Hospital

INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL

Heber City, UT · CCN 461307 · Rates published

17,374 distinct procedures filed

42 distinct payers

594,844 rate rows

2026-05-15 last MRF observed

Data quality

587,240 of 594,844 rate rows are consumer-grade (98.7%)

7,604 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
per-diem day rate — not a per-procedure price	6,903
placeholder amount (≤ $0.02) — excluded from medians	701

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

Source MRF file	https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_heber-valley-hospital_standardcharges.ashx
Found on page	https://intermountainhealthcare.org/locations/heber-valley-hospital/about/price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-19
Content fingerprint	7b6d8ee8fbdd5660… · 4,024,237 bytes · first seen 2026-05-15

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
Q2042 OTHER	Tisagenlecleucel Car-pos T	8	$529,192.86	$529,192.86	$529,192.86	nat. median $591,726 0.9× median
Q2056 OTHER	Ciltacabtagene Car-pos T	8	$527,123.43	$527,123.43	$527,123.43	nat. median $583,076 0.9× median
Q2055 OTHER	Idecabtagene Vicleucel Car	8	$526,587.59	$526,587.59	$526,587.59	nat. median $558,082 0.9× median
MS-927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	6	$495,094.84	$518,343.18	$518,343.18	nat. median $175,322 outlier · 3.0×
Q2054 OTHER	Lisocabtagene Mara Car Pos T	8	$516,726.08	$516,726.08	$516,726.08	nat. median $562,538 0.9× median
Q2041 OTHER	Axicabtagene Ciloleucel Car+	8	$489,455.96	$489,455.96	$489,455.96	nat. median $533,230 0.9× median
Q2053 OTHER	Brexucabtagene Car Pos T	8	$460,530.40	$460,530.40	$460,530.40	nat. median $489,720 0.9× median
MS-003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	6	$323,482.91	$338,672.82	$338,672.82	nat. median $169,886 2.0× median
MS-215 OTHER	Other Heart Assist System Implant	6	$295,825.99	$309,717.20	$309,717.20	nat. median $80,736 outlier · 3.8×
MS-020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	6	$248,417.70	$260,082.74	$260,082.74	nat. median $64,597 outlier · 4.0×
MS-212 OTHER	Testes Procedures Age 0-17	6	$230,058.36	$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…	6	$224,588.33	$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…	6	$223,430.05	$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…	6	$218,281.42	$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…	6	$212,709.13	$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	6	$204,329.82	$213,924.61	$213,924.61	nat. median $59,203 outlier · 3.6×
MS-231 OTHER	Coronary Bypass With Ptca With Mcc	6	$198,246.22	$207,555.34	$207,555.34	nat. median $64,520 outlier · 3.2×
MS-233 OTHER	Coronary Bypass With Cardiac Catheterization With Mcc	6	$195,944.26	$205,145.28	$205,145.28	nat. median $60,330 outlier · 3.4×
MS-850 OTHER	Acute Leukemia With Other Procedures	6	$192,410.97	$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	6	$189,939.96	$198,859.04	$198,859.04	nat. median $44,179 outlier · 4.5×
MS-004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…	6	$185,964.22	$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	6	$175,424.87	$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	6	$169,145.09	$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…	6	$168,483.51	$176,395.05	$176,395.05	nat. median $50,394 outlier · 3.5×
MS-457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	6	$166,628.17	$174,452.59	$174,452.59	nat. median $48,038 outlier · 3.6×
MS-870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	6	$162,796.44	$170,440.93	$170,440.93	nat. median $55,680 outlier · 3.1×
MS-232 OTHER	Coronary Bypass With Ptca Without Mcc	6	$162,420.78	$170,047.63	$170,047.63	nat. median $47,275 outlier · 3.6×
MS-235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	6	$159,655.50	$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	6	$155,708.98	$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…	6	$151,057.06	$158,150.30	$158,150.30	nat. median $54,639 outlier · 2.9×
MS-275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	6	$149,086.93	$156,087.66	$156,087.66	nat. median $56,931 outlier · 2.7×
MS-405 OTHER	Pancreas- Liver And Shunt Procedures With Mcc	6	$147,246.20	$154,160.49	$154,160.49	nat. median $43,033 outlier · 3.6×
MS-218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	6	$146,544.97	$153,426.33	$153,426.33	nat. median $49,044 outlier · 3.1×
MS-023 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	6	$146,390.53	$153,264.64	$153,264.64	nat. median $46,042 outlier · 3.3×
MS-228 OTHER	Other Cardiothoracic Procedures With Mcc	6	$144,313.96	$151,090.57	$151,090.57	nat. median $40,687 outlier · 3.7×
MS-220 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	$143,955.00	$150,714.75	$150,714.75	nat. median $42,442 outlier · 3.6×
MS-447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	6	$140,569.89	$147,170.68	$147,170.68	nat. median $52,354 outlier · 2.8×
MS-955 OTHER	Craniotomy For Multiple Significant Trauma	6	$139,591.08	$146,145.91	$146,145.91	nat. median $52,297 outlier · 2.8×
MS-928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	6	$139,524.30	$146,075.99	$146,075.99	nat. median $52,593 outlier · 2.8×
