Hospital

LONGVIEW REGIONAL MEDICAL CENTER

Longview, TX · CCN 450702 · Rates published

7,211 distinct procedures filed

59 distinct payers

353,672 rate rows

2026-05-08 last MRF observed

Data quality

304,935 of 353,672 rate rows are consumer-grade (86.2%)

48,737 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	36,077
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	10,923
template filing: same amount across many unrelated codes — excluded	1,269
placeholder amount (≤ $0.02) — excluded from medians	449
exceeds 10× this hospital's gross charge — excluded from medians	19

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

Source MRF file	https://www.longviewregional.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621762420_longview-regional-medical-center_standardcharges.csv
Found on page	https://www.longviewregional.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	03f47e33037f3c69… · 150,804,484 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	$295,262.72	$1,144,024.40	$327,383.84	nat. median $386,529 0.8× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$304,641.88	$341,198.91	$322,920.40	nat. median $0
583-4 OTHER	Neonate With Ecmo	17	$286,183.74	$763,252.03	$300,492.93	nat. median $309,400 1.0× median
583-3 OTHER	Neonate With Ecmo	17	$242,329.88	$646,293.79	$254,446.37	nat. median $259,487 1.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	$9,275.26	$952,534.28	$212,753.16	nat. median $239,422 0.9× median
002-4 OTHER	Heart And/or Lung Transplant	13	$200,000.00	$533,400.00	$210,000.00	nat. median $216,800 1.0× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	17	$200,000.00	$533,400.00	$210,000.00	nat. median $172,311 1.2× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	17	$181,149.61	$483,126.01	$190,207.09	nat. median $267,493 0.7× median
161-4 OTHER	Implantable Heart Assist Systems	17	$175,908.70	$469,148.50	$184,704.14	nat. median $202,242 0.9× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	17	$164,798.76	$439,518.29	$173,038.70	nat. median $150,954 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	27	$12,818.65	$299,595.48	$160,789.76	nat. median $146,562 1.1× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	28	$10,630.21	$297,845.92	$156,747.02	nat. median $181,005 0.9× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	17	$134,787.39	$359,477.97	$141,526.76	nat. median $210,669 0.7× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	17	$133,592.93	$356,292.34	$140,272.58	nat. median $169,856 0.8× median
7 OTHER	Lung Transplant	22	$27,266.97	$222,981.06	$138,111.79	nat. median $169,933 0.8× median
583-2 OTHER	Neonate With Ecmo	17	$120,747.44	$322,033.42	$126,784.81	nat. median $191,347 0.7× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	$114,657.60	$305,791.82	$120,390.48	nat. median $105,647 1.1× median
200-4 OTHER	Cardiac Structural And Valvular Disorders	17	$106,548.49	$284,164.82	$111,875.91	nat. median $19,067 outlier · 5.9×
583-1 OTHER	Neonate With Ecmo	17	$106,320.53	$283,556.85	$111,636.56	nat. median $171,226 0.7× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	17	$98,236.66	$261,997.17	$103,148.49	nat. median $104,111 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	28	$7,056.14	$636,093.79	$102,572.28	nat. median $134,983 0.8× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	17	$97,198.95	$259,229.60	$102,058.90	nat. median $165,000 0.6× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	17	$96,754.70	$258,044.78	$101,592.43	nat. median $153,523 0.7× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	17	$96,504.51	$257,377.53	$101,329.74	nat. median $110,000 0.9× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	17	$96,089.65	$256,271.10	$100,894.13	nat. median $151,691 0.7× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	17	$95,129.94	$253,711.55	$99,886.44	nat. median $203,379 outlier · 0.5×
850-4 OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	17	$92,623.85	$247,027.81	$97,255.04	nat. median $54,797 1.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	17	$91,794.13	$244,814.94	$96,383.84	nat. median $156,696 0.6× median
161-3 OTHER	Implantable Heart Assist Systems	17	$91,685.99	$244,526.54	$96,270.29	nat. median $152,491 0.6× median
588-1 OTHER	Female Reproductive System Reconstructive Procedures	17	$91,201.43	$243,234.21	$95,761.50	nat. median $75,325 1.3× median
14 OTHER	Allogeneic Bone Marrow Transplant	23	$6,641.12	$155,921.85	$91,298.46	nat. median $100,915 0.9× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	13	$83,505.66	$222,709.60	$87,680.94	nat. median $124,561 0.7× median
