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

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Hospital

NORTHWEST HILLS SURGICAL HOSPITAL

Austin, TX · CCN 450808 · Rates published

10,205 distinct procedures filed
15 distinct payers
282,563 rate rows
2026-05-06 last MRF observed
Data quality

281,368 of 282,563 rate rows are consumer-grade (99.6%)

1,195 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 1,128
placeholder amount (≤ $0.02) — excluded from medians 51
exceeds 10× this hospital's gross charge — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/232238976_northwest-texas-healthcare-system-surgery-center_standardcharges.csv
Found on page https://www.nwths.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 0614735646b63225… · 68,434,110 bytes · first seen 2026-05-05

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
773
CPT 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $3,895,500.00 $3,821,300.00 —
9138
CPT 		Inj, Hemgenix, Per Tx Dose 6 $3,710,000.00 $3,895,500.00 $3,821,300.00 —
9141
CPT 		Inj Onase Abepar-xioi Treat 8 $2,403,458.75 $4,806,917.50 $2,523,631.69 —
9194
CPT 		Tisagenlecleucel Car-pos T 8 $565,623.84 $1,131,247.68 $593,905.03 —
9498
CPT 		Ciltacabtagene Car-pos T 8 $551,318.34 $1,102,636.68 $578,884.26 —
9422
CPT 		Idecabtagene Vicleucel Car 8 $528,312.43 $1,056,624.86 $554,728.05 —
9413
CPT 		Lisocabtagene Car Pos T 8 $516,485.97 $1,032,971.94 $542,310.27 —
9035
CPT 		Axicabtagene Ciloleucel Car+ 8 $489,517.15 $979,034.30 $513,993.01 —
9391
CPT 		Brexucabtagene Car Pos T 8 $488,051.51 $976,103.02 $512,454.09 —
583-4
CPT 		Neonate With Ecmo 3 $343,526.10 $359,884.49 $343,526.10 —
007-4
CPT 		Allogeneic Bone Marrow Transplant 3 $334,182.51 $350,095.96 $334,182.51 —
18
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $295,002.94 $501,504.99 $333,004.02 —
583-3
CPT 		Neonate With Ecmo 3 $290,885.28 $304,736.96 $290,885.28 —
002-4
CPT 		Heart And/or Lung Transplant 3 $279,823.40 $293,148.32 $279,823.40 —
1
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $220,342.46 $374,582.19 $248,726.09 —
588-4
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $217,446.39 $227,800.98 $217,446.39 —
161-4
CPT 		Implantable Heart Assist Systems 3 $211,155.36 $221,210.38 $211,155.36 —
009-4
CPT 		Extracorporeal Membrane Oxygenation (ecmo) 3 $197,819.32 $207,239.29 $197,819.32 —
3
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $167,645.60 $284,997.52 $189,241.03 —
927
CPT 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $1.54 $315,465.91 $188,351.71 —
630-4
CPT 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $161,794.61 $169,499.11 $161,794.61 —
609-4
CPT 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $160,360.82 $167,997.05 $160,360.82 —
1907
CPT 		New Technology - Level 52 ($145,001-$160,000) 8 $152,500.50 $305,001.00 $160,125.52 —
1908
CPT 		New Technology - Level 52 ($145,001-$160,000) 8 $152,500.50 $305,001.00 $160,125.52 —
583-2
CPT 		Neonate With Ecmo 3 $144,941.49 $151,843.47 $144,941.49 —
1905
CPT 		New Technology - Level 51 ($130,001-$145,000) 8 $137,500.50 $275,001.00 $144,375.52 —
1906
CPT 		New Technology - Level 51 ($130,001-$145,000) 8 $137,500.50 $275,001.00 $144,375.52 —
011-4
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $137,631.43 $144,185.31 $137,631.43 —
1904
CPT 		New Technology - Level 50 ($115,001-$130,000) 8 $122,500.50 $245,001.00 $128,625.52 —
1903
CPT 		New Technology - Level 50 ($115,001-$130,000) 8 $122,500.50 $245,001.00 $128,625.52 —
200-4
CPT 		Cardiac Structural And Valvular Disorders 3 $127,897.51 $133,987.86 $127,897.51 —
583-1
CPT 		Neonate With Ecmo 3 $127,623.87 $133,701.19 $127,623.87 —
4
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $110,529.89 $187,900.81 $124,767.90 —
007-3
CPT 		Allogeneic Bone Marrow Transplant 3 $117,920.24 $123,535.49 $117,920.24 —
J2326
CPT 		Nusinersen Per 0.1mg 10 $1,042.50 $429,348.00 $116,997.33 nat. median
$2,675
outlier · 43.7×
588-3
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $116,674.61 $122,230.54 $116,674.61 —
588-2
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $116,141.35 $121,671.89 $116,141.35 —
004-4
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $115,841.02 $121,357.26 $115,841.02 —
14
CPT 		Allogeneic Bone Marrow Transplant 11 $102,486.94 $174,227.80 $115,688.89 —
7
CPT 		Lung Transplant 11 $102,228.80 $173,788.96 $115,397.50 —
841-4
CPT 		Extensive Third Degree Burns With Skin Graft 3 $115,343.04 $120,835.57 $115,343.04 —
631-4
