Hospital

PEACEHEALTH ST JOHN MEDICAL CENTER

Longview, WA · CCN 500041 · Rates published

37,355 distinct procedures filed

23 distinct payers

1,419,833 rate rows

2026-05-22 last MRF observed

Data quality

390,404 of 1,419,833 rate rows are consumer-grade (27.5%)

1,029,429 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	1,023,781
per-diem day rate — not a per-procedure price	4,557
exceeds 10× this hospital's gross charge — excluded from medians	1,013
placeholder amount (≤ $0.02) — excluded from medians	78

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

Source MRF file	https://apim.services.craneware.com/api-pricing-transparency/api/public/e10b25f920a65f886fd5c4761ebe5249/charges/mrf
Found on page	https://www.peacehealth.org/patient-financial-services/hospital-pricing
Discovered via	Discovered by HANK
Last fetch	success · 2026-05-18
Content fingerprint	cc73dc56301ab6c8… · 8,848,995 bytes · first seen 2026-05-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	$146,870.99	$734,354.94	$385,536.34	nat. median $424,868 0.9× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	13	$95,507.70	$477,538.52	$250,707.72	nat. median $263,894 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	14	$72,896.05	$364,480.26	$191,352.14	nat. median $146,562 1.3× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	14	$72,471.50	$362,357.48	$190,237.68	nat. median $218,232 0.9× median
004 OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	14	$47,486.66	$237,433.30	$124,652.48	nat. median $150,232 0.8× median
007 OTHER	Lung Transplant	13	$44,433.10	$222,165.52	$116,636.90	nat. median $141,082 0.8× median
014 OTHER	Allogeneic Bone Marrow Transplant	13	$41,274.17	$206,370.86	$108,344.70	nat. median $105,808 1.0× median
33249 OTHER	Insertion Of Implantable Defibrillator System	20	$14,929.20	$265,590.47	$104,887.45	nat. median $30,055 outlier · 3.5×
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	13	$38,949.44	$194,747.18	$102,242.27	nat. median $117,167 0.9× median
209 OTHER	Complex Aortic Arch Procedures	14	$38,905.39	$194,526.94	$102,126.64	nat. median $23,389 outlier · 4.4×
426 OTHER	Non-hypovolemic Sodium Disorders	14	$37,897.02	$189,485.12	$99,479.69	nat. median $80,273 1.2× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	14	$37,398.60	$186,992.98	$98,171.31	nat. median $90,581 1.1× median
33264 OTHER	Removal And Replacement Of Multiple Lead Defibrillator	20	$14,929.20	$265,590.47	$96,767.34	nat. median $29,348 outlier · 3.3×
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	13	$35,488.94	$177,444.70	$93,158.47	nat. median $104,489 0.9× median
215 OTHER	Other Heart Assist System Implant	14	$34,291.17	$171,455.86	$90,014.33	nat. median $92,359 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	$33,700.92	$168,504.60	$88,464.92	nat. median $90,130 1.0× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	14	$31,081.07	$155,405.36	$81,587.81	nat. median $62,997 1.3× median
850 OTHER	Acute Leukemia With Other Procedures	14	$29,894.82	$149,474.08	$78,473.89	nat. median $407 outlier · 192.7×
231 OTHER	Coronary Bypass With Ptca With Comorbity	14	$14,558.17	$145,584.28	$76,431.75	nat. median $74,989 1.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	$29,027.06	$145,135.32	$76,196.04	nat. median $76,493 1.0× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	14	$27,215.67	$136,078.34	$71,441.13	nat. median $82,426 0.9× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	14	$26,570.19	$132,850.96	$69,746.75	nat. median $72,612 1.0× median
233 OTHER	Coronary Bypass With Cardiac Cath With Comorbity	14	$26,458.04	$132,290.18	$69,452.34	nat. median $68,249 1.0× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Comorbity	14	$26,372.31	$131,861.56	$69,227.32	nat. median $68,309 1.0× median
64582 OTHER	Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…	20	$14,676.57	$261,096.14	$67,745.20	nat. median $28,637 outlier · 2.4×
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	$25,012.58	$125,062.88	$65,658.01	nat. median $51,811 1.3× median
010 OTHER	Pancreas Transplant	13	$24,867.22	$124,336.08	$65,276.44	nat. median $67,882 1.0× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	14	$24,857.06	$124,285.28	$65,249.77	nat. median $46,003 1.4× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	13	$24,727.96	$123,639.80	$64,910.89	nat. median $67,495 1.0× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	14	$24,713.73	$123,568.64	$64,873.54	nat. median $29,655 outlier · 2.2×
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	14	$23,973.04	$119,865.20	$62,929.23	nat. median $54,603 1.2× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	14	$23,858.18	$119,290.90	$62,627.72	nat. median $67,670 0.9× median
955 OTHER	Craniotomy For Multiple Significant Trauma	14	$23,360.77	$116,803.84	$61,322.02	nat. median $62,467 1.0× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	14	$23,209.65	$116,048.26	$60,925.34	nat. median $48,503 1.3× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	14	$23,193.04	$115,965.22	$60,881.74	nat. median $54,322 1.1× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	$22,832.86	$114,164.32	$59,936.27	nat. median $60,727 1.0× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	$22,832.86	$114,164.32	$59,936.27	nat. median $56,507 1.1× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	14	$22,751.88	$113,759.42	$59,723.70	nat. median $54,881 1.1× median
27702 OTHER	Reconstruction Of Ankle Joint With Prosthesis	20	$12,905.50	$229,588.92	$59,570.19	nat. median $16,909 outlier · 3.5×
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	14	$22,356.47	$111,782.34	$58,685.73	nat. median $66,849 0.9× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	14	$21,318.62	$106,593.10	$55,961.38	nat. median $58,866 1.0× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	14	$21,294.57	$106,472.84	$55,898.24	nat. median $64,729 0.9× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	14	$21,095.68	$105,478.38	$55,376.15	nat. median $56,351 1.0× median
028 OTHER	Spinal Procedures With Mcc	14	$20,911.69	$104,558.44	$54,893.18	nat. median $61,887 0.9× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	14	$20,905.92	$104,529.60	$54,878.04	nat. median $3,947 outlier · 13.9×
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	$20,758.54	$103,792.68	$54,491.16	nat. median $52,731 1.0× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	15	$3,300.00	$103,460.60	$54,316.82	nat. median $42,495 1.3× median
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	13	$20,645.37	$103,226.84	$54,194.09	nat. median $60,768 0.9× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	14	$20,438.34	$102,191.68	$53,650.63	nat. median $56,120 1.0× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	14	$20,425.46	$102,127.32	$53,616.84	nat. median $45,972 1.2× median