008-4 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	17	$83,171.06	$221,817.22	$87,329.61	nat. median $81,385 1.1× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	24	$16,234.70	$177,256.64	$86,528.52	nat. median $111,558 0.8× median
681-4 OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	17	$81,693.25	$217,875.90	$85,777.91	nat. median $52,952 1.6× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	17	$81,647.66	$217,754.31	$85,730.04	nat. median $106,926 0.8× median
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	17	$80,965.28	$215,934.40	$85,013.54	nat. median $87,912 1.0× median
246-4 OTHER	Gastrointestinal Vascular Insufficiency	17	$79,175.48	$211,161.01	$83,134.25	nat. median $14,775 outlier · 5.6×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	17	$78,767.03	$210,071.67	$82,705.38	nat. median $107,050 0.8× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	27	$6,950.06	$153,316.00	$80,695.07	nat. median $90,581 0.9× median
006-4 OTHER	Pancreas Transplant	13	$76,441.04	$203,868.25	$80,263.09	nat. median $92,449 0.9× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	17	$76,435.01	$203,852.17	$80,256.76	nat. median $86,371 0.9× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	17	$76,206.29	$203,242.18	$80,016.60	nat. median $151,250 0.5× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	22	$8,714.86	$133,963.93	$78,805.51	nat. median $94,894 0.8× median
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	17	$74,081.14	$197,574.40	$77,785.20	nat. median $49,980 1.6× median
215 OTHER	Other Heart Assist System Implant	28	$72,508.68	$149,817.62	$77,062.33	nat. median $92,359 0.8× median
162-4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	17	$71,223.87	$189,954.06	$74,785.06	nat. median $80,850 0.9× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	17	$70,055.03	$186,836.77	$73,557.78	nat. median $125,000 0.6× median
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	17	$69,486.44	$185,320.34	$72,960.76	nat. median $87,000 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$3,090.00	$138,078.41	$72,678.50	nat. median $90,130 0.8× median

Other procedures at this hospital

Browse this hospital's 7,211 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	25	24	—	—	$295,262.72	$1,144,024.40	$327,383.84	2026-05-08
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$304,641.88	$341,198.91	$322,920.40	2026-05-08
583-4	OTHER	Neonate With Ecmo	18	17	—	—	$286,183.74	$763,252.03	$300,492.93	2026-05-08
583-3	OTHER	Neonate With Ecmo	18	17	—	—	$242,329.88	$646,293.79	$254,446.37	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	27	25	—	—	$9,275.26	$952,534.28	$212,753.16	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	18	17	—	—	$200,000.00	$533,400.00	$210,000.00	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	14	13	—	—	$200,000.00	$533,400.00	$210,000.00	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	17	—	—	$181,149.61	$483,126.01	$190,207.09	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	18	17	—	—	$175,908.70	$469,148.50	$184,704.14	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	17	—	—	$164,798.76	$439,518.29	$173,038.70	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	27	—	—	$12,818.65	$299,595.48	$160,789.76	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	32	28	—	—	$10,630.21	$297,845.92	$156,747.02	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	17	—	—	$134,787.39	$359,477.97	$141,526.76	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	17	—	—	$133,592.93	$356,292.34	$140,272.58	2026-05-08
7	OTHER	Lung Transplant	23	22	—	—	$27,266.97	$222,981.06	$138,111.79	2026-05-08
583-2	OTHER	Neonate With Ecmo	18	17	—	—	$120,747.44	$322,033.42	$126,784.81	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	17	—	—	$114,657.60	$305,791.82	$120,390.48	2026-05-08
200-4	OTHER	Cardiac Structural And Valvular Disorders	18	17	—	—	$106,548.49	$284,164.82	$111,875.91	2026-05-08
