Hospital

WEST VIRGINIA UNIVERSITY HOSPITALS, INC

Morgantown, WV · CCN 510001 · Rates published

9,903 distinct procedures filed

46 distinct payers

1,900,798 rate rows

2026-05-24 last MRF observed

Data quality

1,536,400 of 1,900,798 rate rows are consumer-grade (80.8%)

364,398 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	347,956
template filing: same amount across many unrelated codes — excluded	15,516
placeholder amount (≤ $0.02) — excluded from medians	636
exceeds 10× this hospital's gross charge — excluded from medians	220
per-diem day rate — not a per-procedure price	70

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

Source MRF file	https://wvumedicine.org/wp-content/uploads/2026/03/550643304_West-Virginia-University-Hospitals-Inc._standardcharges.csv
Found on page	https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	c83dcc013705313e… · 181,433,127 bytes · first seen 2026-05-09

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
71894-0121-03 OTHER	Zolgensma	42	$1,682,837.81	$3,883,471.88	$2,783,154.85	nat. median $2,783,155 1.0× median
Q2054 OTHER	Lisocabtagene Maraleucel; Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	44	$365,430.81	$843,301.88	$604,366.34	nat. median $562,538 1.1× median
018 OTHER	Chimeric Antigen Receptor (car) T-cell Immunotherapy	35	$328,017.39	$1,460,518.31	$444,365.39	nat. median $424,868 1.0× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity	34	$158,954.92	$1,074,242.70	$254,522.13	nat. median $263,894 1.0× median
453 OTHER	Combined Anterior/posterior Spinal Fusion With Comorbity	16	$80,786.00	$351,283.62	$216,034.81	nat. median $65,342 outlier · 3.3×
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	35	$180,709.77	$1,044,911.59	$212,809.14	nat. median $146,562 1.5× median
003 OTHER	Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r.	35	$113,359.59	$845,179.33	$193,975.20	nat. median $218,232 0.9× median
459 OTHER	Spinal Fusion Except Cervical With Comorbity	16	$59,153.67	$262,917.64	$161,035.65	nat. median $50,246 outlier · 3.2×
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	34	$64,275.33	$485,380.61	$139,988.88	nat. median $117,167 1.2× median
004 OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	35	$73,248.62	$582,737.40	$126,785.04	nat. median $150,232 0.8× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	35	$92,703.10	$426,972.09	$125,873.93	nat. median $90,581 1.4× median
007 OTHER	Lung Transplant	35	$73,455.09	$486,264.63	$118,573.31	nat. median $141,082 0.8× median
209 OTHER	Complex Aortic Arch Procedures	34	$96,472.52	$144,708.78	$117,301.24	nat. median $23,389 outlier · 5.0×
426 OTHER	Non-hypovolemic Sodium Disorders	34	$93,949.98	$140,924.97	$114,217.57	nat. median $80,273 1.4× median
455 OTHER	Combined Anterior/posterior Spinal Fusion Without Complication/comorbity	16	$42,099.48	$182,575.20	$112,337.34	nat. median $38,868 outlier · 2.9×
014 OTHER	Allogeneic Bone Marrow Transplant	35	$68,166.97	$454,333.00	$111,952.00	nat. median $105,808 1.1× median
215 OTHER	Other Heart Assist System Implant	35	$77,514.06	$404,935.10	$95,309.92	nat. median $92,359 1.0× median
005 OTHER	Liver Transplant With Comorbity Or Intestinal Transplant	35	$58,482.39	$410,294.70	$94,520.30	nat. median $104,489 0.9× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	34	$76,899.07	$115,348.61	$93,369.16	nat. median $62,997 1.5× median
216 OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity	35	$67,035.38	$384,737.50	$91,307.54	nat. median $90,130 1.0× median
