Hospital

SOUTHWESTERN VERMONT MEDICAL CENTER

Bennington, VT · CCN 470012 · Rates published

21,624 distinct procedures filed

18 distinct payers

1,118,418 rate rows

2026-05-22 last MRF observed

Data quality

1,068,044 of 1,118,418 rate rows are consumer-grade (95.5%)

50,374 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	48,216
template filing: same amount across many unrelated codes — excluded	1,734
exceeds 10× this hospital's gross charge — excluded from medians	364
per-diem day rate — not a per-procedure price	48
placeholder amount (≤ $0.02) — excluded from medians	12

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

Source MRF file	https://svmc.org/222563241_Southwestern-Vermont-Medical-Center-Inc._standardcharges.csv
Found on page	https://svmc.org/patients-visitors/price-transparency-charges
Discovered via	CMS hospital list
Last fetch	success · 2026-05-18
Content fingerprint	8bce70a52b7b418e… · 27,882,255 bytes · first seen 2026-05-08

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
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	$1,075.53	$353,882.54	$337,030.99	nat. median $386,529 0.9× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	11	$247,893.56	$260,288.24	$247,893.56	nat. median $239,422 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	11	$241,125.08	$265,108.48	$241,125.08	nat. median $146,562 1.6× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	12	$249.30	$212,519.50	$195,034.62	nat. median $181,005 1.1× median
583-4 OTHER	Neonate W Ecmo	5	$149,296.59	$475,891.84	$179,155.91	nat. median $309,400 0.6× median
588-4 OTHER	Neonate Bwt <1500g W Major Procedure	5	$146,672.27	$382,287.66	$176,006.72	nat. median $267,493 0.7× median
588-3 OTHER	Neonate Bwt <1500g W Major Procedure	5	$146,672.27	$246,284.37	$176,006.72	nat. median $165,000 1.1× median
161-4 OTHER	Cardiac Defibrillator & Heart Assist Implant	5	$134,155.77	$337,983.02	$160,986.92	nat. median $202,242 0.8× median
591-4 OTHER	Neonate Birthwt 500-749g Without Major Procedure	5	$112,613.12	$196,570.07	$135,135.74	nat. median $156,696 0.9× median
588-2 OTHER	Neonate Bwt <1500g W Major Procedure	5	$112,206.25	$241,160.31	$134,647.50	nat. median $153,523 0.9× median
588-1 OTHER	Neonate Bwt <1500g W Major Procedure	5	$112,206.25	$158,741.61	$134,647.50	nat. median $75,325 1.8× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	12	$471.85	$141,196.86	$134,473.20	nat. median $134,983 1.0× median
841-4 OTHER	Extensive 3rd Degree Burns W Skin Graft	5	$108,915.83	$215,918.03	$130,699.00	nat. median $151,691 0.9× median
593-4 OTHER	Neonate Birthwt 750-999g Without Major Procedure	5	$101,345.12	$173,053.19	$121,614.14	nat. median $151,250 0.8× median
7 OTHER	Lung Transplant	11	$109,843.21	$117,821.57	$112,211.02	nat. median $169,933 0.7× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	12	$392.24	$121,232.77	$112,007.02	nat. median $111,558 1.0× median
609-4 OTHER	Neonate Bwt 1500-2499g W Major Procedure	5	$92,790.95	$264,129.71	$111,349.14	nat. median $169,856 0.7× median
602-4 OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	5	$87,893.39	$144,305.60	$105,472.07	nat. median $125,000 0.8× median
14 OTHER	Allogeneic Bone Marrow Transplant	11	$104,842.44	$146,566.24	$104,842.44	nat. median $100,915 1.0× median
36005947 OTHER	Or Over 8 Hrs (4 Staff)	12	$102,207.63	$102,207.63	$102,207.63	nat. median $102,208 1.0× median
841-3 OTHER	Extensive 3rd Degree Burns W Skin Graft	5	$85,110.98	$104,610.72	$102,133.18	nat. median $61,016 1.7× median
583-3 OTHER	Neonate W Ecmo	5	$84,817.45	$388,443.88	$101,780.94	nat. median $259,487 outlier · 0.4×
178-4 OTHER	External Heart Assist Systems	2	$100,234.41	$100,234.41	$100,234.41	nat. median $67,533 1.5× median
583-1 OTHER	Neonate W Ecmo	5	$83,231.23	$230,271.09	$99,877.48	nat. median $171,226 0.6× median
583-2 OTHER	Neonate W Ecmo	5	$83,231.23	$287,475.94	$99,877.48	nat. median $191,347 0.5× median
212 OTHER	Concomitant Aortic And Mitral Valve�procedures	12	$297.88	$103,455.03	$98,528.60	nat. median $90,581 1.1× median
603-4 OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	5	$80,966.13	$215,759.23	$97,159.36	nat. median $107,050 0.9× median
36005878 OTHER	Or 466-480 Mins 4 Staff	12	$96,195.51	$96,195.51	$96,195.51	nat. median $96,196 1.0× median
593-3 OTHER	Neonate Birthwt 750-999g Without Major Procedure	5	$79,153.81	$134,801.68	$94,984.57	nat. median $112,711 0.8× median
215 OTHER	Other Heart Assist System Implant	11	$71,648.05	$98,115.49	$93,443.32	nat. median $92,359 1.0× median
36005876 OTHER	Or 451-465 Mins 4 Staff	12	$93,189.55	$93,189.55	$93,189.55	nat. median $93,190 1.0× median
36005872 OTHER	Or 436-450 Mins 4 Staff	12	$90,185.60	$90,185.60	$90,185.60	nat. median $90,186 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	$88,782.50	$102,028.59	$88,782.50	nat. median $90,130 1.0× median
36005870 OTHER	Or 421-435 Mins 4 Staff	12	$87,177.99	$87,177.99	$87,177.99	nat. median $87,178 1.0× median
607-4 OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	5	$71,758.06	$156,951.03	$86,109.67	nat. median $100,015 0.9× median
630-4 OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	5	$71,083.23	$239,948.02	$85,299.88	nat. median $210,669 outlier · 0.4×
589-1 OTHER	Neonate Bwt <500g Or Ga <24 Weeks	5	$70,556.63	$115,761.83	$84,667.96	nat. median $86,371 1.0× median
589-2 OTHER	Neonate Bwt <500g Or Ga <24 Weeks	5	$70,556.63	$96,101.03	$84,667.96	nat. median $49,980 1.7× median
183-4 OTHER	Percutaneous Structural Cardiac Procedures	2	$84,334.89	$84,334.89	$84,334.89	nat. median $60,375 1.4× median
36005868 OTHER	Or 406-420 Mins 4 Staff	12	$84,173.30	$84,173.30	$84,173.30	nat. median $84,173 1.0× median
179-4 OTHER	Defibrillator Implants	2	$83,582.39	$83,582.39	$83,582.39	nat. median $55,839 1.5× median
591-3 OTHER	Neonate Birthwt 500-749g Without Major Procedure	5	$68,672.82	$124,047.55	$82,407.38	nat. median $99,157 0.8× median
36005864 OTHER	Or 391-405 Mins 4 Staff	12	$81,165.87	$81,165.87	$81,165.87	nat. median $81,166 1.0× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	11	$77,376.88	$85,115.77	$81,062.64	nat. median $65,342 1.2× median
36005862 OTHER	Or 376-390 Mins 4 Staff	12	$78,159.35	$78,159.35	$78,159.35	nat. median $78,159 1.0× median
602-3 OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	5	$64,879.04	$124,171.97	$77,854.85	nat. median $99,067 0.8× median
593-2 OTHER	Neonate Birthwt 750-999g Without Major Procedure	5	$64,762.79	$104,340.53	$77,715.35	nat. median $89,334 0.9× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	12	$1,216.64	$81,187.23	$77,321.17	nat. median $74,209 1.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	$54,328.62	$80,966.31	$77,110.77	nat. median $76,493 1.0× median
591-2 OTHER	Neonate Birthwt 500-749g Without Major Procedure	5	$64,064.13	$81,177.97	$76,876.96	nat. median $80,000 1.0× median

