Price Transparencybeta Hospital negotiated rates

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

BEAR RIVER VALLEY HOSPITAL

Tremonton, UT · CCN 460039 · Rates published

20,446 distinct procedures filed
41 distinct payers
815,150 rate rows
2026-05-09 last MRF observed
Data quality

814,712 of 815,150 rate rows are consumer-grade (99.9%)

438 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 437
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_bear-river-valley-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 04aeb24b604f18bd… · 4,269,643 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 10 $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 11 $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 10 $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 11 $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 11 $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 10 $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 11 $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 11 $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 11 $1,929,730.00 $2,565,200.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
OTHER 		Afamitresgene Autoleucel 10 $637,688.05 $847,682.00 $770,620.00 nat. median
$770,620
1.0× median
Q2056
OTHER 		Ciltacabtagene Car-pos T 11 $486,280.02 $646,414.53 $587,649.57 nat. median
$583,076
1.0× median
Q2042
OTHER 		Tisagenlecleucel Car-pos T 11 $468,804.65 $623,184.43 $566,531.30 nat. median
$591,726
1.0× median
Q2054
OTHER 		Lisocabtagene Mara Car Pos T 11 $465,221.53 $618,421.36 $562,201.24 nat. median
$562,538
1.0× median
Q2055
OTHER 		Idecabtagene Vicleucel Car 11 $461,812.63 $613,889.90 $558,081.73 nat. median
$558,082
1.0× median
Q2041
OTHER 		Axicabtagene Ciloleucel Car+ 11 $440,389.08 $585,411.46 $532,192.24 nat. median
$533,230
1.0× median
Q2053
OTHER 		Brexucabtagene Car Pos T 11 $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 $288,898.58 $317,900.89 $303,343.51 nat. median
$309,559
1.0× median
MS-633
OTHER 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 $297,836.48 $297,836.48 $297,836.48 nat. median
$297,836
1.0× median
Q2058
OTHER 		Obecbtge Autol Up To 400 Mil 10 $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 $272,925.97 $272,925.97 $272,925.97 nat. median
$272,926
1.0× median
J3403
OTHER 		Revakinagene Per Implant 10 $219,287.50 $291,500.00 $265,000.00 nat. median
$265,000
1.0× median
J3402
OTHER 		Inj. Remestemcel-l-rknd/ Td 10 $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 $197,901.24 $197,901.24 $197,901.24 nat. median
$197,901
1.0× median
MS-001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $187,483.56 $336,391.67 $196,857.74 nat. median
$224,278
0.9× median
MS-636
OTHER 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 $175,003.73 $175,003.73 $175,003.73 nat. median
$183,596
1.0× median
MS-927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $142,837.64 $230,465.55 $149,979.52 nat. median
$175,322
0.9× median
202663
OTHER 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 36 $118,220.04 $151,321.65 $149,745.38 nat. median
$133,815
1.1× median
MS-003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 9 $141,999.37 $226,282.87 $149,099.33 nat. median
$169,886
0.9× median
92987
OTHER 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 40 $1,094.33 $183,566.32 $148,887.13 nat. median
$12,788
outlier · 11.6×
216356
OTHER 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 36 $96,269.51 $123,224.98 $121,941.38 nat. median
$121,941
1.0× median
192637
OTHER 		Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 36 $55,836.00 $214,410.24 $119,489.04 nat. median
$117,976
1.0× median
MS-681
OTHER 		Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 $119,199.71 $119,199.71 $119,199.71 nat. median
$119,200
1.0× median
2722109771
OTHER 		Hc Percutaneous Ventricular Assist Device Lvl 71 36 $93,652.39 $119,875.06 $118,626.36 nat. median
$113,676
1.0× median
2782649771
OTHER 		Hc Valve Implant Lvl 71 36 $93,652.39 $119,875.06 $118,626.36 nat. median
$113,676
1.0× median
2721649601
OTHER 		Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2 36 $89,892.00 $115,061.76 $113,863.20 nat. median
$109,112
1.0× median
278TRIG470
OTHER 		Hc Ntap Triclip G4 Vlv Rpr Systm 36 $89,192.74 $114,166.70 $112,977.47 nat. median
$108,263
1.0× median
2782649770
OTHER 		Hc Valve Implant Lvl 70 36 $89,192.74 $114,166.70 $112,977.47 nat. median
$108,263
1.0× median
2721649701
OTHER 		Hc Pump Blood Vad With Valves 36 $89,168.78 $114,136.03 $112,947.12 nat. median
$108,234
1.0× median
2721040201
OTHER 		Hc Berlin Heart Pump Replacement 36 $89,168.78 $114,136.03 $112,947.12 nat. median
$106,751
1.1× median
Q0480
OTHER 		Driver Pneumatic Vad Rep 11 $92,962.98 $123,576.17 $112,341.97 nat. median
$109,316
1.0× median
MS-634
OTHER 		Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 $106,754.08 $106,754.08 $106,754.08 nat. median
$106,754
1.0× median
275C188267
OTHER 		Hc Icd Biv/crt-d Lvl 67 36 $77,047.95 $98,621.38 $97,594.07 nat. median
$93,521
1.0× median