583-1	OTHER	Neonate With Ecmo	18	17	—	—	$106,320.53	$283,556.85	$111,636.56	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	18	17	—	—	$98,236.66	$261,997.17	$103,148.49	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	33	28	—	—	$7,056.14	$636,093.79	$102,572.28	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	17	—	—	$97,198.95	$259,229.60	$102,058.90	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	17	—	—	$96,754.70	$258,044.78	$101,592.43	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	17	—	—	$96,504.51	$257,377.53	$101,329.74	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	18	17	—	—	$96,089.65	$256,271.10	$100,894.13	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	17	—	—	$95,129.94	$253,711.55	$99,886.44	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	18	17	—	—	$92,623.85	$247,027.81	$97,255.04	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	17	—	—	$91,794.13	$244,814.94	$96,383.84	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	18	17	—	—	$91,685.99	$244,526.54	$96,270.29	2026-05-08
588-1	OTHER	Female Reproductive System Reconstructive Procedures	18	17	—	—	$91,201.43	$243,234.21	$95,761.50	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	24	23	—	—	$6,641.12	$155,921.85	$91,298.46	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	14	13	—	—	$83,505.66	$222,709.60	$87,680.94	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	18	17	—	—	$83,171.06	$221,817.22	$87,329.61	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	25	24	—	—	$16,234.70	$177,256.64	$86,528.52	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	18	17	—	—	$81,693.25	$217,875.90	$85,777.91	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	18	17	—	—	$81,647.66	$217,754.31	$85,730.04	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	17	—	—	$80,965.28	$215,934.40	$85,013.54	2026-05-08
246-4	OTHER	Gastrointestinal Vascular Insufficiency	18	17	—	—	$79,175.48	$211,161.01	$83,134.25	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	17	—	—	$78,767.03	$210,071.67	$82,705.38	2026-05-08
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	28	27	—	—	$6,950.06	$153,316.00	$80,695.07	2026-05-08
006-4	OTHER	Pancreas Transplant	14	13	—	—	$76,441.04	$203,868.25	$80,263.09	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	17	—	—	$76,435.01	$203,852.17	$80,256.76	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	17	—	—	$76,206.29	$203,242.18	$80,016.60	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	23	22	—	—	$8,714.86	$133,963.93	$78,805.51	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	17	—	—	$74,081.14	$197,574.40	$77,785.20	2026-05-08
215	OTHER	Other Heart Assist System Implant	32	28	—	—	$72,508.68	$149,817.62	$77,062.33	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	17	—	—	$71,223.87	$189,954.06	$74,785.06	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	17	—	—	$70,055.03	$186,836.77	$73,557.78	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	17	—	—	$69,486.44	$185,320.34	$72,960.76	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	33	29	—	—	$3,090.00	$138,078.41	$72,678.50	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	18	17	—	—	$66,525.17	$177,422.63	$69,851.43	2026-05-08
007-2	OTHER	Allogeneic Bone Marrow Transplant	18	17	—	—	$66,004.06	$176,032.83	$69,304.26	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	18	17	—	—	$65,907.97	$175,776.56	$69,203.37	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	17	—	—	$65,154.37	$173,766.70	$68,412.09	2026-05-08
863-4	OTHER	Neonatal Aftercare	18	17	—	—	$64,143.79	$171,071.49	$67,350.98	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	17	—	—	$63,527.73	$169,428.46	$66,704.12	2026-05-08
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	32	28	—	—	$25,831.14	$125,213.12	$65,910.00	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	18	17	—	—	$62,507.73	$166,708.12	$65,633.12	2026-05-08
440-4	OTHER	Kidney Transplant	14	13	—	—	$62,353.24	$166,296.09	$65,470.90	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	17	—	—	$62,068.38	$165,536.37	$65,171.80	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	17	—	—	$62,047.28	$165,480.10	$65,149.64	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	17	—	—	$60,446.26	$161,210.18	$63,468.57	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	18	17	—	—	$60,446.26	$161,210.18	$63,468.57	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	17	—	—	$60,274.81	$160,752.92	$63,288.55	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	32	28	—	—	$14,151.05	$119,188.18	$62,740.25	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	28	—	—	$15,038.39	$118,818.15	$62,545.58	2026-05-08
441-4	OTHER	Major Bladder Procedures	18	17	—	—	$59,008.76	$157,376.36	$61,959.20	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	14	13	—	—	$57,416.03	$153,128.55	$60,286.83	2026-05-08
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	18	17	—	—	$56,217.43	$149,931.89	$59,028.30	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	32	28	—	—	$9,952.83	$116,253.11	$58,618.48	2026-05-08
