—	$12,491.19	$27,477.86	$18,515.58	2026-05-22
472	OTHER	Cervical Spinal Fusion With Cc	5	4	—	—	$12,480.00	$41,715.81	$13,272.26	2026-05-22
265	OTHER	Aicd Lead Procedures	4	3	—	—	$12,294.18	$32,551.45	$14,252.81	2026-05-22
464	OTHER	Wound Debridement & Skin Grft Excpt Hand For Musculoskeletal & Connective Tissue…	4	3	—	—	$12,284.69	$27,539.42	$14,121.19	2026-05-22
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	4	3	—	—	$12,256.92	$32,037.77	$15,366.68	2026-05-22
248	OTHER	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	3	2	—	—	$12,230.19	$13,796.94	$13,108.21	2026-05-22
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	4	3	—	—	$12,163.26	$25,146.85	$13,613.42	2026-05-22
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	4	3	—	—	$12,058.47	$27,413.03	$12,750.68	2026-05-22
654	OTHER	Major Bladder Procedures With Cc	4	3	—	—	$11,977.83	$26,514.50	$17,915.34	2026-05-22
061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	4	3	—	—	$11,928.27	$25,552.77	$15,423.22	2026-05-22
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	4	3	—	—	$11,906.19	$47,633.68	$24,288.72	2026-05-22
C1772	OTHER	Pm Implant Pain Pump Kit	15	8	$21,210.00	$10,605.00 50% off	$11,771.55	$11,877.60	$11,877.60	2026-05-22
570	OTHER	Skin Debridement With Mcc	4	3	—	—	$11,713.92	$23,038.52	$13,075.62	2026-05-22
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	4	3	—	—	$11,567.72	$25,480.66	$15,660.74	2026-05-22
338	OTHER	Appendectomy With Complicated Principal Diagnosis With Mcc	3	2	—	—	$11,559.04	$25,880.31	$12,166.38	2026-05-22
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	4	3	—	—	$11,522.70	$68,638.59	$19,686.33	2026-05-22
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	4	3	—	—	$11,366.73	$54,889.99	$24,529.90	2026-05-22
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	4	3	—	—	$11,292.25	$25,070.70	$11,651.67	2026-05-22
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	4	3	—	—	$11,277.79	$26,806.17	$13,571.05	2026-05-22
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	4	3	—	—	$11,262.24	$33,211.77	$15,398.90	2026-05-22
963	OTHER	Other Multiple Significant Trauma With Mcc	4	3	—	—	$11,250.95	$25,660.53	$13,196.88	2026-05-22
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	4	3	—	—	$11,235.67	$86,260.14	$18,473.06	2026-05-22
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	4	3	—	—	$11,181.56	$24,622.64	$11,835.60	2026-05-22
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	4	3	—	—	$11,104.74	$33,701.67	$17,805.41	2026-05-22
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	4	3	—	—	$11,100.24	$60,012.20	$27,231.51	2026-05-22
288	OTHER	Acute And Subacute Endocarditis With Mcc	4	3	—	—	$11,072.53	$25,780.46	$12,474.83	2026-05-22
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	4	3	—	—	$11,026.69	$24,340.69	$14,844.25	2026-05-22
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	4	3	—	—	$11,005.62	$24,587.81	$11,467.21	2026-05-22
253	OTHER	Other Vascular Procedures With Cc	4	3	—	—	$10,959.78	$24,334.21	$15,133.85	2026-05-22
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	4	3	—	—	$10,907.46	$31,722.60	$13,767.92	2026-05-22
164	OTHER	Major Chest Procedures With Cc	4	3	—	—	$10,885.85	$24,042.53	$11,326.82	2026-05-22
503	OTHER	Foot Procedures With Mcc	4	3	—	—	$10,856.53	$26,076.33	$18,259.76	2026-05-22
