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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CEDAR CITY HOSPITAL

Cedar City, UT · CCN 460007 · Rates published

19,460 distinct procedures filed
43 distinct payers
797,966 rate rows
2026-05-09 last MRF observed
Data quality

797,270 of 797,966 rate rows are consumer-grade (99.9%)

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

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 392
template filing: same amount across many unrelated codes — excluded 290
per-diem day rate — not a per-procedure price 13
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_cedar-city-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 844c0a93531ecdec… · 4,270,994 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
OTHER 		Inj Atidarsagene Autotemcel 11 $3,727,887.50 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
OTHER 		Inj Beqvez Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
OTHER 		Inj Hemgenix Per Tx Dose 13 $3,049,558.17 $4,053,793.34 $3,685,266.67 nat. median
$3,685,267
1.0× median
J3389
OTHER 		Topi Adm Prad Zami Per Treat 11 $2,760,391.05 $3,669,402.00 $3,335,820.00 nat. median
$3,469,253
1.0× median
J1413
OTHER 		Inj Delandistrogene Mox Rokl 13 $2,753,803.93 $3,660,645.70 $3,327,859.73 nat. median
$3,327,860
1.0× median
J3394
OTHER 		Inj Lovotibeglogene Autotem 13 $2,691,450.44 $3,577,758.89 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
OTHER 		Inj Elivaldogene Autotemecel 11 $2,631,450.00 $3,498,000.00 $3,180,000.00 nat. median
$3,307,200
1.0× median
J3393
OTHER 		Inj Betibeglogene Autotemce 13 $2,432,824.26 $3,233,965.78 $2,939,968.89 nat. median
$2,968,000
1.0× median
J3399
OTHER 		Inj Onase Abepar-xioi Treat 13 $2,142,381.97 $2,847,879.35 $2,588,981.23 nat. median
$2,472,216
1.0× median
J3392
OTHER 		Inj Exagamglogene Autotem 12 $1,929,730.00 $2,565,200.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
OTHER 		Afamitresgene Autoleucel 11 $637,688.05 $847,682.00 $770,620.00 nat. median
$770,620
1.0× median
Q2056
OTHER 		Ciltacabtagene Car-pos T 13 $486,280.02 $646,414.53 $587,649.57 nat. median
$583,076
1.0× median
Q2042
OTHER 		Tisagenlecleucel Car-pos T 13 $468,804.65 $623,184.43 $566,531.30 nat. median
$591,726
1.0× median
Q2054
OTHER 		Lisocabtagene Mara Car Pos T 13 $465,221.53 $618,421.36 $562,201.24 nat. median
$562,538
1.0× median
Q2055
OTHER 		Idecabtagene Vicleucel Car 13 $461,812.63 $613,889.90 $558,081.73 nat. median
$558,082
1.0× median
Q2041
OTHER 		Axicabtagene Ciloleucel Car+ 13 $440,389.08 $585,411.46 $532,192.24 nat. median
$533,230
1.0× median
Q2053
OTHER 		Brexucabtagene Car Pos T 13 $405,020.04 $538,395.22 $489,450.20 nat. median
$489,720
1.0× median
MS-018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 $288,902.84 $320,495.16 $300,458.95 nat. median
$309,559
1.0× median
MS-633
OTHER 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 $300,267.00 $300,267.00 $300,267.00 nat. median
$297,836
1.0× median
Q2058
OTHER 		Obecbtge Autol Up To 400 Mil 11 $230,251.88 $306,075.00 $278,250.00 nat. median
$281,111
1.0× median
MS-612
OTHER 		Neonate- Birth Weight <750 Grams- Discharged Alive 1 $275,153.21 $275,153.21 $275,153.21 nat. median
$272,926
1.0× median
J3403
OTHER 		Revakinagene Per Implant 11 $219,287.50 $291,500.00 $265,000.00 nat. median
$265,000
1.0× median
J3402
OTHER 		Inj. Remestemcel-l-rknd/ Td 11 $166,881.11 $221,835.92 $201,669.02 nat. median
$205,640
1.0× median
MS-631
OTHER 		Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 $199,516.23 $199,516.23 $199,516.23 nat. median
$197,901
1.0× median
MS-001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $187,486.32 $339,136.83 $194,985.77 nat. median
$224,278
0.9× median
MS-636
OTHER 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 $176,431.87 $176,431.87 $176,431.87 nat. median
$183,596
1.0× median
MS-927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $142,839.74 $232,346.28 $148,553.33 nat. median
$175,322
0.8× median
MS-003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 9 $142,001.46 $228,129.47 $147,681.51 nat. median
$169,886
0.9× median
MS-681
OTHER 		Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 $120,172.45 $120,172.45 $120,172.45 nat. median
$119,200
1.0× median
2722109771
OTHER 		Hc Percutaneous Ventricular Assist Device Lvl 71 37 $74,921.91 $120,187.23 $112,382.86 nat. median
$113,676
1.0× median
2782649771
OTHER 		Hc Valve Implant Lvl 71 37 $74,921.91 $120,187.23 $112,382.86 nat. median
$113,676
1.0× median
Q0480
OTHER 		Driver Pneumatic Vad Rep 13 $92,962.98 $123,576.17 $112,341.97 nat. median
$109,316
1.0× median
2721649601
OTHER 		Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2 37 $71,913.60 $115,361.40 $107,870.40 nat. median
$109,112
1.0× median
MS-634
OTHER 		Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 $107,625.26 $107,625.26 $107,625.26 nat. median
$106,754
1.0× median
2782649770
OTHER 		Hc Valve Implant Lvl 70 37 $71,354.19 $114,464.01 $107,031.28 nat. median
$108,263
1.0× median
278TRIG470
OTHER 		Hc Ntap Triclip G4 Vlv Rpr Systm 37 $71,354.19 $114,464.01 $107,031.28 nat. median
$108,263
1.0× median
2721040201
