|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
8
|
7
|
—
|
—
|
$3,685,266.67
|
$4,975,110.00
|
$3,685,266.67
|
2026-05-09
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
8
|
7
|
—
|
—
|
$2,455,110.60
|
$3,314,399.32
|
$2,455,110.60
|
2026-05-09
|
|
2067
|
OTHER
|
Afamitresgene Autoleucel
|
8
|
7
|
—
|
—
|
$757,719.82
|
$1,022,921.76
|
$757,719.82
|
2026-05-09
|
|
5834
|
OTHER
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$617,987.52
|
$642,707.02
|
$617,987.52
|
2026-05-09
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
8
|
7
|
—
|
—
|
$591,726.20
|
$798,830.37
|
$591,726.20
|
2026-05-09
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
8
|
7
|
—
|
—
|
$565,868.94
|
$763,923.08
|
$565,868.94
|
2026-05-09
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
8
|
7
|
—
|
—
|
$562,538.19
|
$759,426.55
|
$562,538.19
|
2026-05-09
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
8
|
7
|
—
|
—
|
$557,317.93
|
$752,379.21
|
$557,317.93
|
2026-05-09
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
8
|
7
|
—
|
—
|
$533,230.17
|
$719,860.73
|
$533,230.17
|
2026-05-09
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$523,289.12
|
$544,220.68
|
$523,289.12
|
2026-05-09
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
8
|
7
|
—
|
—
|
$489,304.61
|
$660,561.22
|
$489,304.61
|
2026-05-09
|
|
5884
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$391,175.96
|
$406,823.00
|
$391,175.96
|
2026-05-09
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$379,858.69
|
$395,053.04
|
$379,858.69
|
2026-05-09
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
11
|
10
|
—
|
—
|
$308,036.10
|
$1,186,533.80
|
$314,230.87
|
2026-05-09
|
|
6304
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$291,060.99
|
$302,703.43
|
$291,060.99
|
2026-05-09
|
|
633
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…
|
1
|
1
|
—
|
—
|
$288,594.30
|
$288,594.30
|
$288,594.30
|
2026-05-09
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$288,481.67
|
$300,020.94
|
$288,481.67
|
2026-05-09
|
|
612
|
OTHER
|
Neonate, Birth Weight <750 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$264,456.79
|
$264,456.79
|
$264,456.79
|
2026-05-09
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$260,743.02
|
$271,172.74
|
$260,743.02
|
2026-05-09
|
|
2004
|
OTHER
|
Cardiac Structural And Valvular Disorders
|
5
|
5
|
—
|
—
|
$230,081.68
|
$239,284.95
|
$230,081.68
|
2026-05-09
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$229,589.41
|
$238,772.99
|
$229,589.41
|
2026-05-09
|
|
UMC Main-35825249
|
OTHER
|
Gen Neurostimulator Spinal
|
14
|
13
|
$437,000.00
|
$87,400.00
80% off
|
$83,030.00
|
$314,640.00
|
$224,836.50
|
2026-05-09
|
|
UMC Surgical Hospital-35825249
|
OTHER
|
Gen Neurostimulator Spinal
|
14
|
13
|
$437,000.00
|
$87,400.00
80% off
|
$83,030.00
|
$314,640.00
|
$224,836.50
|
2026-05-09
|
|
Both-35825249
|
OTHER
|
Gen Neurostimulator Spinal
|
14
|
13
|
$437,000.00
|
$87,400.00
80% off
|
$83,030.00
|
$314,640.00
|
$224,836.50
|
2026-05-09
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$209,892.21
|
$218,287.90
|
$209,892.21
|
2026-05-09
|
|
5882
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$208,932.90
|
$217,290.21
|
$208,932.90
|
2026-05-09
|
|
44
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$208,392.63
|
$216,728.33
|
$208,392.63
|
2026-05-09
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$207,496.78
|
$215,796.65
|
$207,496.78
|
2026-05-09
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$205,424.38
|
$213,641.35
|
$205,424.38
|
2026-05-09
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
11
|
10
|
—
|
—
|
$203,923.19
|
$770,012.70
|
$203,923.19
|
2026-05-09
|
|
8504
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
5
|
5
|
—
|
—
|
$200,012.69
|
$208,013.20
|
$200,012.69
|
2026-05-09
|
|
5914
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$198,221.00
|
$206,149.84
|
$198,221.00
|
2026-05-09
|
|
631
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$191,760.16
|
$191,760.16
|
$191,760.16
|
2026-05-09
|
|
6814
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$176,409.08
|
$183,465.44
|
$176,409.08
|
2026-05-09
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$176,310.63
|
$183,363.05
|
$176,310.63
|
2026-05-09
|
|
2464
|
OTHER
|
Gastrointestinal Vascular Insufficiency
|
5
|
5
|
—
|
—
|
$170,972.17
|
$177,811.06
|
$170,972.17
|
2026-05-09
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$170,090.16
|
$176,893.77
|
$170,090.16
|
2026-05-09
|
|
636
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…
|
1
|
1
|
—
|
—
|
$169,573.19
|
$169,573.19
|
$169,573.19
|
2026-05-09
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$165,054.39