CPT 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $114,191.04 $119,628.71 $114,191.04 —
1902
CPT 		New Technology - Level 49 ($100,001-$115,000) 8 $107,500.50 $215,001.00 $112,875.52 —
1901
CPT 		New Technology - Level 49 ($100,001-$115,000) 8 $107,500.50 $215,001.00 $112,875.52 —
850-4
CPT 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $111,182.80 $116,477.21 $111,182.80 —
591-4
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $110,186.83 $115,433.83 $110,186.83 —
161-3
CPT 		Implantable Heart Assist Systems 3 $110,057.02 $115,297.83 $110,057.02 —
588-1
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $109,475.37 $114,688.48 $109,475.37 —
001-4
CPT 		Liver Transplant And/or Intestinal Transplant 3 $100,237.61 $105,010.83 $100,237.61 —
008-4
CPT 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 $99,835.97 $104,590.06 $99,835.97 —

Other procedures at this hospital

Browse this hospital's 10,205 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
773 CPT Inj, Beqvez, Per Tx Dose 7 6 — — $3,710,000.00 $3,895,500.00 $3,821,300.00 2026-05-06
9138 CPT Inj, Hemgenix, Per Tx Dose 7 6 — — $3,710,000.00 $3,895,500.00 $3,821,300.00 2026-05-06
9141 CPT Inj Onase Abepar-xioi Treat 9 8 — — $2,403,458.75 $4,806,917.50 $2,523,631.69 2026-05-06
9194 CPT Tisagenlecleucel Car-pos T 9 8 — — $565,623.84 $1,131,247.68 $593,905.03 2026-05-06
9498 CPT Ciltacabtagene Car-pos T 9 8 — — $551,318.34 $1,102,636.68 $578,884.26 2026-05-06
9422 CPT Idecabtagene Vicleucel Car 9 8 — — $528,312.43 $1,056,624.86 $554,728.05 2026-05-06
9413 CPT Lisocabtagene Car Pos T 9 8 — — $516,485.97 $1,032,971.94 $542,310.27 2026-05-06
9035 CPT Axicabtagene Ciloleucel Car+ 9 8 — — $489,517.15 $979,034.30 $513,993.01 2026-05-06
9391 CPT Brexucabtagene Car Pos T 9 8 — — $488,051.51 $976,103.02 $512,454.09 2026-05-06
583-4 CPT Neonate With Ecmo 3 3 — — $343,526.10 $359,884.49 $343,526.10 2026-05-06
007-4 CPT Allogeneic Bone Marrow Transplant 3 3 — — $334,182.51 $350,095.96 $334,182.51 2026-05-06
18 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 11 — — $295,002.94 $501,504.99 $333,004.02 2026-05-06
583-3 CPT Neonate With Ecmo 3 3 — — $290,885.28 $304,736.96 $290,885.28 2026-05-06
002-4 CPT Heart And/or Lung Transplant 3 3 — — $279,823.40 $293,148.32 $279,823.40 2026-05-06
1 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 15 11 — — $220,342.46 $374,582.19 $248,726.09 2026-05-06
588-4 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $217,446.39 $227,800.98 $217,446.39 2026-05-06
161-4 CPT Implantable Heart Assist Systems 3 3 — — $211,155.36 $221,210.38 $211,155.36 2026-05-06
009-4 CPT Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $197,819.32 $207,239.29 $197,819.32 2026-05-06
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 11 — — $167,645.60 $284,997.52 $189,241.03 2026-05-06
927 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 11 — — $1.54 $315,465.91 $188,351.71 2026-05-06
630-4 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $161,794.61 $169,499.11 $161,794.61 2026-05-06
609-4 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $160,360.82 $167,997.05 $160,360.82 2026-05-06
1907 CPT New Technology - Level 52 ($145,001-$160,000) 9 8 — — $152,500.50 $305,001.00 $160,125.52 2026-05-06
1908 CPT New Technology - Level 52 ($145,001-$160,000) 9 8 — — $152,500.50 $305,001.00 $160,125.52 2026-05-06
583-2 CPT Neonate With Ecmo 3 3 — — $144,941.49 $151,843.47 $144,941.49 2026-05-06
1906 CPT New Technology - Level 51 ($130,001-$145,000) 9 8 — — $137,500.50 $275,001.00 $144,375.52 2026-05-06
1905 CPT New Technology - Level 51 ($130,001-$145,000) 9 8 — — $137,500.50 $275,001.00 $144,375.52 2026-05-06
011-4 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $137,631.43 $144,185.31 $137,631.43 2026-05-06
1904 CPT New Technology - Level 50 ($115,001-$130,000) 9 8 — — $122,500.50 $245,001.00 $128,625.52 2026-05-06
1903 CPT New Technology - Level 50 ($115,001-$130,000) 9 8 — — $122,500.50 $245,001.00 $128,625.52 2026-05-06
200-4 CPT Cardiac Structural And Valvular Disorders 3 3 — — $127,897.51 $133,987.86 $127,897.51 2026-05-06
583-1 CPT Neonate With Ecmo 3 3 — — $127,623.87 $133,701.19 $127,623.87 2026-05-06
4 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 11 — — $110,529.89 $187,900.81 $124,767.90 2026-05-06
007-3 CPT Allogeneic Bone Marrow Transplant 3 3 — — $117,920.24 $123,535.49 $117,920.24 2026-05-06
J2326 CPT Nusinersen Per 0.1mg 12 10 $536,685.00 $214,674.00 60% off $1,042.50 $429,348.00 $116,997.33 2026-05-06
588-3 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $116,674.61 $122,230.54 $116,674.61 2026-05-06