OTHER 		Hc Berlin Heart Pump Replacement 37 $71,335.02 $114,433.26 $107,002.53 nat. median
$106,751
1.0× median
2721649701
OTHER 		Hc Pump Blood Vad With Valves 37 $71,335.02 $114,433.26 $107,002.53 nat. median
$108,234
1.0× median
MS-632
OTHER 		Neonate- Birth Weight 750-999 Grams- Died 1 $97,918.39 $97,918.39 $97,918.39 nat. median
$97,126
1.0× median
MS-004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 9 $92,669.04 $146,376.84 $96,375.80 nat. median
$107,587
0.9× median
275C188267
OTHER 		Hc Icd Biv/crt-d Lvl 67 37 $61,638.36 $98,878.20 $92,457.54 nat. median
$93,521
1.0× median
MS-007
OTHER 		Lung Transplant 9 $86,639.81 $104,791.99 $90,105.40 nat. median
$95,292
0.9× median
2782649766
OTHER 		Hc Valve Implant Lvl 66 37 $58,703.19 $94,169.70 $88,054.78 nat. median
$89,068
1.0× median
278C188966
OTHER 		Hc Implantable-insertable Device Noc Lvl 66 37 $58,703.19 $94,169.70 $88,054.78 nat. median
$89,068
1.0× median
278C182366
OTHER 		Hc Neurostim Generator/lead Lvl 66 37 $58,703.19 $94,169.70 $88,054.78 nat. median
$89,068
1.0× median
MS-365
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $85,303.26 $85,303.26 $85,303.26 nat. median
$84,613
1.0× median
2782649765
OTHER 		Hc Valve Implant Lvl 65 37 $55,907.79 $89,685.41 $83,861.68 nat. median
$84,827
1.0× median
MS-014
OTHER 		Allogeneic Bone Marrow Transplant 9 $80,402.51 $103,636.10 $83,618.61 nat. median
$91,600
0.9× median
2782649764
OTHER 		Hc Valve Implant Lvl 64 37 $53,245.50 $85,414.66 $79,868.25 nat. median
$80,787
1.0× median
2782669764
OTHER 		Hc Vascular Stent Graft Implant Lvl 64 37 $53,245.50 $85,414.66 $79,868.25 nat. median
$80,787
1.0× median

Other procedures at this hospital

Browse this hospital's 19,460 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 OTHER Inj Atidarsagene Autotemcel 15 11 — — $3,727,887.50 $4,955,500.00 $4,505,000.00 2026-05-09
J1414 OTHER Inj Beqvez Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-05-09
J1411 OTHER Inj Hemgenix Per Tx Dose 17 13 — — $3,049,558.17 $4,053,793.34 $3,685,266.67 2026-05-09
J3389 OTHER Topi Adm Prad Zami Per Treat 15 11 — — $2,760,391.05 $3,669,402.00 $3,335,820.00 2026-05-09
J1413 OTHER Inj Delandistrogene Mox Rokl 17 13 — — $2,753,803.93 $3,660,645.70 $3,327,859.73 2026-05-09
J3394 OTHER Inj Lovotibeglogene Autotem 17 13 — — $2,691,450.44 $3,577,758.89 $3,252,508.08 2026-05-09
J3387 OTHER Inj Elivaldogene Autotemecel 15 11 — — $2,631,450.00 $3,498,000.00 $3,180,000.00 2026-05-09
J3393 OTHER Inj Betibeglogene Autotemce 17 13 — — $2,432,824.26 $3,233,965.78 $2,939,968.89 2026-05-09
J3399 OTHER Inj Onase Abepar-xioi Treat 17 13 — — $2,142,381.97 $2,847,879.35 $2,588,981.23 2026-05-09
J3392 OTHER Inj Exagamglogene Autotem 16 12 — — $1,929,730.00 $2,565,200.00 $2,332,000.00 2026-05-09
Q2057 OTHER Afamitresgene Autoleucel 15 11 — — $637,688.05 $847,682.00 $770,620.00 2026-05-09
Q2056 OTHER Ciltacabtagene Car-pos T 17 13 — — $486,280.02 $646,414.53 $587,649.57 2026-05-09
Q2042 OTHER Tisagenlecleucel Car-pos T 17 13 — — $468,804.65 $623,184.43 $566,531.30 2026-05-09
Q2054 OTHER Lisocabtagene Mara Car Pos T 17 13 — — $465,221.53 $618,421.36 $562,201.24 2026-05-09
Q2055 OTHER Idecabtagene Vicleucel Car 17 13 — — $461,812.63 $613,889.90 $558,081.73 2026-05-09
Q2041 OTHER Axicabtagene Ciloleucel Car+ 17 13 — — $440,389.08 $585,411.46 $532,192.24 2026-05-09
Q2053 OTHER Brexucabtagene Car Pos T 17 13 — — $405,020.04 $538,395.22 $489,450.20 2026-05-09
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 9 — — $288,902.84 $320,495.16 $300,458.95 2026-05-09
MS-633 OTHER Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 1 — — $300,267.00 $300,267.00 $300,267.00 2026-05-09
Q2058 OTHER Obecbtge Autol Up To 400 Mil 15 11 — — $230,251.88 $306,075.00 $278,250.00 2026-05-09
MS-612 OTHER Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $275,153.21 $275,153.21 $275,153.21 2026-05-09
J3403 OTHER Revakinagene Per Implant 15 11 — — $219,287.50 $291,500.00 $265,000.00 2026-05-09
J3402 OTHER Inj. Remestemcel-l-rknd/ Td 15 11 — — $166,881.11 $221,835.92 $201,669.02 2026-05-09
MS-631 OTHER Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 1 — — $199,516.23 $199,516.23 $199,516.23 2026-05-09
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 11 9 — — $187,486.32 $339,136.83 $194,985.77 2026-05-09
MS-636 OTHER Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 1 — — $176,431.87 $176,431.87 $176,431.87 2026-05-09
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 9 — — $142,839.74 $232,346.28 $148,553.33 2026-05-09
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 11 9 — — $142,001.46 $228,129.47 $147,681.51 2026-05-09
MS-681 OTHER Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 1 — — $120,172.45 $120,172.45 $120,172.45 2026-05-09
2722109771 OTHER Hc Percutaneous Ventricular Assist Device Lvl 71 58 37 $124,869.85 $93,652.39 25% off $74,921.91 $120,187.23 $112,382.86 2026-05-09
2782649771 OTHER Hc Valve Implant Lvl 71 58 37 $124,869.85 $93,652.39 25% off $74,921.91 $120,187.23 $112,382.86 2026-05-09
Q0480 OTHER Driver Pneumatic Vad Rep 17 13 — — $92,962.98 $123,576.17 $112,341.97 2026-05-09