|
$171,656.56
|
$165,054.39
|
2026-05-09
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$164,560.49
|
$171,142.91
|
$164,560.49
|
2026-05-09
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$159,971.42
|
$166,370.28
|
$159,971.42
|
2026-05-09
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
19
|
10
|
—
|
—
|
$1.61
|
$586,647.69
|
$155,362.46
|
2026-05-09
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
13
|
12
|
—
|
—
|
$123,427.80
|
$583,204.82
|
$154,450.69
|
2026-05-09
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$153,801.40
|
$159,953.46
|
$153,801.40
|
2026-05-09
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$151,277.41
|
$157,328.51
|
$151,277.41
|
2026-05-09
|
|
5893
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$150,049.59
|
$156,051.57
|
$150,049.59
|
2026-05-09
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
10
|
9
|
—
|
—
|
$135,725.45
|
$202,429.32
|
$149,947.64
|
2026-05-09
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
8
|
7
|
—
|
—
|
$149,947.64
|
$202,429.32
|
$149,947.64
|
2026-05-09
|
|
6214
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$143,655.00
|
$149,401.20
|
$143,655.00
|
2026-05-09
|
|
1612
|
OTHER
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$142,322.21
|
$148,015.10
|
$142,322.21
|
2026-05-09
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$138,512.63
|
$144,053.14
|
$138,512.63
|
2026-05-09
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$137,182.29
|
$142,669.58
|
$137,182.29
|
2026-05-09
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
8
|
7
|
—
|
—
|
$135,198.74
|
$182,518.30
|
$135,198.74
|
2026-05-09
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
8
|
7
|
—
|
—
|
$135,198.74
|
$182,518.30
|
$135,198.74
|
2026-05-09
|
|
1611
|
OTHER
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$134,979.70
|
$140,378.89
|
$134,979.70
|
2026-05-09
|
|
4404
|
OTHER
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$134,646.10
|
$140,031.94
|
$134,646.10
|
2026-05-09
|
|
43
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$133,985.40
|
$139,344.82
|
$133,985.40
|
2026-05-09
|
|
6804
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$130,528.14
|
$135,749.26
|
$130,528.14
|
2026-05-09
|
|
5913
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$130,528.14
|
$135,749.26
|
$130,528.14
|
2026-05-09
|
|
6084
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$130,157.92
|
$135,364.24
|
$130,157.92
|
2026-05-09
|
|
4414
|
OTHER
|
Major Bladder Procedures
|
5
|
5
|
—
|
—
|
$127,424.01
|
$132,520.97
|
$127,424.01
|
2026-05-09
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
13
|
11
|
—
|
—
|
$11,483.25
|
$162,607.29
|
$120,449.84
|
2026-05-09
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
13
|
11
|
—
|
—
|
$20,263.51
|
$162,607.29
|
$120,449.84
|
2026-05-09
|
|
1784
|
OTHER
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$119,346.75
|
$124,120.63
|
$119,346.75
|
2026-05-09
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$117,532.28
|
$122,233.57
|
$117,532.28
|
2026-05-09
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$117,397.21
|
$122,093.10
|
$117,397.21
|
2026-05-09
|
|
1674
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$116,878.10
|
$121,553.22
|
$116,878.10
|
2026-05-09
|
|
6904
|
OTHER
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$115,828.47
|
$120,461.61
|
$115,828.47
|
2026-05-09
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
1
|
1
|
—
|
—
|
$115,500.82
|
$115,500.82
|
$115,500.82
|
2026-05-09
|
|
Both-46035390
|
OTHER
|
Botulism Immune Globulin 100 Mg Inj
|
14
|
13
|
$225,000.00
|
$45,000.00
80% off
|
$42,750.00
|
$162,000.00
|
$112,500.00
|
2026-05-09
|
|
Both-46040325
|
OTHER
|
Sodium Benzoate-sodium Phenylacetate 10%-10% Inj 50 Ml
|
13
|
13
|
$219,000.00
|
$43,800.00
80% off
|
$41,610.00
|
$157,680.00
|
$109,500.00
|
2026-05-09
|
|
6334
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$109,172.69
|
$113,539.60
|
$109,172.69
|
2026-05-09
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$108,507.11
|
$112,847.39
|
$108,507.11
|
2026-05-09
|
|
5912
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$107,771.56
|
$112,082.42
|
$107,771.56
|
2026-05-09
|
|
6074
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$106,717.05
|
$110,985.73
|
$106,717.05
|
2026-05-09
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
13
|
11
|
—
|
—
|
$8,657.40
|
$142,696.27
|
$105,700.94
|
2026-05-09
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
13
|
11
|
—
|
—
|
$8,049.59
|
$142,696.27
|
$105,700.94
|
2026-05-09
|
|
634
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…
|
1
|
1
|
—
|
—
|
$103,441.39
|
$103,441.39
|
$103,441.39
|
2026-05-09