588-2 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $116,141.35 $121,671.89 $116,141.35 2026-05-06
004-4 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $115,841.02 $121,357.26 $115,841.02 2026-05-06
14 CPT Allogeneic Bone Marrow Transplant 15 11 — — $102,486.94 $174,227.80 $115,688.89 2026-05-06
7 CPT Lung Transplant 15 11 — — $102,228.80 $173,788.96 $115,397.50 2026-05-06
841-4 CPT Extensive Third Degree Burns With Skin Graft 3 3 — — $115,343.04 $120,835.57 $115,343.04 2026-05-06
631-4 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $114,191.04 $119,628.71 $114,191.04 2026-05-06
1901 CPT New Technology - Level 49 ($100,001-$115,000) 9 8 — — $107,500.50 $215,001.00 $112,875.52 2026-05-06
1902 CPT New Technology - Level 49 ($100,001-$115,000) 9 8 — — $107,500.50 $215,001.00 $112,875.52 2026-05-06
850-4 CPT Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $111,182.80 $116,477.21 $111,182.80 2026-05-06
591-4 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $110,186.83 $115,433.83 $110,186.83 2026-05-06
161-3 CPT Implantable Heart Assist Systems 3 3 — — $110,057.02 $115,297.83 $110,057.02 2026-05-06
588-1 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $109,475.37 $114,688.48 $109,475.37 2026-05-06
001-4 CPT Liver Transplant And/or Intestinal Transplant 3 3 — — $100,237.61 $105,010.83 $100,237.61 2026-05-06
008-4 CPT Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $99,835.97 $104,590.06 $99,835.97 2026-05-06
1599 CPT New Technology - Level 48 ($90,001-$100,000) 9 8 — — $95,000.50 $190,001.00 $99,750.52 2026-05-06
1585 CPT New Technology - Level 48 ($90,001-$100,000) 9 8 — — $95,000.50 $190,001.00 $99,750.52 2026-05-06
681-4 CPT Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $98,062.05 $102,731.67 $98,062.05 2026-05-06
160-4 CPT Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $98,007.32 $102,674.34 $98,007.32 2026-05-06
2 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 11 — — $86,200.01 $146,540.02 $97,303.95 2026-05-06
009-3 CPT Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $97,188.21 $101,816.22 $97,188.21 2026-05-06
212 CPT Concomitant Aortic And Mitral Valve Procedures 15 11 — — $85,215.96 $144,867.13 $96,193.14 2026-05-06
246-4 CPT Gastrointestinal Vascular Insufficiency 3 3 — — $95,039.79 $99,565.49 $95,039.79 2026-05-06
603-4 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $94,549.50 $99,051.86 $94,549.50 2026-05-06
5 CPT Liver Transplant With Mcc Or Intestinal Transplant 15 11 — — $83,303.39 $141,615.77 $94,034.20 2026-05-06
215 CPT Other Heart Assist System Implant 15 11 — — $82,876.29 $140,889.70 $93,552.08 2026-05-06
426 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 11 — — $81,942.30 $139,301.92 $92,497.78 2026-05-06
006-4 CPT Pancreas Transplant 3 3 — — $91,757.46 $96,126.86 $91,757.46 2026-05-06
589-1 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $91,750.22 $96,119.28 $91,750.22 2026-05-06
593-4 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $91,475.67 $95,831.66 $91,475.67 2026-05-06
1598 CPT New Technology - Level 47 ($80,001-$90,000) 9 8 — — $85,000.50 $170,001.00 $89,250.52 2026-05-06
1584 CPT New Technology - Level 47 ($80,001-$90,000) 9 8 — — $85,000.50 $170,001.00 $89,250.52 2026-05-06
589-2 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $88,924.71 $93,159.22 $88,924.71 2026-05-06
162-4 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $85,494.92 $89,566.11 $85,494.92 2026-05-06
216 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $75,494.34 $128,340.37 $85,219.21 2026-05-06
602-4 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $84,091.89 $88,096.27 $84,091.89 2026-05-06
589-3 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $83,409.37 $87,381.25 $83,409.37 2026-05-06
850 CPT Acute Leukemia With Other Procedures 15 11 — — $72,058.76 $122,499.89 $81,341.08 2026-05-06
621-4 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $79,854.75 $83,657.36 $79,854.75 2026-05-06
007-2 CPT Allogeneic Bone Marrow Transplant 3 3 — — $79,229.22 $83,002.04 $79,229.22 2026-05-06
161-2 CPT Implantable Heart Assist Systems 3 3 — — $79,113.89 $82,881.22 $79,113.89 2026-05-06
1597 CPT New Technology - Level 46 ($70,001-$80,000) 9 8 — — $75,000.50 $150,001.00 $78,750.52 2026-05-06
1583 CPT New Technology - Level 46 ($70,001-$80,000) 9 8 — — $75,000.50 $150,001.00 $78,750.52 2026-05-06
011-3 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $78,209.29 $81,933.54 $78,209.29 2026-05-06