MS-004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 9 $92,667.68 $145,191.99 $97,301.06 nat. median
$107,587
0.9× median
MS-632
OTHER 		Neonate- Birth Weight 750-999 Grams- Died 1 $97,125.78 $97,125.78 $97,125.78 nat. median
$97,126
1.0× median
278C188966
OTHER 		Hc Implantable-insertable Device Noc Lvl 66 36 $73,378.99 $93,925.10 $92,946.72 nat. median
$89,068
1.0× median
278C182366
OTHER 		Hc Neurostim Generator/lead Lvl 66 36 $73,378.99 $93,925.10 $92,946.72 nat. median
$89,068
1.0× median
2782649766
OTHER 		Hc Valve Implant Lvl 66 36 $73,378.99 $93,925.10 $92,946.72 nat. median
$89,068
1.0× median
MS-007
OTHER 		Lung Transplant 9 $86,638.53 $103,943.75 $90,970.46 nat. median
$95,292
1.0× median
2782649765
OTHER 		Hc Valve Implant Lvl 65 36 $69,884.74 $89,452.46 $88,520.67 nat. median
$84,827
1.0× median

Other procedures at this hospital

Browse this hospital's 20,446 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 14 10 — — $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 15 11 — — $3,049,558.17 $4,053,793.34 $3,685,266.67 2026-05-09
J3389 OTHER Topi Adm Prad Zami Per Treat 14 10 — — $2,760,391.05 $3,669,402.00 $3,335,820.00 2026-05-09
J1413 OTHER Inj Delandistrogene Mox Rokl 15 11 — — $2,753,803.93 $3,660,645.70 $3,327,859.73 2026-05-09
J3394 OTHER Inj Lovotibeglogene Autotem 15 11 — — $2,691,450.44 $3,577,758.89 $3,252,508.08 2026-05-09
J3387 OTHER Inj Elivaldogene Autotemecel 14 10 — — $2,631,450.00 $3,498,000.00 $3,180,000.00 2026-05-09
J3393 OTHER Inj Betibeglogene Autotemce 15 11 — — $2,432,824.26 $3,233,965.78 $2,939,968.89 2026-05-09
J3399 OTHER Inj Onase Abepar-xioi Treat 15 11 — — $2,142,381.97 $2,847,879.35 $2,588,981.23 2026-05-09
J3392 OTHER Inj Exagamglogene Autotem 15 11 — — $1,929,730.00 $2,565,200.00 $2,332,000.00 2026-05-09
Q2057 OTHER Afamitresgene Autoleucel 14 10 — — $637,688.05 $847,682.00 $770,620.00 2026-05-09
Q2056 OTHER Ciltacabtagene Car-pos T 15 11 — — $486,280.02 $646,414.53 $587,649.57 2026-05-09
Q2042 OTHER Tisagenlecleucel Car-pos T 15 11 — — $468,804.65 $623,184.43 $566,531.30 2026-05-09
Q2054 OTHER Lisocabtagene Mara Car Pos T 15 11 — — $465,221.53 $618,421.36 $562,201.24 2026-05-09
Q2055 OTHER Idecabtagene Vicleucel Car 15 11 — — $461,812.63 $613,889.90 $558,081.73 2026-05-09
Q2041 OTHER Axicabtagene Ciloleucel Car+ 15 11 — — $440,389.08 $585,411.46 $532,192.24 2026-05-09
Q2053 OTHER Brexucabtagene Car Pos T 15 11 — — $405,020.04 $538,395.22 $489,450.20 2026-05-09
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 9 — — $288,898.58 $317,900.89 $303,343.51 2026-05-09
MS-633 OTHER Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 1 — — $297,836.48 $297,836.48 $297,836.48 2026-05-09
Q2058 OTHER Obecbtge Autol Up To 400 Mil 14 10 — — $230,251.88 $306,075.00 $278,250.00 2026-05-09
MS-612 OTHER Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $272,925.97 $272,925.97 $272,925.97 2026-05-09
J3403 OTHER Revakinagene Per Implant 14 10 — — $219,287.50 $291,500.00 $265,000.00 2026-05-09
J3402 OTHER Inj. Remestemcel-l-rknd/ Td 14 10 — — $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 — — $197,901.24 $197,901.24 $197,901.24 2026-05-09
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 11 9 — — $187,483.56 $336,391.67 $196,857.74 2026-05-09
MS-636 OTHER Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 1 — — $175,003.73 $175,003.73 $175,003.73 2026-05-09
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 9 — — $142,837.64 $230,465.55 $149,979.52 2026-05-09
202663 OTHER Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 58 36 $157,626.72 $118,220.04 25% off $118,220.04 $151,321.65 $149,745.38 2026-05-09
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 11 9 — — $141,999.37 $226,282.87 $149,099.33 2026-05-09
92987 OTHER Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 203 40 $156,723.30 $117,542.48 25% off $1,094.33 $183,566.32 $148,887.13 2026-05-09
216356 OTHER Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 58 36 $128,359.35 $96,269.51 25% off $96,269.51 $123,224.98 $121,941.38 2026-05-09
192637 OTHER Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 116 36 $148,896.00 $111,672.00 25% off $55,836.00 $214,410.24 $119,489.04 2026-05-09
MS-681 OTHER Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 1 — — $119,199.71 $119,199.71 $119,199.71 2026-05-09
2782649771 OTHER Hc Valve Implant Lvl 71 58 36 $124,869.85 $93,652.39 25% off $93,652.39 $119,875.06 $118,626.36 2026-05-09
2722109771 OTHER Hc Percutaneous Ventricular Assist Device Lvl 71 58 36 $124,869.85 $93,652.39 25% off $93,652.39 $119,875.06 $118,626.36 2026-05-09
2721649601 OTHER Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2 58 36 $119,856.00 $89,892.00 25% off $89,892.00 $115,061.76 $113,863.20 2026-05-09
278TRIG470 OTHER Hc Ntap Triclip G4 Vlv Rpr Systm 58 36 $118,923.65 $89,192.74 25% off $89,192.74 $114,166.70 $112,977.47 2026-05-09
2782649770 OTHER Hc Valve Implant Lvl 70 58 36 $118,923.65 $89,192.74 25% off $89,192.74 $114,166.70 $112,977.47 2026-05-09
