Hospital

Chi St Lukes Health Memorial San Augustine

San Augustine, TX · CCN 451360 · Rates published

16,274 distinct procedures filed

22 distinct payers

186,215 rate rows

2026-08-01 last MRF observed

Data quality

185,839 of 186,215 rate rows are consumer-grade (99.8%)

376 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
placeholder amount (≤ $0.02) — excluded from medians	355
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	21

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

Source MRF file	https://www.stlukeshealth.org/content/dam/stlukeshealth/documents/752663604_st-lukes-health-memorial-san-augustine_standardcharges.csv
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-03
Content fingerprint	f15088ffdf387968… · 6,005,356 bytes · first seen 2026-07-31

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
84 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	$5,490.61	$272,162.37	$259,202.26	nat. median $10,605 outlier · 24.4×
74 OTHER	Allogeneic Bone Marrow Transplant	12	$5,816.35	$272,162.37	$259,202.26	nat. median $11,409 outlier · 22.7×
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	$245,195.59	$245,195.59	$245,195.59	nat. median $226,584 1.1× median
5884 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$241,996.52	$254,096.35	$241,996.52	nat. median $247,377 1.0× median
5834 OTHER	Neonate With Ecmo	7	$239,924.34	$251,920.56	$239,924.34	nat. median $376,382 0.6× median
24 OTHER	Heart And/or Lung Transplant	12	$23,371.54	$235,634.14	$224,413.47	nat. median $27,882 outlier · 8.0×
1614 OTHER	Implantable Heart Assist Systems	7	$210,480.22	$221,004.23	$210,480.22	nat. median $189,554 1.1× median
6304 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$207,792.48	$218,182.10	$207,792.48	nat. median $177,388 1.2× median
5914 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	$186,446.14	$195,768.45	$186,446.14	nat. median $167,487 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi…	1	$176,958.68	$176,958.68	$176,958.68	nat. median $2 outlier · 104093.3×
23 OTHER	Heart And/or Lung Transplant	12	$33,518.89	$176,086.17	$167,701.11	nat. median $60,080 outlier · 2.8×
6303 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$166,678.18	$175,012.09	$166,678.18	nat. median $90,458 1.8× median
5891 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	7	$166,206.92	$174,517.27	$166,206.92	nat. median $83,980 2.0× median
5934 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$163,375.63	$171,544.41	$163,375.63	nat. median $151,842 1.1× median
5833 OTHER	Neonate With Ecmo	7	$161,361.33	$169,429.40	$161,361.33	nat. median $246,994 0.7× median
3 OTHER	Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi…	5	$107,509.45	$172,490.98	$155,236.60	nat. median $206,020 0.8× median
8414 OTHER	Extensive Third Degree Burns With Skin Graft	7	$147,718.94	$155,104.89	$147,718.94	nat. median $140,709 1.0× median
83 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	$7,665.26	$154,804.21	$147,432.58	nat. median $15,058 outlier · 9.8×
73 OTHER	Allogeneic Bone Marrow Transplant	12	$8,563.18	$154,804.21	$147,432.58	nat. median $17,143 outlier · 8.6×
5883 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$146,059.40	$153,362.37	$146,059.40	nat. median $168,056 0.9× median
5892 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	7	$145,193.55	$152,453.23	$145,193.55	nat. median $75,507 1.9× median
6314 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	$142,582.47	$149,711.59	$142,582.47	nat. median $159,704 0.9× median
14 OTHER	Liver Transplant And/or Intestinal Transplant	8	$113,173.34	$148,574.38	$141,499.41	nat. median $114,463 1.2× median
64 OTHER	Pancreas Transplant	12	$10,787.85	$146,730.06	$139,742.91	nat. median $21,243 outlier · 6.6×
6094 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	$126,490.61	$132,815.14	$126,490.61	nat. median $167,902 0.8× median
5832 OTHER	Neonate With Ecmo	7	$124,940.05	$131,187.05	$124,940.05	nat. median $184,745 0.7× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	$124,343.56	$124,343.56	$124,343.56	nat. median $108,276 1.1× median
44 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	$123,714.93	$129,900.68	$123,714.93	nat. median $57,853 outlier · 2.1×
6024 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	$121,790.07	$127,879.57	$121,790.07	nat. median $113,815 1.1× median
22 OTHER	Heart And/or Lung Transplant	12	$34,874.31	$124,763.88	$118,822.74	nat. median $38,144 outlier · 3.1×
8634 OTHER	Neonatal Aftercare	7	$118,815.97	$124,756.77	$118,815.97	nat. median $81,016 1.5× median
3034 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	$115,474.34	$121,248.06	$115,474.34	nat. median $76,075 1.5× median
1604 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	$114,127.46	$119,833.83	$114,127.46	nat. median $37,082 outlier · 3.1×
215 OTHER	Other Heart Assist System Implant	5	$78,605.09	$126,116.06	$113,500.59	nat. median $76,591 1.5× median
5831 OTHER	Neonate With Ecmo	7	$112,445.37	$118,067.64	$112,445.37	nat. median $150,754 0.7× median
1624 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	$111,829.05	$117,420.50	$111,829.05	nat. median $13 outlier · 8602.2×
5933 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$107,786.17	$113,175.48	$107,786.17	nat. median $109,405 1.0× median
94 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	$20,819.91	$111,709.17	$106,389.69	nat. median $37,782 outlier · 2.8×
6034 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	$106,180.74	$111,489.78	$106,180.74	nat. median $102,445 1.0× median
4404 OTHER	Kidney Transplant	7	$99,911.60	$104,907.18	$99,911.60	nat. median $72,322 1.4× median
21 OTHER	Heart And/or Lung Transplant	12	$45,971.43	$104,728.04	$99,740.99	nat. median $57,281 1.7× median
82 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	$13,136.96	$103,797.59	$98,854.85	nat. median $24,132 outlier · 4.1×
72 OTHER	Allogeneic Bone Marrow Transplant	12	$4,637.22	$103,797.59	$98,854.85	nat. median $8,557 outlier · 11.6×
4 OTHER	Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosis Except…	5	$67,504.43	$108,305.88	$97,471.97	nat. median $141,447 0.7× median
9124 OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	$97,235.14	$102,096.90	$97,235.14	nat. median $50,332 1.9× median
54 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	$8,021.50	$101,370.06	$96,542.91	nat. median $16,362 outlier · 5.9×
7 OTHER	Lung Transplant	1	$95,706.84	$95,706.84	$95,706.84	nat. median $145,764 0.7× median
4474 OTHER	Other Kidney, Urinary Tract And Related Procedures	7	$95,308.02	$100,073.42	$95,308.02	nat. median $35,998 outlier · 2.6×
1634 OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	$93,798.80	$98,488.74	$93,798.80	nat. median $7,797 outlier · 12.0×
5882 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$93,550.77	$98,228.31	$93,550.77	nat. median $139,074 0.7× median

