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 — reason	Rows
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 via	CMS 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.

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

0266T	OTHER	Implt/rpl Crtd Sns Dev Total	1	1	—	—	$42,997.08	$42,997.08	$42,997.08	2026-05-09
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	16	12	—	—	$26,299.35	$37,442.01	$34,038.19	2026-05-09
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	16	12	—	—	$26,299.35	$37,442.01	$34,038.19	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
0674T	OTHER	Laps Insj Nw/rpcmt Prm Isdss	16	12	—	—	$25,854.03	$36,808.01	$33,461.83	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
0871T	OTHER	Rplcmt Subq Prtl Ascites Pmp	15	11	—	—	$22,553.12	$32,108.55	$29,189.59	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
0909T	OTHER	Rplcmt Int Nstim Sys Vgs Nrv	15	11	—	—	$25,854.03	$36,808.01	$33,461.83	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
0956T	OTHER	Prt Crn Ch Cr&tun Elt S-sclp	15	11	—	—	$22,734.54	$32,366.85	$29,424.41	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
33276	OTHER	Insj Phrnc Nrv Stim Sys	16	12	—	—	$36,904.55	$52,540.49	$47,764.08	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
38240	OTHER	Transplt Allo Hct/donor	33	13	—	—	$231.35	$75,031.31	$49,748.19	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
61891	OTHER	Rev/rplcmt Sk-mnt Crnl Nstm	17	13	—	—	$19,914.91	$36,808.01	$33,461.83	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
64656	OTHER	Revj/rplcmt Bat Mod Sys Pg	15	11	—	—	$25,854.03	$36,808.01	$33,461.83	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
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
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
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
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
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
A9543	OTHER	Y90 Ibritumomab Rx	17	13	—	—	$47,022.32	$65,476.58	$56,824.55	2026-05-09
C9760	OTHER	Non-blind Interatrial Shunt	16	12	—	—	$22,553.12	$32,108.55	$29,189.59	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
J1413	OTHER	Inj Delandistrogene Mox Rokl	17	13	—	—	$2,753,803.93	$3,660,645.70	$3,327,859.73	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
J3387	OTHER	Inj Elivaldogene Autotemecel	15	11	—	—	$2,631,450.00	$3,498,000.00	$3,180,000.00	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
J3391	OTHER	Inj Atidarsagene Autotemcel	15	11	—	—	$3,727,887.50	$4,955,500.00	$4,505,000.00	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
J3393	OTHER	Inj Betibeglogene Autotemce	17	13	—	—	$2,432,824.26	$3,233,965.78	$2,939,968.89	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
J3399	OTHER	Inj Onase Abepar-xioi Treat	17	13	—	—	$2,142,381.97	$2,847,879.35	$2,588,981.23	2026-05-09
J3402	OTHER	Inj. Remestemcel-l-rknd/ Td	15	11	—	—	$166,881.11	$221,835.92	$201,669.02	2026-05-09
J3403	OTHER	Revakinagene Per Implant	15	11	—	—	$219,287.50	$291,500.00	$265,000.00	2026-05-09
J9029	OTHER	Instill Adstiladrin Tx Dose	17	13	—	—	$53,187.39	$70,702.27	$64,274.79	2026-05-09
J9226	OTHER	Supprelin La Implant	33	13	—	—	$35,735.87	$47,503.87	$43,324.60	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
L5856	OTHER	Elec Knee-shin Swing/stance	17	13	—	—	$24,711.52	$32,849.16	$29,862.87	2026-05-09
L6700	OTHER	Ue Add Ext Power Myoel	15	11	—	—	$24,419.68	$32,461.21	$29,510.19	2026-05-09
L6880	OTHER	Elec Hand Ind Art Digits	17	13	—	—	$24,661.39	$32,782.52	$29,802.29	2026-05-09
L7180	OTHER	Electronic Elbow Sequential	17	13	—	—	$36,170.84	$48,082.09	$43,710.99	2026-05-09
L7181	OTHER	Electronic Elbo Simultaneous	17	13	—	—	$41,274.99	$54,867.05	$49,879.14	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
L8702	OTHER	Ewhf S/d Uprt Micro Sensor	17	13	—	—	$56,933.42	$75,681.88	$68,801.71	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-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-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-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
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-006	OTHER	Liver Transplant Without Mcc	11	9	—	—	$31,022.59	$58,506.80	$32,263.50	2026-05-09
MS-007	OTHER	Lung Transplant	11	9	—	—	$86,639.81	$104,791.99	$90,105.40	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-010	OTHER	Pancreas Transplant	11	9	—	—	$48,007.08	$78,089.06	$49,927.36	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-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-014	OTHER	Allogeneic Bone Marrow Transplant	11	9	—	—	$80,402.51	$103,636.10	$83,618.61	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-017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	11	9	—	—	$36,343.33	$59,116.51	$37,797.07	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-019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	11	9	—	—	$47,732.11	$77,641.70	$49,641.39	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
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
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-025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	11	9	—	—	$30,418.47	$37,698.05	$31,635.20	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-031	OTHER	Ventricular Shunt Procedures With Mcc	11	9	—	—	$21,822.58	$32,373.62	$30,874.84	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-163	OTHER	Major Chest Procedures With Mcc	11	9	—	—	$29,984.27	$35,219.49	$31,183.64	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
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
MS-212	OTHER	Testes Procedures Age 0-17	11	9	—	—	$72,750.22	$106,697.01	$75,660.23	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-215	OTHER	Other Heart Assist System Implant	11	9	—	—	$66,614.61	$93,588.64	$69,279.20	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
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-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-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-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
MS-228	OTHER	Other Cardiothoracic Procedures With Mcc	11	9	—	—	$33,099.24	$57,014.72	$34,423.21	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