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	4	3	—	—	$10,673.16	$24,106.53	$12,808.97	2026-05-22
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	4	3	—	—	$10,623.96	$32,692.43	$15,905.40	2026-05-22
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	4	3	—	—	$10,502.59	$27,786.24	$17,951.56	2026-05-22
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	4	3	—	—	$10,499.70	$25,393.97	$13,156.29	2026-05-22
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	4	3	—	—	$10,495.98	$23,485.90	$12,198.94	2026-05-22
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	5	4	—	—	$10,491.03	$24,996.60	$12,480.00	2026-05-22
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	4	3	—	—	$10,459.64	$43,093.62	$16,455.56	2026-05-22
250	OTHER	Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc	4	3	—	—	$10,419.16	$22,386.45	$14,607.15	2026-05-22
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	4	3	—	—	$10,404.45	$32,017.51	$15,892.26	2026-05-22
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	4	3	—	—	$10,373.73	$48,890.79	$17,281.35	2026-05-22
545	OTHER	Connective Tissue Disorders With Mcc	4	3	—	—	$10,322.94	$24,122.73	$13,418.86	2026-05-22
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	4	3	—	—	$10,315.09	$29,036.88	$16,813.38	2026-05-22
849	OTHER	Radiotherapy	4	3	—	—	$10,273.38	$25,291.07	$14,314.15	2026-05-22
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	4	3	—	—	$10,261.89	$30,046.25	$13,909.49	2026-05-22
356	OTHER	Other Digestive System O.r. Procedures With Mcc	4	3	—	—	$10,197.09	$38,210.81	$18,189.10	2026-05-22
347	OTHER	Anal And Stomal Procedures With Mcc	4	3	—	—	$10,166.41	$22,825.59	$13,957.76	2026-05-22
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	4	3	—	—	$10,128.41	$23,246.07	$13,885.10	2026-05-22
665	OTHER	Prostatectomy With Mcc	4	3	—	—	$10,052.91	$31,469.00	$12,871.05	2026-05-22
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	4	3	—	—	$10,031.85	$48,432.55	$25,643.35	2026-05-22
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	4	3	—	—	$10,009.06	$43,972.47	$16,719.56	2026-05-22
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	4	3	—	—	$9,969.48	$44,170.79	$20,957.69	2026-05-22
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	5	4	—	—	$9,880.00	$305,473.68	$14,323.37	2026-05-22
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	4	3	—	—	$9,857.48	$22,114.21	$13,515.72	2026-05-22
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	4	3	—	—	$9,855.42	$27,744.12	$17,334.29	2026-05-22
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	4	3	—	—	$9,831.05	$22,352.41	$13,586.87	2026-05-22
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	4	3	—	—	$9,757.95	$38,513.88	$15,869.97	2026-05-22
C1734	OTHER	Cable/trochanteric Grip	16	8	$34,815.00	$17,407.50 50% off	$9,748.20	$19,496.40	$18,626.03	2026-05-22
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	4	3	—	—	$9,734.00	$23,196.78	$16,421.67	2026-05-22
041	OTHER	Peripheral, Cranial Nerve & Other Nervous System Procedures W Cc Or Peripheral N…	4	3	—	—	$9,708.80	$21,945.68	$14,122.34	2026-05-22
035	OTHER	Carotid Artery Stent Procedures With Cc	4	3	—	—	$9,652.22	$30,793.77	$16,119.78	2026-05-22
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	4	3	—	—	$9,629.10	$23,071.89	$14,244.81	2026-05-22