Other procedures at this hospital

Browse this hospital's 16,274 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

84	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$5,490.61	$272,162.37	$259,202.26	2026-08-01
74	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$5,816.35	$272,162.37	$259,202.26	2026-08-01
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	1	—	—	$245,195.59	$245,195.59	$245,195.59	2026-08-01
5884	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$241,996.52	$254,096.35	$241,996.52	2026-08-01
5834	OTHER	Neonate With Ecmo	7	7	—	—	$239,924.34	$251,920.56	$239,924.34	2026-08-01
24	OTHER	Heart And/or Lung Transplant	12	12	—	—	$23,371.54	$235,634.14	$224,413.47	2026-08-01
1614	OTHER	Implantable Heart Assist Systems	7	7	—	—	$210,480.22	$221,004.23	$210,480.22	2026-08-01
6304	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$207,792.48	$218,182.10	$207,792.48	2026-08-01
5914	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$186,446.14	$195,768.45	$186,446.14	2026-08-01
927	OTHER	Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi…	1	1	—	—	$176,958.68	$176,958.68	$176,958.68	2026-08-01
23	OTHER	Heart And/or Lung Transplant	12	12	—	—	$33,518.89	$176,086.17	$167,701.11	2026-08-01
6303	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$166,678.18	$175,012.09	$166,678.18	2026-08-01
5891	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$166,206.92	$174,517.27	$166,206.92	2026-08-01
5934	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$163,375.63	$171,544.41	$163,375.63	2026-08-01
5833	OTHER	Neonate With Ecmo	7	7	—	—	$161,361.33	$169,429.40	$161,361.33	2026-08-01
3	OTHER	Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi…	5	5	—	—	$107,509.45	$172,490.98	$155,236.60	2026-08-01
8414	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$147,718.94	$155,104.89	$147,718.94	2026-08-01
83	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$7,665.26	$154,804.21	$147,432.58	2026-08-01
73	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$8,563.18	$154,804.21	$147,432.58	2026-08-01
5883	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$146,059.40	$153,362.37	$146,059.40	2026-08-01
5892	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$145,193.55	$152,453.23	$145,193.55	2026-08-01
6314	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$142,582.47	$149,711.59	$142,582.47	2026-08-01
14	OTHER	Liver Transplant And/or Intestinal Transplant	8	8	—	—	$113,173.34	$148,574.38	$141,499.41	2026-08-01
64	OTHER	Pancreas Transplant	12	12	—	—	$10,787.85	$146,730.06	$139,742.91	2026-08-01
6094	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$126,490.61	$132,815.14	$126,490.61	2026-08-01
5832	OTHER	Neonate With Ecmo	7	7	—	—	$124,940.05	$131,187.05	$124,940.05	2026-08-01
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	1	—	—	$124,343.56	$124,343.56	$124,343.56	2026-08-01
44	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$123,714.93	$129,900.68	$123,714.93	2026-08-01
6024	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$121,790.07	$127,879.57	$121,790.07	2026-08-01
22	OTHER	Heart And/or Lung Transplant	12	12	—	—	$34,874.31	$124,763.88	$118,822.74	2026-08-01
8634	OTHER	Neonatal Aftercare	7	7	—	—	$118,815.97	$124,756.77	$118,815.97	2026-08-01
3034	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$115,474.34	$121,248.06	$115,474.34	2026-08-01
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$114,127.46	$119,833.83	$114,127.46	2026-08-01
215	OTHER	Other Heart Assist System Implant	5	5	—	—	$78,605.09	$126,116.06	$113,500.59	2026-08-01
5831	OTHER	Neonate With Ecmo	7	7	—	—	$112,445.37	$118,067.64	$112,445.37	2026-08-01
1624	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$111,829.05	$117,420.50	$111,829.05	2026-08-01
5933	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$107,786.17	$113,175.48	$107,786.17	2026-08-01
94	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$20,819.91	$111,709.17	$106,389.69	2026-08-01
6034	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$106,180.74	$111,489.78	$106,180.74	2026-08-01
4404	OTHER	Kidney Transplant	7	7	—	—	$99,911.60	$104,907.18	$99,911.60	2026-08-01
21	OTHER	Heart And/or Lung Transplant	12	12	—	—	$45,971.43	$104,728.04	$99,740.99	2026-08-01
72	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$4,637.22	$103,797.59	$98,854.85	2026-08-01
82	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$13,136.96	$103,797.59	$98,854.85	2026-08-01