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
16
|
14
|
—
|
—
|
$87,451.37
|
$330,215.84
|
$102,274.48
|
2026-05-09
|
|
2204
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$101,691.85
|
$105,759.53
|
$101,691.85
|
2026-05-09
|
|
6134
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$101,137.75
|
$105,183.26
|
$101,137.75
|
2026-05-09
|
|
4474
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
5
|
5
|
—
|
—
|
$100,900.97
|
$104,937.01
|
$100,900.97
|
2026-05-09
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
13
|
12
|
—
|
—
|
$75,173.23
|
$380,594.92
|
$100,793.31
|
2026-05-09
|
|
112
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
6
|
—
|
—
|
$2,666.30
|
$101,685.02
|
$97,774.05
|
2026-05-09
|
|
6023
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$97,769.99
|
$101,680.79
|
$97,769.99
|
2026-05-09
|
|
7
|
OTHER
|
Lung Transplant
|
11
|
10
|
—
|
—
|
$94,235.50
|
$355,832.65
|
$94,235.50
|
2026-05-09
|
|
632
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Died
|
1
|
1
|
—
|
—
|
$94,111.87
|
$94,111.87
|
$94,111.87
|
2026-05-09
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
8
|
7
|
—
|
—
|
$93,410.19
|
$126,103.76
|
$93,410.19
|
2026-05-09
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
8
|
7
|
—
|
—
|
$93,410.19
|
$126,103.76
|
$93,410.19
|
2026-05-09
|
|
6093
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$92,796.87
|
$96,508.74
|
$92,796.87
|
2026-05-09
|
|
5932
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$92,340.40
|
$96,034.02
|
$92,340.40
|
2026-05-09
|
|
3033
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$91,792.80
|
$95,464.52
|
$91,792.80
|
2026-05-09
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$91,664.24
|
$95,330.81
|
$91,664.24
|
2026-05-09
|
|
7924
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$90,163.85
|
$93,770.40
|
$90,163.85
|
2026-05-09
|
|
3044
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$90,141.88
|
$93,747.55
|
$90,141.88
|
2026-05-09
|
|
2054
|
OTHER
|
Cardiomyopathy
|
5
|
5
|
—
|
—
|
$89,887.20
|
$93,482.69
|
$89,887.20
|
2026-05-09
|
|
6954
|
OTHER
|
Chemotherapy For Acute Leukemia
|
5
|
5
|
—
|
—
|
$89,771.66
|
$93,362.53
|
$89,771.66
|
2026-05-09
|
|
8413
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$89,679.72
|
$93,266.90
|
$89,679.72
|
2026-05-09
|
|
6514
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
5
|
5
|
—
|
—
|
$87,877.45
|
$91,392.55
|
$87,877.45
|
2026-05-09
|
|
6144
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$86,682.99
|
$90,150.31
|
$86,682.99
|
2026-05-09
|
|
1623
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$86,535.71
|
$89,997.14
|
$86,535.71
|
2026-05-09
|
|
214
|
OTHER
|
Open Craniotomy Except Trauma
|
6
|
6
|
—
|
—
|
$5,146.88
|
$89,783.90
|
$86,330.67
|
2026-05-09
|
|
2304
|
OTHER
|
Major Small Bowel Procedures
|
5
|
5
|
—
|
—
|
$86,019.04
|
$89,459.80
|
$86,019.04
|
2026-05-09
|
|
224
|
OTHER
|
Ventricular Shunt Procedures
|
7
|
7
|
—
|
—
|
$48,164.05
|
$89,106.93
|
$85,679.74
|
2026-05-09
|
|
4424
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
5
|
5
|
—
|
—
|
$85,210.25
|
$88,618.66
|
$85,210.25
|
2026-05-09
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
8
|
7
|
—
|
—
|
$83,577.59
|
$112,829.75
|
$83,577.59
|
2026-05-09
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
8
|
7
|
—
|
—
|
$83,577.59
|
$112,829.75
|
$83,577.59
|
2026-05-09
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
11
|
10
|
—
|
—
|
$82,458.79
|
$311,363.87
|
$82,458.79
|
2026-05-09
|
|
4403
|
OTHER
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$82,409.62
|
$85,706.00
|
$82,409.62
|
2026-05-09
|
|
3154
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
5
|
5
|
—
|
—
|
$82,403.92
|
$85,700.08
|
$82,403.92
|
2026-05-09
|
|
209
|
OTHER
|
Complex Aortic Arch Procedures
|
11
|
10
|
—
|
—
|
$4,511.68
|
$311,006.67
|
$82,364.19
|
2026-05-09
|
|
365
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$81,987.14
|
$81,987.14
|
$81,987.14
|
2026-05-09
|
|
UMC Surgical Hospital-72133218
|
OTHER
|
Cci Cassette Prge Impella Pmp
|
14
|
13
|
$159,274.40
|
$31,854.88
80% off
|
$30,262.14
|
$114,677.57
|
$81,946.68
|
2026-05-09
|
|
UMC Main-72133218
|
OTHER
|
Cci Cassette Prge Impella Pmp
|
14
|
13
|
$159,274.40
|
$31,854.88
80% off
|
$30,262.14
|
$114,677.57
|
$81,946.68
|
2026-05-09
|
|
1204
|
OTHER
|
Major Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$81,790.42
|
$85,062.04
|
$81,790.42
|
2026-05-09
|
|
4834
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
5
|
5
|
—
|
—
|
$81,479.60
|
$84,738.78
|
$81,479.60
|
2026-05-09
|
|
9124
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$80,499.13
|
$83,719.10
|
$80,499.13
|
2026-05-09
|
|
1304