2721040201 OTHER Hc Berlin Heart Pump Replacement 58 36 $118,891.70 $89,168.78 25% off $89,168.78 $114,136.03 $112,947.12 2026-05-09
2721649701 OTHER Hc Pump Blood Vad With Valves 58 36 $118,891.70 $89,168.78 25% off $89,168.78 $114,136.03 $112,947.12 2026-05-09
Q0480 OTHER Driver Pneumatic Vad Rep 15 11 — — $92,962.98 $123,576.17 $112,341.97 2026-05-09
MS-634 OTHER Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 1 — — $106,754.08 $106,754.08 $106,754.08 2026-05-09
275C188267 OTHER Hc Icd Biv/crt-d Lvl 67 58 36 $102,730.60 $77,047.95 25% off $77,047.95 $98,621.38 $97,594.07 2026-05-09
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 11 9 — — $92,667.68 $145,191.99 $97,301.06 2026-05-09
MS-632 OTHER Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $97,125.78 $97,125.78 $97,125.78 2026-05-09
278C182366 OTHER Hc Neurostim Generator/lead Lvl 66 58 36 $97,838.65 $73,378.99 25% off $73,378.99 $93,925.10 $92,946.72 2026-05-09
278C188966 OTHER Hc Implantable-insertable Device Noc Lvl 66 58 36 $97,838.65 $73,378.99 25% off $73,378.99 $93,925.10 $92,946.72 2026-05-09
2782649766 OTHER Hc Valve Implant Lvl 66 58 36 $97,838.65 $73,378.99 25% off $73,378.99 $93,925.10 $92,946.72 2026-05-09
MS-007 OTHER Lung Transplant 11 9 — — $86,638.53 $103,943.75 $90,970.46 2026-05-09
2782649765 OTHER Hc Valve Implant Lvl 65 58 36 $93,179.65 $69,884.74 25% off $69,884.74 $89,452.46 $88,520.67 2026-05-09
MS-365 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $84,612.76 $84,612.76 $84,612.76 2026-05-09
MS-014 OTHER Allogeneic Bone Marrow Transplant 11 9 — — $80,401.32 $102,797.21 $84,421.39 2026-05-09
2782649764 OTHER Hc Valve Implant Lvl 64 58 36 $88,742.50 $66,556.88 25% off $66,556.88 $85,192.80 $84,305.38 2026-05-09
2782669764 OTHER Hc Vascular Stent Graft Implant Lvl 64 58 36 $88,742.50 $66,556.88 25% off $66,556.88 $85,192.80 $84,305.38 2026-05-09
183256 OTHER Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 58 36 $84,841.28 $63,630.96 25% off $63,630.96 $81,447.63 $80,599.22 2026-05-09
278C188963 OTHER Hc Implantable-insertable Device Noc Lvl 63 58 36 $84,516.60 $63,387.45 25% off $63,387.45 $81,135.94 $80,290.77 2026-05-09
2782649763 OTHER Hc Valve Implant Lvl 63 58 36 $84,516.60 $63,387.45 25% off $63,387.45 $81,135.94 $80,290.77 2026-05-09
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 9 — — $75,811.22 $107,056.03 $79,601.79 2026-05-09
MS-209 OTHER Kidney And Urinary Tract Signs And Symptoms Age 0-17 11 9 — — $4,656.17 $81,782.19 $78,753.22 2026-05-09
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $17,773.09 $79,631.93 $76,682.60 2026-05-09
278C188962 OTHER Hc Implantable-insertable Device Noc Lvl 62 58 36 $80,492.00 $60,369.00 25% off $60,369.00 $77,272.32 $76,467.40 2026-05-09
2782669762 OTHER Hc Vascular Stent Graft Implant Lvl 62 58 36 $80,492.00 $60,369.00 25% off $60,369.00 $77,272.32 $76,467.40 2026-05-09
278C187462 OTHER Hc Stent Coated/covered Implant Lvl 62 58 36 $80,492.00 $60,369.00 25% off $60,369.00 $77,272.32 $76,467.40 2026-05-09
MS-212 OTHER Testes Procedures Age 0-17 11 9 — — $72,749.15 $105,833.35 $76,386.61 2026-05-09
2722109761 OTHER Hc Percutaneous Ventricular Assist Device Lvl 61 58 36 $76,659.05 $57,494.29 25% off $57,494.29 $73,592.69 $72,826.10 2026-05-09
278C182361 OTHER Hc Neurostim Generator/lead Lvl 61 58 36 $76,659.05 $57,494.29 25% off $57,494.29 $73,592.69 $72,826.10 2026-05-09
2782649761 OTHER Hc Valve Implant Lvl 61 58 36 $76,659.05 $57,494.29 25% off $57,494.29 $73,592.69 $72,826.10 2026-05-09
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 11 9 — — $68,978.59 $119,288.98 $72,427.52 2026-05-09
MS-215 OTHER Other Heart Assist System Implant 11 9 — — $66,613.63 $92,831.08 $69,944.31 2026-05-09
2721649501 OTHER Hc Set Pump Impella Cp W/smart Assist 58 36 $73,548.00 $55,161.00 25% off $55,161.00 $70,606.08 $69,870.60 2026-05-09
2722109760 OTHER Hc Percutaneous Ventricular Assist Device Lvl 60 58 36 $73,008.55 $54,756.41 25% off $54,756.41 $70,088.21 $69,358.12 2026-05-09
L8702 OTHER Ewhf S/d Uprt Micro Sensor 15 11 — — $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 — — $65,448.21 $100,452.50 $68,720.62 2026-05-09
2782649759 OTHER Hc Valve Implant Lvl 59 58 36 $69,531.95 $52,148.96 25% off $52,148.96 $66,750.67 $66,055.35 2026-05-09
278LIMFW59 OTHER Hc Ntap Limflow System 58 36 $69,531.95 $52,148.96 25% off $52,148.96 $66,750.67 $66,055.35 2026-05-09
275C172159 OTHER Hc Icd Dual Chamber Lvl 59 58 36 $69,531.95 $52,148.96 25% off $52,148.96 $66,750.67 $66,055.35 2026-05-09
275C188259 OTHER Hc Icd Biv/crt-d Lvl 59 58 36 $69,531.95 $52,148.96 25% off $52,148.96 $66,750.67 $66,055.35 2026-05-09
272C176959 OTHER Hc Guidewire Lvl 59 58 36 $69,531.95 $52,148.96 25% off $52,148.96 $66,750.67 $66,055.35 2026-05-09
278C182359 OTHER Hc Neurostim Generator/lead Lvl 59 58 36 $69,531.95 $52,148.96 25% off $52,148.96 $66,750.67 $66,055.35 2026-05-09
278C262459 OTHER Hc Wireless Pressure Sensor Lvl 59 58 36 $69,531.95 $52,148.96 25% off $52,148.96 $66,750.67 $66,055.35 2026-05-09