4	OTHER	Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosis Except…	5	5	—	—	$67,504.43	$108,305.88	$97,471.97	2026-08-01
9124	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	7	—	—	$97,235.14	$102,096.90	$97,235.14	2026-08-01
54	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$8,021.50	$101,370.06	$96,542.91	2026-08-01
7	OTHER	Lung Transplant	1	1	—	—	$95,706.84	$95,706.84	$95,706.84	2026-08-01
4474	OTHER	Other Kidney, Urinary Tract And Related Procedures	7	7	—	—	$95,308.02	$100,073.42	$95,308.02	2026-08-01
1634	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$93,798.80	$98,488.74	$93,798.80	2026-08-01
5882	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$93,550.77	$98,228.31	$93,550.77	2026-08-01
3404	OTHER	Fracture Of Femur	7	7	—	—	$92,966.77	$97,615.11	$92,966.77	2026-08-01
8504	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	7	7	—	—	$92,808.19	$97,448.60	$92,808.19	2026-08-01
13	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$14,693.68	$96,634.94	$92,033.28	2026-08-01
625034252	OTHER	Impella Cp Pump Set	4	4	$131,239.00	$45,933.65 65% off	$88,586.33	$104,991.20	$91,867.30	2026-08-01
63	OTHER	Pancreas Transplant	12	12	—	—	$9,863.09	$96,288.50	$91,703.33	2026-08-01
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	1	1	—	—	$91,504.59	$91,504.59	$91,504.59	2026-08-01
43	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$90,731.50	$95,268.08	$90,731.50	2026-08-01
924	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	7	7	—	—	$90,297.07	$94,811.92	$90,297.07	2026-08-01
6084	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$89,331.26	$93,797.82	$89,331.26	2026-08-01
9114	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	7	7	—	—	$88,087.35	$92,491.72	$88,087.35	2026-08-01
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Of Hemorrhage With Mcc	5	5	—	—	$60,994.51	$97,861.19	$88,072.07	2026-08-01
6074	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$87,787.46	$92,176.83	$87,787.46	2026-08-01
8424	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	7	—	—	$85,921.98	$90,218.08	$85,921.98	2026-08-01
3623	OTHER	Mastectomy Procedures	7	7	—	—	$84,897.54	$89,142.42	$84,897.54	2026-08-01
234	OTHER	Spinal Procedures	12	12	—	—	$30,845.26	$88,769.93	$84,542.79	2026-08-01
4054	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	7	7	—	—	$84,508.96	$88,734.41	$84,508.96	2026-08-01
5881	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$84,195.54	$88,405.32	$84,195.54	2026-08-01
6023	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$84,070.78	$88,274.32	$84,070.78	2026-08-01
1674	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	7	7	—	—	$83,803.96	$87,994.16	$83,803.96	2026-08-01
5913	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$83,750.59	$87,938.12	$83,750.59	2026-08-01
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	5	—	—	$57,947.56	$92,972.59	$83,672.48	2026-08-01
214	OTHER	Open Craniotomy Except Trauma	7	7	—	—	$83,179.37	$87,338.34	$83,179.37	2026-08-01
42	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	12	—	—	$11,654.05	$86,621.77	$82,496.92	2026-08-01
6344	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	7	7	—	—	$82,438.29	$86,560.20	$82,438.29	2026-08-01
12	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$21,493.96	$84,975.52	$80,929.07	2026-08-01
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature/malignancy/infection Or Exte…	5	5	—	—	$56,146.84	$90,083.46	$80,577.49	2026-08-01
204	OTHER	Open Craniotomy For Trauma	12	12	—	—	$4,673.82	$84,540.68	$80,514.93	2026-08-01
3044	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	7	—	—	$80,057.96	$84,060.86	$80,057.96	2026-08-01
6093	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$79,766.34	$83,754.66	$79,766.34	2026-08-01
62	OTHER	Pancreas Transplant	12	12	—	—	$11,785.81	$83,429.50	$79,456.67	2026-08-01
5932	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$78,977.15	$82,926.01	$78,977.15	2026-08-01
9104	OTHER	Craniotomy For Multiple Significant Trauma	7	7	—	—	$76,883.18	$80,727.34	$76,883.18	2026-08-01
6814	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$76,481.07	$80,305.12	$76,481.07	2026-08-01
1694	OTHER	Major Abdominal Vascular Procedures	7	7	—	—	$75,997.79	$79,797.68	$75,997.79	2026-08-01
93	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$4,446.90	$79,115.82	$75,348.40	2026-08-01
41	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	12	—	—	$14,219.71	$78,746.48	$74,996.65	2026-08-01
