Hospital

TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT

Dallas, TX · CCN 450889 · Rates published

5,632 distinct procedures filed

82 distinct payers

1,040,351 rate rows

2026-05-09 last MRF observed

Data quality

994,208 of 1,040,351 rate rows are consumer-grade (95.6%)

46,143 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	39,771
exceeds 10× this hospital's gross charge — excluded from medians	3,090
per-diem day rate — not a per-procedure price	1,560
placeholder amount (≤ $0.02) — excluded from medians	1,213
template filing: same amount across many unrelated codes — excluded	509

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

Source MRF file	https://www.texasinstituteforsurgery.com/wp-content/uploads/2023/07/770628004_Texas-Institute-for-Surgery_standardcharges.csv
Found on page	https://www.texasinstituteforsurgery.com/standard-pricing/
Discovered via	CMS hospital list
Last fetch	success · 2026-06-20
Content fingerprint	83aebf27c8271e95… · 21,087,189 bytes · first seen 2026-06-20

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
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	45	$152,653.80	$537,795.88	$345,224.84	nat. median $146,562 outlier · 2.4×
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	45	$151,757.91	$485,854.37	$318,806.14	nat. median $218,232 1.5× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	45	$146,847.30	$485,854.37	$316,350.84	nat. median $181,005 1.7× median
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	$308,752.42	$854,949.18	$308,752.42	nat. median $424,868 0.7× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	$258,404.55	$854,949.18	$258,404.55	nat. median $386,529 0.7× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	45	$99,036.04	$320,327.10	$209,681.57	nat. median $150,232 1.4× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	45	$96,817.43	$320,327.10	$208,572.27	nat. median $134,983 1.5× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	12	$200,367.90	$638,575.36	$200,367.90	nat. median $263,894 0.8× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	12	$193,006.54	$638,575.36	$193,006.54	nat. median $239,422 0.8× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	44	$74,643.98	$246,964.71	$160,804.35	nat. median $90,581 1.8× median
215 OTHER	Other Heart Assist System Implant	45	$71,191.48	$240,184.12	$155,687.80	nat. median $92,359 1.7× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	43	$71,776.45	$237,477.32	$154,626.89	nat. median $80,273 1.9× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	45	$66,128.43	$218,790.44	$142,459.43	nat. median $90,130 1.6× median
63685 OTHER	Insertion Of Spinal Neurostimulator Generator Or Receiver	41	$29,307.06	$137,081.30	$136,311.62	nat. median $25,009 outlier · 5.5×
231 OTHER	Coronary Bypass With Ptca With Mcc	45	$58,062.37	$192,103.31	$125,082.84	nat. median $74,989 1.7× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	$58,030.16	$191,996.76	$125,013.46	nat. median $76,493 1.6× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	43	$57,149.00	$189,081.40	$123,115.20	nat. median $62,997 2.0× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	45	$56,261.08	$182,745.14	$119,503.11	nat. median $82,426 1.4× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	45	$55,233.90	$182,745.14	$118,989.52	nat. median $74,209 1.6× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	45	$53,557.24	$177,197.79	$115,377.51	nat. median $68,249 1.7× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	45	$53,016.62	$175,409.12	$114,212.87	nat. median $72,612 1.6× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	45	$51,144.00	$169,213.41	$110,178.71	nat. median $68,309 1.6× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	43	$48,667.03	$161,018.21	$104,842.62	nat. median $51,811 outlier · 2.0×
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	42	$48,422.42	$160,208.89	$104,315.65	nat. median $29,655 outlier · 3.5×
955 OTHER	Craniotomy For Multiple Significant Trauma	45	$46,786.86	$154,797.56	$100,792.21	nat. median $62,467 1.6× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	43	$45,939.98	$151,995.55	$98,967.76	nat. median $54,322 1.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	45	$45,763.20	$151,410.66	$98,586.93	nat. median $46,003 outlier · 2.1×
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	45	$45,685.76	$151,154.49	$98,420.12	nat. median $67,670 1.5× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	45	$44,248.92	$146,400.59	$95,324.76	nat. median $60,727 1.6× median
007 OTHER	Lung Transplant	12	$92,592.55	$296,269.70	$92,592.55	nat. median $141,082 0.7× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	42	$42,443.45	$140,427.05	$91,435.25	nat. median $3,947 outlier · 23.2×
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	43	$42,388.63	$140,245.69	$91,317.16	nat. median $48,503 1.9× median
63655 OTHER	Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine	41	$20,623.50	$90,861.16	$90,861.16	nat. median $16,128 outlier · 5.6×
028 OTHER	Spinal Procedures With Mcc	45	$42,958.71	$137,822.27	$90,390.49	nat. median $61,887 1.5× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	45	$41,856.23	$138,484.23	$90,170.23	nat. median $56,351 1.6× median
14 OTHER	Allogeneic Bone Marrow Transplant	12	$89,772.30	$297,017.81	$89,772.30	nat. median $100,915 0.9× median
28 OTHER	Spinal Procedures With Mcc	45	$41,656.16	$137,822.27	$89,739.21	nat. median $52,701 1.7× median
7 OTHER	Lung Transplant	12	$89,546.18	$296,269.70	$89,546.18	nat. median $169,933 0.5× median
461 OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	45	$39,488.86	$139,118.99	$89,303.93	nat. median $53,999 1.7× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	45	$41,048.40	$135,811.44	$88,429.92	nat. median $58,866 1.5× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	45	$40,764.04	$134,870.63	$87,817.34	nat. median $56,507 1.6× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	45	$40,317.98	$133,394.81	$86,856.40	nat. median $56,120 1.5× median
014 OTHER	Allogeneic Bone Marrow Transplant	12	$85,926.70	$297,017.81	$85,926.70	nat. median $105,808 0.8× median
023 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	45	$40,971.03	$129,334.62	$85,152.82	nat. median $59,073 1.4× median
457 OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication	45	$39,325.82	$130,112.20	$84,719.01	nat. median $52,731 1.6× median
23 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	45	$39,090.81	$129,334.62	$84,212.71	nat. median $56,822 1.5× median
21 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	45	$37,872.54	$125,303.89	$81,588.21	nat. median $55,888 1.5× median
021 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	45	$37,850.11	$125,303.89	$81,577.00	nat. median $58,177 1.4× median
428 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	43	$37,713.57	$124,777.95	$81,245.76	nat. median $40,399 outlier · 2.0×
23474 OTHER	Revision Of Total Shoulder Repair; Total Shoulder	44	$6,411.10	$149,644.35	$81,239.17	nat. median $8,876 outlier · 9.2×

