Hospital

ASTRIA TOPPENISH HOSPITAL

Toppenish, WA · CCN 500037 · Rates published

8,295 distinct procedures filed

40 distinct payers

269,362 rate rows

2026-05-08 last MRF observed

Data quality

267,088 of 269,362 rate rows are consumer-grade (99.2%)

2,274 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
exceeds 10× this hospital's gross charge — excluded from medians	2,079
percent-of-charges filed in the dollar field — excluded from medians	163
per-diem day rate — not a per-procedure price	20
template filing: same amount across many unrelated codes — excluded	11
placeholder amount (≤ $0.02) — excluded from medians	1

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

Source MRF file	https://toppenish.pg.revenuemasters.com/cdm-files/814670687_astria-toppenish-hospital_standardcharges.csv
Found on page	https://toppenish.pg.revenuemasters.com/disclaimer?
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	fd5aeb82839d5149… · 38,606,120 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	1	$86,229.89	$86,229.89	$86,229.89	nat. median $386,529 outlier · 0.2×
CATH00071 OTHER	Aicd Single Chamber2	29	$4,695.00	$201,174.00	$75,842.60	nat. median $85,197 0.9× median
84092941 OTHER	Perc Card Revasc Mi 1 Vsl	40	$4,695.00	$73,722.00	$69,298.68	nat. median $26,693 outlier · 2.6×
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	1	$69,158.74	$69,158.74	$69,158.74	nat. median $58,866 1.2× median
914 OTHER	Traumatic Injury Without Mcc	10	$2,507.88	$76,478.51	$58,829.62	nat. median $5,582 outlier · 10.5×
8400235T OTHER	Trluml Perp Athrc Visc - Ip	40	$3,933.54	$60,876.00	$57,223.44	nat. median $42,083 1.4× median
274 OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	9	$31,098.72	$73,320.68	$56,400.52	nat. median $347 outlier · 162.5×
234 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	10	$5,262.00	$72,591.80	$55,839.84	nat. median $50,947 1.1× median
204 OTHER	Respiratory Signs And Symptoms	10	$2,507.88	$71,734.43	$55,180.33	nat. median $8,657 outlier · 6.4×
304 OTHER	Hypertension With Mcc	10	$10,670.13	$65,986.51	$50,758.85	nat. median $9,034 outlier · 5.6×
264 OTHER	Other Circulatory System O.r. Procedures	10	$5,262.00	$61,267.66	$47,128.97	nat. median $32,470 1.5× median
267 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	1	$46,830.40	$46,830.40	$46,830.40	nat. median $45,097 1.0× median
229 OTHER	Other Cardiothoracic Procedures Without Mcc	2	$38,139.30	$49,216.52	$43,677.91	nat. median $31,547 1.4× median
277 OTHER	Cardiac Defibrillator Implant Without Mcc	1	$41,719.92	$41,719.92	$41,719.92	nat. median $44,716 0.9× median
21 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	2	$33,999.74	$49,216.52	$41,608.13	nat. median $55,888 0.7× median
324 OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	2	$37,156.55	$43,954.52	$40,555.54	nat. median $22,596 1.8× median
269 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	1	$39,905.93	$39,905.93	$39,905.93	nat. median $39,944 1.0× median
734 OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	10	$5,262.00	$51,417.17	$39,551.67	nat. median $15,819 outlier · 2.5×
504 OTHER	Foot Procedures With Cc	10	$5,262.00	$50,834.97	$39,103.82	nat. median $18,399 outlier · 2.1×
26 OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	2	$28,337.95	$49,216.52	$38,777.24	nat. median $28,733 1.3× median
244 OTHER	Permanent Cardiac Pacemaker Implant Without Cc/mcc	10	$5,262.00	$50,391.68	$38,762.83	nat. median $18,624 outlier · 2.1×
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	$5,262.00	$71,302.87	$38,282.43	nat. median $56,507 0.7× median
220 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	$26,960.99	$49,216.52	$38,088.75	nat. median $50,021 0.8× median
213 OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	9	$3,184.00	$49,010.76	$37,700.59	nat. median $39,925 0.9× median
468 OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	2	$25,617.48	$49,216.52	$37,417.00	nat. median $25,846 1.4× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	2	$25,613.44	$49,216.52	$37,414.98	nat. median $74,209 0.5× median
494 OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	10	$5,262.00	$48,506.58	$37,312.75	nat. median $18,715 2.0× median
320 OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	2	$30,515.28	$43,954.52	$37,234.90	nat. median $470 outlier · 79.3×
27 OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	2	$23,346.11	$49,216.52	$36,281.32	nat. median $24,390 1.5× median
325 OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	2	$28,194.11	$43,954.52	$36,074.32	nat. median $24,525 1.5× median
303 OTHER	Atherosclerosis Without Mcc	10	$2,507.88	$46,803.20	$36,002.46	nat. median $5,626 outlier · 6.4×
228 OTHER	Other Cardiothoracic Procedures With Mcc	2	$22,664.70	$49,216.52	$35,940.61	nat. median $48,497 0.7× median
23 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	2	$22,355.26	$49,216.52	$35,785.89	nat. median $56,822 0.6× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	10	$5,262.00	$46,090.15	$35,453.96	nat. median $68,249 0.5× median