Other procedures at this hospital

Browse this hospital's 37,355 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

018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	13	—	—	$146,870.99	$734,354.94	$385,536.34	2026-05-22
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	17	13	—	—	$95,507.70	$477,538.52	$250,707.72	2026-05-22
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	18	14	—	—	$72,896.05	$364,480.26	$191,352.14	2026-05-22
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	18	14	—	—	$72,471.50	$362,357.48	$190,237.68	2026-05-22
004	OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	18	14	—	—	$47,486.66	$237,433.30	$124,652.48	2026-05-22
007	OTHER	Lung Transplant	17	13	—	—	$44,433.10	$222,165.52	$116,636.90	2026-05-22
014	OTHER	Allogeneic Bone Marrow Transplant	17	13	—	—	$41,274.17	$206,370.86	$108,344.70	2026-05-22
33249	OTHER	Insertion Of Implantable Defibrillator System	38	20	$204,548.00	$132,956.20 35% off	$14,929.20	$265,590.47	$104,887.45	2026-05-22
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	17	13	—	—	$38,949.44	$194,747.18	$102,242.27	2026-05-22
209	OTHER	Complex Aortic Arch Procedures	18	14	—	—	$38,905.39	$194,526.94	$102,126.64	2026-05-22
426	OTHER	Non-hypovolemic Sodium Disorders	18	14	—	—	$37,897.02	$189,485.12	$99,479.69	2026-05-22
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	18	14	—	—	$37,398.60	$186,992.98	$98,171.31	2026-05-22
33264	OTHER	Removal And Replacement Of Multiple Lead Defibrillator	37	20	$111,053.00	$72,184.45 35% off	$14,929.20	$265,590.47	$96,767.34	2026-05-22
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	17	13	—	—	$35,488.94	$177,444.70	$93,158.47	2026-05-22
215	OTHER	Other Heart Assist System Implant	18	14	—	—	$34,291.17	$171,455.86	$90,014.33	2026-05-22
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	14	—	—	$33,700.92	$168,504.60	$88,464.92	2026-05-22
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	18	14	—	—	$31,081.07	$155,405.36	$81,587.81	2026-05-22
850	OTHER	Acute Leukemia With Other Procedures	18	14	—	—	$29,894.82	$149,474.08	$78,473.89	2026-05-22
231	OTHER	Coronary Bypass With Ptca With Comorbity	19	14	—	—	$14,558.17	$145,584.28	$76,431.75	2026-05-22
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	14	—	—	$29,027.06	$145,135.32	$76,196.04	2026-05-22
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	18	14	—	—	$27,215.67	$136,078.34	$71,441.13	2026-05-22
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	14	—	—	$26,570.19	$132,850.96	$69,746.75	2026-05-22
233	OTHER	Coronary Bypass With Cardiac Cath With Comorbity	18	14	—	—	$26,458.04	$132,290.18	$69,452.34	2026-05-22
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Comorbity	18	14	—	—	$26,372.31	$131,861.56	$69,227.32	2026-05-22
64582	OTHER	Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…	72	20	$29,397.00	$19,108.05 35% off	$14,676.57	$261,096.14	$67,745.20	2026-05-22
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	14	—	—	$25,012.58	$125,062.88	$65,658.01	2026-05-22
010	OTHER	Pancreas Transplant	17	13	—	—	$24,867.22	$124,336.08	$65,276.44	2026-05-22
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	18	14	—	—	$24,857.06	$124,285.28	$65,249.77	2026-05-22
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	17	13	—	—	$24,727.96	$123,639.80	$64,910.89	2026-05-22
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	18	14	—	—	$24,713.73	$123,568.64	$64,873.54	2026-05-22
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	18	14	—	—	$23,973.04	$119,865.20	$62,929.23	2026-05-22
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	18	14	—	—	$23,858.18	$119,290.90	$62,627.72	2026-05-22
955	OTHER	Craniotomy For Multiple Significant Trauma	18	14	—	—	$23,360.77	$116,803.84	$61,322.02	2026-05-22
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	18	14	—	—	$23,209.65	$116,048.26	$60,925.34	2026-05-22
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	18	14	—	—	$23,193.04	$115,965.22	$60,881.74	2026-05-22
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	14	—	—	$22,832.86	$114,164.32	$59,936.27	2026-05-22
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	14	—	—	$22,832.86	$114,164.32	$59,936.27	2026-05-22
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	18	14	—	—	$22,751.88	$113,759.42	$59,723.70	2026-05-22
27702	OTHER	Reconstruction Of Ankle Joint With Prosthesis	72	20	$99,134.08	$64,437.16 35% off	$12,905.50	$229,588.92	$59,570.19	2026-05-22
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	19	14	—	—	$22,356.47	$111,782.34	$58,685.73	2026-05-22
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	18	14	—	—	$21,318.62	$106,593.10	$55,961.38	2026-05-22
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	18	14	—	—	$21,294.57	$106,472.84	$55,898.24	2026-05-22
232	OTHER	Coronary Bypass With Ptca Without Mcc	18	14	—	—	$21,095.68	$105,478.38	$55,376.15	2026-05-22