Other procedures at this hospital

Browse this hospital's 5,632 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	98	45	—	—	$152,653.80	$537,795.88	$345,224.84	2026-05-09
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	49	45	—	—	$151,757.91	$485,854.37	$318,806.14	2026-05-09
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	49	45	—	—	$146,847.30	$485,854.37	$316,350.84	2026-05-08
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	12	—	—	$308,752.42	$854,949.18	$308,752.42	2026-05-09
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	12	—	—	$258,404.55	$854,949.18	$258,404.55	2026-05-08
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	49	45	—	—	$99,036.04	$320,327.10	$209,681.57	2026-05-09
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	49	45	—	—	$96,817.43	$320,327.10	$208,572.27	2026-05-08
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	12	12	—	—	$200,367.90	$638,575.36	$200,367.90	2026-05-09
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	12	12	—	—	$193,006.54	$638,575.36	$193,006.54	2026-05-08
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	96	44	—	—	$74,643.98	$246,964.71	$160,804.35	2026-05-09
215	OTHER	Other Heart Assist System Implant	98	45	—	—	$71,191.48	$240,184.12	$155,687.80	2026-05-09
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	94	43	—	—	$71,776.45	$237,477.32	$154,626.89	2026-05-09
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	98	45	—	—	$66,128.43	$218,790.44	$142,459.43	2026-05-09
63685	OTHER	Insertion Of Spinal Neurostimulator Generator Or Receiver	88	41	$15,667.00	$10,966.90 30% off	$29,307.06	$137,081.30	$136,311.62	2026-05-09
231	OTHER	Coronary Bypass With Ptca With Mcc	98	45	—	—	$58,062.37	$192,103.31	$125,082.84	2026-05-09
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	98	45	—	—	$58,030.16	$191,996.76	$125,013.46	2026-05-09
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	94	43	—	—	$57,149.00	$189,081.40	$123,115.20	2026-05-09
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	49	45	—	—	$56,261.08	$182,745.14	$119,503.11	2026-05-09
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	49	45	—	—	$55,233.90	$182,745.14	$118,989.52	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	98	45	—	—	$53,557.24	$177,197.79	$115,377.51	2026-05-09
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	98	45	—	—	$53,016.62	$175,409.12	$114,212.87	2026-05-09
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	98	45	—	—	$51,144.00	$169,213.41	$110,178.71	2026-05-09
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	94	43	—	—	$48,667.03	$161,018.21	$104,842.62	2026-05-09
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	92	42	—	—	$48,422.42	$160,208.89	$104,315.65	2026-05-09
955	OTHER	Craniotomy For Multiple Significant Trauma	98	45	—	—	$46,786.86	$154,797.56	$100,792.21	2026-05-09
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	94	43	—	—	$45,939.98	$151,995.55	$98,967.76	2026-05-09
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	98	45	—	—	$45,763.20	$151,410.66	$98,586.93	2026-05-09
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	98	45	—	—	$45,685.76	$151,154.49	$98,420.12	2026-05-09
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	98	45	—	—	$44,248.92	$146,400.59	$95,324.76	2026-05-09
007	OTHER	Lung Transplant	12	12	—	—	$92,592.55	$296,269.70	$92,592.55	2026-05-09
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	92	42	—	—	$42,443.45	$140,427.05	$91,435.25	2026-05-09
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	94	43	—	—	$42,388.63	$140,245.69	$91,317.16	2026-05-09
63655	OTHER	Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine	45	41	$5,355.75	$3,749.03 30% off	$20,623.50	$90,861.16	$90,861.16	2026-05-08
028	OTHER	Spinal Procedures With Mcc	49	45	—	—	$42,958.71	$137,822.27	$90,390.49	2026-05-09
232	OTHER	Coronary Bypass With Ptca Without Mcc	98	45	—	—	$41,856.23	$138,484.23	$90,170.23	2026-05-09
14	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$89,772.30	$297,017.81	$89,772.30	2026-05-08
28	OTHER	Spinal Procedures With Mcc	49	45	—	—	$41,656.16	$137,822.27	$89,739.21	2026-05-08
7	OTHER	Lung Transplant	12	12	—	—	$89,546.18	$296,269.70	$89,546.18	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	98	45	—	—	$39,488.86	$139,118.99	$89,303.93	2026-05-09
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	98	45	—	—	$41,048.40	$135,811.44	$88,429.92	2026-05-09
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	98	45	—	—	$40,764.04	$134,870.63	$87,817.34	2026-05-09
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	98	45	—	—	$40,317.98	$133,394.81	$86,856.40	2026-05-09
014	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$85,926.70	$297,017.81	$85,926.70	2026-05-09
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	49	45	—	—	$40,971.03	$129,334.62	$85,152.82	2026-05-09
457	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication	98	45	—	—	$39,325.82	$130,112.20	$84,719.01	2026-05-09