2721649601 OTHER Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2 58 37 $119,856.00 $89,892.00 25% off $71,913.60 $115,361.40 $107,870.40 2026-05-09
MS-634 OTHER Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 1 — — $107,625.26 $107,625.26 $107,625.26 2026-05-09
278TRIG470 OTHER Hc Ntap Triclip G4 Vlv Rpr Systm 58 37 $118,923.65 $89,192.74 25% off $71,354.19 $114,464.01 $107,031.28 2026-05-09
2782649770 OTHER Hc Valve Implant Lvl 70 58 37 $118,923.65 $89,192.74 25% off $71,354.19 $114,464.01 $107,031.28 2026-05-09
2721649701 OTHER Hc Pump Blood Vad With Valves 58 37 $118,891.70 $89,168.78 25% off $71,335.02 $114,433.26 $107,002.53 2026-05-09
2721040201 OTHER Hc Berlin Heart Pump Replacement 58 37 $118,891.70 $89,168.78 25% off $71,335.02 $114,433.26 $107,002.53 2026-05-09
MS-632 OTHER Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $97,918.39 $97,918.39 $97,918.39 2026-05-09
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 11 9 — — $92,669.04 $146,376.84 $96,375.80 2026-05-09
275C188267 OTHER Hc Icd Biv/crt-d Lvl 67 58 37 $102,730.60 $77,047.95 25% off $61,638.36 $98,878.20 $92,457.54 2026-05-09
MS-007 OTHER Lung Transplant 11 9 — — $86,639.81 $104,791.99 $90,105.40 2026-05-09
278C188966 OTHER Hc Implantable-insertable Device Noc Lvl 66 58 37 $97,838.65 $73,378.99 25% off $58,703.19 $94,169.70 $88,054.78 2026-05-09
278C182366 OTHER Hc Neurostim Generator/lead Lvl 66 58 37 $97,838.65 $73,378.99 25% off $58,703.19 $94,169.70 $88,054.78 2026-05-09
2782649766 OTHER Hc Valve Implant Lvl 66 58 37 $97,838.65 $73,378.99 25% off $58,703.19 $94,169.70 $88,054.78 2026-05-09
MS-365 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $85,303.26 $85,303.26 $85,303.26 2026-05-09
2782649765 OTHER Hc Valve Implant Lvl 65 58 37 $93,179.65 $69,884.74 25% off $55,907.79 $89,685.41 $83,861.68 2026-05-09
MS-014 OTHER Allogeneic Bone Marrow Transplant 11 9 — — $80,402.51 $103,636.10 $83,618.61 2026-05-09
2782669764 OTHER Hc Vascular Stent Graft Implant Lvl 64 58 37 $88,742.50 $66,556.88 25% off $53,245.50 $85,414.66 $79,868.25 2026-05-09
2782649764 OTHER Hc Valve Implant Lvl 64 58 37 $88,742.50 $66,556.88 25% off $53,245.50 $85,414.66 $79,868.25 2026-05-09
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 9 — — $75,812.34 $107,929.67 $78,844.83 2026-05-09
MS-209 OTHER Kidney And Urinary Tract Signs And Symptoms Age 0-17 11 9 — — $4,694.17 $81,783.40 $77,997.13 2026-05-09
278C188963 OTHER Hc Implantable-insertable Device Noc Lvl 63 58 37 $84,516.60 $63,387.45 25% off $50,709.96 $81,347.23 $76,064.94 2026-05-09
2782649763 OTHER Hc Valve Implant Lvl 63 58 37 $84,516.60 $63,387.45 25% off $50,709.96 $81,347.23 $76,064.94 2026-05-09
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $17,918.13 $79,633.10 $75,946.39 2026-05-09
MS-212 OTHER Testes Procedures Age 0-17 11 9 — — $72,750.22 $106,697.01 $75,660.23 2026-05-09
278C188962 OTHER Hc Implantable-insertable Device Noc Lvl 62 58 37 $80,492.00 $60,369.00 25% off $48,295.20 $77,473.55 $72,442.80 2026-05-09
2782669762 OTHER Hc Vascular Stent Graft Implant Lvl 62 58 37 $80,492.00 $60,369.00 25% off $48,295.20 $77,473.55 $72,442.80 2026-05-09
278C187462 OTHER Hc Stent Coated/covered Implant Lvl 62 58 37 $80,492.00 $60,369.00 25% off $48,295.20 $77,473.55 $72,442.80 2026-05-09
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 11 9 — — $68,979.61 $120,262.45 $71,738.79 2026-05-09
MS-215 OTHER Other Heart Assist System Implant 11 9 — — $66,614.61 $93,588.64 $69,279.20 2026-05-09
2782649761 OTHER Hc Valve Implant Lvl 61 58 37 $76,659.05 $57,494.29 25% off $45,995.43 $73,784.34 $68,993.14 2026-05-09
278C182361 OTHER Hc Neurostim Generator/lead Lvl 61 58 37 $76,659.05 $57,494.29 25% off $45,995.43 $73,784.34 $68,993.14 2026-05-09
2722109761 OTHER Hc Percutaneous Ventricular Assist Device Lvl 61 58 37 $76,659.05 $57,494.29 25% off $45,995.43 $73,784.34 $68,993.14 2026-05-09
L8702 OTHER Ewhf S/d Uprt Micro Sensor 17 13 — — $56,933.42 $75,681.88 $68,801.71 2026-05-09
MS-216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $65,449.18 $101,272.25 $68,067.14 2026-05-09
2721649501 OTHER Hc Set Pump Impella Cp W/smart Assist 58 37 $73,548.00 $55,161.00 25% off $44,128.80 $70,789.95 $66,193.20 2026-05-09
2722109760 OTHER Hc Percutaneous Ventricular Assist Device Lvl 60 58 37 $73,008.55 $54,756.41 25% off $43,805.13 $70,270.73 $65,707.70 2026-05-09
MS-366 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $64,922.45 $64,922.45 $64,922.45 2026-05-09
J9029 OTHER Instill Adstiladrin Tx Dose 17 13 — — $53,187.39 $70,702.27 $64,274.79 2026-05-09
MS-429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 9 — — $60,276.29 $81,689.98 $62,687.34 2026-05-09
275C172159 OTHER Hc Icd Dual Chamber Lvl 59 58 37 $69,531.95 $52,148.96 25% off $41,719.17 $66,924.50 $62,578.76 2026-05-09
278C188959 OTHER Hc Implantable-insertable Device Noc Lvl 59 58 37 $69,531.95 $52,148.96 25% off $41,719.17 $66,924.50 $62,578.76 2026-05-09
2722109759 OTHER Hc Percutaneous Ventricular Assist Device Lvl 59 58 37 $69,531.95 $52,148.96 25% off $41,719.17 $66,924.50 $62,578.76 2026-05-09
278C182359 OTHER Hc Neurostim Generator/lead Lvl 59 58 37 $69,531.95 $52,148.96 25% off $41,719.17 $66,924.50 $62,578.76 2026-05-09