028	OTHER	Spinal Procedures With Mcc	18	14	—	—	$20,911.69	$104,558.44	$54,893.18	2026-05-22
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	18	14	—	—	$20,905.92	$104,529.60	$54,878.04	2026-05-22
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	14	—	—	$20,758.54	$103,792.68	$54,491.16	2026-05-22
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	21	15	—	—	$3,300.00	$103,460.60	$54,316.82	2026-05-22
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	17	13	—	—	$20,645.37	$103,226.84	$54,194.09	2026-05-22
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	18	14	—	—	$20,438.34	$102,191.68	$53,650.63	2026-05-22
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	18	14	—	—	$20,425.46	$102,127.32	$53,616.84	2026-05-22
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	18	14	—	—	$20,094.42	$100,472.12	$52,747.86	2026-05-22
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	18	14	—	—	$19,969.73	$99,848.66	$52,420.55	2026-05-22
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	18	14	—	—	$19,890.44	$99,452.20	$52,212.40	2026-05-22
463	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity	18	14	—	—	$19,865.37	$99,326.86	$52,146.60	2026-05-22
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	14	—	—	$19,602.77	$98,013.86	$51,457.28	2026-05-22
008	OTHER	Simultaneous Pancreas And Kidney Transplant	17	13	—	—	$19,543.82	$97,719.10	$51,302.53	2026-05-22
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	18	14	—	—	$19,413.70	$97,068.52	$50,960.97	2026-05-22
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	18	14	—	—	$19,267.33	$96,336.64	$50,576.74	2026-05-22
834	OTHER	Acute Leukemia With Mcc	18	14	—	—	$19,155.18	$95,775.90	$50,282.35	2026-05-22
405	OTHER	Pancreas; Liver & Shunt Procedures With Comorbity	18	14	—	—	$19,089.45	$95,447.24	$50,109.80	2026-05-22
234	OTHER	Coronary Bypass With Cardiac Cath Without Comorbity	18	14	—	—	$19,063.02	$95,315.08	$50,040.42	2026-05-22
011	OTHER	Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity	18	14	—	—	$19,033.88	$95,169.40	$49,963.93	2026-05-22
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	17	13	—	—	$18,960.01	$94,800.04	$49,770.02	2026-05-22
220	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication	19	14	—	—	$14,328.97	$93,114.38	$48,885.05	2026-05-22
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	18	14	—	—	$18,612.03	$93,060.14	$48,856.57	2026-05-22
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	18	14	—	—	$18,490.73	$92,453.64	$48,538.16	2026-05-22
270	OTHER	Other Major Cardiovascular Procedures With Comorbity	18	14	—	—	$18,431.44	$92,157.18	$48,382.52	2026-05-22
466	OTHER	Revision Of Hip Or Knee Replacement With Comorbity	18	14	—	—	$18,191.20	$90,956.00	$47,751.90	2026-05-22
653	OTHER	Major Bladder Procedures With Mcc	18	14	—	—	$18,160.71	$90,803.54	$47,671.86	2026-05-22
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	14	—	—	$17,631.44	$88,157.22	$46,282.54	2026-05-22
326	OTHER	Stomach; Esophageal & Duodenal Proc With Comorbity	18	14	—	—	$17,452.55	$87,262.74	$45,812.94	2026-05-22
228	OTHER	Other Cardiothoracic Procedures With Comorbity	19	14	—	—	$12,128.11	$86,585.08	$45,457.17	2026-05-22
853	OTHER	Infectious & Parasitic Diseases With O.r. Procedure With Comorbity	20	14	—	—	$17,287.20	$86,435.98	$45,378.89	2026-05-22
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	18	14	—	—	$17,229.93	$86,149.64	$45,228.56	2026-05-22
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	18	14	—	—	$17,160.48	$85,802.38	$45,046.25	2026-05-22
471	OTHER	Cervical Spinal Fusion With Mcc	18	14	—	—	$16,914.82	$84,574.08	$44,401.39	2026-05-22
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	18	14	—	—	$16,832.14	$84,160.72	$44,184.38	2026-05-22
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	18	14	—	—	$16,684.76	$83,423.78	$43,797.48	2026-05-22
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	17	13	—	—	$16,483.49	$82,417.44	$43,269.16	2026-05-22
981	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity	18	14	—	—	$16,450.96	$82,254.80	$43,183.77	2026-05-22
C1820	OTHER	Generator; Neurostimulator (implantable); Non High-frequency With Rechargeable B…	1	1	$43,102.13	$28,016.38 35% off	$43,102.13	$43,102.13	$43,102.13	2026-05-22
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	18	14	—	—	$16,403.52	$82,017.60	$43,059.24	2026-05-22
006	OTHER	Liver Transplant Without Mcc	17	13	—	—	$16,265.28	$81,326.38	$42,696.35	2026-05-22
277	OTHER	Cardiac Defibrillator Implant Without Mcc	18	14	—	—	$16,202.59	$81,012.96	$42,531.80	2026-05-22
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	19	14	—	—	$16,128.05	$80,640.26	$42,336.14	2026-05-22
0823T	OTHER	Tcat Ins 1chmbr Ldls Pm Ra	36	20	$52,946.00	$34,414.90 35% off	$9,161.26	$162,978.82	$42,287.24	2026-05-22
0795T	OTHER	Tcat Ins 2chmbr Ldls Pm Cmpl	36	20	$44,798.00	$29,118.70 35% off	$9,161.26	$162,978.82	$42,287.23	2026-05-22