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	49	45	—	—	$39,090.81	$129,334.62	$84,212.71	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	49	45	—	—	$37,872.54	$125,303.89	$81,588.21	2026-05-08
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	49	45	—	—	$37,850.11	$125,303.89	$81,577.00	2026-05-09
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	94	43	—	—	$37,713.57	$124,777.95	$81,245.76	2026-05-09
23474	OTHER	Revision Of Total Shoulder Repair; Total Shoulder	95	44	$15,853.25	$11,097.28 30% off	$6,411.10	$149,644.35	$81,239.17	2026-05-09
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	12	12	—	—	$81,021.17	$249,816.60	$81,021.17	2026-05-09
209	OTHER	Complex Aortic Arch Procedures	11	11	—	—	$80,928.21	$93,067.44	$80,928.21	2026-05-09
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	94	43	—	—	$37,483.35	$124,016.24	$80,749.79	2026-05-09
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	98	45	—	—	$37,007.14	$122,440.67	$79,723.90	2026-05-09
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	98	45	—	—	$36,453.51	$120,608.93	$78,531.22	2026-05-09
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	98	45	—	—	$36,292.49	$120,076.19	$78,184.34	2026-05-09
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	94	43	—	—	$35,288.00	$116,752.77	$76,020.38	2026-05-09
270	OTHER	Other Major Cardiovascular Procedures With Mcc	98	45	—	—	$35,170.83	$116,365.11	$75,767.97	2026-05-09
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	12	12	—	—	$75,505.94	$249,816.60	$75,505.94	2026-05-08
22856	OTHER	Insertion Of Artificial Upper Spine Disc; Anterior Approach	46	42	$14,106.75	$9,874.73 30% off	$17,686.08	$133,245.44	$75,465.76	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	98	45	—	—	$34,907.72	$115,494.58	$75,201.15	2026-05-09
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	98	45	—	—	$34,512.36	$114,186.52	$74,349.44	2026-05-09
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	92	42	—	—	$34,282.14	$113,424.81	$73,853.48	2026-05-09
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	12	12	—	—	$73,718.97	$241,421.90	$73,718.97	2026-05-09
228	OTHER	Other Cardiothoracic Procedures With Mcc	98	45	—	—	$34,145.10	$112,971.41	$73,558.26	2026-05-09
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	12	12	—	—	$72,968.68	$241,421.90	$72,968.68	2026-05-08
245	OTHER	Aicd Generator Procedures	98	45	—	—	$32,620.67	$110,783.76	$71,702.21	2026-05-09
471	OTHER	Cervical Spinal Fusion With Mcc	98	45	—	—	$33,281.76	$110,114.99	$71,698.38	2026-05-09
23472	OTHER	Prosthetic Repair Of Shoulder Joint; Total Shoulder	192	44	$27,302.38	$19,111.67 30% off	$16,969.00	$124,175.51	$70,572.26	2026-05-09
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	98	45	—	—	$32,236.17	$106,655.55	$69,445.86	2026-05-09
277	OTHER	Cardiac Defibrillator Implant Without Mcc	92	42	—	—	$31,874.38	$105,458.57	$68,666.48	2026-05-09
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	98	45	—	—	$31,468.06	$104,114.24	$67,791.15	2026-05-09
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	49	45	—	—	$32,508.42	$101,387.04	$66,947.73	2026-05-09
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	98	45	—	—	$30,693.78	$101,668.15	$66,180.96	2026-05-09
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	49	45	—	—	$30,643.77	$101,387.04	$66,015.40	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	98	45	—	—	$29,586.53	$97,889.06	$63,737.79	2026-05-09
031	OTHER	Ventricular Shunt Procedures With Mcc	49	45	—	—	$32,035.10	$95,000.90	$63,518.00	2026-05-09
850	OTHER	Acute Leukemia With Other Procedures	24	12	—	—	$61,914.50	$208,833.77	$63,119.07	2026-05-09
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	98	45	—	—	$27,843.12	$98,090.82	$62,966.97	2026-05-09
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	96	44	—	—	$29,185.01	$96,560.60	$62,872.81	2026-05-09
31	OTHER	Ventricular Shunt Procedures With Mcc	49	45	—	—	$28,713.60	$95,000.90	$61,857.25	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	98	45	—	—	$28,508.72	$94,323.07	$61,415.89	2026-05-09
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	98	45	—	—	$28,175.72	$93,221.31	$60,698.51	2026-05-09
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	98	45	—	—	$28,159.96	$93,169.17	$60,664.57	2026-05-09
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	94	43	—	—	$27,979.76	$92,572.94	$60,276.35	2026-05-09
034	OTHER	Carotid Artery Stent Procedures With Mcc	49	45	—	—	$27,675.09	$88,156.83	$57,915.96	2026-05-09
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	94	43	—	—	$26,806.03	$88,689.57	$57,747.80	2026-05-09
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	98	45	—	—	$26,793.01	$88,646.50	$57,719.75	2026-05-09
34	OTHER	Carotid Artery Stent Procedures With Mcc	49	45	—	—	$26,645.00	$88,156.83	$57,400.92	2026-05-08
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	49	45	—	—	$27,969.67	$86,184.54	$57,077.11	2026-05-09
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	49	45	—	—	$27,607.16	$85,513.51	$56,560.33	2026-05-09
