Price Transparencybeta Hospital negotiated rates

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

Foundation Surgical Hospital Of El Paso

El Paso, TX · CCN 450877 · Rates published

42,115 distinct procedures filed
18 distinct payers
559,881 rate rows
2026-05-09 last MRF observed
Data quality

535,270 of 559,881 rate rows are consumer-grade (95.6%)

24,611 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
exceeds 10× this hospital's gross charge — excluded from medians 22,459
per-diem day rate — not a per-procedure price 2,041
placeholder amount (≤ $0.02) — excluded from medians 111
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://umcelpaso.org/files/74-6000756_University-Medical-Center-Surgical-Hospital_standardcharges-3-23-2026.csv
Found on page https://www.umcelpaso.org/patients-and-visitors/billing-and-insurance/hospital-price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-07-06
Content fingerprint a19752af9e1a453e… · 70,143,766 bytes · first seen 2026-05-09

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
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 7 $3,685,266.67 $4,975,110.00 $3,685,266.67 nat. median
$3,765,001
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 7 $2,455,110.60 $3,314,399.32 $2,455,110.60 nat. median
$2,508,045
1.0× median
2067
OTHER 		Afamitresgene Autoleucel 7 $757,719.82 $1,022,921.76 $757,719.82 nat. median
$838,386
0.9× median
5834
OTHER 		Neonate With Ecmo 5 $617,987.52 $642,707.02 $617,987.52 —
9194
OTHER 		Tisagenlecleucel Car-pos T 7 $591,726.20 $798,830.37 $591,726.20 nat. median
$555,653
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 7 $565,868.94 $763,923.08 $565,868.94 nat. median
$553,480
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 7 $562,538.19 $759,426.55 $562,538.19 nat. median
$542,562
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 7 $557,317.93 $752,379.21 $557,317.93 nat. median
$552,917
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $719,860.73 $533,230.17 nat. median
$513,929
1.0× median
5833
OTHER 		Neonate With Ecmo 5 $523,289.12 $544,220.68 $523,289.12 —
9391
OTHER 		Brexucabtagene Car Pos T 7 $489,304.61 $660,561.22 $489,304.61 nat. median
$483,557
1.0× median
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $391,175.96 $406,823.00 $391,175.96 —
1614
OTHER 		Implantable Heart Assist Systems 5 $379,858.69 $395,053.04 $379,858.69 —
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $308,036.10 $1,186,533.80 $314,230.87 nat. median
$292,587
1.1× median
6304
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $291,060.99 $302,703.43 $291,060.99 —
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $288,594.30 $288,594.30 $288,594.30 nat. median
$1,441
outlier · 200.3×
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $288,481.67 $300,020.94 $288,481.67 —
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $264,456.79 $264,456.79 $264,456.79 nat. median
$6,246
outlier · 42.3×
5832
OTHER 		Neonate With Ecmo 5 $260,743.02 $271,172.74 $260,743.02 —
2004
OTHER 		Cardiac Structural And Valvular Disorders 5 $230,081.68 $239,284.95 $230,081.68 nat. median
$2,374
outlier · 96.9×
5831
OTHER 		Neonate With Ecmo 5 $229,589.41 $238,772.99 $229,589.41 —
UMC Main-35825249
OTHER 		Gen Neurostimulator Spinal 13 $83,030.00 $314,640.00 $224,836.50 —
Both-35825249
OTHER 		Gen Neurostimulator Spinal 13 $83,030.00 $314,640.00 $224,836.50 —
UMC Surgical Hospital-35825249
OTHER 		Gen Neurostimulator Spinal 13 $83,030.00 $314,640.00 $224,836.50 —
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $209,892.21 $218,287.90 $209,892.21 —
5882
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $208,932.90 $217,290.21 $208,932.90 —
44
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $208,392.63 $216,728.33 $208,392.63 —
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $207,496.78 $215,796.65 $207,496.78 —
6314
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $205,424.38 $213,641.35 $205,424.38 —
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $203,923.19 $770,012.70 $203,923.19 nat. median
$14,313
outlier · 14.2×
8504
OTHER 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 $200,012.69 $208,013.20 $200,012.69 —
5914
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $198,221.00 $206,149.84 $198,221.00 —
631
OTHER 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $191,760.16 $191,760.16 $191,760.16 nat. median
$5,475
outlier · 35.0×
6814
OTHER 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 $176,409.08 $183,465.44 $176,409.08 —
1604
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 5 $176,310.63 $183,363.05 $176,310.63 nat. median
$2,154
outlier · 81.9×
2464
OTHER 		Gastrointestinal Vascular Insufficiency 5 $170,972.17 $177,811.06 $170,972.17 —
6034
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $170,090.16 $176,893.77 $170,090.16 —
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $169,573.19 $169,573.19 $169,573.19 nat. median
$6,011
outlier · 28.2×
5891
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $165,054.39 $171,656.56 $165,054.39 —
5934
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $164,560.49 $171,142.91 $164,560.49 —
5892
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $159,971.42 $166,370.28 $159,971.42 —
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $1.61 $586,647.69 $155,362.46 nat. median
$2
outlier · 96498.4×
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $123,427.80 $583,204.82 $154,450.69 nat. median
$10,971
outlier · 14.1×
1624
OTHER 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 $153,801.40 $159,953.46 $153,801.40 —
6024
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $151,277.41 $157,328.51 $151,277.41 —
5893
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $150,049.59 $156,051.57 $150,049.59 —
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 9 $135,725.45 $202,429.32 $149,947.64 nat. median
$149,948
1.0× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 7 $149,947.64 $202,429.32 $149,947.64 nat. median
$149,948
1.0× median
6214
OTHER 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 $143,655.00 $149,401.20 $143,655.00 —
1612
OTHER 		Implantable Heart Assist Systems 5 $142,322.21 $148,015.10 $142,322.21 —