178-4	OTHER	External Heart Assist Systems	18	17	—	—	$55,268.27	$147,400.48	$58,031.68	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	33	29	—	—	$3,090.00	$108,693.76	$57,219.08	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	17	—	—	$54,428.01	$145,159.50	$57,149.41	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	18	17	—	—	$54,365.46	$144,992.68	$57,083.73	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	32	28	—	—	$14,791.88	$108,231.60	$56,975.93	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	18	17	—	—	$54,125.06	$144,351.54	$56,831.31	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	32	28	—	—	$10,118.59	$107,878.35	$56,790.09	2026-05-08
690-4	OTHER	Acute Leukemia	18	17	—	—	$53,638.99	$143,055.19	$56,320.94	2026-05-08
043-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	18	17	—	—	$53,310.42	$142,178.89	$55,975.94	2026-05-08
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	17	—	—	$53,250.51	$142,019.11	$55,913.04	2026-05-08
10	OTHER	Pancreas Transplant	23	22	—	—	$24,402.35	$93,649.03	$54,575.91	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	28	27	—	—	$5,463.17	$101,634.19	$54,553.22	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	23	22	—	—	$6,547.56	$93,120.44	$54,275.91	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	28	27	—	—	$12,218.02	$101,043.56	$54,240.53	2026-05-08
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	17	—	—	$51,642.32	$137,730.07	$54,224.44	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	18	17	—	—	$50,556.76	$134,834.88	$53,084.60	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	17	—	—	$50,248.54	$134,012.86	$52,760.97	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	17	—	—	$49,907.91	$133,104.40	$52,403.31	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	17	—	—	$49,419.58	$131,802.02	$51,890.56	2026-05-08
006-3	OTHER	Pancreas Transplant	14	13	—	—	$49,399.23	$131,747.75	$51,869.19	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	33	29	—	—	$7,914.75	$244,872.37	$51,588.47	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	32	28	—	—	$5,388.75	$97,517.96	$51,339.43	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	32	28	—	—	$32,830.15	$95,468.26	$51,248.64	2026-05-08
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$47,548.31	$53,254.10	$50,401.21	2026-05-08
459	OTHER	Spinal Fusion Except Cervical With Mcc	32	28	—	—	$17,716.56	$94,088.70	$49,535.28	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	18	17	—	—	$47,092.46	$125,595.59	$49,447.08	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	17	—	—	$46,835.86	$124,911.24	$49,177.65	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	33	29	—	—	$3,090.00	$93,292.85	$49,116.58	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	33	29	—	—	$3,090.00	$93,292.85	$49,116.58	2026-05-08
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	18	17	—	—	$46,726.21	$124,618.80	$49,062.52	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	32	28	—	—	$7,822.60	$92,959.13	$48,933.43	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	14	13	—	—	$46,124.09	$123,012.95	$48,430.29	2026-05-08
023-4	OTHER	Spinal Procedures	18	17	—	—	$46,034.03	$122,772.76	$48,335.73	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	18	17	—	—	$45,867.49	$122,328.60	$48,160.86	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	32	28	—	—	$7,279.19	$91,329.67	$48,083.74	2026-05-08
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$45,185.86	$50,608.16	$47,897.01	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	17	—	—	$45,278.17	$120,756.88	$47,542.08	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	17	—	—	$45,276.29	$120,751.87	$47,540.10	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	34	29	—	—	$22,178.28	$214,945.73	$46,957.21	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	17	—	—	$44,711.84	$119,246.48	$46,947.43	2026-05-08
006-2	OTHER	Pancreas Transplant	14	13	—	—	$44,680.94	$119,164.07	$46,914.99	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	18	17	—	—	$44,505.73	$118,696.78	$46,731.02	2026-05-08
006-1	OTHER	Pancreas Transplant	14	13	—	—	$44,104.06	$117,625.53	$46,309.26	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	32	28	—	—	$15,144.97	$86,953.75	$45,781.54	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	32	28	—	—	$17,305.69	$86,883.92	$45,744.81	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	23	22	—	—	$5,494.41	$77,624.92	$45,678.18	2026-05-08