224	OTHER	Ventricular Shunt Procedures	12	12	—	—	$44,780.71	$77,854.71	$74,147.34	2026-08-01
11	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$30,006.51	$77,829.45	$74,123.29	2026-08-01
404	OTHER	Spinal Disorders And Injuries	7	7	—	—	$73,482.92	$77,157.07	$73,482.92	2026-08-01
6302	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$73,315.31	$76,981.08	$73,315.31	2026-08-01
1613	OTHER	Implantable Heart Assist Systems	7	7	—	—	$73,087.57	$76,741.95	$73,087.57	2026-08-01
4034	OTHER	Procedures For Obesity	7	7	—	—	$72,467.50	$76,090.88	$72,467.50	2026-08-01
8413	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$71,524.99	$75,101.24	$71,524.99	2026-08-01
4834	OTHER	Penis, Testes And Scrotal Procedures	7	7	—	—	$70,936.48	$74,483.30	$70,936.48	2026-08-01
894	OTHER	Major Cranial Or Facial Bone Procedures	12	12	—	—	$656.00	$74,400.44	$70,857.56	2026-08-01
5912	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$70,691.46	$74,226.03	$70,691.46	2026-08-01
2604	OTHER	Major Pancreas, Liver And Shunt Procedures	7	7	—	—	$70,461.47	$73,984.54	$70,461.47	2026-08-01
53	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$5,693.13	$73,930.08	$70,409.60	2026-08-01
6033	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$70,384.80	$73,904.04	$70,384.80	2026-08-01
3614	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	7	7	—	—	$70,341.96	$73,859.06	$70,341.96	2026-08-01
9504	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$70,039.06	$73,541.01	$70,039.06	2026-08-01
6114	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$69,982.69	$73,481.82	$69,982.69	2026-08-01
6334	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	7	7	—	—	$69,138.64	$72,595.57	$69,138.64	2026-08-01
6124	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$68,780.88	$72,219.92	$68,780.88	2026-08-01
2644	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	7	7	—	—	$68,698.95	$72,133.90	$68,698.95	2026-08-01
6313	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$68,078.88	$71,482.82	$68,078.88	2026-08-01
625086706	OTHER	Impella 2.5 Pumpset	4	4	$97,214.00	$34,024.90 65% off	$65,619.45	$77,771.20	$68,049.80	2026-08-01
81	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$4,610.99	$71,152.16	$67,763.96	2026-08-01
71	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$6,036.56	$71,152.16	$67,763.96	2026-08-01
6804	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$67,658.73	$71,041.67	$67,658.73	2026-08-01
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	5	5	—	—	$46,405.75	$74,454.60	$67,006.86	2026-08-01
3033	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$66,831.96	$70,173.56	$66,831.96	2026-08-01
6073	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$66,605.73	$69,936.02	$66,605.73	2026-08-01
3214	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	7	7	—	—	$66,593.71	$69,923.40	$66,593.71	2026-08-01
33270	OTHER	Ins/rep Subq Defibrillator	13	9	$98,566.00	$34,498.10 65% off	$2,826.00	$78,852.80	$66,532.05	2026-08-01
5104	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	7	7	—	—	$66,469.69	$69,793.17	$66,469.69	2026-08-01
734	OTHER	Orbit And Eye Procedures	12	12	—	—	$13,269.70	$69,650.33	$66,333.65	2026-08-01
1204	OTHER	Major Respiratory And Chest Procedures	7	7	—	—	$66,194.60	$69,504.33	$66,194.60	2026-08-01
1654	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$65,909.75	$69,205.24	$65,909.75	2026-08-01
4403	OTHER	Kidney Transplant	7	7	—	—	$65,606.10	$68,886.41	$65,606.10	2026-08-01
61	OTHER	Pancreas Transplant	12	12	—	—	$17,067.19	$68,728.57	$65,455.78	2026-08-01
2324	OTHER	Gastric Fundoplication	7	7	—	—	$65,361.07	$68,629.12	$65,361.07	2026-08-01
2304	OTHER	Major Small Bowel Procedures	7	7	—	—	$65,361.07	$68,629.12	$65,361.07	2026-08-01
2314	OTHER	Major Large Bowel Procedures	7	7	—	—	$65,361.07	$68,629.12	$65,361.07	2026-08-01
52	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$9,205.51	$68,487.87	$65,226.54	2026-08-01
3024	OTHER	No Active Code Description	7	7	—	—	$64,737.99	$67,974.89	$64,737.99	2026-08-01
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	5	5	—	—	$47,290.25	$75,873.72	$64,493.05	2026-08-01
5114	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	7	7	—	—	$64,419.31	$67,640.28	$64,419.31	2026-08-01
8412	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$64,371.96	$67,590.56	$64,371.96	2026-08-01
6022	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$64,342.65	$67,559.78	$64,342.65	2026-08-01