863-4 CPT Neonatal Aftercare 3 3 — — $76,996.22 $80,662.71 $76,996.22 2026-05-06
630-3 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $76,256.72 $79,887.99 $76,256.72 2026-05-06
161-1 CPT Implantable Heart Assist Systems 3 3 — — $75,032.34 $78,605.31 $75,032.34 2026-05-06
440-4 CPT Kidney Transplant 3 3 — — $74,846.90 $78,411.04 $74,846.90 2026-05-06
231 CPT Coronary Bypass With Ptca With Mcc 15 11 — — $66,285.86 $112,685.96 $74,824.54 2026-05-06
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $66,249.09 $112,623.46 $74,783.04 2026-05-06
005-4 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $74,504.96 $78,052.82 $74,504.96 2026-05-06
004-3 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $74,479.63 $78,026.28 $74,479.63 2026-05-06
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 11 — — $65,243.14 $110,913.34 $73,647.50 2026-05-06
680-4 CPT Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $72,557.81 $76,012.95 $72,557.81 2026-05-06
591-3 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $72,557.81 $76,012.95 $72,557.81 2026-05-06
608-4 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $72,352.02 $75,797.35 $72,352.02 2026-05-06
20 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 11 — — $63,056.79 $107,196.55 $71,179.51 2026-05-06
441-4 CPT Major Bladder Procedures 3 3 — — $70,832.29 $74,205.26 $70,832.29 2026-05-06
10 CPT Pancreas Transplant 15 11 — — $62,367.64 $106,024.99 $70,401.59 2026-05-06
19 CPT Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 11 — — $62,010.16 $105,417.27 $69,998.06 2026-05-06
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 11 — — $61,142.66 $103,942.52 $69,018.81 2026-05-06
002-3 CPT Heart And/or Lung Transplant 3 3 — — $68,920.42 $72,202.35 $68,920.42 2026-05-06
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $60,525.48 $102,893.31 $68,322.13 2026-05-06
1596 CPT New Technology - Level 45 ($60,001-$70,000) 9 8 — — $65,000.50 $130,001.00 $68,250.52 2026-05-06
1582 CPT New Technology - Level 45 ($60,001-$70,000) 9 8 — — $65,000.50 $130,001.00 $68,250.52 2026-05-06
008-3 CPT Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $67,481.66 $70,695.07 $67,481.66 2026-05-06
178-4 CPT External Heart Assist Systems 3 3 — — $66,342.32 $69,501.48 $66,342.32 2026-05-06
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 11 — — $58,387.63 $99,258.97 $65,908.89 2026-05-06
C2624 CPT Implantable Sensor Cardiomems 16 9 $321,540.00 $128,616.00 60% off $12,554.26 $257,232.00 $65,754.93 2026-05-06
593-3 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $65,333.69 $68,444.82 $65,333.69 2026-05-06
611-4 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $65,258.61 $68,366.16 $65,258.61 2026-05-06
167-4 CPT Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $64,970.04 $68,063.86 $64,970.04 2026-05-06
690-4 CPT Acute Leukemia 3 3 — — $64,386.58 $67,452.61 $64,386.58 2026-05-06
043-4 CPT Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 3 — — $63,992.17 $67,039.42 $63,992.17 2026-05-06
009-2 CPT Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $63,920.26 $66,964.08 $63,920.26 2026-05-06
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 11 — — $55,559.85 $94,451.74 $62,716.84 2026-05-06
5244 CPT Level 4 Blood Product Exchange And Related Services 9 8 — — $59,142.33 $118,284.66 $62,099.45 2026-05-06
009-1 CPT Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $61,989.85 $64,941.74 $61,989.85 2026-05-06
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 15 11 — — $54,416.22 $92,507.57 $61,425.89 2026-05-06
633-4 CPT Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $60,686.77 $63,576.62 $60,686.77 2026-05-06
303-4 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $60,316.79 $63,189.02 $60,316.79 2026-05-06
955 CPT Craniotomy For Multiple Significant Trauma 15 11 — — $53,413.39 $90,802.77 $60,293.89 2026-05-06
591-2 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $59,907.91 $62,760.67 $59,907.91 2026-05-06
1643 CPT Y90 Ibritumomab, Rx 9 8 — — $56,824.55 $113,649.10 $59,665.78 2026-05-06
607-4 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $59,321.73 $62,146.58 $59,321.73 2026-05-06
006-3 CPT Pancreas Transplant 3 3 — — $59,297.31 $62,120.99 $59,297.31 2026-05-06
447 CPT Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 11 — — $52,446.55 $89,159.13 $59,202.50 2026-05-06
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 11 — — $52,156.34 $88,665.78 $58,874.91 2026-05-06
9273 CPT Sipuleucel-t Auto Cd54+ 9 8 — — $55,536.50 $111,073.00 $58,313.32 2026-05-06