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
5
|
—
|
—
|
$80,478.79
|
$83,697.94
|
$80,478.79
|
2026-05-09
|
|
426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
10
|
—
|
—
|
$17,221.57
|
$302,829.51
|
$80,198.63
|
2026-05-09
|
|
1654
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$79,280.26
|
$82,451.47
|
$79,280.26
|
2026-05-09
|
|
212
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
16
|
14
|
—
|
—
|
$31,401.77
|
$298,787.65
|
$79,128.22
|
2026-05-09
|
|
5911
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$77,704.19
|
$80,812.36
|
$77,704.19
|
2026-05-09
|
|
2604
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
5
|
5
|
—
|
—
|
$77,280.27
|
$80,371.49
|
$77,280.27
|
2026-05-09
|
|
1783
|
OTHER
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$76,375.48
|
$79,430.50
|
$76,375.48
|
2026-05-09
|
|
6313
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$76,052.45
|
$79,094.55
|
$76,052.45
|
2026-05-09
|
|
6254
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
5
|
5
|
—
|
—
|
$75,438.14
|
$78,455.66
|
$75,438.14
|
2026-05-09
|
|
6124
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$75,220.89
|
$78,229.72
|
$75,220.89
|
2026-05-09
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
11
|
10
|
—
|
—
|
$75,027.03
|
$283,301.61
|
$75,027.03
|
2026-05-09
|
|
1603
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$74,507.30
|
$77,487.60
|
$74,507.30
|
2026-05-09
|
|
2244
|
OTHER
|
Peritoneal Adhesiolysis
|
5
|
5
|
—
|
—
|
$74,388.51
|
$77,364.05
|
$74,388.51
|
2026-05-09
|
|
6022
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$73,870.20
|
$76,825.01
|
$73,870.20
|
2026-05-09
|
|
1583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
8
|
7
|
—
|
—
|
$73,744.99
|
$99,555.74
|
$73,744.99
|
2026-05-09
|
|
1597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
8
|
7
|
—
|
—
|
$73,744.99
|
$99,555.74
|
$73,744.99
|
2026-05-09
|
|
3614
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$73,663.53
|
$76,610.07
|
$73,663.53
|
2026-05-09
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
13
|
12
|
—
|
—
|
$72,454.70
|
$273,588.49
|
$72,454.70
|
2026-05-09
|
|
51
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$72,026.44
|
$74,907.50
|
$72,026.44
|
2026-05-09
|
|
1814
|
OTHER
|
Lower Extremity Arterial Procedures
|
5
|
5
|
—
|
—
|
$71,331.57
|
$74,184.83
|
$71,331.57
|
2026-05-09
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
12
|
—
|
—
|
$65,396.11
|
$268,802.00
|
$71,187.09
|
2026-05-09
|
|
2274
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
5
|
5
|
—
|
—
|
$71,113.51
|
$73,958.05
|
$71,113.51
|
2026-05-09
|
|
6604
|
OTHER
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
5
|
5
|
—
|
—
|
$70,879.99
|
$73,715.18
|
$70,879.99
|
2026-05-09
|
|
6234
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$70,865.34
|
$73,699.95
|
$70,865.34
|
2026-05-09
|
|
8424
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
5
|
—
|
—
|
$70,785.60
|
$73,617.02
|
$70,785.60
|
2026-05-09
|
|
1834
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$68,980.89
|
$71,740.13
|
$68,980.89
|
2026-05-09
|
|
2614
|
OTHER
|
Major Biliary Tract Procedures
|
5
|
5
|
—
|
—
|
$67,886.51
|
$70,601.97
|
$67,886.51
|
2026-05-09
|
|
6073
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$67,644.04
|
$70,349.80
|
$67,644.04
|
2026-05-09
|
|
1833
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$67,286.84
|
$69,978.31
|
$67,286.84
|
2026-05-09
|
|
UMC Main-35811405
|
OTHER
|
Ors Matristem Matrix
|
14
|
13
|
$130,183.20
|
$26,036.64
80% off
|
$24,734.81
|
$93,731.90
|
$66,979.26
|
2026-05-09
|
|
Both-35811405
|
OTHER
|
Ors Matristem Matrix
|
14
|
13
|
$130,183.20
|
$26,036.64
80% off
|
$24,734.81
|
$93,731.90
|
$66,979.26
|
2026-05-09
|
|
UMC Surgical Hospital-35811405
|
OTHER
|
Ors Matristem Matrix
|
14
|
13
|
$130,183.20
|
$26,036.64
80% off
|
$24,734.81
|
$93,731.90
|
$66,979.26
|
2026-05-09
|
|
3032
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$66,600.11
|
$69,264.11
|
$66,600.11
|
2026-05-09
|
|
UMC Main-72127756
|
OTHER
|
Icd Biventricular
|
14
|
13
|
$128,716.14
|
$25,743.23
80% off
|
$24,456.07
|
$92,675.62
|
$66,224.46
|
2026-05-09
|
|
UMC Surgical Hospital-72127756
|
OTHER
|
Icd Biventricular
|
14
|
13
|
$128,716.14
|
$25,743.23
80% off
|
$24,456.07
|
$92,675.62
|
$66,224.46
|
2026-05-09
|
|
UMC Main-78419504
|
OTHER
|
Eps Icd Biventricular
|
14
|
13
|
$128,716.14
|
$25,743.23
80% off
|
$24,456.07
|
$92,675.62
|
$66,224.46
|
2026-05-09
|
|
UMC Surgical Hospital-78419504
|
OTHER
|
Eps Icd Biventricular
|
14
|
13
|
$128,716.14
|
$25,743.23
80% off
|
$24,456.07
|
$92,675.62
|
$66,224.46
|
2026-05-09
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
11
|