460 OTHER	Spinal Fusion Except Cervical Without Comorbity	16	$34,557.42	$145,006.47	$89,781.95	nat. median $342 outlier · 262.9×
850 OTHER	Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal…	34	$73,931.52	$110,897.28	$89,741.94	nat. median $407 outlier · 220.4×
020 OTHER	Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity	35	$63,431.32	$335,070.04	$82,956.58	nat. median $82,426 1.0× median
J7330 OTHER	Autologous Cultured Chondrocytes; Implant	43	$82,762.56	$82,762.56	$82,762.56	nat. median $65,518 1.3× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	35	$45,444.46	$278,913.18	$78,956.70	nat. median $29,655 outlier · 2.7×
231 OTHER	Coronary Bypass With Ptca With Comorbity	35	$57,336.63	$321,702.76	$77,384.27	nat. median $74,989 1.0× median
456 OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity	35	$47,153.47	$334,158.27	$77,142.80	nat. median $76,493 1.0× median
222 OTHER	Cardiac Defib Implant With Cardiac Cath With Ami/hf/shock With Comorbity	15	$73,997.89	$73,997.89	$73,997.89	nat. median $4,745 outlier · 15.6×
J9029 OTHER	Instill Adstiladrin, Tx Dose	44	$41,778.61	$101,970.00	$71,874.30	nat. median $66,509 1.1× median
219 OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity	35	$55,570.33	$305,687.39	$71,150.83	nat. median $72,612 1.0× median
233 OTHER	Coronary Bypass With Cardiac Cath With Comorbity	35	$50,338.93	$309,191.74	$70,234.07	nat. median $68,249 1.0× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Comorbity	35	$42,538.63	$286,710.76	$70,003.52	nat. median $68,309 1.0× median
266 OTHER	Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity	35	$52,477.17	$247,607.90	$69,602.68	nat. median $58,866 1.2× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	34	$57,166.26	$85,749.39	$69,244.01	nat. median $54,322 1.3× median
55566-1050-00 OTHER	Adstiladrin	42	$41,778.61	$96,412.18	$69,095.40	nat. median $69,095 1.0× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Comorbity	35	$48,657.36	$246,497.92	$67,416.43	nat. median $54,881 1.2× median
A9543 OTHER	Y90 Ibritumomab, Rx	42	$36,935.96	$96,938.00	$66,936.98	nat. median $66,156 1.0× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	34	$41,285.09	$92,577.04	$66,931.07	nat. median $51,811 1.3× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	35	$29,806.42	$246,184.75	$66,621.00	nat. median $3,947 outlier · 16.9×
010 OTHER	Pancreas Transplant	35	$31,789.45	$190,820.73	$65,955.97	nat. median $67,882 1.0× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity	35	$43,639.59	$274,310.75	$65,928.65	nat. median $46,003 1.4× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	35	$40,468.31	$316,878.33	$65,581.46	nat. median $67,495 1.0× median
224 OTHER	Cardiac Defib Implant With Cardiac Cath Without Ami/hf/shock With Comorbity	15	$64,693.12	$64,693.12	$64,693.12	nat. median $16,458 outlier · 3.9×
278 OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures…	35	$47,711.80	$176,819.18	$64,626.32	nat. median $1,931 outlier · 33.5×
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	34	$53,699.09	$85,811.66	$63,686.14	nat. median $48,503 1.3× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	35	$40,358.27	$276,102.57	$63,551.33	nat. median $54,564 1.2× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity	35	$38,026.46	$271,734.02	$63,242.43	nat. median $67,670 0.9× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	35	$50,855.04	$272,443.61	$62,991.15	nat. median $64,729 1.0× median
955 OTHER	Craniotomy For Multiple Significant Trauma	35	$52,970.79	$241,427.71	$62,795.47	nat. median $62,467 1.0× median