007-1	OTHER	Allogeneic Bone Marrow Transplant	18	17	—	—	$43,340.67	$115,589.57	$45,507.70	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	33	29	—	—	$14,304.58	$120,805.95	$45,350.35	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	31	29	—	—	$3,373.02	$85,160.86	$45,346.82	2026-05-08
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	14	13	—	—	$43,024.15	$114,745.41	$45,175.36	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	17	—	—	$42,973.29	$114,609.76	$45,121.95	2026-05-08
026-4	OTHER	Other Nervous System And Related Procedures	18	17	—	—	$42,947.29	$114,540.42	$45,094.65	2026-05-08
28	OTHER	Spinal Procedures With Mcc	32	28	—	—	$8,638.33	$85,375.95	$44,951.46	2026-05-08
276	OTHER	Non-maligant Breast Disorders	28	27	—	—	$20,691.60	$85,352.24	$44,938.98	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	17	—	—	$42,761.90	$114,045.99	$44,900.00	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	17	—	—	$42,508.32	$113,369.69	$44,633.74	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	28	—	—	$17,482.60	$84,744.85	$44,619.43	2026-05-08
182-4	OTHER	Other Peripheral Vascular And Related Procedures	18	17	—	—	$42,474.03	$113,278.24	$44,597.73	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	18	17	—	—	$42,448.78	$113,210.90	$44,571.22	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	33	29	—	—	$15,579.85	$131,880.72	$43,925.24	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	32	28	—	—	$8,104.65	$83,372.30	$43,897.33	2026-05-08
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	18	17	—	—	$41,753.96	$111,357.81	$43,841.66	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	18	17	—	—	$41,743.79	$111,330.69	$43,830.98	2026-05-08
205-4	OTHER	Cardiomyopathy	18	17	—	—	$41,625.85	$111,016.14	$43,707.14	2026-05-08
695-4	OTHER	Chemotherapy For Acute Leukemia	18	17	—	—	$41,572.34	$110,873.43	$43,650.96	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	18	17	—	—	$41,529.77	$110,759.90	$43,606.26	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	23	22	—	—	$11,338.53	$73,443.98	$43,219.78	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	28	—	—	$9,094.11	$81,494.31	$42,909.30	2026-05-08
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	17	—	—	$40,831.93	$108,898.76	$42,873.53	2026-05-08
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$40,418.18	$45,268.36	$42,843.27	2026-05-08
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	18	17	—	—	$40,695.15	$108,533.97	$42,729.91	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	32	28	—	—	$7,042.58	$81,064.24	$42,683.04	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	17	—	—	$40,568.17	$108,195.31	$42,596.58	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	18	17	—	—	$40,142.01	$107,058.74	$42,149.11	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	17	—	—	$40,073.81	$106,876.85	$42,077.50	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	18	17	—	—	$39,978.86	$106,623.62	$41,977.80	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	23	22	—	—	$9,525.84	$71,228.12	$41,916.85	2026-05-08
230-4	OTHER	Major Small Bowel Procedures	18	17	—	—	$39,834.54	$106,238.72	$41,826.27	2026-05-08
278	OTHER	Cellulitis Age >17 Without Cc	28	27	—	—	$5,772.38	$79,203.02	$41,703.85	2026-05-08
022-4	OTHER	Ventricular Shunt Procedures	18	17	—	—	$39,677.42	$105,819.68	$41,661.29	2026-05-08
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	18	17	—	—	$39,460.00	$105,239.82	$41,433.00	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	32	28	—	—	$14,777.47	$78,599.81	$41,386.49	2026-05-08
952-4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	18	17	—	—	$39,217.72	$104,593.66	$41,178.61	2026-05-08
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	32	28	—	—	$6,044.54	$78,137.65	$41,143.35	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	32	28	—	—	$8,222.69	$77,866.79	$41,000.85	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	33	29	—	—	$14,742.77	$129,673.51	$40,943.54	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	32	28	—	—	$9,963.05	$77,637.78	$40,880.37	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	18	17	—	—	$38,859.38	$103,637.97	$40,802.35	2026-05-08
440-3	OTHER	Kidney Transplant	14	13	—	—	$38,163.06	$101,780.88	$40,071.21	2026-05-08
315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	18	17	—	—	$38,160.42	$101,773.84	$40,068.44	2026-05-08
