Hospital

PARK CITY HOSPITAL

Park City, UT · CCN 460057 · Rates published

20,539 distinct procedures filed

42 distinct payers

1,684,632 rate rows

2026-05-22 last MRF observed

Data quality

1,682,428 of 1,684,632 rate rows are consumer-grade (99.9%)

2,204 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	1,172
template filing: same amount across many unrelated codes — excluded	1,022
percent-of-charges filed in the dollar field — excluded from medians	10

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

Source MRF file	https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_park-city-hospital_standardcharges.ashx
Found on page	https://intermountainhealthcare.org/locations/park-city-hospital/about/price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-19
Content fingerprint	5bd7281a44102ecb… · 4,838,112 bytes · first seen 2026-05-17

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	$3,720,679.50	$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	$3,043,661.74	$4,053,793.34	$3,685,266.67	nat. median $3,685,267 1.0× median
J3389 OTHER	Topi Adm Prad Zami Per Treat	8	$3,335,820.00	$3,669,402.00	$3,469,252.80	nat. median $3,469,253 1.0× median
J1413 OTHER	Inj Delandistrogene Mox Rokl	11	$2,739,066.45	$3,660,645.70	$3,327,859.73	nat. median $3,327,860 1.0× median
J3387 OTHER	Inj Elivaldogene Autotemecel	8	$3,180,000.00	$3,498,000.00	$3,307,200.00	nat. median $3,307,200 1.0× median
J3394 OTHER	Inj Lovotibeglogene Autotem	11	$2,682,891.32	$3,577,758.89	$3,252,508.08	nat. median $3,286,000 1.0× median
J3393 OTHER	Inj Betibeglogene Autotemce	11	$2,432,886.67	$3,233,965.78	$2,939,968.89	nat. median $2,968,000 1.0× median
J3399 OTHER	Inj Onase Abepar-xioi Treat	11	$2,027,675.85	$2,847,879.35	$2,588,981.23	nat. median $2,472,216 1.0× median
J3392 OTHER	Inj Exagamglogene Autotem	11	$1,925,998.80	$2,565,200.00	$2,332,000.00	nat. median $2,332,000 1.0× median
Q2057 OTHER	Afamitresgene Autoleucel	10	$636,455.06	$847,682.00	$770,620.00	nat. median $770,620 1.0× median
Q2056 OTHER	Ciltacabtagene Car-pos T	11	$467,351.17	$646,414.53	$587,649.57	nat. median $583,076 1.0× median
Q2042 OTHER	Tisagenlecleucel Car-pos T	11	$488,706.67	$623,184.43	$566,531.30	nat. median $591,726 1.0× median
Q2054 OTHER	Lisocabtagene Mara Car Pos T	11	$464,600.29	$618,421.36	$562,201.24	nat. median $562,538 1.0× median
Q2055 OTHER	Idecabtagene Vicleucel Car	11	$460,288.88	$613,889.90	$558,081.73	nat. median $558,082 1.0× median
Q2041 OTHER	Axicabtagene Ciloleucel Car+	11	$440,394.80	$585,411.46	$532,192.24	nat. median $533,230 1.0× median
MS-927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	$142,839.74	$518,343.18	$518,343.18	nat. median $175,322 outlier · 3.0×
Q2053 OTHER	Brexucabtagene Car Pos T	11	$404,116.68	$538,395.22	$489,450.20	nat. median $489,720 1.0× median
MS-003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	13	$142,001.46	$338,672.82	$338,672.82	nat. median $169,886 2.0× median
MS-215 OTHER	Other Heart Assist System Implant	13	$66,614.61	$309,717.20	$309,717.20	nat. median $80,736 outlier · 3.8×
MS-018 OTHER	Chimeric Antigen Receptor (car) T-cell Immunotherapy	13	$288,902.84	$317,900.89	$303,401.86	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	$229,806.68	$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	$212,669.25	$291,500.00	$265,000.00	nat. median $265,000 1.0× median
MS-001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	13	$187,486.32	$336,391.67	$261,938.99	nat. median $224,278 1.2× median
MS-020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	13	$52,644.08	$260,082.74	$260,082.74	nat. median $64,597 outlier · 4.0×
MS-212 OTHER	Testes Procedures Age 0-17	13	$72,750.22	$240,861.29	$240,861.29	nat. median $87,208 outlier · 2.8×
MS-456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	13	$56,220.67	$235,134.41	$235,134.41	nat. median $65,528 outlier · 3.6×
MS-426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	$17,773.09	$233,921.73	$233,921.73	nat. median $84,247 outlier · 2.8×
MS-216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	$65,449.18	$228,531.34	$228,531.34	nat. median $76,284 outlier · 3.0×
MS-219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	$51,369.59	$222,697.39	$222,697.39	nat. median $59,911 outlier · 3.7×
MS-957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	13	$50,978.88	$213,924.61	$213,924.61	nat. median $59,203 outlier · 3.6×
MS-231 OTHER	Coronary Bypass With Ptca With Mcc	13	$51,850.66	$207,555.34	$207,555.34	nat. median $64,520 outlier · 3.2×
MS-233 OTHER	Coronary Bypass With Cardiac Catheterization With Mcc	13	$51,148.14	$205,145.28	$205,145.28	nat. median $60,330 outlier · 3.4×
J3402 OTHER	Inj. Remestemcel-l-rknd/ Td	10	$169,838.08	$221,835.92	$201,669.02	nat. median $205,640 1.0× median
MS-850 OTHER	Acute Leukemia With Other Procedures	13	$57,934.04	$201,446.08	$201,446.08	nat. median $70,217 outlier · 2.9×
MS-021 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	13	$35,416.74	$198,859.04	$198,859.04	nat. median $44,179 outlier · 4.5×
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-004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…	13	$92,669.04	$194,696.61	$194,696.61	nat. median $107,587 1.8× median
