Hospital

Utmb Galveston Transplant

Galveston, TX · CCN 459813 · Rates published

16,131 distinct procedures filed

22 distinct payers

576,650 rate rows

2026-05-24 last MRF observed

Data quality

564,230 of 576,650 rate rows are consumer-grade (97.8%)

12,420 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
template filing: same amount across many unrelated codes — excluded	7,235
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4,293
per-diem day rate — not a per-procedure price	537
placeholder amount (≤ $0.02) — excluded from medians	164
percent-of-charges filed in the dollar field — excluded from medians	111
exceeds 10× this hospital's gross charge — excluded from medians	80

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

Source MRF file	https://liveutmb.sharepoint.com/:x:/s/collaboration/webfiles/EXxx-KfEbOZNqDZ52D-EicQBE8nnpDp5CQyKD0F86zxp4A?download=1
Found on page	https://www.utmbhealth.com/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	a983acb66e25ca85… · 216,444,275 bytes · first seen 2026-05-14

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
RX-10005275 OTHER	Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Kit	20	$1,050,133.99	$4,660,166.21	$2,588,981.23	nat. median $2,588,981 1.0× median
CASE-36000 OTHER	Hb IV Intracatheter	15	$14.96	$4,660,166.21	$2,588,981.23	nat. median $2,588,981 1.0× median
RX-167493 OTHER	Antihemoph.fviii,b-dom Truncat 2,000 (+/-) Unit IV Solr	9	$2,920.00	$4,092,702.77	$2,304,949.57	nat. median $2,304,950 1.0× median
RX-173263 OTHER	Von Willebrand Factor (recomb) 1,300 (+/-) Unit Range IV Solr	9	$2,249.00	$3,906,484.66	$2,200,074.29	nat. median $2,200,074 1.0× median
RX-167491 OTHER	Antihemoph.fviii,b-dom Truncat 1,500 (+/-) Unit IV Solr	10	$2,190.00	$3,557,792.70	$1,383,948.26	nat. median $1,383,948 1.0× median
RX-10006169 OTHER	Anti-inhibitor Coagulant Cmplx 700-1,300 Unit IV Solr	10	$2,270.40	$3,165,857.16	$1,231,488.98	nat. median $1,231,489 1.0× median
RX-164776 OTHER	Hum Prothrombin Cplx, 4-factor 1,000 Unit (800-1240 Unit) IV Solr	9	$3,366.90	$3,765,812.88	$1,145,259.01	nat. median $1,145,259 1.0× median
RX-701239 OTHER	Hum Prothrombin Cplx(pcc)4fact 1,000 Unit (800-1240 Unit) IV Solr- High Dose	9	$3,366.90	$3,765,812.88	$1,145,259.01	nat. median $1,145,259 1.0× median
RX-167490 OTHER	Antihemoph.fviii,b-dom Truncat 1,000 (+/-) Unit IV Solr	12	$1,460.00	$2,849,590.15	$560,752.41	nat. median $560,752 1.0× median
RX-700979 OTHER	Advanced Probiotic Formula Powder Packet	12	$167,130.51	$849,311.50	$404,671.95	nat. median $404,672 1.0× median
RX-10006168 OTHER	Anti-inhibitor Coagulant Cmplx 350-650 Unit IV Solr	12	$1,135.20	$1,704,953.80	$335,506.83	nat. median $335,507 1.0× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	21	$186,959.16	$476,210.13	$331,584.65	nat. median $263,894 1.3× median
RX-163983 OTHER	Hum Prothrombin Cplx, 4-factor 500 Unit (400-620 Unit) IV Solr	11	$1,683.45	$1,448,346.03	$285,039.61	nat. median $285,040 1.0× median
RX-701238 OTHER	Hum Prothrombin Cplx(pcc)4fact 500 Unit (400-620 Unit) IV Solr- Low Dose	11	$1,683.45	$1,448,346.03	$285,039.61	nat. median $285,011 1.0× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	21	$99,571.58	$360,679.82	$230,125.70	nat. median $218,232 1.1× median
RX-167489 OTHER	Antihemoph.fviii,b-dom Truncat 500 (+/-) Unit IV Solr	12	$730.00	$1,040,456.53	$204,744.71	nat. median $204,745 1.0× median
RX-1001972 OTHER	Human Prothrombin Complex-lans 500 Unit IV Solr	11	$1,039.50	$1,008,318.45	$198,440.63	nat. median $198,441 1.0× median
RX-701822 OTHER	Human Prothrombin Complex-lans IV Solr - (weight Based Dosing)	11	$1,039.50	$1,008,318.45	$198,440.63	nat. median $198,441 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	$147,631.42	$320,752.37	$167,315.61	nat. median $146,562 1.1× median
RX-69676 OTHER	Anti-inhibitor Coagulant Cmplx 1,750-3,250 Unit IV Solr	12	$5,676.00	$680,065.56	$133,825.70	nat. median $133,826 1.0× median
PX-10016117 OTHER	Hb Hm 3 106524 Lvad Implant Kit	12	$58,499.61	$297,279.00	$132,901.20	nat. median $132,901 1.0× median
215 OTHER	Other Heart Assist System Implant	20	$70,571.42	$184,437.58	$127,504.50	nat. median $92,359 1.4× median
PX-10003389 OTHER	Hb Liver Acquisition Fee	12	$46,931.66	$238,493.85	$123,455.64	nat. median $123,456 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	20	$69,393.21	$174,389.75	$121,891.48	nat. median $90,130 1.4× median
PX-10003392 OTHER	Hb Double Lung Acquisition	12	$45,985.61	$233,686.25	$120,967.00	nat. median $120,967 1.0× median
209 OTHER	Complex Aortic Arch Procedures	20	$45,208.48	$192,340.37	$118,774.43	nat. median $23,389 outlier · 5.1×
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	20	$50,665.41	$184,783.58	$117,724.49	nat. median $90,581 1.3× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	20	$39,814.66	$187,283.25	$113,548.96	nat. median $80,273 1.4× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	16	$96,911.23	$245,811.16	$113,063.10	nat. median $150,232 0.8× median
PX-10003391 OTHER	Hb Single Lung Acquisition	12	$42,200.88	$214,453.30	$111,011.12	nat. median $111,011 1.0× median
PX-10016422 OTHER	Hb Hm3 Lvad Implant Kit And Lvad Controller	13	$58,499.28	$297,277.30	$108,418.78	nat. median $108,419 1.0× median
PX-10004181 OTHER	Hb Heart Mate Ii Vad System Bt	13	$55,195.10	$280,486.40	$102,295.04	nat. median $102,295 1.0× median
PX-10004231 OTHER	Hb Heartmate Ii Implant And Patient Support Kit L8699	13	$55,195.10	$280,486.40	$102,295.04	nat. median $102,295 1.0× median
PX-10004232 OTHER	Hb Heartmate Ii Implant Kit	13	$55,195.10	$280,486.40	$102,295.04	nat. median $102,295 1.0× median
PX-10004179 OTHER	Hb Heart Mate Ii Vad System Dt	13	$55,195.10	$280,486.40	$102,295.04	nat. median $102,295 1.0× median
PX-10003390 OTHER	Hb Heart Acquisition Fee	12	$38,021.23	$193,213.50	$100,016.40	nat. median $100,016 1.0× median
850 OTHER	Acute Leukemia With Other Procedures	20	$50,060.21	$147,150.88	$98,605.54	nat. median $407 outlier · 242.2×
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	20	$30,296.01	$166,538.37	$98,417.19	nat. median $82,426 1.2× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	20	$39,814.66	$153,100.13	$96,457.40	nat. median $62,997 1.5× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	$39,814.66	$151,249.13	$95,531.90	nat. median $76,493 1.2× median
PX-10016427 OTHER	Hb Hw Hvad Implant Set Extnd (5500us)	13	$49,293.29	$250,495.00	$91,357.00	nat. median $91,357 1.0× median
PX-10016426 OTHER	Hb Hw Hvad Implant Set (5400us)	13	$49,293.29	$250,495.00	$91,357.00	nat. median $91,357 1.0× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	20	$20,911.49	$149,225.24	$85,068.37	nat. median $68,309 1.2× median
955 OTHER	Craniotomy For Multiple Significant Trauma	20	$38,469.02	$135,642.83	$83,914.56	nat. median $62,467 1.3× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	19	$81,069.24	$157,677.69	$83,738.85	nat. median $104,489 0.8× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	20	$41,288.77	$123,889.24	$82,561.90	nat. median $67,670 1.2× median
PX-10015104 OTHER	Hb Hvad Pump Implant Kit (Hw 1103) L8699	13	$43,702.42	$222,083.75	$80,995.25	nat. median $80,995 1.0× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	20	$50,665.41	$145,504.70	$80,708.29	nat. median $72,612 1.1× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	20	$44,676.67	$118,159.13	$77,479.35	nat. median $58,866 1.3× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	20	$41,288.77	$113,649.87	$77,469.32	nat. median $60,727 1.3× median