MS-234 OTHER	Coronary Bypass With Cardiac Catheterization Without Mcc	6	$133,747.48	$140,027.91	$140,027.91	nat. median $42,524 outlier · 3.3×
MS-207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	6	$131,673.00	$137,856.02	$137,856.02	nat. median $51,791 outlier · 2.7×
MS-276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	6	$130,520.98	$136,649.90	$136,649.90	nat. median $46,668 outlier · 2.9×
MS-317 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	6	$130,462.54	$136,588.72	$136,588.72	nat. median $51,694 outlier · 2.6×
MS-267 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	6	$130,295.58	$136,413.92	$136,413.92	nat. median $36,531 outlier · 3.7×
MS-969 OTHER	HIV With Extensive O.r. Procedures With Mcc	6	$129,087.21	$135,148.81	$135,148.81	nat. median $51,774 outlier · 2.6×
MS-573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	6	$128,605.11	$134,644.07	$134,644.07	nat. median $50,887 outlier · 2.6×
MS-163 OTHER	Major Chest Procedures With Mcc	6	$127,465.61	$133,451.06	$133,451.06	nat. median $35,575 outlier · 3.8×
MS-853 OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	6	$126,774.82	$132,727.83	$132,727.83	nat. median $39,645 outlier · 3.3×
MS-221 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	$124,700.34	$130,555.94	$130,555.94	nat. median $37,971 outlier · 3.4×
MS-458 OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	6	$123,024.48	$128,801.38	$128,801.38	nat. median $34,664 outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 17,374 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

Q2042	OTHER	Tisagenlecleucel Car-pos T	9	8	—	—	$529,192.86	$529,192.86	$529,192.86	2026-05-15
Q2056	OTHER	Ciltacabtagene Car-pos T	9	8	—	—	$527,123.43	$527,123.43	$527,123.43	2026-05-15
Q2055	OTHER	Idecabtagene Vicleucel Car	9	8	—	—	$526,587.59	$526,587.59	$526,587.59	2026-05-15
Q2054	OTHER	Lisocabtagene Mara Car Pos T	9	8	—	—	$516,726.08	$516,726.08	$516,726.08	2026-05-15
MS-927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	6	—	—	$495,094.84	$518,343.18	$518,343.18	2026-05-15
Q2041	OTHER	Axicabtagene Ciloleucel Car+	9	8	—	—	$489,455.96	$489,455.96	$489,455.96	2026-05-15
Q2053	OTHER	Brexucabtagene Car Pos T	9	8	—	—	$460,530.40	$460,530.40	$460,530.40	2026-05-15
MS-003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	16	6	—	—	$323,482.91	$338,672.82	$338,672.82	2026-05-15
MS-215	OTHER	Other Heart Assist System Implant	16	6	—	—	$295,825.99	$309,717.20	$309,717.20	2026-05-15
MS-020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	16	6	—	—	$248,417.70	$260,082.74	$260,082.74	2026-05-15
MS-212	OTHER	Testes Procedures Age 0-17	16	6	—	—	$230,058.36	$240,861.29	$240,861.29	2026-05-15
MS-456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	16	6	—	—	$224,588.33	$235,134.41	$235,134.41	2026-05-15
MS-426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	16	6	—	—	$223,430.05	$233,921.73	$233,921.73	2026-05-15
MS-216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	16	6	—	—	$218,281.42	$228,531.34	$228,531.34	2026-05-15
MS-219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	16	6	—	—	$212,709.13	$222,697.39	$222,697.39	2026-05-15
MS-957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	16	6	—	—	$204,329.82	$213,924.61	$213,924.61	2026-05-15
MS-231	OTHER	Coronary Bypass With Ptca With Mcc	16	6	—	—	$198,246.22	$207,555.34	$207,555.34	2026-05-15
MS-233	OTHER	Coronary Bypass With Cardiac Catheterization With Mcc	16	6	—	—	$195,944.26	$205,145.28	$205,145.28	2026-05-15
MS-850	OTHER	Acute Leukemia With Other Procedures	16	6	—	—	$192,410.97	$201,446.08	$201,446.08	2026-05-15
MS-021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	16	6	—	—	$189,939.96	$198,859.04	$198,859.04	2026-05-15
MS-004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…	16	6	—	—	$185,964.22	$194,696.61	$194,696.61	2026-05-15
MS-429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	16	6	—	—	$175,424.87	$183,662.36	$183,662.36	2026-05-15
MS-266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	16	6	—	—	$169,145.09	$177,087.70	$177,087.70	2026-05-15
MS-217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	16	6	—	—	$168,483.51	$176,395.05	$176,395.05	2026-05-15
MS-457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	16	6	—	—	$166,628.17	$174,452.59	$174,452.59	2026-05-15
MS-870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	16	6	—	—	$162,796.44	$170,440.93	$170,440.93	2026-05-15
MS-232	OTHER	Coronary Bypass With Ptca Without Mcc	16	6	—	—	$162,420.78	$170,047.63	$170,047.63	2026-05-15
MS-235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	16	6	—	—	$159,655.50	$167,152.50	$167,152.50	2026-05-15
MS-268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	16	6	—	—	$155,708.98	$163,020.67	$163,020.67	2026-05-15
MS-427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	16	6	—	—	$151,057.06	$158,150.30	$158,150.30	2026-05-15
MS-275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	16	6	—	—	$149,086.93	$156,087.66	$156,087.66	2026-05-15
MS-405	OTHER	Pancreas- Liver And Shunt Procedures With Mcc	16	6	—	—	$147,246.20	$154,160.49	$154,160.49	2026-05-15
MS-218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	16	6	—	—	$146,544.97	$153,426.33	$153,426.33	2026-05-15