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	98	45	—	—	$26,190.73	$86,653.81	$56,422.27	2026-05-09
27870	OTHER	Fusion Of Ankle Joint; Open Procedure	48	44	$12,014.25	$8,409.98 30% off	$12,833.99	$99,442.33	$56,138.16	2026-05-09
28730	OTHER	Fusion Of Multiple Foot Joints	94	43	$5,100.53	$3,570.38 30% off	$12,833.99	$56,138.16	$56,138.16	2026-05-09
27828	OTHER	Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones	47	43	$5,222.33	$3,655.63 30% off	$2,886.90	$56,138.16	$56,138.16	2026-05-09
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	49	45	—	—	$26,048.89	$86,184.54	$56,116.71	2026-05-08
28715	OTHER	Fusion Of 3 Bones Of Ankle	96	44	$10,214.33	$7,150.03 30% off	$12,374.28	$99,442.33	$55,908.31	2026-05-09
22551	OTHER	Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne…	92	42	$15,760.38	$11,032.26 30% off	$5,898.46	$99,442.33	$55,908.31	2026-05-09
27130	OTHER	Replacement Of Thigh Bone And Hip Joint With Prosthesis	238	44	$20,109.00	$14,076.30 30% off	$12,374.28	$99,442.33	$55,908.31	2026-05-09
27447	OTHER	Replacement Of Knee Joint; Both Sides Of Knee	240	44	$15,853.25	$11,097.28 30% off	$8,763.68	$99,442.33	$55,908.31	2026-05-09
28320	OTHER	Repair Of Nonhealed Broken Midfoot Bone	48	44	$24,028.50	$16,819.95 30% off	$12,374.28	$99,442.33	$55,908.31	2026-05-08
28725	OTHER	Fusion Of Foot Below Ankle	95	44	$15,363.25	$10,754.28 30% off	$12,374.28	$99,442.33	$55,908.31	2026-05-09
24366	OTHER	Joint Repair (arthroplasty) Forearm Bone On The Thumb Side (radius) At The Elbow…	96	44	$11,938.50	$8,356.95 30% off	$6,599.60	$99,442.33	$55,908.31	2026-05-09
23473	OTHER	Revision Of Total Shoulder Repair	47	43	$5,798.75	$4,059.13 30% off	$12,044.00	$55,743.17	$55,743.17	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	49	45	—	—	$25,846.07	$85,513.51	$55,679.79	2026-05-08
10	OTHER	Pancreas Transplant	12	12	—	—	$54,630.24	$180,747.91	$54,630.24	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	12	12	—	—	$54,317.11	$179,711.89	$54,317.11	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	98	45	—	—	$24,557.23	$81,249.28	$52,903.25	2026-05-09
265	OTHER	Aicd Lead Procedures	98	45	—	—	$24,442.12	$80,868.42	$52,655.27	2026-05-09
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	98	45	—	—	$24,332.49	$80,505.70	$52,419.10	2026-05-09
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	49	45	—	—	$24,189.97	$80,034.17	$52,112.07	2026-05-08
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	98	45	—	—	$24,122.82	$79,812.00	$51,967.41	2026-05-09
264	OTHER	Other Circulatory System O.r. Procedures	98	45	—	—	$23,884.93	$79,233.92	$51,559.43	2026-05-09
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	49	45	—	—	$22,718.07	$80,034.17	$51,376.12	2026-05-09
010	OTHER	Pancreas Transplant	12	12	—	—	$51,305.49	$180,747.91	$51,305.49	2026-05-09
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	12	12	—	—	$51,011.63	$179,711.89	$51,011.63	2026-05-09
271	OTHER	Other Major Cardiovascular Procedures With Cc	98	45	—	—	$23,600.71	$78,084.55	$50,842.63	2026-05-09
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	98	45	—	—	$23,563.70	$77,962.13	$50,762.92	2026-05-09
252	OTHER	Other Vascular Procedures With Mcc	98	45	—	—	$23,504.78	$77,767.17	$50,635.97	2026-05-09
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	98	45	—	—	$23,469.15	$77,649.28	$50,559.21	2026-05-09
029	OTHER	Spinal Procedures With Complication Or Spinal Neurostimulators	49	45	—	—	$24,392.58	$76,096.39	$50,244.49	2026-05-09
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	98	45	—	—	$23,257.17	$77,218.55	$50,237.86	2026-05-09
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	98	45	—	—	$22,828.18	$76,896.64	$49,862.41	2026-05-09
29	OTHER	Spinal Procedures With Complication Or Spinal Neurostimulators	49	45	—	—	$22,999.79	$76,096.39	$49,548.09	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	24	12	—	—	$47,665.28	$157,703.86	$49,418.64	2026-05-09
037	OTHER	Extracranial Procedures With Mcc	49	45	—	—	$23,538.17	$75,284.80	$49,411.49	2026-05-09
37	OTHER	Extracranial Procedures With Mcc	49	45	—	—	$22,754.50	$75,284.80	$49,019.65	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	98	45	—	—	$21,687.06	$74,101.43	$47,894.25	2026-05-09
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	98	45	—	—	$22,058.34	$72,981.53	$47,519.93	2026-05-09
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	92	42	—	—	$21,956.24	$72,643.75	$47,300.00	2026-05-09
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	96	44	—	—	$21,892.52	$72,432.92	$47,162.72	2026-05-09
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	98	45	—	—	$21,791.80	$72,099.67	$46,945.74	2026-05-09
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	24	12	—	—	$42,195.41	$139,606.39	$46,841.81	2026-05-09
500	OTHER	Soft Tissue Procedures With Mcc	98	45	—	—	$21,711.64	$71,834.43	$46,773.04	2026-05-09
27702	OTHER	Reconstruction Of Ankle Joint With Prosthesis	192	44	$17,414.00	$12,189.80 30% off	$9,577.70	$82,063.02	$46,678.50	2026-05-09
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	98	45	—	—	$21,384.80	$70,753.07	$46,068.93	2026-05-09