Other procedures at this hospital

Browse this hospital's 16,131 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

RX-10005275	OTHER	Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Kit	29	20	—	—	$1,050,133.99	$4,660,166.21	$2,588,981.23	2026-05-24
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	34	21	$1,289,412.68	$638,259.28 50% off	$186,959.16	$476,210.13	$331,584.65	2026-05-24
RX-700979	OTHER	Advanced Probiotic Formula Powder Packet	20	12	$999,190.00	$494,599.05 50% off	$167,130.51	$849,311.50	$404,671.95	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	15	$332,471.33	$164,573.31 50% off	$147,631.42	$320,752.37	$167,315.61	2026-05-24
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	34	21	$862,132.59	$569,007.51 34% off	$99,571.58	$360,679.82	$230,125.70	2026-05-24
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	25	16	$779,922.12	$244,517.64 69% off	$96,911.23	$245,811.16	$113,063.10	2026-05-24
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	31	19	—	—	$81,069.24	$157,677.69	$83,738.85	2026-05-24
215	OTHER	Other Heart Assist System Implant	32	20	$430,135.29	$183,467.02 57% off	$70,571.42	$184,437.58	$127,504.50	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	20	$366,208.22	$173,472.06 53% off	$69,393.21	$174,389.75	$121,891.48	2026-05-24
PX-10016117	OTHER	Hb Hm 3 106524 Lvad Implant Kit	21	12	$349,740.00	$173,121.30 50% off	$58,499.61	$297,279.00	$132,901.20	2026-05-24
PX-10016422	OTHER	Hb Hm3 Lvad Implant Kit And Lvad Controller	22	13	$349,738.00	$173,120.31 50% off	$58,499.28	$297,277.30	$108,418.78	2026-05-24
PX-10004179	OTHER	Hb Heart Mate Ii Vad System Dt	22	13	$329,984.00	$163,342.08 50% off	$55,195.10	$280,486.40	$102,295.04	2026-05-24
PX-10004232	OTHER	Hb Heartmate Ii Implant Kit	22	13	$329,984.00	$163,342.08 50% off	$55,195.10	$280,486.40	$102,295.04	2026-05-24
PX-10004181	OTHER	Hb Heart Mate Ii Vad System Bt	22	13	$329,984.00	$163,342.08 50% off	$55,195.10	$280,486.40	$102,295.04	2026-05-24
PX-10004231	OTHER	Hb Heartmate Ii Implant And Patient Support Kit L8699	22	13	$329,984.00	$163,342.08 50% off	$55,195.10	$280,486.40	$102,295.04	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	35	20	$128,709.26	$63,711.08 51% off	$51,739.80	$111,328.47	$60,564.24	2026-05-24
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	32	20	$470,038.39	$470,038.39	$50,665.41	$184,783.58	$117,724.49	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	31	20	$372,043.89	$144,739.01 61% off	$50,665.41	$145,504.70	$80,708.29	2026-05-24
850	OTHER	Acute Leukemia With Other Procedures	30	20	$145,175.02	$145,175.02	$50,060.21	$147,150.88	$98,605.54	2026-05-24
PX-10016427	OTHER	Hb Hw Hvad Implant Set Extnd (5500us)	22	13	$294,700.00	$145,876.50 50% off	$49,293.29	$250,495.00	$91,357.00	2026-05-24
PX-10016426	OTHER	Hb Hw Hvad Implant Set (5400us)	22	13	$294,700.00	$145,876.50 50% off	$49,293.29	$250,495.00	$91,357.00	2026-05-24
PX-10003389	OTHER	Hb Liver Acquisition Fee	18	12	$280,581.00	$138,887.60 50% off	$46,931.66	$238,493.85	$123,455.64	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	31	20	$303,917.19	$116,917.67 62% off	$46,748.32	$117,536.18	$63,142.09	2026-05-24
PX-10003392	OTHER	Hb Double Lung Acquisition	18	12	$274,925.00	$136,087.88 50% off	$45,985.61	$233,686.25	$120,967.00	2026-05-24
209	OTHER	Complex Aortic Arch Procedures	32	20	$1,286,881.84	$1,286,881.84	$45,208.48	$192,340.37	$118,774.43	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	30	20	$221,004.97	$117,537.34 47% off	$44,676.67	$118,159.13	$77,479.35	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	32	20	$321,087.91	$104,308.67 68% off	$44,231.63	$104,860.48	$74,546.05	2026-05-24
PX-10001086	OTHER	Hb Zevalin Yttrium 90 Tx/per Dose=<40mci	38	22	$261,907.00	$155,371.10 41% off	$43,808.14	$222,620.95	$65,008.17	2026-05-24
PX-10015104	OTHER	Hb Hvad Pump Implant Kit (Hw 1103) L8699	22	13	$261,275.00	$129,331.13 50% off	$43,702.42	$222,083.75	$80,995.25	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	30	20	$215,459.28	$106,662.73 50% off	$42,703.16	$107,226.99	$72,694.14	2026-05-24
PX-10003391	OTHER	Hb Single Lung Acquisition	18	12	$252,298.00	$124,887.51 50% off	$42,200.88	$214,453.30	$111,011.12	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	30	20	$222,813.35	$123,237.30 45% off	$41,288.77	$123,889.24	$82,561.90	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	20	$328,597.85	$113,051.81 66% off	$41,288.77	$113,649.87	$77,469.32	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	30	20	$268,964.03	$105,749.24 61% off	$41,288.77	$111,734.07	$76,511.42	2026-05-24
834	OTHER	Acute Leukemia With Mcc	32	20	$314,919.54	$98,471.60 69% off	$40,358.16	$98,992.53	$69,675.35	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	31	20	$274,108.54	$92,351.41 66% off	$40,174.20	$92,839.96	$52,079.98	2026-05-24
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	30	20	$274,379.27	$274,379.27	$39,814.66	$187,283.25	$113,548.96	2026-05-24
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	30	20	$239,970.35	$239,970.35	$39,814.66	$153,100.13	$96,457.40	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	20	$282,571.03	$150,453.21 47% off	$39,814.66	$151,249.13	$95,531.90	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	20	$247,196.51	$122,609.82 50% off	$39,814.66	$131,227.96	$75,497.73	2026-05-24
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	29	20	$239,147.26	$239,147.26	$39,814.66	$112,006.47	$71,336.45	2026-05-24
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	30	20	$144,788.86	$144,788.86	$39,814.66	$95,534.65	$67,569.33	2026-05-24