MS-023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	16	6	—	—	$146,390.53	$153,264.64	$153,264.64	2026-05-15
MS-228	OTHER	Other Cardiothoracic Procedures With Mcc	16	6	—	—	$144,313.96	$151,090.57	$151,090.57	2026-05-15
MS-220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	16	6	—	—	$143,955.00	$150,714.75	$150,714.75	2026-05-15
MS-447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	16	6	—	—	$140,569.89	$147,170.68	$147,170.68	2026-05-15
MS-955	OTHER	Craniotomy For Multiple Significant Trauma	16	6	—	—	$139,591.08	$146,145.91	$146,145.91	2026-05-15
MS-928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	16	6	—	—	$139,524.30	$146,075.99	$146,075.99	2026-05-15
MS-234	OTHER	Coronary Bypass With Cardiac Catheterization Without Mcc	16	6	—	—	$133,747.48	$140,027.91	$140,027.91	2026-05-15
MS-207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	16	6	—	—	$131,673.00	$137,856.02	$137,856.02	2026-05-15
MS-276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	16	6	—	—	$130,520.98	$136,649.90	$136,649.90	2026-05-15
MS-317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	16	6	—	—	$130,462.54	$136,588.72	$136,588.72	2026-05-15
MS-267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	16	6	—	—	$130,295.58	$136,413.92	$136,413.92	2026-05-15
MS-969	OTHER	HIV With Extensive O.r. Procedures With Mcc	16	6	—	—	$129,087.21	$135,148.81	$135,148.81	2026-05-15
MS-573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	16	6	—	—	$128,605.11	$134,644.07	$134,644.07	2026-05-15
MS-163	OTHER	Major Chest Procedures With Mcc	16	6	—	—	$127,465.61	$133,451.06	$133,451.06	2026-05-15
MS-853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	16	6	—	—	$126,774.82	$132,727.83	$132,727.83	2026-05-15
MS-221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	16	6	—	—	$124,700.34	$130,555.94	$130,555.94	2026-05-15
MS-458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	16	6	—	—	$123,024.48	$128,801.38	$128,801.38	2026-05-15
MS-981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	16	6	—	—	$122,143.76	$127,879.31	$127,879.31	2026-05-15
MS-326	OTHER	Stomach- Esophageal And Duodenal Procedures With Mcc	16	6	—	—	$121,876.63	$127,599.63	$127,599.63	2026-05-15
MS-820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	16	6	—	—	$121,035.57	$126,719.08	$126,719.08	2026-05-15
MS-245	OTHER	Aicd Generator Procedures	16	6	—	—	$119,555.88	$125,169.91	$125,169.91	2026-05-15
MS-790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome- Neonate	16	6	—	—	$117,708.89	$123,236.19	$123,236.19	2026-05-15
MS-270	OTHER	Other Major Cardiovascular Procedures With Mcc	16	6	—	—	$117,314.44	$122,823.22	$122,823.22	2026-05-15
MS-736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	16	6	—	—	$117,230.96	$122,735.82	$122,735.82	2026-05-15
MS-428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	16	6	—	—	$116,506.78	$121,977.63	$121,977.63	2026-05-15
MS-653	OTHER	Major Bladder Procedures With Mcc	16	6	—	—	$116,168.68	$121,623.66	$121,623.66	2026-05-15
MS-025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	16	6	—	—	$116,078.94	$121,529.70	$121,529.70	2026-05-15
MS-430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	16	6	—	—	$115,745.02	$121,180.10	$121,180.10	2026-05-15
MS-826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	16	6	—	—	$115,129.36	$120,535.53	$120,535.53	2026-05-15
MS-834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	16	6	—	—	$115,006.22	$120,406.61	$120,406.61	2026-05-15
MS-423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	16	6	—	—	$114,987.44	$120,386.95	$120,386.95	2026-05-15
MS-463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	16	6	—	—	$113,939.77	$119,290.08	$119,290.08	2026-05-15
MS-011	OTHER	Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc	16	6	—	—	$113,495.23	$118,824.67	$118,824.67	2026-05-15
MS-576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	16	6	—	—	$112,453.82	$117,734.36	$117,734.36	2026-05-15
MS-236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	16	6	—	—	$108,916.36	$114,030.78	$114,030.78	2026-05-15
MS-907	OTHER	Other O.r. Procedures For Injuries With Mcc	16	6	—	—	$108,233.91	$113,316.29	$113,316.29	2026-05-15
MS-450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	16	6	—	—	$107,474.24	$112,520.95	$112,520.95	2026-05-15
MS-239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	16	6	—	—	$107,202.93	$112,236.90	$112,236.90	2026-05-15
MS-466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	16	6	—	—	$107,075.62	$112,103.61	$112,103.61	2026-05-15
MS-040	OTHER	Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc	16	6	—	—	$106,906.58	$111,926.63	$111,926.63	2026-05-15
MS-474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	16	6	—	—	$105,130.54	$110,067.19	$110,067.19	2026-05-15
MS-278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	16	6	—	—	$104,132.95	$109,022.76	$109,022.76	2026-05-15
MS-837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	16	6	—	—	$103,819.90	$108,695.01	$108,695.01	2026-05-15
MS-024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	16	6	—	—	$102,968.41	$107,803.53	$107,803.53	2026-05-15