1581 CPT New Technology - Level 44 ($50,001-$60,000) 9 8 — — $55,000.50 $110,001.00 $57,750.53 2026-05-06
1595 CPT New Technology - Level 44 ($50,001-$60,000) 9 8 — — $55,000.50 $110,001.00 $57,750.53 2026-05-06
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 15 11 — — $50,588.74 $86,000.86 $57,105.38 2026-05-06
217 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $50,515.99 $85,877.18 $57,023.26 2026-05-06
220-4 CPT Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $56,528.34 $59,220.16 $56,528.34 2026-05-06
613-4 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $56,220.32 $58,897.48 $56,220.32 2026-05-06
447-4 CPT Other Kidney, Urinary Tract And Related Procedures 3 3 — — $56,088.70 $58,759.59 $56,088.70 2026-05-06
969 CPT HIV With Extensive O.r. Procedures With Mcc 15 11 — — $49,470.92 $84,100.57 $55,843.57 2026-05-06
002-2 CPT Heart And/or Lung Transplant 3 3 — — $55,365.93 $58,002.40 $55,365.93 2026-05-06
023-4 CPT Spinal Procedures 3 3 — — $55,257.83 $57,889.15 $55,257.83 2026-05-06
910-4 CPT Craniotomy For Multiple Significant Trauma 3 3 — — $55,057.91 $57,679.72 $55,057.91 2026-05-06
317 CPT Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 11 — — $48,392.22 $82,266.78 $54,625.91 2026-05-06
573 CPT Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 11 — — $48,171.63 $81,891.77 $54,376.91 2026-05-06
011-2 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $54,350.52 $56,938.64 $54,350.52 2026-05-06
602-3 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $54,348.25 $56,936.27 $54,348.25 2026-05-06
461 CPT Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 11 — — $48,003.45 $81,605.87 $54,187.06 2026-05-06
232 CPT Coronary Bypass With Ptca Without Mcc 15 11 — — $47,784.42 $81,233.52 $53,939.82 2026-05-06
28 CPT Spinal Procedures With Mcc 15 11 — — $47,556.01 $80,845.22 $53,681.99 2026-05-06
005-3 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $53,670.71 $56,226.46 $53,670.71 2026-05-06
006-2 CPT Pancreas Transplant 3 3 — — $53,633.62 $56,187.60 $53,633.62 2026-05-06
950-4 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $53,423.30 $55,967.27 $53,423.30 2026-05-06
16 CPT Autologous Bone Marrow Transplant With Cc/mcc 15 11 — — $47,214.96 $80,265.43 $53,297.00 2026-05-06
17 CPT Autologous Bone Marrow Transplant Without Cc/mcc 15 11 — — $47,214.96 $80,265.43 $53,297.00 2026-05-06
928 CPT Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 11 — — $1.66 $88,816.04 $53,028.40 2026-05-06
006-1 CPT Pancreas Transplant 3 3 — — $52,941.15 $55,462.16 $52,941.15 2026-05-06
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 11 — — $46,862.17 $79,665.69 $52,898.76 2026-05-06
218 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $46,537.54 $79,113.82 $52,532.32 2026-05-06
007-1 CPT Allogeneic Bone Marrow Transplant 3 3 — — $52,024.79 $54,502.16 $52,024.79 2026-05-06
235 CPT Coronary Bypass Without Cardiac Catheterization With Mcc 15 11 — — $46,028.31 $78,248.12 $51,957.49 2026-05-06
001-3 CPT Liver Transplant And/or Intestinal Transplant 3 3 — — $51,644.86 $54,104.14 $51,644.86 2026-05-06
609-3 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $51,583.80 $54,040.17 $51,583.80 2026-05-06
026-4 CPT Other Nervous System And Related Procedures 3 3 — — $51,552.59 $54,007.48 $51,552.59 2026-05-06
593-2 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $51,330.06 $53,774.35 $51,330.06 2026-05-06
303-3 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $51,025.67 $53,455.46 $51,025.67 2026-05-06
182-4 CPT Other Peripheral Vascular Procedures 3 3 — — $50,984.51 $53,412.34 $50,984.51 2026-05-06
163-4 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $50,954.20 $53,380.59 $50,954.20 2026-05-06
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $44,895.63 $76,322.57 $50,678.90 2026-05-06
23 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 11 — — $44,627.32 $75,866.45 $50,376.03 2026-05-06
792-4 CPT Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $50,120.16 $52,506.84 $50,120.16 2026-05-06
304-4 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $50,107.95 $52,494.04 $50,107.95 2026-05-06
205-4 CPT Cardiomyopathy 3 3 — — $49,966.38 $52,345.73 $49,966.38 2026-05-06
695-4 CPT Chemotherapy For Acute Leukemia 3 3 — — $49,902.15 $52,278.45 $49,902.15 2026-05-06
841-3 CPT Extensive Third Degree Burns With Skin Graft 3 3 — — $49,851.04 $52,224.90 $49,851.04 2026-05-06
653 CPT Major Bladder Procedures With Mcc 15 11 — — $43,606.50 $74,131.06 $49,223.72 2026-05-06
005-2 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $49,013.39 $51,347.36 $49,013.39 2026-05-06