Other procedures at this hospital

Browse this hospital's 21,624 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

583-4	OTHER	Neonate W Ecmo	14	5	—	—	$149,296.59	$475,891.84	$179,155.91	2026-05-22
583-3	OTHER	Neonate W Ecmo	14	5	—	—	$84,817.45	$388,443.88	$101,780.94	2026-05-22
588-4	OTHER	Neonate Bwt <1500g W Major Procedure	14	5	—	—	$146,672.27	$382,287.66	$176,006.72	2026-05-22
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	46	12	—	—	$1,075.53	$353,882.54	$337,030.99	2026-05-22
161-4	OTHER	Cardiac Defibrillator & Heart Assist Implant	14	5	—	—	$134,155.77	$337,983.02	$160,986.92	2026-05-22
583-2	OTHER	Neonate W Ecmo	14	5	—	—	$83,231.23	$287,475.94	$99,877.48	2026-05-22
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	32	11	—	—	$241,125.08	$265,108.48	$241,125.08	2026-05-22
609-4	OTHER	Neonate Bwt 1500-2499g W Major Procedure	14	5	—	—	$92,790.95	$264,129.71	$111,349.14	2026-05-22
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	32	11	—	—	$247,893.56	$260,288.24	$247,893.56	2026-05-22
161-3	OTHER	Cardiac Defibrillator & Heart Assist Implant	14	5	—	—	$57,192.08	$258,928.62	$68,630.50	2026-05-22
588-3	OTHER	Neonate Bwt <1500g W Major Procedure	14	5	—	—	$146,672.27	$246,284.37	$176,006.72	2026-05-22
588-2	OTHER	Neonate Bwt <1500g W Major Procedure	14	5	—	—	$112,206.25	$241,160.31	$134,647.50	2026-05-22
630-4	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	14	5	—	—	$71,083.23	$239,948.02	$85,299.88	2026-05-22
583-1	OTHER	Neonate W Ecmo	14	5	—	—	$83,231.23	$230,271.09	$99,877.48	2026-05-22
841-4	OTHER	Extensive 3rd Degree Burns W Skin Graft	14	5	—	—	$108,915.83	$215,918.03	$130,699.00	2026-05-22
603-4	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	14	5	—	—	$80,966.13	$215,759.23	$97,159.36	2026-05-22
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	46	12	—	—	$249.30	$212,519.50	$195,034.62	2026-05-22
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	5	—	—	$57,798.32	$209,215.51	$69,357.98	2026-05-22
161-2	OTHER	Cardiac Defibrillator & Heart Assist Implant	14	5	—	—	$35,616.31	$207,897.76	$42,739.57	2026-05-22
591-4	OTHER	Neonate Birthwt 500-749g Without Major Procedure	14	5	—	—	$112,613.12	$196,570.07	$135,135.74	2026-05-22
593-4	OTHER	Neonate Birthwt 750-999g Without Major Procedure	14	5	—	—	$101,345.12	$173,053.19	$121,614.14	2026-05-22
588-1	OTHER	Neonate Bwt <1500g W Major Procedure	14	5	—	—	$112,206.25	$158,741.61	$134,647.50	2026-05-22
607-4	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	5	—	—	$71,758.06	$156,951.03	$86,109.67	2026-05-22
631-4	OTHER	Neonate Birthwt >2499g W Other Major Procedure	14	5	—	—	$61,108.51	$150,590.99	$73,330.21	2026-05-22
14	OTHER	Allogeneic Bone Marrow Transplant	32	11	—	—	$104,842.44	$146,566.24	$104,842.44	2026-05-22
602-4	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	5	—	—	$87,893.39	$144,305.60	$105,472.07	2026-05-22
609-3	OTHER	Neonate Bwt 1500-2499g W Major Procedure	14	5	—	—	$42,332.58	$142,115.67	$50,799.10	2026-05-22
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	46	12	—	—	$471.85	$141,196.86	$134,473.20	2026-05-22
593-3	OTHER	Neonate Birthwt 750-999g Without Major Procedure	14	5	—	—	$79,153.81	$134,801.68	$94,984.57	2026-05-22
303-4	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	14	5	—	—	$63,323.63	$126,819.33	$75,988.36	2026-05-22
602-3	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	5	—	—	$64,879.04	$124,171.97	$77,854.85	2026-05-22
591-3	OTHER	Neonate Birthwt 500-749g Without Major Procedure	14	5	—	—	$68,672.82	$124,047.55	$82,407.38	2026-05-22
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	46	12	—	—	$392.24	$121,232.77	$112,007.02	2026-05-22
630-3	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	14	5	—	—	$34,441.61	$119,435.42	$41,329.93	2026-05-22
842-4	OTHER	Burns With Skin Graft Except Extensive 3rd Degree Burns	14	5	—	—	$50,206.11	$118,057.23	$60,247.33	2026-05-22
7	OTHER	Lung Transplant	32	11	—	—	$109,843.21	$117,821.57	$112,211.02	2026-05-22
589-1	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	14	5	—	—	$70,556.63	$115,761.83	$84,667.96	2026-05-22
863-4	OTHER	Neonatal Aftercare	14	5	—	—	$30,800.12	$113,756.76	$36,960.14	2026-05-22
440-4	OTHER	Kidney Transplant	14	5	—	—	$60,356.96	$111,146.15	$72,428.35	2026-05-22
602-2	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	5	—	—	$55,125.18	$106,381.15	$66,150.22	2026-05-22
841-3	OTHER	Extensive 3rd Degree Burns W Skin Graft	14	5	—	—	$85,110.98	$104,610.72	$102,133.18	2026-05-22
593-2	OTHER	Neonate Birthwt 750-999g Without Major Procedure	14	5	—	—	$64,762.79	$104,340.53	$77,715.35	2026-05-22
611-4	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	14	5	—	—	$47,741.64	$104,288.39	$57,289.97	2026-05-22