MS-012	OTHER	Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc	16	6	—	—	$100,946.10	$105,686.27	$105,686.27	2026-05-15
MS-031	OTHER	Ventricular Shunt Procedures With Mcc	16	6	—	—	$100,426.44	$105,142.20	$105,142.20	2026-05-15
MS-277	OTHER	Other Major Cardiovascular Procedures With Mcc	16	6	—	—	$98,673.36	$103,306.80	$103,306.80	2026-05-15
MS-269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	16	6	—	—	$97,942.91	$102,542.05	$102,542.05	2026-05-15
MS-823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	16	6	—	—	$97,112.28	$101,672.42	$101,672.42	2026-05-15
MS-958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	16	6	—	—	$96,210.70	$100,728.50	$100,728.50	2026-05-15
MS-799	OTHER	Splenic Procedures With Mcc	16	6	—	—	$95,751.56	$100,247.80	$100,247.80	2026-05-15
MS-166	OTHER	Other Respiratory System O.r. Procedures With Mcc	16	6	—	—	$94,411.71	$98,845.03	$98,845.03	2026-05-15
MS-229	OTHER	Other Cardiothoracic Procedures Without Mcc	16	6	—	—	$94,236.40	$98,661.49	$98,661.49	2026-05-15
MS-461	OTHER	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	16	6	—	—	$93,295.16	$97,676.06	$97,676.06	2026-05-15
MS-956	OTHER	Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma	16	6	—	—	$92,652.37	$97,003.08	$97,003.08	2026-05-15
MS-616	OTHER	Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With…	16	6	—	—	$91,846.78	$96,159.67	$96,159.67	2026-05-15
MS-319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	16	6	—	—	$91,590.08	$95,890.91	$95,890.91	2026-05-15
MS-329	OTHER	Major Small And Large Bowel Procedures With Mcc	16	6	—	—	$91,389.73	$95,681.15	$95,681.15	2026-05-15
MS-901	OTHER	Wound Debridements For Injuries With Mcc	16	6	—	—	$91,274.95	$95,560.98	$95,560.98	2026-05-15
MS-933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	16	6	—	—	$90,003.96	$94,230.31	$94,230.31	2026-05-15
MS-856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	16	6	—	—	$89,549.00	$93,753.98	$93,753.98	2026-05-15
MS-323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	16	6	—	—	$89,511.43	$93,714.65	$93,714.65	2026-05-15
MS-252	OTHER	Other Vascular Procedures With Mcc	16	6	—	—	$89,000.12	$93,179.33	$93,179.33	2026-05-15
MS-485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	16	6	—	—	$88,962.55	$93,140.00	$93,140.00	2026-05-15
MS-140	OTHER	Major Head And Neck Procedures With Mcc	16	6	—	—	$88,643.24	$92,805.69	$92,805.69	2026-05-15
MS-656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	16	6	—	—	$88,463.76	$92,617.78	$92,617.78	2026-05-15
MS-492	OTHER	Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc	16	6	—	—	$88,453.32	$92,606.86	$92,606.86	2026-05-15
MS-037	OTHER	Extracranial Procedures With Mcc	16	6	—	—	$87,994.18	$92,126.16	$92,126.16	2026-05-15
MS-448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	16	6	—	—	$86,552.06	$90,616.32	$90,616.32	2026-05-15
MS-515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	16	6	—	—	$85,571.17	$89,589.37	$89,589.37	2026-05-15
MS-273	OTHER	Percutaneous Intracardiac Procedures W Mcc	16	6	—	—	$85,176.73	$89,176.41	$89,176.41	2026-05-15
MS-260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	16	6	—	—	$84,932.55	$88,920.76	$88,920.76	2026-05-15
MS-628	OTHER	Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc	16	6	—	—	$84,694.63	$88,671.67	$88,671.67	2026-05-15
MS-876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	16	6	—	—	$83,563.48	$87,487.40	$87,487.40	2026-05-15
MS-402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	16	6	—	—	$83,217.04	$87,124.69	$87,124.69	2026-05-15
MS-094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	16	6	—	—	$82,296.67	$86,161.11	$86,161.11	2026-05-15
MS-408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	16	6	—	—	$81,810.40	$85,652.00	$85,652.00	2026-05-15
MS-500	OTHER	Soft Tissue Procedures With Mcc	16	6	—	—	$81,806.23	$85,647.63	$85,647.63	2026-05-15
MS-034	OTHER	Carotid Artery Stent Procedures With Mcc	16	6	—	—	$81,455.61	$85,280.55	$85,280.55	2026-05-15
MS-668	OTHER	Transurethral Procedures With Mcc	16	6	—	—	$80,743.94	$84,535.47	$84,535.47	2026-05-15
MS-332	OTHER	Rectal Resection With Mcc	16	6	—	—	$80,163.76	$83,928.04	$83,928.04	2026-05-15
MS-904	OTHER	Skin Grafts For Injuries With Cc/mcc	16	6	—	—	$80,140.80	$83,904.00	$83,904.00	2026-05-15
MS-026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	16	6	—	—	$79,191.22	$82,909.83	$82,909.83	2026-05-15
MS-462	OTHER	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc	16	6	—	—	$79,074.34	$82,787.47	$82,787.47	2026-05-15
MS-739	OTHER	Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc	16	6	—	—	$78,734.16	$82,431.31	$82,431.31	2026-05-15
MS-518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	16	6	—	—	$78,252.07	$81,926.58	$81,926.58	2026-05-15
MS-622	OTHER	Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor…	16	6	—	—	$77,586.31	$81,229.56	$81,229.56	2026-05-15
MS-028	OTHER	Spinal Procedures With Mcc	16	6	—	—	$76,119.15	$79,693.51	$79,693.51	2026-05-15
MS-061	OTHER	Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	16	6	—	—	$75,791.49	$79,350.46	$79,350.46	2026-05-15
MS-406	OTHER	Pancreas- Liver And Shunt Procedures With Cc	16	6	—	—	$75,720.53	$79,276.17	$79,276.17	2026-05-15
MS-959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	16	6	—	—	$75,111.13	$78,638.15	$78,638.15	2026-05-15