MS-232	OTHER	Coronary Bypass With Ptca Without Mcc	11	9	—	—	$40,560.18	$59,830.34	$42,182.59	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-234	OTHER	Coronary Bypass With Cardiac Catheterization Without Mcc	11	9	—	—	$36,546.72	$56,793.25	$38,008.58	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-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-245	OTHER	Aicd Generator Procedures	11	9	—	—	$30,523.50	$47,861.98	$31,744.44	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-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-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-270	OTHER	Other Major Cardiovascular Procedures With Mcc	11	9	—	—	$3,222.39	$38,123.63	$36,358.65	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-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
MS-277	OTHER	Other Major Cardiovascular Procedures With Mcc	11	9	—	—	$30,898.82	$47,273.44	$32,134.78	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-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
MS-319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	11	9	—	—	$29,857.82	$43,023.98	$31,052.14	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
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-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-356	OTHER	Other Digestive System O.r. Procedures With Mcc	11	9	—	—	$28,705.89	$31,739.95	$30,270.50	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-362	OTHER	Cardiac Defibrillator Implant Without Mcc	1	1	—	—	$38,308.64	$38,308.64	$38,308.64	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-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
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
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
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-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-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-405	OTHER	Pancreas- Liver And Shunt Procedures With Mcc	11	9	—	—	$36,598.90	$42,358.68	$38,062.86	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-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-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-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
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-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-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-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-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-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-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-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-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-471	OTHER	Cervical Spinal Fusion With Mcc	11	9	—	—	$32,305.11	$38,869.82	$33,597.31	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
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-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
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-612	OTHER	Neonate- Birth Weight <750 Grams- Discharged Alive	1	1	—	—	$275,153.21	$275,153.21	$275,153.21	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
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-632	OTHER	Neonate- Birth Weight 750-999 Grams- Died	1	1	—	—	$97,918.39	$97,918.39	$97,918.39	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
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
MS-635	OTHER	Neonate- Birth Weight 1000-1499 Grams- Died	1	1	—	—	$59,900.93	$59,900.93	$59,900.93	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-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
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-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-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
MS-650	OTHER	Kidney Transplant With Hemodialysis With Mcc	11	9	—	—	$23,348.19	$33,969.72	$32,397.05	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
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-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
MS-691	OTHER	Kidney Transplant With Hemodialysis With Mcc	1	1	—	—	$46,366.37	$46,366.37	$46,366.37	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-799	OTHER	Splenic Procedures With Mcc	11	9	—	—	$30,299.38	$46,569.32	$31,511.35	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
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
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-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-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-850	OTHER	Acute Leukemia With Other Procedures	11	9	—	—	$57,934.04	$84,635.31	$60,251.40	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-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-870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	11	9	—	—	$46,241.53	$67,206.01	$48,091.19	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
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-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
MS-955	OTHER	Craniotomy For Multiple Significant Trauma	11	9	—	—	$45,032.60	$88,323.58	$46,833.91	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
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
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
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
Q0480	OTHER	Driver Pneumatic Vad Rep	17	13	—	—	$92,962.98	$123,576.17	$112,341.97	2026-05-09
Q2041	OTHER	Axicabtagene Ciloleucel Car+	17	13	—	—	$440,389.08	$585,411.46	$532,192.24	2026-05-09
Q2042	OTHER	Tisagenlecleucel Car-pos T	17	13	—	—	$468,804.65	$623,184.43	$566,531.30	2026-05-09
Q2043	OTHER	Sipuleucel-t Auto Cd54+	33	13	—	—	$45,019.40	$59,844.52	$53,981.46	2026-05-09
Q2053	OTHER	Brexucabtagene Car Pos T	17	13	—	—	$405,020.04	$538,395.22	$489,450.20	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
Q2056	OTHER	Ciltacabtagene Car-pos T	17	13	—	—	$486,280.02	$646,414.53	$587,649.57	2026-05-09
Q2057	OTHER	Afamitresgene Autoleucel	15	11	—	—	$637,688.05	$847,682.00	$770,620.00	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

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