212	OTHER	Concomitant Aortic And Mitral Valve�procedures	46	12	—	—	$297.88	$103,455.03	$98,528.60	2026-05-22
603-3	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	14	5	—	—	$52,186.99	$102,917.31	$62,624.39	2026-05-22
36005947	OTHER	Or Over 8 Hrs (4 Staff)	30	12	$139,058.00	$97,340.60 30% off	$102,207.63	$102,207.63	$102,207.63	2026-05-22
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	11	—	—	$88,782.50	$102,028.59	$88,782.50	2026-05-22
220-4	OTHER	Major Stomach, Esophageal & Duodenal Procedures	14	5	—	—	$41,196.83	$101,808.13	$49,436.20	2026-05-22
178-4	OTHER	External Heart Assist Systems	4	2	—	—	$100,234.41	$100,234.41	$100,234.41	2026-05-22
215	OTHER	Other Heart Assist System Implant	32	11	—	—	$71,648.05	$98,115.49	$93,443.32	2026-05-22
36005878	OTHER	Or 466-480 Mins 4 Staff	30	12	$130,878.25	$91,614.78 30% off	$96,195.51	$96,195.51	$96,195.51	2026-05-22
589-2	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	14	5	—	—	$70,556.63	$96,101.03	$84,667.96	2026-05-22
167-4	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	14	5	—	—	$38,543.45	$95,406.60	$46,252.14	2026-05-22
680-4	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	14	5	—	—	$51,999.83	$94,740.62	$62,399.80	2026-05-22
690-4	OTHER	Acute Leukemia	14	5	—	—	$50,876.87	$93,408.65	$61,052.24	2026-05-22
36005876	OTHER	Or 451-465 Mins 4 Staff	30	12	$126,788.50	$88,751.95 30% off	$93,189.55	$93,189.55	$93,189.55	2026-05-22
608-4	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	14	5	—	—	$41,747.27	$91,765.01	$50,096.72	2026-05-22
621-4	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	14	5	—	—	$39,478.67	$91,264.93	$47,374.40	2026-05-22
633-4	OTHER	Neonate Birthwt >2499g W Major Anomaly	14	5	—	—	$31,119.22	$90,233.96	$37,343.06	2026-05-22
36005872	OTHER	Or 436-450 Mins 4 Staff	30	12	$122,701.50	$85,891.05 30% off	$90,185.60	$90,185.60	$90,185.60	2026-05-22
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	14	5	—	—	$52,325.33	$89,266.97	$62,790.40	2026-05-22
162-4	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	14	5	—	—	$54,548.01	$87,686.15	$65,457.61	2026-05-22
36005870	OTHER	Or 421-435 Mins 4 Staff	30	12	$118,609.50	$83,026.65 30% off	$87,177.99	$87,177.99	$87,177.99	2026-05-22
440-3	OTHER	Kidney Transplant	14	5	—	—	$32,970.48	$86,479.79	$39,564.58	2026-05-22
910-4	OTHER	Craniotomy For Multiple Significant Trauma	14	5	—	—	$41,747.85	$86,296.11	$50,097.42	2026-05-22
303-3	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	14	5	—	—	$40,617.33	$86,009.33	$48,740.80	2026-05-22
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	32	11	—	—	$77,376.88	$85,115.77	$81,062.64	2026-05-22
231	OTHER	Coronary Bypass With Ptca With Mcc	32	11	—	—	$74,236.52	$85,051.25	$74,236.52	2026-05-22
183-4	OTHER	Percutaneous Structural Cardiac Procedures	4	2	—	—	$84,334.89	$84,334.89	$84,334.89	2026-05-22
36005868	OTHER	Or 406-420 Mins 4 Staff	30	12	$114,521.50	$80,165.05 30% off	$84,173.30	$84,173.30	$84,173.30	2026-05-22
179-4	OTHER	Defibrillator Implants	4	2	—	—	$83,582.39	$83,582.39	$83,582.39	2026-05-22
361-4	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	14	5	—	—	$55,802.33	$83,288.51	$66,962.80	2026-05-22
608-3	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	14	5	—	—	$39,661.77	$83,097.72	$47,594.12	2026-05-22
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	46	12	—	—	$1,216.64	$81,187.23	$77,321.17	2026-05-22
591-2	OTHER	Neonate Birthwt 500-749g Without Major Procedure	14	5	—	—	$64,064.13	$81,177.97	$76,876.96	2026-05-22
36005864	OTHER	Or 391-405 Mins 4 Staff	30	12	$110,429.75	$77,300.83 30% off	$81,165.87	$81,165.87	$81,165.87	2026-05-22
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	11	—	—	$54,328.62	$80,966.31	$77,110.77	2026-05-22
92-4	OTHER	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	14	5	—	—	$42,741.20	$80,157.66	$51,289.44	2026-05-22
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	14	5	—	—	$40,960.26	$80,043.90	$49,152.31	2026-05-22
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	14	5	—	—	$37,253.67	$80,020.20	$44,704.40	2026-05-22
612-4	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	14	5	—	—	$49,252.29	$79,438.35	$59,102.75	2026-05-22
90-4	OTHER	Major Larynx & Trachea Procedures	10	3	—	—	$65,276.03	$78,331.24	$65,276.03	2026-05-22
36005862	OTHER	Or 376-390 Mins 4 Staff	30	12	$106,339.25	$74,437.48 30% off	$78,159.35	$78,159.35	$78,159.35	2026-05-22
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	46	12	—	—	$816.37	$76,779.39	$73,123.23	2026-05-22
36005718	OTHER	Or Over 8 Hrs (3 Staff)	30	12	$104,293.75	$73,005.63 30% off	$76,655.91	$76,655.91	$76,655.91	2026-05-22