466 OTHER	Revision Of Hip Or Knee Replacement With Mcc	2	$21,029.84	$49,216.52	$35,123.18	nat. median $45,566 0.8× median
29 OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	2	$20,998.09	$49,216.52	$35,107.31	nat. median $30,551 1.1× median
913 OTHER	Traumatic Injury With Mcc	10	$2,507.88	$45,520.73	$35,015.95	nat. median $13,782 outlier · 2.5×
323 OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	2	$25,909.20	$43,954.52	$34,931.86	nat. median $31,081 1.1× median
135 OTHER	Sinus And Mastoid Procedures With Cc/mcc	2	$20,091.75	$49,216.52	$34,654.13	nat. median $21,358 1.6× median
253 OTHER	Other Vascular Procedures With Cc	2	$19,326.60	$49,216.52	$34,271.56	nat. median $24,609 1.4× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	2	$18,319.64	$49,216.52	$33,768.08	nat. median $134,983 outlier · 0.3×
84033231 OTHER	Insert Pulse Gen W Multi Leads	40	$4,695.00	$185,060.00	$33,555.87	nat. median $51,404 0.7× median
203 OTHER	Bronchitis And Asthma Without Cc/mcc	10	$9,526.09	$46,462.40	$33,359.62	nat. median $7,370 outlier · 4.5×
114 OTHER	Orbital Procedures Without Cc/mcc	2	$16,886.22	$49,216.52	$33,051.37	nat. median $10,012 outlier · 3.3×
254 OTHER	Other Vascular Procedures Without Cc/mcc	2	$16,650.02	$49,216.52	$32,933.27	nat. median $16,771 2.0× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	1	$32,888.85	$32,888.85	$32,888.85	nat. median $67,670 outlier · 0.5×
321 OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	2	$21,778.12	$43,954.52	$32,866.32	nat. median $26,529 1.2× median
326 OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	2	$16,246.03	$49,216.52	$32,731.28	nat. median $45,545 0.7× median
40 OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	2	$15,835.46	$49,216.52	$32,525.99	nat. median $35,347 0.9× median
434 OTHER	Cirrhosis And Alcoholic Hepatitis Without Cc/mcc	10	$2,507.88	$42,055.57	$32,350.44	nat. median $6,100 outlier · 5.3×

Other procedures at this hospital

Browse this hospital's 8,295 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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$86,229.89	$86,229.89	$86,229.89	2026-05-08
CATH00071	OTHER	Aicd Single Chamber2	29	29	$201,174.00	$130,763.10 35% off	$4,695.00	$201,174.00	$75,842.60	2026-05-08
84092941	OTHER	Perc Card Revasc Mi 1 Vsl	40	40	$73,722.00	$47,919.30 35% off	$4,695.00	$73,722.00	$69,298.68	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	1	1	—	—	$69,158.74	$69,158.74	$69,158.74	2026-05-08
914	OTHER	Traumatic Injury Without Mcc	10	10	—	—	$2,507.88	$76,478.51	$58,829.62	2026-05-08
8400235T	OTHER	Trluml Perp Athrc Visc - Ip	40	40	$60,876.00	$39,569.40 35% off	$3,933.54	$60,876.00	$57,223.44	2026-05-08
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	9	9	—	—	$31,098.72	$73,320.68	$56,400.52	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	10	10	—	—	$5,262.00	$72,591.80	$55,839.84	2026-05-08
204	OTHER	Respiratory Signs And Symptoms	10	10	—	—	$2,507.88	$71,734.43	$55,180.33	2026-05-08
304	OTHER	Hypertension With Mcc	10	10	—	—	$10,670.13	$65,986.51	$50,758.85	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	10	10	—	—	$5,262.00	$61,267.66	$47,128.97	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	1	1	—	—	$46,830.40	$46,830.40	$46,830.40	2026-05-08
229	OTHER	Other Cardiothoracic Procedures Without Mcc	2	2	—	—	$38,139.30	$49,216.52	$43,677.91	2026-05-08
277	OTHER	Cardiac Defibrillator Implant Without Mcc	1	1	—	—	$41,719.92	$41,719.92	$41,719.92	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	2	2	—	—	$33,999.74	$49,216.52	$41,608.13	2026-05-08
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	2	2	—	—	$37,156.55	$43,954.52	$40,555.54	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	1	1	—	—	$39,905.93	$39,905.93	$39,905.93	2026-05-08
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	10	10	—	—	$5,262.00	$51,417.17	$39,551.67	2026-05-08
504	OTHER	Foot Procedures With Cc	10	10	—	—	$5,262.00	$50,834.97	$39,103.82	2026-05-08
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	2	2	—	—	$28,337.95	$49,216.52	$38,777.24	2026-05-08
244	OTHER	Permanent Cardiac Pacemaker Implant Without Cc/mcc	10	10	—	—	$5,262.00	$50,391.68	$38,762.83	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	2	—	—	$5,262.00	$71,302.87	$38,282.43	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	2	—	—	$26,960.99	$49,216.52	$38,088.75	2026-05-08
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	9	9	—	—	$3,184.00	$49,010.76	$37,700.59	2026-05-08
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	2	2	—	—	$25,617.48	$49,216.52	$37,417.00	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	2	2	—	—	$25,613.44	$49,216.52	$37,414.98	2026-05-08
494	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	10	10	—	—	$5,262.00	$48,506.58	$37,312.75	2026-05-08
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	2	2	—	—	$30,515.28	$43,954.52	$37,234.90	2026-05-08
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	2	2	—	—	$23,346.11	$49,216.52	$36,281.32	2026-05-08