10
|
—
|
—
|
$65,560.70
|
$247,556.78
|
$65,560.70
|
2026-05-09
|
|
1782
|
OTHER
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$65,550.48
|
$68,172.50
|
$65,550.48
|
2026-05-09
|
|
7104
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
5
|
5
|
—
|
—
|
$65,439.01
|
$68,056.57
|
$65,439.01
|
2026-05-09
|
|
UMC Surgical Hospital-35860816
|
OTHER
|
Gen Neurostim Demipulse
|
14
|
13
|
$126,267.12
|
$25,253.42
80% off
|
$23,990.75
|
$90,912.33
|
$64,964.43
|
2026-05-09
|
|
Both-35860816
|
OTHER
|
Gen Neurostim Demipulse
|
14
|
13
|
$126,267.12
|
$25,253.42
80% off
|
$23,990.75
|
$90,912.33
|
$64,964.43
|
2026-05-09
|
|
UMC Main-35860816
|
OTHER
|
Gen Neurostim Demipulse
|
14
|
13
|
$126,267.12
|
$25,253.42
80% off
|
$23,990.75
|
$90,912.33
|
$64,964.43
|
2026-05-09
|
|
6033
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$64,864.56
|
$67,459.14
|
$64,864.56
|
2026-05-09
|
|
1622
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$64,617.21
|
$67,201.89
|
$64,617.21
|
2026-05-09
|
|
1596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
8
|
7
|
—
|
—
|
$63,912.39
|
$86,281.73
|
$63,912.39
|
2026-05-09
|
|
1582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
8
|
7
|
—
|
—
|
$63,912.39
|
$86,281.73
|
$63,912.39
|
2026-05-09
|
|
2234
|
OTHER
|
Other Small And Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$63,871.89
|
$66,426.76
|
$63,871.89
|
2026-05-09
|
|
6914
|
OTHER
|
Lymphoma, Myeloma And Non-acute Leukemia
|
5
|
5
|
—
|
—
|
$63,478.89
|
$66,018.04
|
$63,478.89
|
2026-05-09
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
11
|
10
|
—
|
—
|
$63,013.10
|
$237,937.08
|
$63,013.10
|
2026-05-09
|
|
6944
|
OTHER
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
5
|
5
|
—
|
—
|
$62,836.09
|
$65,349.54
|
$62,836.09
|
2026-05-09
|
|
7234
|
OTHER
|
Viral Illness
|
5
|
5
|
—
|
—
|
$62,750.66
|
$65,260.68
|
$62,750.66
|
2026-05-09
|
|
366
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$62,398.63
|
$62,398.63
|
$62,398.63
|
2026-05-09
|
|
924
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$62,076.13
|
$64,559.18
|
$62,076.13
|
2026-05-09
|
|
1633
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$61,390.21
|
$63,845.82
|
$61,390.21
|
2026-05-09
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
18
|
16
|
—
|
—
|
$16,338.39
|
$231,628.36
|
$61,342.36
|
2026-05-09
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
13
|
12
|
—
|
—
|
$59,136.77
|
$230,900.22
|
$61,149.52
|
2026-05-09
|
|
6614
|
OTHER
|
Coagulation And Platelet Disorders
|
5
|
5
|
—
|
—
|
$60,712.43
|
$63,140.92
|
$60,712.43
|
2026-05-09
|
|
1781
|
OTHER
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$60,089.16
|
$62,492.73
|
$60,089.16
|
2026-05-09
|
|
1764
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
5
|
5
|
—
|
—
|
$59,521.22
|
$61,902.07
|
$59,521.22
|
2026-05-09
|
|
5134
|
OTHER
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
5
|
5
|
—
|
—
|
$58,677.45
|
$61,024.55
|
$58,677.45
|
2026-05-09
|
|
1794
|
OTHER
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$58,641.65
|
$60,987.32
|
$58,641.65
|
2026-05-09
|
|
3124
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$58,561.91
|
$60,904.39
|
$58,561.91
|
2026-05-09
|
|
8412
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$58,277.13
|
$60,608.21
|
$58,277.13
|
2026-05-09
|
|
5244
|
OTHER
|
Level 4 Blood Product Exchange And Related Services
|
11
|
10
|
—
|
—
|
$33,317.93
|
$78,505.59
|
$58,152.29
|
2026-05-09
|
|
1714
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
5
|
5
|
—
|
—
|
$57,968.75
|
$60,287.50
|
$57,968.75
|
2026-05-09
|
|
8411
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$57,823.92
|
$60,136.87
|
$57,823.92
|
2026-05-09
|
|
647
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
1
|
1
|
—
|
—
|
$57,692.74
|
$57,692.74
|
$57,692.74
|
2026-05-09
|
|
635
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Died
|
1
|
1
|
—
|
—
|
$57,572.32
|
$57,572.32
|
$57,572.32
|
2026-05-09
|
|
2644
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
5
|
5
|
—
|
—
|
$57,519.61
|
$59,820.39
|
$57,519.61
|
2026-05-09
|
|
1621
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$57,334.09
|
$59,627.45
|
$57,334.09
|
2026-05-09
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
13
|
12
|
—
|
—
|
$57,259.37
|
$216,211.02
|
$57,259.37
|
2026-05-09
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
8
|
7
|
—
|
—
|
$56,824.55
|
$76,713.14
|
$56,824.55
|
2026-05-09
|
|
5104
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
5
|
5
|
—
|
—
|
$56,717.33
|
$58,986.03
|
$56,717.33
|
2026-05-09
|
|
7404
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
5
|
5
|
—
|
—
|
$56,661.19
|
$58,927.64
|
$56,661.19
|
2026-05-09
|