1411702	OTHER	Impella Device L3	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1414708	OTHER	Joint Device Implt 9	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1411131	OTHER	Gen Neuro Hf Recarge	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1411701	OTHER	Impella Device L2	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1414022	OTHER	Anchor/scrw Level 22	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1418021	OTHER	Impl/insert Noc Lv11	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1414577	OTHER	Genratr Neurostm 4	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1414706	OTHER	Joint Device Implt 7	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1414021	OTHER	Anchor/scrw Level 21	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1418037	OTHER	Genrate Neuro Rech 5	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1414578	OTHER	Genratr Neurostm 5	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1418036	OTHER	Genrate Neuro Rech 3	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1414762	OTHER	Mesh Implantable 13	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1417274	OTHER	Wireless Press Sens	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1414905	OTHER	Watchman Atr App L2	27	15	$99,999.99	$27,000.00 73% off	$893.00	$84,999.99	$40,000.00	2026-05-08
1414483	OTHER	Conn Tissue Human 9	27	15	$99,999.98	$26,999.99 73% off	$893.00	$84,999.98	$39,999.99	2026-05-08
1414954	OTHER	Stnt Coat/cov W/del4	27	15	$99,999.91	$26,999.98 73% off	$893.00	$84,999.92	$39,999.96	2026-05-08
1414576	OTHER	Genratr Neurostm 3	27	15	$99,999.90	$26,999.97 73% off	$893.00	$84,999.92	$39,999.96	2026-05-08
1414607	OTHER	Graft Vascular 8	27	15	$99,999.75	$26,999.93 73% off	$893.00	$84,999.79	$39,999.90	2026-05-08
1417057	OTHER	Tissue Non-human 9	27	15	$99,999.75	$26,999.93 73% off	$893.00	$84,999.79	$39,999.90	2026-05-08
1414707	OTHER	Joint Device Implt 8	27	15	$99,999.75	$26,999.93 73% off	$893.00	$84,999.79	$39,999.90	2026-05-08
1414955	OTHER	Stnt Coat/cov W/del5	27	15	$99,999.75	$26,999.93 73% off	$893.00	$84,999.79	$39,999.90	2026-05-08
1414019	OTHER	Anchor/scrw Level 19	27	15	$99,999.75	$26,999.93 73% off	$893.00	$84,999.79	$39,999.90	2026-05-08
1417058	OTHER	Tissue Non-human 10	27	15	$99,999.50	$26,999.87 73% off	$893.00	$84,999.58	$39,999.80	2026-05-08
1414904	OTHER	Watchman Atr App L1	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1417059	OTHER	Tissue Non-human 11	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1414575	OTHER	Genratr Neurostm 2	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1414415	OTHER	Cath-infus Perif 16	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1413212	OTHER	Patient Progr Neuro3	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1414906	OTHER	Tavr L1	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1414579	OTHER	Genratr Neurostm 6	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1413241	OTHER	Septal Defect Implt5	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1413125	OTHER	Genrate Neuro Rech 4	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1410730	OTHER	Lead Neurostimulat 7	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1414907	OTHER	Tavr L2	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1414484	OTHER	Conn Tissue Human 10	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1410729	OTHER	Tmvr/mitraclip L2	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
1411440	OTHER	Implant Other Lvl 10	27	15	$99,999.00	$26,999.73 73% off	$893.00	$84,999.15	$39,999.60	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	34	30	—	—	$3,090.00	$116,573.20	$39,989.31	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	18	17	—	—	$38,030.80	$101,428.14	$39,932.34	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	18	17	—	—	$37,876.31	$101,016.12	$39,770.13	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	32	28	—	—	$8,356.95	$87,618.98	$39,702.83	2026-05-08
483-4	OTHER	Penis, Testes And Scrotal Procedures	18	17	—	—	$37,732.38	$100,632.26	$39,619.00	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	32	28	—	—	$4,157.24	$75,155.22	$39,574.28	2026-05-08
1413211	OTHER	Patient Progr Neuro2	27	15	$98,275.47	$26,534.38 73% off	$893.00	$83,534.15	$39,310.19	2026-05-08
089-4	OTHER	Major Cranial Or Facial Bone Procedures	18	17	—	—	$37,327.69	$99,552.95	$39,194.07	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	18	17	—	—	$37,278.33	$99,421.31	$39,142.25	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	18	17	—	—	$37,268.91	$99,396.18	$39,132.36	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	32	28	—	—	$12,147.65	$74,165.25	$39,053.45	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	32	28	—	—	$6,921.07	$74,039.58	$38,987.33	2026-05-08