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	2	2	—	—	$28,194.11	$43,954.52	$36,074.32	2026-05-08
303	OTHER	Atherosclerosis Without Mcc	10	10	—	—	$2,507.88	$46,803.20	$36,002.46	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	2	2	—	—	$22,664.70	$49,216.52	$35,940.61	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	2	2	—	—	$22,355.26	$49,216.52	$35,785.89	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	10	10	—	—	$5,262.00	$46,090.15	$35,453.96	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	2	2	—	—	$21,029.84	$49,216.52	$35,123.18	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	2	2	—	—	$20,998.09	$49,216.52	$35,107.31	2026-05-08
913	OTHER	Traumatic Injury With Mcc	10	10	—	—	$2,507.88	$45,520.73	$35,015.95	2026-05-08
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	2	2	—	—	$25,909.20	$43,954.52	$34,931.86	2026-05-08
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	2	2	—	—	$20,091.75	$49,216.52	$34,654.13	2026-05-08
253	OTHER	Other Vascular Procedures With Cc	2	2	—	—	$19,326.60	$49,216.52	$34,271.56	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	2	2	—	—	$18,319.64	$49,216.52	$33,768.08	2026-05-08
84033231	OTHER	Insert Pulse Gen W Multi Leads	40	40	$185,060.00	$120,289.00 35% off	$4,695.00	$185,060.00	$33,555.87	2026-05-08
203	OTHER	Bronchitis And Asthma Without Cc/mcc	10	10	—	—	$9,526.09	$46,462.40	$33,359.62	2026-05-08
114	OTHER	Orbital Procedures Without Cc/mcc	2	2	—	—	$16,886.22	$49,216.52	$33,051.37	2026-05-08
254	OTHER	Other Vascular Procedures Without Cc/mcc	2	2	—	—	$16,650.02	$49,216.52	$32,933.27	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	1	1	—	—	$32,888.85	$32,888.85	$32,888.85	2026-05-08
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	2	2	—	—	$21,778.12	$43,954.52	$32,866.32	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	2	2	—	—	$16,246.03	$49,216.52	$32,731.28	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	2	2	—	—	$15,835.46	$49,216.52	$32,525.99	2026-05-08
434	OTHER	Cirrhosis And Alcoholic Hepatitis Without Cc/mcc	10	10	—	—	$2,507.88	$42,055.57	$32,350.44	2026-05-08
251	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	2	2	—	—	$15,227.89	$49,216.52	$32,222.20	2026-05-08
283	OTHER	Acute Myocardial Infarction, Expired With Mcc	2	2	—	—	$17,735.21	$46,462.40	$32,098.81	2026-05-08
351	OTHER	Inguinal And Femoral Hernia Procedures With Cc	2	2	—	—	$14,449.59	$49,216.52	$31,833.05	2026-05-08
139	OTHER	Salivary Gland Procedures	2	2	—	—	$14,246.46	$49,216.52	$31,731.49	2026-05-08
36064582	OTHER	Open Implantation Of Hypoglossal Nerve Neurostimulator Array	40	40	$95,682.00	$62,193.30 35% off	$823.36	$95,682.00	$31,672.12	2026-05-08
141	OTHER	Major Head And Neck Procedures With Cc	2	2	—	—	$19,238.74	$43,954.52	$31,596.63	2026-05-08
215	OTHER	Other Heart Assist System Implant	2	2	—	—	$5,262.00	$57,659.54	$31,460.77	2026-05-08
346	OTHER	Minor Small And Large Bowel Procedures Without Cc/mcc	2	2	—	—	$13,240.42	$49,216.52	$31,228.47	2026-05-08
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	2	2	—	—	$18,437.11	$43,954.52	$31,195.81	2026-05-08
347	OTHER	Anal And Stomal Procedures With Mcc	2	2	—	—	$13,104.19	$49,216.52	$31,160.35	2026-05-08
711	OTHER	Testes Procedures With Cc/mcc	2	2	—	—	$13,002.99	$49,216.52	$31,109.75	2026-05-08
137	OTHER	Mouth Procedures With Cc/mcc	2	2	—	—	$12,740.38	$49,216.52	$30,978.45	2026-05-08
322	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc	2	2	—	—	$17,497.35	$43,954.52	$30,725.93	2026-05-08
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	2	2	—	—	$12,137.02	$49,216.52	$30,676.77	2026-05-08
710	OTHER	Penis Procedures Without Cc/mcc	2	2	—	—	$11,844.34	$49,216.52	$30,530.43	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	9	9	—	—	$30,038.88	$39,050.54	$30,038.88	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	2	2	—	—	$15,537.71	$43,954.52	$29,746.11	2026-05-08
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	1	1	—	—	$29,722.22	$29,722.22	$29,722.22	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	2	2	—	—	$15,441.51	$43,954.52	$29,698.01	2026-05-08
813	OTHER	Coagulation Disorders	2	2	—	—	$12,474.80	$46,462.40	$29,468.60	2026-05-08
314	OTHER	Other Circulatory System Diagnoses With Mcc	2	2	—	—	$12,299.53	$46,462.40	$29,380.97	2026-05-08
349	OTHER	Anal And Stomal Procedures Without Cc/mcc	2	2	—	—	$9,363.78	$49,216.52	$29,290.15	2026-05-08
136	OTHER	Sinus And Mastoid Procedures Without Cc/mcc	2	2	—	—	$9,011.60	$49,216.52	$29,114.06	2026-05-08
380	OTHER	Complicated Peptic Ulcer With Mcc	2	2	—	—	$11,218.68	$46,462.40	$28,840.54	2026-05-08
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	1	1	—	—	$28,835.36	$28,835.36	$28,835.36	2026-05-08
73	OTHER	Cranial And Peripheral Nerve Disorders With Mcc	2	2	—	—	$11,168.27	$46,462.40	$28,815.34	2026-05-08
53	OTHER	Spinal Disorders And Injuries Without Cc/mcc	2	2	—	—	$10,892.94	$46,462.40	$28,677.67	2026-05-08