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	29	20	$220,385.66	$220,385.66	$39,814.66	$104,074.28	$59,315.38	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	30	20	$245,340.56	$96,781.74 61% off	$39,295.63	$97,293.73	$66,144.14	2026-05-24
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	32	20	$364,518.60	$364,518.60	$39,273.98	$90,565.89	$64,919.93	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	31	19	$486,753.52	$240,942.99 51% off	$38,916.84	$74,824.28	$42,312.14	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	32	20	$248,939.17	$91,039.05 63% off	$38,913.48	$91,520.65	$65,217.07	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	30	20	$217,367.48	$122,725.20 44% off	$38,469.02	$135,642.83	$83,914.56	2026-05-24
PX-10003390	OTHER	Hb Heart Acquisition Fee	18	12	$227,310.00	$112,518.45 50% off	$38,021.23	$193,213.50	$100,016.40	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	20	$299,748.14	$98,999.21 67% off	$37,316.63	$84,700.37	$57,117.10	2026-05-24
PX-10004180	OTHER	Hb Thoratec Pvad L8699	22	13	$212,050.00	$104,964.75 50% off	$35,468.76	$180,242.50	$65,735.50	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	30	20	$199,172.27	$91,893.77 54% off	$35,426.90	$92,379.90	$60,730.21	2026-05-24
277	OTHER	Cardiac Defibrillator Implant Without Mcc	30	20	$234,344.45	$234,344.45	$34,464.46	$78,482.17	$55,947.66	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	30	20	$227,463.20	$87,757.25 61% off	$32,817.11	$88,221.50	$59,944.05	2026-05-24
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	29	20	$215,261.07	$215,261.07	$31,909.87	$81,865.31	$49,556.79	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	30	20	$187,140.65	$76,147.22 59% off	$31,790.84	$76,550.05	$52,424.42	2026-05-24
PX-10017779	OTHER	Ablation Ire Liver 1+ Tumors W/Img Gdn Perq	20	12	$189,537.00	$93,820.82 50% off	$31,703.10	$161,106.45	$76,762.49	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	30	20	$195,141.39	$72,623.25 63% off	$31,558.17	$73,007.44	$51,274.20	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	31	19	$363,610.33	$179,987.11 51% off	$31,434.88	$60,117.98	$34,958.99	2026-05-24
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	30	20	$168,391.55	$168,391.55	$30,419.87	$68,320.36	$48,808.06	2026-05-24
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	32	20	$525,473.40	$165,662.00 68% off	$30,296.01	$166,538.37	$98,417.19	2026-05-24
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	30	20	$202,464.49	$120,893.93 40% off	$30,296.01	$121,533.47	$68,626.21	2026-05-24
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	20	$268,176.94	$102,057.89 62% off	$30,296.01	$102,597.79	$66,446.90	2026-05-24
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	38	22	$209,893.99	$82,724.73 61% off	$30,153.66	$91,432.05	$60,792.86	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	30	20	$171,314.98	$74,010.40 57% off	$30,126.96	$74,401.93	$51,724.02	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	38	22	$317,361.01	$97,755.99 69% off	$29,942.12	$72,357.60	$51,149.86	2026-05-24
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	29	20	$175,227.28	$70,315.49 60% off	$29,685.36	$70,687.47	$44,326.83	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	35	20	$91,862.15	$45,471.76 51% off	$29,565.65	$62,900.90	$36,350.45	2026-05-24
034	OTHER	Carotid Artery Stent Procedures With Mcc	30	20	$225,611.84	$71,216.52 68% off	$29,406.70	$71,593.26	$48,474.19	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	32	20	$214,978.52	$77,039.34 64% off	$28,747.52	$77,909.51	$53,328.51	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	29	20	$190,015.88	$69,309.86 64% off	$28,678.28	$76,605.18	$43,721.59	2026-05-24
652	OTHER	Kidney Transplant	31	19	$320,933.25	$158,861.96 50% off	$27,855.49	$53,082.44	$31,441.22	2026-05-24
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	30	20	$267,115.94	$267,115.94	$27,702.79	$113,623.69	$70,663.24	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	32	20	$317,595.32	$76,686.76 76% off	$27,702.79	$77,092.45	$52,397.62	2026-05-24
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	30	20	$223,799.78	$223,799.78	$27,702.79	$73,535.51	$50,619.15	2026-05-24
265	OTHER	Aicd Lead Procedures	38	22	$199,331.28	$60,224.38 70% off	$27,698.91	$78,079.34	$52,889.12	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	38	22	$289,382.59	$289,382.59	$27,441.89	$121,166.89	$60,789.30	2026-05-24
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	38	22	$297,040.95	$297,040.95	$27,441.89	$102,070.15	$60,181.40	2026-05-24
RX-178698	OTHER	Ocrelizumab-hyaluronidase-ocsq 920 Mg-23,000 Unit/23 Ml Sc Soln	36	11	$162,864.17	$121,740.96 25% off	$27,241.64	$138,434.54	$44,600.13	2026-05-24
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	30	20	$237,036.49	$94,263.65 60% off	$27,079.37	$78,819.81	$45,016.21	2026-05-24
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	30	20	$192,057.08	$192,057.08	$27,068.29	$98,000.33	$62,534.31	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	30	20	$185,150.87	$89,692.85 52% off	$27,068.29	$90,167.34	$58,281.11	2026-05-24
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	30	20	$178,371.78	$58,071.54 67% off	$26,271.15	$58,378.74	$41,605.07	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	30	20	$259,851.88	$94,689.44 64% off	$26,242.20	$99,660.55	$62,951.38	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	30	20	$185,406.07	$91,560.78 51% off	$26,242.20	$92,045.15	$57,638.64	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	38	22	$321,775.66	$137,911.89 57% off	$26,236.22	$138,641.45	$68,059.03	2026-05-24
CASE-33289	OTHER	Hb Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr	38	22	$176,239.44	$86,173.02 51% off	$25,932.65	$59,324.78	$42,628.71	2026-05-24