38240 OTHER	Transplt Allo Hct/donor	21	$177.31	$90,817.94	$60,545.29	nat. median $18,374 outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 9,903 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

71894-0121-03	OTHER	Zolgensma	90	42	$3,587,558.54	$1,793,779.27 50% off	$1,682,837.81	$3,883,471.88	$2,783,154.85	2026-05-24
Q2054	OTHER	Lisocabtagene Maraleucel; Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	180	44	$974,954.86	$487,477.43 50% off	$365,430.81	$843,301.88	$604,366.34	2026-05-24
018	OTHER	Chimeric Antigen Receptor (car) T-cell Immunotherapy	76	35	—	—	$328,017.39	$1,460,518.31	$444,365.39	2026-05-24
001	OTHER	Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity	74	34	—	—	$158,954.92	$1,074,242.70	$254,522.13	2026-05-24
453	OTHER	Combined Anterior/posterior Spinal Fusion With Comorbity	36	16	—	—	$80,786.00	$351,283.62	$216,034.81	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	76	35	—	—	$180,709.77	$1,044,911.59	$212,809.14	2026-05-24
003	OTHER	Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r.	76	35	—	—	$113,359.59	$845,179.33	$193,975.20	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Comorbity	36	16	—	—	$59,153.67	$262,917.64	$161,035.65	2026-05-24
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	74	34	—	—	$64,275.33	$485,380.61	$139,988.88	2026-05-24
004	OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	76	35	—	—	$73,248.62	$582,737.40	$126,785.04	2026-05-24
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	76	35	—	—	$92,703.10	$426,972.09	$125,873.93	2026-05-24
007	OTHER	Lung Transplant	76	35	—	—	$73,455.09	$486,264.63	$118,573.31	2026-05-24
209	OTHER	Complex Aortic Arch Procedures	74	34	—	—	$96,472.52	$144,708.78	$117,301.24	2026-05-24
426	OTHER	Non-hypovolemic Sodium Disorders	74	34	—	—	$93,949.98	$140,924.97	$114,217.57	2026-05-24
455	OTHER	Combined Anterior/posterior Spinal Fusion Without Complication/comorbity	36	16	—	—	$42,099.48	$182,575.20	$112,337.34	2026-05-24
014	OTHER	Allogeneic Bone Marrow Transplant	76	35	—	—	$68,166.97	$454,333.00	$111,952.00	2026-05-24
215	OTHER	Other Heart Assist System Implant	76	35	—	—	$77,514.06	$404,935.10	$95,309.92	2026-05-24
005	OTHER	Liver Transplant With Comorbity Or Intestinal Transplant	76	35	—	—	$58,482.39	$410,294.70	$94,520.30	2026-05-24
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	74	34	—	—	$76,899.07	$115,348.61	$93,369.16	2026-05-24
216	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity	76	35	—	—	$67,035.38	$384,737.50	$91,307.54	2026-05-24
460	OTHER	Spinal Fusion Except Cervical Without Comorbity	36	16	—	—	$34,557.42	$145,006.47	$89,781.95	2026-05-24
850	OTHER	Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal…	74	34	—	—	$73,931.52	$110,897.28	$89,741.94	2026-05-24
020	OTHER	Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity	76	35	—	—	$63,431.32	$335,070.04	$82,956.58	2026-05-24
J7330	OTHER	Autologous Cultured Chondrocytes; Implant	92	43	$82,762.56	$41,381.28 50% off	$82,762.56	$82,762.56	$82,762.56	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	76	35	—	—	$45,444.46	$278,913.18	$78,956.70	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Comorbity	76	35	—	—	$57,336.63	$321,702.76	$77,384.27	2026-05-24
456	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity	76	35	—	—	$47,153.47	$334,158.27	$77,142.80	2026-05-24
222	OTHER	Cardiac Defib Implant With Cardiac Cath With Ami/hf/shock With Comorbity	34	15	—	—	$73,997.89	$73,997.89	$73,997.89	2026-05-24
J9029	OTHER	Instill Adstiladrin, Tx Dose	94	44	$161,490.00	$80,745.00 50% off	$41,778.61	$101,970.00	$71,874.30	2026-05-24