98	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	2	2	—	—	$10,881.36	$46,462.40	$28,671.88	2026-05-08
312	OTHER	Syncope And Collapse	2	2	—	—	$10,808.02	$46,462.40	$28,635.21	2026-05-08
383	OTHER	Uncomplicated Peptic Ulcer With Mcc	2	2	—	—	$10,592.47	$46,462.40	$28,527.43	2026-05-08
305	OTHER	Hypertension Without Mcc	2	2	—	—	$10,329.41	$46,462.40	$28,395.91	2026-05-08
315	OTHER	Other Circulatory System Diagnoses With Cc	2	2	—	—	$10,313.57	$46,462.40	$28,387.99	2026-05-08
308	OTHER	Cardiac Arrhythmia And Conduction Disorders With Mcc	2	2	—	—	$10,179.10	$46,462.40	$28,320.75	2026-05-08
58	OTHER	Multiple Sclerosis And Cerebellar Ataxia With Mcc	2	2	—	—	$10,151.59	$46,462.40	$28,306.99	2026-05-08
384	OTHER	Uncomplicated Peptic Ulcer Without Mcc	2	2	—	—	$10,083.86	$46,462.40	$28,273.13	2026-05-08
55	OTHER	Nervous System Neoplasms Without Mcc	2	2	—	—	$9,966.22	$46,462.40	$28,214.31	2026-05-08
843	OTHER	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	2	2	—	—	$9,919.07	$46,462.40	$28,190.74	2026-05-08
197	OTHER	Interstitial Lung Disease With Cc	2	2	—	—	$9,902.08	$46,462.40	$28,182.24	2026-05-08
381	OTHER	Complicated Peptic Ulcer With Cc	2	2	—	—	$9,652.98	$46,462.40	$28,057.69	2026-05-08
815	OTHER	Reticuloendothelial And Immunity Disorders With Cc	2	2	—	—	$9,540.34	$46,462.40	$28,001.37	2026-05-08
59	OTHER	Multiple Sclerosis And Cerebellar Ataxia With Cc	2	2	—	—	$9,493.64	$46,462.40	$27,978.02	2026-05-08
309	OTHER	Cardiac Arrhythmia And Conduction Disorders With Cc	2	2	—	—	$9,321.05	$46,462.40	$27,891.73	2026-05-08
812	OTHER	Red Blood Cell Disorders Without Mcc	2	2	—	—	$9,260.48	$46,462.40	$27,861.44	2026-05-08
145	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc	2	2	—	—	$11,717.68	$43,954.52	$27,836.10	2026-05-08
844	OTHER	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	2	2	—	—	$9,003.64	$46,462.40	$27,733.02	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	2	—	—	$5,262.00	$50,168.63	$27,715.31	2026-05-08
554	OTHER	Bone Diseases And Arthropathies Without Mcc	10	10	—	—	$2,507.88	$35,892.34	$27,609.49	2026-05-08
724	OTHER	Malignancy, Male Reproductive System Without Cc/mcc	2	2	—	—	$7,767.96	$46,462.40	$27,115.18	2026-05-08
313	OTHER	Chest Pain	2	2	—	—	$6,943.67	$46,462.40	$26,703.04	2026-05-08
316	OTHER	Other Circulatory System Diagnoses Without Cc/mcc	2	2	—	—	$6,647.15	$46,462.40	$26,554.78	2026-05-08
950	OTHER	Aftercare Without Cc/mcc	2	2	—	—	$6,236.08	$46,462.40	$26,349.24	2026-05-08
202	OTHER	Bronchitis And Asthma With Cc/mcc	10	10	—	—	$2,507.88	$33,535.03	$25,796.18	2026-05-08
564	OTHER	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	10	10	—	—	$2,507.88	$33,482.13	$25,755.49	2026-05-08
302	OTHER	Atherosclerosis With Mcc	10	10	—	—	$2,507.88	$33,430.69	$25,715.91	2026-05-08
84033262	OTHER	Rem/rep Cvd Gen Single Lead	40	40	$185,060.00	$120,289.00 35% off	$4,695.00	$185,060.00	$25,119.92	2026-05-08
84092970	OTHER	Circ Assist - Ip Only	40	40	$26,692.00	$17,349.80 35% off	$2,386.68	$26,692.00	$25,090.48	2026-05-08
923	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc	10	10	—	—	$2,507.88	$32,141.67	$24,724.36	2026-05-08
293	OTHER	Heart Failure And Shock Without Cc/mcc	10	10	—	—	$2,507.88	$32,067.28	$24,667.14	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	1	—	—	$24,403.21	$24,403.21	$24,403.21	2026-05-08
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	9	9	—	—	$24,306.61	$31,598.59	$24,306.61	2026-05-08
84093656	OTHER	Tx Atrial Fib Pulm Vein Isol	40	40	$51,729.00	$33,623.85 35% off	$4,695.00	$87,199.85	$24,224.54	2026-05-08
84093654	OTHER	Ep/ablate Ventric Tachy	40	40	$51,729.00	$33,623.85 35% off	$4,695.00	$87,199.85	$24,224.54	2026-05-08
84093653	OTHER	Ep/ablate Supravent Arryth	40	40	$54,966.00	$35,727.90 35% off	$4,695.00	$87,199.85	$24,224.54	2026-05-08
84033263	OTHER	Rem/rep Pm Gen Dual Leads	40	40	$49,785.00	$32,360.25 35% off	$4,695.00	$93,601.39	$24,041.98	2026-05-08
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	10	10	—	—	$12,263.10	$49,216.52	$23,761.16	2026-05-08
974	OTHER	HIV With Major Related Condition With Mcc	10	10	—	—	$2,507.88	$30,726.69	$23,635.91	2026-05-08
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	2	2	—	—	$3,184.00	$43,954.52	$23,569.26	2026-05-08
263	OTHER	Vein Ligation And Stripping	10	10	—	—	$5,262.00	$30,426.28	$23,404.83	2026-05-08
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	10	10	—	—	$5,262.00	$30,036.59	$23,105.07	2026-05-08
7962038	OTHER	61698 Surgery Of Complex Intracranial Aneurysm, In	37	37	$22,976.00	$14,934.40 35% off	$3,515.33	$22,976.00	$22,976.00	2026-05-08
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	10	10	—	—	$5,262.00	$29,825.88	$22,942.99	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	1	1	—	—	$22,746.57	$22,746.57	$22,746.57	2026-05-08
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	10	10	—	—	$5,262.00	$28,958.71	$22,275.93	2026-05-08
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	1	1	—	—	$22,130.78	$22,130.78	$22,130.78	2026-05-08