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	30	20	$105,613.31	$59,821.94 43% off	$25,490.62	$60,138.41	$41,157.46	2026-05-24
PX-10008261	OTHER	Hb Kidney Deceased Donor	18	12	$150,736.00	$74,614.32 50% off	$25,213.01	$128,125.60	$66,323.84	2026-05-24
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	30	20	$168,327.39	$168,327.39	$25,076.03	$54,894.19	$39,899.89	2026-05-24
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	35	20	$82,610.85	$40,892.37 51% off	$25,011.10	$52,953.93	$31,376.97	2026-05-24
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	30	20	$158,276.00	$158,276.00	$24,853.73	$58,432.13	$41,453.07	2026-05-24
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	32	20	$419,139.47	$77,610.94 81% off	$24,717.57	$78,021.51	$47,174.88	2026-05-24
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	38	22	$349,902.19	$56,353.18 84% off	$24,599.87	$254,966.21	$47,400.00	2026-05-24
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	30	20	$165,579.18	$165,579.18	$24,539.00	$53,544.94	$31,542.18	2026-05-24
229	OTHER	Other Cardiothoracic Procedures Without Mcc	30	20	$167,166.16	$58,778.47 65% off	$24,528.85	$59,089.41	$39,801.57	2026-05-24
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	29	20	$172,098.43	$55,086.05 68% off	$24,256.31	$60,884.22	$37,310.40	2026-05-24
252	OTHER	Other Vascular Procedures With Mcc	30	20	$119,396.43	$59,533.47 50% off	$23,247.76	$59,848.41	$41,548.08	2026-05-24
263	OTHER	Vein Ligation And Stripping	30	20	$137,459.62	$49,609.74 64% off	$23,247.76	$51,954.40	$37,144.94	2026-05-24
472	OTHER	Cervical Spinal Fusion With Cc	30	20	$134,698.16	$54,684.68 59% off	$23,153.16	$54,973.97	$37,208.38	2026-05-24
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	30	20	$190,000.37	$52,168.58 73% off	$22,842.72	$52,444.56	$36,223.02	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	29	20	$222,472.83	$93,398.45 58% off	$22,669.61	$93,892.54	$53,175.77	2026-05-24
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	29	20	$121,505.34	$53,192.47 56% off	$22,669.61	$53,473.87	$31,548.44	2026-05-24
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	30	20	$167,772.47	$53,762.29 68% off	$22,639.82	$54,046.70	$36,392.83	2026-05-24
028	OTHER	Spinal Procedures With Mcc	30	20	$246,074.24	$104,659.47 57% off	$22,630.16	$105,213.13	$63,921.64	2026-05-24
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	30	20	$153,271.69	$60,856.52 60% off	$22,630.16	$61,178.46	$41,421.75	2026-05-24
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	30	20	$108,177.74	$41,981.31 61% off	$21,974.97	$47,102.90	$33,900.87	2026-05-24
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	30	20	$154,794.05	$45,640.61 71% off	$21,774.77	$51,264.48	$36,360.61	2026-05-24
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	30	20	$161,624.15	$56,651.80 65% off	$21,753.35	$60,633.80	$34,840.20	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	30	20	$200,704.20	$98,947.05 51% off	$21,693.62	$99,470.49	$60,582.06	2026-05-24
654	OTHER	Major Bladder Procedures With Cc	30	20	$114,095.49	$50,615.83 56% off	$21,693.62	$50,883.59	$34,940.10	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	38	22	$150,322.02	$98,683.50 34% off	$21,659.84	$99,205.55	$47,980.90	2026-05-24
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	30	20	$154,722.76	$154,722.76	$21,629.36	$53,620.66	$35,137.31	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	32	20	$156,111.07	$91,149.45 42% off	$21,592.19	$91,631.64	$56,611.92	2026-05-24
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	30	20	$83,021.79	$55,149.44 34% off	$21,470.48	$61,659.10	$41,564.79	2026-05-24
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	30	20	$202,508.69	$64,186.39 68% off	$21,198.87	$64,525.94	$42,259.60	2026-05-24
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	32	20	$269,546.43	$46,630.67 83% off	$21,155.22	$46,877.35	$34,016.29	2026-05-24
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	30	20	$178,498.76	$65,342.05 63% off	$21,107.58	$65,687.72	$43,092.43	2026-05-24
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	30	20	$113,019.19	$58,856.82 48% off	$21,044.47	$59,168.18	$39,155.96	2026-05-24
PX-10017151	OTHER	Hb Surgery Insert/Replace Heart Pulse Generator	38	22	$125,384.00	$51,967.09 59% off	$20,972.48	$106,576.40	$33,108.49	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	32	20	$460,233.39	$135,014.12 71% off	$20,911.49	$149,225.24	$85,068.37	2026-05-24
799	OTHER	Splenic Procedures With Mcc	30	20	$222,701.31	$92,732.47 58% off	$20,911.49	$93,223.04	$55,707.03	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	30	20	$231,794.29	$75,983.59 67% off	$20,911.49	$83,981.36	$51,506.61	2026-05-24
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	30	20	$150,526.63	$150,526.63	$20,734.55	$94,586.44	$57,660.50	2026-05-24
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	30	20	$154,445.43	$154,445.43	$20,734.55	$61,283.56	$41,009.06	2026-05-24
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	30	20	$182,456.97	$46,233.58 75% off	$20,494.44	$46,478.16	$32,061.15	2026-05-24
164	OTHER	Major Chest Procedures With Cc	29	20	$169,257.63	$45,989.62 73% off	$20,298.29	$46,232.91	$29,423.96	2026-05-24
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	38	22	$276,546.97	$45,464.44 84% off	$20,262.99	$50,249.87	$35,316.86	2026-05-24
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	30	20	$171,205.55	$171,205.55	$20,005.38	$50,577.97	$35,291.68	2026-05-24
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	30	20	$109,015.26	$45,142.02 59% off	$19,738.94	$45,380.83	$30,927.74	2026-05-24