MS-429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	13	$60,276.29	$183,662.36	$183,662.36	nat. median $69,654 outlier · 2.6×
MS-266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	13	$36,763.61	$177,087.70	$177,087.70	nat. median $47,270 outlier · 3.7×
MS-217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	$43,990.27	$176,395.05	$176,395.05	nat. median $50,394 outlier · 3.5×
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-457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	13	$39,894.51	$174,452.59	$174,452.59	nat. median $48,038 outlier · 3.6×
MS-870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	13	$46,241.53	$170,440.93	$170,440.93	nat. median $55,680 outlier · 3.1×
MS-232 OTHER	Coronary Bypass With Ptca Without Mcc	13	$40,560.18	$170,047.63	$170,047.63	nat. median $47,275 outlier · 3.6×
MS-235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	13	$39,262.28	$167,152.50	$167,152.50	nat. median $46,890 outlier · 3.6×
MS-268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	13	$13,206.19	$163,020.67	$163,020.67	nat. median $52,594 outlier · 3.1×
MS-427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	$13,323.47	$158,150.30	$158,150.30	nat. median $54,639 outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 20,539 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

J3391	OTHER	Inj Atidarsagene Autotemcel	26	10	—	—	$3,720,679.50	$4,955,500.00	$4,505,000.00	2026-05-22
J1414	OTHER	Inj Beqvez Per Tx Dose	2	1	—	—	$3,710,000.00	$3,710,000.00	$3,710,000.00	2026-05-22
J1411	OTHER	Inj Hemgenix Per Tx Dose	28	11	—	—	$3,043,661.74	$4,053,793.34	$3,685,266.67	2026-05-22
J3389	OTHER	Topi Adm Prad Zami Per Treat	18	8	—	—	$3,335,820.00	$3,669,402.00	$3,469,252.80	2026-05-22
J1413	OTHER	Inj Delandistrogene Mox Rokl	28	11	—	—	$2,739,066.45	$3,660,645.70	$3,327,859.73	2026-05-22
J3387	OTHER	Inj Elivaldogene Autotemecel	18	8	—	—	$3,180,000.00	$3,498,000.00	$3,307,200.00	2026-05-22
J3394	OTHER	Inj Lovotibeglogene Autotem	28	11	—	—	$2,682,891.32	$3,577,758.89	$3,252,508.08	2026-05-22
J3393	OTHER	Inj Betibeglogene Autotemce	28	11	—	—	$2,432,886.67	$3,233,965.78	$2,939,968.89	2026-05-22
J3399	OTHER	Inj Onase Abepar-xioi Treat	28	11	—	—	$2,027,675.85	$2,847,879.35	$2,588,981.23	2026-05-22
J3392	OTHER	Inj Exagamglogene Autotem	28	11	—	—	$1,925,998.80	$2,565,200.00	$2,332,000.00	2026-05-22
Q2057	OTHER	Afamitresgene Autoleucel	26	10	—	—	$636,455.06	$847,682.00	$770,620.00	2026-05-22
Q2056	OTHER	Ciltacabtagene Car-pos T	28	11	—	—	$467,351.17	$646,414.53	$587,649.57	2026-05-22
Q2042	OTHER	Tisagenlecleucel Car-pos T	28	11	—	—	$488,706.67	$623,184.43	$566,531.30	2026-05-22
Q2054	OTHER	Lisocabtagene Mara Car Pos T	28	11	—	—	$464,600.29	$618,421.36	$562,201.24	2026-05-22
Q2055	OTHER	Idecabtagene Vicleucel Car	28	11	—	—	$460,288.88	$613,889.90	$558,081.73	2026-05-22
Q2041	OTHER	Axicabtagene Ciloleucel Car+	28	11	—	—	$440,394.80	$585,411.46	$532,192.24	2026-05-22
MS-927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	46	13	—	—	$142,839.74	$518,343.18	$518,343.18	2026-05-22
Q2053	OTHER	Brexucabtagene Car Pos T	28	11	—	—	$404,116.68	$538,395.22	$489,450.20	2026-05-22
MS-003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	46	13	—	—	$142,001.46	$338,672.82	$338,672.82	2026-05-22
MS-215	OTHER	Other Heart Assist System Implant	46	13	—	—	$66,614.61	$309,717.20	$309,717.20	2026-05-22
MS-018	OTHER	Chimeric Antigen Receptor (car) T-cell Immunotherapy	46	13	—	—	$288,902.84	$317,900.89	$303,401.86	2026-05-22
MS-633	OTHER	Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar…	2	1	—	—	$297,836.48	$297,836.48	$297,836.48	2026-05-22
Q2058	OTHER	Obecbtge Autol Up To 400 Mil	26	10	—	—	$229,806.68	$306,075.00	$278,250.00	2026-05-22
MS-612	OTHER	Neonate- Birth Weight <750 Grams- Discharged Alive	2	1	—	—	$272,925.97	$272,925.97	$272,925.97	2026-05-22
J3403	OTHER	Revakinagene Per Implant	26	10	—	—	$212,669.25	$291,500.00	$265,000.00	2026-05-22
MS-001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	46	13	—	—	$187,486.32	$336,391.67	$261,938.99	2026-05-22
MS-020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	46	13	—	—	$52,644.08	$260,082.74	$260,082.74	2026-05-22
MS-212	OTHER	Testes Procedures Age 0-17	46	13	—	—	$72,750.22	$240,861.29	$240,861.29	2026-05-22
MS-456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	46	13	—	—	$56,220.67	$235,134.41	$235,134.41	2026-05-22
MS-426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	46	13	—	—	$17,773.09	$233,921.73	$233,921.73	2026-05-22
MS-216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	13	—	—	$65,449.18	$228,531.34	$228,531.34	2026-05-22
MS-219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	13	—	—	$51,369.59	$222,697.39	$222,697.39	2026-05-22
MS-957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	46	13	—	—	$50,978.88	$213,924.61	$213,924.61	2026-05-22
MS-231	OTHER	Coronary Bypass With Ptca With Mcc	46	13	—	—	$51,850.66	$207,555.34	$207,555.34	2026-05-22
MS-233	OTHER	Coronary Bypass With Cardiac Catheterization With Mcc	46	13	—	—	$51,148.14	$205,145.28	$205,145.28	2026-05-22