441-4	OTHER	Major Bladder Procedures	14	5	—	—	$39,311.28	$75,846.53	$47,173.54	2026-05-22
593-1	OTHER	Neonate Birthwt 750-999g Without Major Procedure	14	5	—	—	$2,486.19	$75,348.76	$62,790.63	2026-05-22
36005860	OTHER	Or 361-375 Mins 4 Staff	30	12	$102,252.25	$71,576.58 30% off	$75,155.40	$75,155.40	$75,155.40	2026-05-22
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	46	12	—	—	$93.96	$75,076.27	$55,314.22	2026-05-22
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	46	12	—	—	$1,578.50	$74,916.94	$71,349.47	2026-05-22
21-4	OTHER	Craniotomy Except For Trauma	14	5	—	—	$42,090.20	$74,275.18	$50,508.24	2026-05-22
178-3	OTHER	External Heart Assist Systems	4	2	—	—	$74,153.13	$74,153.13	$74,153.13	2026-05-22
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	11	—	—	$57,294.77	$74,067.84	$70,540.80	2026-05-22
120-4	OTHER	Major Respiratory & Chest Procedures	14	5	—	—	$35,402.41	$73,074.75	$42,482.89	2026-05-22
36005852	OTHER	Or 346-360 Mins 4 Staff	30	12	$98,162.50	$68,713.75 30% off	$72,149.44	$72,149.44	$72,149.44	2026-05-22
36005671	OTHER	Or 466-480 Mins 3 Staff	30	12	$98,162.50	$68,713.75 30% off	$72,149.44	$72,149.44	$72,149.44	2026-05-22
695-4	OTHER	Chemotherapy For Acute Leukemia #	14	5	—	—	$42,935.33	$71,767.67	$51,522.40	2026-05-22
303-2	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	14	5	—	—	$30,738.51	$71,701.30	$36,886.21	2026-05-22
304-4	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	14	5	—	—	$53,370.99	$70,811.35	$64,045.19	2026-05-22
89-4	OTHER	Major Cranial/facial Bone Procedures	14	5	—	—	$39,632.70	$70,747.36	$47,559.24	2026-05-22
401-4	OTHER	Pituitary & Adrenal Procedures	14	5	—	—	$40,615.59	$70,652.55	$48,738.71	2026-05-22
36005669	OTHER	Or 451-465 Mins 3 Staff	30	12	$95,093.75	$66,565.63 30% off	$69,893.91	$69,893.91	$69,893.91	2026-05-22
955	OTHER	Craniotomy For Multiple Significant Trauma	32	11	—	—	$55,712.15	$69,601.17	$55,712.15	2026-05-22
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	32	11	—	—	$66,161.73	$69,469.81	$66,161.73	2026-05-22
611-3	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	14	5	—	—	$36,419.59	$69,193.78	$43,703.51	2026-05-22
36005849	OTHER	Or 331-345 Mins 4 Staff	30	12	$94,070.00	$65,849.00 30% off	$69,141.45	$69,141.45	$69,141.45	2026-05-22
178-2	OTHER	External Heart Assist Systems	4	2	—	—	$69,087.13	$69,087.13	$69,087.13	2026-05-22
423-4	OTHER	Inborn Errors Of Metabolism	14	5	—	—	$31,609.79	$68,718.59	$37,931.75	2026-05-22
950-4	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	14	5	—	—	$47,163.88	$68,552.68	$56,596.66	2026-05-22
607-3	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	5	—	—	$53,178.59	$68,275.39	$63,814.31	2026-05-22
36005667	OTHER	Or 436-450 Mins 3 Staff	30	12	$92,025.75	$64,418.03 30% off	$67,638.93	$67,638.93	$67,638.93	2026-05-22
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	46	12	—	—	$87.97	$67,620.76	$63,713.77	2026-05-22
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	32	11	—	—	$46,090.03	$67,580.47	$64,362.35	2026-05-22
511-4	OTHER	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	14	5	—	—	$36,190.58	$67,291.81	$43,428.70	2026-05-22
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	46	12	—	—	$93.96	$66,981.16	$41,182.64	2026-05-22
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	32	11	—	—	$53,688.21	$66,465.30	$63,300.28	2026-05-22
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	46	12	—	—	$1,081.73	$66,352.92	$63,193.25	2026-05-22
36005847	OTHER	Or 316-330 Mins 4 Staff	30	12	$89,981.50	$62,987.05 30% off	$66,136.40	$66,136.40	$66,136.40	2026-05-22
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	32	11	—	—	$62,869.42	$66,012.89	$62,869.42	2026-05-22
26-4	OTHER	Other Nervous System & Related Procedures	14	5	—	—	$36,478.29	$65,971.69	$43,773.95	2026-05-22
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	4	2	—	—	$65,879.26	$65,879.26	$65,879.26	2026-05-22
232-4	OTHER	Gastric Fundoplication	4	2	—	—	$65,761.94	$65,761.94	$65,761.94	2026-05-22
36005665	OTHER	Or 421-435 Mins 3 Staff	30	12	$88,961.75	$62,273.23 30% off	$65,386.89	$65,386.89	$65,386.89	2026-05-22
681-4	OTHER	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	14	5	—	—	$52,144.56	$65,257.12	$62,573.47	2026-05-22
169-4	OTHER	Major Abdominal Vascular Procedures	14	5	—	—	$41,750.18	$65,195.50	$50,100.22	2026-05-22
260-4	OTHER	Major Pancreas, Liver & Shunt Procedures	14	5	—	—	$43,166.09	$65,149.28	$51,799.31	2026-05-22
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	46	12	—	—	$1,718.01	$64,657.86	$56,180.52	2026-05-22
911-4	OTHER	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	14	5	—	—	$37,724.48	$64,316.21	$45,269.38	2026-05-22