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	30	20	$37,482.51	$2,365.00 94% off	$19,699.96	$65,676.25	$42,688.11	2026-05-24
CASE-61888	OTHER	Revj/Rmvl Neurostimulator Pulse Generator	38	22	$132,330.44	$101,419.20 23% off	$19,631.62	$82,609.86	$32,548.23	2026-05-24
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	30	20	$134,370.66	$134,370.66	$19,556.33	$41,040.92	$29,635.11	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	38	22	$187,312.02	$71,458.69 62% off	$19,509.70	$71,836.71	$42,785.72	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	29	20	$153,243.98	$82,326.18 46% off	$19,497.10	$82,761.69	$45,535.35	2026-05-24
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	30	20	$167,115.09	$44,007.73 74% off	$19,495.46	$44,240.53	$30,365.80	2026-05-24
330	OTHER	Major Small And Large Bowel Procedures With Cc	30	20	$124,365.06	$43,722.82 65% off	$19,440.68	$43,954.12	$30,231.90	2026-05-24
035	OTHER	Carotid Artery Stent Procedures With Cc	30	20	$62,947.30	$40,667.17 35% off	$19,395.36	$40,882.30	$30,138.83	2026-05-24
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	30	20	$176,616.34	$69,487.48 61% off	$19,211.97	$69,855.07	$43,763.56	2026-05-24
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	30	20	$102,141.96	$39,233.72 62% off	$19,032.84	$39,897.62	$28,754.01	2026-05-24
271	OTHER	Other Major Cardiovascular Procedures With Cc	38	22	$237,956.66	$62,035.33 74% off	$18,991.28	$62,363.50	$41,228.11	2026-05-24
253	OTHER	Other Vascular Procedures With Cc	38	22	$130,421.92	$47,615.38 63% off	$18,991.28	$47,867.27	$36,181.64	2026-05-24
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	30	20	$85,931.46	$43,354.22 50% off	$18,859.01	$43,583.56	$29,477.84	2026-05-24
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	30	20	$150,949.07	$62,072.72 59% off	$18,764.55	$62,401.10	$40,582.82	2026-05-24
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	30	20	$172,088.23	$65,631.03 62% off	$18,764.55	$70,244.17	$39,460.19	2026-05-24
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	30	20	$74,599.49	$57,889.91 22% off	$18,764.55	$58,196.15	$38,480.35	2026-05-24
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	30	20	$107,772.30	$42,305.40 61% off	$18,764.55	$43,095.95	$30,681.72	2026-05-24
347	OTHER	Anal And Stomal Procedures With Mcc	30	20	$58,192.97	$45,197.22 22% off	$18,753.52	$45,436.32	$29,821.06	2026-05-24
800	OTHER	Splenic Procedures With Cc	30	20	$132,354.36	$47,339.38 64% off	$18,596.63	$47,740.13	$33,168.38	2026-05-24
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	32	20	$462,641.32	$51,233.72 89% off	$18,529.01	$51,504.76	$35,016.89	2026-05-24
PX-10016208	OTHER	Hb Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr	38	22	$110,770.00	$65,257.26 41% off	$18,528.05	$94,154.50	$30,254.76	2026-05-24
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	29	20	$141,551.89	$52,814.97 63% off	$18,441.10	$53,094.37	$30,603.63	2026-05-24
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	30	20	$131,262.31	$38,505.42 71% off	$18,367.97	$38,709.12	$27,700.87	2026-05-24
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	30	20	$178,366.36	$39,766.15 78% off	$18,359.19	$39,976.51	$28,007.72	2026-05-24
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	30	20	$144,281.81	$39,632.59 73% off	$18,239.48	$39,842.26	$29,040.87	2026-05-24
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	30	20	$170,387.78	$42,177.19 75% off	$18,025.07	$42,400.31	$28,549.76	2026-05-24
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	30	20	$120,320.29	$43,087.11 64% off	$17,988.55	$43,315.05	$29,177.29	2026-05-24
141	OTHER	Major Head And Neck Procedures With Cc	30	20	$103,212.29	$39,755.46 61% off	$17,979.08	$39,965.77	$27,572.81	2026-05-24
031	OTHER	Ventricular Shunt Procedures With Mcc	30	20	$85,599.61	$73,381.82	$17,891.13	$76,137.14	$47,014.14	2026-05-24
RX-10006126	OTHER	Calaspargase Pegol-mknl 750 Unit/ml IV Soln	40	12	$106,717.79	$88,487.07	$17,850.26	$90,710.12	$31,753.29	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	37	22	$161,042.79	$78,576.07 51% off	$17,820.12	$78,991.74	$41,212.60	2026-05-24
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	30	20	$97,743.54	$41,739.14 57% off	$17,639.55	$41,959.94	$27,685.27	2026-05-24
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	32	20	$794,544.88	$98,550.95 88% off	$17,527.10	$66,491.47	$42,009.29	2026-05-24
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	30	20	$130,747.76	$55,518.04 58% off	$17,527.10	$55,811.74	$36,669.42	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	29	20	$179,393.56	$93,336.12 48% off	$17,460.61	$93,829.88	$51,483.44	2026-05-24
500	OTHER	Soft Tissue Procedures With Mcc	30	20	$82,255.46	$57,061.89 31% off	$17,460.61	$57,363.75	$37,412.18	2026-05-24
835	OTHER	Acute Leukemia With Cc	30	20	$126,236.23	$37,342.64 70% off	$17,334.52	$50,060.21	$31,287.00	2026-05-24
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	30	20	$113,969.90	$55,325.73 51% off	$17,331.01	$55,618.41	$36,474.71	2026-05-24
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	30	20	$120,295.08	$40,782.91 66% off	$17,331.01	$40,998.66	$28,176.02	2026-05-24
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	30	20	$177,552.72	$66,378.41 63% off	$16,973.75	$66,729.56	$41,851.65	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	30	20	$191,428.85	$82,803.40 57% off	$16,909.51	$83,634.45	$50,271.98	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	30	20	$137,332.33	$72,952.68 47% off	$16,909.51	$73,338.61	$45,124.06	2026-05-24
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	30	20	$122,676.82	$48,331.22 61% off	$16,909.51	$48,586.89	$32,748.20	2026-05-24