7962838	OTHER	22857 Total Disc Arthroplasty, Anterior Approach;	37	37	$21,564.00	$14,016.60 35% off	$3,299.29	$64,464.78	$21,564.00	2026-05-08
514	OTHER	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc	10	10	—	—	$5,262.00	$27,766.55	$21,358.88	2026-05-08
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	10	10	—	—	$5,262.00	$27,579.95	$21,215.35	2026-05-08
594	OTHER	Skin Ulcers Without Cc/mcc	10	10	—	—	$2,507.88	$27,499.89	$21,153.76	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	1	1	—	—	$20,731.25	$20,731.25	$20,731.25	2026-05-08
983	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	10	10	—	—	$5,262.00	$26,935.06	$20,719.28	2026-05-08
201	OTHER	Pneumothorax Without Cc/mcc	10	10	—	—	$9,239.64	$46,462.40	$20,565.25	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	1	1	—	—	$20,551.43	$20,551.43	$20,551.43	2026-05-08
534	OTHER	Fractures Of Femur Without Mcc	10	10	—	—	$2,507.88	$26,615.53	$20,473.48	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	2	—	—	$5,262.00	$35,239.28	$20,250.64	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	2	—	—	$5,262.00	$34,979.15	$20,120.58	2026-05-08
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	1	1	—	—	$20,063.44	$20,063.44	$20,063.44	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	10	10	—	—	$5,262.00	$25,891.43	$19,916.48	2026-05-08
84033229	OTHER	Rem/rep Pm Gen Multi Leads	40	40	$55,988.00	$36,392.20 35% off	$4,695.00	$75,608.83	$19,874.18	2026-05-08
584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	10	10	—	—	$5,262.00	$25,740.60	$19,800.46	2026-05-08
444	OTHER	Disorders Of The Biliary Tract With Mcc	10	10	—	—	$2,507.88	$25,568.13	$19,667.79	2026-05-08
7962582	OTHER	61686 Surgery Of Intracranial Arteriovenous Malfor	37	37	$19,638.00	$12,764.70 35% off	$3,004.61	$19,638.00	$19,638.00	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	1	1	—	—	$19,468.15	$19,468.15	$19,468.15	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	2	2	—	—	$5,262.00	$33,454.53	$19,358.26	2026-05-08
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	2	2	—	—	$5,262.00	$33,362.41	$19,312.21	2026-05-08
503	OTHER	Foot Procedures With Mcc	10	10	—	—	$5,262.00	$25,073.62	$19,287.40	2026-05-08
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	9	9	—	—	$19,164.29	$24,913.57	$19,164.29	2026-05-08
7962428	OTHER	63655 Laminectomy For Implantation Of Neurostimula	36	36	$4,814.00	$3,129.10 35% off	$736.54	$39,046.44	$18,876.22	2026-05-08
7961545	OTHER	61885 Insertion/replacement Of Cranial Neurostimul	34	34	$2,417.00	$1,571.05 35% off	$369.80	$22,535.37	$18,690.12	2026-05-08
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	10	10	—	—	$5,262.00	$24,034.25	$18,487.88	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	2	2	—	—	$5,262.00	$31,617.26	$18,439.63	2026-05-08
292	OTHER	Heart Failure And Shock With Cc	10	10	—	—	$2,507.88	$23,662.45	$18,201.88	2026-05-08
291	OTHER	Heart Failure And Shock With Mcc	10	10	—	—	$2,507.88	$23,662.45	$18,201.88	2026-05-08
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	2	2	—	—	$2,507.88	$33,571.24	$18,039.56	2026-05-08
84092933	OTHER	Perc Card Stent/ath/ang 1 Vsl	40	40	$96,324.00	$62,610.60 35% off	$4,695.00	$96,324.00	$17,885.16	2026-05-08
84093580	OTHER	Transcath Closure Of Asd	40	40	$99,434.00	$64,632.10 35% off	$4,695.00	$99,434.00	$17,885.16	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	2	2	—	—	$5,262.00	$30,386.48	$17,824.24	2026-05-08
245	OTHER	Aicd Generator Procedures	2	2	—	—	$5,262.00	$30,337.20	$17,799.60	2026-05-08
144	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc	1	1	—	—	$17,792.01	$17,792.01	$17,792.01	2026-05-08
519	OTHER	Back And Neck Procedures Except Spinal Fusion With Cc	1	1	—	—	$17,710.02	$17,710.02	$17,710.02	2026-05-08
619	OTHER	O.r. Procedures For Obesity With Mcc	2	2	—	—	$5,262.00	$29,807.10	$17,534.55	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	10	10	—	—	$5,262.00	$22,718.12	$17,475.48	2026-05-08
7962039	OTHER	61702 Surgery Of Simple Intracranial Aneurysm, Int	37	37	$17,464.00	$11,351.60 35% off	$2,671.99	$17,464.00	$17,464.00	2026-05-08
84037242	OTHER	Vac Embol Occlu Image Arterial	40	40	$20,277.00	$13,180.05 35% off	$3,367.00	$40,799.76	$17,296.28	2026-05-08
636Q426523	OTHER	Neostim Triple Layer 2x3cm	27	27	$44,908.00	$29,190.20 35% off	$4,695.00	$44,908.00	$16,930.32	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	10	10	—	—	$5,262.00	$21,933.77	$16,872.13	2026-05-08
433	OTHER	Cirrhosis And Alcoholic Hepatitis With Cc	10	10	—	—	$2,507.88	$21,784.81	$16,757.55	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	2	2	—	—	$5,262.00	$27,967.17	$16,614.58	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	1	1	—	—	$16,522.42	$16,522.42	$16,522.42	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	2	2	—	—	$5,262.00	$27,388.08	$16,325.04	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	2	2	—	—	$5,262.00	$27,372.44	$16,317.22	2026-05-08
8400234T	OTHER	Trluml Perip Athrc Renal Art	40	40	$60,876.00	$39,569.40 35% off	$4,695.00	$60,876.00	$16,110.10	2026-05-08