2722109759 OTHER Hc Percutaneous Ventricular Assist Device Lvl 59 58 36 $69,531.95 $52,148.96 25% off $52,148.96 $66,750.67 $66,055.35 2026-05-09
278C188959 OTHER Hc Implantable-insertable Device Noc Lvl 59 58 36 $69,531.95 $52,148.96 25% off $52,148.96 $66,750.67 $66,055.35 2026-05-09
MS-366 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $64,396.93 $64,396.93 $64,396.93 2026-05-09
J9029 OTHER Instill Adstiladrin Tx Dose 15 11 — — $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 — — $60,275.40 $81,028.74 $63,289.17 2026-05-09
2722109758 OTHER Hc Percutaneous Ventricular Assist Device Lvl 58 58 36 $66,220.90 $49,665.68 25% off $49,665.68 $63,572.06 $62,909.85 2026-05-09
2782649758 OTHER Hc Valve Implant Lvl 58 58 36 $66,220.90 $49,665.68 25% off $49,665.68 $63,572.06 $62,909.85 2026-05-09
MS-850 OTHER Acute Leukemia With Other Procedures 11 9 — — $57,933.19 $83,950.22 $60,829.85 2026-05-09
2722109757 OTHER Hc Percutaneous Ventricular Assist Device Lvl 57 58 36 $63,067.45 $47,300.59 25% off $47,300.59 $60,544.75 $59,914.08 2026-05-09
MS-647 OTHER Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $59,540.34 $59,540.34 $59,540.34 2026-05-09
MS-635 OTHER Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $59,416.06 $59,416.06 $59,416.06 2026-05-09
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 9 — — $56,219.85 $62,079.35 $59,030.84 2026-05-09
MS-231 OTHER Coronary Bypass With Ptca With Mcc 11 9 — — $51,850.66 $60,908.90 $58,653.02 2026-05-09
4813347701 OTHER Hc Pulmonary Valve Implatantation Perq 58 36 $61,739.61 $46,304.71 25% off $46,304.71 $59,270.03 $58,652.63 2026-05-09
278C182656 OTHER Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 58 36 $60,064.25 $45,048.19 25% off $45,048.19 $57,661.68 $57,061.04 2026-05-09
275C172256 OTHER Hc Icd Single Chamber Lvl 56 58 36 $60,064.25 $45,048.19 25% off $45,048.19 $57,661.68 $57,061.04 2026-05-09
275C188256 OTHER Hc Icd Biv/crt-d Lvl 56 58 36 $60,064.25 $45,048.19 25% off $45,048.19 $57,661.68 $57,061.04 2026-05-09
2721489756 OTHER Hc Cardiovascular Non Implant Supply Lvl 56 58 36 $60,064.25 $45,048.19 25% off $45,048.19 $57,661.68 $57,061.04 2026-05-09
A9543 OTHER Y90 Ibritumomab Rx 15 11 — — $47,022.32 $62,507.01 $56,824.55 2026-05-09
MS-646 OTHER Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 1 1 — — $55,440.81 $55,440.81 $55,440.81 2026-05-09
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 9 — — $52,643.30 $113,985.15 $55,275.47 2026-05-09
4813322101 OTHER Hc Insert Pulse Gen Mult Leads 58 36 $57,852.67 $43,389.50 25% off $43,389.50 $55,538.56 $54,960.04 2026-05-09
2782649755 OTHER Hc Valve Implant Lvl 55 58 36 $57,204.00 $42,903.00 25% off $42,903.00 $54,915.84 $54,343.80 2026-05-09
275C188255 OTHER Hc Icd Biv/crt-d Lvl 55 58 36 $57,204.00 $42,903.00 25% off $42,903.00 $54,915.84 $54,343.80 2026-05-09
2782669755 OTHER Hc Vascular Stent Graft Implant Lvl 55 58 36 $57,204.00 $42,903.00 25% off $42,903.00 $54,915.84 $54,343.80 2026-05-09
Q2043 OTHER Sipuleucel-t Auto Cd54+ 29 11 — — $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 — — $51,368.83 $66,577.11 $53,937.27 2026-05-09
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 11 9 — — $51,147.39 $68,682.89 $53,704.76 2026-05-09
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 9 — — $50,978.13 $58,372.80 $53,527.03 2026-05-09
7613722902 OTHER Hc Revasc Tib Pero Arther Pta/initial Unilateral 58 36 $56,337.67 $42,253.25 25% off $42,253.25 $54,084.16 $53,520.79 2026-05-09
38240 OTHER Transplt Allo Hct/donor 29 11 — — $231.35 $70,057.90 $52,702.65 2026-05-09
2782669754 OTHER Hc Vascular Stent Graft Implant Lvl 54 58 36 $54,479.95 $40,859.96 25% off $40,859.96 $52,300.75 $51,755.95 2026-05-09
275C188254 OTHER Hc Icd Biv/crt-d Lvl 54 58 36 $54,479.95 $40,859.96 25% off $40,859.96 $52,300.75 $51,755.95 2026-05-09
4813399941 OTHER Hc Carotid Approach Tavr 58 36 $54,338.34 $40,753.75 25% off $40,753.75 $52,164.81 $51,621.42 2026-05-09
7613722702 OTHER Hc Revas Fem-pop W/ather W Stnt/pta Unilateral 58 36 $53,148.75 $39,861.56 25% off $39,861.56 $51,022.80 $50,491.31 2026-05-09
MS-010 OTHER Pancreas Transplant 11 9 — — $48,006.37 $77,456.97 $50,406.69 2026-05-09
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $13,323.47 $52,156.85 $50,225.11 2026-05-09
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 9 — — $47,731.41 $77,013.23 $50,117.98 2026-05-09
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 9 — — $47,703.31 $56,994.32 $50,088.47 2026-05-09
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 9 — — $30,111.07 $51,825.21 $49,905.75 2026-05-09
L7181 OTHER Electronic Elbo Simultaneous 15 11 — — $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 — — $49,345.78 $49,345.78 $49,345.78 2026-05-09
278C171701 OTHER Hc Brachytherapy Source Hdr Ir192 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
278C188953 OTHER Hc Implantable-insertable Device Noc Lvl 53 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
2721489753 OTHER Hc Cardiovascular Non Implant Supply Lvl 53 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