|
3043
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$56,443.13
|
$58,700.85
|
$56,443.13
|
2026-05-09
|
|
UMC Main-35842509
|
OTHER
|
Ors Nail Antegrade Tibial
|
14
|
13
|
$108,675.00
|
$21,735.00
80% off
|
$20,648.25
|
$78,246.00
|
$55,913.29
|
2026-05-09
|
|
UMC Surgical Hospital-35842509
|
OTHER
|
Ors Nail Antegrade Tibial
|
14
|
13
|
$108,675.00
|
$21,735.00
80% off
|
$20,648.25
|
$78,246.00
|
$55,913.29
|
2026-05-09
|
|
Both-35842509
|
OTHER
|
Ors Nail Antegrade Tibial
|
14
|
13
|
$108,675.00
|
$21,735.00
80% off
|
$20,648.25
|
$78,246.00
|
$55,913.29
|
2026-05-09
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
13
|
12
|
—
|
—
|
$51,054.73
|
$210,976.65
|
$55,873.15
|
2026-05-09
|
|
3104
|
OTHER
|
Intervertebral Disc Excision And Decompression
|
5
|
5
|
—
|
—
|
$55,845.08
|
$58,078.89
|
$55,845.08
|
2026-05-09
|
|
2334
|
OTHER
|
Appendectomy With Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$55,806.84
|
$58,039.12
|
$55,806.84
|
2026-05-09
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
18
|
16
|
—
|
—
|
$48,394.35
|
$210,067.16
|
$55,632.29
|
2026-05-09
|
|
111
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
6
|
—
|
—
|
$19,938.76
|
$57,827.56
|
$55,603.43
|
2026-05-09
|
|
6344
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
5
|
5
|
—
|
—
|
$55,521.24
|
$57,742.09
|
$55,521.24
|
2026-05-09
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
13
|
12
|
—
|
—
|
$49,059.45
|
$209,371.99
|
$55,448.18
|
2026-05-09
|
|
4804
|
OTHER
|
Major Male Pelvic Procedures
|
5
|
5
|
—
|
—
|
$55,286.10
|
$57,497.54
|
$55,286.10
|
2026-05-09
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
8
|
7
|
—
|
—
|
$55,272.32
|
$74,617.64
|
$55,272.32
|
2026-05-09
|
|
7114
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
5
|
5
|
—
|
—
|
$54,955.75
|
$57,153.98
|
$54,955.75
|
2026-05-09
|
|
1303
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
5
|
—
|
—
|
$54,645.74
|
$56,831.57
|
$54,645.74
|
2026-05-09
|
|
3464
|
OTHER
|
Connective Tissue Disorders
|
5
|
5
|
—
|
—
|
$54,631.91
|
$56,817.19
|
$54,631.91
|
2026-05-09
|
|
4044
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
5
|
5
|
—
|
—
|
$54,461.04
|
$56,639.48
|
$54,461.04
|
2026-05-09
|
|
1581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
8
|
7
|
—
|
—
|
$54,079.79
|
$73,007.72
|
$54,079.79
|
2026-05-09
|
|
1595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
8
|
7
|
—
|
—
|
$54,079.79
|
$73,007.72
|
$54,079.79
|
2026-05-09
|
|
4434
|
OTHER
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
5
|
5
|
—
|
—
|
$54,049.32
|
$56,211.30
|
$54,049.32
|
2026-05-09
|
|
1804
|
OTHER
|
Other Circulatory System Procedures
|
5
|
5
|
—
|
—
|
$54,022.47
|
$56,183.37
|
$54,022.47
|
2026-05-09
|
|
294
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
8
|
8
|
—
|
—
|
$8,282.61
|
$56,141.06
|
$53,981.79
|
2026-05-09
|
|
646
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without…
|
1
|
1
|
—
|
—
|
$53,720.42
|
$53,720.42
|
$53,720.42
|
2026-05-09
|
|
4684
|
OTHER
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
5
|
5
|
—
|
—
|
$53,601.81
|
$55,745.88
|
$53,601.81
|
2026-05-09
|
|
3134
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
5
|
5
|
—
|
—
|
$53,451.28
|
$55,589.33
|
$53,451.28
|
2026-05-09
|
|
UMC Surgical Hospital-35862648
|
OTHER
|
Ors Mesh Hernia Phasix St 30x35cm
|
14
|
13
|
$103,400.00
|
$20,680.00
80% off
|
$19,646.00
|
$74,448.00
|
$53,199.30
|
2026-05-09
|
|
Both-35862648
|
OTHER
|
Ors Mesh Hernia Phasix St 30x35cm
|
14
|
13
|
$103,400.00
|
$20,680.00
80% off
|
$19,646.00
|
$74,448.00
|
$53,199.30
|
2026-05-09
|
|
UMC Main-35862648
|
OTHER
|
Ors Mesh Hernia Phasix St 30x35cm
|
14
|
13
|
$103,400.00
|
$20,680.00
80% off
|
$19,646.00
|
$74,448.00
|
$53,199.30
|
2026-05-09
|
|
4402
|
OTHER
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$53,004.58
|
$55,124.76
|
$53,004.58
|
2026-05-09
|
|
8154
|
OTHER
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
5
|
5
|
—
|
—
|
$52,975.29
|
$55,094.30
|
$52,975.29
|
2026-05-09
|
|
427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
10
|
—
|
—
|
$12,910.03
|
$198,345.47
|
$52,528.02
|
2026-05-09
|
|
1754
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
5
|
5
|
—
|
—
|
$52,484.65
|
$54,584.03
|
$52,484.65
|
2026-05-09
|
|
6924
|
OTHER
|
Radiotherapy
|
5
|
5
|
—
|
—
|
$52,448.03
|
$54,545.95
|
$52,448.03
|
2026-05-09
|
|
984
|
OTHER
|
Other Ear, Nose, Mouth And Throat Procedures
|
5
|
5
|
—
|
—
|
$52,379.68
|
$54,474.87
|
$52,379.68
|
2026-05-09
|
|
UMC Main-72169121
|
OTHER
|
Cci Excluder/tambe-stent
|
14
|
13
|
$101,500.00
|
$20,300.00
80% off
|
$19,285.00
|
$73,080.00
|
$52,221.75
|
2026-05-09
|
|
UMC Main-72168685
|
OTHER
|
Cci Grft Thoracoabdominal Bran