512-4	OTHER	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	14	5	—	—	$43,613.06	$63,745.03	$52,335.67	2026-05-22
459	OTHER	Spinal Fusion Except Cervical With Mcc	46	12	—	—	$11.74	$63,704.76	$60,671.20	2026-05-22
165-4	OTHER	Coronary Bypass W Ami Or Complex Pdx	14	5	—	—	$41,132.31	$63,327.90	$49,358.77	2026-05-22
612-3	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	14	5	—	—	$36,868.31	$63,165.55	$44,241.97	2026-05-22
36005663	OTHER	Or 406-420 Mins 3 Staff	30	12	$85,893.00	$60,125.10 30% off	$63,131.36	$63,131.36	$63,131.36	2026-05-22
36005845	OTHER	Or 301-315 Mins 4 Staff	30	12	$85,893.00	$60,125.10 30% off	$63,131.36	$63,131.36	$63,131.36	2026-05-22
22-4	OTHER	Ventricular Shunt Procedures	14	5	—	—	$31,314.52	$62,763.82	$37,577.42	2026-05-22
183-3	OTHER	Percutaneous Structural Cardiac Procedures	4	2	—	—	$62,436.76	$62,436.76	$62,436.76	2026-05-22
850-4	OTHER	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	14	5	—	—	$44,329.74	$62,390.54	$53,195.69	2026-05-22
405-4	OTHER	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	14	5	—	—	$48,755.33	$62,107.32	$58,506.40	2026-05-22
591-1	OTHER	Neonate Birthwt 500-749g Without Major Procedure	14	5	—	—	$2,153.20	$62,002.92	$51,669.10	2026-05-22
130-4	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	14	5	—	—	$35,297.79	$61,670.04	$42,357.35	2026-05-22
178-1	OTHER	External Heart Assist Systems	4	2	—	—	$61,620.27	$61,620.27	$61,620.27	2026-05-22
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	12	—	—	$1,027.80	$61,140.16	$58,228.72	2026-05-22
36005657	OTHER	Or 391-405 Mins 3 Staff	30	12	$82,821.75	$57,975.23 30% off	$60,873.99	$60,873.99	$60,873.99	2026-05-22
179-3	OTHER	Defibrillator Implants	4	2	—	—	$60,553.75	$60,553.75	$60,553.75	2026-05-22
20-4	OTHER	Craniotomy For Trauma	14	5	—	—	$38,885.22	$60,201.79	$46,662.26	2026-05-22
36005842	OTHER	Or 286-300 Mins 4 Staff	30	12	$81,802.50	$57,261.75 30% off	$60,124.84	$60,124.84	$60,124.84	2026-05-22
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	46	12	—	—	$1,947.49	$59,995.22	$57,138.30	2026-05-22
912-4	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	14	5	—	—	$44,038.53	$59,960.05	$52,846.24	2026-05-22
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	32	11	—	—	$52,824.06	$59,726.27	$56,882.16	2026-05-22
230-4	OTHER	Major Small Bowel Procedures	4	2	—	—	$59,715.93	$59,715.93	$59,715.93	2026-05-22
276	OTHER	Cardiac Defibrillator Implant With Mcc	46	12	—	—	$1,496.14	$59,650.39	$56,809.89	2026-05-22
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	46	12	—	—	$4,624.33	$59,353.81	$51,810.60	2026-05-22
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	46	12	—	—	$540.13	$59,331.50	$56,506.19	2026-05-22
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	46	12	—	—	$352.13	$59,331.50	$56,506.19	2026-05-22
166-4	OTHER	Coronary Bypass Without Ami Or Complex Pdx	14	5	—	—	$36,218.48	$59,298.80	$43,462.18	2026-05-22
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	32	11	—	—	$50,418.88	$58,748.46	$55,950.91	2026-05-22
264-4	OTHER	Other Hepatobiliary, Pancreas & Abdominal Procedures	14	5	—	—	$35,773.24	$58,673.11	$42,927.89	2026-05-22
36005655	OTHER	Or 376-390mins 3 Staff	30	12	$79,756.50	$55,829.55 30% off	$58,621.03	$58,621.03	$58,621.03	2026-05-22
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	11	—	—	$44,260.41	$58,354.64	$55,575.85	2026-05-22
28	OTHER	Spinal Procedures With Mcc	46	12	—	—	$2,499.42	$57,882.07	$55,125.78	2026-05-22
29-4	OTHER	Other Percutaneous Intracranial Procedures	4	2	—	—	$57,876.77	$57,876.77	$57,876.77	2026-05-22
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	32	11	—	—	$5,660.73	$57,632.33	$54,887.93	2026-05-22
162-3	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	14	5	—	—	$33,344.22	$57,529.55	$40,013.06	2026-05-22
711-4	OTHER	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	14	5	—	—	$35,083.31	$57,471.49	$42,099.97	2026-05-22
232	OTHER	Coronary Bypass With Ptca Without Mcc	42	11	—	—	$418.82	$57,137.66	$54,416.82	2026-05-22
36005840	OTHER	Or 271-285 Mins 4 Staff	30	12	$77,714.50	$54,400.15 30% off	$57,120.16	$57,120.16	$57,120.16	2026-05-22
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	46	12	—	—	$1,698.60	$56,484.51	$53,794.77	2026-05-22
23-4	OTHER	Spinal Procedures	14	5	—	—	$46,976.72	$56,372.06	$52,810.77	2026-05-22
36005647	OTHER	Or 361-375mins 3 Staff	30	12	$76,690.25	$53,683.18 30% off	$56,367.33	$56,367.33	$56,367.33	2026-05-22
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	12	—	—	$1,538.83	$56,208.50	$51,857.26	2026-05-22
222-4	OTHER	Other Stomach, Esophageal & Duodenal Procedures	14	5	—	—	$32,166.04	$55,843.26	$38,599.25	2026-05-22