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	4	3	—	—	$9,603.08	$36,326.07	$16,605.15	2026-05-22
709	OTHER	Penis Procedures With Cc/mcc	4	3	—	—	$9,548.15	$21,855.74	$11,364.38	2026-05-22
263	OTHER	Vein Ligation And Stripping	4	3	—	—	$9,520.89	$27,590.22	$17,700.67	2026-05-22
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	4	3	—	—	$9,506.43	$24,189.17	$14,924.24	2026-05-22
336	OTHER	Peritoneal Adhesiolysis With Cc	4	3	—	—	$9,428.38	$20,763.58	$12,289.15	2026-05-22
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	4	3	—	—	$9,423.01	$22,149.05	$13,592.04	2026-05-22
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	5	4	—	—	$9,360.00	$32,173.89	$15,009.25	2026-05-22
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	5	4	—	—	$9,360.00	$32,687.57	$14,803.16	2026-05-22
838	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…	4	3	—	—	$9,328.84	$20,082.17	$11,178.90	2026-05-22
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	4	3	—	—	$9,223.47	$30,057.60	$12,409.48	2026-05-22
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	4	3	—	—	$9,191.88	$34,845.19	$16,062.65	2026-05-22
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	4	3	—	—	$9,180.16	$20,686.60	$13,932.01	2026-05-22
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	4	3	—	—	$9,144.23	$40,526.73	$15,603.30	2026-05-22
032	OTHER	Ventricular Shunt Procedures With Cc	4	3	—	—	$9,136.39	$43,261.29	$15,284.39	2026-05-22
459	OTHER	Spinal Fusion Except Cervical With Mcc	4	3	—	—	$9,134.37	$29,263.13	$26,901.17	2026-05-22
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	4	3	—	—	$9,059.57	$46,489.14	$15,331.87	2026-05-22
056	OTHER	Degenerative Nervous System Disorders With Mcc	4	3	—	—	$9,033.55	$23,938.01	$12,178.15	2026-05-22
808	OTHER	Maj Hematological & Immunological Diag Excpt Sickle Cell Crisis & Coagulation Di…	4	3	—	—	$8,994.73	$22,205.77	$12,194.17	2026-05-22
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	4	3	—	—	$8,970.75	$51,851.68	$21,799.46	2026-05-22
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	4	3	—	—	$8,955.36	$28,634.85	$13,587.36	2026-05-22
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	4	3	—	—	$8,899.47	$28,704.53	$13,296.17	2026-05-22
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	4	3	—	—	$8,872.89	$26,476.47	$15,086.17	2026-05-22
333	OTHER	Rectal Resection With Cc	4	3	—	—	$8,842.33	$35,581.68	$15,087.92	2026-05-22
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	4	3	—	—	$8,784.45	$24,903.79	$11,884.76	2026-05-22
259	OTHER	Cardiac Pacemaker Device Replacement Without Mcc	4	3	—	—	$8,756.43	$17,890.54	$11,467.74	2026-05-22
456	OTHER	Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten…	5	4	—	—	$8,665.38	$72,268.40	$35,510.15	2026-05-22
481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	4	3	—	—	$8,654.42	$20,460.55	$11,585.77	2026-05-22
854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	4	3	—	—	$8,649.87	$38,681.55	$14,471.34	2026-05-22
374	OTHER	Digestive Malignancy With Mcc	4	3	—	—	$8,540.43	$20,756.28	$13,615.18	2026-05-22
244	OTHER	Permanent Cardiac Pacemaker Implant Without Cc/mcc	4	3	—	—	$8,531.34	$47,662.02	$13,625.46	2026-05-22
901	OTHER	Wound Debridements For Injuries With Mcc	4	3	—	—	$8,520.39	$39,546.08	$18,065.33	2026-05-22