278C262459 OTHER Hc Wireless Pressure Sensor Lvl 59 58 37 $69,531.95 $52,148.96 25% off $41,719.17 $66,924.50 $62,578.76 2026-05-09
2782649759 OTHER Hc Valve Implant Lvl 59 58 37 $69,531.95 $52,148.96 25% off $41,719.17 $66,924.50 $62,578.76 2026-05-09
275C188259 OTHER Hc Icd Biv/crt-d Lvl 59 58 37 $69,531.95 $52,148.96 25% off $41,719.17 $66,924.50 $62,578.76 2026-05-09
272C176959 OTHER Hc Guidewire Lvl 59 58 37 $69,531.95 $52,148.96 25% off $41,719.17 $66,924.50 $62,578.76 2026-05-09
278LIMFW59 OTHER Hc Ntap Limflow System 58 37 $69,531.95 $52,148.96 25% off $41,719.17 $66,924.50 $62,578.76 2026-05-09
MS-850 OTHER Acute Leukemia With Other Procedures 11 9 — — $57,934.04 $84,635.31 $60,251.40 2026-05-09
MS-647 OTHER Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $60,026.22 $60,026.22 $60,026.22 2026-05-09
MS-635 OTHER Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $59,900.93 $59,900.93 $59,900.93 2026-05-09
2722109758 OTHER Hc Percutaneous Ventricular Assist Device Lvl 58 58 37 $66,220.90 $49,665.68 25% off $39,732.54 $63,737.62 $59,598.81 2026-05-09
2782649758 OTHER Hc Valve Implant Lvl 58 58 37 $66,220.90 $49,665.68 25% off $39,732.54 $63,737.62 $59,598.81 2026-05-09
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 9 — — $56,220.67 $62,585.96 $58,469.50 2026-05-09
MS-231 OTHER Coronary Bypass With Ptca With Mcc 11 9 — — $52,273.79 $60,909.80 $58,089.90 2026-05-09
A9543 OTHER Y90 Ibritumomab Rx 17 13 — — $47,022.32 $65,476.58 $56,824.55 2026-05-09
2722109757 OTHER Hc Percutaneous Ventricular Assist Device Lvl 57 58 37 $63,067.45 $47,300.59 25% off $37,840.47 $60,702.42 $56,760.70 2026-05-09
MS-646 OTHER Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 1 1 — — $55,893.24 $55,893.24 $55,893.24 2026-05-09
4813347701 OTHER Hc Pulmonary Valve Implatantation Perq 58 37 $61,739.61 $46,304.71 25% off $37,043.77 $59,424.37 $55,565.65 2026-05-09
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 9 — — $52,644.08 $114,915.33 $54,749.84 2026-05-09
275C172256 OTHER Hc Icd Single Chamber Lvl 56 58 37 $60,064.25 $45,048.19 25% off $36,038.55 $57,811.84 $54,057.82 2026-05-09
278C182656 OTHER Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 58 37 $60,064.25 $45,048.19 25% off $36,038.55 $57,811.84 $54,057.82 2026-05-09
2721489756 OTHER Hc Cardiovascular Non Implant Supply Lvl 56 58 37 $60,064.25 $45,048.19 25% off $36,038.55 $57,811.84 $54,057.82 2026-05-09
275C188256 OTHER Hc Icd Biv/crt-d Lvl 56 58 37 $60,064.25 $45,048.19 25% off $36,038.55 $57,811.84 $54,057.82 2026-05-09
Q2043 OTHER Sipuleucel-t Auto Cd54+ 33 13 — — $45,019.40 $59,844.52 $53,981.46 2026-05-09
MS-219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $51,369.59 $67,120.42 $53,424.37 2026-05-09
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 11 9 — — $51,148.14 $69,243.38 $53,194.07 2026-05-09
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 9 — — $50,978.88 $58,849.15 $53,018.03 2026-05-09
4813322101 OTHER Hc Insert Pulse Gen Mult Leads 58 37 $57,852.67 $43,389.50 25% off $34,711.60 $55,683.19 $52,067.40 2026-05-09
2782649755 OTHER Hc Valve Implant Lvl 55 58 37 $57,204.00 $42,903.00 25% off $34,322.40 $55,058.85 $51,483.60 2026-05-09
2782669755 OTHER Hc Vascular Stent Graft Implant Lvl 55 58 37 $57,204.00 $42,903.00 25% off $34,322.40 $55,058.85 $51,483.60 2026-05-09
275C188255 OTHER Hc Icd Biv/crt-d Lvl 55 58 37 $57,204.00 $42,903.00 25% off $34,322.40 $55,058.85 $51,483.60 2026-05-09
7613722902 OTHER Hc Revasc Tib Pero Arther Pta/initial Unilateral 58 37 $56,337.67 $42,253.25 25% off $33,802.60 $54,225.01 $50,703.90 2026-05-09
MS-010 OTHER Pancreas Transplant 11 9 — — $48,007.08 $78,089.06 $49,927.36 2026-05-09
L7181 OTHER Electronic Elbo Simultaneous 17 13 — — $41,274.99 $54,867.05 $49,879.14 2026-05-09
MS-367 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $49,748.47 $49,748.47 $49,748.47 2026-05-09
38240 OTHER Transplt Allo Hct/donor 33 13 — — $231.35 $75,031.31 $49,748.19 2026-05-09
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $13,432.20 $52,157.62 $49,742.91 2026-05-09
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 9 — — $47,732.11 $77,641.70 $49,641.39 2026-05-09
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 9 — — $47,704.01 $57,459.43 $49,612.17 2026-05-09
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 9 — — $30,356.79 $51,825.97 $49,426.62 2026-05-09
275C188254 OTHER Hc Icd Biv/crt-d Lvl 54 58 37 $54,479.95 $40,859.96 25% off $32,687.97 $52,436.95 $49,031.96 2026-05-09
2782669754 OTHER Hc Vascular Stent Graft Implant Lvl 54 58 37 $54,479.95 $40,859.96 25% off $32,687.97 $52,436.95 $49,031.96 2026-05-09
4813399941 OTHER Hc Carotid Approach Tavr 58 37 $54,338.34 $40,753.75 25% off $32,603.00 $52,300.65 $48,904.51 2026-05-09
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 11 9 — — $46,241.53 $67,206.01 $48,091.19 2026-05-09
7613722702 OTHER Hc Revas Fem-pop W/ather W Stnt/pta Unilateral 58 37 $53,148.75 $39,861.56 25% off $31,889.25 $51,155.67 $47,833.88 2026-05-09
64654 OTHER 1st Opn Implt Bat Modulj Sys 15 11 — — $36,904.55 $52,540.49 $47,764.08 2026-05-09