J3402	OTHER	Inj. Remestemcel-l-rknd/ Td	26	10	—	—	$169,838.08	$221,835.92	$201,669.02	2026-05-22
MS-850	OTHER	Acute Leukemia With Other Procedures	46	13	—	—	$57,934.04	$201,446.08	$201,446.08	2026-05-22
MS-021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	46	13	—	—	$35,416.74	$198,859.04	$198,859.04	2026-05-22
MS-631	OTHER	Neonate- Birth Weight 750-999 Grams- Discharged Alive	2	1	—	—	$197,901.24	$197,901.24	$197,901.24	2026-05-22
MS-004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…	46	13	—	—	$92,669.04	$194,696.61	$194,696.61	2026-05-22
MS-429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	46	13	—	—	$60,276.29	$183,662.36	$183,662.36	2026-05-22
MS-266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	46	13	—	—	$36,763.61	$177,087.70	$177,087.70	2026-05-22
MS-217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	13	—	—	$43,990.27	$176,395.05	$176,395.05	2026-05-22
MS-636	OTHER	Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu…	2	1	—	—	$175,003.73	$175,003.73	$175,003.73	2026-05-22
MS-457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	46	13	—	—	$39,894.51	$174,452.59	$174,452.59	2026-05-22
MS-870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	46	13	—	—	$46,241.53	$170,440.93	$170,440.93	2026-05-22
MS-232	OTHER	Coronary Bypass With Ptca Without Mcc	46	13	—	—	$40,560.18	$170,047.63	$170,047.63	2026-05-22
MS-235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	46	13	—	—	$39,262.28	$167,152.50	$167,152.50	2026-05-22
MS-268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	46	13	—	—	$13,206.19	$163,020.67	$163,020.67	2026-05-22
MS-427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	46	13	—	—	$13,323.47	$158,150.30	$158,150.30	2026-05-22
MS-275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	46	13	—	—	$47,704.01	$156,087.66	$156,087.66	2026-05-22
MS-405	OTHER	Pancreas- Liver And Shunt Procedures With Mcc	46	13	—	—	$36,598.90	$154,160.49	$154,160.49	2026-05-22
MS-218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	13	—	—	$43,990.27	$153,426.33	$153,426.33	2026-05-22
MS-023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	13	—	—	$38,337.02	$153,264.64	$153,264.64	2026-05-22
MS-228	OTHER	Other Cardiothoracic Procedures With Mcc	46	13	—	—	$33,099.24	$151,090.57	$151,090.57	2026-05-22
MS-220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	13	—	—	$35,677.66	$150,714.75	$150,714.75	2026-05-22
MS-447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	46	13	—	—	$44,701.44	$147,170.68	$147,170.68	2026-05-22
MS-955	OTHER	Craniotomy For Multiple Significant Trauma	46	13	—	—	$45,032.60	$146,145.91	$146,145.91	2026-05-22
MS-928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	46	13	—	—	$30,111.07	$146,075.99	$146,075.99	2026-05-22
MS-234	OTHER	Coronary Bypass With Cardiac Catheterization Without Mcc	46	13	—	—	$36,546.72	$140,027.91	$140,027.91	2026-05-22
MS-207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	46	13	—	—	$43,049.62	$137,856.02	$137,856.02	2026-05-22
MS-276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	46	13	—	—	$32,973.91	$136,649.90	$136,649.90	2026-05-22
MS-317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	46	13	—	—	$44,734.22	$136,588.72	$136,588.72	2026-05-22
MS-267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	46	13	—	—	$3,542.02	$136,413.92	$136,413.92	2026-05-22
MS-969	OTHER	HIV With Extensive O.r. Procedures With Mcc	46	13	—	—	$40,952.90	$135,148.81	$135,148.81	2026-05-22
MS-573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	46	13	—	—	$43,830.37	$134,644.07	$134,644.07	2026-05-22
MS-163	OTHER	Major Chest Procedures With Mcc	46	13	—	—	$29,984.27	$133,451.06	$133,451.06	2026-05-22
MS-853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	46	13	—	—	$33,040.37	$132,727.83	$132,727.83	2026-05-22
202663	OTHER	Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution	132	38	$150,919.20	$113,189.40 25% off	$4,074.82	$135,827.28	$131,299.70	2026-05-22
MS-221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	13	—	—	$33,720.09	$130,555.94	$130,555.94	2026-05-22
MS-458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	46	13	—	—	$27,915.65	$128,801.38	$128,801.38	2026-05-22
MS-981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	46	13	—	—	$31,389.22	$127,879.31	$127,879.31	2026-05-22
MS-326	OTHER	Stomach- Esophageal And Duodenal Procedures With Mcc	46	13	—	—	$33,366.85	$127,599.63	$127,599.63	2026-05-22
92987	OTHER	Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous	450	41	$150,054.23	$112,540.67 25% off	$1,094.33	$164,770.31	$127,546.10	2026-05-22
MS-820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	46	13	—	—	$39,236.86	$126,719.08	$126,719.08	2026-05-22
MS-245	OTHER	Aicd Generator Procedures	46	13	—	—	$30,523.50	$125,169.91	$125,169.91	2026-05-22
MS-790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome- Neonate	46	13	—	—	$6,428.49	$123,236.19	$123,236.19	2026-05-22
MS-270	OTHER	Other Major Cardiovascular Procedures With Mcc	46	13	—	—	$3,196.30	$122,823.22	$122,823.22	2026-05-22
MS-736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	46	13	—	—	$23,914.22	$122,735.82	$122,735.82	2026-05-22