651-4 CPT Other Procedures Of Blood And Blood-forming Organs 3 3 — — $48,849.20 $51,175.35 $48,849.20 2026-05-06
21 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 11 — — $43,236.51 $73,502.06 $48,806.06 2026-05-06
004-2 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $48,696.78 $51,015.67 $48,696.78 2026-05-06
428 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 11 — — $43,055.03 $73,193.55 $48,601.20 2026-05-06
614-4 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $48,185.23 $50,479.76 $48,185.23 2026-05-06
162-3 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $48,103.36 $50,394.00 $48,103.36 2026-05-06
8 CPT Simultaneous Pancreas And Kidney Transplant 15 11 — — $42,562.22 $72,355.77 $48,044.91 2026-05-06
021-4 CPT Open Craniotomy Except Trauma 3 3 — — $47,989.38 $50,274.59 $47,989.38 2026-05-06
405 CPT Pancreas, Liver And Shunt Procedures With Mcc 15 11 — — $42,465.22 $72,190.88 $47,935.42 2026-05-06
230-4 CPT Major Small Bowel Procedures 3 3 — — $47,816.15 $50,093.11 $47,816.15 2026-05-06
463 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 11 — — $42,248.54 $71,822.52 $47,690.83 2026-05-06
11 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 11 — — $42,208.65 $71,754.70 $47,645.80 2026-05-06
576 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 11 — — $42,203.96 $71,746.72 $47,640.50 2026-05-06
022-4 CPT Ventricular Shunt Procedures 3 3 — — $47,627.54 $49,895.52 $47,627.54 2026-05-06
1142 CPT Supprelin La Implant 9 8 — — $45,261.80 $90,523.59 $47,524.89 2026-05-06
442-4 CPT Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $47,366.57 $49,622.12 $47,366.57 2026-05-06
1594 CPT New Technology - Level 43 ($40,001-$50,000) 9 8 — — $45,000.50 $90,001.00 $47,250.53 2026-05-06
1580 CPT New Technology - Level 43 ($40,001-$50,000) 9 8 — — $45,000.50 $90,001.00 $47,250.53 2026-05-06
790 CPT Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 11 — — $0.12 $79,053.98 $47,199.88 2026-05-06
952-4 CPT Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $47,075.74 $49,317.44 $47,075.74 2026-05-06
234 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 11 — — $41,616.50 $70,748.04 $46,977.37 2026-05-06
220 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $41,432.67 $70,435.54 $46,769.86 2026-05-06
911-4 CPT Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $46,645.60 $48,866.82 $46,645.60 2026-05-06
820 CPT Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 11 — — $23.52 $77,424.97 $46,227.26 2026-05-06
440-3 CPT Kidney Transplant 3 3 — — $45,809.75 $47,991.17 $45,809.75 2026-05-06
315-4 CPT Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $45,806.59 $47,987.85 $45,806.59 2026-05-06
169-4 CPT Major Abdominal Vascular Procedures 3 3 — — $45,651.00 $47,824.85 $45,651.00 2026-05-06
120-4 CPT Major Respiratory And Chest Procedures 3 3 — — $45,465.55 $47,630.58 $45,465.55 2026-05-06
483-4 CPT Penis, Testes And Scrotal Procedures 3 3 — — $45,292.77 $47,449.57 $45,292.77 2026-05-06
466 CPT Revision Of Hip Or Knee Replacement With Mcc 15 11 — — $39,851.77 $67,748.01 $44,985.32 2026-05-06
326 CPT Stomach, Esophageal And Duodenal Procedures With Mcc 15 11 — — $39,729.74 $67,540.57 $44,847.57 2026-05-06
089-4 CPT Major Cranial Or Facial Bone Procedures 3 3 — — $44,807.01 $46,940.67 $44,807.01 2026-05-06
912-4 CPT Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $44,747.75 $46,878.60 $44,747.75 2026-05-06
130-4 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $44,736.45 $46,866.75 $44,736.45 2026-05-06
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 11 — — $39,400.42 $66,980.72 $44,475.83 2026-05-06
837 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 11 — — $39,168.10 $66,585.77 $44,213.58 2026-05-06
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 11 — — $39,121.95 $66,507.31 $44,161.48 2026-05-06
165-4 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $44,070.21 $46,168.79 $44,070.21 2026-05-06
228 CPT Other Cardiothoracic Procedures With Mcc 15 11 — — $38,981.15 $66,267.95 $44,002.54 2026-05-06
834 CPT Acute Leukemia With Mcc 24 11 — — $128.07 $73,502.06 $43,885.06 2026-05-06
C1882 CPT Aicd Inventra Hf-t Qp Df-4 641 9 $161,162.00 $64,464.80 60% off $12,580.51 $206,521.60 $43,583.00 2026-05-06
591-1 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $43,194.11 $45,250.97 $43,194.11 2026-05-06
245 CPT Aicd Generator Procedures 15 11 — — $38,226.29 $64,984.69 $43,150.44 2026-05-06
260-4 CPT Major Pancreas, Liver And Shunt Procedures 3 3 — — $42,958.46 $45,004.10 $42,958.46 2026-05-06