908	OTHER	Other O.r. Procedures For Injuries With Cc	4	3	—	—	$8,426.85	$21,635.91	$14,430.93	2026-05-22
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	4	3	—	—	$8,403.31	$24,978.78	$15,074.01	2026-05-22
617	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	4	3	—	—	$8,400.83	$19,299.50	$12,987.27	2026-05-22
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	4	3	—	—	$8,396.70	$22,236.55	$14,183.90	2026-05-22
548	OTHER	Septic Arthritis With Mcc	4	3	—	—	$8,382.25	$19,971.99	$12,949.14	2026-05-22
595	OTHER	Major Skin Disorders With Mcc	4	3	—	—	$8,309.97	$49,881.42	$14,766.42	2026-05-22
799	OTHER	Splenectomy With Mcc	4	3	—	—	$8,256.33	$42,173.60	$21,802.42	2026-05-22
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	4	3	—	—	$8,230.41	$29,487.20	$13,629.74	2026-05-22
261	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Cc	4	3	—	—	$8,224.07	$22,724.55	$13,840.11	2026-05-22
062	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	4	3	—	—	$8,207.14	$18,078.51	$11,437.46	2026-05-22
496	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	4	3	—	—	$8,200.53	$27,855.90	$14,133.17	2026-05-22
140	OTHER	Major Head And Neck Procedures With Mcc	4	3	—	—	$8,198.82	$37,915.11	$16,871.78	2026-05-22
488	OTHER	Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc	4	3	—	—	$8,155.10	$39,344.13	$14,078.48	2026-05-22
511	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	4	3	—	—	$8,129.91	$28,516.86	$14,048.19	2026-05-22
902	OTHER	Wound Debridements For Injuries With Cc	4	3	—	—	$8,104.71	$19,024.04	$11,933.14	2026-05-22
516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	4	3	—	—	$8,099.34	$25,666.47	$14,236.70	2026-05-22
519	OTHER	Back And Neck Procedures Except Spinal Fusion With Cc	4	3	—	—	$8,085.30	$21,437.46	$14,068.08	2026-05-22
653	OTHER	Major Bladder Procedures With Mcc	4	3	—	—	$8,066.79	$48,815.78	$23,096.43	2026-05-22
215	OTHER	Other Heart Assist System Implant	4	3	—	—	$8,019.00	$89,490.41	$47,292.76	2026-05-22
657	OTHER	Kidney And Ureter Procedures For Neoplasm With Cc	4	3	—	—	$7,987.83	$31,960.17	$13,434.22	2026-05-22
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	4	3	—	—	$7,932.08	$33,935.76	$13,860.65	2026-05-22
421	OTHER	Hepatobiliary Diagnostic Procedures With Cc	4	3	—	—	$7,883.76	$16,981.65	$12,607.72	2026-05-22
470	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	4	3	—	—	$7,846.59	$54,308.07	$13,592.44	2026-05-22
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	4	3	—	—	$7,842.42	$41,563.52	$19,060.96	2026-05-22
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	4	3	—	—	$7,830.27	$46,564.19	$22,887.48	2026-05-22
814	OTHER	Reticuloendothelial And Immunity Disorders With Mcc	4	3	—	—	$7,809.00	$20,586.95	$11,410.18	2026-05-22
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	4	3	—	—	$7,792.20	$34,619.14	$16,313.14	2026-05-22
042	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc	4	3	—	—	$7,784.64	$33,943.86	$13,041.69	2026-05-22
441	OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	4	3	—	—	$7,779.68	$32,945.94	$13,577.07	2026-05-22
432	OTHER	Cirrhosis And Alcoholic Hepatitis With Mcc	4	3	—	—	$7,773.07	$28,380.78	$13,851.91	2026-05-22
116	OTHER	Intraocular Procedures With Cc/mcc	4	3	—	—	$7,752.84	$19,417.32	$12,664.40	2026-05-22