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	24	12	—	—	$44,312.65	$146,611.42	$46,007.41	2026-05-09
229	OTHER	Other Cardiothoracic Procedures Without Mcc	98	45	—	—	$21,284.08	$70,419.82	$45,851.95	2026-05-09
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	49	45	—	—	$22,230.45	$69,338.46	$45,784.46	2026-05-09
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	98	45	—	—	$21,188.83	$70,104.71	$45,646.77	2026-05-09
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	94	43	—	—	$21,144.98	$69,959.62	$45,552.30	2026-05-09
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	96	44	—	—	$21,025.75	$69,565.16	$45,295.46	2026-05-09
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	49	45	—	—	$20,957.24	$69,338.46	$45,147.85	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	98	45	—	—	$40,733.21	$48,869.70	$43,788.20	2026-05-09
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	24	12	—	—	$43,333.51	$143,371.88	$43,766.64	2026-05-09
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	98	45	—	—	$20,203.53	$66,844.76	$43,524.14	2026-05-09
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	98	45	—	—	$20,151.46	$66,672.47	$43,411.96	2026-05-09
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	98	45	—	—	$19,954.12	$66,019.57	$42,986.85	2026-05-09
472	OTHER	Cervical Spinal Fusion With Complication	98	45	—	—	$19,851.34	$65,679.52	$42,765.43	2026-05-09
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	12	12	—	—	$42,396.72	$136,833.85	$42,396.72	2026-05-09
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	96	44	—	—	$19,610.84	$64,883.81	$42,247.32	2026-05-09
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	98	45	—	—	$19,583.43	$64,793.13	$42,188.28	2026-05-09
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	96	44	—	—	$19,453.43	$64,536.96	$41,995.19	2026-05-09
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	98	45	—	—	$19,018.72	$64,922.35	$41,970.54	2026-05-09
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	24	12	—	—	$39,893.85	$131,991.54	$41,932.70	2026-05-09
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	98	45	—	—	$19,223.02	$63,600.68	$41,411.85	2026-05-09
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	12	12	—	—	$41,357.41	$136,833.85	$41,357.41	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	12	12	—	—	$41,357.41	$136,833.85	$41,357.41	2026-05-08
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	11	11	—	—	$40,803.73	$46,924.29	$40,803.73	2026-05-09
963	OTHER	Other Multiple Significant Trauma With Mcc	98	45	—	—	$18,614.57	$61,587.59	$40,101.08	2026-05-09
008	OTHER	Simultaneous Pancreas And Kidney Transplant	12	12	—	—	$40,072.29	$123,349.74	$40,072.29	2026-05-09
263	OTHER	Vein Ligation And Stripping	98	45	—	—	$18,377.49	$60,803.21	$39,590.35	2026-05-09
834	OTHER	Acute Leukemia With Mcc	24	12	—	—	$37,872.54	$125,303.89	$39,252.20	2026-05-09
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	24	12	—	—	$37,196.94	$123,068.63	$39,113.49	2026-05-09
503	OTHER	Foot Procedures With Mcc	98	45	—	—	$18,134.25	$59,998.42	$39,066.33	2026-05-09
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	98	45	—	—	$18,115.75	$59,937.21	$39,026.48	2026-05-09
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	12	12	—	—	$38,996.23	$122,325.05	$38,996.23	2026-05-09
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	12	12	—	—	$38,840.36	$136,833.85	$38,840.36	2026-05-09
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	98	45	—	—	$17,974.61	$73,422.88	$38,722.41	2026-05-09
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	98	45	—	—	$17,928.01	$59,316.05	$38,622.03	2026-05-09
653	OTHER	Major Bladder Procedures With Mcc	24	12	—	—	$37,153.71	$126,376.18	$38,196.64	2026-05-09
C9740	OTHER	Cystourethroscopy; With Insertion Of Transprostatic Implant; 4 Or More Implants	90	41	$4,866.75	$3,406.73 30% off	$8,893.17	$38,346.87	$38,154.39	2026-05-09
253	OTHER	Other Vascular Procedures With Cc	98	45	—	—	$17,492.91	$57,876.51	$37,684.71	2026-05-09
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	98	45	—	—	$17,460.02	$57,767.69	$37,613.86	2026-05-09
8	OTHER	Simultaneous Pancreas And Kidney Transplant	12	12	—	—	$37,281.90	$123,349.74	$37,281.90	2026-05-08
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	98	45	—	—	$17,300.37	$57,239.48	$37,269.93	2026-05-09
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	49	45	—	—	$18,038.47	$55,945.03	$36,991.75	2026-05-09
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	12	12	—	—	$36,972.20	$122,325.05	$36,972.20	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	24	12	—	—	$35,043.06	$122,311.45	$36,968.09	2026-05-09
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	98	45	—	—	$17,144.84	$56,724.87	$36,934.86	2026-05-09
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	49	45	—	—	$16,909.13	$55,945.03	$36,427.08	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	24	12	—	—	$34,800.82	$115,140.93	$35,659.38	2026-05-09