30	OTHER	Spinal Procedures Without Cc/mcc	2	2	—	—	$5,262.00	$26,703.75	$15,982.88	2026-05-08
7962655	OTHER	61682 Surgery Of Intracranial Arteriovenous Malfor	37	37	$15,823.00	$10,284.95 35% off	$2,420.92	$15,823.00	$15,823.00	2026-05-08
84033225	OTHER	New Coronary Sinus Lead	29	29	$41,774.00	$27,153.10 35% off	$3,367.00	$41,774.00	$15,748.80	2026-05-08
922	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	10	10	—	—	$2,507.88	$20,464.02	$15,741.55	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	2	—	—	$5,262.00	$26,116.47	$15,689.24	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	2	—	—	$5,262.00	$26,111.79	$15,686.90	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	10	10	—	—	$5,262.00	$20,354.80	$15,657.53	2026-05-08
7962618	OTHER	61684 Surgery Of Intracranial Arteriovenous Malfor	37	37	$15,608.00	$10,145.20 35% off	$2,388.02	$15,608.00	$15,608.00	2026-05-08
262	OTHER	Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc	10	10	—	—	$5,262.00	$20,259.56	$15,584.28	2026-05-08
7962116	OTHER	43116 Partial Esophagectomy, Cervical, With Free I	37	37	$15,526.00	$10,091.90 35% off	$2,375.48	$15,526.00	$15,526.00	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	9	9	—	—	$15,493.31	$26,891.10	$15,493.31	2026-05-08
165	OTHER	Major Chest Procedures Without Cc/mcc	2	2	—	—	$5,262.00	$25,722.76	$15,492.38	2026-05-08
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	2	2	—	—	$5,262.00	$25,672.35	$15,467.17	2026-05-08
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	1	1	—	—	$15,456.41	$15,456.41	$15,456.41	2026-05-08
465	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	2	2	—	—	$5,262.00	$25,646.00	$15,454.00	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	2	2	—	—	$5,262.00	$25,467.58	$15,364.79	2026-05-08
84037184	OTHER	Primary Art Mech Thrombo Surg	40	40	$17,962.00	$11,675.30 35% off	$2,748.19	$40,799.76	$15,321.58	2026-05-08
ORSUP0117	OTHER	Alloderm Tissue Thick Med Perf	27	27	$30,261.00	$19,669.65 35% off	$4,629.93	$30,261.00	$15,130.50	2026-05-08
265	OTHER	Aicd Lead Procedures	2	2	—	—	$5,262.00	$24,814.55	$15,038.27	2026-05-08
544	OTHER	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	10	10	—	—	$2,507.88	$19,413.64	$14,933.57	2026-05-08
7962945	OTHER	93654 Comp Electro Eval With Insertion Of Cath; With I	35	35	$3,159.00	$2,053.35 35% off	$483.33	$24,466.79	$14,885.12	2026-05-08
7961846	OTHER	93656 Comp Electrophys Eval Including Transseptal	35	35	$3,160.00	$2,054.00 35% off	$483.48	$24,466.79	$14,885.12	2026-05-08
142	OTHER	Major Head And Neck Procedures Without Cc/mcc	1	1	—	—	$14,825.82	$14,825.82	$14,825.82	2026-05-08
818	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Cc	1	1	—	—	$14,683.13	$14,683.13	$14,683.13	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	2	—	—	$5,262.00	$24,026.29	$14,644.15	2026-05-08
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	2	2	—	—	$5,262.00	$24,015.59	$14,638.80	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	2	2	—	—	$5,262.00	$23,896.49	$14,579.25	2026-05-08
398	OTHER	Appendix Procedures With Cc	1	1	—	—	$14,521.63	$14,521.63	$14,521.63	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	10	10	—	—	$5,262.00	$21,631.52	$14,517.17	2026-05-08
7962030	OTHER	61520 Craniectomy For Excision Of Brain Tumor, Inf	37	37	$14,496.00	$9,422.40 35% off	$2,217.89	$14,496.00	$14,496.00	2026-05-08
84037237	OTHER	Stent Trunk/upp Ext Ea Add Art	29	29	$38,419.00	$24,972.35 35% off	$4,695.00	$38,419.00	$14,483.96	2026-05-08
840C9601	OTHER	Perc De Cor Stent Branch	29	29	$38,285.00	$24,885.25 35% off	$4,695.00	$38,285.00	$14,433.45	2026-05-08
ORSUP0164	OTHER	Cage Wave D 9mm X 24mm 6 Deg	29	29	$37,760.00	$24,544.00 35% off	$4,695.00	$37,760.00	$14,235.52	2026-05-08
443	OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…	10	10	—	—	$2,507.88	$18,466.82	$14,205.24	2026-05-08
ORSUP0115	OTHER	Wound Matrix Restrata 10.0cm X 12.5cm	27	27	$28,387.00	$18,451.55 35% off	$4,343.21	$28,387.00	$14,193.50	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	2	2	—	—	$2,507.88	$25,782.41	$14,145.15	2026-05-08
636Q416122	OTHER	Collagen Wound Matrix 2x2cm	27	27	$37,492.00	$24,369.80 35% off	$4,695.00	$37,492.00	$14,134.48	2026-05-08
32	OTHER	Ventricular Shunt Procedures With Cc	2	2	—	—	$5,262.00	$22,964.29	$14,113.15	2026-05-08
796	OTHER	Vaginal Delivery With Sterilization And/or D&c With Mcc	1	1	—	—	$14,080.31	$14,080.31	$14,080.31	2026-05-08
7962660	OTHER	61545 Craniotomy With Elevation Of Bone Flap; For	37	37	$13,996.00	$9,097.40 35% off	$2,141.39	$13,996.00	$13,996.00	2026-05-08
36064583	OTHER	Revision Or Replacement Of Hypoglossal Nerve Neurostimulato	40	40	$35,488.00	$23,067.20 35% off	$849.75	$35,488.00	$13,893.96	2026-05-08
ORSUP0145	OTHER	Cervical Disc 6mm M Artificia	29	29	$36,689.00	$23,847.85 35% off	$4,695.00	$36,689.00	$13,831.75	2026-05-08
259	OTHER	Cardiac Pacemaker Device Replacement Without Mcc	2	2	—	—	$5,262.00	$22,389.87	$13,825.93	2026-05-08
563	OTHER	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	10	10	—	—	$2,507.88	$17,859.91	$13,738.39	2026-05-08