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	4	3	—	—	$7,748.46	$33,967.70	$15,312.85	2026-05-22
871	OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	4	3	—	—	$7,715.67	$25,830.90	$13,833.84	2026-05-22
283	OTHER	Acute Myocardial Infarction, Expired With Mcc	4	3	—	—	$7,700.80	$57,242.70	$13,798.88	2026-05-22
494	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	4	3	—	—	$7,648.35	$18,925.18	$12,762.17	2026-05-22
036	OTHER	Carotid Artery Stent Procedures Without Cc/mcc	4	3	—	—	$7,645.46	$36,225.63	$13,274.31	2026-05-22
411	OTHER	Cholecystectomy With C.d.e. With Mcc	4	3	—	—	$7,624.53	$25,820.15	$15,904.55	2026-05-22
052	OTHER	Spinal Disorders And Injuries With Cc/mcc	4	3	—	—	$7,620.26	$19,954.98	$12,659.51	2026-05-22
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	4	3	—	—	$7,611.57	$35,903.32	$16,198.28	2026-05-22
919	OTHER	Complications Of Treatment With Mcc	4	3	—	—	$7,576.07	$18,424.47	$11,433.81	2026-05-22
837	OTHER	Chemotherapy W Acute Leukemia As Secondary Diag Or W High Dose Chemotherapy Agen…	4	3	—	—	$7,475.49	$44,218.61	$24,156.06	2026-05-22
479	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc	4	3	—	—	$7,472.41	$43,748.10	$12,951.11	2026-05-22
542	OTHER	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	4	3	—	—	$7,455.89	$18,760.70	$12,071.21	2026-05-22
740	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc	4	3	—	—	$7,434.00	$18,381.52	$13,058.42	2026-05-22
955	OTHER	Craniotomy For Multiple Significant Trauma	4	3	—	—	$7,404.21	$58,973.51	$26,651.69	2026-05-22
671	OTHER	Urethral Procedures With Cc/mcc	4	3	—	—	$7,337.77	$24,878.34	$12,669.18	2026-05-22
224	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	2	—	—	$7,336.98	$32,003.48	$30,405.89	2026-05-22
504	OTHER	Foot Procedures With Cc	4	3	—	—	$7,326.21	$17,868.67	$12,445.22	2026-05-22
435	OTHER	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	4	3	—	—	$7,239.06	$19,249.65	$13,025.99	2026-05-22
675	OTHER	Other Kidney And Urinary Tract Procedures Without Cc/mcc	4	3	—	—	$7,235.76	$26,389.80	$11,973.81	2026-05-22
180	OTHER	Respiratory Neoplasms With Mcc	4	3	—	—	$7,177.11	$37,334.52	$12,682.27	2026-05-22
413	OTHER	Cholecystectomy With C.d.e. Without Cc/mcc	4	3	—	—	$7,150.68	$20,070.18	$12,322.81	2026-05-22
974	OTHER	HIV With Major Related Condition With Mcc	4	3	—	—	$7,145.82	$27,844.08	$11,383.34	2026-05-22
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	4	3	—	—	$7,134.48	$26,879.10	$12,042.43	2026-05-22
033	OTHER	Ventricular Shunt Procedures Without Cc/mcc	4	3	—	—	$7,106.49	$22,372.20	$12,028.11	2026-05-22
742	OTHER	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	4	3	—	—	$7,091.21	$18,449.59	$11,246.67	2026-05-22
063	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen…	4	3	—	—	$7,061.89	$16,301.25	$11,232.10	2026-05-22
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	4	3	—	—	$7,057.53	$23,322.23	$11,060.79	2026-05-22
418	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Cc	4	3	—	—	$6,971.85	$22,748.04	$12,212.08	2026-05-22
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	4	3	—	—	$6,967.62	$26,852.37	$13,326.69	2026-05-22
592	OTHER	Skin Ulcers With Mcc	4	3	—	—	$6,966.07	$24,382.62	$13,820.96	2026-05-22
988	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	4	3	—	—	$6,941.29	$17,552.68	$11,822.26	2026-05-22