278C182053 OTHER Hc Generator Neuro Rechg Battery System Implant Lvl 53 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
2781909753 OTHER Hc Embolization Device Implant Lvl 53 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
278C187453 OTHER Hc Stent Coated/covered Implant Lvl 53 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
275C188253 OTHER Hc Icd Biv/crt-d Lvl 53 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
2782019753 OTHER Hc General Supply Implant Lvl 53 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
278C261601 OTHER Hc Brachytx Non-str Yttrium-90 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
2782669753 OTHER Hc Vascular Stent Graft Implant Lvl 53 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
275C172153 OTHER Hc Icd Dual Chamber Lvl 53 58 36 $51,722.65 $38,791.99 25% off $38,791.99 $49,653.74 $49,136.52 2026-05-09
4810646T01 OTHER Hc Ttvi Prosthetic Valve, Percutaneous 58 36 $51,682.99 $38,762.24 25% off $38,762.24 $49,615.67 $49,098.84 2026-05-09
4813399945 OTHER Hc Transcatheter Bicaval Valve System Implantation 58 36 $51,682.99 $38,762.24 25% off $38,762.24 $49,615.67 $49,098.84 2026-05-09
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 11 9 — — $46,240.85 $66,662.00 $48,552.89 2026-05-09
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 9 — — $13,206.19 $49,695.18 $47,854.61 2026-05-09
MS-955 OTHER Craniotomy For Multiple Significant Trauma 11 9 — — $45,031.94 $87,608.64 $47,283.54 2026-05-09
MS-403 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $47,202.36 $47,202.36 $47,202.36 2026-05-09
MS-317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 9 — — $44,733.56 $62,636.87 $46,970.24 2026-05-09
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 9 — — $44,700.78 $93,782.44 $46,935.82 2026-05-09
323C800401 OTHER Hc Sim Ang W/prs Cath Rad Emb 58 36 $49,059.90 $36,794.93 25% off $36,794.93 $47,097.50 $46,606.90 2026-05-09
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $43,989.62 $57,796.90 $46,189.10 2026-05-09
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $43,829.72 $59,826.54 $46,021.21 2026-05-09
MS-691 OTHER Kidney Transplant With Hemodialysis With Mcc 1 1 — — $45,991.06 $45,991.06 $45,991.06 2026-05-09
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $43,989.62 $47,508.79 $45,967.43 2026-05-09
4819358001 OTHER Hc Transcath Asd Repair 58 36 $48,374.14 $36,280.61 25% off $36,280.60 $46,439.17 $45,955.43 2026-05-09
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 11 9 — — $43,048.98 $58,858.54 $45,201.43 2026-05-09
278C187452 OTHER Hc Stent Coated/covered Implant Lvl 52 58 36 $47,020.55 $35,265.41 25% off $35,265.41 $45,139.73 $44,669.52 2026-05-09
2782019752 OTHER Hc General Supply Implant Lvl 52 58 36 $47,020.55 $35,265.41 25% off $35,265.41 $45,139.73 $44,669.52 2026-05-09
278C188952 OTHER Hc Implantable-insertable Device Noc Lvl 52 58 36 $47,020.55 $35,265.41 25% off $35,265.41 $45,139.73 $44,669.52 2026-05-09
2782649752 OTHER Hc Valve Implant Lvl 52 58 36 $47,020.55 $35,265.41 25% off $35,265.41 $45,139.73 $44,669.52 2026-05-09
2782679752 OTHER Hc Left Atrial Appendage Implant Lvl 52 58 36 $47,020.55 $35,265.41 25% off $35,265.41 $45,139.73 $44,669.52 2026-05-09
278C182052 OTHER Hc Generator Neuro Rechg Battery System Implant Lvl 52 58 36 $47,020.55 $35,265.41 25% off $35,265.41 $45,139.73 $44,669.52 2026-05-09
2781909752 OTHER Hc Embolization Device Implant Lvl 52 58 36 $47,020.55 $35,265.41 25% off $35,265.41 $45,139.73 $44,669.52 2026-05-09
275C188252 OTHER Hc Icd Biv/crt-d Lvl 52 58 36 $47,020.55 $35,265.41 25% off $35,265.41 $45,139.73 $44,669.52 2026-05-09
275C172252 OTHER Hc Icd Single Chamber Lvl 52 58 36 $47,020.55 $35,265.41 25% off $35,265.41 $45,139.73 $44,669.52 2026-05-09
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 14 10 — — $36,905.00 $49,058.01 $44,598.19 2026-05-09
64654 OTHER 1st Opn Implt Bat Modulj Sys 14 10 — — $36,905.00 $49,058.01 $44,598.19 2026-05-09
33276 OTHER Insj Phrnc Nrv Stim Sys 14 10 — — $36,905.00 $49,058.01 $44,598.19 2026-05-09
4819359001 OTHER Hc Closure Paravalvular Leak Perc; Initial, Mitral Valve 58 36 $46,945.26 $35,208.94 25% off $35,208.94 $45,067.45 $44,598.00 2026-05-09
L7180 OTHER Electronic Elbow Sequential 15 11 — — $36,170.84 $48,082.09 $43,710.99 2026-05-09
4819293306 OTHER Hc Revasc Des & Ather With Ptca Initial Art/brnch 58 36 $45,885.89 $34,414.42 25% off $34,414.42 $44,050.45 $43,591.60 2026-05-09
4819293313 OTHER Hcd Drug-eluting Stent/ptca Atherect Maj Art Or Branch-lm 58 36 $45,885.89 $34,414.42 25% off $34,414.42 $44,050.45 $43,591.60 2026-05-09
4819293301 OTHER Hc Perq Trluml C Athrc St Angiop 1 Maj C Art&/brnch 58 36 $45,885.89 $34,414.42 25% off $34,414.42 $44,050.45 $43,591.60 2026-05-09
J9226 OTHER Supprelin La Implant 29 11 — — $35,735.87 $47,503.87 $43,324.60 2026-05-09
MS-969 OTHER HIV With Extensive O.r. Procedures With Mcc 11 9 — — $40,952.30 $61,440.44 $42,999.91 2026-05-09
481C977501 OTHER Hc Open/perc Intravascular Litho W/ather & Stent Tib/peroneal Artery 58 36 $44,904.63 $33,678.47 25% off $33,678.47 $43,108.44 $42,659.40 2026-05-09