0825T	OTHER	Tcat Rmv&rpl1chmb Ldls Pm Ra	36	20	$58,601.00	$38,090.65 35% off	$9,161.26	$162,978.82	$42,287.23	2026-05-22
823	OTHER	Lymphoma & Non-acute Leukemia With Other Proc With Comorbity	18	14	—	—	$16,088.40	$80,442.00	$42,232.05	2026-05-22
245	OTHER	Aicd Generator Procedures	18	14	—	—	$16,012.51	$80,062.54	$42,032.83	2026-05-22
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity	18	14	—	—	$15,966.09	$79,830.46	$41,910.99	2026-05-22
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	18	14	—	—	$15,959.31	$79,796.54	$41,893.18	2026-05-22
799	OTHER	Splenic Procedures With Mcc	18	14	—	—	$15,899.00	$79,495.00	$41,734.88	2026-05-22
163	OTHER	Major Chest Procedures With Comorbity	18	14	—	—	$15,739.41	$78,697.06	$41,315.96	2026-05-22
031	OTHER	Ventricular Shunt Procedures With Mcc	18	14	—	—	$15,735.00	$78,675.00	$41,304.38	2026-05-22
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	18	14	—	—	$15,675.37	$78,376.86	$41,147.85	2026-05-22
356	OTHER	Other Digestive System O.r. Procedures With Comorbity	18	14	—	—	$15,437.84	$77,189.22	$40,524.34	2026-05-22
37184	OTHER	Prim Art M-thrmbc 1st Vsl	36	20	$26,128.00	$16,983.20 35% off	$8,718.91	$155,109.44	$40,245.41	2026-05-22
36906	OTHER	Thrmbc/nfs Dialysis Circuit	36	20	$47,936.00	$31,158.40 35% off	$8,718.91	$155,109.44	$40,245.41	2026-05-22
37242	OTHER	Occlusion Of Artery With Review By Radiologist	36	20	$33,670.00	$21,885.50 35% off	$8,718.91	$155,109.44	$40,245.41	2026-05-22
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	18	14	—	—	$15,216.25	$76,081.26	$39,942.66	2026-05-22
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	18	14	—	—	$15,099.35	$75,496.76	$39,635.80	2026-05-22
140	OTHER	Major Head And Neck Procedures With Mcc	19	14	—	—	$6,876.86	$75,029.18	$39,390.32	2026-05-22
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	18	14	—	—	$14,922.82	$74,614.12	$39,172.41	2026-05-22
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	18	14	—	—	$14,863.19	$74,315.94	$39,015.87	2026-05-22
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	18	14	—	—	$14,838.79	$74,193.96	$38,951.83	2026-05-22
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Complication	18	14	—	—	$14,831.68	$74,158.38	$38,933.15	2026-05-22
673	OTHER	Other Kidney & Urinary Tract Procedures With Comorbity	18	14	—	—	$14,790.00	$73,950.00	$38,823.75	2026-05-22
901	OTHER	Wound Debridements For Injuries With Mcc	18	14	—	—	$14,773.06	$73,865.28	$38,779.27	2026-05-22
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	18	14	—	—	$14,746.63	$73,733.14	$38,709.90	2026-05-22
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	14	—	—	$14,691.74	$73,458.68	$38,565.81	2026-05-22
23472	OTHER	Prosthetic Repair Of Shoulder Joint; Total Shoulder	108	20	$78,274.00	$50,878.10 35% off	$8,339.45	$148,358.78	$38,493.85	2026-05-22
25446	OTHER	Arthroplasty Or Replacement Of The Entire Wrist Joint	36	20	$80,616.00	$52,400.40 35% off	$8,339.45	$148,358.78	$38,493.85	2026-05-22
25442	OTHER	Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Small Finger S…	36	20	$45,610.67	$29,646.94 35% off	$8,339.45	$148,358.78	$38,493.85	2026-05-22
27487	OTHER	Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis	36	20	$171,653.00	$111,574.45 35% off	$8,339.45	$148,358.78	$38,493.85	2026-05-22
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	18	14	—	—	$14,625.32	$73,126.62	$38,391.48	2026-05-22
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	18	14	—	—	$14,532.15	$72,660.76	$38,146.90	2026-05-22
793	OTHER	Full Term Neonate With Major Problems	22	14	—	—	$3,957.14	$73,407.86	$37,988.57	2026-05-22
791	OTHER	Prematurity With Major Problems	19	14	—	—	$7,195.18	$71,534.12	$37,555.41	2026-05-22
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	18	14	—	—	$14,176.38	$70,881.88	$37,212.99	2026-05-22
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	18	14	—	—	$14,053.04	$70,265.20	$36,889.23	2026-05-22
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	18	14	—	—	$13,808.40	$69,042.00	$36,247.05	2026-05-22
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	18	14	—	—	$13,748.43	$68,742.14	$36,089.62	2026-05-22
034	OTHER	Carotid Artery Stent Procedures With Mcc	18	14	—	—	$13,668.80	$68,344.02	$35,880.61	2026-05-22
876	OTHER	O.r. Procedure With Principal Diagnoses Of Mental Illness	20	15	—	—	$13,649.14	$68,245.72	$35,829.00	2026-05-22
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	18	14	—	—	$13,636.62	$68,183.08	$35,796.12	2026-05-22
907	OTHER	Other O.r. Procedures For Injuries With Comorbity	18	14	—	—	$13,562.41	$67,812.06	$35,601.33	2026-05-22
C2616	OTHER	Brachytx, Non-str,yttrium-90	36	20	$73,655.00	$47,875.75 35% off	$7,575.80	$134,773.41	$34,968.93	2026-05-22
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	18	14	—	—	$13,303.88	$66,519.40	$34,922.68	2026-05-22
143	OTHER	Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc	18	14	—	—	$13,248.31	$66,241.56	$34,776.82	2026-05-22