471 CPT Cervical Spinal Fusion With Mcc 15 11 — — $37,995.53 $64,592.40 $42,889.96 2026-05-06
002-1 CPT Heart And/or Lung Transplant 3 3 — — $42,884.73 $44,926.86 $42,884.73 2026-05-06
6 CPT Liver Transplant Without Mcc 15 11 — — $37,932.17 $64,484.68 $42,818.44 2026-05-06
178-3 CPT External Heart Assist Systems 3 3 — — $42,455.50 $44,477.19 $42,455.50 2026-05-06
121-4 CPT Other Respiratory And Chest Procedures 3 3 — — $42,431.08 $44,451.61 $42,431.08 2026-05-06
631-3 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $42,275.94 $44,289.08 $42,275.94 2026-05-06
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 11 — — $37,186.70 $63,217.38 $41,976.94 2026-05-06
625-4 CPT Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $41,934.45 $43,931.33 $41,934.45 2026-05-06
612-4 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $41,813.69 $43,804.82 $41,813.69 2026-05-06
267 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 11 — — $36,801.84 $62,563.12 $41,542.50 2026-05-06
160-3 CPT Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $41,417.02 $43,389.26 $41,417.02 2026-05-06
224-4 CPT Peritoneal Adhesiolysis 3 3 — — $41,350.99 $43,320.08 $41,350.99 2026-05-06
823 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 11 — — $36,604.71 $62,228.01 $41,319.99 2026-05-06
277 CPT Cardiac Defibrillator Implant Without Mcc 15 11 — — $36,388.82 $61,860.99 $41,076.28 2026-05-06
602-2 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $41,062.87 $43,018.25 $41,062.87 2026-05-06
361-4 CPT Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $40,947.99 $42,897.89 $40,947.99 2026-05-06
091-4 CPT Other Major Head And Neck Procedures 3 3 — — $40,727.72 $42,667.14 $40,727.72 2026-05-06
163 CPT Major Chest Procedures With Mcc 15 11 — — $36,054.80 $61,293.16 $40,699.24 2026-05-06
650 CPT Kidney Transplant With Hemodialysis With Mcc 15 11 — — $36,039.94 $61,267.90 $40,682.46 2026-05-06
221 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $35,924.95 $61,072.42 $40,552.66 2026-05-06
329 CPT Major Small And Large Bowel Procedures With Mcc 15 11 — — $35,919.48 $61,063.11 $40,546.48 2026-05-06
C1721 CPT Defib Ovatio Dr 6550 Ela 620 9 $147,891.00 $59,156.40 60% off $6,904.38 $228,227.20 $40,450.66 2026-05-06
020-4 CPT Open Craniotomy For Trauma 3 3 — — $40,312.06 $42,231.68 $40,312.06 2026-05-06
005-1 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $40,037.96 $41,944.53 $40,037.96 2026-05-06
004-1 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $39,961.07 $41,863.98 $39,961.07 2026-05-06
001-2 CPT Liver Transplant And/or Intestinal Transplant 3 3 — — $39,667.98 $41,556.94 $39,667.98 2026-05-06
181-4 CPT Lower Extremity Arterial Procedures 3 3 — — $39,651.70 $41,539.88 $39,651.70 2026-05-06
474 CPT Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 11 — — $35,080.92 $59,637.56 $39,599.90 2026-05-06
227-4 CPT Hernia Procedures Except Inguinal, Femoral And Umbilical 3 3 — — $39,530.48 $41,412.89 $39,530.48 2026-05-06
25 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 15 11 — — $34,983.92 $59,472.67 $39,490.41 2026-05-06
660-4 CPT Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 3 3 — — $39,400.67 $41,276.90 $39,400.67 2026-05-06
623-4 CPT Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $39,392.53 $41,268.37 $39,392.53 2026-05-06
842-4 CPT Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $39,348.21 $41,221.93 $39,348.21 2026-05-06
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 15 11 — — $34,362.04 $58,415.47 $38,788.42 2026-05-06
183-4 CPT Percutaneous Structural Cardiac Procedures 3 3 — — $38,345.01 $40,170.96 $38,345.01 2026-05-06
933 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 11 — — $33,846.55 $57,539.14 $38,206.53 2026-05-06
001-1 CPT Liver Transplant And/or Intestinal Transplant 3 3 — — $38,178.56 $39,996.59 $38,178.56 2026-05-06
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $33,776.93 $57,420.78 $38,127.94 2026-05-06
826 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 11 — — $87.14 $63,504.62 $37,916.00 2026-05-06
799 CPT Splenic Procedures With Mcc 24 11 — — $7.69 $63,229.35 $37,751.65 2026-05-06
261-4 CPT Major Biliary Tract Procedures 3 3 — — $37,736.67 $39,533.65 $37,736.67 2026-05-06
356 CPT Other Digestive System O.r. Procedures With Mcc 15 11 — — $33,367.82 $56,725.30 $37,666.13 2026-05-06
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 11 — — $33,318.54 $56,641.52 $37,610.50 2026-05-06
607-3 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $37,601.88 $39,392.45 $37,601.88 2026-05-06