481C976701 OTHER Hc Open/perc Intravascular Litho W/ather & Stent, Lower Extrem Artery 58 36 $44,904.61 $33,678.46 25% off $33,678.46 $43,108.43 $42,659.38 2026-05-09
MS-266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 9 — — $36,763.61 $44,279.78 $42,639.79 2026-05-09
MS-232 OTHER Coronary Bypass With Ptca Without Mcc 11 9 — — $40,559.59 $59,346.04 $42,587.57 2026-05-09
MS-457 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 9 — — $39,893.92 $55,571.22 $41,888.62 2026-05-09
MS-028 OTHER Spinal Procedures With Mcc 11 9 — — $38,907.03 $43,412.02 $41,804.17 2026-05-09
MS-276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 9 — — $32,973.91 $43,399.74 $41,792.34 2026-05-09
MS-016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 11 9 — — $39,670.47 $43,961.42 $41,653.99 2026-05-09
MS-648 OTHER Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $41,504.68 $41,504.68 $41,504.68 2026-05-09
MS-790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 11 9 — — $6,428.49 $42,943.82 $41,353.30 2026-05-09
MS-235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 11 9 — — $39,261.70 $52,928.05 $41,224.79 2026-05-09
MS-820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 9 — — $39,236.28 $43,187.73 $41,198.09 2026-05-09
MS-361 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $40,740.61 $40,740.61 $40,740.61 2026-05-09
275C172251 OTHER Hc Icd Single Chamber Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
2781949751 OTHER Hc Endoprosthesis Implant Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
278C187451 OTHER Hc Stent Coated/covered Implant Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
275C262151 OTHER Hc Pacemaker Biv Crt-p Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
2781909751 OTHER Hc Embolization Device Implant Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
2782669751 OTHER Hc Vascular Stent Graft Implant Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
278C188951 OTHER Hc Implantable-insertable Device Noc Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
2782649751 OTHER Hc Valve Implant Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
275C188251 OTHER Hc Icd Biv/crt-d Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
278C187651 OTHER Hc Stent Non Coated/non Covered Implant Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
272C188951 OTHER Hc Implantable-insertable Device Noc Non Implant Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
275C172151 OTHER Hc Icd Dual Chamber Lvl 51 58 36 $42,745.95 $32,059.46 25% off $32,059.46 $41,036.11 $40,608.65 2026-05-09
MS-430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 9 — — $38,582.65 $49,512.07 $40,511.79 2026-05-09
L2006 OTHER Kaf Sng/dbl Swg/stn Mcpr Cus 15 11 — — $33,325.12 $44,299.26 $40,272.05 2026-05-09
MS-023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 9 — — $38,336.46 $55,397.05 $40,253.28 2026-05-09
MS-463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $38,130.40 $51,115.47 $40,036.92 2026-05-09
MS-213 OTHER Splenic Procedures Age 0-17 11 9 — — $16,143.43 $41,234.30 $39,707.10 2026-05-09
MS-008 OTHER Simultaneous Pancreas/kidney Transplant 11 9 — — $37,495.51 $52,859.78 $39,370.28 2026-05-09
4810571T01 OTHER Hc Insert/replmnt Icds W/substernal Electrode 58 36 $41,433.93 $31,075.45 25% off $31,075.45 $39,776.57 $39,362.23 2026-05-09
MS-677 OTHER Neonate- Birth Weight 2000-2499 Grams- Without Significant O.r. Procedures- With… 1 1 — — $39,314.88 $39,314.88 $39,314.88 2026-05-09
MS-428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $10,123.67 $40,620.87 $39,116.39 2026-05-09
MS-461 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 11 9 — — $36,949.59 $59,617.36 $38,797.07 2026-05-09
2721649401 OTHER Hc Oxygenator Perfusion Set Cardiohelp Hls Adv 7 58 36 $40,775.55 $30,581.66 25% off $30,581.66 $39,144.53 $38,736.77 2026-05-09
MS-278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 9 — — $28,561.05 $40,217.69 $38,728.15 2026-05-09
MS-834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 11 9 — — $36,728.15 $79,702.78 $38,564.56 2026-05-09
MS-405 OTHER Pancreas- Liver And Shunt Procedures With Mcc 11 9 — — $36,598.36 $42,015.81 $38,428.28 2026-05-09
MS-234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 11 9 — — $36,546.18 $56,333.53 $38,373.49 2026-05-09
MS-011 OTHER Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 9 — — $36,488.64 $57,675.24 $38,313.07 2026-05-09
MS-613 OTHER Neonate- Birth Weight <750 Grams- Died 1 1 — — $38,264.62 $38,264.62 $38,264.62 2026-05-09
MS-017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 11 9 — — $36,342.80 $58,637.99 $38,159.94 2026-05-09
MS-362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $37,998.55 $37,998.55 $37,998.55 2026-05-09
MS-396 OTHER Major Head And Neck Procedures With Mcc 1 1 — — $37,775.37 $37,775.37 $37,775.37 2026-05-09
MS-220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $35,677.13 $45,874.65 $37,460.99 2026-05-09
MS-450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 9 — — $35,655.72 $53,349.91 $37,438.51 2026-05-09