245	OTHER	Aicd Generator Procedures	30	20	$204,247.19	$86,825.96 57% off	$16,627.76	$87,285.28	$51,956.52	2026-05-24
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	30	20	$118,671.30	$50,772.53 57% off	$16,627.76	$53,393.71	$35,010.74	2026-05-24
RX-523	OTHER	Pegaspargase 750 Unit/ml Injection Soln	76	22	$98,555.69	$74,236.78 25% off	$16,485.02	$83,772.34	$29,558.15	2026-05-24
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	30	20	$138,277.15	$63,632.60 54% off	$16,460.96	$63,969.22	$40,215.09	2026-05-24
095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	30	20	$151,362.90	$45,528.43 70% off	$16,460.96	$45,769.28	$31,032.76	2026-05-24
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	30	20	$159,151.20	$40,676.07 74% off	$16,460.96	$43,828.35	$30,144.65	2026-05-24
335	OTHER	Peritoneal Adhesiolysis With Mcc	30	20	$97,922.81	$65,596.69 33% off	$16,424.90	$65,943.70	$41,184.30	2026-05-24
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	30	20	$85,067.13	$51,066.34 40% off	$16,424.90	$51,336.49	$33,880.69	2026-05-24
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	32	20	$325,861.39	$75,949.56 77% off	$16,368.55	$76,351.35	$46,359.95	2026-05-24
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	30	20	$99,411.86	$62,298.87 37% off	$16,184.85	$62,628.44	$39,220.12	2026-05-24
261	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Cc	30	20	$76,383.03	$34,025.23 55% off	$16,013.60	$67,790.18	$28,357.50	2026-05-24
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	30	20	$96,371.78	$56,493.85 41% off	$15,994.38	$63,665.97	$39,830.18	2026-05-24
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	30	20	$40,105.01	$40,105.01	$15,994.38	$43,869.98	$27,986.09	2026-05-24
619	OTHER	O.r. Procedures For Obesity With Mcc	30	20	$102,514.74	$51,491.92 50% off	$15,687.84	$51,764.32	$33,726.08	2026-05-24
PX-10009995	OTHER	Hb Kidney Living Donor Acquisition	18	12	$93,272.00	$46,169.64 50% off	$15,601.23	$79,281.20	$41,039.68	2026-05-24
397	OTHER	Appendix Procedures With Mcc	30	20	$82,726.81	$82,726.81	$15,408.34	$40,754.36	$28,081.35	2026-05-24
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	30	20	$141,036.90	$46,876.40 67% off	$15,358.76	$47,124.38	$31,117.58	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	29	20	$224,306.04	$75,189.21 66% off	$15,320.44	$75,586.97	$42,704.49	2026-05-24
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	32	20	$376,639.92	$91,975.68 76% off	$15,292.26	$92,681.52	$53,986.89	2026-05-24
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	32	20	$346,694.13	$69,615.68 80% off	$15,292.26	$71,642.49	$43,467.38	2026-05-24
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	30	20	$268,634.04	$50,362.97 81% off	$15,292.26	$50,629.40	$32,960.83	2026-05-24
849	OTHER	Radiotherapy	30	20	$63,500.45	$41,648.32 34% off	$15,223.52	$46,042.53	$30,633.03	2026-05-24
PX-10017161	OTHER	Hb Optimizer Smart Mini Ipg C1824	21	12	$91,000.00	$45,045.00 50% off	$15,221.21	$77,350.00	$34,580.00	2026-05-24
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	30	20	$89,422.46	$67,033.70 25% off	$15,131.10	$67,388.31	$41,259.71	2026-05-24
503	OTHER	Foot Procedures With Mcc	32	20	$446,968.96	$45,109.97 90% off	$15,131.10	$47,429.16	$31,280.13	2026-05-24
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	30	20	$36,633.41	$36,633.41	$15,131.10	$45,926.81	$30,528.96	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	31	20	$196,718.54	$87,271.13 56% off	$14,984.59	$87,732.80	$48,378.40	2026-05-24
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	30	20	$103,595.85	$45,886.34 56% off	$14,972.20	$46,129.09	$30,520.72	2026-05-24
113	OTHER	Orbital Procedures With Cc/mcc	30	20	$102,928.50	$39,981.61 61% off	$14,927.12	$40,193.12	$27,560.12	2026-05-24
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	38	22	$136,077.85	$136,077.85	$14,866.78	$54,554.33	$32,816.51	2026-05-24
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	37	22	$122,520.69	$61,851.92 50% off	$14,690.00	$62,179.12	$32,541.30	2026-05-24
RX-10018119	OTHER	Valoctocogene Roxaparvovc-rvox 2 X 10exp13 Vg/ml IV Susp	18	11	$373,380.00	$32,144.73 91% off	$14,554.82	$317,373.00	$62,460.12	2026-05-24
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	30	20	$109,765.92	$59,090.09 46% off	$14,447.01	$59,402.68	$36,924.85	2026-05-24
665	OTHER	Prostatectomy With Mcc	30	20	$106,760.92	$54,494.15 49% off	$14,447.01	$54,782.43	$34,614.72	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	30	20	$76,345.14	$62,941.70	$14,228.38	$63,274.66	$38,751.52	2026-05-24
411	OTHER	Cholecystectomy With C.d.e. With Mcc	30	20	$85,315.61	$60,154.93 29% off	$14,228.38	$60,473.16	$37,350.77	2026-05-24
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	30	20	$82,531.34	$42,339.23 49% off	$14,228.38	$42,563.21	$28,395.79	2026-05-24
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	38	22	$116,096.31	$46,299.46 60% off	$14,003.24	$46,708.66	$31,020.00	2026-05-24
PX-10017160	OTHER	Hb Optimizer Smart Ipg C1824	21	12	$80,500.00	$39,847.50 50% off	$13,464.91	$68,425.00	$30,590.00	2026-05-24
963	OTHER	Other Multiple Significant Trauma With Mcc	30	20	$58,590.28	$50,525.76	$13,180.27	$55,843.93	$33,658.85	2026-05-24
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	30	20	$103,009.48	$54,994.52 47% off	$13,040.52	$55,285.45	$32,905.89	2026-05-24
974	OTHER	HIV With Major Related Condition With Mcc	30	20	$74,874.85	$51,158.94 32% off	$13,040.52	$51,429.57	$32,235.04	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	30	20	$74,000.01	$74,000.01	$12,980.79	$111,327.94	$62,154.36	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	29	20	$168,026.28	$81,562.27 51% off	$12,980.79	$81,993.74	$45,742.37	2026-05-24