219	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity	76	35	—	—	$55,570.33	$305,687.39	$71,150.83	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Cath With Comorbity	76	35	—	—	$50,338.93	$309,191.74	$70,234.07	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Comorbity	76	35	—	—	$42,538.63	$286,710.76	$70,003.52	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity	76	35	—	—	$52,477.17	$247,607.90	$69,602.68	2026-05-24
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	74	34	—	—	$57,166.26	$85,749.39	$69,244.01	2026-05-24
55566-1050-00	OTHER	Adstiladrin	90	42	$180,000.00	$90,000.00 50% off	$41,778.61	$96,412.18	$69,095.40	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Comorbity	76	35	—	—	$48,657.36	$246,497.92	$67,416.43	2026-05-24
A9543	OTHER	Y90 Ibritumomab, Rx	90	42	$96,938.00	$48,469.00 50% off	$36,935.96	$96,938.00	$66,936.98	2026-05-24
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	74	34	—	—	$41,285.09	$92,577.04	$66,931.07	2026-05-24
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	76	35	—	—	$29,806.42	$246,184.75	$66,621.00	2026-05-24
010	OTHER	Pancreas Transplant	76	35	—	—	$31,789.45	$190,820.73	$65,955.97	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity	76	35	—	—	$43,639.59	$274,310.75	$65,928.65	2026-05-24
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	76	35	—	—	$40,468.31	$316,878.33	$65,581.46	2026-05-24
224	OTHER	Cardiac Defib Implant With Cardiac Cath Without Ami/hf/shock With Comorbity	34	15	—	—	$64,693.12	$64,693.12	$64,693.12	2026-05-24
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	76	35	—	—	$47,711.80	$176,819.18	$64,626.32	2026-05-24
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	74	34	—	—	$53,699.09	$85,811.66	$63,686.14	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	76	35	—	—	$40,358.27	$276,102.57	$63,551.33	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity	76	35	—	—	$38,026.46	$271,734.02	$63,242.43	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	76	35	—	—	$50,855.04	$272,443.61	$62,991.15	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	76	35	—	—	$52,970.79	$241,427.71	$62,795.47	2026-05-24
38240	OTHER	Transplt Allo Hct/donor	42	21	$158,946.00	$79,473.00 50% off	$177.31	$90,817.94	$60,545.29	2026-05-24
021	OTHER	Intracranial Vascular Procedures With Pdx Hemorrhage With Complication	76	35	—	—	$45,402.86	$243,457.38	$60,521.99	2026-05-24
217	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication	76	35	—	—	$46,433.68	$252,333.22	$60,485.12	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	76	35	—	—	$33,304.99	$225,828.58	$60,485.12	2026-05-24
820	OTHER	Lymphoma & Leukemia With Major O.r. Procedure With Comorbity	76	35	—	—	$49,975.44	$239,703.28	$60,351.35	2026-05-24
011	OTHER	Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity	76	35	—	—	$44,080.11	$204,406.04	$60,077.49	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	76	35	—	—	$37,322.55	$273,846.94	$59,203.97	2026-05-24
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	74	34	—	—	$48,904.43	$73,356.64	$59,142.70	2026-05-24
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	76	35	—	—	$33,633.97	$244,868.63	$57,234.38	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	76	35	—	—	$47,345.63	$270,298.98	$56,833.84	2026-05-24
457	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication	76	35	—	—	$43,543.16	$240,837.04	$56,403.62	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Comorbity	76	35	—	—	$33,995.85	$235,814.40	$55,813.41	2026-05-24