MS-477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	16	6	—	—	$74,731.30	$78,240.48	$78,240.48	2026-05-15
MS-480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	16	6	—	—	$74,658.25	$78,164.01	$78,164.01	2026-05-15
MS-802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	16	6	—	—	$74,651.99	$78,157.45	$78,157.45	2026-05-15
MS-264	OTHER	Other Circulatory System O.r. Procedures	16	6	—	—	$74,566.42	$78,067.87	$78,067.87	2026-05-15
MS-963	OTHER	Other Multiple Significant Trauma With Mcc	16	6	—	—	$73,934.06	$77,405.81	$77,405.81	2026-05-15
MS-265	OTHER	Aicd Lead Procedures	16	6	—	—	$73,719.10	$77,180.76	$77,180.76	2026-05-15
MS-503	OTHER	Foot Procedures With Mcc	16	6	—	—	$73,704.49	$77,165.46	$77,165.46	2026-05-15
MS-022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	16	6	—	—	$73,679.45	$77,139.24	$77,139.24	2026-05-15
MS-420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	16	6	—	—	$73,673.19	$77,132.69	$77,132.69	2026-05-15
MS-414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	16	6	—	—	$73,172.31	$76,608.29	$76,608.29	2026-05-15
MS-659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	16	6	—	—	$72,704.82	$76,118.85	$76,118.85	2026-05-15
MS-974	OTHER	HIV With Major Related Condition With Mcc	16	6	—	—	$72,546.21	$75,952.79	$75,952.79	2026-05-15
MS-274	OTHER	Percutaneous Intracardiac Procedures Without Mcc	16	6	—	—	$72,539.95	$75,946.23	$75,946.23	2026-05-15
MS-467	OTHER	Revision Of Hip Or Knee Replacement With Cc	16	6	—	—	$72,427.25	$75,828.24	$75,828.24	2026-05-15
MS-574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	16	6	—	—	$72,170.55	$75,559.49	$75,559.49	2026-05-15
MS-271	OTHER	Other Major Cardiovascular Procedures With Cc	16	6	—	—	$72,132.98	$75,520.16	$75,520.16	2026-05-15
MS-829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	16	6	—	—	$72,082.89	$75,467.72	$75,467.72	2026-05-15
MS-673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	16	6	—	—	$71,538.19	$74,897.43	$74,897.43	2026-05-15
MS-253	OTHER	Other Vascular Procedures With Cc	16	6	—	—	$70,720.08	$74,040.91	$74,040.91	2026-05-15
MS-335	OTHER	Peritoneal Adhesiolysis With Mcc	16	6	—	—	$69,995.89	$73,282.72	$73,282.72	2026-05-15
MS-808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	16	6	—	—	$68,868.91	$72,102.82	$72,102.82	2026-05-15
MS-143	OTHER	Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc	16	6	—	—	$68,814.65	$72,046.01	$72,046.01	2026-05-15
MS-164	OTHER	Major Chest Procedures With Cc	16	6	—	—	$68,685.26	$71,910.54	$71,910.54	2026-05-15
MS-545	OTHER	Connective Tissue Disorders With Mcc	16	6	—	—	$68,587.17	$71,807.84	$71,807.84	2026-05-15
MS-469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	16	6	—	—	$68,370.12	$71,580.60	$71,580.60	2026-05-15
MS-242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	16	6	—	—	$68,355.51	$71,565.31	$71,565.31	2026-05-15
MS-665	OTHER	Prostatectomy With Mcc	16	6	—	—	$68,148.90	$71,348.99	$71,348.99	2026-05-15
MS-324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	16	6	—	—	$67,320.36	$70,481.55	$70,481.55	2026-05-15
MS-279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	16	6	—	—	$67,282.79	$70,442.22	$70,442.22	2026-05-15
MS-749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	16	6	—	—	$67,082.44	$70,232.46	$70,232.46	2026-05-15
MS-929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	16	6	—	—	$66,447.99	$69,568.22	$69,568.22	2026-05-15
MS-498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	16	6	—	—	$66,418.78	$69,537.63	$69,537.63	2026-05-15
MS-840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	16	6	—	—	$66,387.47	$69,504.85	$69,504.85	2026-05-15
MS-939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	16	6	—	—	$66,316.51	$69,430.56	$69,430.56	2026-05-15
MS-097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	16	6	—	—	$66,249.73	$69,360.64	$69,360.64	2026-05-15
MS-982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	16	6	—	—	$66,145.38	$69,251.39	$69,251.39	2026-05-15
MS-495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	16	6	—	—	$66,055.64	$69,157.44	$69,157.44	2026-05-15
MS-614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	16	6	—	—	$66,018.07	$69,118.11	$69,118.11	2026-05-15
MS-570	OTHER	Skin Debridement With Mcc	16	6	—	—	$65,959.64	$69,056.93	$69,056.93	2026-05-15
MS-243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	16	6	—	—	$65,746.76	$68,834.06	$68,834.06	2026-05-15
MS-662	OTHER	Minor Bladder Procedures With Mcc	16	6	—	—	$64,726.22	$67,765.59	$67,765.59	2026-05-15
MS-987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	16	6	—	—	$64,626.04	$67,660.71	$67,660.71	2026-05-15
MS-356	OTHER	Other Digestive System O.r. Procedures With Mcc	16	6	—	—	$64,567.61	$67,599.53	$67,599.53	2026-05-15
MS-654	OTHER	Major Bladder Procedures With Cc	16	6	—	—	$64,559.26	$67,590.79	$67,590.79	2026-05-15
MS-173	OTHER	Urethral Procedures Age 0-17	16	6	—	—	$64,448.65	$67,474.99	$67,474.99	2026-05-15
MS-327	OTHER	Stomach- Esophageal And Duodenal Procedures With Cc	16	6	—	—	$64,434.04	$67,459.69	$67,459.69	2026-05-15
MS-451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	16	6	—	—	$64,400.65	$67,424.73	$67,424.73	2026-05-15