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	30	20	$93,192.97	$44,663.02 52% off	$12,980.79	$44,899.29	$28,940.04	2026-05-24
037	OTHER	Extracranial Procedures With Mcc	30	20	$209,867.87	$60,062.34 71% off	$12,933.45	$60,380.07	$36,656.76	2026-05-24
668	OTHER	Transurethral Procedures With Mcc	30	20	$90,121.76	$50,266.82 44% off	$12,881.61	$50,532.73	$31,707.17	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	29	20	$234,485.56	$65,276.17 72% off	$12,737.35	$65,621.49	$36,989.25	2026-05-24
662	OTHER	Minor Bladder Procedures With Mcc	30	20	$81,958.32	$54,109.52 34% off	$12,613.38	$54,395.77	$33,504.57	2026-05-24
545	OTHER	Connective Tissue Disorders With Mcc	30	20	$48,985.73	$44,670.14	$12,507.45	$44,906.45	$28,706.95	2026-05-24
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	30	20	$59,215.11	$46,799.92 21% off	$12,341.78	$51,725.91	$32,033.85	2026-05-24
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	29	20	$99,586.38	$51,427.82 48% off	$12,341.78	$51,699.88	$30,691.94	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	38	22	$112,210.09	$95,839.76	$12,053.27	$96,346.76	$41,674.62	2026-05-24
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	38	22	$74,959.73	$64,480.20	$11,870.98	$64,821.31	$31,849.85	2026-05-24
PX-10003394	OTHER	Hb Split Liver Acquisition	18	12	$70,598.00	$34,946.01 50% off	$11,808.65	$60,008.30	$31,063.12	2026-05-24
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	29	20	$125,111.95	$67,459.28 46% off	$11,572.04	$67,816.15	$38,464.56	2026-05-24
061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	30	20	$122,219.21	$52,220.22 57% off	$11,572.04	$52,496.47	$32,034.26	2026-05-24
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	30	20	$98,344.95	$42,896.58 56% off	$11,160.68	$44,054.35	$27,607.51	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Mcc	29	20	$133,990.53	$68,835.75 49% off	$11,132.51	$69,199.90	$39,396.95	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	30	20	$141,921.15	$63,247.97 55% off	$11,132.51	$63,582.56	$37,357.54	2026-05-24
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	29	20	$121,235.20	$45,608.56 62% off	$10,862.03	$45,849.83	$28,249.92	2026-05-24
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	30	20	$154,127.07	$60,592.98 61% off	$10,051.71	$60,913.52	$35,482.61	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	30	20	$247,259.16	$86,250.80 65% off	$9,958.17	$86,707.07	$48,332.62	2026-05-24
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	30	20	$83,414.54	$64,902.22 22% off	$9,695.58	$65,245.56	$37,470.57	2026-05-24
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	29	20	$81,836.89	$56,121.69 31% off	$9,695.58	$56,418.58	$31,878.29	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	30	20	$98,054.24	$98,054.24	$9,429.61	$129,739.29	$69,584.45	2026-05-24
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	30	20	$132,932.52	$69,236.40 48% off	$8,823.28	$69,602.67	$39,212.97	2026-05-24
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	30	20	$65,329.94	$55,731.72	$8,821.03	$56,026.55	$29,901.50	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	30	20	$169,459.07	$78,324.99 54% off	$8,713.96	$78,739.34	$43,726.65	2026-05-24
919	OTHER	Complications Of Treatment With Mcc	38	22	$51,608.51	$31,938.28 38% off	$8,713.96	$47,660.93	$27,462.00	2026-05-24
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	30	20	$61,499.80	$42,554.82 31% off	$8,681.28	$47,033.99	$27,560.22	2026-05-24
264	OTHER	Other Circulatory System O.r. Procedures	38	22	$88,259.35	$58,935.17 33% off	$8,383.75	$59,246.94	$37,106.92	2026-05-24
570	OTHER	Skin Debridement With Mcc	30	20	$75,908.61	$51,944.22 32% off	$7,779.68	$52,219.01	$29,999.35	2026-05-24
CASE-63046	OTHER	Lam Facetectomy & Foramotomy 1 Vrt Sgm Thoracic	38	22	$90,587.66	$90,587.66	$7,744.00	$82,215.57	$30,998.31	2026-05-24
CASE-21243	OTHER	Arthrp Tmprmand Joint W/Prosthetic Replacement	38	22	$127,192.83	$50,704.83 60% off	$7,744.00	$49,063.80	$28,103.36	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	38	22	$144,761.22	$70,014.56 52% off	$7,573.44	$70,571.93	$39,072.68	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	32	20	$143,398.38	$62,216.96 57% off	$7,431.44	$71,397.79	$39,414.61	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	30	20	$108,522.42	$67,879.52 37% off	$7,342.41	$68,238.61	$37,790.51	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	31	20	$293,897.15	$120,924.20 59% off	$7,203.78	$121,563.90	$64,383.84	2026-05-24
CASE-69670	OTHER	Mastoid Obliteration Separate Procedure	38	22	$196,131.16	$120,805.61 38% off	$6,688.00	$109,240.02	$33,122.37	2026-05-24
CASE-33270	OTHER	Hb Ins/Rep Subq Defibrillator	38	22	$209,433.69	$100,196.68 52% off	$6,688.00	$92,339.93	$33,108.49	2026-05-24
CASE-33264	OTHER	Hb Remv/Replc Cvd Gen Multi Lead	38	22	$181,743.93	$90,032.68 50% off	$6,688.00	$91,593.22	$33,108.49	2026-05-24
PX-10014340	OTHER	Hb Ins/Rep Subq Defibrillator	38	22	$125,384.00	$73,862.68 41% off	$6,688.00	$106,576.40	$32,635.51	2026-05-24
PX-10002120	OTHER	Hb Remv/Replc Cvd Gen Multi Lead	38	22	$125,384.00	$73,862.68 41% off	$6,688.00	$106,576.40	$32,635.51	2026-05-24
CASE-61886	OTHER	Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds	38	22	$120,313.59	$93,188.67 23% off	$6,688.00	$82,609.86	$31,463.29	2026-05-24
PX-10010926	OTHER	Hb Insert Pulse Gen W/Dual Leads	20	12	$101,870.00	$51,967.09 49% off	$6,688.00	$86,589.50	$28,286.69	2026-05-24
CASE-20696	OTHER	App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq	38	22	$144,073.77	$67,291.21 53% off	$6,688.00	$49,063.80	$27,839.36	2026-05-24
PX-10010927	OTHER	Hb Insert Pulse Gen W/Mult Leads	20	12	$98,101.00	$73,862.68 25% off	$6,688.00	$92,007.50	$27,727.00	2026-05-24