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	5	5	—	—	$44,550.13	$71,477.40	$64,327.47	2026-08-01
6904	OTHER	Acute Leukemia	7	7	—	—	$64,043.51	$67,245.69	$64,043.51	2026-08-01
264	OTHER	Other Nervous System And Related Procedures	12	12	—	—	$19,627.97	$67,209.39	$64,008.94	2026-08-01
6364	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	7	7	—	—	$63,389.61	$66,559.09	$63,389.61	2026-08-01
1664	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	7	—	—	$63,254.33	$66,417.05	$63,254.33	2026-08-01
3154	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	7	7	—	—	$63,200.21	$66,360.22	$63,200.21	2026-08-01
244	OTHER	Open Extracranial Vascular Procedures	12	12	—	—	$13,050.95	$66,306.56	$63,149.10	2026-08-01
7104	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	7	7	—	—	$62,310.31	$65,425.83	$62,310.31	2026-08-01
4234	OTHER	Inborn Errors Of Metabolism	7	7	—	—	$61,313.68	$64,379.36	$61,313.68	2026-08-01
2294	OTHER	Other Digestive System And Abdominal Procedures	7	7	—	—	$61,216.72	$64,277.56	$61,216.72	2026-08-01
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	1	1	—	—	$61,092.38	$61,092.38	$61,092.38	2026-08-01
4424	OTHER	Kidney And Urinary Tract Procedures For Malignancy	7	7	—	—	$60,979.97	$64,028.97	$60,979.97	2026-08-01
6144	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	7	7	—	—	$60,148.69	$63,156.12	$60,148.69	2026-08-01
226	OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	5	5	—	—	$41,463.53	$66,525.18	$59,339.96	2026-08-01
914	OTHER	Other Major Head And Neck Procedures	12	12	—	—	$5,064.22	$62,270.66	$59,305.39	2026-08-01
6514	OTHER	Other Procedures Of Blood And Blood-forming Organs	7	7	—	—	$59,264.05	$62,227.25	$59,264.05	2026-08-01
1714	OTHER	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	7	7	—	—	$58,892.01	$61,836.61	$58,892.01	2026-08-01
494	OTHER	Bacterial And Tuberculous Infections Of Nervous System	12	12	—	—	$10,712.82	$61,494.10	$58,565.81	2026-08-01
8444	OTHER	Partial Thickness Burns Without Skin Graft	7	7	—	—	$58,386.93	$61,306.28	$58,386.93	2026-08-01
1214	OTHER	Other Respiratory And Chest Procedures	7	7	—	—	$58,342.59	$61,259.72	$58,342.59	2026-08-01
8434	OTHER	Extensive Third Degree Burns Without Skin Graft	7	7	—	—	$58,293.73	$61,208.42	$58,293.73	2026-08-01
8411	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$57,934.47	$60,831.19	$57,934.47	2026-08-01
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature/malignancy/infection Or Exte…	5	5	—	—	$41,517.82	$66,612.28	$57,792.51	2026-08-01
2204	OTHER	Major Stomach, Esophageal And Duodenal Procedures	7	7	—	—	$57,555.66	$60,433.44	$57,555.66	2026-08-01
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	5	5	—	—	$39,813.48	$63,877.79	$57,488.05	2026-08-01
9103	OTHER	Craniotomy For Multiple Significant Trauma	7	7	—	—	$57,483.50	$60,357.68	$57,483.50	2026-08-01
51	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	7	—	—	$56,554.52	$59,382.25	$56,554.52	2026-08-01
228	OTHER	Other Cardiothoracic Procedures With Mcc	5	5	—	—	$40,238.04	$64,558.97	$55,778.34	2026-08-01
4014	OTHER	Adrenal Procedures	7	7	—	—	$55,763.83	$58,552.02	$55,763.83	2026-08-01
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	5	—	—	$38,325.69	$61,490.74	$55,339.78	2026-08-01
3134	OTHER	Knee And Lower Leg Procedures Except Foot	7	7	—	—	$55,282.80	$58,046.94	$55,282.80	2026-08-01
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	1	1	—	—	$54,967.35	$54,967.35	$54,967.35	2026-08-01
9514	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$54,837.10	$57,578.96	$54,837.10	2026-08-01
6214	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	7	—	—	$54,506.39	$57,231.71	$54,506.39	2026-08-01
6032	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$54,087.00	$56,791.35	$54,087.00	2026-08-01
1304	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	7	—	—	$54,048.67	$56,751.10	$54,048.67	2026-08-01
7234	OTHER	Viral Illness	7	7	—	—	$53,964.49	$56,662.71	$53,964.49	2026-08-01
3032	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$53,962.23	$56,660.34	$53,962.23	2026-08-01
7114	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	7	7	—	—	$53,959.98	$56,657.98	$53,959.98	2026-08-01
1623	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$53,875.80	$56,569.59	$53,875.80	2026-08-01
870	OTHER	Septicemia Or Severe Sepsis With Mechanical Ventilation >96 Hours	5	5	—	—	$37,146.56	$59,598.92	$53,637.20	2026-08-01
459	OTHER	Spinal Fusion Except Cervical With Mcc	5	5	—	—	$36,832.41	$60,797.80	$53,183.58	2026-08-01