1417117	OTHER	Stnt No Cocv W/del 4	27	15	$96,480.05	$26,049.61 73% off	$893.00	$82,008.04	$38,592.02	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	18	17	—	—	$36,713.88	$97,915.92	$38,549.57	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	33	28	—	—	$12,754.04	$92,136.90	$37,881.10	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	33	29	—	—	$3,090.00	$71,858.61	$37,839.91	2026-05-08
591-1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	17	—	—	$35,984.02	$95,969.38	$37,783.22	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	18	17	—	—	$35,787.71	$95,445.82	$37,577.10	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	14	13	—	—	$35,726.29	$95,282.02	$37,512.60	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	34	29	—	—	$11,695.97	$70,439.99	$37,454.36	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	32	28	—	—	$8,082.10	$71,121.37	$37,452.05	2026-05-08
178-3	OTHER	External Heart Assist Systems	18	17	—	—	$35,368.71	$94,328.35	$37,137.15	2026-05-08
121-4	OTHER	Other Respiratory And Chest Procedures	18	17	—	—	$35,348.36	$94,274.08	$37,115.78	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	17	—	—	$35,219.12	$93,929.39	$36,980.08	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	32	28	—	—	$18,570.43	$70,204.01	$36,969.42	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	32	28	—	—	$7,889.86	$69,917.78	$36,818.83	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	18	17	—	—	$34,934.64	$93,170.68	$36,681.37	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	17	—	—	$34,834.03	$92,902.36	$36,575.73	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	23	22	—	—	$3,050.69	$94,659.00	$36,389.85	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	32	28	—	—	$11,358.67	$68,905.48	$36,286.25	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	18	17	—	—	$34,503.58	$92,021.05	$36,228.76	2026-05-08
224-4	OTHER	Peritoneal Adhesiolysis	18	17	—	—	$34,448.56	$91,874.31	$36,170.99	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	32	28	—	—	$4,678.98	$68,564.79	$36,107.02	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	17	—	—	$34,208.54	$91,234.18	$35,918.97	2026-05-08
6	OTHER	Liver Transplant Without Mcc	23	22	—	—	$12,032.61	$61,000.24	$35,902.86	2026-05-08
1418035	OTHER	Genrate Neuro Rech 2	27	15	$89,565.00	$24,182.55 73% off	$893.00	$76,130.25	$35,826.00	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	18	17	—	—	$34,112.83	$90,978.92	$35,818.47	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	33	29	—	—	$3,357.40	$70,997.69	$35,787.46	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	18	17	—	—	$33,929.33	$90,489.52	$35,625.80	2026-05-08
1414252	OTHER	Cath Thrmb/embol 4	27	15	$88,870.88	$23,995.14 73% off	$893.00	$75,540.25	$35,548.35	2026-05-08
277	OTHER	Cellulitis Age >17 W Cc	28	27	—	—	$10,949.30	$93,164.80	$35,419.22	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	32	28	—	—	$17,305.69	$65,790.39	$35,322.56	2026-05-08
1414017	OTHER	Anchor/scrw Level 17	27	15	$88,243.55	$23,825.76 73% off	$893.00	$75,007.02	$35,297.42	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	33	29	—	—	$6,982.08	$66,993.98	$35,280.61	2026-05-08
020-4	OTHER	Open Craniotomy For Trauma	18	17	—	—	$33,583.05	$89,565.99	$35,262.20	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	32	28	—	—	$9,466.13	$66,798.49	$35,177.76	2026-05-08
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$33,152.28	$37,130.56	$35,141.42	2026-05-08
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	17	—	—	$33,354.71	$88,957.01	$35,022.45	2026-05-08
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	17	—	—	$33,290.66	$88,786.19	$34,955.19	2026-05-08
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	14	13	—	—	$33,046.49	$88,134.99	$34,698.81	2026-05-08
181-4	OTHER	Lower Extremity Arterial Procedures	18	17	—	—	$33,032.93	$88,098.82	$34,684.58	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	32	28	—	—	$6,603.25	$65,663.35	$34,580.56	2026-05-08
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	18	17	—	—	$32,931.94	$87,829.48	$34,578.54	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	32	28	—	—	$5,068.32	$65,499.95	$34,494.59	2026-05-08
660-4	OTHER	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	18	17	—	—	$32,823.80	$87,541.07	$34,464.99	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	17	—	—	$32,817.02	$87,522.99	$34,457.87	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	18	17	—	—	$32,780.09	$87,424.50	$34,419.09	2026-05-08