181-4	OTHER	Lower Extremity Arterial Procedures #	14	5	—	—	$38,458.01	$55,187.94	$46,149.61	2026-05-22
120	OTHER	Immunotherapy	4	2	—	—	$55,027.46	$55,027.46	$55,027.46	2026-05-22
690-3	OTHER	Acute Leukemia	14	5	—	—	$35,240.24	$54,879.83	$42,288.29	2026-05-22
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	12	—	—	$2,745.04	$54,718.10	$52,112.48	2026-05-22
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	46	12	—	—	$109.67	$54,587.47	$51,988.07	2026-05-22
309-4	OTHER	Other Significant Hip And Femur Surgery	14	5	—	—	$33,393.05	$54,213.85	$40,071.66	2026-05-22
36005836	OTHER	Or 256-270 Mins 4 Staff	30	12	$73,625.50	$51,537.85 30% off	$54,114.75	$54,114.75	$54,114.75	2026-05-22
36005643	OTHER	Or 346-360 Mins 3 Staff	30	12	$73,625.50	$51,537.85 30% off	$54,114.75	$54,114.75	$54,114.75	2026-05-22
261-4	OTHER	Major Biliary Tract Procedures	14	5	—	—	$35,691.87	$53,993.43	$42,830.24	2026-05-22
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	32	11	—	—	$51,218.74	$53,779.67	$51,218.74	2026-05-22
317-4	OTHER	Tendon, Muscle & Other Soft Tissue Procedures	14	5	—	—	$36,723.00	$53,648.59	$44,067.60	2026-05-22
447-4	OTHER	Other Kidney, Urinary Tract & Related Procedures	14	5	—	—	$44,352.40	$53,222.88	$50,005.81	2026-05-22
607-2	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	5	—	—	$43,467.75	$53,122.44	$52,161.30	2026-05-22
650-4	OTHER	Splenectomy	14	5	—	—	$33,148.35	$53,086.88	$39,778.02	2026-05-22
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	36	12	—	—	$189.10	$52,821.63	$39,901.95	2026-05-22
519-4	OTHER	Uterine & Adnexa Procedures For Leiomyoma	14	5	—	—	$35,158.29	$52,691.08	$42,189.95	2026-05-22
710-4	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	14	5	—	—	$36,736.95	$52,111.61	$44,084.34	2026-05-22
653	OTHER	Major Bladder Procedures With Mcc	46	12	—	—	$121.05	$51,998.86	$49,522.73	2026-05-22
36005641	OTHER	Or 331-345 Mins 3 Staff	30	12	$70,553.25	$49,387.28 30% off	$51,856.64	$51,856.64	$51,856.64	2026-05-22
182-4	OTHER	Other Peripheral Vascular Procedures #	14	5	—	—	$36,455.62	$51,834.31	$43,746.74	2026-05-22
6	OTHER	Liver Transplant Without Mcc	32	11	—	—	$44,247.17	$51,577.29	$44,247.17	2026-05-22
518-4	OTHER	Other Female Reproductive System & Related Procedures	14	5	—	—	$34,746.19	$51,372.15	$41,695.43	2026-05-22
36005834	OTHER	Or 241-255 Mins 4 Staff	30	12	$69,531.25	$48,671.88 30% off	$51,105.47	$51,105.47	$51,105.47	2026-05-22
36005467	OTHER	Or Over>481min 8 Hrs (2 Staff)	30	12	$69,531.25	$48,671.88 30% off	$51,105.47	$51,105.47	$51,105.47	2026-05-22
228	OTHER	Other Cardiothoracic Procedures With Mcc	46	12	—	—	$2,479.35	$50,653.96	$46,093.20	2026-05-22
183-2	OTHER	Percutaneous Structural Cardiac Procedures	4	2	—	—	$50,610.18	$50,610.18	$50,610.18	2026-05-22
8	OTHER	Simultaneous Pancreas And Kidney Transplant	32	11	—	—	$48,133.17	$50,539.83	$48,133.17	2026-05-22
951-4	OTHER	Moderately Extensive Procedure Unrelated To Principal Diagnosis	14	5	—	—	$36,473.64	$50,390.95	$43,768.37	2026-05-22
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	12	—	—	$430.87	$50,375.58	$47,976.74	2026-05-22
901	OTHER	Wound Debridements For Injuries With Mcc	32	11	—	—	$39,590.01	$50,207.30	$39,590.01	2026-05-22
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	46	12	—	—	$1,116.24	$49,927.02	$47,549.54	2026-05-22
403-4	OTHER	Procedures For Obesity	14	5	—	—	$38,226.67	$49,876.64	$45,872.00	2026-05-22
30-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	4	2	—	—	$49,762.88	$49,762.88	$49,762.88	2026-05-22
36005639	OTHER	Or 316-330 Mins 3 Staff	30	12	$67,488.25	$47,241.78 30% off	$49,603.86	$49,603.86	$49,603.86	2026-05-22
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	46	12	—	—	$1,605.58	$49,527.44	$47,168.99	2026-05-22
841-2	OTHER	Extensive 3rd Degree Burns W Skin Graft	14	5	—	—	$29,238.20	$49,395.74	$41,163.12	2026-05-22
321-4	OTHER	Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp	14	5	—	—	$41,060.24	$49,272.29	$43,004.67	2026-05-22
229-4	OTHER	Other Digestive System & Abdominal Procedures	14	5	—	—	$33,635.43	$48,940.47	$40,362.52	2026-05-22
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	32	11	—	—	$33,922.25	$48,784.95	$46,461.86	2026-05-22
121-4	OTHER	Other Respiratory & Chest Procedures	14	5	—	—	$35,206.53	$48,657.25	$42,247.84	2026-05-22
270	OTHER	Other Major Cardiovascular Procedures With Mcc	46	12	—	—	$102.77	$48,572.68	$46,259.69	2026-05-22
183-1	OTHER	Percutaneous Structural Cardiac Procedures	4	2	—	—	$48,176.13	$48,176.13	$48,176.13	2026-05-22
603-2	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	14	5	—	—	$40,097.12	$48,116.54	$47,243.51	2026-05-22
36005830	OTHER	Or 226-240 Mins 4 Staff	30	12	$65,440.00	$45,808.00 30% off	$48,098.40	$48,098.40	$48,098.40	2026-05-22