955	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$36,784.22	$59,017.57	$53,114.00	2026-08-01
2224	OTHER	Other Stomach, Esophageal And Duodenal Procedures	7	7	—	—	$53,101.64	$55,756.72	$53,101.64	2026-08-01
4414	OTHER	Major Bladder Procedures	7	7	—	—	$53,089.62	$55,744.10	$53,089.62	2026-08-01
6083	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$52,927.27	$55,573.63	$52,927.27	2026-08-01
5464	OTHER	No Active Code Description	7	7	—	—	$52,484.35	$55,108.57	$52,484.35	2026-08-01
4402	OTHER	Kidney Transplant	7	7	—	—	$52,247.82	$54,860.21	$52,247.82	2026-08-01
2244	OTHER	Peritoneal Adhesiolysis	7	7	—	—	$52,106.52	$54,711.85	$52,106.52	2026-08-01
1603	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$52,006.56	$54,606.89	$52,006.56	2026-08-01
92	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$5,714.48	$54,538.23	$51,941.17	2026-08-01
3014	OTHER	No Active Code Description	7	7	—	—	$51,823.92	$54,415.12	$51,823.92	2026-08-01
1653	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$51,397.76	$53,967.65	$51,397.76	2026-08-01
6224	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$51,167.01	$53,725.36	$51,167.01	2026-08-01
3814	OTHER	Major Skin Disorders	7	7	—	—	$51,088.10	$53,642.50	$51,088.10	2026-08-01
3124	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	7	7	—	—	$50,923.49	$53,469.66	$50,923.49	2026-08-01
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	5	5	—	—	$35,249.46	$56,555.16	$50,897.91	2026-08-01
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	5	5	—	—	$37,250.26	$59,765.29	$50,800.81	2026-08-01
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	5	5	—	—	$34,792.57	$55,822.11	$50,238.19	2026-08-01
6254	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	7	7	—	—	$50,035.85	$52,537.64	$50,035.85	2026-08-01
3043	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	7	—	—	$49,934.38	$52,431.10	$49,934.38	2026-08-01
225	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization Without Acute Myocard…	5	5	—	—	$34,533.32	$55,406.16	$49,863.85	2026-08-01
8	OTHER	Simultaneous Pancreas/kidney Transplant	1	1	—	—	$49,831.66	$49,831.66	$49,831.66	2026-08-01
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	1	1	—	—	$49,449.23	$49,449.23	$49,449.23	2026-08-01
1612	OTHER	Implantable Heart Assist Systems	7	7	—	—	$49,406.00	$51,876.30	$49,406.00	2026-08-01
2284	OTHER	Inguinal, Femoral And Umbilical Hernia Procedures	7	7	—	—	$49,369.93	$51,838.43	$49,369.93	2026-08-01
984	OTHER	Other Ear, Nose, Mouth And Throat Procedures	7	7	—	—	$49,140.69	$51,597.72	$49,140.69	2026-08-01
1774	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	7	7	—	—	$49,114.38	$51,570.10	$49,114.38	2026-08-01
2614	OTHER	Major Biliary Tract Procedures	7	7	—	—	$49,070.79	$51,524.33	$49,070.79	2026-08-01
28	OTHER	Spinal Procedures With Mcc	5	5	—	—	$33,907.46	$54,402.02	$48,960.15	2026-08-01
213	OTHER	Open Craniotomy Except Trauma	7	7	—	—	$48,761.88	$51,199.97	$48,761.88	2026-08-01
9123	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	7	—	—	$48,736.32	$51,173.14	$48,736.32	2026-08-01
653	OTHER	Major Bladder Procedures With Mcc	5	5	—	—	$33,733.00	$54,122.11	$48,708.24	2026-08-01
1622	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$48,488.29	$50,912.70	$48,488.29	2026-08-01
3094	OTHER	Other Significant Hip And Femur Surgery	7	7	—	—	$48,437.18	$50,859.04	$48,437.18	2026-08-01
834	OTHER	Acute Leukemia Without Major O.r. Procedure With Mcc	5	5	—	—	$33,512.79	$53,768.80	$48,390.27	2026-08-01
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	5	5	—	—	$33,455.45	$53,676.80	$48,307.48	2026-08-01
5893	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$48,225.23	$50,636.49	$48,225.23	2026-08-01
9524	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$48,193.66	$50,603.34	$48,193.66	2026-08-01
233	OTHER	Spinal Procedures	12	12	—	—	$44,795.96	$71,871.81	$48,148.93	2026-08-01
7924	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	7	7	—	—	$48,082.43	$50,486.55	$48,082.43	2026-08-01
7944	OTHER	Non-extensive O.r. Procedures For Other Complications Of Treatment	7	7	—	—	$48,082.43	$50,486.55	$48,082.43	2026-08-01
7934	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	7	7	—	—	$48,082.43	$50,486.55	$48,082.43	2026-08-01
8104	OTHER	Hemorrhage Or Hematoma Due To Complication	7	7	—	—	$48,082.43	$50,486.55	$48,082.43	2026-08-01
1633	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$48,005.01	$50,405.26	$48,005.01	2026-08-01