183-3 CPT Percutaneous Structural Cardiac Procedures 3 3 — — $37,403.32 $39,184.43 $37,403.32 2026-05-06
140 CPT Major Head And Neck Procedures With Mcc 15 11 — — $33,082.31 $56,239.92 $37,343.84 2026-05-06
951-4 CPT Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $37,256.78 $39,030.91 $37,256.78 2026-05-06
303-2 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $37,021.58 $38,784.51 $37,021.58 2026-05-06
31 CPT Ventricular Shunt Procedures With Mcc 15 11 — — $32,780.36 $55,726.62 $37,003.00 2026-05-06
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 15 11 — — $32,772.54 $55,713.32 $36,994.17 2026-05-06
1593 CPT New Technology - Level 42 ($30,001-$40,000) 9 8 — — $35,000.50 $70,001.00 $36,750.53 2026-05-06
1579 CPT New Technology - Level 42 ($30,001-$40,000) 9 8 — — $35,000.50 $70,001.00 $36,750.53 2026-05-06
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 11 — — $32,546.48 $55,329.01 $36,738.98 2026-05-06
856 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 11 — — $24,228.42 $59,995.28 $36,703.00 2026-05-06
050-4 CPT Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 3 — — $36,647.53 $38,392.65 $36,647.53 2026-05-06
178-2 CPT External Heart Assist Systems 3 3 — — $36,438.12 $38,173.26 $36,438.12 2026-05-06
710-4 CPT Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $36,376.15 $38,108.35 $36,376.15 2026-05-06
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 15 11 — — $32,166.31 $54,682.73 $36,309.84 2026-05-06
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Cc 15 11 — — $32,148.32 $54,652.14 $36,289.53 2026-05-06
12 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 11 — — $32,100.60 $54,571.02 $36,235.67 2026-05-06
448 CPT Multiple Level Spinal Fusion Except Cervical Without Mcc 15 11 — — $31,942.59 $54,302.40 $36,057.31 2026-05-06
603-3 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $36,056.83 $37,773.82 $36,056.83 2026-05-06
162-2 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $35,919.33 $37,629.77 $35,919.33 2026-05-06
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 11 — — $31,816.65 $54,088.30 $35,915.14 2026-05-06
223-4 CPT Other Small And Large Bowel Procedures 3 3 — — $35,505.02 $37,195.74 $35,505.02 2026-05-06
C1722 CPT Aicd Inventra Dx 656 9 $129,128.00 $51,651.20 60% off $11,238.78 $171,520.00 $35,454.85 2026-05-06
691-4 CPT Lymphoma, Myeloma And Non-acute Leukemia 3 3 — — $35,286.56 $36,966.88 $35,286.56 2026-05-06
901 CPT Wound Debridements For Injuries With Mcc 24 11 — — $5.09 $58,916.81 $35,176.81 2026-05-06
907 CPT Other O.r. Procedures For Injuries With Mcc 15 11 — — $31,161.92 $52,975.26 $35,176.07 2026-05-06
008-2 CPT Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $35,127.81 $36,800.56 $35,127.81 2026-05-06
694-4 CPT Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 3 3 — — $34,929.25 $36,592.54 $34,929.25 2026-05-06
723-4 CPT Viral Illness 3 3 — — $34,881.76 $36,542.79 $34,881.76 2026-05-06
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 11 — — $30,864.67 $52,469.94 $34,840.53 2026-05-06
273 CPT Percutaneous And Other Intracardiac Procedures With Mcc 15 11 — — $30,587.76 $51,999.19 $34,527.95 2026-05-06
092-4 CPT Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $34,506.80 $36,149.98 $34,506.80 2026-05-06
34 CPT Carotid Artery Stent Procedures With Mcc 15 11 — — $30,418.79 $51,711.95 $34,337.22 2026-05-06
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 11 — — $30,233.40 $51,396.79 $34,127.95 2026-05-06
163-3 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $34,125.51 $35,750.54 $34,125.51 2026-05-06
904 CPT Skin Grafts For Injuries With Cc/mcc 15 11 — — $30,202.90 $51,344.93 $34,093.51 2026-05-06
166-4 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $34,058.12 $35,679.93 $34,058.12 2026-05-06
166 CPT Other Respiratory System O.r. Procedures With Mcc 15 11 — — $30,118.42 $51,201.31 $33,998.15 2026-05-06
956 CPT Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 11 — — $29,900.17 $50,830.29 $33,751.79 2026-05-06
661-4 CPT Coagulation And Platelet Disorders 3 3 — — $33,748.75 $35,355.83 $33,748.75 2026-05-06
5232 CPT Level 2 Icd And Similar Procedures 9 8 — — $32,061.58 $64,123.16 $33,664.66 2026-05-06
24 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 11 — — $29,738.25 $50,555.02 $33,569.01 2026-05-06
178-1 CPT External Heart Assist Systems 3 3 — — $33,402.28 $34,992.87 $33,402.28 2026-05-06
5166 CPT Cochlear Implant Procedure 9 8 — — $31,807.82 $63,615.64 $33,398.21 2026-05-06
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