MS-240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	16	6	—	—	$63,361.32	$66,336.60	$66,336.60	2026-05-15
J9029	OTHER	Instill Adstiladrin Tx Dose	9	8	—	—	$63,354.77	$63,354.77	$63,354.77	2026-05-15
MS-027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	16	6	—	—	$62,991.92	$65,949.86	$65,949.86	2026-05-15
MS-208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	16	6	—	—	$62,708.09	$65,652.70	$65,652.70	2026-05-15
MS-493	OTHER	Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc	16	6	—	—	$62,455.56	$65,388.31	$65,388.31	2026-05-15
MS-082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	16	6	—	—	$61,092.75	$63,961.51	$63,961.51	2026-05-15
MS-521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	16	6	—	—	$61,023.88	$63,889.40	$63,889.40	2026-05-15
MS-288	OTHER	Acute And Subacute Endocarditis With Mcc	16	6	—	—	$61,005.10	$63,869.74	$63,869.74	2026-05-15
MS-325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	16	6	—	—	$60,374.82	$63,209.87	$63,209.87	2026-05-15
MS-085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	16	6	—	—	$60,278.82	$63,109.36	$63,109.36	2026-05-15
MS-464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	16	6	—	—	$60,132.73	$62,956.41	$62,956.41	2026-05-15
MS-272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	16	6	—	—	$59,717.42	$62,521.59	$62,521.59	2026-05-15
MS-321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	16	6	—	—	$59,696.55	$62,499.74	$62,499.74	2026-05-15
MS-510	OTHER	Shoulder- Elbow Or Forearm Procedures- Except Major Joint Procedures With Mcc	16	6	—	—	$59,435.67	$62,226.62	$62,226.62	2026-05-15
MS-471	OTHER	Cervical Spinal Fusion With Mcc	16	6	—	—	$59,093.41	$61,868.28	$61,868.28	2026-05-15
MS-333	OTHER	Rectal Resection With Cc	16	6	—	—	$58,778.27	$61,538.34	$61,538.34	2026-05-15
MS-258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	16	6	—	—	$58,686.44	$61,442.20	$61,442.20	2026-05-15
MS-579	OTHER	Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc	16	6	—	—	$58,233.56	$60,968.06	$60,968.06	2026-05-15
MS-411	OTHER	Cholecystectomy With C.d.e. With Mcc	16	6	—	—	$57,108.67	$59,790.34	$59,790.34	2026-05-15
MS-483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	16	6	—	—	$56,447.09	$59,097.70	$59,097.70	2026-05-15
MS-263	OTHER	Vein Ligation And Stripping	16	6	—	—	$56,142.39	$58,778.69	$58,778.69	2026-05-15
MS-344	OTHER	Minor Small And Large Bowel Procedures With Mcc	16	6	—	—	$56,115.26	$58,750.28	$58,750.28	2026-05-15
MS-013	OTHER	Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	16	6	—	—	$55,747.94	$58,365.72	$58,365.72	2026-05-15
MS-468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	16	6	—	—	$55,647.77	$58,260.84	$58,260.84	2026-05-15
MS-583	OTHER	Mastectomy For Malignancy Without Cc/mcc	16	6	—	—	$55,566.38	$58,175.63	$58,175.63	2026-05-15
MS-577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	16	6	—	—	$55,455.76	$58,059.82	$58,059.82	2026-05-15
MS-849	OTHER	Radiotherapy	16	6	—	—	$55,330.54	$57,928.72	$57,928.72	2026-05-15
MS-095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	16	6	—	—	$55,259.59	$57,854.43	$57,854.43	2026-05-15
MS-970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	16	6	—	—	$55,105.15	$57,692.74	$57,692.74	2026-05-15
MS-409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	16	6	—	—	$54,954.88	$57,535.42	$57,535.42	2026-05-15
MS-800	OTHER	Splenic Procedures With Cc	16	6	—	—	$54,810.88	$57,384.66	$57,384.66	2026-05-15
MS-062	OTHER	Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	16	6	—	—	$54,566.70	$57,129.01	$57,129.01	2026-05-15
MS-286	OTHER	Circulatory Disorders Except Ami- With Cardiac Catheterization With Mcc	16	6	—	—	$54,347.57	$56,899.59	$56,899.59	2026-05-15
MS-255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	16	6	—	—	$54,207.74	$56,753.19	$56,753.19	2026-05-15
MS-056	OTHER	Degenerative Nervous System Disorders With Mcc	16	6	—	—	$54,097.13	$56,637.39	$56,637.39	2026-05-15
Q2043	OTHER	Sipuleucel-t Auto Cd54+	10	9	—	—	$53,981.46	$55,015.23	$55,015.23	2026-05-15
MS-481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	16	6	—	—	$53,825.82	$56,353.34	$56,353.34	2026-05-15
MS-824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	16	6	—	—	$53,377.11	$55,883.56	$55,883.56	2026-05-15
MS-629	OTHER	Other Endocrine- Nutritional And Metabolic O.r. Procedures With Cc	16	6	—	—	$53,324.94	$55,828.94	$55,828.94	2026-05-15
MS-827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	16	6	—	—	$53,172.59	$55,669.43	$55,669.43	2026-05-15
MS-846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	16	6	—	—	$53,064.06	$55,555.81	$55,555.81	2026-05-15
MS-058	OTHER	Multiple Sclerosis And Cerebellar Ataxia With Mcc	16	6	—	—	$53,032.76	$55,523.04	$55,523.04	2026-05-15
MS-817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	16	6	—	—	$52,907.54	$55,391.94	$55,391.94	2026-05-15
MS-330	OTHER	Major Small And Large Bowel Procedures With Cc	16	6	—	—	$52,629.97	$55,101.33	$55,101.33	2026-05-15
MS-516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	16	6	—	—	$52,609.10	$55,079.48	$55,079.48	2026-05-15
MS-244	OTHER	Permanent Cardiac Pacemaker Implant Without Cc/mcc	16	6	—	—	$52,561.10	$55,029.23	$55,029.23	2026-05-15