969	OTHER	HIV With Extensive O.r. Procedure With Mcc	5	5	—	—	$33,208.40	$53,280.43	$47,950.75	2026-08-01
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	5	—	—	$34,672.40	$55,629.31	$47,926.62	2026-08-01
9304	OTHER	Multiple Significant Trauma Without O.r. Procedure	7	7	—	—	$47,903.54	$50,298.72	$47,903.54	2026-08-01
6954	OTHER	Chemotherapy For Acute Leukemia	7	7	—	—	$47,860.70	$50,253.74	$47,860.70	2026-08-01
1632	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$47,860.70	$50,253.74	$47,860.70	2026-08-01
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedure With Mcc	5	5	—	—	$33,047.36	$53,022.05	$47,718.22	2026-08-01
4401	OTHER	Kidney Transplant	7	7	—	—	$47,714.89	$50,100.63	$47,714.89	2026-08-01
1704	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	7	7	—	—	$47,306.02	$49,671.32	$47,306.02	2026-08-01
2004	OTHER	Cardiac Structural And Valvular Disorders	7	7	—	—	$46,981.33	$49,330.40	$46,981.33	2026-08-01
6234	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	7	7	—	—	$46,978.32	$49,327.24	$46,978.32	2026-08-01
6914	OTHER	Lymphoma, Myeloma And Non-acute Leukemia	7	7	—	—	$46,927.96	$49,274.36	$46,927.96	2026-08-01
1744	OTHER	Percutaneous Cardiac Intervention With Ami	7	7	—	—	$46,737.05	$49,073.90	$46,737.05	2026-08-01
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	5	5	—	—	$32,253.14	$51,747.78	$46,571.42	2026-08-01
227	OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	5	5	—	—	$32,969.89	$52,897.76	$46,398.69	2026-08-01
6123	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$46,377.79	$48,696.68	$46,377.79	2026-08-01
245	OTHER	Aicd Generator Procedures	5	5	—	—	$33,259.64	$53,362.64	$46,208.81	2026-08-01
6113	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$46,029.04	$48,330.49	$46,029.04	2026-08-01
4013	OTHER	Adrenal Procedures	7	7	—	—	$45,617.91	$47,898.81	$45,617.91	2026-08-01
1303	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	7	—	—	$45,571.31	$47,849.88	$45,571.31	2026-08-01
7404	OTHER	Mental Illness Diagnosis With O.r. Procedure	7	7	—	—	$45,508.93	$47,784.38	$45,508.93	2026-08-01
4044	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	7	7	—	—	$45,481.12	$47,755.18	$45,481.12	2026-08-01
1693	OTHER	Major Abdominal Vascular Procedures	7	7	—	—	$45,460.83	$47,733.87	$45,460.83	2026-08-01
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	5	5	—	—	$31,355.83	$50,308.12	$45,275.76	2026-08-01
6133	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	7	7	—	—	$45,250.38	$47,512.90	$45,250.38	2026-08-01
6072	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$45,218.06	$47,478.96	$45,218.06	2026-08-01
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedure With Mcc	5	5	—	—	$31,280.19	$50,186.76	$45,166.54	2026-08-01
1764	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	7	7	—	—	$44,992.58	$47,242.21	$44,992.58	2026-08-01
3054	OTHER	Amputation Of Lower Limb Except Toes	7	7	—	—	$44,640.83	$46,872.87	$44,640.83	2026-08-01
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature/malignancy/infection Or Exte…	5	5	—	—	$32,730.77	$52,514.11	$44,637.26	2026-08-01
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	5	5	—	—	$31,810.89	$51,038.23	$44,498.09	2026-08-01
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	5	5	—	—	$30,762.30	$49,355.84	$44,418.74	2026-08-01
2234	OTHER	Other Small And Large Bowel Procedures	7	7	—	—	$44,279.31	$46,493.28	$44,279.31	2026-08-01
4804	OTHER	Major Male Pelvic Procedures	7	7	—	—	$44,208.65	$46,419.08	$44,208.65	2026-08-01
1814	OTHER	Lower Extremity Arterial Procedures	7	7	—	—	$44,031.28	$46,232.84	$44,031.28	2026-08-01
1302	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	7	—	—	$43,787.76	$45,977.15	$43,787.76	2026-08-01
1621	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$43,768.97	$45,957.42	$43,768.97	2026-08-01
C1882	HCPCS	Crtd Cobalt Hf MRI Is1 Df1	207	9	$112,062.00	$39,221.70 65% off	$1,281.55	$147,647.20	$43,568.10	2026-08-01
5124	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	7	7	—	—	$43,553.25	$45,730.91	$43,553.25	2026-08-01
270	OTHER	Other Major Cardiovascular Procedures With Mcc	5	5	—	—	$30,140.71	$48,358.55	$43,521.21	2026-08-01
1631	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$43,509.66	$45,685.14	$43,509.66	2026-08-01
33249	OTHER	Insert Two Leads Pm Or Aicd	20	16	$67,465.00	$23,612.75 65% off	$1,073.68	$58,289.60	$43,346.99	2026-08-01
329	OTHER	Major Small And Large Bowel Procedures With Mcc	5	5	—	—	$29,971.13	$48,086.47	$43,276.35	2026-08-01