Other procedures at this hospital

Browse this hospital's 42,115 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
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
10 OTHER Pancreas Transplant 11 10 — — $52,215.85 $197,166.71 $52,215.85 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
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
1142 OTHER Supprelin La Implant 13 11 — — $5,936.50 $60,777.88 $45,020.65 2026-05-09
1204 OTHER Major Respiratory And Chest Procedures 5 5 — — $81,790.42 $85,062.04 $81,790.42 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
1303 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $54,645.74 $56,831.57 $54,645.74 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
14 OTHER Allogeneic Bone Marrow Transplant 16 14 — — $87,451.37 $330,215.84 $102,274.48 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
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 8 7 — — $63,912.39 $86,281.73 $63,912.39 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
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 8 7 — — $83,577.59 $112,829.75 $83,577.59 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
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 8 7 — — $54,079.79 $73,007.72 $54,079.79 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
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 8 7 — — $73,744.99 $99,555.74 $73,744.99 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
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 8 7 — — $93,410.19 $126,103.76 $93,410.19 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
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $74,507.30 $77,487.60 $74,507.30 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
1611 OTHER Implantable Heart Assist Systems 5 5 — — $134,979.70 $140,378.89 $134,979.70 2026-05-09
1612 OTHER Implantable Heart Assist Systems 5 5 — — $142,322.21 $148,015.10 $142,322.21 2026-05-09
1614 OTHER Implantable Heart Assist Systems 5 5 — — $379,858.69 $395,053.04 $379,858.69 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
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
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
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
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
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
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
1643 OTHER Y90 Ibritumomab, Rx 8 7 — — $56,824.55 $76,713.14 $56,824.55 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
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $79,280.26 $82,451.47 $79,280.26 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
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $116,878.10 $121,553.22 $116,878.10 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
1754 OTHER Percutaneous Cardiac Intervention Without Ami 5 5 — — $52,484.65 $54,584.03 $52,484.65 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
1781 OTHER External Heart Assist Systems 5 5 — — $60,089.16 $62,492.73 $60,089.16 2026-05-09
1782 OTHER External Heart Assist Systems 5 5 — — $65,550.48 $68,172.50 $65,550.48 2026-05-09
1783 OTHER External Heart Assist Systems 5 5 — — $76,375.48 $79,430.50 $76,375.48 2026-05-09
1784 OTHER External Heart Assist Systems 5 5 — — $119,346.75 $124,120.63 $119,346.75 2026-05-09
1794 OTHER Defibrillator Implants 5 5 — — $58,641.65 $60,987.32 $58,641.65 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
1801 OTHER Other Circulatory System Procedures 5 5 — — $48,942.76 $50,900.47 $48,942.76 2026-05-09
1804 OTHER Other Circulatory System Procedures 5 5 — — $54,022.47 $56,183.37 $54,022.47 2026-05-09
1814 OTHER Lower Extremity Arterial Procedures 5 5 — — $71,331.57 $74,184.83 $71,331.57 2026-05-09
1833 OTHER Percutaneous Structural Cardiac Procedures 5 5 — — $67,286.84 $69,978.31 $67,286.84 2026-05-09
1834 OTHER Percutaneous Structural Cardiac Procedures 5 5 — — $68,980.89 $71,740.13 $68,980.89 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
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 13 11 — — $8,049.59 $142,696.27 $105,700.94 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
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
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 8 7 — — $135,198.74 $182,518.30 $135,198.74 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
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 8 7 — — $149,947.64 $202,429.32 $149,947.64 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
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
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
2004 OTHER Cardiac Structural And Valvular Disorders 5 5 — — $230,081.68 $239,284.95 $230,081.68 2026-05-09
2054 OTHER Cardiomyopathy 5 5 — — $89,887.20 $93,482.69 $89,887.20 2026-05-09
2067 OTHER Afamitresgene Autoleucel 8 7 — — $757,719.82 $1,022,921.76 $757,719.82 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
209 OTHER Complex Aortic Arch Procedures 11 10 — — $4,511.68 $311,006.67 $82,364.19 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
212 OTHER Concomitant Aortic And Mitral Valve Procedures 16 14 — — $31,401.77 $298,787.65 $79,128.22 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
214 OTHER Open Craniotomy Except Trauma 6 6 — — $5,146.88 $89,783.90 $86,330.67 2026-05-09
215 OTHER Other Heart Assist System Implant 13 12 — — $72,454.70 $273,588.49 $72,454.70 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
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
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
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $101,691.85 $105,759.53 $101,691.85 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
2234 OTHER Other Small And Large Bowel Procedures 5 5 — — $63,871.89 $66,426.76 $63,871.89 2026-05-09
224 OTHER Ventricular Shunt Procedures 7 7 — — $48,164.05 $89,106.93 $85,679.74 2026-05-09
2244 OTHER Peritoneal Adhesiolysis 5 5 — — $74,388.51 $77,364.05 $74,388.51 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
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