493	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication	98	45	—	—	$16,451.43	$54,430.67	$35,441.05	2026-05-09
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	24	12	—	—	$34,268.44	$113,379.47	$35,310.46	2026-05-09
473	OTHER	Cervical Spinal Fusion Without Complication/comorbity	98	45	—	—	$16,221.20	$53,668.96	$34,945.08	2026-05-09
478	OTHER	Biopsies Of Musculoskeletal System & Connective Tissue With Complication	98	45	—	—	$16,023.87	$53,016.06	$34,519.96	2026-05-09
082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	49	45	—	—	$16,341.79	$52,598.93	$34,470.36	2026-05-09
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	24	12	—	—	$34,308.86	$113,513.22	$34,350.23	2026-05-09
035	OTHER	Carotid Artery Stent Procedures With Cc	49	45	—	—	$17,091.82	$51,569.72	$34,330.77	2026-05-09
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	49	45	—	—	$15,897.79	$52,598.93	$34,248.36	2026-05-08
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	98	45	—	—	$15,604.64	$52,426.64	$34,015.64	2026-05-09
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	49	45	—	—	$16,243.84	$51,370.22	$33,807.03	2026-05-09
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	24	12	—	—	$31,568.78	$104,447.49	$33,614.51	2026-05-09
35	OTHER	Carotid Artery Stent Procedures With Cc	49	45	—	—	$15,586.72	$51,569.72	$33,578.22	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	24	12	—	—	$32,573.27	$107,770.91	$33,545.87	2026-05-09
041	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	49	45	—	—	$15,720.47	$51,193.39	$33,456.93	2026-05-09
85	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	49	45	—	—	$15,526.42	$51,370.22	$33,448.32	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	24	12	—	—	$32,721.28	$108,260.59	$33,445.77	2026-05-09
783	OTHER	Cesarean Section With Sterilization With Mcc	98	45	—	—	$12,621.90	$54,157.74	$33,389.82	2026-05-09
41	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	49	45	—	—	$15,472.97	$51,193.39	$33,333.18	2026-05-08
6	OTHER	Liver Transplant Without Mcc	12	12	—	—	$33,226.27	$109,931.36	$33,226.27	2026-05-08
006	OTHER	Liver Transplant Without Mcc	12	12	—	—	$33,154.06	$109,931.36	$33,154.06	2026-05-09
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	98	45	—	—	$15,235.70	$51,070.98	$33,153.34	2026-05-09
030	OTHER	Spinal Procedures Without Complication/comorbity	49	45	—	—	$15,695.45	$50,449.82	$33,072.64	2026-05-09
329	OTHER	Major Small And Large Bowel Procedures With Mcc	24	12	—	—	$31,463.26	$104,098.37	$32,864.48	2026-05-09
30	OTHER	Spinal Procedures Without Complication/comorbity	49	45	—	—	$15,248.23	$50,449.82	$32,849.03	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	24	12	—	—	$32,063.49	$106,084.26	$32,780.83	2026-05-09
799	OTHER	Splenic Procedures With Mcc	24	12	—	—	$32,381.15	$107,791.32	$32,579.44	2026-05-09
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	24	12	—	—	$30,913.05	$102,277.97	$32,522.72	2026-05-09
935	OTHER	Non-extensive Burns	98	45	—	—	$14,728.78	$49,792.39	$32,260.58	2026-05-09
163	OTHER	Major Chest Procedures With Mcc	24	12	—	—	$31,581.80	$104,490.56	$32,044.39	2026-05-09
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	24	12	—	—	$30,099.06	$99,584.78	$31,909.26	2026-05-09
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	98	45	—	—	$14,781.62	$48,905.99	$31,843.81	2026-05-09
032	OTHER	Ventricular Shunt Procedures With Cc	49	45	—	—	$15,236.43	$48,414.05	$31,825.24	2026-05-09
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	98	45	—	—	$14,702.82	$48,645.29	$31,674.06	2026-05-09
32	OTHER	Ventricular Shunt Procedures With Cc	49	45	—	—	$14,632.93	$48,414.05	$31,523.49	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	24	12	—	—	$29,228.17	$96,703.42	$31,408.05	2026-05-09
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	98	45	—	—	$14,532.21	$48,080.80	$31,306.51	2026-05-09
793	OTHER	Full Term Neonate With Major Problems	98	45	—	—	$28,575.87	$34,284.03	$30,719.06	2026-05-09
481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	98	45	—	—	$14,217.02	$47,037.98	$30,627.50	2026-05-09
140	OTHER	Major Head And Neck Procedures With Mcc	24	12	—	—	$28,978.07	$95,875.96	$30,496.44	2026-05-09
901	OTHER	Wound Debridements For Injuries With Mcc	24	12	—	—	$30,005.24	$100,439.44	$30,357.37	2026-05-09
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	12	12	—	—	$30,143.95	$93,030.88	$30,143.95	2026-05-09
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	24	12	—	—	$28,706.75	$94,978.23	$30,040.99	2026-05-09
791	OTHER	Prematurity With Major Problems	98	45	—	—	$27,818.05	$33,374.63	$29,904.40	2026-05-09
516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	98	45	—	—	$13,783.98	$45,605.24	$29,694.61	2026-05-09
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	24	12	—	—	$27,869.45	$92,207.96	$29,693.51	2026-05-09
786	OTHER	Cesarean Section Without Sterilization With Mcc	98	45	—	—	$11,071.99	$47,507.46	$29,289.72	2026-05-09
519	OTHER	Back And Neck Procedures Except Spinal Fusion With Cc	98	45	—	—	$13,511.27	$44,702.97	$29,107.12	2026-05-09