33276 OTHER Insj Phrnc Nrv Stim Sys 16 12 — — $36,904.55 $52,540.49 $47,764.08 2026-05-09
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 16 12 — — $26,276.17 $52,540.49 $47,764.08 2026-05-09
MS-403 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $47,587.56 $47,587.56 $47,587.56 2026-05-09
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 9 — — $13,313.96 $49,695.91 $47,395.17 2026-05-09
MS-955 OTHER Craniotomy For Multiple Significant Trauma 11 9 — — $45,032.60 $88,323.58 $46,833.91 2026-05-09
2782019753 OTHER Hc General Supply Implant Lvl 53 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
278C187453 OTHER Hc Stent Coated/covered Implant Lvl 53 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
275C172153 OTHER Hc Icd Dual Chamber Lvl 53 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
2782669753 OTHER Hc Vascular Stent Graft Implant Lvl 53 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
278C261601 OTHER Hc Brachytx Non-str Yttrium-90 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
278C188953 OTHER Hc Implantable-insertable Device Noc Lvl 53 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
2721489753 OTHER Hc Cardiovascular Non Implant Supply Lvl 53 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
275C188253 OTHER Hc Icd Biv/crt-d Lvl 53 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
278C182053 OTHER Hc Generator Neuro Rechg Battery System Implant Lvl 53 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
2781909753 OTHER Hc Embolization Device Implant Lvl 53 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
278C171701 OTHER Hc Brachytherapy Source Hdr Ir192 58 37 $51,722.65 $38,791.99 25% off $31,033.59 $49,783.05 $46,550.38 2026-05-09
MS-317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 9 — — $44,734.22 $63,148.02 $46,523.59 2026-05-09
4813399945 OTHER Hc Transcatheter Bicaval Valve System Implantation 58 37 $51,682.99 $38,762.24 25% off $31,009.79 $49,744.88 $46,514.69 2026-05-09
4810646T01 OTHER Hc Ttvi Prosthetic Valve, Percutaneous 58 37 $51,682.99 $38,762.24 25% off $31,009.79 $49,744.88 $46,514.69 2026-05-09
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 9 — — $44,701.44 $94,547.77 $46,489.49 2026-05-09
MS-691 OTHER Kidney Transplant With Hemodialysis With Mcc 1 1 — — $46,366.37 $46,366.37 $46,366.37 2026-05-09
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $43,990.27 $47,509.49 $45,749.88 2026-05-09
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $43,990.27 $58,268.56 $45,749.88 2026-05-09
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $43,830.37 $60,314.76 $45,583.58 2026-05-09
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 11 9 — — $43,049.62 $59,338.86 $44,771.60 2026-05-09
323C800401 OTHER Hc Sim Ang W/prs Cath Rad Emb 58 37 $49,059.90 $36,794.93 25% off $29,435.94 $47,220.15 $44,153.91 2026-05-09
L7180 OTHER Electronic Elbow Sequential 17 13 — — $36,170.84 $48,082.09 $43,710.99 2026-05-09
4819358001 OTHER Hc Transcath Asd Repair 58 37 $48,374.14 $36,280.61 25% off $29,024.48 $46,560.11 $43,536.73 2026-05-09
J9226 OTHER Supprelin La Implant 33 13 — — $35,735.87 $47,503.87 $43,324.60 2026-05-09
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $42,997.08 $42,997.08 $42,997.08 2026-05-09
MS-969 OTHER HIV With Extensive O.r. Procedures With Mcc 11 9 — — $40,952.90 $61,941.83 $42,591.02 2026-05-09
2782019752 OTHER Hc General Supply Implant Lvl 52 58 37 $47,020.55 $35,265.41 25% off $28,212.33 $45,257.28 $42,318.50 2026-05-09
275C188252 OTHER Hc Icd Biv/crt-d Lvl 52 58 37 $47,020.55 $35,265.41 25% off $28,212.33 $45,257.28 $42,318.50 2026-05-09
2782679752 OTHER Hc Left Atrial Appendage Implant Lvl 52 58 37 $47,020.55 $35,265.41 25% off $28,212.33 $45,257.28 $42,318.50 2026-05-09
278C188952 OTHER Hc Implantable-insertable Device Noc Lvl 52 58 37 $47,020.55 $35,265.41 25% off $28,212.33 $45,257.28 $42,318.50 2026-05-09
2781909752 OTHER Hc Embolization Device Implant Lvl 52 58 37 $47,020.55 $35,265.41 25% off $28,212.33 $45,257.28 $42,318.50 2026-05-09
275C172252 OTHER Hc Icd Single Chamber Lvl 52 58 37 $47,020.55 $35,265.41 25% off $28,212.33 $45,257.28 $42,318.50 2026-05-09
2782649752 OTHER Hc Valve Implant Lvl 52 58 37 $47,020.55 $35,265.41 25% off $28,212.33 $45,257.28 $42,318.50 2026-05-09
278C182052 OTHER Hc Generator Neuro Rechg Battery System Implant Lvl 52 58 37 $47,020.55 $35,265.41 25% off $28,212.33 $45,257.28 $42,318.50 2026-05-09
278C187452 OTHER Hc Stent Coated/covered Implant Lvl 52 58 37 $47,020.55 $35,265.41 25% off $28,212.33 $45,257.28 $42,318.50 2026-05-09
4819359001 OTHER Hc Closure Paravalvular Leak Perc; Initial, Mitral Valve 58 37 $46,945.26 $35,208.94 25% off $28,167.16 $45,184.81 $42,250.73 2026-05-09
MS-266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 9 — — $37,063.63 $44,280.43 $42,230.41 2026-05-09
MS-232 OTHER Coronary Bypass With Ptca Without Mcc 11 9 — — $40,560.18 $59,830.34 $42,182.59 2026-05-09
MS-648 OTHER Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $41,843.38 $41,843.38 $41,843.38 2026-05-09
MS-457 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 9 — — $39,894.51 $56,024.71 $41,490.29 2026-05-09