MS-428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	46	13	—	—	$10,123.67	$121,977.63	$121,977.63	2026-05-22
MS-653	OTHER	Major Bladder Procedures With Mcc	46	13	—	—	$31,973.54	$121,623.66	$121,623.66	2026-05-22
MS-025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	46	13	—	—	$30,418.47	$121,529.70	$121,529.70	2026-05-22
MS-430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	46	13	—	—	$38,583.22	$121,180.10	$121,180.10	2026-05-22
MS-826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	46	13	—	—	$31,295.55	$120,535.53	$120,535.53	2026-05-22
MS-834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	46	13	—	—	$36,728.69	$120,406.61	$120,406.61	2026-05-22
MS-423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	46	13	—	—	$27,784.52	$120,386.95	$120,386.95	2026-05-22
MS-463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	46	13	—	—	$38,130.96	$119,290.08	$119,290.08	2026-05-22
MS-681	OTHER	Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip…	2	1	—	—	$119,199.71	$119,199.71	$119,199.71	2026-05-22
MS-011	OTHER	Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc	46	13	—	—	$36,489.18	$118,824.67	$118,824.67	2026-05-22
MS-576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	46	13	—	—	$32,790.15	$117,734.36	$117,734.36	2026-05-22
MS-236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	46	13	—	—	$28,024.03	$114,030.78	$114,030.78	2026-05-22
MS-907	OTHER	Other O.r. Procedures For Injuries With Mcc	46	13	—	—	$25,685.80	$113,316.29	$113,316.29	2026-05-22
MS-450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	46	13	—	—	$35,656.25	$112,520.95	$112,520.95	2026-05-22
Q0480	OTHER	Driver Pneumatic Vad Rep	28	11	—	—	$90,284.32	$123,576.17	$112,341.97	2026-05-22
MS-239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	46	13	—	—	$32,927.30	$112,236.90	$112,236.90	2026-05-22
MS-466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	46	13	—	—	$34,825.32	$112,103.61	$112,103.61	2026-05-22
MS-040	OTHER	Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc	46	13	—	—	$25,832.31	$111,926.63	$111,926.63	2026-05-22
MS-474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	46	13	—	—	$28,720.49	$110,067.19	$110,067.19	2026-05-22
MS-278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	46	13	—	—	$28,561.05	$109,022.76	$109,022.76	2026-05-22
MS-837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	46	13	—	—	$32,141.87	$108,695.01	$108,695.01	2026-05-22
2782649771	OTHER	Hc Valve Implant Lvl 71	132	38	$124,869.85	$93,652.39 25% off	$3,371.49	$112,382.86	$108,636.77	2026-05-22
2722109771	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 71	132	38	$124,869.85	$93,652.39 25% off	$3,371.49	$112,382.86	$108,636.77	2026-05-22
MS-024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	13	—	—	$26,171.51	$107,803.53	$107,803.53	2026-05-22
216356	OTHER	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	132	38	$122,897.25	$92,172.94 25% off	$3,318.23	$110,607.52	$106,920.61	2026-05-22
MS-634	OTHER	Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc…	2	1	—	—	$106,754.08	$106,754.08	$106,754.08	2026-05-22
MS-012	OTHER	Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc	46	13	—	—	$28,206.01	$105,686.27	$105,686.27	2026-05-22
MS-031	OTHER	Ventricular Shunt Procedures With Mcc	46	13	—	—	$21,645.94	$105,142.20	$105,142.20	2026-05-22
2721649601	OTHER	Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2	132	38	$119,856.00	$89,892.00 25% off	$3,236.11	$107,870.40	$104,274.72	2026-05-22
2782649770	OTHER	Hc Valve Implant Lvl 70	132	38	$118,923.65	$89,192.74 25% off	$3,210.94	$107,031.28	$103,463.58	2026-05-22
278TRIG470	OTHER	Hc Ntap Triclip G4 Vlv Rpr Systm	132	38	$118,923.65	$89,192.74 25% off	$3,210.94	$107,031.28	$103,463.58	2026-05-22
2721649701	OTHER	Hc Pump Blood Vad With Valves	132	38	$118,891.70	$89,168.78 25% off	$3,210.08	$107,002.53	$103,435.78	2026-05-22
2721040201	OTHER	Hc Berlin Heart Pump Replacement	132	38	$118,891.70	$89,168.78 25% off	$3,210.08	$107,002.53	$103,435.78	2026-05-22
MS-277	OTHER	Other Major Cardiovascular Procedures With Mcc	46	13	—	—	$30,898.82	$103,306.80	$103,306.80	2026-05-22
MS-269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	46	13	—	—	$6,003.13	$102,542.05	$102,542.05	2026-05-22
MS-823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	46	13	—	—	$30,673.36	$101,672.42	$101,672.42	2026-05-22
MS-958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	46	13	—	—	$28,191.96	$100,728.50	$100,728.50	2026-05-22
MS-799	OTHER	Splenic Procedures With Mcc	46	13	—	—	$30,299.38	$100,247.80	$100,247.80	2026-05-22
MS-166	OTHER	Other Respiratory System O.r. Procedures With Mcc	46	13	—	—	$25,006.07	$98,845.03	$98,845.03	2026-05-22
MS-229	OTHER	Other Cardiothoracic Procedures Without Mcc	46	13	—	—	$21,070.88	$98,661.49	$98,661.49	2026-05-22
MS-461	OTHER	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	46	13	—	—	$36,950.14	$97,676.06	$97,676.06	2026-05-22
MS-632	OTHER	Neonate- Birth Weight 750-999 Grams- Died	2	1	—	—	$97,125.78	$97,125.78	$97,125.78	2026-05-22
MS-956	OTHER	Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma	46	13	—	—	$25,175.33	$97,003.08	$97,003.08	2026-05-22