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	18	14	—	—	$13,218.16	$66,090.78	$34,697.66	2026-05-22
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	18	14	—	—	$13,216.80	$66,084.02	$34,694.11	2026-05-22
628	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity	18	14	—	—	$13,181.22	$65,906.10	$34,600.70	2026-05-22
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	17	13	—	—	$13,110.07	$65,550.34	$34,413.93	2026-05-22
904	OTHER	Skin Grafts For Injuries With Cc/mcc	18	14	—	—	$12,999.27	$64,996.34	$34,123.08	2026-05-22
492	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity	18	14	—	—	$12,994.18	$64,970.92	$34,109.73	2026-05-22
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	18	14	—	—	$12,848.15	$64,240.74	$33,726.39	2026-05-22
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	18	14	—	—	$12,838.66	$64,193.32	$33,701.49	2026-05-22
332	OTHER	Rectal Resection With Mcc	18	14	—	—	$12,821.72	$64,108.62	$33,657.03	2026-05-22
265	OTHER	Aicd Lead Procedures	18	14	—	—	$12,813.25	$64,066.26	$33,634.79	2026-05-22
097	OTHER	Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity	18	14	—	—	$12,791.57	$63,957.84	$33,577.87	2026-05-22
279	OTHER	Hepatic Coma And Other Major Acute Liver Disorders	18	14	—	—	$12,773.27	$63,866.36	$33,529.84	2026-05-22
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	18	14	—	—	$12,693.30	$63,466.52	$33,319.92	2026-05-22
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	18	14	—	—	$12,665.18	$63,325.90	$33,246.10	2026-05-22
335	OTHER	Peritoneal Adhesiolysis With Comorbity	19	15	—	—	$12,652.98	$85,613.25	$33,214.08	2026-05-22
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	18	14	—	—	$12,635.03	$63,175.14	$33,166.95	2026-05-22
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	18	14	—	—	$12,624.86	$63,124.30	$33,140.26	2026-05-22
622	OTHER	Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity	18	14	—	—	$12,613.34	$63,066.70	$33,110.02	2026-05-22
271	OTHER	Other Major Cardiovascular Procedures With Complication	18	14	—	—	$12,603.51	$63,017.56	$33,084.22	2026-05-22
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	18	14	—	—	$12,502.88	$62,514.38	$32,820.05	2026-05-22
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	18	14	—	—	$12,478.48	$62,392.42	$32,756.02	2026-05-22
252	OTHER	Other Vascular Procedures With Comorbity	18	14	—	—	$12,373.11	$61,865.54	$32,479.41	2026-05-22
616	OTHER	Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity	19	14	—	—	$12,370.06	$128,169.64	$32,471.41	2026-05-22
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	18	14	—	—	$12,315.84	$61,579.22	$32,329.09	2026-05-22
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	18	14	—	—	$12,258.92	$61,294.62	$32,179.68	2026-05-22
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	18	14	—	—	$12,204.71	$61,023.54	$32,037.36	2026-05-22
987	OTHER	Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity	18	14	—	—	$12,170.14	$60,850.72	$31,946.63	2026-05-22
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	18	14	—	—	$12,113.22	$60,566.12	$31,797.21	2026-05-22
420	OTHER	Hepatobiliary Diagnostic Procedures With Comorbity	19	14	—	—	$5,875.84	$60,489.90	$31,757.20	2026-05-22
J9266	OTHER	Pegaspargase Injection	36	20	$125,523.80	$81,590.47 35% off	$11,369.62	$202,265.61	$31,266.47	2026-05-22
264	OTHER	Other Circulatory System O.r. Procedures	18	14	—	—	$11,872.65	$59,363.26	$31,165.71	2026-05-22
411	OTHER	Cholecystectomy With C.d.e. With Mcc	18	14	—	—	$11,746.26	$58,731.32	$30,833.94	2026-05-22
037	OTHER	Extracranial Procedures With Mcc	18	14	—	—	$11,708.32	$58,541.58	$30,734.33	2026-05-22
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	18	14	—	—	$11,706.96	$58,534.82	$30,730.78	2026-05-22
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Comorbity	18	14	—	—	$11,575.15	$57,875.76	$30,384.77	2026-05-22
579	OTHER	Other Skin; Subcut Tiss & Breast Proc With Comorbity	18	14	—	—	$11,526.70	$57,633.52	$30,257.60	2026-05-22
840	OTHER	Lymphoma & Non-acute Leukemia With Comorbity	18	14	—	—	$11,514.50	$57,572.52	$30,225.57	2026-05-22
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	18	14	—	—	$11,499.26	$57,496.30	$30,185.56	2026-05-22
652	OTHER	Kidney Transplant	17	13	—	—	$11,496.21	$57,481.04	$30,177.55	2026-05-22
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	18	14	—	—	$11,488.08	$57,440.40	$30,156.21	2026-05-22
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	18	14	—	—	$11,466.73	$57,333.64	$30,100.16	2026-05-22
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	18	14	—	—	$11,431.49	$57,157.44	$30,007.66	2026-05-22
242	OTHER	Permanent Cardiac Pacemaker Implant With Comorbity	18	14	—	—	$11,371.86	$56,859.28	$29,851.12	2026-05-22
515	OTHER	Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity	18	14	—	—	$11,351.86	$56,759.32	$29,798.64	2026-05-22
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	18	14	—	—	$11,341.36	$56,706.82	$29,771.08	2026-05-22