520	OTHER	Back And Neck Procedures Except Spinal Fusion Without Cc/mcc	1	1	—	—	$13,736.67	$13,736.67	$13,736.67	2026-05-08
ORSUP0139	OTHER	Alloderm Mesh Contour Med	29	29	$36,421.00	$23,673.65 35% off	$4,695.00	$36,421.00	$13,730.72	2026-05-08
35	OTHER	Carotid Artery Stent Procedures With Cc	2	2	—	—	$5,262.00	$22,066.00	$13,664.00	2026-05-08
7962073	OTHER	43123 Partial Esophagectomy, Thoracoabdominal Or A	37	37	$13,664.00	$8,881.60 35% off	$2,090.59	$13,664.00	$13,664.00	2026-05-08
553	OTHER	Bone Diseases And Arthropathies With Mcc	10	10	—	—	$2,507.88	$17,747.04	$13,651.57	2026-05-08
585	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc	2	2	—	—	$5,262.00	$22,035.91	$13,648.95	2026-05-08
7961552	OTHER	63287 Laminectomy, Biopsy/excision Of Intraspinal	37	37	$13,585.00	$8,830.25 35% off	$2,078.51	$15,382.15	$13,585.00	2026-05-08
328	OTHER	Stomach, Esophageal And Duodenal Procedures Without Cc/mcc	2	2	—	—	$5,262.00	$21,896.70	$13,579.35	2026-05-08
593	OTHER	Skin Ulcers With Cc	10	10	—	—	$2,507.88	$17,606.08	$13,543.14	2026-05-08
7962034	OTHER	61591 Infratemporal Post-auricular Approach To Mid	37	37	$13,503.00	$8,776.95 35% off	$2,065.96	$13,503.00	$13,503.00	2026-05-08
7962270	OTHER	61519 Craniectomy For Excision Of Brain Tumor, Inf	37	37	$13,492.00	$8,769.80 35% off	$2,064.28	$13,492.00	$13,492.00	2026-05-08
7962003	OTHER	43108 Total Or Near Total Esophagectomy, Without T	37	37	$13,478.00	$8,760.70 35% off	$2,062.13	$13,478.00	$13,478.00	2026-05-08
830	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	2	2	—	—	$5,262.00	$21,675.99	$13,469.00	2026-05-08
7961640	OTHER	63286 Laminectomy For Biopsy/excision Of Intraspin	37	37	$13,394.00	$8,706.10 35% off	$2,049.28	$15,382.15	$13,394.00	2026-05-08
840C9606	OTHER	Perc De Cor Revasc W Ami Sing	29	29	$35,405.00	$23,013.25 35% off	$4,695.00	$35,405.00	$13,347.69	2026-05-08
583	OTHER	Mastectomy For Malignancy Without Cc/mcc	10	10	—	—	$5,262.00	$17,327.90	$13,329.15	2026-05-08
ORSUP0141	OTHER	Graft Infuse Bone Large	29	29	$35,350.00	$22,977.50 35% off	$4,695.00	$35,350.00	$13,326.95	2026-05-08
84036906	OTHER	Fistula Imaging W/thrombectomy/stent	40	40	$13,761.00	$8,944.65 35% off	$3,367.00	$65,260.52	$13,304.88	2026-05-08
7961645	OTHER	63285 Laminectomy For Biopsy/excision Of Intraspin	37	37	$13,267.00	$8,623.55 35% off	$2,029.85	$15,382.15	$13,267.00	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	2	2	—	—	$5,262.00	$21,245.84	$13,253.92	2026-05-08
ORSUP0140	OTHER	Knee Femoral Triathlon Cr Cemented #5 L	29	29	$35,082.00	$22,803.30 35% off	$4,695.00	$35,082.00	$13,225.91	2026-05-08
7962090	OTHER	43113 Total Or Near Total Esophagectomy, With Thor	37	37	$13,183.00	$8,568.95 35% off	$2,017.00	$13,183.00	$13,183.00	2026-05-08
ORSUP0134	OTHER	Valve Perimount Tfx 27mm	29	29	$34,814.00	$22,629.10 35% off	$4,695.00	$34,814.00	$13,124.88	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	2	2	—	—	$5,262.00	$20,982.80	$13,122.40	2026-05-08
164	OTHER	Major Chest Procedures With Cc	2	2	—	—	$5,262.00	$20,977.40	$13,119.70	2026-05-08
488	OTHER	Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc	2	2	—	—	$5,262.00	$20,912.00	$13,087.00	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	2	2	—	—	$5,262.00	$20,900.09	$13,081.05	2026-05-08
42	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc	2	2	—	—	$5,262.00	$20,868.90	$13,065.45	2026-05-08
7962082	OTHER	61608 Resection Or Excision Of Neoplastic, Vascula	37	37	$13,065.00	$8,492.25 35% off	$1,998.95	$13,065.00	$13,065.00	2026-05-08
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	2	2	—	—	$5,262.00	$20,790.69	$13,026.34	2026-05-08
840C9603	OTHER	Perc De Cor Stent/ather Branch	29	29	$34,452.00	$22,393.80 35% off	$4,695.00	$34,452.00	$12,988.40	2026-05-08
840C9605	OTHER	Perc De Cor Stent/cabg Branch	29	29	$34,452.00	$22,393.80 35% off	$4,695.00	$34,452.00	$12,988.40	2026-05-08
840C9608	OTHER	Perc De Cor Revasc Chron Add	29	29	$34,443.00	$22,387.95 35% off	$4,695.00	$34,443.00	$12,985.01	2026-05-08
7962391	OTHER	61700 Surgery Of Simple Intracranial Aneurysm, Int	37	37	$12,979.00	$8,436.35 35% off	$1,985.79	$12,979.00	$12,979.00	2026-05-08
801	OTHER	Splenic Procedures Without Cc/mcc	2	2	—	—	$5,262.00	$20,608.75	$12,935.38	2026-05-08
7962276	OTHER	61697 Surgery Of Complex Intracranial Aneurysm, In	37	37	$12,931.00	$8,405.15 35% off	$1,978.44	$12,931.00	$12,931.00	2026-05-08
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	2	2	—	—	$5,262.00	$20,507.52	$12,884.76	2026-05-08
657	OTHER	Kidney And Ureter Procedures For Neoplasm With Cc	2	2	—	—	$5,262.00	$20,419.55	$12,840.77	2026-05-08
7962150	OTHER	61521 Craniectomy For Excision Of Brain Tumor, Inf	37	37	$12,830.00	$8,339.50 35% off	$1,962.99	$12,830.00	$12,830.00	2026-05-08
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	9	9	—	—	$3,184.00	$16,630.22	$12,792.48	2026-05-08
7962054	OTHER	63252 Laminectomy For Excision Or Occlusion Of Art	37	37	$12,773.00	$8,302.45 35% off	$1,954.27	$15,382.15	$12,773.00	2026-05-08