MS-028 OTHER Spinal Procedures With Mcc 11 9 — — $39,224.53 $43,412.66 $41,402.81 2026-05-09
MS-276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 9 — — $33,243.00 $43,400.37 $41,391.10 2026-05-09
4819293313 OTHER Hcd Drug-eluting Stent/ptca Atherect Maj Art Or Branch-lm 58 37 $45,885.89 $34,414.42 25% off $27,531.53 $44,165.17 $41,297.30 2026-05-09
4819293301 OTHER Hc Perq Trluml C Athrc St Angiop 1 Maj C Art&/brnch 58 37 $45,885.89 $34,414.42 25% off $27,531.53 $44,165.17 $41,297.30 2026-05-09
4819293306 OTHER Hc Revasc Des & Ather With Ptca Initial Art/brnch 58 37 $45,885.89 $34,414.42 25% off $27,531.53 $44,165.17 $41,297.30 2026-05-09
MS-016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 11 9 — — $39,671.05 $44,320.18 $41,257.90 2026-05-09
MS-361 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $41,073.08 $41,073.08 $41,073.08 2026-05-09
MS-790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 11 9 — — $6,480.95 $42,944.45 $40,956.28 2026-05-09
MS-235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 11 9 — — $39,262.28 $53,359.98 $40,832.77 2026-05-09
MS-820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 9 — — $39,236.86 $43,540.17 $40,806.33 2026-05-09
481C977501 OTHER Hc Open/perc Intravascular Litho W/ather & Stent Tib/peroneal Artery 58 37 $44,904.63 $33,678.47 25% off $26,942.78 $43,220.71 $40,414.17 2026-05-09
481C976701 OTHER Hc Open/perc Intravascular Litho W/ather & Stent, Lower Extrem Artery 58 37 $44,904.61 $33,678.46 25% off $26,942.77 $43,220.69 $40,414.15 2026-05-09
L2006 OTHER Kaf Sng/dbl Swg/stn Mcpr Cus 17 13 — — $33,325.12 $44,299.26 $40,272.05 2026-05-09
MS-430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 9 — — $38,583.22 $49,916.12 $40,126.55 2026-05-09
MS-023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 9 — — $38,337.02 $55,849.12 $39,870.50 2026-05-09
MS-463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $38,130.96 $51,532.60 $39,656.20 2026-05-09
MS-677 OTHER Neonate- Birth Weight 2000-2499 Grams- Without Significant O.r. Procedures- With… 1 1 — — $39,635.71 $39,635.71 $39,635.71 2026-05-09
MS-213 OTHER Splenic Procedures Age 0-17 11 9 — — $16,275.17 $41,234.91 $39,325.88 2026-05-09
MS-008 OTHER Simultaneous Pancreas/kidney Transplant 11 9 — — $37,496.06 $53,291.15 $38,995.90 2026-05-09
MS-428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $10,206.28 $40,621.47 $38,740.84 2026-05-09
MS-613 OTHER Neonate- Birth Weight <750 Grams- Died 1 1 — — $38,576.88 $38,576.88 $38,576.88 2026-05-09
2782649751 OTHER Hc Valve Implant Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
2781949751 OTHER Hc Endoprosthesis Implant Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
275C172251 OTHER Hc Icd Single Chamber Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
278C188951 OTHER Hc Implantable-insertable Device Noc Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
2782669751 OTHER Hc Vascular Stent Graft Implant Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
2781909751 OTHER Hc Embolization Device Implant Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
272C188951 OTHER Hc Implantable-insertable Device Noc Non Implant Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
278C187451 OTHER Hc Stent Coated/covered Implant Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
275C188251 OTHER Hc Icd Biv/crt-d Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
275C262151 OTHER Hc Pacemaker Biv Crt-p Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
278C187651 OTHER Hc Stent Non Coated/non Covered Implant Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
275C172151 OTHER Hc Icd Dual Chamber Lvl 51 58 37 $42,745.95 $32,059.46 25% off $25,647.57 $41,142.98 $38,471.35 2026-05-09
MS-461 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 11 9 — — $36,950.14 $60,103.87 $38,428.14 2026-05-09
MS-278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 9 — — $28,794.13 $40,218.29 $38,356.33 2026-05-09
MS-362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $38,308.64 $38,308.64 $38,308.64 2026-05-09
MS-834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 11 9 — — $36,728.69 $80,353.20 $38,197.84 2026-05-09
MS-396 OTHER Major Head And Neck Procedures With Mcc 1 1 — — $38,083.64 $38,083.64 $38,083.64 2026-05-09
MS-405 OTHER Pancreas- Liver And Shunt Procedures With Mcc 11 9 — — $36,598.90 $42,358.68 $38,062.86 2026-05-09
MS-234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 11 9 — — $36,546.72 $56,793.25 $38,008.58 2026-05-09
MS-011 OTHER Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 9 — — $36,489.18 $58,145.91 $37,948.75 2026-05-09
MS-017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 11 9 — — $36,343.33 $59,116.51 $37,797.07 2026-05-09
4810571T01 OTHER Hc Insert/replmnt Icds W/substernal Electrode 58 37 $41,433.93 $31,075.45 25% off $24,860.36 $39,880.16 $37,290.54 2026-05-09
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 15 11 — — $28,703.63 $40,864.94 $37,149.95 2026-05-09
MS-220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $35,677.66 $46,249.02 $37,104.76 2026-05-09
MS-450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 9 — — $35,656.25 $53,785.28 $37,082.50 2026-05-09