028	OTHER	Spinal Procedures With Comorbity	76	35	—	—	$31,847.25	$238,886.66	$55,318.61	2026-05-24
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	74	34	—	—	$45,706.34	$68,559.51	$55,232.95	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Cath Without Comorbity	76	35	—	—	$46,257.84	$206,055.15	$54,474.59	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Cath With Comorbity	76	35	—	—	$40,135.92	$233,118.75	$54,045.68	2026-05-24
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	74	34	—	—	$40,462.07	$74,122.05	$53,862.02	2026-05-24
220	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication	76	35	—	—	$45,527.84	$207,906.43	$53,614.92	2026-05-24
653	OTHER	Major Bladder Procedures With Comorbity	76	35	—	—	$44,577.26	$214,605.93	$53,472.64	2026-05-24
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or …	76	35	—	—	$38,072.40	$224,722.57	$52,785.49	2026-05-24
463	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity	76	35	—	—	$31,214.81	$224,520.40	$52,504.82	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedure With Comorbity	76	35	—	—	$34,183.03	$221,955.56	$52,232.18	2026-05-24
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	74	34	—	—	$32,045.21	$72,277.18	$52,161.19	2026-05-24
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	76	35	—	—	$37,211.37	$164,117.88	$51,650.57	2026-05-24
008	OTHER	Simultaneous Pancreas And Kidney Transplant	76	35	—	—	$31,789.96	$208,584.31	$51,640.09	2026-05-24
277	OTHER	Cardiac Defibrillator Implant Without Mcc	76	35	—	—	$28,436.04	$189,583.90	$51,384.07	2026-05-24
J9226	OTHER	Supprelin La Implant	94	44	$150,543.00	$75,271.50 50% off	$28,070.47	$73,550.30	$50,810.39	2026-05-24
405	OTHER	Pancreas; Liver & Shunt Procedures With Comorbity	76	35	—	—	$33,169.42	$218,237.14	$50,738.37	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Comorbity	76	35	—	—	$33,223.88	$199,744.15	$50,451.87	2026-05-24
576	OTHER	Skin Graft Exc For Skin Ulcer Or Cellulitis With Comorbity	76	35	—	—	$42,075.08	$225,289.45	$50,435.40	2026-05-24
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	76	35	—	—	$30,812.66	$244,868.63	$50,070.08	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Comorbity	76	35	—	—	$39,484.76	$200,465.63	$48,648.62	2026-05-24
826	OTHER	Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity	76	35	—	—	$40,181.46	$173,980.81	$48,136.93	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Comorbity	76	35	—	—	$32,038.40	$205,607.20	$48,002.57	2026-05-24
837	OTHER	Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity	76	35	—	—	$11,282.98	$188,561.14	$47,522.84	2026-05-24
245	OTHER	Aicd Generator Procedures	76	35	—	—	$39,203.32	$179,633.76	$47,427.75	2026-05-24
823	OTHER	Lymphoma & Non-acute Leukemia With Other Proc With Comorbity	76	35	—	—	$39,393.18	$178,464.32	$47,179.07	2026-05-24
326	OTHER	Stomach; Esophageal & Duodenal Proc With Comorbity	76	35	—	—	$28,320.90	$201,341.72	$46,956.59	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity	76	35	—	—	$25,972.07	$193,460.89	$46,890.44	2026-05-24
221	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati…	76	35	—	—	$32,654.96	$184,279.80	$46,497.26	2026-05-24
67979-0002-01	OTHER	Supprelin La	274	44	$170,685.80	$85,342.90 50% off	$28,070.47	$73,550.30	$46,424.24	2026-05-24
227	OTHER	Cardiac Defibrillator Implant Without Cardiac Cath Without Comorbity	34	15	—	—	$46,149.50	$46,149.50	$46,149.50	2026-05-24
64654	OTHER	1st Opn Implt Bat Modulj Sys	90	42	$112,501.00	$56,250.50 50% off	$27,693.62	$63,908.36	$45,800.99	2026-05-24