509	OTHER	Arthroscopy	4	3	—	—	$6,912.79	$19,448.10	$12,579.22	2026-05-22
444	OTHER	Disorders Of The Biliary Tract With Mcc	4	3	—	—	$6,892.14	$84,850.74	$12,275.46	2026-05-22
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	4	3	—	—	$6,874.47	$34,964.29	$16,906.53	2026-05-22
251	OTHER	Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc	4	3	—	—	$6,854.97	$16,309.79	$10,916.61	2026-05-22
038	OTHER	Extracranial Procedures With Cc	4	3	—	—	$6,844.65	$19,989.18	$11,954.32	2026-05-22
983	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	4	3	—	—	$6,834.32	$17,678.25	$12,179.90	2026-05-22
091	OTHER	Other Disorders Of Nervous System With Mcc	4	3	—	—	$6,809.96	$18,418.79	$11,558.33	2026-05-22
482	OTHER	Hip And Femur Procedures Except Major Joint Without Cc/mcc	4	3	—	—	$6,801.28	$41,266.26	$11,830.64	2026-05-22
256	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Cc	4	3	—	—	$6,786.00	$20,679.30	$12,257.28	2026-05-22
905	OTHER	Skin Grafts For Injuries Without Cc/mcc	4	3	—	—	$6,781.05	$20,685.78	$12,070.34	2026-05-22
904	OTHER	Skin Grafts For Injuries With Cc/mcc	4	3	—	—	$6,778.08	$34,932.68	$15,773.15	2026-05-22
487	OTHER	Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc	4	3	—	—	$6,774.44	$16,452.40	$11,201.47	2026-05-22
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	4	3	—	—	$6,760.26	$53,544.22	$23,469.85	2026-05-22
597	OTHER	Malignant Breast Disorders With Mcc	4	3	—	—	$6,759.57	$17,882.43	$11,644.00	2026-05-22
913	OTHER	Traumatic Injury With Mcc	4	3	—	—	$6,758.33	$40,510.53	$11,937.26	2026-05-22
337	OTHER	Peritoneal Adhesiolysis Without Cc/mcc	4	3	—	—	$6,742.64	$34,501.14	$11,591.94	2026-05-22
578	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc	4	3	—	—	$6,734.79	$17,345.26	$11,062.34	2026-05-22
280	OTHER	Acute Myocardial Infarction, Discharged Alive With Mcc	4	3	—	—	$6,716.21	$20,267.82	$12,008.67	2026-05-22
075	OTHER	Viral Meningitis With Cc/mcc	4	3	—	—	$6,715.38	$17,604.52	$11,590.37	2026-05-22
334	OTHER	Rectal Resection Without Cc/mcc	4	3	—	—	$6,646.00	$18,749.88	$12,041.40	2026-05-22
907	OTHER	Other O.r. Procedures For Injuries With Mcc	4	3	—	—	$6,633.09	$35,926.01	$16,772.17	2026-05-22
438	OTHER	Disorders Of Pancreas Except Malignancy With Mcc	4	3	—	—	$6,592.72	$28,588.95	$12,034.02	2026-05-22
296	OTHER	Cardiac Arrest, Unexplained With Mcc	4	3	—	—	$6,586.52	$22,125.15	$11,928.27	2026-05-22
241	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…	4	3	—	—	$6,572.48	$49,480.47	$11,400.32	2026-05-22
222	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	2	—	—	$6,569.10	$36,606.52	$34,779.14	2026-05-22
658	OTHER	Kidney And Ureter Procedures For Neoplasm Without Cc/mcc	4	3	—	—	$6,521.68	$18,217.71	$11,349.67	2026-05-22
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	4	3	—	—	$6,505.92	$30,401.93	$12,562.06	2026-05-22
157	OTHER	Dental And Oral Diseases With Mcc	4	3	—	—	$6,494.01	$18,582.21	$11,875.94	2026-05-22
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	4	3	—	—	$6,492.96	$26,403.52	$12,194.17	2026-05-22
469	OTHER	Major Hip & Knee Joint Replacement Or Reattachment Of Lower Extremity W Mcc Or T…	5	4	—	—	$6,458.13	$30,132.95	$13,407.89	2026-05-22
512	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…	4	3	—	—	$6,427.11	$16,676.02	$11,373.05	2026-05-22