MS-616	OTHER	Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With…	46	13	—	—	$21,489.28	$96,159.67	$96,159.67	2026-05-22
MS-319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	46	13	—	—	$29,857.82	$95,890.91	$95,890.91	2026-05-22
MS-329	OTHER	Major Small And Large Bowel Procedures With Mcc	46	13	—	—	$30,751.64	$95,681.15	$95,681.15	2026-05-22
MS-901	OTHER	Wound Debridements For Injuries With Mcc	46	13	—	—	$28,076.22	$95,560.98	$95,560.98	2026-05-22
MS-007	OTHER	Lung Transplant	46	13	—	—	$86,639.81	$103,943.75	$95,291.78	2026-05-22
MS-933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	46	13	—	—	$26,053.09	$94,230.31	$94,230.31	2026-05-22
MS-005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	46	13	—	—	$68,979.61	$119,288.98	$94,134.29	2026-05-22
MS-856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	46	13	—	—	$30,431.85	$93,753.98	$93,753.98	2026-05-22
MS-323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	46	13	—	—	$28,951.30	$93,714.65	$93,714.65	2026-05-22
MS-252	OTHER	Other Vascular Procedures With Mcc	46	13	—	—	$23,337.53	$93,179.33	$93,179.33	2026-05-22
MS-485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	46	13	—	—	$21,590.04	$93,140.00	$93,140.00	2026-05-22
MS-140	OTHER	Major Head And Neck Procedures With Mcc	46	13	—	—	$4,562.52	$92,805.69	$92,805.69	2026-05-22
MS-656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	46	13	—	—	$21,300.35	$92,617.78	$92,617.78	2026-05-22
MS-492	OTHER	Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc	46	13	—	—	$24,563.85	$92,606.86	$92,606.86	2026-05-22
MS-037	OTHER	Extracranial Procedures With Mcc	46	13	—	—	$22,024.90	$92,126.16	$92,126.16	2026-05-22
MS-014	OTHER	Allogeneic Bone Marrow Transplant	46	13	—	—	$80,402.51	$102,797.21	$91,599.86	2026-05-22
MS-002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	46	13	—	—	$75,812.34	$107,056.03	$91,434.18	2026-05-22
MS-448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	46	13	—	—	$28,371.92	$90,616.32	$90,616.32	2026-05-22
MS-515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	46	13	—	—	$21,321.09	$89,589.37	$89,589.37	2026-05-22
275C188267	OTHER	Hc Icd Biv/crt-d Lvl 67	132	38	$102,730.60	$77,047.95 25% off	$2,773.73	$92,457.54	$89,375.62	2026-05-22
MS-273	OTHER	Percutaneous Intracardiac Procedures W Mcc	46	13	—	—	$27,600.54	$89,176.41	$89,176.41	2026-05-22
MS-260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	46	13	—	—	$21,761.98	$88,920.76	$88,920.76	2026-05-22
MS-628	OTHER	Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc	46	13	—	—	$24,933.15	$88,671.67	$88,671.67	2026-05-22
MS-876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	46	13	—	—	$25,857.07	$87,487.40	$87,487.40	2026-05-22
MS-402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	46	13	—	—	$10,795.84	$87,124.69	$87,124.69	2026-05-22
MS-094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	46	13	—	—	$23,545.59	$86,161.11	$86,161.11	2026-05-22
MS-408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	46	13	—	—	$23,854.68	$85,652.00	$85,652.00	2026-05-22
MS-500	OTHER	Soft Tissue Procedures With Mcc	46	13	—	—	$21,173.24	$85,647.63	$85,647.63	2026-05-22
MS-034	OTHER	Carotid Artery Stent Procedures With Mcc	46	13	—	—	$25,895.87	$85,280.55	$85,280.55	2026-05-22
2782649766	OTHER	Hc Valve Implant Lvl 66	132	38	$97,838.65	$73,378.99 25% off	$2,641.64	$88,054.78	$85,119.63	2026-05-22
278C182366	OTHER	Hc Neurostim Generator/lead Lvl 66	132	38	$97,838.65	$73,378.99 25% off	$2,641.64	$88,054.78	$85,119.63	2026-05-22
278C188966	OTHER	Hc Implantable-insertable Device Noc Lvl 66	132	38	$97,838.65	$73,378.99 25% off	$2,641.64	$88,054.78	$85,119.63	2026-05-22
MS-365	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	1	—	—	$84,612.76	$84,612.76	$84,612.76	2026-05-22
MS-668	OTHER	Transurethral Procedures With Mcc	46	13	—	—	$19,535.47	$84,535.47	$84,535.47	2026-05-22
MS-332	OTHER	Rectal Resection With Mcc	46	13	—	—	$24,223.31	$83,928.04	$83,928.04	2026-05-22
MS-904	OTHER	Skin Grafts For Injuries With Cc/mcc	46	13	—	—	$24,573.88	$83,904.00	$83,904.00	2026-05-22
MS-026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	46	13	—	—	$20,801.26	$82,909.83	$82,909.83	2026-05-22
MS-462	OTHER	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc	46	13	—	—	$17,796.01	$82,787.47	$82,787.47	2026-05-22
MS-739	OTHER	Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc	46	13	—	—	$23,969.75	$82,431.31	$82,431.31	2026-05-22
MS-518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	46	13	—	—	$25,003.39	$81,926.58	$81,926.58	2026-05-22
MS-622	OTHER	Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor…	46	13	—	—	$23,811.86	$81,229.56	$81,229.56	2026-05-22
2782649765	OTHER	Hc Valve Implant Lvl 65	132	38	$93,179.65	$69,884.74 25% off	$2,515.85	$83,861.68	$81,066.30	2026-05-22
MS-028	OTHER	Spinal Procedures With Mcc	46	13	—	—	$38,907.03	$79,693.51	$79,693.51	2026-05-22
MS-061	OTHER	Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	46	13	—	—	$18,445.63	$79,350.46	$79,350.46	2026-05-22
MS-406	OTHER	Pancreas- Liver And Shunt Procedures With Cc	46	13	—	—	$19,403.00	$79,276.17	$79,276.17	2026-05-22