MS-167	OTHER	Other Respiratory System O.r. Procedures With Cc	16	6	—	—	$51,939.17	$54,378.10	$54,378.10	2026-05-15
MS-096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	16	6	—	—	$51,930.82	$54,369.36	$54,369.36	2026-05-15
MS-397	OTHER	Major Head And Neck Procedures With Cc	16	6	—	—	$51,734.64	$54,163.97	$54,163.97	2026-05-15
MS-625	OTHER	Thyroid- Parathyroid And Thyroglossal Procedures With Mcc	16	6	—	—	$51,371.51	$53,783.78	$53,783.78	2026-05-15
MS-098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	16	6	—	—	$51,219.15	$53,624.27	$53,624.27	2026-05-15
MS-350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	16	6	—	—	$50,373.92	$52,739.35	$52,739.35	2026-05-15
MS-032	OTHER	Ventricular Shunt Procedures With Cc	16	6	—	—	$50,323.83	$52,686.91	$52,686.91	2026-05-15
MS-475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	16	6	—	—	$50,200.70	$52,557.99	$52,557.99	2026-05-15
MS-165	OTHER	Major Chest Procedures Without Cc/mcc	16	6	—	—	$50,171.48	$52,527.40	$52,527.40	2026-05-15
MS-674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	16	6	—	—	$50,077.57	$52,429.08	$52,429.08	2026-05-15
MS-336	OTHER	Peritoneal Adhesiolysis With Cc	16	6	—	—	$49,979.48	$52,326.38	$52,326.38	2026-05-15
MS-135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	16	6	—	—	$49,814.60	$52,153.77	$52,153.77	2026-05-15
MS-584	OTHER	Breast Biopsy- Local Excision And Other Breast Procedures With Cc/mcc	16	6	—	—	$49,605.90	$51,935.27	$51,935.27	2026-05-15
MS-417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	16	6	—	—	$49,524.51	$51,850.05	$51,850.05	2026-05-15
MS-542	OTHER	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	16	6	—	—	$49,507.81	$51,832.57	$51,832.57	2026-05-15
MS-254	OTHER	Other Vascular Procedures Without Cc/mcc	16	6	—	—	$49,380.51	$51,699.29	$51,699.29	2026-05-15
MS-657	OTHER	Kidney And Ureter Procedures For Neoplasm With Cc	16	6	—	—	$49,374.25	$51,692.73	$51,692.73	2026-05-15
MS-353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	16	6	—	—	$49,345.03	$51,662.14	$51,662.14	2026-05-15
MS-347	OTHER	Anal And Stomal Procedures With Mcc	16	6	—	—	$49,305.38	$51,620.63	$51,620.63	2026-05-15
MS-734	OTHER	Pelvic Evisceration- Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	16	6	—	—	$49,163.46	$51,472.05	$51,472.05	2026-05-15
MS-472	OTHER	Cervical Spinal Fusion With Cc	16	6	—	—	$48,910.93	$51,207.66	$51,207.66	2026-05-15
MS-854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	16	6	—	—	$48,781.54	$51,072.19	$51,072.19	2026-05-15
MS-478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	16	6	—	—	$48,764.84	$51,054.71	$51,054.71	2026-05-15
MS-320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	16	6	—	—	$48,670.93	$50,956.39	$50,956.39	2026-05-15
MS-250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	16	6	—	—	$48,316.14	$50,584.94	$50,584.94	2026-05-15
MS-507	OTHER	Major Shoulder Or Elbow Joint Procedures With Cc/mcc	16	6	—	—	$48,209.70	$50,473.50	$50,473.50	2026-05-15
MS-259	OTHER	Cardiac Pacemaker Device Replacement Without Mcc	16	6	—	—	$47,811.08	$50,056.17	$50,056.17	2026-05-15
MS-035	OTHER	Carotid Artery Stent Procedures With Cc	16	6	—	—	$47,777.69	$50,021.21	$50,021.21	2026-05-15
MS-686	OTHER	Kidney And Urinary Tract Neoplasms With Mcc	16	6	—	—	$47,644.12	$49,881.37	$49,881.37	2026-05-15
MS-424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	16	6	—	—	$47,562.73	$49,796.15	$49,796.15	2026-05-15
MS-036	OTHER	Carotid Artery Stent Procedures Without Cc/mcc	16	6	—	—	$47,506.38	$49,737.16	$49,737.16	2026-05-15
MS-580	OTHER	Other Skin- Subcutaneous Tissue And Breast Procedures With Cc	16	6	—	—	$47,477.16	$49,706.57	$49,706.57	2026-05-15
MS-511	OTHER	Shoulder- Elbow Or Forearm Procedures- Except Major Joint Procedures With Cc	16	6	—	—	$47,452.12	$49,680.35	$49,680.35	2026-05-15
MS-042	OTHER	Peripheral- Cranial Nerve And Other Nervous System Procedures Without Cc/mcc	16	6	—	—	$47,203.77	$49,420.33	$49,420.33	2026-05-15
MS-709	OTHER	Penis Procedures With Cc/mcc	16	6	—	—	$47,172.46	$49,387.56	$49,387.56	2026-05-15
MS-715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	16	6	—	—	$46,974.20	$49,179.98	$49,179.98	2026-05-15
MS-821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	16	6	—	—	$46,846.89	$49,046.70	$49,046.70	2026-05-15
2782649771	OTHER	Hc Valve Implant Lvl 71	80	41	$124,869.85	$93,652.39 25% off	$37,460.96	$112,382.86	$108,636.77	2026-05-15
2722109771	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 71	80	41	$124,869.85	$93,652.39 25% off	$37,460.96	$112,382.86	$108,636.77	2026-05-15
2721649601	OTHER	Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2	80	41	$119,856.00	$89,892.00 25% off	$35,956.80	$107,870.40	$104,274.72	2026-05-15
2782649770	OTHER	Hc Valve Implant Lvl 70	80	41	$118,923.65	$89,192.74 25% off	$35,677.09	$107,031.28	$103,463.58	2026-05-15
278TRIG470	OTHER	Hc Ntap Triclip G4 Vlv Rpr Systm	80	41	$118,923.65	$89,192.74 25% off	$35,677.09	$107,031.28	$103,463.58	2026-05-15
2721040201	OTHER	Hc Berlin Heart Pump Replacement	80	41	$118,891.70	$89,168.78 25% off	$35,667.51	$107,002.53	$103,435.78	2026-05-15
2721649701	OTHER	Hc Pump Blood Vad With Valves	80	41	$118,891.70	$89,168.78 25% off	$35,667.51	$107,002.53	$103,435.78	2026-05-15