183	OTHER	Major Chest Trauma With Mcc	4	3	—	—	$6,424.63	$31,187.43	$11,636.06	2026-05-22
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	4	3	—	—	$6,420.06	$31,247.01	$15,191.64	2026-05-22
186	OTHER	Pleural Effusion With Mcc	4	3	—	—	$6,373.42	$24,855.66	$11,579.53	2026-05-22
154	OTHER	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	4	3	—	—	$6,370.53	$26,745.39	$11,765.58	2026-05-22
460	OTHER	Spinal Fusion Except Cervical Without Mcc	4	3	—	—	$6,360.12	$20,800.00	$16,668.75	2026-05-22
669	OTHER	Transurethral Procedures With Cc	4	3	—	—	$6,326.75	$37,319.13	$11,423.31	2026-05-22
668	OTHER	Transurethral Procedures With Mcc	4	3	—	—	$6,307.47	$27,277.72	$11,677.49	2026-05-22
564	OTHER	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	4	3	—	—	$6,251.99	$16,363.27	$11,449.38	2026-05-22
606	OTHER	Minor Skin Disorders With Mcc	4	3	—	—	$6,240.43	$16,696.28	$11,576.13	2026-05-22
855	OTHER	Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc	4	3	—	—	$6,174.35	$19,115.19	$11,659.50	2026-05-22
708	OTHER	Major Male Pelvic Procedures Without Cc/mcc	4	3	—	—	$6,159.48	$18,698.04	$11,071.97	2026-05-22
865	OTHER	Viral Illness With Mcc	4	3	—	—	$6,107.86	$44,771.13	$11,018.06	2026-05-22
917	OTHER	Poisoning And Toxic Effects Of Drugs With Mcc	4	3	—	—	$6,102.08	$17,649.09	$11,678.58	2026-05-22
506	OTHER	Major Thumb Or Joint Procedures	4	3	—	—	$6,094.64	$15,919.74	$11,105.09	2026-05-22
163	OTHER	Major Chest Procedures With Mcc	4	3	—	—	$6,054.75	$40,993.94	$21,021.26	2026-05-22
115	OTHER	Extraocular Procedures Except Orbit	4	3	—	—	$6,002.13	$19,417.32	$11,185.64	2026-05-22
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	4	3	—	—	$5,988.33	$39,240.60	$18,292.51	2026-05-22
533	OTHER	Fractures Of Femur With Mcc	4	3	—	—	$5,834.04	$16,004.34	$10,919.99	2026-05-22
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	4	3	—	—	$5,691.87	$44,926.73	$22,654.78	2026-05-22
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	4	3	—	—	$5,656.23	$44,800.35	$22,793.38	2026-05-22
221	OTHER	Cardiac Valve & Other Major Cardiothoracic Procedures Without Cardiac Catheterizatio…	4	3	—	—	$5,642.46	$40,859.43	$19,294.92	2026-05-22
457	OTHER	Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten…	5	4	—	—	$5,641.65	$50,151.04	$28,264.19	2026-05-22
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	4	3	—	—	$5,484.51	$66,340.02	$34,141.54	2026-05-22
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	4	3	—	—	$5,451.30	$81,844.36	$44,207.97	2026-05-22
800	OTHER	Splenectomy With Cc	4	3	—	—	$5,184.00	$27,257.47	$12,509.51	2026-05-22
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	4	3	—	—	$5,134.59	$32,694.06	$15,719.33	2026-05-22
662	OTHER	Minor Bladder Procedures With Mcc	4	3	—	—	$5,075.46	$28,924.91	$12,417.95	2026-05-22
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	4	3	—	—	$5,043.87	$56,047.80	$24,271.35	2026-05-22
463	OTHER	Wound Debridement & Skin Grft Excpt Hand For Musculoskeletal & Connective Tissue…	4	3	—	—	$4,982.31	$47,409.25	$22,741.24	2026-05-22
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	4	3	—	—	$1,618.38	$50,822.69	$24,105.62	2026-05-22
J3262	OTHER	Acterma 400mg/20ml Sol Sdv	12	9	$20,752.20	$10,376.10 50% off	$5.86	$12,970.12	$12,970.12	2026-05-22

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