MS-959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	46	13	—	—	$15,182.44	$78,638.15	$78,638.15	2026-05-22
MS-477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	46	13	—	—	$23,112.07	$78,240.48	$78,240.48	2026-05-22
MS-480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	46	13	—	—	$19,483.95	$78,164.01	$78,164.01	2026-05-22
MS-802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	46	13	—	—	$26,654.54	$78,157.45	$78,157.45	2026-05-22
MS-264	OTHER	Other Circulatory System O.r. Procedures	46	13	—	—	$20,114.31	$78,067.87	$78,067.87	2026-05-22
MS-963	OTHER	Other Multiple Significant Trauma With Mcc	46	13	—	—	$18,289.75	$77,405.81	$77,405.81	2026-05-22
2782669764	OTHER	Hc Vascular Stent Graft Implant Lvl 64	132	38	$88,742.50	$66,556.88 25% off	$2,396.05	$79,868.25	$77,205.98	2026-05-22
2782649764	OTHER	Hc Valve Implant Lvl 64	132	38	$88,742.50	$66,556.88 25% off	$2,396.05	$79,868.25	$77,205.98	2026-05-22
MS-265	OTHER	Aicd Lead Procedures	46	13	—	—	$24,206.59	$77,180.76	$77,180.76	2026-05-22
MS-503	OTHER	Foot Procedures With Mcc	46	13	—	—	$18,673.10	$77,165.46	$77,165.46	2026-05-22
MS-022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	46	13	—	—	$21,257.53	$77,139.24	$77,139.24	2026-05-22
MS-420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	46	13	—	—	$22,794.28	$77,132.69	$77,132.69	2026-05-22
MS-209	OTHER	Kidney And Urinary Tract Signs And Symptoms Age 0-17	20	9	—	—	$4,656.17	$81,783.40	$76,861.25	2026-05-22
MS-414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	46	13	—	—	$23,834.61	$76,608.29	$76,608.29	2026-05-22
MS-659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	46	13	—	—	$16,999.20	$76,118.85	$76,118.85	2026-05-22
MS-974	OTHER	HIV With Major Related Condition With Mcc	46	13	—	—	$19,308.00	$75,952.79	$75,952.79	2026-05-22
MS-274	OTHER	Percutaneous Intracardiac Procedures Without Mcc	46	13	—	—	$22,022.23	$75,946.23	$75,946.23	2026-05-22
MS-467	OTHER	Revision Of Hip Or Knee Replacement With Cc	46	13	—	—	$23,593.76	$75,828.24	$75,828.24	2026-05-22
MS-574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	46	13	—	—	$19,835.11	$75,559.49	$75,559.49	2026-05-22
MS-271	OTHER	Other Major Cardiovascular Procedures With Cc	46	13	—	—	$4,008.51	$75,520.16	$75,520.16	2026-05-22
MS-829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	46	13	—	—	$21,141.12	$75,467.72	$75,467.72	2026-05-22
MS-673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	46	13	—	—	$25,993.16	$74,897.43	$74,897.43	2026-05-22
MS-253	OTHER	Other Vascular Procedures With Cc	46	13	—	—	$17,365.16	$74,040.91	$74,040.91	2026-05-22
2782649763	OTHER	Hc Valve Implant Lvl 63	132	38	$84,516.60	$63,387.45 25% off	$2,281.95	$76,064.94	$73,529.44	2026-05-22
278C188963	OTHER	Hc Implantable-insertable Device Noc Lvl 63	132	38	$84,516.60	$63,387.45 25% off	$2,281.95	$76,064.94	$73,529.44	2026-05-22
MS-335	OTHER	Peritoneal Adhesiolysis With Mcc	46	13	—	—	$23,890.14	$73,282.72	$73,282.72	2026-05-22
MS-808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	46	13	—	—	$14,771.36	$72,102.82	$72,102.82	2026-05-22
MS-143	OTHER	Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc	46	13	—	—	$22,136.06	$72,046.01	$72,046.01	2026-05-22
MS-164	OTHER	Major Chest Procedures With Cc	46	13	—	—	$16,886.14	$71,910.54	$71,910.54	2026-05-22
MS-545	OTHER	Connective Tissue Disorders With Mcc	46	13	—	—	$16,603.14	$71,807.84	$71,807.84	2026-05-22
MS-651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	46	13	—	—	$24,792.65	$118,445.27	$71,618.96	2026-05-22
MS-469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	46	13	—	—	$20,292.80	$71,580.60	$71,580.60	2026-05-22
MS-242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	46	13	—	—	$21,360.56	$71,565.31	$71,565.31	2026-05-22
MS-665	OTHER	Prostatectomy With Mcc	46	13	—	—	$20,881.54	$71,348.99	$71,348.99	2026-05-22
183256	OTHER	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln	132	38	$81,231.01	$60,923.26 25% off	$2,193.24	$73,107.91	$70,670.98	2026-05-22
MS-324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	46	13	—	—	$21,080.91	$70,481.55	$70,481.55	2026-05-22
MS-279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	46	13	—	—	$24,127.64	$70,442.22	$70,442.22	2026-05-22
MS-749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	46	13	—	—	$15,417.00	$70,232.46	$70,232.46	2026-05-22
2782669762	OTHER	Hc Vascular Stent Graft Implant Lvl 62	132	38	$80,492.00	$60,369.00 25% off	$2,173.28	$72,442.80	$70,028.04	2026-05-22
278C187462	OTHER	Hc Stent Coated/covered Implant Lvl 62	132	38	$80,492.00	$60,369.00 25% off	$2,173.28	$72,442.80	$70,028.04	2026-05-22
278C188962	OTHER	Hc Implantable-insertable Device Noc Lvl 62	132	38	$80,492.00	$60,369.00 25% off	$2,173.28	$72,442.80	$70,028.04	2026-05-22
MS-929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	46	13	—	—	$15,248.96	$69,568.22	$69,568.22	2026-05-22
MS-498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	46	13	—	—	$19,635.56	$69,537.63	$69,537.63	2026-05-22
MS-840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	46	13	—	—	$21,642.22	$69,504.85	$69,504.85	2026-05-22
MS-939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	46	13	—	—	$24,275.50	$69,430.56	$69,430.56	2026-05-22