275C188267	OTHER	Hc Icd Biv/crt-d Lvl 67	80	41	$102,730.60	$77,047.95 25% off	$30,819.18	$92,457.54	$89,375.62	2026-05-15
278C182366	OTHER	Hc Neurostim Generator/lead Lvl 66	80	41	$97,838.65	$73,378.99 25% off	$29,351.59	$88,054.78	$85,119.63	2026-05-15
278C188966	OTHER	Hc Implantable-insertable Device Noc Lvl 66	80	41	$97,838.65	$73,378.99 25% off	$29,351.59	$88,054.78	$85,119.63	2026-05-15
2782649766	OTHER	Hc Valve Implant Lvl 66	80	41	$97,838.65	$73,378.99 25% off	$29,351.59	$88,054.78	$85,119.63	2026-05-15
2782649765	OTHER	Hc Valve Implant Lvl 65	80	41	$93,179.65	$69,884.74 25% off	$27,953.89	$83,861.68	$81,066.30	2026-05-15
2782669764	OTHER	Hc Vascular Stent Graft Implant Lvl 64	80	41	$88,742.50	$66,556.88 25% off	$26,622.75	$79,868.25	$77,205.98	2026-05-15
2782649764	OTHER	Hc Valve Implant Lvl 64	80	41	$88,742.50	$66,556.88 25% off	$26,622.75	$79,868.25	$77,205.98	2026-05-15
278C188963	OTHER	Hc Implantable-insertable Device Noc Lvl 63	80	41	$84,516.60	$63,387.45 25% off	$25,354.98	$76,064.94	$73,529.44	2026-05-15
2782649763	OTHER	Hc Valve Implant Lvl 63	80	41	$84,516.60	$63,387.45 25% off	$25,354.98	$76,064.94	$73,529.44	2026-05-15
278C187462	OTHER	Hc Stent Coated/covered Implant Lvl 62	80	41	$80,492.00	$60,369.00 25% off	$24,147.60	$72,442.80	$70,028.04	2026-05-15
278C188962	OTHER	Hc Implantable-insertable Device Noc Lvl 62	80	41	$80,492.00	$60,369.00 25% off	$24,147.60	$72,442.80	$70,028.04	2026-05-15
2782669762	OTHER	Hc Vascular Stent Graft Implant Lvl 62	80	41	$80,492.00	$60,369.00 25% off	$24,147.60	$72,442.80	$70,028.04	2026-05-15
2722109761	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 61	80	41	$76,659.05	$57,494.29 25% off	$22,997.72	$68,993.14	$66,693.37	2026-05-15
2782649761	OTHER	Hc Valve Implant Lvl 61	80	41	$76,659.05	$57,494.29 25% off	$22,997.72	$68,993.14	$66,693.37	2026-05-15
278C182361	OTHER	Hc Neurostim Generator/lead Lvl 61	80	41	$76,659.05	$57,494.29 25% off	$22,997.72	$68,993.14	$66,693.37	2026-05-15
2721649501	OTHER	Hc Set Pump Impella Cp W/smart Assist	80	41	$73,548.00	$55,161.00 25% off	$22,064.40	$66,193.20	$63,986.76	2026-05-15
2722109760	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 60	80	41	$73,008.55	$54,756.41 25% off	$21,902.56	$65,707.70	$63,517.44	2026-05-15
272C176959	OTHER	Hc Guidewire Lvl 59	80	41	$69,531.95	$52,148.96 25% off	$20,859.58	$62,578.76	$60,492.80	2026-05-15
278LIMFW59	OTHER	Hc Ntap Limflow System	80	41	$69,531.95	$52,148.96 25% off	$20,859.58	$62,578.76	$60,492.80	2026-05-15
2782649759	OTHER	Hc Valve Implant Lvl 59	80	41	$69,531.95	$52,148.96 25% off	$20,859.58	$62,578.76	$60,492.80	2026-05-15
278C182359	OTHER	Hc Neurostim Generator/lead Lvl 59	80	41	$69,531.95	$52,148.96 25% off	$20,859.58	$62,578.76	$60,492.80	2026-05-15
275C188259	OTHER	Hc Icd Biv/crt-d Lvl 59	80	41	$69,531.95	$52,148.96 25% off	$20,859.58	$62,578.76	$60,492.80	2026-05-15
2722109759	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 59	80	41	$69,531.95	$52,148.96 25% off	$20,859.58	$62,578.76	$60,492.80	2026-05-15
278C188959	OTHER	Hc Implantable-insertable Device Noc Lvl 59	80	41	$69,531.95	$52,148.96 25% off	$20,859.58	$62,578.76	$60,492.80	2026-05-15
275C172159	OTHER	Hc Icd Dual Chamber Lvl 59	80	41	$69,531.95	$52,148.96 25% off	$20,859.58	$62,578.76	$60,492.80	2026-05-15
278C262459	OTHER	Hc Wireless Pressure Sensor Lvl 59	80	41	$69,531.95	$52,148.96 25% off	$20,859.58	$62,578.76	$60,492.80	2026-05-15
2722109758	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 58	80	41	$66,220.90	$49,665.68 25% off	$19,866.27	$59,598.81	$57,612.18	2026-05-15
2782649758	OTHER	Hc Valve Implant Lvl 58	80	41	$66,220.90	$49,665.68 25% off	$19,866.27	$59,598.81	$57,612.18	2026-05-15
2722109757	OTHER	Hc Percutaneous Ventricular Assist Device Lvl 57	80	41	$63,067.45	$47,300.59 25% off	$18,920.23	$56,760.70	$54,868.68	2026-05-15
4813347701	OTHER	Hc Pulmonary Valve Implatantation Perq	80	41	$61,739.61	$46,304.71 25% off	$18,521.88	$55,565.65	$53,713.46	2026-05-15
278C182656	OTHER	Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56	80	41	$60,064.25	$45,048.19 25% off	$18,019.27	$54,057.82	$52,255.90	2026-05-15
275C188256	OTHER	Hc Icd Biv/crt-d Lvl 56	80	41	$60,064.25	$45,048.19 25% off	$18,019.27	$54,057.82	$52,255.90	2026-05-15
2721489756	OTHER	Hc Cardiovascular Non Implant Supply Lvl 56	80	41	$60,064.25	$45,048.19 25% off	$18,019.27	$54,057.82	$52,255.90	2026-05-15
275C172256	OTHER	Hc Icd Single Chamber Lvl 56	80	41	$60,064.25	$45,048.19 25% off	$18,019.27	$54,057.82	$52,255.90	2026-05-15
4813322101	OTHER	Hc Insert Pulse Gen Mult Leads	80	41	$57,852.67	$43,389.50 25% off	$17,355.80	$52,067.40	$50,331.82	2026-05-15
275C188255	OTHER	Hc Icd Biv/crt-d Lvl 55	80	41	$57,204.00	$42,903.00 25% off	$17,161.20	$51,483.60	$49,767.48	2026-05-15
2782649755	OTHER	Hc Valve Implant Lvl 55	80	41	$57,204.00	$42,903.00 25% off	$17,161.20	$51,483.60	$49,767.48	2026-05-15
2782669755	OTHER	Hc Vascular Stent Graft Implant Lvl 55	80	41	$57,204.00	$42,903.00 25% off	$17,161.20	$51,483.60	$49,767.48	2026-05-15
7613722902	OTHER	Hc Revasc Tib Pero Arther Pta/initial Unilateral	80	41	$56,337.67	$42,253.25 25% off	$16,901.30	$50,703.90	$49,013.77	2026-05-15

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