64568	OTHER	Insertion Of Cranial Nerve Neurostimulator Electrode And Generator	222	44	$24,428.00	$12,214.00 50% off	$776.00	$63,908.36	$45,800.99	2026-05-24
0620T	OTHER	Evasc Ven Artlz Tibl/prnl Vn	86	41	$112,501.00	$56,250.50 50% off	$27,693.62	$63,908.36	$45,800.99	2026-05-24
853	OTHER	Infectious & Parasitic Diseases With O.r. Procedure With Comorbity	76	35	—	—	$32,729.83	$198,182.25	$45,571.49	2026-05-24
239	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity	76	35	—	—	$28,753.11	$190,551.17	$45,417.49	2026-05-24
471	OTHER	Cervical Spinal Fusion With Comorbity	76	35	—	—	$27,807.57	$194,999.00	$44,637.80	2026-05-24
33276	OTHER	Insj Phrnc Nrv Stim Sys	36	18	$69,011.00	$34,505.50 50% off	$27,693.62	$63,908.36	$44,096.76	2026-05-24
799	OTHER	Splenectomy With Comorbity	76	35	—	—	$23,986.83	$196,410.25	$43,811.28	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	76	35	—	—	$26,666.90	$178,289.90	$43,410.12	2026-05-24
981	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity	76	35	—	—	$31,077.55	$187,918.94	$43,322.64	2026-05-24
901	OTHER	Wound Debridements For Injuries With Comorbity	76	35	—	—	$36,102.68	$171,562.65	$43,184.63	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Cath Without Comorbity	76	35	—	—	$35,858.81	$160,201.25	$43,109.82	2026-05-24
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	76	35	—	—	$24,940.31	$179,054.99	$42,833.61	2026-05-24
006	OTHER	Liver Transplant Without Mcc	76	35	—	—	$26,301.62	$191,744.39	$42,823.30	2026-05-24
163	OTHER	Major Chest Procedures With Comorbity	76	35	—	—	$24,862.60	$186,856.53	$42,790.56	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity	76	35	—	—	$35,733.11	$155,035.90	$42,735.76	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity	76	35	—	—	$21,739.53	$175,550.63	$42,018.72	2026-05-24
025	OTHER	Craniotomy & Endovascular Intracranial Procedures With Comorbity	76	35	—	—	$31,192.69	$175,059.07	$42,000.50	2026-05-24
458	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication…	76	35	—	—	$31,232.39	$179,617.90	$41,609.54	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	74	34	—	—	$28,651.58	$76,364.88	$41,513.44	2026-05-24
229	OTHER	Other Cardiothoracic Procedures Without Comorbity	76	35	—	—	$27,227.15	$126,045.70	$41,506.37	2026-05-24
031	OTHER	Ventricular Shunt Procedures With Comorbity	76	35	—	—	$18,971.54	$163,190.26	$41,397.29	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Comorbity	76	35	—	—	$33,169.42	$172,914.44	$41,236.90	2026-05-24
802	OTHER	Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity	76	35	—	—	$32,589.09	$134,398.27	$40,998.39	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Comorbity	76	35	—	—	$25,213.14	$169,616.23	$40,598.16	2026-05-24
012	OTHER	Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication	76	35	—	—	$33,671.67	$158,762.25	$40,486.06	2026-05-24
279	OTHER	Hepatic Coma And Other Major Acute Liver Disorders	76	35	—	—	$20,630.07	$126,878.19	$40,274.46	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	76	35	—	—	$19,837.98	$120,194.54	$40,072.59	2026-05-24
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	74	34	—	—	$26,442.86	$54,716.01	$39,760.30	2026-05-24
474	OTHER	Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity	76	35	—	—	$24,894.37	$170,571.60	$39,687.88	2026-05-24
956	OTHER	Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma	76	35	—	—	$32,427.36	$153,739.60	$39,570.94	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	76	35	—	—	$31,573.29	$149,771.44	$39,436.36	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity	76	35	—	—	$26,335.65	$164,855.22	$39,052.76	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Complication	76	35	—	—	$23,714.00	$160,343.96	$38,968.04	2026-05-24