CASE-69930	OTHER	Cochlear Device Implantation W/wo Mastoidectomy	38	22	$185,917.02	$108,435.18 42% off	$5,896.00	$109,240.02	$34,778.49	2026-05-24
CASE-69641	OTHER	Tmpp Mastoidectomy Without Ossicular Chain Recnstj	38	22	$184,121.48	$119,763.11 35% off	$5,896.00	$109,240.02	$33,122.37	2026-05-24
CASE-33249	OTHER	Hb Insert/Replace Icd Leads	38	22	$197,236.40	$93,967.29 52% off	$5,896.00	$91,956.33	$32,635.51	2026-05-24
PX-10001257	OTHER	Hb Insert/Replace Icd Leads	38	22	$125,384.00	$73,862.68 41% off	$5,896.00	$106,576.40	$32,004.88	2026-05-24
CASE-33272	OTHER	Hb Rmvl Of Subq Implantable Defibrillator Electrod	38	22	$221,485.28	$94,055.98 58% off	$5,878.50	$91,956.33	$31,531.90	2026-05-24
RX-69676	OTHER	Anti-inhibitor Coagulant Cmplx 1,750-3,250 Unit IV Solr	40	12	$800,077.13	$12,535.60 98% off	$5,676.00	$680,065.56	$133,825.70	2026-05-24
CASE-63655	OTHER	Lam Impltj Nstim Eltrds Plate/Paddle Edrl	38	22	$181,483.04	$131,214.51 28% off	$5,104.00	$82,215.57	$32,083.25	2026-05-24
CASE-63003	OTHER	Laminectomy Without Ffd 1/2 Vert Seg Thoracic	38	22	$207,042.80	$142,970.00 31% off	$5,104.00	$82,215.57	$30,998.31	2026-05-24
RX-10014752	OTHER	Vutrisiran 25 Mg/0.5 Ml Sc Syrg	38	22	$205,890.48	$205,890.48	$4,508.60	$298,915.79	$34,438.48	2026-05-24
CASE-64568	OTHER	Open Implantation Cranial Nerve Nea & Pulse Gen	38	22	$180,722.04	$116,663.12 35% off	$4,488.00	$83,578.12	$44,247.19	2026-05-24
CASE-61885	OTHER	Insj/Rplcmt Cranial Neurostim Pulse Generator	38	22	$131,849.36	$80,278.63 39% off	$4,488.00	$62,584.41	$32,083.25	2026-05-24
CASE-64582	OTHER	Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor	38	22	$120,561.14	$97,602.50	$4,488.00	$83,578.12	$32,083.25	2026-05-24
CASE-63685	OTHER	Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj	38	22	$150,146.93	$115,919.42 23% off	$4,488.00	$82,215.57	$31,463.29	2026-05-24
CASE-33241	OTHER	Hb Removal Of Icd Pulse Generator	33	19	$201,923.12	$96,564.88 52% off	$3,872.00	$91,956.33	$31,531.90	2026-05-24
CASE-33244	OTHER	Hb Removal Icd Pulse Genera/Leads	34	19	$178,404.94	$96,083.59 46% off	$3,872.00	$91,956.33	$31,531.90	2026-05-24
RX-701239	OTHER	Hum Prothrombin Cplx(pcc)4fact 1,000 Unit (800-1240 Unit) IV Solr- High Dose	32	9	—	$7,435.89	$3,366.90	$3,765,812.88	$1,145,259.01	2026-05-24
RX-164776	OTHER	Hum Prothrombin Cplx, 4-factor 1,000 Unit (800-1240 Unit) IV Solr	32	9	—	$7,435.89	$3,366.90	$3,765,812.88	$1,145,259.01	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	33	19	$197,171.88	$74,400.70 62% off	$3,225.00	$100,997.90	$48,251.21	2026-05-24
791	OTHER	Prematurity With Major Problems	33	19	$63,654.48	$25,769.70 60% off	$3,225.00	$68,974.59	$34,089.20	2026-05-24
RX-167493	OTHER	Antihemoph.fviii,b-dom Truncat 2,000 (+/-) Unit IV Solr	34	9	—	$6,951.56	$2,920.00	$4,092,702.77	$2,304,949.57	2026-05-24
CASE-62120	OTHER	Rpr Encephalocele Skull Vault W/Cranioplasty	34	19	$208,380.68	$123,729.94 41% off	$2,816.00	$109,240.02	$33,122.37	2026-05-24
RX-10006169	OTHER	Anti-inhibitor Coagulant Cmplx 700-1,300 Unit IV Solr	36	10	—	$5,014.24	$2,270.40	$3,165,857.16	$1,231,488.98	2026-05-24
RX-173263	OTHER	Von Willebrand Factor (recomb) 1,300 (+/-) Unit Range IV Solr	34	9	—	$6,259.25	$2,249.00	$3,906,484.66	$2,200,074.29	2026-05-24
CASE-63664	OTHER	Revj Incl Rplcmt Nstim Eltrd Plt/Pdle Incl Fluor	34	19	$197,783.34	$139,548.33 29% off	$2,236.00	$82,215.57	$31,153.31	2026-05-24
CASE-63044	OTHER	Lamot W/Prtl Ffd Hrna8 Reexpl 1 Ntrspc Ea Lmbr	34	19	$122,544.92	$104,583.53	$2,236.00	$82,215.57	$31,153.31	2026-05-24
CASE-63663	OTHER	Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor	34	19	$149,045.88	$102,680.69 31% off	$2,236.00	$82,215.57	$30,998.31	2026-05-24
CASE-20937	OTHER	Autograft Spine Surgery Morselized Sep Incision	33	18	$206,431.96	$45,679.92 78% off	$2,236.00	$49,063.80	$27,257.67	2026-05-24
RX-167491	OTHER	Antihemoph.fviii,b-dom Truncat 1,500 (+/-) Unit IV Solr	36	10	—	$5,213.67	$2,190.00	$3,557,792.70	$1,383,948.26	2026-05-24
RX-701238	OTHER	Hum Prothrombin Cplx(pcc)4fact 500 Unit (400-620 Unit) IV Solr- Low Dose	36	11	$1,703,936.50	$853,827.22 50% off	$1,683.45	$1,448,346.03	$285,039.61	2026-05-24
RX-163983	OTHER	Hum Prothrombin Cplx, 4-factor 500 Unit (400-620 Unit) IV Solr	36	11	$1,703,936.50	$853,827.22 50% off	$1,683.45	$1,448,346.03	$285,039.61	2026-05-24
RX-167490	OTHER	Antihemoph.fviii,b-dom Truncat 1,000 (+/-) Unit IV Solr	40	12	$3,352,459.00	$1,677,967.39 50% off	$1,460.00	$2,849,590.15	$560,752.41	2026-05-24
RX-10006168	OTHER	Anti-inhibitor Coagulant Cmplx 350-650 Unit IV Solr	20	12	$2,005,828.00	$2,507.12 100% off	$1,135.20	$1,704,953.80	$335,506.83	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	26	19	$15,370.38	$3,395.70 78% off	$1,116.86	$66,968.88	$34,920.34	2026-05-24
RX-1001972	OTHER	Human Prothrombin Complex-lans 500 Unit IV Solr	36	11	$1,186,257.00	$595,393.46 50% off	$1,039.50	$1,008,318.45	$198,440.63	2026-05-24
RX-701822	OTHER	Human Prothrombin Complex-lans IV Solr - (weight Based Dosing)	36	11	$1,186,257.00	$595,393.46 50% off	$1,039.50	$1,008,318.45	$198,440.63	2026-05-24
RX-167489	OTHER	Antihemoph.fviii,b-dom Truncat 500 (+/-) Unit IV Solr	40	12	$1,224,066.50	$612,902.20 50% off	$730.00	$1,040,456.53	$204,744.71	2026-05-24
RX-167488	OTHER	Antihemoph.fviii,b-dom Truncat 250 (+/-) Unit IV Solr	40	12	$306,610.00	$153,739.48 50% off	$365.00	$260,618.50	$51,285.43	2026-05-24
CASE-63053	OTHER	Lam Facetec/Foramot DRG Arthrd Lmbr Ea Addl Sgm	26	17	$169,972.40	$50,589.04 70% off	$129.31	$49,063.80	$27,257.67	2026-05-24
CASE-36000	OTHER	Hb IV Intracatheter	23	15	—	$208.21	$14.96	$4,660,166.21	$2,588,981.23	2026-05-24

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