MS-021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 9 — — $35,416.74 $48,040.21 $36,833.41 2026-05-09
2721649401 OTHER Hc Oxygenator Perfusion Set Cardiohelp Hls Adv 7 58 37 $40,775.55 $30,581.66 25% off $24,465.33 $39,246.47 $36,698.00 2026-05-09
MS-270 OTHER Other Major Cardiovascular Procedures With Mcc 11 9 — — $3,222.39 $38,123.63 $36,358.65 2026-05-09
MS-466 OTHER Revision Of Hip Or Knee Replacement With Mcc 11 9 — — $34,825.32 $41,609.56 $36,218.33 2026-05-09
MS-653 OTHER Major Bladder Procedures With Mcc 11 9 — — $32,234.46 $37,546.32 $35,808.06 2026-05-09
7613389401 OTHER Hc Endovasc Stent Rpr Thor/abd Aorta - Major Side Bnchs 58 37 $39,137.23 $29,352.92 25% off $23,482.34 $37,669.58 $35,223.51 2026-05-09
7613389501 OTHER Hc Endovasc Stent Rpr Thor/abd Aorta - Not X Majr Bnchs 58 37 $39,137.23 $29,352.92 25% off $23,482.34 $37,669.58 $35,223.51 2026-05-09
MS-221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $33,720.09 $38,501.00 $35,068.90 2026-05-09
2721489750 OTHER Hc Cardiovascular Non Implant Supply Lvl 50 58 37 $38,859.95 $29,144.96 25% off $23,315.97 $37,402.70 $34,973.96 2026-05-09
272C188750 OTHER Hc Catheter Guiding Lvl 50 58 37 $38,859.95 $29,144.96 25% off $23,315.97 $37,402.70 $34,973.96 2026-05-09
2781909750 OTHER Hc Embolization Device Implant Lvl 50 58 37 $38,859.95 $29,144.96 25% off $23,315.97 $37,402.70 $34,973.96 2026-05-09
272C175750 OTHER Hc Catheter Thromb/embolectomy Lvl 50 58 37 $38,859.95 $29,144.96 25% off $23,315.97 $37,402.70 $34,973.96 2026-05-09
275C172150 OTHER Hc Icd Dual Chamber Lvl 50 58 37 $38,859.95 $29,144.96 25% off $23,315.97 $37,402.70 $34,973.96 2026-05-09
278C187650 OTHER Hc Stent Non Coated/non Covered Implant Lvl 50 58 37 $38,859.95 $29,144.96 25% off $23,315.97 $37,402.70 $34,973.96 2026-05-09
2782669750 OTHER Hc Vascular Stent Graft Implant Lvl 50 58 37 $38,859.95 $29,144.96 25% off $23,315.97 $37,402.70 $34,973.96 2026-05-09
275C188250 OTHER Hc Icd Biv/crt-d Lvl 50 58 37 $38,859.95 $29,144.96 25% off $23,315.97 $37,402.70 $34,973.96 2026-05-09
278C188950 OTHER Hc Implantable-insertable Device Noc Lvl 50 58 37 $38,859.95 $29,144.96 25% off $23,315.97 $37,402.70 $34,973.96 2026-05-09
L8701 OTHER Ewh S/d Uprt Micro Sensor 17 13 — — $28,937.78 $38,467.14 $34,970.13 2026-05-09
MS-326 OTHER Stomach- Esophageal And Duodenal Procedures With Mcc 11 9 — — $33,366.85 $42,635.75 $34,701.52 2026-05-09
MS-404 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $34,513.60 $34,513.60 $34,513.60 2026-05-09
MS-228 OTHER Other Cardiothoracic Procedures With Mcc 11 9 — — $33,099.24 $57,014.72 $34,423.21 2026-05-09
MS-853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 9 — — $33,040.37 $41,841.62 $34,361.98 2026-05-09
MS-239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 9 — — $32,927.30 $35,561.49 $34,244.39 2026-05-09
MS-576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $32,790.15 $52,842.91 $34,101.76 2026-05-09
0571T OTHER Insj/rplcmt Icds Ss Eltrd 16 12 — — $26,299.35 $37,442.01 $34,038.19 2026-05-09
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 16 12 — — $26,299.35 $37,442.01 $34,038.19 2026-05-09
0408T OTHER Insj/rplc Cardiac Modulj Sys 16 12 — — $26,299.35 $37,442.01 $34,038.19 2026-05-09
7613722502 OTHER Hc Ir Revsc Opn/prq Fem/pop W/athrc/angio Sm Vessel Unilateral 58 37 $37,644.00 $28,233.00 25% off $22,586.40 $36,232.35 $33,879.60 2026-05-09
4819294341 OTHER Hcd Revasc Cto Bms/ptca/ather Initial Art/branch 58 37 $37,524.65 $28,143.49 25% off $22,514.79 $36,117.48 $33,772.19 2026-05-09
4819294301 OTHER Hc Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd 58 37 $37,510.50 $28,132.88 25% off $22,506.30 $36,103.86 $33,759.45 2026-05-09
4819293341 OTHER Hc Revasc Des & Ather With Ptca Initial Art/brnch 58 37 $37,479.72 $28,109.79 25% off $22,487.83 $36,074.23 $33,731.75 2026-05-09
MS-471 OTHER Cervical Spinal Fusion With Mcc 11 9 — — $32,305.11 $38,869.82 $33,597.31 2026-05-09
33287 OTHER Rmv&rplcmt Phrnc Nrv Stim Pg 17 13 — — $25,854.03 $36,808.01 $33,461.83 2026-05-09
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 15 11 — — $25,854.03 $36,808.01 $33,461.83 2026-05-09
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 15 11 — — $25,854.03 $36,808.01 $33,461.83 2026-05-09
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 16 12 — — $25,854.03 $36,808.01 $33,461.83 2026-05-09
61891 OTHER Rev/rplcmt Sk-mnt Crnl Nstm 17 13 — — $19,914.91 $36,808.01 $33,461.83 2026-05-09
64656 OTHER Revj/rplcmt Bat Mod Sys Pg 15 11 — — $25,854.03 $36,808.01 $33,461.83 2026-05-09
MS-837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 9 — — $32,141.87 $44,893.71 $33,427.54 2026-05-09
MS-267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 9 — — $3,570.92 $34,398.91 $32,806.37 2026-05-09
MS-981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $31,389.22 $49,392.88 $32,644.79 2026-05-09
MS-608 OTHER Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $32,642.99 $32,642.99 $32,642.99 2026-05-09
MS-826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 9 — — $31,295.55 $46,148.43 $32,547.38 2026-05-09