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	18	14	—	—	$11,319.68	$56,598.38	$29,714.15	2026-05-22
500	OTHER	Soft Tissue Procedures With Comorbity	19	14	—	—	$11,276.98	$57,741.89	$29,602.08	2026-05-22
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	18	14	—	—	$11,260.72	$56,303.62	$29,559.40	2026-05-22
324	OTHER	Non-elective Or Complex Hip Joint Replacement	18	14	—	—	$11,230.22	$56,151.12	$29,479.34	2026-05-22
229	OTHER	Other Cardiothoracic Procedures Without Mcc	18	14	—	—	$11,225.15	$56,125.74	$29,466.01	2026-05-22
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	18	14	—	—	$11,200.07	$56,000.36	$29,400.19	2026-05-22
665	OTHER	Prostatectomy With Mcc	18	14	—	—	$11,129.26	$55,646.28	$29,214.30	2026-05-22
464	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication	18	14	—	—	$11,107.23	$55,536.14	$29,156.47	2026-05-22
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	18	14	—	—	$11,088.59	$55,442.96	$29,107.55	2026-05-22
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	34	20	$82,072.00	$53,346.80 35% off	$10,579.51	$188,209.45	$29,093.65	2026-05-22
33263	OTHER	Removal And Replacement Of Dual Lead Defibrillator	34	20	$79,682.00	$51,793.30 35% off	$10,579.51	$188,209.45	$29,093.65	2026-05-22
662	OTHER	Minor Bladder Procedures With Comorbity	18	14	—	—	$10,926.97	$54,634.86	$28,683.30	2026-05-22
263	OTHER	Vein Ligation & Stripping	18	14	—	—	$10,913.08	$54,565.38	$28,646.82	2026-05-22
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…	18	14	—	—	$10,831.08	$54,155.40	$28,431.58	2026-05-22
510	OTHER	Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity	18	14	—	—	$10,788.05	$53,940.24	$28,318.63	2026-05-22
625	OTHER	Thyroid; Parathyroid & Thyroglossal Procedures With Comorbity	18	14	—	—	$10,786.70	$53,933.48	$28,315.08	2026-05-22
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	19	14	—	—	$10,775.51	$56,623.10	$28,285.71	2026-05-22
23473	OTHER	Revision Of Total Shoulder Repair	36	20	$113,056.00	$73,486.40 35% off	$6,106.34	$108,631.86	$28,186.12	2026-05-22
24546	OTHER	Treatment Of Broken Upper Arm Bone At Elbow With Extension	36	20	$57,595.00	$37,436.75 35% off	$6,106.34	$108,631.86	$28,186.12	2026-05-22
27870	OTHER	Fusion Of Ankle Joint; Open Procedure	36	20	$21,624.00	$14,055.60 35% off	$6,106.34	$108,631.86	$28,186.12	2026-05-22
27828	OTHER	Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones	36	20	$52,649.00	$34,221.85 35% off	$6,106.34	$108,631.86	$28,186.12	2026-05-22
24430	OTHER	Repair Of Nonhealed Broken Upper Arm Bone	36	20	$64,250.67	$41,762.94 35% off	$6,106.34	$108,631.86	$28,186.12	2026-05-22
27134	OTHER	Revision Of Thigh Bone And Hip Joint Prosthesis	36	20	$73,778.00	$47,955.70 35% off	$6,106.34	$108,631.86	$28,186.12	2026-05-22
25810	OTHER	Fusion Of Wrist Joint With Graft From Hip Or Other Bone	36	20	$48,002.00	$31,201.30 35% off	$6,106.34	$108,631.86	$28,186.12	2026-05-22
28297	OTHER	Correction Of Bunion With Midfoot And Hindfoot Bone Fusion	36	20	$56,279.00	$36,581.35 35% off	$6,106.34	$108,631.86	$28,186.12	2026-05-22
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	18	14	—	—	$10,638.63	$53,193.14	$27,926.40	2026-05-22
472	OTHER	Cervical Spinal Fusion With Cc	18	14	—	—	$10,535.96	$52,679.80	$27,656.90	2026-05-22
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	18	14	—	—	$10,529.18	$52,645.92	$27,639.11	2026-05-22
570	OTHER	Skin Debridement With Mcc	18	14	—	—	$10,519.02	$52,595.10	$27,612.43	2026-05-22
668	OTHER	Transurethral Procedures With Mcc	18	14	—	—	$10,447.52	$52,237.60	$27,424.74	2026-05-22
480	OTHER	Hip & Femur Procedures Except Major Joint With Comorbity	18	14	—	—	$10,421.43	$52,107.14	$27,356.25	2026-05-22
353	OTHER	Hernia Procedures Except Inguinal & Femoral With Comorbity	18	14	—	—	$10,386.54	$51,932.68	$27,264.66	2026-05-22
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	18	14	—	—	$10,380.43	$51,902.16	$27,248.63	2026-05-22
619	OTHER	O.r. Procedures For Obesity With Mcc	18	14	—	—	$10,337.06	$51,685.30	$27,134.78	2026-05-22
974	OTHER	HIV With Major Related Condition With Comorbity	18	14	—	—	$10,332.32	$51,661.60	$27,122.34	2026-05-22
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	18	14	—	—	$10,318.09	$51,590.46	$27,084.99	2026-05-22
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	18	14	—	—	$10,278.78	$51,393.92	$26,981.81	2026-05-22
C9776	OTHER	Intraoperative Near-infrared Fluorescence Imaging Of Major Extra-hepatic Bile Du…	1	1	$30,563.66	$19,866.38 35% off	$26,965.46	$26,965.46	$26,965.46	2026-05-22
240	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication	18	14	—	—	$10,212.04	$51,060.18	$26,806.59	2026-05-22
800	OTHER	Splenic Procedures With Cc	18	14	—	—	$10,072.78	$50,363.88	$26,441.04	2026-05-22
654	OTHER	Major Bladder Procedures With Complication	18	14	—	—	$10,038.55	$50,192.76	$26,351.20	2026-05-22
503	OTHER	Foot Procedures With Mcc	18	14	—	—	$10,010.77	$50,053.86	$26,278.28	2026-05-22