|
14
|
13
|
$101,500.00
|
$20,300.00
80% off
|
$19,285.00
|
$73,080.00
|
$52,221.75
|
2026-05-09
|
|
10
|
OTHER
|
Pancreas Transplant
|
11
|
10
|
—
|
—
|
$52,215.85
|
$197,166.71
|
$52,215.85
|
2026-05-09
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
19
|
10
|
—
|
—
|
$1.70
|
$197,084.28
|
$52,194.02
|
2026-05-09
|
|
2314
|
OTHER
|
Major Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$52,180.34
|
$54,267.55
|
$52,180.34
|
2026-05-09
|
|
1653
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$52,125.01
|
$54,210.01
|
$52,125.01
|
2026-05-09
|
|
8104
|
OTHER
|
Hemorrhage Or Hematoma Due To Complication
|
5
|
5
|
—
|
—
|
$52,104.67
|
$54,188.85
|
$52,104.67
|
2026-05-09
|
|
6032
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$51,957.39
|
$54,035.69
|
$51,957.39
|
2026-05-09
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
11
|
10
|
—
|
—
|
$51,916.77
|
$196,037.40
|
$51,916.77
|
2026-05-09
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
11
|
10
|
—
|
—
|
$51,886.21
|
$195,922.00
|
$51,886.21
|
2026-05-09
|
|
1602
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$51,769.44
|
$53,840.21
|
$51,769.44
|
2026-05-09
|
|
4844
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
5
|
5
|
—
|
—
|
$51,626.23
|
$53,691.28
|
$51,626.23
|
2026-05-09
|
|
6083
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$51,584.73
|
$53,648.12
|
$51,584.73
|
2026-05-09
|
|
6903
|
OTHER
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$50,980.99
|
$53,020.23
|
$50,980.99
|
2026-05-09
|
|
1673
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$50,769.44
|
$52,800.22
|
$50,769.44
|
2026-05-09
|
|
4054
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
5
|
5
|
—
|
—
|
$50,661.22
|
$52,687.67
|
$50,661.22
|
2026-05-09
|
|
3254
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
5
|
5
|
—
|
—
|
$50,373.19
|
$52,388.11
|
$50,373.19
|
2026-05-09
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
21
|
12
|
—
|
—
|
$82.08
|
$189,915.53
|
$50,295.51
|
2026-05-09
|
|
UMC Main-35861228
|
OTHER
|
Or Matristem Surgical Thick
|
14
|
13
|
$97,637.40
|
$19,527.48
80% off
|
$18,551.11
|
$70,298.93
|
$50,234.44
|
2026-05-09
|
|
Both-35861228
|
OTHER
|
Or Matristem Surgical Thick
|
14
|
13
|
$97,637.40
|
$19,527.48
80% off
|
$18,551.11
|
$70,298.93
|
$50,234.44
|
2026-05-09
|
|
UMC Surgical Hospital-35861228
|
OTHER
|
Or Matristem Surgical Thick
|
14
|
13
|
$97,637.40
|
$19,527.48
80% off
|
$18,551.11
|
$70,298.93
|
$50,234.44
|
2026-05-09
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
13
|
12
|
—
|
—
|
$12,796.39
|
$188,984.06
|
$50,048.83
|
2026-05-09
|
|
6613
|
OTHER
|
Coagulation And Platelet Disorders
|
5
|
5
|
—
|
—
|
$49,777.58
|
$51,768.69
|
$49,777.58
|
2026-05-09
|
|
4401
|
OTHER
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$49,685.64
|
$51,673.07
|
$49,685.64
|
2026-05-09
|
|
6302
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$49,518.02
|
$51,498.75
|
$49,518.02
|
2026-05-09
|
|
7934
|
OTHER
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$49,094.92
|
$51,058.72
|
$49,094.92
|
2026-05-09
|
|
3214
|
OTHER
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
5
|
5
|
—
|
—
|
$49,078.65
|
$51,041.79
|
$49,078.65
|
2026-05-09
|
|
3031
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$49,062.37
|
$51,024.87
|
$49,062.37
|
2026-05-09
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
13
|
12
|
—
|
—
|
$39,596.22
|
$184,950.43
|
$48,980.60
|
2026-05-09
|
|
1801
|
OTHER
|
Other Circulatory System Procedures
|
5
|
5
|
—
|
—
|
$48,942.76
|
$50,900.47
|
$48,942.76
|
2026-05-09
|
|
3084
|
OTHER
|
Hip And Femur Fracture Repair
|
5
|
5
|
—
|
—
|
$48,778.40
|
$50,729.54
|
$48,778.40
|
2026-05-09
|
|
6072
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$48,666.93
|
$50,613.61
|
$48,666.93
|
2026-05-09
|
|
317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
11
|
10
|
—
|
—
|
$48,656.06
|
$183,724.96
|
$48,656.06
|
2026-05-09
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
11
|
10
|
—
|
—
|
$48,620.40
|
$183,590.32
|
$48,620.40
|
2026-05-09
|
|
5144
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
5
|
5
|
—
|
—
|
$48,405.74
|
$50,341.97
|
$48,405.74
|
2026-05-09
|
|
2224
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$48,363.43
|
$50,297.97
|
$48,363.43
|
2026-05-09
|
|
5124
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
5
|
5
|
—
|
—
|
$48,306.48
|
$50,238.74
|
$48,306.48
|
2026-05-09
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
12
|
—
|
—
|
$43,315.22
|
$180,669.52
|
$47,846.88
|
2026-05-09
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
12
|
—
|
—
|
$35,173.92
|
$180,669.52
|
$47,846.88
|
2026-05-09
|
|
367