MS-097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	46	13	—	—	$23,059.42	$69,360.64	$69,360.64	2026-05-22
MS-982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	46	13	—	—	$16,447.93	$69,251.39	$69,251.39	2026-05-22
MS-495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	46	13	—	—	$19,576.92	$69,157.44	$69,157.44	2026-05-22
MS-614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	46	13	—	—	$14,663.64	$69,118.11	$69,118.11	2026-05-22
MS-570	OTHER	Skin Debridement With Mcc	46	13	—	—	$19,676.63	$69,056.93	$69,056.93	2026-05-22
MS-243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	46	13	—	—	$14,256.21	$68,834.06	$68,834.06	2026-05-22
L8702	OTHER	Ewhf S/d Uprt Micro Sensor	28	11	—	—	$55,709.15	$75,681.88	$68,801.71	2026-05-22
MS-662	OTHER	Minor Bladder Procedures With Mcc	46	13	—	—	$20,482.14	$67,765.59	$67,765.59	2026-05-22
MS-987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	46	13	—	—	$22,936.78	$67,660.71	$67,660.71	2026-05-22
MS-356	OTHER	Other Digestive System O.r. Procedures With Mcc	46	13	—	—	$28,473.53	$67,599.53	$67,599.53	2026-05-22
MS-654	OTHER	Major Bladder Procedures With Cc	46	13	—	—	$18,727.96	$67,590.79	$67,590.79	2026-05-22
MS-173	OTHER	Urethral Procedures Age 0-17	46	13	—	—	$19,912.80	$67,474.99	$67,474.99	2026-05-22
MS-327	OTHER	Stomach- Esophageal And Duodenal Procedures With Cc	46	13	—	—	$16,352.26	$67,459.69	$67,459.69	2026-05-22
MS-451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	46	13	—	—	$21,612.12	$67,424.73	$67,424.73	2026-05-22
192637	OTHER	Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution	264	38	$148,896.00	$111,672.00 25% off	$2,010.10	$201,009.60	$67,003.20	2026-05-22
278C182361	OTHER	Hc Neurostim Generator/lead Lvl 61	132	38	$76,659.05	$57,494.29 25% off	$2,069.79	$68,993.14	$66,693.37	2026-05-22
2782649761	OTHER	Hc Valve Implant Lvl 61	132	38	$76,659.05	$57,494.29 25% off	$2,069.79	$68,993.14	$66,693.37	2026-05-22
2722109761	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 61	132	38	$76,659.05	$57,494.29 25% off	$2,069.79	$68,993.14	$66,693.37	2026-05-22
MS-240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	46	13	—	—	$18,239.58	$66,336.60	$66,336.60	2026-05-22
MS-027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	46	13	—	—	$16,878.78	$65,949.86	$65,949.86	2026-05-22
MS-208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	46	13	—	—	$18,389.43	$65,652.70	$65,652.70	2026-05-22
MS-493	OTHER	Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc	46	13	—	—	$16,967.09	$65,388.31	$65,388.31	2026-05-22
MS-366	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	1	—	—	$64,396.93	$64,396.93	$64,396.93	2026-05-22
J9029	OTHER	Instill Adstiladrin Tx Dose	28	11	—	—	$52,314.39	$70,702.27	$64,274.79	2026-05-22
2721649501	OTHER	Hc Set Pump Impella Cp W/smart Assist	132	38	$73,548.00	$55,161.00 25% off	$1,985.80	$66,193.20	$63,986.76	2026-05-22
MS-082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	46	13	—	—	$15,291.19	$63,961.51	$63,961.51	2026-05-22
MS-521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	46	13	—	—	$19,202.30	$63,889.40	$63,889.40	2026-05-22
MS-288	OTHER	Acute And Subacute Endocarditis With Mcc	46	13	—	—	$18,105.10	$63,869.74	$63,869.74	2026-05-22
2722109760	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 60	132	38	$73,008.55	$54,756.41 25% off	$1,971.23	$65,707.70	$63,517.44	2026-05-22
MS-325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	46	13	—	—	$21,478.31	$63,209.87	$63,209.87	2026-05-22
MS-085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	46	13	—	—	$15,199.53	$63,109.36	$63,109.36	2026-05-22
MS-464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	46	13	—	—	$20,838.06	$62,956.41	$62,956.41	2026-05-22
MS-010	OTHER	Pancreas Transplant	46	13	—	—	$48,007.08	$77,456.97	$62,732.03	2026-05-22
MS-272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	46	13	—	—	$17,080.16	$62,521.59	$62,521.59	2026-05-22
MS-321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	46	13	—	—	$18,202.78	$62,499.74	$62,499.74	2026-05-22
MS-019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	46	13	—	—	$47,732.11	$77,013.23	$62,372.67	2026-05-22
MS-510	OTHER	Shoulder- Elbow Or Forearm Procedures- Except Major Joint Procedures With Mcc	46	13	—	—	$20,207.84	$62,226.62	$62,226.62	2026-05-22
MS-471	OTHER	Cervical Spinal Fusion With Mcc	46	13	—	—	$32,305.11	$61,868.28	$61,868.28	2026-05-22
MS-333	OTHER	Rectal Resection With Cc	46	13	—	—	$15,669.86	$61,538.34	$61,538.34	2026-05-22
MS-258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	46	13	—	—	$21,021.37	$61,442.20	$61,442.20	2026-05-22
MS-579	OTHER	Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc	46	13	—	—	$21,666.31	$60,968.06	$60,968.06	2026-05-22
272C176959	OTHER	Hc Guidewire Lvl 59	132	38	$69,531.95	$52,148.96 25% off	$1,877.36	$62,578.76	$60,492.80	2026-05-22
275C172159	OTHER	Hc Icd Dual Chamber Lvl 59	132	38	$69,531.95	$52,148.96 25% off	$1,877.36	$62,578.76	$60,492.80	2026-05-22
275C188259	OTHER	Hc Icd Biv/crt-d Lvl 59	132	38	$69,531.95	$52,148.96 25% off	$1,877.36	$62,578.76	$60,492.80	2026-05-22
278C262459	OTHER	Hc Wireless Pressure Sensor Lvl 59	132	38	$69,531.95	$52,148.96 25% off	$1,877.36	$62,578.76	$60,492.80	2026-05-22