673	OTHER	Other Kidney & Urinary Tract Procedures With Comorbity	76	35	—	—	$23,586.94	$146,596.12	$38,855.95	2026-05-24
335	OTHER	Peritoneal Adhesiolysis With Comorbity	76	35	—	—	$30,799.05	$141,720.15	$38,534.26	2026-05-24
518	OTHER	Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim	76	35	—	—	$31,495.96	$144,764.66	$38,457.44	2026-05-24
273	OTHER	Percutaneous Intracardiac Procedures With Comorbity	76	35	—	—	$28,957.31	$154,484.87	$38,162.51	2026-05-24
904	OTHER	Skin Grafts For Injuries With Complication/comorbity	76	35	—	—	$31,665.33	$129,082.28	$37,797.49	2026-05-24
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	74	34	—	—	$24,645.36	$51,915.00	$37,724.90	2026-05-24
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	76	35	—	—	$27,743.36	$104,825.34	$37,442.79	2026-05-24
939	OTHER	O.r. Proc With Diagnoses Of Other Contact With Health Services With Comorbity	76	35	—	—	$29,755.22	$127,460.92	$37,339.27	2026-05-24
495	OTHER	Local Excision & Removal Int Fix Devices Exc Hip & Femur With Comorbity	76	35	—	—	$31,263.56	$141,965.93	$37,309.88	2026-05-24
332	OTHER	Rectal Resection With Comorbity	76	35	—	—	$31,221.20	$143,805.32	$37,258.44	2026-05-24
265	OTHER	Aicd Lead Procedures	76	35	—	—	$29,548.72	$140,098.79	$37,231.73	2026-05-24
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Comorbity	76	35	—	—	$28,102.74	$131,421.16	$37,144.89	2026-05-24
739	OTHER	Uterine; Adnexa Proc For Non-ovarian/adnexal Malig With Comorbity	76	35	—	—	$30,899.95	$143,357.36	$36,867.69	2026-05-24
408	OTHER	Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Comorbity	76	35	—	—	$30,754.13	$147,555.45	$36,692.01	2026-05-24
077	OTHER	Hypertensive Encephalopathy With Comorbity	36	16	—	—	$13,461.11	$59,895.10	$36,678.11	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity	76	35	—	—	$30,728.73	$139,745.98	$36,660.62	2026-05-24
022	OTHER	Intracranial Vascular Procedures With Pdx Hemorrhage Without Complication/comorb…	76	35	—	—	$26,893.79	$137,823.34	$36,545.51	2026-05-24
024	OTHER	Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity	76	35	—	—	$22,651.61	$150,195.61	$36,216.19	2026-05-24
324	OTHER	Non-elective Or Complex Hip Joint Replacement	76	35	—	—	$26,265.89	$117,681.24	$36,005.32	2026-05-24
034	OTHER	Carotid Artery Stent Procedure With Comorbity	76	35	—	—	$20,124.11	$154,659.30	$35,840.76	2026-05-24
040	OTHER	Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity	76	35	—	—	$17,327.76	$152,641.52	$35,754.19	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Comorbity	76	35	—	—	$18,603.99	$147,448.42	$35,554.67	2026-05-24
736	OTHER	Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy With Comorbity	76	35	—	—	$22,354.39	$154,096.38	$35,510.95	2026-05-24
420	OTHER	Hepatobiliary Diagnostic Procedures With Comorbity	76	35	—	—	$29,410.65	$126,886.11	$35,060.84	2026-05-24
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	76	35	—	—	$25,759.90	$121,899.15	$34,743.32	2026-05-24
143	OTHER	Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc	76	35	—	—	$21,773.00	$131,833.44	$34,709.98	2026-05-24
166	OTHER	Other Resp System O.r. Procedures With Comorbity	76	35	—	—	$19,724.23	$160,859.31	$34,628.88	2026-05-24
628	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity	76	35	—	—	$16,011.83	$159,142.81	$34,529.55	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	76	35	—	—	$21,019.74	$137,097.89	$34,338.21	2026-05-24
69930	OTHER	Insertion Of Cochlear Device	312	44	$56,746.50	$28,373.25 50% off	$776.00	$47,605.83	$34,117.51	2026-05-24