652	OTHER	Kidney Transplant	2	2	—	—	$5,262.00	$20,114.11	$12,688.06	2026-05-08
397	OTHER	Appendix Procedures With Mcc	1	1	—	—	$12,681.40	$12,681.40	$12,681.40	2026-05-08
334	OTHER	Rectal Resection Without Cc/mcc	2	2	—	—	$5,262.00	$20,090.27	$12,676.14	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	2	2	—	—	$5,262.00	$20,058.29	$12,660.15	2026-05-08
ORSUP0193	OTHER	Graft Ifuse Bone Medium	29	29	$33,578.00	$21,825.70 35% off	$4,695.00	$33,578.00	$12,658.91	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	2	2	—	—	$5,262.00	$19,955.16	$12,608.58	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	2	2	—	—	$5,262.00	$19,923.26	$12,592.63	2026-05-08
37	OTHER	Extracranial Procedures With Mcc	2	2	—	—	$5,262.00	$19,831.99	$12,547.00	2026-05-08
799	OTHER	Splenic Procedures With Mcc	2	2	—	—	$5,262.00	$19,810.14	$12,536.07	2026-05-08
828	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	2	2	—	—	$5,262.00	$19,676.60	$12,469.30	2026-05-08
797	OTHER	Vaginal Delivery With Sterilization And/or D&c With Cc	1	1	—	—	$12,465.20	$12,465.20	$12,465.20	2026-05-08
ORSUP0102	OTHER	Ligasure Tissue Fusion Instrument	27	27	$24,905.00	$16,188.25 35% off	$3,810.47	$24,905.00	$12,452.50	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	2	2	—	—	$5,262.00	$19,558.12	$12,410.06	2026-05-08
261	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Cc	10	10	—	—	$5,262.00	$18,057.75	$12,356.55	2026-05-08
921	OTHER	Complications Of Treatment Without Cc/mcc	10	10	—	—	$2,507.88	$16,061.66	$12,355.13	2026-05-08
7962099	OTHER	61530 Craniectomy, Bone Flap Craniotomy, Transtemp	37	37	$12,355.00	$8,030.75 35% off	$1,890.32	$12,355.00	$12,355.00	2026-05-08
7961778	OTHER	63282 Laminectomy For Biopsy/excision Of Intraspin	37	37	$12,327.00	$8,012.55 35% off	$1,886.03	$12,327.00	$12,327.00	2026-05-08
513	OTHER	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc	10	10	—	—	$5,262.00	$16,008.44	$12,314.18	2026-05-08
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	2	2	—	—	$5,262.00	$19,350.93	$12,306.47	2026-05-08
7961638	OTHER	63280 Laminectomy For Biopsy/excision Of Intraspin	37	37	$12,295.00	$7,991.75 35% off	$1,881.14	$15,382.15	$12,295.00	2026-05-08
7962120	OTHER	61607 Resection Or Excision Of Neoplastic, Vascula	37	37	$12,225.00	$7,946.25 35% off	$1,870.43	$12,225.00	$12,225.00	2026-05-08
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	2	2	—	—	$5,262.00	$19,184.93	$12,223.47	2026-05-08
740	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc	2	2	—	—	$5,262.00	$19,053.39	$12,157.69	2026-05-08
742	OTHER	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	2	2	—	—	$5,262.00	$18,999.01	$12,130.50	2026-05-08
7961639	OTHER	63281 Laminectomy For Biopsy/excision Of Intraspin	37	37	$12,129.00	$7,883.85 35% off	$1,855.74	$15,382.15	$12,129.00	2026-05-08
84093650	OTHER	Intra Cardi Ablat Av Node	40	40	$21,849.00	$14,201.85 35% off	$3,342.90	$24,694.01	$12,118.65	2026-05-08
ORSUP0124	OTHER	Valve Trifecta Glide 19mm	29	29	$32,136.00	$20,888.40 35% off	$4,695.00	$32,136.00	$12,115.27	2026-05-08
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	10	10	—	—	$5,262.00	$17,455.36	$12,063.78	2026-05-08
7962393	OTHER	0171t Insertion Of Posterior Spinous Process Distr	36	36	$3,942.00	$2,562.30 35% off	$603.13	$33,264.17	$12,031.01	2026-05-08
786	OTHER	Cesarean Section Without Sterilization With Mcc	1	1	—	—	$11,991.57	$11,991.57	$11,991.57	2026-05-08
7962036	OTHER	61606 Resection Or Excision Of Neoplastic, Vascula	37	37	$11,984.00	$7,789.60 35% off	$1,833.55	$11,984.00	$11,984.00	2026-05-08
517	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…	2	2	—	—	$5,262.00	$18,704.69	$11,983.34	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	2	2	—	—	$5,262.00	$18,645.14	$11,953.57	2026-05-08
ORSUP0125	OTHER	Plate Bne Sm-5dd H28-40mm Synex Thor/lmbr	81	29	$31,065.00	$20,192.25 35% off	$3,656.09	$32,404.00	$11,948.00	2026-05-08
909	OTHER	Other O.r. Procedures For Injuries Without Cc/mcc	2	2	—	—	$5,262.00	$18,592.94	$11,927.47	2026-05-08
7962086	OTHER	61323 Craniectomy Or Craniotomy, Decompressive, Wi	37	37	$11,921.00	$7,748.65 35% off	$1,823.91	$11,921.00	$11,921.00	2026-05-08
6	OTHER	Liver Transplant Without Mcc	2	2	—	—	$5,262.00	$18,565.96	$11,913.98	2026-05-08
578	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc	2	2	—	—	$5,262.00	$18,545.23	$11,903.61	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	10	—	—	$5,262.00	$43,169.00	$11,901.02	2026-05-08
800	OTHER	Splenic Procedures With Cc	2	2	—	—	$5,262.00	$18,435.44	$11,848.72	2026-05-08
655	OTHER	Major Bladder Procedures Without Cc/mcc	2	2	—	—	$5,262.00	$18,387.68	$11,824.84	2026-05-08
ORSUP0121	OTHER	Valve Trifecta Glide 21mm	29	29	$31,333.00	$20,366.45 35% off	$4,695.00	$31,333.00	$11,812.54	2026-05-08
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	2	2	—	—	$5,262.00	$18,281.63	$11,771.82	2026-05-08
470	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	2	2	—	—	$5,262.00	$18,056.79	$11,659.40	2026-05-08

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