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$47,814.53
|
$47,814.53
|
$47,814.53
|
2026-05-09
|
|
1302
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
5
|
—
|
—
|
$47,774.34
|
$49,685.31
|
$47,774.34
|
2026-05-09
|
|
6803
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$47,749.12
|
$49,659.08
|
$47,749.12
|
2026-05-09
|
|
404
|
OTHER
|
Spinal Disorders And Injuries
|
6
|
6
|
—
|
—
|
$33,171.91
|
$49,658.24
|
$47,748.30
|
2026-05-09
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
18
|
16
|
—
|
—
|
$15,901.46
|
$180,012.82
|
$47,672.97
|
2026-05-09
|
|
UMC Surgical Hospital-35811389
|
OTHER
|
Ors Icd Defib Inogen
|
14
|
13
|
$92,610.00
|
$18,522.00
80% off
|
$17,595.90
|
$66,679.20
|
$47,647.85
|
2026-05-09
|
|
UMC Main-35811389
|
OTHER
|
Ors Icd Defib Inogen
|
14
|
13
|
$92,610.00
|
$18,522.00
80% off
|
$17,595.90
|
$66,679.20
|
$47,647.85
|
2026-05-09
|
|
Both-35811389
|
OTHER
|
Ors Icd Defib Inogen
|
14
|
13
|
$92,610.00
|
$18,522.00
80% off
|
$17,595.90
|
$66,679.20
|
$47,647.85
|
2026-05-09
|
|
UMC Surgical Hospital-35865575
|
OTHER
|
Ors Nail Fem Trochanteric Aos 125d
|
14
|
13
|
$92,500.00
|
$18,500.00
80% off
|
$17,575.00
|
$66,600.00
|
$47,591.25
|
2026-05-09
|
|
UMC Main-35865575
|
OTHER
|
Ors Nail Fem Trochanteric Aos 125d
|
14
|
13
|
$92,500.00
|
$18,500.00
80% off
|
$17,575.00
|
$66,600.00
|
$47,591.25
|
2026-05-09
|
|
Both-35865575
|
OTHER
|
Ors Nail Fem Trochanteric Aos 125d
|
14
|
13
|
$92,500.00
|
$18,500.00
80% off
|
$17,575.00
|
$66,600.00
|
$47,591.25
|
2026-05-09
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
18
|
16
|
—
|
—
|
$38,521.71
|
$145,457.74
|
$47,131.00
|
2026-05-09
|
|
7923
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$47,014.38
|
$48,894.95
|
$47,014.38
|
2026-05-09
|
|
6813
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$46,834.56
|
$48,707.94
|
$46,834.56
|
2026-05-09
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
13
|
12
|
—
|
—
|
$37,350.23
|
$176,806.25
|
$46,823.77
|
2026-05-09
|
|
4444
|
OTHER
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
5
|
5
|
—
|
—
|
$46,510.72
|
$48,371.15
|
$46,510.72
|
2026-05-09
|
|
2454
|
OTHER
|
Inflammatory Bowel Disease
|
5
|
5
|
—
|
—
|
$46,444.00
|
$48,301.76
|
$46,444.00
|
2026-05-09
|
|
Both-35828649
|
OTHER
|
Ors Gen Neurostim Vns Model 102
|
14
|
13
|
$90,188.00
|
$18,037.60
80% off
|
$17,135.72
|
$64,935.36
|
$46,401.72
|
2026-05-09
|
|
UMC Main-35828649
|
OTHER
|
Ors Gen Neurostim Vns Model 102
|
14
|
13
|
$90,188.00
|
$18,037.60
80% off
|
$17,135.72
|
$64,935.36
|
$46,401.72
|
2026-05-09
|
|
UMC Surgical Hospital-35828649
|
OTHER
|
Ors Gen Neurostim Vns Model 102
|
14
|
13
|
$90,188.00
|
$18,037.60
80% off
|
$17,135.72
|
$64,935.36
|
$46,401.72
|
2026-05-09
|
|
6113
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$45,979.40
|
$47,818.57
|
$45,979.40
|
2026-05-09
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
18
|
16
|
—
|
—
|
$36,578.56
|
$157,451.45
|
$45,867.82
|
2026-05-09
|
|
3224
|
OTHER
|
Shoulder And Elbow Joint Replacement
|
5
|
5
|
—
|
—
|
$45,479.81
|
$47,299.00
|
$45,479.81
|
2026-05-09
|
|
213
|
OTHER
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
16
|
14
|
—
|
—
|
$15,642.48
|
$156,808.49
|
$45,468.36
|
2026-05-09
|
|
1632
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$45,448.07
|
$47,266.00
|
$45,448.07
|
2026-05-09
|
|
UMC Surgical Hospital-72125859
|
OTHER
|
Icd Dual Chamber
|
14
|
13
|
$88,311.72
|
$17,662.34
80% off
|
$16,779.23
|
$63,584.44
|
$45,436.38
|
2026-05-09
|
|
UMC Main-72125859
|
OTHER
|
Icd Dual Chamber
|
14
|
13
|
$88,311.72
|
$17,662.34
80% off
|
$16,779.23
|
$63,584.44
|
$45,436.38
|
2026-05-09
|
|
UMC Main-78419306
|
OTHER
|
Eps Icd Dual Chamber
|
14
|
13
|
$88,311.72
|
$17,662.34
80% off
|
$16,779.23
|
$63,584.44
|
$45,436.38
|
2026-05-09
|
|
UMC Surgical Hospital-78419306
|
OTHER
|
Eps Icd Dual Chamber
|
14
|
13
|
$88,311.72
|
$17,662.34
80% off
|
$16,779.23
|
$63,584.44
|
$45,436.38
|
2026-05-09
|
|
UMC Main-72131816
|
OTHER
|
Neuro Stent Group F
|
14
|
13
|
$88,200.00
|
$17,640.00
80% off
|
$16,758.00
|
$63,504.00
|
$45,378.90
|
2026-05-09
|
|
UMC Surgical Hospital-72131816
|
OTHER
|
Neuro Stent Group F
|
14
|
13
|
$88,200.00
|
$17,640.00
80% off
|
$16,758.00
|
$63,504.00
|
$45,378.90
|
2026-05-09
|
|
2824
|
OTHER
|
Disorders Of Pancreas Except Malignancy
|
5
|
5
|
—
|
—
|
$45,213.74
|
$47,022.29
|
$45,213.74
|
2026-05-09
|
|
4624
|
OTHER
|
Nephritis And Nephrosis
|
5
|
5
|
—
|
—
|
$45,111.21
|
$46,915.66
|
$45,111.21
|
2026-05-09
|
|
7594
|
OTHER
|
Eating Disorders
|
5
|
5
|
—
|
—
|
$45,072.16
|
$46,875.05
|
$45,072.16
|
2026-05-09
|
|
1142
|
OTHER
|
Supprelin La Implant
|
13
|
11
|
—
|
—
|
$5,936.50
|
$60,777.88
|
$45,020.65
|
2026-05-09
|