64555	OTHER	Insertion Of Peripheral Nerve Neurostimulator Electrode Through Skin	94	43	$3,628.95	$2,540.27 30% off	$6,370.67	$29,035.17	$29,035.17	2026-05-09
63650	OTHER	Insertion Of Spinal Neurostimulator Electrode Array Through Skin	46	42	$7,257.90	$5,080.53 30% off	$6,370.67	$51,699.66	$29,035.17	2026-05-09
511	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	98	45	—	—	$13,437.96	$44,460.40	$28,949.18	2026-05-09
496	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	98	45	—	—	$12,897.70	$44,727.91	$28,812.81	2026-05-09
488	OTHER	Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc	98	45	—	—	$12,647.44	$44,555.62	$28,601.53	2026-05-09
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	24	12	—	—	$24,562.71	$81,267.42	$28,485.89	2026-05-09
23405	OTHER	Incision Of Shoulder Tendon	48	44	$7,926.62	$5,548.63 30% off	$6,879.24	$49,985.17	$28,432.21	2026-05-09
29862	OTHER	Removal Or Shaving Of Hip Joint Socket Cartilage Using An Endoscope	46	42	$1,646.75	$1,152.73 30% off	$6,879.24	$28,432.21	$28,432.21	2026-05-09
29887	OTHER	Repair Of Knee Joint With Bone Graft And Internal Stabilizing Device Using An En…	47	43	$2,878.00	$2,014.60 30% off	$6,879.24	$28,432.21	$28,432.21	2026-05-09
20690	OTHER	Appl Unipln Uni Ext Fixj Sys	46	42	$13,708.00	$9,595.60 30% off	$6,879.24	$49,985.17	$28,432.21	2026-05-09
28297	OTHER	Correction Of Bunion With Midfoot And Hindfoot Bone Fusion	335	44	$13,189.25	$9,232.48 30% off	$6,879.24	$49,985.17	$28,432.21	2026-05-09
27829	OTHER	Treatment Of Ligament Tear At Ankle Joint	94	43	$3,570.50	$2,499.35 30% off	$6,879.24	$28,432.21	$28,432.21	2026-05-09
27784	OTHER	Treatment Of Broken Upper Or Middle Part Of Outer Lower Leg Bone	47	43	$3,570.50	$2,499.35 30% off	$6,879.24	$28,432.21	$28,432.21	2026-05-09
25609	OTHER	Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri…	144	44	$8,233.75	$5,763.63 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
25608	OTHER	Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint…	48	44	$13,189.25	$9,232.48 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-08
27385	OTHER	Primary Suture Of Ruptured Muscle Of Thigh	96	44	$15,053.75	$10,537.63 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
25515	OTHER	Treatment Of Broken Midpart Of Forearm Bone On Thumb Side	48	44	$19,371.75	$13,560.23 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-08
24342	OTHER	Reinsertion Of Torn Upper Arm Tendon	192	44	$10,711.50	$7,498.06 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
24341	OTHER	Repair Of Tendon Or Muscle Of Upper Arm Or Elbow	96	44	$10,799.50	$7,559.65 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
63030	OTHER	Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves And/or…	192	44	$10,799.50	$7,559.65 30% off	$5,806.89	$49,985.17	$28,427.72	2026-05-09
29807	OTHER	Repair Of Shoulder Socket Using An Endoscope	48	44	$8,719.25	$6,103.48 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-08
23515	OTHER	Treatment Of Broken Collar Bone	192	44	$10,711.50	$7,498.05 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
23552	OTHER	Treatment Of Dislocated Joint Between Collar Bone And Shoulder With Tissue Graft	96	44	$20,721.25	$14,504.88 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
28309	OTHER	Incision Or Partial Removal Of Multiple Foot Bones To Straighten Toes	192	44	$6,994.88	$4,896.41 30% off	$3,181.92	$49,985.17	$28,427.72	2026-05-09
27380	OTHER	Primary Suture Of Tendon Below Knee	96	44	$10,711.50	$7,498.05 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
63047	OTHER	Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves; 1…	92	42	$15,760.37	$11,032.26 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
23412	OTHER	Repair Of Chronic Torn Shoulder Rotator Cuff	96	44	$10,360.63	$7,252.44 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
23430	OTHER	Anchoring Of Biceps Tendon	144	44	$10,360.62	$7,252.43 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
29916	OTHER	Repair Of Hip Joint Socket Cartilage Using An Endoscope	238	44	$8,233.75	$5,763.63 30% off	$2,275.81	$49,985.17	$28,427.72	2026-05-09
29806	OTHER	Repair Of Shoulder Joint Capsule Using An Endoscope	192	44	$10,372.88	$7,261.01 30% off	$4,141.72	$49,985.17	$28,427.72	2026-05-09
28298	OTHER	Correction Of Bunion With Alignment Correction Of Big Toe	96	44	$5,756.00	$4,029.20 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
63267	OTHER	Removal Of Growth Of Lower Spine Bone Outside Spine Membrane	92	42	$17,414.00	$12,189.80 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
63042	OTHER	Partial Removal Of Spine Bone With Re-exploration; Release Of Lower Spinal Cord …	96	44	$14,106.75	$9,874.73 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
22513	OTHER	Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…	92	42	$10,799.50	$7,559.65 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
27650	OTHER	Repair Of Ruptured Achilles Tendon	192	44	$10,799.50	$7,559.65 30% off	$3,516.47	$49,985.17	$28,427.72	2026-05-09