MS-021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 9 — — $35,416.21 $47,651.35 $37,187.03 2026-05-09
7613389501 OTHER Hc Endovasc Stent Rpr Thor/abd Aorta - Not X Majr Bnchs 58 36 $39,137.23 $29,352.92 25% off $29,352.92 $37,571.74 $37,180.37 2026-05-09
7613389401 OTHER Hc Endovasc Stent Rpr Thor/abd Aorta - Major Side Bnchs 58 36 $39,137.23 $29,352.92 25% off $29,352.92 $37,571.74 $37,180.37 2026-05-09
275C188250 OTHER Hc Icd Biv/crt-d Lvl 50 58 36 $38,859.95 $29,144.96 25% off $29,144.96 $37,305.55 $36,916.95 2026-05-09
2781909750 OTHER Hc Embolization Device Implant Lvl 50 58 36 $38,859.95 $29,144.96 25% off $29,144.96 $37,305.55 $36,916.95 2026-05-09
2721489750 OTHER Hc Cardiovascular Non Implant Supply Lvl 50 58 36 $38,859.95 $29,144.96 25% off $29,144.96 $37,305.55 $36,916.95 2026-05-09
275C172150 OTHER Hc Icd Dual Chamber Lvl 50 58 36 $38,859.95 $29,144.96 25% off $29,144.96 $37,305.55 $36,916.95 2026-05-09
272C188750 OTHER Hc Catheter Guiding Lvl 50 58 36 $38,859.95 $29,144.96 25% off $29,144.96 $37,305.55 $36,916.95 2026-05-09
278C188950 OTHER Hc Implantable-insertable Device Noc Lvl 50 58 36 $38,859.95 $29,144.96 25% off $29,144.96 $37,305.55 $36,916.95 2026-05-09
272C175750 OTHER Hc Catheter Thromb/embolectomy Lvl 50 58 36 $38,859.95 $29,144.96 25% off $29,144.96 $37,305.55 $36,916.95 2026-05-09
278C187650 OTHER Hc Stent Non Coated/non Covered Implant Lvl 50 58 36 $38,859.95 $29,144.96 25% off $29,144.96 $37,305.55 $36,916.95 2026-05-09
2782669750 OTHER Hc Vascular Stent Graft Implant Lvl 50 58 36 $38,859.95 $29,144.96 25% off $29,144.96 $37,305.55 $36,916.95 2026-05-09
MS-270 OTHER Other Major Cardiovascular Procedures With Mcc 11 9 — — $3,196.30 $38,123.07 $36,711.10 2026-05-09
MS-466 OTHER Revision Of Hip Or Knee Replacement With Mcc 11 9 — — $34,824.81 $41,272.75 $36,566.05 2026-05-09
MS-653 OTHER Major Bladder Procedures With Mcc 11 9 — — $31,973.54 $37,545.76 $36,155.18 2026-05-09
7613722502 OTHER Hc Ir Revsc Opn/prq Fem/pop W/athrc/angio Sm Vessel Unilateral 58 36 $37,644.00 $28,233.00 25% off $28,233.00 $36,138.24 $35,761.80 2026-05-09
4819294341 OTHER Hcd Revasc Cto Bms/ptca/ather Initial Art/branch 58 36 $37,524.65 $28,143.49 25% off $28,143.49 $36,023.66 $35,648.42 2026-05-09
4819294301 OTHER Hc Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd 58 36 $37,510.50 $28,132.88 25% off $28,132.88 $36,010.08 $35,634.98 2026-05-09
4819293341 OTHER Hc Revasc Des & Ather With Ptca Initial Art/brnch 58 36 $37,479.72 $28,109.79 25% off $28,109.79 $35,980.53 $35,605.73 2026-05-09
MS-221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $33,719.60 $38,189.35 $35,405.58 2026-05-09
MS-326 OTHER Stomach- Esophageal And Duodenal Procedures With Mcc 11 9 — — $33,366.36 $42,290.63 $35,034.68 2026-05-09
L8701 OTHER Ewh S/d Uprt Micro Sensor 15 11 — — $28,937.78 $38,467.14 $34,970.13 2026-05-09
MS-228 OTHER Other Cardiothoracic Procedures With Mcc 11 9 — — $33,098.75 $56,553.21 $34,753.69 2026-05-09
MS-853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 9 — — $33,039.88 $41,502.93 $34,691.87 2026-05-09
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 14 10 — — $28,703.99 $38,156.35 $34,687.60 2026-05-09
MS-239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 9 — — $32,926.82 $35,560.96 $34,573.16 2026-05-09
MS-576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $32,789.67 $52,415.17 $34,429.15 2026-05-09
MS-404 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $34,234.23 $34,234.23 $34,234.23 2026-05-09
MS-471 OTHER Cervical Spinal Fusion With Mcc 11 9 — — $32,304.63 $38,555.19 $33,919.87 2026-05-09
MS-837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 9 — — $32,141.40 $44,530.32 $33,748.47 2026-05-09
2781909749 OTHER Hc Embolization Device Implant Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
275C178649 OTHER Hc Pacemaker Single Chamber Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
275C172249 OTHER Hc Icd Single Chamber Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
2721489749 OTHER Hc Cardiovascular Non Implant Supply Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
275C172149 OTHER Hc Icd Dual Chamber Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
278C187649 OTHER Hc Stent Non Coated/non Covered Implant Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
275C262149 OTHER Hc Pacemaker Biv Crt-p Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
278C188949 OTHER Hc Implantable-insertable Device Noc Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
275C188249 OTHER Hc Icd Biv/crt-d Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
2782669749 OTHER Hc Vascular Stent Graft Implant Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
272C175749 OTHER Hc Catheter Thromb/embolectomy Lvl 49 58 36 $35,327.15 $26,495.36 25% off $26,495.36 $33,914.06 $33,560.79 2026-05-09
4819294306 OTHER Hc Perq Trluml Revsc Chrnc Tot Occls Bms 1 C Art Antgrd 58 36 $35,261.83 $26,446.37 25% off $26,446.37 $33,851.36 $33,498.74 2026-05-09