163	OTHER	Major Chest Procedures With Mcc	5	5	—	—	$30,147.42	$48,369.31	$43,244.34	2026-08-01
6	OTHER	Liver Transplant Without Mcc	1	1	—	—	$43,228.37	$43,228.37	$43,228.37	2026-08-01
6504	OTHER	Splenectomy	7	7	—	—	$42,991.81	$45,141.40	$42,991.81	2026-08-01
3084	OTHER	Hip And Femur Fracture Repair	7	7	—	—	$42,960.24	$45,108.25	$42,960.24	2026-08-01
799	OTHER	Splenectomy With Mcc	5	5	—	—	$29,749.09	$47,730.22	$42,955.74	2026-08-01
203	OTHER	Open Craniotomy For Trauma	12	12	—	—	$4,303.55	$45,081.41	$42,934.68	2026-08-01
2274	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	7	7	—	—	$42,924.91	$45,071.16	$42,924.91	2026-08-01
6903	OTHER	Acute Leukemia	7	7	—	—	$42,921.16	$45,067.22	$42,921.16	2026-08-01
455	OTHER	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	5	5	—	—	$30,977.02	$49,700.34	$42,708.41	2026-08-01
3213	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	7	7	—	—	$42,006.45	$44,106.77	$42,006.45	2026-08-01
J3101	HCPCS	Tenecteplase Kit 50 Mg-ndc 50242012001	14	9	$60,873.35	$21,305.68 65% off	$173.17	$52,415.99	$41,850.43	2026-08-01
3624	OTHER	Mastectomy Procedures	7	7	—	—	$41,708.06	$43,793.46	$41,708.06	2026-08-01
38240	OTHER	Transplt Allo Hct/donor	5	5	—	—	$2,826.00	$48,709.47	$41,403.05	2026-08-01
8604	OTHER	Rehabilitation	7	7	—	—	$41,370.59	$43,439.12	$41,370.59	2026-08-01
1203	OTHER	Major Respiratory And Chest Procedures	7	7	—	—	$41,363.83	$43,432.02	$41,363.83	2026-08-01
33289	OTHER	Tcat Impl Wrls P-art Prs Snr	4	4	—	—	$18,484.66	$46,945.17	$41,077.02	2026-08-01
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	5	5	—	—	$28,338.16	$45,466.49	$40,918.44	2026-08-01
3174	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	7	7	—	—	$40,733.23	$42,769.89	$40,733.23	2026-08-01
8904	OTHER	HIV With Multiple Major HIV Related Conditions	7	7	—	—	$40,700.91	$42,735.96	$40,700.91	2026-08-01
1611	OTHER	Implantable Heart Assist Systems	7	7	—	—	$40,652.81	$42,685.45	$40,652.81	2026-08-01
6614	OTHER	Coagulation And Platelet Disorders	7	7	—	—	$40,593.43	$42,623.10	$40,593.43	2026-08-01
913	OTHER	Other Major Head And Neck Procedures	12	12	—	—	$8,416.17	$42,485.00	$40,461.90	2026-08-01
5184	OTHER	Other Female Reproductive System And Related Procedures	7	7	—	—	$40,390.50	$42,410.02	$40,390.50	2026-08-01
9102	OTHER	Craniotomy For Multiple Significant Trauma	7	7	—	—	$40,360.44	$42,378.46	$40,360.44	2026-08-01
92933	OTHER	Perc Baremetstent Atherect Inj	8	8	$53,776.00	$18,821.60 65% off	$16,501.00	$56,391.77	$40,332.00	2026-08-01
1824	OTHER	Other Peripheral Vascular Procedures	7	7	—	—	$40,174.79	$42,183.53	$40,174.79	2026-08-01
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	5	5	—	—	$27,741.58	$46,765.15	$40,057.02	2026-08-01
6813	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$39,953.82	$41,951.51	$39,953.82	2026-08-01
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	5	5	—	—	$27,650.69	$44,363.49	$39,925.78	2026-08-01
5424	OTHER	Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c	7	7	—	—	$39,766.37	$41,754.69	$39,766.37	2026-08-01
6143	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	7	7	—	—	$39,708.04	$41,693.44	$39,708.04	2026-08-01
893	OTHER	Major Cranial Or Facial Bone Procedures	7	7	—	—	$39,628.37	$41,609.79	$39,628.37	2026-08-01
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	1	1	—	—	$39,461.78	$39,461.78	$39,461.78	2026-08-01
6924	OTHER	Radiotherapy	7	7	—	—	$39,424.69	$41,395.92	$39,424.69	2026-08-01
1934	OTHER	Acute And Subacute Endocarditis	7	7	—	—	$39,344.27	$41,311.48	$39,344.27	2026-08-01
1652	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$39,263.09	$41,226.24	$39,263.09	2026-08-01
856	OTHER	Postoperative Or Posttraumatic Infections With O.r. Procedure With Mcc	5	5	—	—	$27,152.93	$43,564.87	$39,207.05	2026-08-01
6082	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$38,712.17	$40,647.78	$38,712.17	2026-08-01
4444	OTHER	Renal Dialysis Access Device Procedures And Vessel Repair	7	7	—	—	$38,552.83	$40,480.47	$38,552.83	2026-08-01
434	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	12	12	—	—	$3,832.02	$40,398.39	$38,474.66	2026-08-01
1651	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$38,234.90	$40,146.65	$38,234.90	2026-08-01
91	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$9,394.00	$40,086.67	$38,177.78	2026-08-01
229	OTHER	Other Cardiothoracic Procedures Without Mcc	5	5	—	—	$27,963.62	$44,865.57	$38,135.96	2026-08-01

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