27814	OTHER	Treatment Of Both Broken Lower Leg Bones At Ankle	48	44	$10,407.75	$7,285.43 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-08
27416	OTHER	Implantation Of Self Cartilage Cells Into Knee Bone	48	44	$10,799.50	$7,559.65 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-08
20902	OTHER	Harvest Of Graft From Large Bone	188	44	$8,009.50	$5,606.65 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
27690	OTHER	Transfer Of Tendon And Muscle Rerouting At Lower Leg Or Ankle	142	44	$2,744.59	$1,921.21 30% off	$5,921.32	$49,985.17	$28,427.72	2026-05-09
27823	OTHER	Treatment Of 3 Broken Lower Leg Bones At Ankle With Fixation Of Posterior Lip	96	44	$13,189.25	$9,232.48 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
29915	OTHER	Reshaping Of Hip Socket Using An Endoscope	192	44	$10,799.50	$7,559.65 30% off	$910.32	$49,985.17	$28,427.72	2026-05-09
27698	OTHER	Secondary Repair Of Disrupted Collateral Ligament Of Ankle	192	44	$9,168.88	$6,418.22 30% off	$5,921.32	$49,985.17	$28,427.72	2026-05-09
27654	OTHER	Secondary Repair Of Ruptured Achilles Tendon	191	44	$10,799.50	$7,559.65 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
28740	OTHER	Fusion Of Foot In Midfoot Region	143	44	$8,009.50	$5,606.65 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
27427	OTHER	Reconstruction Of Ligaments Outside Knee Joint	192	44	$21,194.75	$14,836.32 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
28750	OTHER	Fusion Of Big Toe At Joint With Foot	285	44	$5,755.99	$4,029.19 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
27691	OTHER	Transfer Of Deep Tendon Of Foot With Muscle Rerouting	191	44	$10,711.50	$7,498.05 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
29828	OTHER	Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope	189	44	$4,702.24	$3,291.57 30% off	$2,070.86	$49,985.17	$28,427.72	2026-05-09
28465	OTHER	Treatment Of Broken Hind Portion Of Foot	96	44	$5,756.00	$4,029.20 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
29827	OTHER	Repair Of Shoulder Rotator Cuff Using An Endoscope	192	44	$13,680.12	$9,576.09 30% off	$4,120.74	$49,985.17	$28,427.72	2026-05-09
28299	OTHER	Correction Of Bunion With 2 Areas Of Realignment	287	44	$8,233.75	$5,763.63 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
28615	OTHER	Treatment Of Dislocated Midfoot Bone	95	44	$5,756.00	$4,029.20 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
28300	OTHER	Incision Or Partial Removal Of Heel Bone	96	44	$8,009.50	$5,606.65 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
28238	OTHER	Reconstruction Of Ankle Tendon With Removal Of Extra Ankle Joint Bone	94	43	$4,218.62	$2,953.04 30% off	$6,870.27	$28,432.21	$28,427.72	2026-05-09
63045	OTHER	Partial Removal Of Spine Bone With Release Of Upper Spinal Cord And/or Nerves; 1…	90	41	$2,481.50	$1,737.05 30% off	$6,870.27	$28,432.21	$28,427.72	2026-05-09
29888	OTHER	Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope	192	44	$14,580.25	$10,206.18 30% off	$4,788.85	$49,985.17	$28,427.72	2026-05-09
29892	OTHER	Removal Of Large Shin Or Ankle Bone Defect Using An Endoscope	96	44	$10,711.50	$7,498.05 30% off	$6,870.27	$49,985.17	$28,427.72	2026-05-09
29914	OTHER	Reshaping Of Thigh Bone At Hip Joint Using An Endoscope	192	44	$12,233.69	$8,563.58 30% off	$910.32	$49,985.17	$28,427.72	2026-05-09
507	OTHER	Major Shoulder Or Elbow Joint Procedures With Cc/mcc	98	45	—	—	$12,915.57	$43,938.99	$28,427.28	2026-05-09
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	12	12	—	—	$28,118.17	$93,030.88	$28,118.17	2026-05-08
261	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Cc	98	45	—	—	$13,002.18	$43,018.59	$28,010.38	2026-05-09
470	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	98	45	—	—	$12,919.27	$46,816.97	$27,831.78	2026-05-09
494	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur Without Complication/comorbity	98	45	—	—	$12,918.59	$42,742.02	$27,830.31	2026-05-09
036	OTHER	Carotid Artery Stent Procedures Without Cc/mcc	49	45	—	—	$13,890.81	$41,556.38	$27,723.60	2026-05-09
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	24	12	—	—	$26,925.25	$89,084.03	$27,633.63	2026-05-09
907	OTHER	Other O.r. Procedures For Injuries With Mcc	24	12	—	—	$27,295.94	$90,310.48	$27,450.59	2026-05-09
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	24	12	—	—	$25,616.64	$90,247.00	$27,276.75	2026-05-09
28322	OTHER	Repair Of Nonhealed Broken Forefoot Bone	96	44	$5,756.00	$4,029.20 30% off	$4,372.00	$49,985.17	$27,178.58	2026-05-09
28306	OTHER	Incision Or Partial Removal Of Big Toe Bone To Straighten Toe	47	43	$4,396.41	$3,077.49 30% off	$4,372.00	$27,178.58	$27,178.58	2026-05-09
27659	OTHER	Secondary Repair Of Tendon On Back Of Leg	95	44	$8,233.75	$5,763.63 30% off	$4,372.00	$49,985.17	$27,178.58	2026-05-09
28310	OTHER	Incision Or Partial Removal Of Big Toe Bone At First Toe Bone Level To Straighte…	141	43	$3,570.50	$2,499.35 30% off	$4,372.00	$27,178.58	$27,178.58	2026-05-09

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