MS-267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 9 — — $3,542.02 $34,398.40 $33,124.39 2026-05-09
MS-981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $31,388.76 $48,993.06 $32,958.19 2026-05-09
MS-826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 9 — — $31,295.09 $45,774.88 $32,859.85 2026-05-09
4813390202 OTHER Hc Pulmon Art Revasc W/stent Initial Abnorm Unilat 58 36 $34,497.58 $25,873.18 25% off $25,873.18 $33,117.68 $32,772.70 2026-05-09
MS-650 OTHER Kidney Transplant With Hemodialysis With Mcc 11 9 — — $23,159.20 $33,969.22 $32,711.10 2026-05-09
2721649301 OTHER Hc Pump Blood Centrimag 58 36 $34,322.40 $25,741.80 25% off $25,741.80 $32,949.50 $32,606.28 2026-05-09
MS-006 OTHER Liver Transplant Without Mcc 11 9 — — $31,022.14 $58,033.21 $32,573.24 2026-05-09
MS-277 OTHER Other Major Cardiovascular Procedures With Mcc 11 9 — — $30,898.37 $46,890.78 $32,443.29 2026-05-09
MS-608 OTHER Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $32,378.76 $32,378.76 $32,378.76 2026-05-09
MS-329 OTHER Major Small And Large Bowel Procedures With Mcc 11 9 — — $30,751.19 $34,161.59 $32,288.75 2026-05-09
MS-823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 9 — — $30,672.91 $46,537.20 $32,206.56 2026-05-09
MS-245 OTHER Aicd Generator Procedures 11 9 — — $30,523.05 $47,474.56 $32,049.21 2026-05-09
MS-856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 9 — — $30,431.40 $32,865.91 $31,952.97 2026-05-09
MS-025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 11 9 — — $30,418.02 $37,392.90 $31,938.92 2026-05-09
7613723103 OTHER Hc Revasc Tib/pero Stnt Ather Bilateral 58 36 $33,564.26 $25,173.20 25% off $25,173.20 $32,221.69 $31,886.05 2026-05-09
7613723102 OTHER Hc Revasc Tib/pero Stnt Ather Unilateral 58 36 $33,564.26 $25,173.20 25% off $25,173.20 $32,221.69 $31,886.05 2026-05-09
MS-799 OTHER Splenic Procedures With Mcc 11 9 — — $30,298.93 $46,192.36 $31,813.88 2026-05-09
0408T OTHER Insj/rplc Cardiac Modulj Sys 14 10 — — $26,299.63 $34,960.24 $31,782.03 2026-05-09
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 15 11 — — $26,299.63 $34,960.24 $31,782.03 2026-05-09
0571T OTHER Insj/rplcmt Icds Ss Eltrd 14 10 — — $26,299.63 $34,960.24 $31,782.03 2026-05-09
4813322801 OTHER Hc Remv&replc Pm Gen Dual Lead 58 36 $33,298.03 $24,973.52 25% off $24,973.52 $31,966.11 $31,633.13 2026-05-09
MS-163 OTHER Major Chest Procedures With Mcc 11 9 — — $29,983.83 $34,934.40 $31,483.02 2026-05-09
MS-319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 11 9 — — $29,857.38 $42,675.73 $31,350.25 2026-05-09
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 14 10 — — $25,854.59 $34,368.64 $31,244.22 2026-05-09
33287 OTHER Rmv&rplcmt Phrnc Nrv Stim Pg 15 11 — — $25,854.59 $34,368.64 $31,244.22 2026-05-09
61891 OTHER Rev/rplcmt Sk-mnt Crnl Nstm 15 11 — — $20,557.88 $34,368.64 $31,244.22 2026-05-09
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 15 11 — — $25,854.59 $34,368.64 $31,244.22 2026-05-09
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 14 10 — — $25,854.59 $34,368.64 $31,244.22 2026-05-09
64656 OTHER Revj/rplcmt Bat Mod Sys Pg 14 10 — — $25,854.59 $34,368.64 $31,244.22 2026-05-09
MS-031 OTHER Ventricular Shunt Procedures With Mcc 11 9 — — $21,645.94 $32,373.14 $31,174.14 2026-05-09
7613690601 OTHER Hc Av Fist W/mech/lytic Thromb W Periph Stenting 58 36 $32,544.63 $24,408.47 25% off $24,408.47 $31,242.84 $30,917.40 2026-05-09
MS-364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $30,894.39 $30,894.39 $30,894.39 2026-05-09
7613724201 OTHER Hc Vasc Embolize/occlude Artery 58 36 $32,241.96 $24,181.47 25% off $24,181.47 $30,952.28 $30,629.86 2026-05-09
MS-356 OTHER Other Digestive System O.r. Procedures With Mcc 11 9 — — $28,473.53 $31,739.48 $30,563.94 2026-05-09
275C172148 OTHER Hc Icd Dual Chamber Lvl 48 58 36 $32,115.60 $24,086.70 25% off $24,086.70 $30,830.98 $30,509.82 2026-05-09
275C172248 OTHER Hc Icd Single Chamber Lvl 48 58 36 $32,115.60 $24,086.70 25% off $24,086.70 $30,830.98 $30,509.82 2026-05-09
2782669748 OTHER Hc Vascular Stent Graft Implant Lvl 48 58 36 $32,115.60 $24,086.70 25% off $24,086.70 $30,830.98 $30,509.82 2026-05-09
275C178648 OTHER Hc Pacemaker Single Chamber Lvl 48 58 36 $32,115.60 $24,086.70 25% off $24,086.70 $30,830.98 $30,509.82 2026-05-09
278C187448 OTHER Hc Stent Coated/covered Implant Lvl 48 58 36 $32,115.60 $24,086.70 25% off $24,086.70 $30,830.98 $30,509.82 2026-05-09
272C175748 OTHER Hc Catheter Thromb/embolectomy Lvl 48 58 36 $32,115.60 $24,086.70 25% off $24,086.70 $30,830.98 $30,509.82 2026-05-09
275C188248 OTHER Hc Icd Biv/crt-d Lvl 48 58 36 $32,115.60 $24,086.70 25% off $24,086.70 $30,830.98 $30,509.82 2026-05-09
MS-323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 9 — — $28,950.87 $46,290.38 $30,398.42 2026-05-09
MS-474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 9 — — $28,720.06 $50,486.19 $30,156.07 2026-05-09
L5856 OTHER Elec Knee-shin Swing/stance 15 11 — — $24,711.52 $32,849.16 $29,862.87 2026-05-09
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