278LIMFW59	OTHER	Hc Ntap Limflow System	132	38	$69,531.95	$52,148.96 25% off	$1,877.36	$62,578.76	$60,492.80	2026-05-22
278C182359	OTHER	Hc Neurostim Generator/lead Lvl 59	132	38	$69,531.95	$52,148.96 25% off	$1,877.36	$62,578.76	$60,492.80	2026-05-22
2782649759	OTHER	Hc Valve Implant Lvl 59	132	38	$69,531.95	$52,148.96 25% off	$1,877.36	$62,578.76	$60,492.80	2026-05-22
2722109759	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 59	132	38	$69,531.95	$52,148.96 25% off	$1,877.36	$62,578.76	$60,492.80	2026-05-22
278C188959	OTHER	Hc Implantable-insertable Device Noc Lvl 59	132	38	$69,531.95	$52,148.96 25% off	$1,877.36	$62,578.76	$60,492.80	2026-05-22
MS-411	OTHER	Cholecystectomy With C.d.e. With Mcc	46	13	—	—	$22,099.83	$59,790.34	$59,790.34	2026-05-22
MS-647	OTHER	Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With…	2	1	—	—	$59,540.34	$59,540.34	$59,540.34	2026-05-22
MS-635	OTHER	Neonate- Birth Weight 1000-1499 Grams- Died	2	1	—	—	$59,416.06	$59,416.06	$59,416.06	2026-05-22
MS-483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	46	13	—	—	$18,544.65	$59,097.70	$59,097.70	2026-05-22
MS-263	OTHER	Vein Ligation And Stripping	46	13	—	—	$20,454.71	$58,778.69	$58,778.69	2026-05-22
MS-344	OTHER	Minor Small And Large Bowel Procedures With Mcc	46	13	—	—	$14,779.84	$58,750.28	$58,750.28	2026-05-22
MS-013	OTHER	Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	46	13	—	—	$19,279.90	$58,365.72	$58,365.72	2026-05-22
MS-468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	46	13	—	—	$18,384.75	$58,260.84	$58,260.84	2026-05-22
MS-583	OTHER	Mastectomy For Malignancy Without Cc/mcc	46	13	—	—	$11,536.63	$58,175.63	$58,175.63	2026-05-22
MS-577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	46	13	—	—	$17,733.79	$58,059.82	$58,059.82	2026-05-22
MS-849	OTHER	Radiotherapy	46	13	—	—	$18,127.18	$57,928.72	$57,928.72	2026-05-22
MS-095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	46	13	—	—	$17,255.44	$57,854.43	$57,854.43	2026-05-22
MS-970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	46	13	—	—	$17,644.81	$57,692.74	$57,692.74	2026-05-22
2722109758	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 58	132	38	$66,220.90	$49,665.68 25% off	$1,787.96	$59,598.81	$57,612.18	2026-05-22
2782649758	OTHER	Hc Valve Implant Lvl 58	132	38	$66,220.90	$49,665.68 25% off	$1,787.96	$59,598.81	$57,612.18	2026-05-22
MS-409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	46	13	—	—	$14,566.64	$57,535.42	$57,535.42	2026-05-22
MS-800	OTHER	Splenic Procedures With Cc	46	13	—	—	$18,795.53	$57,384.66	$57,384.66	2026-05-22
MS-062	OTHER	Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	46	13	—	—	$11,756.07	$57,129.01	$57,129.01	2026-05-22
MS-286	OTHER	Circulatory Disorders Except Ami- With Cardiac Catheterization With Mcc	46	13	—	—	$14,804.14	$56,899.59	$56,899.59	2026-05-22
A9543	OTHER	Y90 Ibritumomab Rx	28	11	—	—	$46,931.40	$62,507.01	$56,824.55	2026-05-22
MS-255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	46	13	—	—	$18,046.22	$56,753.19	$56,753.19	2026-05-22
MS-056	OTHER	Degenerative Nervous System Disorders With Mcc	46	13	—	—	$15,542.07	$56,637.39	$56,637.39	2026-05-22
MS-481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	46	13	—	—	$14,012.69	$56,353.34	$56,353.34	2026-05-22
MS-824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	46	13	—	—	$15,157.38	$55,883.56	$55,883.56	2026-05-22
MS-629	OTHER	Other Endocrine- Nutritional And Metabolic O.r. Procedures With Cc	46	13	—	—	$14,027.15	$55,828.94	$55,828.94	2026-05-22
MS-827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	46	13	—	—	$15,462.46	$55,669.43	$55,669.43	2026-05-22
MS-846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	46	13	—	—	$13,648.18	$55,555.81	$55,555.81	2026-05-22
MS-058	OTHER	Multiple Sclerosis And Cerebellar Ataxia With Mcc	46	13	—	—	$11,436.95	$55,523.04	$55,523.04	2026-05-22
MS-646	OTHER	Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without…	2	1	—	—	$55,440.81	$55,440.81	$55,440.81	2026-05-22
MS-817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	46	13	—	—	$12,352.85	$55,391.94	$55,391.94	2026-05-22
MS-330	OTHER	Major Small And Large Bowel Procedures With Cc	46	13	—	—	$16,037.82	$55,101.33	$55,101.33	2026-05-22
MS-516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	46	13	—	—	$13,902.97	$55,079.48	$55,079.48	2026-05-22
MS-244	OTHER	Permanent Cardiac Pacemaker Implant Without Cc/mcc	46	13	—	—	$12,092.59	$55,029.23	$55,029.23	2026-05-22
2722109757	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 57	132	38	$63,067.45	$47,300.59 25% off	$1,702.82	$56,760.70	$54,868.68	2026-05-22
MS-167	OTHER	Other Respiratory System O.r. Procedures With Cc	46	13	—	—	$12,065.16	$54,378.10	$54,378.10	2026-05-22
MS-096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	46	13	—	—	$17,046.66	$54,369.36	$54,369.36	2026-05-22
MS-397	OTHER	Major Head And Neck Procedures With Cc	46	13	—	—	$16,022.43	$54,163.97	$54,163.97	2026-05-22
Q2043	OTHER	Sipuleucel-t Auto Cd54+	54	11	—	—	$45,649.41	$59,844.52	$53,981.46	2026-05-22

See an error in this hospital's data? Submit a correction