245	OTHER	Aicd Generator Procedures	32	28	—	—	$15,008.60	$65,187.21	$34,330.06	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	28	27	—	—	$8,847.93	$63,797.93	$34,253.35	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	32	28	—	—	$7,141.77	$64,995.92	$34,229.42	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	32	28	—	—	$11,588.48	$64,967.99	$34,214.72	2026-05-08
799	OTHER	Splenectomy With Mcc	32	28	—	—	$10,087.94	$64,719.45	$34,083.96	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	34	30	—	—	$11,185.37	$64,061.79	$33,737.96	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	32	28	—	—	$6,553.81	$64,043.64	$33,728.42	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	18	17	—	—	$31,944.35	$85,195.58	$33,541.57	2026-05-08
1417056	OTHER	Tissue Non-human 8	27	15	$83,707.87	$22,601.12 73% off	$893.00	$71,151.69	$33,483.15	2026-05-08
1414481	OTHER	Conn Tissue Human 7	27	15	$83,707.87	$22,601.12 73% off	$893.00	$71,151.69	$33,483.15	2026-05-08
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	14	13	—	—	$31,805.69	$84,825.78	$33,395.97	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	32	28	—	—	$7,905.28	$62,819.13	$33,084.19	2026-05-08
261-4	OTHER	Major Biliary Tract Procedures	18	17	—	—	$31,437.55	$83,843.95	$33,009.43	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	17	—	—	$31,325.27	$83,544.50	$32,891.53	2026-05-08
183-3	OTHER	Percutaneous Structural Cardiac Procedures	18	17	—	—	$31,159.85	$83,103.32	$32,717.84	2026-05-08
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	28	27	—	—	$9,114.12	$61,905.97	$32,603.78	2026-05-08
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	18	17	—	—	$31,037.77	$82,777.73	$32,589.66	2026-05-08
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	17	—	—	$30,841.83	$82,255.16	$32,383.92	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	32	28	—	—	$7,405.15	$61,424.23	$32,350.33	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	32	28	—	—	$3,648.22	$73,848.17	$32,147.58	2026-05-08
1414705	OTHER	Joint Device Implt 6	27	15	$80,221.21	$21,659.73 73% off	$893.00	$68,188.03	$32,088.48	2026-05-08
050-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	18	17	—	—	$30,530.22	$81,424.10	$32,056.73	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	34	29	—	—	$6,139.83	$251,047.88	$31,985.19	2026-05-08
178-2	OTHER	External Heart Assist Systems	18	17	—	—	$30,355.76	$80,958.81	$31,873.55	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	32	28	—	—	$4,500.22	$60,451.01	$31,838.31	2026-05-08
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	18	17	—	—	$30,304.14	$80,821.14	$31,819.35	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	32	28	—	—	$7,972.42	$60,350.50	$31,785.43	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	32	28	—	—	$9,910.77	$60,321.18	$31,770.01	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	32	28	—	—	$6,755.61	$60,079.60	$31,642.91	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	33	29	—	—	$14,362.61	$113,500.95	$31,585.61	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	17	—	—	$30,038.12	$80,111.67	$31,540.03	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	28	—	—	$23,865.78	$62,383.86	$31,466.62	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	31	30	—	—	$9,092.50	$59,702.62	$31,444.58	2026-05-08
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	17	—	—	$29,923.57	$79,806.16	$31,419.75	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	32	28	—	—	$20,654.81	$59,470.85	$31,322.65	2026-05-08
791	OTHER	Prematurity With Major Problems	29	28	—	—	$2,192.60	$58,158.35	$31,232.09	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	32	28	—	—	$14,756.73	$59,086.86	$31,120.63	2026-05-08
223-4	OTHER	Other Small And Large Bowel Procedures	18	17	—	—	$29,578.42	$78,885.65	$31,057.34	2026-05-08
691-4	OTHER	Lymphoma, Myeloma And Non-acute Leukemia	18	17	—	—	$29,396.43	$78,400.28	$30,866.25	2026-05-08
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	18	17	—	—	$29,264.17	$78,047.54	$30,727.38	2026-05-08
694-4	OTHER	Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior	18	17	—	—	$29,098.76	$77,606.39	$30,553.70	2026-05-08
723-4	OTHER	Viral Illness	18	17	—	—	$29,059.19	$77,500.86	$30,512.15	2026-05-08
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	18	17	—	—	$28,746.83	$76,667.80	$30,184.17	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	32	28	—	—	$6,333.95	$57,112.52	$30,081.92	2026-05-08
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	28	27	—	—	$11,841.88	$55,857.26	$29,992.13	2026-05-08

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