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	18	14	—	—	$9,945.71	$49,728.56	$26,107.49	2026-05-22
061	OTHER	Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	18	14	—	—	$9,895.56	$49,477.82	$25,975.86	2026-05-22
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	20	14	—	—	$9,867.10	$97,454.91	$25,901.15	2026-05-22
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	19	14	—	—	$9,864.73	$49,323.66	$25,894.92	2026-05-22
963	OTHER	Other Multiple Significant Trauma With Comorbity	18	14	—	—	$9,816.62	$49,083.08	$25,768.62	2026-05-22
321	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	20	15	—	—	$9,772.57	$97,713.93	$25,652.99	2026-05-22
849	OTHER	Radiotherapy	18	14	—	—	$9,734.28	$48,671.42	$25,552.50	2026-05-22
288	OTHER	Acute & Subacute Endocarditis With Comorbity	19	14	—	—	$9,723.10	$48,615.50	$25,523.14	2026-05-22
33233	OTHER	Removal Of Permanent Pacemaker Pulse Generator	37	20	$22,797.00	$14,818.05 35% off	$3,935.95	$70,020.51	$25,511.83	2026-05-22
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	18	14	—	—	$9,693.28	$48,466.40	$25,444.86	2026-05-22
37244	OTHER	Vasc Embolize/occlude Bleed	36	20	$22,696.00	$14,752.40 35% off	$5,490.66	$97,678.77	$25,344.18	2026-05-22
37236	OTHER	Insertion Of Stent In Artery (except Lower Extremity; Chest; Heart; Neck And Bra…	72	20	$25,581.00	$16,627.65 35% off	$5,490.66	$97,678.77	$25,344.18	2026-05-22
C9764	OTHER	Revasc Intravasc Lithotripsy	36	20	$28,499.00	$18,524.35 35% off	$5,490.66	$97,678.77	$25,344.18	2026-05-22
36903	OTHER	Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…	36	20	$34,944.00	$22,713.60 35% off	$5,490.66	$97,678.77	$25,344.18	2026-05-22
37187	OTHER	Venous Mech Thrombectomy	36	20	$21,617.00	$14,051.05 35% off	$5,490.66	$97,678.77	$25,344.18	2026-05-22
36905	OTHER	Thrmbc/nfs Dialysis Circuit	36	20	$39,273.00	$25,527.45 35% off	$5,490.66	$97,678.77	$25,344.18	2026-05-22
37243	OTHER	Vasc Embolize/occlude Organ	36	20	$51,495.00	$33,471.75 35% off	$5,490.66	$97,678.77	$25,344.18	2026-05-22
37241	OTHER	Vasc Embolize/occlude Venous	36	20	$21,562.00	$14,015.30 35% off	$5,490.66	$97,678.77	$25,344.18	2026-05-22
37238	OTHER	Open/perq Place Stent Same	36	20	$30,590.00	$19,883.50 35% off	$5,490.66	$97,678.77	$25,344.18	2026-05-22
33229	OTHER	Removal And Replacement Of Multiple Lead Permanent Pacemaker	34	20	$79,128.00	$51,433.20 35% off	$9,161.26	$162,978.82	$25,193.46	2026-05-22
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	18	14	—	—	$9,566.56	$47,832.80	$25,112.22	2026-05-22
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	18	14	—	—	$9,535.04	$47,675.22	$25,029.49	2026-05-22
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	18	14	—	—	$9,489.98	$47,449.88	$24,911.19	2026-05-22
253	OTHER	Other Vascular Procedures With Complication	18	14	—	—	$9,348.34	$46,741.72	$24,539.40	2026-05-22
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	18	14	—	—	$9,337.84	$46,689.22	$24,511.84	2026-05-22
344	OTHER	Minor Small & Large Bowel Procedures With Comorbity	18	14	—	—	$9,304.98	$46,524.90	$24,425.57	2026-05-22
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	18	14	—	—	$9,292.78	$46,463.92	$24,393.56	2026-05-22
095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	18	14	—	—	$9,292.78	$46,463.92	$24,393.56	2026-05-22
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	18	14	—	—	$9,253.48	$46,267.40	$24,290.38	2026-05-22
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	18	14	—	—	$9,204.01	$46,020.04	$24,160.52	2026-05-22
659	OTHER	Kidney & Ureter Procedures For Non-neoplasm With Comorbity	18	14	—	—	$9,163.01	$45,815.06	$24,052.91	2026-05-22
493	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication	18	14	—	—	$9,146.75	$45,733.74	$24,010.21	2026-05-22
92930	OTHER	Prq Tcat Plmt Ntrac St 2+les	34	20	$49,537.00	$32,199.05 35% off	$8,718.91	$155,109.44	$23,977.01	2026-05-22
C9607	OTHER	Perc D-e Cor Revasc Chro Sin	34	20	$65,487.00	$42,566.55 35% off	$8,718.91	$155,109.44	$23,977.01	2026-05-22
37182	OTHER	Insert Hepatic Shunt (tips)	36	20	$16,424.00	$10,675.60 35% off	$8,718.91	$155,109.44	$23,977.01	2026-05-22
164	OTHER	Major Chest Procedures With Cc	18	14	—	—	$9,105.74	$45,528.72	$23,902.58	2026-05-22
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	18	14	—	—	$9,102.02	$45,510.08	$23,892.79	2026-05-22
350	OTHER	Inguinal & Femoral Hernia Procedures With Comorbity	18	14	—	—	$8,996.98	$44,984.90	$23,617.07	2026-05-22
545	OTHER	Connective Tissue Disorders With Mcc	18	14	—	—	$8,962.42	$44,812.08	$23,526.34	2026-05-22
58570	OTHER	Removal Of Uterus Through Abdomen Using An Endoscope; 250.0 G Or Less	36	20	$75,592.00	$49,134.80 35% off	$5,055.77	$89,942.11	$23,336.79	2026-05-22
43282	OTHER	Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us…	36	20	$144,907.00	$94,189.55 35% off	$5,055.77	$89,942.11	$23,336.79	2026-05-22