MS-650 OTHER Kidney Transplant With Hemodialysis With Mcc 11 9 — — $23,348.19 $33,969.72 $32,397.05 2026-05-09
MS-006 OTHER Liver Transplant Without Mcc 11 9 — — $31,022.59 $58,506.80 $32,263.50 2026-05-09
MS-277 OTHER Other Major Cardiovascular Procedures With Mcc 11 9 — — $30,898.82 $47,273.44 $32,134.78 2026-05-09
MS-329 OTHER Major Small And Large Bowel Procedures With Mcc 11 9 — — $30,751.64 $34,440.36 $31,981.70 2026-05-09
MS-823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 9 — — $30,673.36 $46,916.97 $31,900.30 2026-05-09
275C172249 OTHER Hc Icd Single Chamber Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
2721489749 OTHER Hc Cardiovascular Non Implant Supply Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
275C178649 OTHER Hc Pacemaker Single Chamber Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
275C188249 OTHER Hc Icd Biv/crt-d Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
275C172149 OTHER Hc Icd Dual Chamber Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
278C187649 OTHER Hc Stent Non Coated/non Covered Implant Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
2781909749 OTHER Hc Embolization Device Implant Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
278C188949 OTHER Hc Implantable-insertable Device Noc Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
272C175749 OTHER Hc Catheter Thromb/embolectomy Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
275C262149 OTHER Hc Pacemaker Biv Crt-p Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
2782669749 OTHER Hc Vascular Stent Graft Implant Lvl 49 58 37 $35,327.15 $26,495.36 25% off $21,196.29 $34,002.38 $31,794.44 2026-05-09
MS-245 OTHER Aicd Generator Procedures 11 9 — — $30,523.50 $47,861.98 $31,744.44 2026-05-09
4819294306 OTHER Hc Perq Trluml Revsc Chrnc Tot Occls Bms 1 C Art Antgrd 58 37 $35,261.83 $26,446.37 25% off $21,157.10 $33,939.51 $31,735.65 2026-05-09
MS-856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 9 — — $30,431.85 $32,866.39 $31,649.12 2026-05-09
MS-025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 11 9 — — $30,418.47 $37,698.05 $31,635.20 2026-05-09
MS-799 OTHER Splenic Procedures With Mcc 11 9 — — $30,299.38 $46,569.32 $31,511.35 2026-05-09
MS-163 OTHER Major Chest Procedures With Mcc 11 9 — — $29,984.27 $35,219.49 $31,183.64 2026-05-09
MS-364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $31,146.51 $31,146.51 $31,146.51 2026-05-09
MS-319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 11 9 — — $29,857.82 $43,023.98 $31,052.14 2026-05-09
4813390202 OTHER Hc Pulmon Art Revasc W/stent Initial Abnorm Unilat 58 37 $34,497.58 $25,873.18 25% off $20,698.55 $33,203.92 $31,047.82 2026-05-09
2721649301 OTHER Hc Pump Blood Centrimag 58 37 $34,322.40 $25,741.80 25% off $20,593.44 $33,035.31 $30,890.16 2026-05-09
MS-031 OTHER Ventricular Shunt Procedures With Mcc 11 9 — — $21,822.58 $32,373.62 $30,874.84 2026-05-09
MS-356 OTHER Other Digestive System O.r. Procedures With Mcc 11 9 — — $28,705.89 $31,739.95 $30,270.50 2026-05-09
7613723102 OTHER Hc Revasc Tib/pero Stnt Ather Unilateral 58 37 $33,564.26 $25,173.20 25% off $20,138.56 $32,305.60 $30,207.83 2026-05-09
7613723103 OTHER Hc Revasc Tib/pero Stnt Ather Bilateral 58 37 $33,564.26 $25,173.20 25% off $20,138.56 $32,305.60 $30,207.83 2026-05-09
MS-323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 9 — — $28,951.30 $46,668.14 $30,109.35 2026-05-09
4813322801 OTHER Hc Remv&replc Pm Gen Dual Lead 58 37 $33,298.03 $24,973.52 25% off $19,978.82 $32,049.35 $29,968.23 2026-05-09
MS-474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 9 — — $28,720.49 $50,898.19 $29,869.31 2026-05-09
L5856 OTHER Elec Knee-shin Swing/stance 17 13 — — $24,711.52 $32,849.16 $29,862.87 2026-05-09
L6880 OTHER Elec Hand Ind Art Digits 17 13 — — $24,661.39 $32,782.52 $29,802.29 2026-05-09
L6700 OTHER Ue Add Ext Power Myoel 15 11 — — $24,419.68 $32,461.21 $29,510.19 2026-05-09
MS-448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 11 9 — — $28,371.92 $37,984.81 $29,506.80 2026-05-09
MS-649 OTHER Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $29,486.78 $29,486.78 $29,486.78 2026-05-09
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 15 11 — — $22,734.54 $32,366.85 $29,424.41 2026-05-09
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 15 11 — — $22,734.54 $32,366.85 $29,424.41 2026-05-09
MS-140 OTHER Major Head And Neck Procedures With Mcc 11 9 — — $4,599.75 $30,818.70 $29,391.91 2026-05-09
MS-012 OTHER Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 9 — — $28,206.01 $38,653.64 $29,334.25 2026-05-09
MS-958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 11 9 — — $28,191.96 $45,619.89 $29,319.64 2026-05-09
7613690601 OTHER Hc Av Fist W/mech/lytic Thromb W Periph Stenting 58 37 $32,544.63 $24,408.47 25% off $19,526.78 $31,324.21 $29,290.17 2026-05-09
MS-901 OTHER Wound Debridements For Injuries With Mcc 11 9 — — $28,076.22 $35,709.20 $29,199.27 2026-05-09
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 15 11 — — $22,553.12 $32,108.55 $29,189.59 2026-05-09
C9760 OTHER Non-blind Interatrial Shunt 16 12 — — $22,553.12 $32,108.55 $29,189.59 2026-05-09
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