2304 OTHER Major Small Bowel Procedures 5 5 — — $86,019.04 $89,459.80 $86,019.04 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
2314 OTHER Major Large Bowel Procedures 5 5 — — $52,180.34 $54,267.55 $52,180.34 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
2334 OTHER Appendectomy With Complex Principal Diagnosis 5 5 — — $55,806.84 $58,039.12 $55,806.84 2026-05-09
2454 OTHER Inflammatory Bowel Disease 5 5 — — $46,444.00 $48,301.76 $46,444.00 2026-05-09
2464 OTHER Gastrointestinal Vascular Insufficiency 5 5 — — $170,972.17 $177,811.06 $170,972.17 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
2614 OTHER Major Biliary Tract Procedures 5 5 — — $67,886.51 $70,601.97 $67,886.51 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
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
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 10 — — $51,886.21 $195,922.00 $51,886.21 2026-05-09
2824 OTHER Disorders Of Pancreas Except Malignancy 5 5 — — $45,213.74 $47,022.29 $45,213.74 2026-05-09
294 OTHER Other Percutaneous Intracranial Procedures 8 8 — — $8,282.61 $56,141.06 $53,981.79 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
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
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
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
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
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
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
3084 OTHER Hip And Femur Fracture Repair 5 5 — — $48,778.40 $50,729.54 $48,778.40 2026-05-09
3104 OTHER Intervertebral Disc Excision And Decompression 5 5 — — $55,845.08 $58,078.89 $55,845.08 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
3134 OTHER Knee And Lower Leg Procedures Except Foot 5 5 — — $53,451.28 $55,589.33 $53,451.28 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
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 10 — — $48,656.06 $183,724.96 $48,656.06 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
3224 OTHER Shoulder And Elbow Joint Replacement 5 5 — — $45,479.81 $47,299.00 $45,479.81 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
3464 OTHER Connective Tissue Disorders 5 5 — — $54,631.91 $56,817.19 $54,631.91 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
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
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
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
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
404 OTHER Spinal Disorders And Injuries 6 6 — — $33,171.91 $49,658.24 $47,748.30 2026-05-09
4044 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 5 5 — — $54,461.04 $56,639.48 $54,461.04 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
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
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
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
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $133,985.40 $139,344.82 $133,985.40 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
4401 OTHER Kidney Transplant 5 5 — — $49,685.64 $51,673.07 $49,685.64 2026-05-09
4402 OTHER Kidney Transplant 5 5 — — $53,004.58 $55,124.76 $53,004.58 2026-05-09
4403 OTHER Kidney Transplant 5 5 — — $82,409.62 $85,706.00 $82,409.62 2026-05-09
4404 OTHER Kidney Transplant 5 5 — — $134,646.10 $140,031.94 $134,646.10 2026-05-09
4414 OTHER Major Bladder Procedures 5 5 — — $127,424.01 $132,520.97 $127,424.01 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
4434 OTHER Kidney And Urinary Tract Procedures For Non-malignancy 5 5 — — $54,049.32 $56,211.30 $54,049.32 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
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
4474 OTHER Other Kidney, Urinary Tract And Related Procedures 5 5 — — $100,900.97 $104,937.01 $100,900.97 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
4624 OTHER Nephritis And Nephrosis 5 5 — — $45,111.21 $46,915.66 $45,111.21 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
4804 OTHER Major Male Pelvic Procedures 5 5 — — $55,286.10 $57,497.54 $55,286.10 2026-05-09
4834 OTHER Penis, Testes And Scrotal Procedures 5 5 — — $81,479.60 $84,738.78 $81,479.60 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
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 11 10 — — $75,027.03 $283,301.61 $75,027.03 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
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
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
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
5144 OTHER Female Reproductive System Reconstructive Procedures 5 5 — — $48,405.74 $50,341.97 $48,405.74 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
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
5831 OTHER Neonate With Ecmo 5 5 — — $229,589.41 $238,772.99 $229,589.41 2026-05-09
5832 OTHER Neonate With Ecmo 5 5 — — $260,743.02 $271,172.74 $260,743.02 2026-05-09
5833 OTHER Neonate With Ecmo 5 5 — — $523,289.12 $544,220.68 $523,289.12 2026-05-09
5834 OTHER Neonate With Ecmo 5 5 — — $617,987.52 $642,707.02 $617,987.52 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
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $209,892.21 $218,287.90 $209,892.21 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $264,456.79 $264,456.79 $264,456.79 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
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
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
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
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
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
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
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
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
631 OTHER Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $191,760.16 $191,760.16 $191,760.16 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
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
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $94,111.87 $94,111.87 $94,111.87 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