58571	OTHER	Removal Of Uterus; Tubes; And/or Ovaries Through Abdomen Using An Endoscope; 250…	36	20	$125,116.00	$81,325.40 35% off	$5,055.77	$104,312.74	$23,336.79	2026-05-22
58573	OTHER	Removal Of Uterus; Tubes; And/or Ovaries Through Abdomen Using An Endoscope; Mor…	36	20	$108,990.00	$70,843.50 35% off	$5,055.77	$89,942.11	$23,336.79	2026-05-22
43280	OTHER	Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac…	36	20	$148,539.00	$96,550.35 35% off	$5,055.77	$89,942.11	$23,336.79	2026-05-22
58542	OTHER	Partial Removal Of Uterus; Tubes; And/or Ovaries With Retention Of Cervix Using …	36	20	$109,247.00	$71,010.55 35% off	$5,055.77	$89,942.11	$23,336.79	2026-05-22
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	18	14	—	—	$8,886.18	$44,430.92	$23,326.23	2026-05-22
982	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication	19	14	—	—	$8,883.81	$70,864.82	$23,320.00	2026-05-22
783	OTHER	Cesarean Section With Sterilization With Mcc	18	14	—	—	$8,872.29	$44,361.44	$23,289.76	2026-05-22
792	OTHER	Prematurity Without Major Problems	19	14	—	—	$8,852.29	$44,261.46	$23,237.27	2026-05-22
327	OTHER	Stomach; Esophageal & Duodenal Proc With Complication	18	14	—	—	$8,835.36	$44,176.78	$23,192.81	2026-05-22
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	18	14	—	—	$8,825.53	$44,127.64	$23,167.01	2026-05-22
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	18	14	—	—	$8,760.82	$43,804.08	$22,997.14	2026-05-22
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	18	14	—	—	$8,734.05	$43,670.26	$22,926.89	2026-05-22
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	18	14	—	—	$8,703.55	$43,517.74	$22,846.81	2026-05-22
330	OTHER	Major Small & Large Bowel Procedures With Complication	18	14	—	—	$8,676.10	$43,380.52	$22,774.77	2026-05-22
397	OTHER	Appendix Procedures With Mcc	18	14	—	—	$8,668.31	$43,341.56	$22,754.32	2026-05-22
035	OTHER	Carotid Artery Stent Procedures With Cc	18	14	—	—	$8,653.40	$43,267.02	$22,715.19	2026-05-22
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Comorbity	19	14	—	—	$8,639.51	$79,556.67	$22,678.72	2026-05-22
113	OTHER	Orbital Procedures With Complication/comorbity	18	14	—	—	$8,519.90	$42,599.52	$22,364.75	2026-05-22
333	OTHER	Rectal Resection With Cc	18	14	—	—	$8,489.74	$42,448.72	$22,285.58	2026-05-22
674	OTHER	Other Kidney & Urinary Tract Procedures With Complication	18	14	—	—	$8,477.55	$42,387.74	$22,253.56	2026-05-22
940	OTHER	O.r. Proc With Diagnoses Of Other Contact With Health Services With Complication	19	14	—	—	$8,471.79	$54,863.04	$22,238.45	2026-05-22
709	OTHER	Penis Procedures With Cc/mcc	18	14	—	—	$8,438.58	$42,192.92	$22,151.28	2026-05-22
357	OTHER	Other Digestive System O.r. Procedures With Complication	19	14	—	—	$8,433.16	$96,418.25	$22,137.06	2026-05-22
056	OTHER	Degenerative Nervous System Disorders With Comorbity	18	14	—	—	$8,425.03	$42,125.16	$22,115.71	2026-05-22
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	18	14	—	—	$8,384.71	$41,923.56	$22,009.87	2026-05-22
347	OTHER	Anal & Stomal Procedures With Comorbity	18	14	—	—	$8,331.85	$41,659.24	$21,871.10	2026-05-22
098	OTHER	Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Complication	18	14	—	—	$8,329.48	$41,647.40	$21,864.88	2026-05-22
082	OTHER	Traumatic Stupor & Coma; Coma >1 Hr With Comorbity	18	14	—	—	$8,297.97	$41,489.86	$21,782.18	2026-05-22
817	OTHER	Other Antepartum Diagnoses With O.r. Procedure With Comorbity	18	14	—	—	$8,284.42	$41,422.08	$21,746.59	2026-05-22
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	18	14	—	—	$8,264.42	$41,322.10	$21,694.10	2026-05-22
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	18	14	—	—	$8,251.54	$41,257.72	$21,660.30	2026-05-22
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	18	14	—	—	$8,230.20	$41,151.02	$21,604.29	2026-05-22
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	18	14	—	—	$8,138.72	$40,693.60	$21,364.14	2026-05-22
715	OTHER	Other Male Reproductive System O.r. Proc For Malignancy With Complication/comorb…	18	14	—	—	$8,134.31	$40,671.56	$21,352.57	2026-05-22
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	18	14	—	—	$8,074.34	$40,371.70	$21,195.14	2026-05-22
286	OTHER	Circulatory Disorders Except Ami; With Card Cath With Comorbity	18	14	—	—	$8,051.30	$40,256.48	$21,134.65	2026-05-22
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	18	14	—	—	$8,043.84	$40,219.22	$21,115.09	2026-05-22
808	OTHER	Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity	18	14	—	—	$8,034.69	$40,173.46	$21,091.07	2026-05-22
041	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	18	14	—	—	$8,003.52	$40,017.62	$21,009.25	2026-05-22
030	OTHER	Spinal Procedures Without Cc/mcc	18	14	—	—	$7,991.66	$39,958.32	$20,978.12	2026-05-22
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	18	14	—	—	$7,980.15	$39,900.74	$20,947.89	2026-05-22
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Complication	18	14	—	—	$7,966.93	$39,834.64	$20,913.19	2026-05-22

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