36005460	OTHER	Or 466-480 Min 2 Staff	30	12	$65,440.00	$45,808.00 30% off	$48,098.40	$48,098.40	$48,098.40	2026-05-22
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	46	12	—	—	$127.81	$48,019.42	$45,732.78	2026-05-22
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	12	—	—	$25.45	$47,733.21	$41,448.85	2026-05-22
310-4	OTHER	Intervertebral Disc Excision & Decompression	14	5	—	—	$39,769.88	$47,723.86	$46,929.48	2026-05-22
799	OTHER	Splenic Procedures With Mcc	32	11	—	—	$35,529.76	$47,590.06	$45,323.87	2026-05-22
49-4	OTHER	Bacterial & Tuberculous Infections Of Nervous System	14	5	—	—	$34,685.74	$47,580.06	$41,622.89	2026-05-22
304-3	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	14	5	—	—	$30,966.36	$47,517.25	$37,159.63	2026-05-22
24-4	OTHER	Extracranial Vascular Procedures	14	5	—	—	$39,487.39	$47,384.87	$45,520.48	2026-05-22
36005632	OTHER	Or 301-315 Min 3 Staff	30	12	$64,422.25	$45,095.58 30% off	$47,350.36	$47,350.36	$47,350.36	2026-05-22
471	OTHER	Cervical Spinal Fusion With Mcc	46	12	—	—	$26.91	$47,248.12	$44,998.21	2026-05-22
313-4	OTHER	Knee & Lower Leg Procedures Except Foot	14	5	—	—	$37,614.04	$47,168.85	$45,136.85	2026-05-22
952-4	OTHER	Nonextensive Procedure Unrelated To Principal Diagnosis	14	5	—	—	$34,477.07	$47,059.83	$41,372.48	2026-05-22
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	46	12	—	—	$2,092.67	$46,875.44	$44,643.27	2026-05-22
277	OTHER	Cardiac Defibrillator Implant Without Mcc	46	12	—	—	$247.11	$46,679.37	$43,748.61	2026-05-22
36005384	OTHER	Or 451-465 Mins 2 Staff	30	12	$63,398.75	$44,379.13 30% off	$46,598.08	$46,598.08	$46,598.08	2026-05-22
444-4	OTHER	Renal Dialysis Access Device Procedure Only	14	5	—	—	$35,955.17	$46,553.82	$43,146.20	2026-05-22
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	32	11	—	—	$29,033.25	$46,527.73	$44,312.12	2026-05-22
356	OTHER	Other Digestive System O.r. Procedures With Mcc	46	12	—	—	$130.87	$46,525.35	$39,140.85	2026-05-22
305-4	OTHER	Amputation Of Lower Limb Except Toes	14	5	—	—	$36,628.83	$46,314.45	$43,954.60	2026-05-22
10	OTHER	Pancreas Transplant	46	12	—	—	$957.69	$46,235.73	$44,034.03	2026-05-22
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	46	12	—	—	$1,346.38	$46,170.41	$43,971.82	2026-05-22
50-4	OTHER	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	14	5	—	—	$31,076.21	$46,127.21	$37,291.45	2026-05-22
791-4	OTHER	O.r. Procedure For Other Complications Of Treatment	10	3	—	—	$38,424.30	$46,109.16	$38,424.30	2026-05-22
221-4	OTHER	Major Small & Large Bowel Procedures	10	3	—	—	$38,410.35	$46,092.42	$38,410.35	2026-05-22
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	11	—	—	$43,364.40	$45,868.73	$43,364.40	2026-05-22
246	OTHER	Class IV Therapeutic Radiopharmaceuticals	4	2	—	—	$45,780.28	$45,780.28	$45,780.28	2026-05-22
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	4	2	—	—	$45,771.71	$45,771.71	$45,771.71	2026-05-22
43-4	OTHER	Multiple Sclerosis & Other Demyelinating Diseases	14	5	—	—	$34,396.28	$45,497.97	$41,275.54	2026-05-22
602-1	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	5	—	—	$23,583.24	$45,286.12	$37,738.43	2026-05-22
163	OTHER	Major Chest Procedures With Mcc	32	11	—	—	$36,940.28	$45,275.20	$43,119.24	2026-05-22
36005382	OTHER	Or 436-450 Mins 2 Staff	30	12	$61,352.25	$42,946.58 30% off	$45,093.90	$45,093.90	$45,093.90	2026-05-22
36005827	OTHER	Or 211-225 Mins 4 Staff	30	12	$61,352.25	$42,946.58 30% off	$45,093.90	$45,093.90	$45,093.90	2026-05-22
36005630	OTHER	Or 286-300 Min 3 Staff	30	12	$61,352.25	$42,946.58 30% off	$45,093.90	$45,093.90	$45,093.90	2026-05-22
381-4	OTHER	Major Skin Disorders	14	5	—	—	$34,309.67	$44,973.00	$41,171.60	2026-05-22
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	11	—	—	$37,550.70	$44,650.86	$42,524.63	2026-05-22
442-4	OTHER	Kidney & Urinary Tract Procedures For Malignancy	14	5	—	—	$37,059.54	$44,471.45	$42,229.66	2026-05-22
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	4	2	—	—	$44,453.96	$44,453.96	$44,453.96	2026-05-22
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	46	12	—	—	$93.96	$44,450.11	$42,333.44	2026-05-22
177-4	OTHER	Cardiac Pacemaker & Defibrillator Revision Except Device Replacement	14	5	—	—	$27,961.92	$44,183.38	$36,819.48	2026-05-22
691-4	OTHER	Lymphoma, Myeloma & Non-acute Leukemia	14	5	—	—	$36,809.02	$44,170.82	$41,867.04	2026-05-22
179-2	OTHER	Defibrillator Implants	4	2	—	—	$43,958.61	$43,958.61	$43,958.61	2026-05-22
245	OTHER	Aicd Generator Procedures	46	12	—	—	$898.89	$43,875.35	$41,452.51	2026-05-22
36005380	OTHER	Or 421-435 Mins 2 Staff	30	12	$59,308.00	$41,515.60 30% off	$43,591.38	$43,591.38	$43,591.38	2026-05-22