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $109,172.69 $113,539.60 $109,172.69 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
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
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $57,572.32 $57,572.32 $57,572.32 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
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
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
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 5 5 — — $87,877.45 $91,392.55 $87,877.45 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
6613 OTHER Coagulation And Platelet Disorders 5 5 — — $49,777.58 $51,768.69 $49,777.58 2026-05-09
6614 OTHER Coagulation And Platelet Disorders 5 5 — — $60,712.43 $63,140.92 $60,712.43 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
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
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
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
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
6903 OTHER Acute Leukemia 5 5 — — $50,980.99 $53,020.23 $50,980.99 2026-05-09
6904 OTHER Acute Leukemia 5 5 — — $115,828.47 $120,461.61 $115,828.47 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
6924 OTHER Radiotherapy 5 5 — — $52,448.03 $54,545.95 $52,448.03 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
6954 OTHER Chemotherapy For Acute Leukemia 5 5 — — $89,771.66 $93,362.53 $89,771.66 2026-05-09
7 OTHER Lung Transplant 11 10 — — $94,235.50 $355,832.65 $94,235.50 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
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
7234 OTHER Viral Illness 5 5 — — $62,750.66 $65,260.68 $62,750.66 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
7594 OTHER Eating Disorders 5 5 — — $45,072.16 $46,875.05 $45,072.16 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
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
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
8104 OTHER Hemorrhage Or Hematoma Due To Complication 5 5 — — $52,104.67 $54,188.85 $52,104.67 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
8411 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $57,823.92 $60,136.87 $57,823.92 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
8413 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $89,679.72 $93,266.90 $89,679.72 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
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
850 OTHER Acute Leukemia With Other Procedures 11 10 — — $63,013.10 $237,937.08 $63,013.10 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
8634 OTHER Neonatal Aftercare 5 5 — — $138,512.63 $144,053.14 $138,512.63 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
9035 OTHER Axicabtagene Ciloleucel Car+ 8 7 — — $533,230.17 $719,860.73 $533,230.17 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
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
9194 OTHER Tisagenlecleucel Car-pos T 8 7 — — $591,726.20 $798,830.37 $591,726.20 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
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
9273 OTHER Sipuleucel-t Auto Cd54+ 8 7 — — $55,272.32 $74,617.64 $55,272.32 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
9391 OTHER Brexucabtagene Car Pos T 8 7 — — $489,304.61 $660,561.22 $489,304.61 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
9498 OTHER Ciltacabtagene Car-pos T 8 7 — — $565,868.94 $763,923.08 $565,868.94 2026-05-09
955 OTHER Craniotomy For Multiple Significant Trauma 13 12 — — $39,596.22 $184,950.43 $48,980.60 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
984 OTHER Other Ear, Nose, Mouth And Throat Procedures 5 5 — — $52,379.68 $54,474.87 $52,379.68 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
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
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
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
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
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
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
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
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
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
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
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
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 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 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 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
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
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
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
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-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-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 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
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
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-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-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-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-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-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-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-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-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 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
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
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 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 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 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
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 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 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
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