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral & Umbilical	14	5	—	—	$30,653.06	$43,438.39	$36,783.67	2026-05-22
329	OTHER	Major Small And Large Bowel Procedures With Mcc	46	12	—	—	$93.43	$43,384.90	$41,318.95	2026-05-22
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	4	2	—	—	$43,377.95	$43,377.95	$43,377.95	2026-05-22
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	46	12	—	—	$161.59	$43,199.51	$41,142.39	2026-05-22
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	46	12	—	—	$240.96	$42,843.16	$40,803.01	2026-05-22
36005612	OTHER	Or 271-285 Min 3 Staff	30	12	$58,285.00	$40,799.50 30% off	$42,839.47	$42,839.47	$42,839.47	2026-05-22
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	32	11	—	—	$29,830.11	$42,535.79	$40,510.28	2026-05-22
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	46	12	—	—	$1,764.66	$42,416.69	$40,396.85	2026-05-22
794-4	OTHER	Non-extensive O.r. Procedures For Other Complications Of Treatment	4	2	—	—	$42,387.27	$42,387.27	$42,387.27	2026-05-22
607-1	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	5	—	—	$35,114.11	$42,136.93	$41,889.55	2026-05-22
36005825	OTHER	Or 196-210 Mins 4 Staff	30	12	$57,263.00	$40,084.10 30% off	$42,088.31	$42,088.31	$42,088.31	2026-05-22
36005376	OTHER	Or 406-420 Mins 2 Staff	30	12	$57,263.00	$40,084.10 30% off	$42,088.31	$42,088.31	$42,088.31	2026-05-22
171-4	OTHER	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	14	5	—	—	$34,664.23	$41,597.08	$37,773.95	2026-05-22
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	32	11	—	—	$37,001.17	$41,527.72	$37,001.17	2026-05-22
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	46	12	—	—	$148.76	$41,329.38	$39,361.31	2026-05-22
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	42	11	—	—	$2,447.84	$41,224.54	$36,968.24	2026-05-22
36005012	OTHER	Bilateral Eswl	30	12	$55,774.25	$39,041.98 30% off	$40,994.07	$40,994.07	$40,994.07	2026-05-22
36005374	OTHER	Or 391-405 Mins 2 Staff	30	12	$55,218.50	$38,652.95 30% off	$40,585.60	$40,585.60	$40,585.60	2026-05-22
36005600	OTHER	Or 256-270 Min 3 Staff	30	12	$55,218.50	$38,652.95 30% off	$40,585.60	$40,585.60	$40,585.60	2026-05-22
793	OTHER	Full Term Neonate With Major Problems	32	11	—	—	$38,007.90	$40,431.29	$38,505.99	2026-05-22
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	46	12	—	—	$55.18	$39,944.30	$38,042.19	2026-05-22
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	44	11	—	—	$146.81	$39,765.65	$37,872.04	2026-05-22
608-2	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	14	5	—	—	$33,049.53	$39,659.44	$36,519.01	2026-05-22
31	OTHER	Ventricular Shunt Procedures With Mcc	32	11	—	—	$18,423.53	$39,540.88	$37,657.98	2026-05-22
791	OTHER	Prematurity With Major Problems	32	11	—	—	$2,162.80	$39,359.34	$37,485.09	2026-05-22
36005372	OTHER	Or 376-390 Mins 2 Staff	30	12	$53,173.25	$37,221.28 30% off	$39,082.34	$39,082.34	$39,082.34	2026-05-22
36005822	OTHER	Or 181-195 Mins 4 Staff	30	12	$53,173.25	$37,221.28 30% off	$39,082.34	$39,082.34	$39,082.34	2026-05-22
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	46	12	—	—	$777.22	$38,976.10	$37,120.09	2026-05-22
179-1	OTHER	Defibrillator Implants	4	2	—	—	$38,969.65	$38,969.65	$38,969.65	2026-05-22
223-4	OTHER	Other Small & Large Bowel Procedures	14	5	—	—	$32,424.70	$38,909.64	$36,318.74	2026-05-22
224-4	OTHER	Peritoneal Adhesiolysis	14	5	—	—	$32,367.15	$38,840.58	$38,014.51	2026-05-22
231-4	OTHER	Major Large Bowel Procedures	4	2	—	—	$38,767.01	$38,767.01	$38,767.01	2026-05-22
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	46	12	—	—	$109.71	$38,560.19	$36,723.99	2026-05-22
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	32	11	—	—	$36,636.17	$38,467.98	$36,636.17	2026-05-22
36005595	OTHER	Or 241-255 Mins 3 Staff	30	12	$52,148.50	$36,503.95 30% off	$38,329.15	$38,329.15	$38,329.15	2026-05-22
323-4	OTHER	Non-elective Or Complex Hip Joint Replacement	4	2	—	—	$37,731.29	$37,731.29	$37,731.29	2026-05-22
36005370	OTHER	Or 361-375 Mins 2 Staff	30	12	$51,128.00	$35,789.60 30% off	$37,579.08	$37,579.08	$37,579.08	2026-05-22
36005968	OTHER	Or 136-150 Mins 5 Staff	30	12	$51,128.00	$35,789.60 30% off	$37,579.08	$37,579.08	$37,579.08	2026-05-22
30-3	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	4	2	—	—	$37,508.51	$37,508.51	$37,508.51	2026-05-22
547-4	OTHER	Antepartum With O.r. Procedure	4	2	—	—	$37,367.49	$37,367.49	$37,367.49	2026-05-22
233-4	OTHER	Appendectomy With Complex Principal Diagnosis	4	2	—	—	$37,221.73	$37,221.73	$37,221.73	2026-05-22
3060	OTHER	Ventricular Assist Device Procedures	4	2	—	—	$36,206.50	$36,206.50	$36,206.50	2026-05-22

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