492	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity	76	35	—	—	$20,451.96	$137,244.57	$34,026.58	2026-05-24
616	OTHER	Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity	76	35	—	—	$19,610.79	$156,891.14	$33,924.93	2026-05-24
271	OTHER	Other Major Cardiovascular Procedures With Complication	76	35	—	—	$28,432.07	$137,010.68	$33,578.00	2026-05-24
097	OTHER	Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity	76	35	—	—	$19,006.71	$144,173.99	$33,481.68	2026-05-24
876	OTHER	O.r. Procedure With Principal Diagnoses Of Mental Illness	74	34	—	—	$27,273.31	$49,936.63	$33,291.09	2026-05-24
485	OTHER	Knee Procedures With Pdx Of Infection With Comorbity	76	35	—	—	$27,884.90	$130,580.75	$33,207.90	2026-05-24
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	76	35	—	—	$26,439.81	$127,468.85	$33,143.12	2026-05-24
411	OTHER	Cholecystectomy With C.d.e. With Mcc	76	35	—	—	$27,959.58	$114,188.78	$33,066.32	2026-05-24
622	OTHER	Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity	76	35	—	—	$16,299.97	$151,654.44	$33,002.38	2026-05-24
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	76	35	—	—	$24,078.15	$138,203.90	$32,705.33	2026-05-24
252	OTHER	Other Vascular Procedures With Comorbity	76	35	—	—	$27,440.58	$132,951.34	$32,675.93	2026-05-24
094	OTHER	Bacterial & Tuberculous Infections Of Nervous System With Comorbity	76	35	—	—	$24,215.41	$143,611.07	$32,639.74	2026-05-24
515	OTHER	Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity	76	35	—	—	$27,544.16	$125,328.18	$32,491.18	2026-05-24
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	86	41	$25,628.00	$12,814.00 50% off	$19,638.62	$45,319.89	$32,479.26	2026-05-24
0915T	OTHER	Insj Perm Ccm-d Sys Pg&eltrd	86	41	$25,040.00	$12,520.00 50% off	$19,638.62	$45,319.89	$32,479.26	2026-05-24
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	86	41	$23,841.00	$11,920.50 50% off	$19,638.62	$45,319.89	$32,479.26	2026-05-24
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	74	34	—	—	$27,326.57	$44,516.49	$32,408.81	2026-05-24
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Complication	76	35	—	—	$17,219.99	$135,012.72	$32,202.33	2026-05-24
665	OTHER	Prostatectomy With Comorbity	76	35	—	—	$26,684.09	$122,458.10	$32,119.12	2026-05-24
477	OTHER	Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity	76	35	—	—	$18,852.99	$133,553.90	$32,049.28	2026-05-24
33249	OTHER	Insj/rplcmt Defib W/lead(s)	132	44	$24,439.00	$12,219.50 50% off	$776.00	$45,319.89	$32,026.06	2026-05-24
64582	OTHER	Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…	314	44	$25,152.00	$12,576.00 50% off	$633.61	$44,552.97	$31,929.63	2026-05-24
64656	OTHER	Revj/rplcmt Bat Mod Sys Pg	90	42	$13,328.00	$6,664.00 50% off	$19,306.29	$44,552.97	$31,929.63	2026-05-24
61885	OTHER	Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr…	312	44	$12,384.00	$6,192.00 50% off	$776.00	$44,552.97	$31,929.63	2026-05-24
61886	OTHER	Insertion Of Brain Neurostimulator Pulse Device With Connection To 2 Or More Ele…	312	44	$8,534.00	$4,267.00 50% off	$776.00	$44,552.97	$31,929.63	2026-05-24
987	OTHER	Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity	76	35	—	—	$18,406.60	$133,859.14	$31,810.53	2026-05-24
029	OTHER	Spinal Procedures With Complication Or Spinal Neurostimulators	76	35	—	—	$17,928.44	$135,900.70	$31,657.46	2026-05-24
274	OTHER	Percutaneous Intracardiac Procedures Without Comorbity	76	35	—	—	$26,820.62	$128,471.79	$31,584.75	2026-05-24
662	OTHER	Minor Bladder Procedures With Comorbity	76	35	—	—	$25,744.74	$118,795.18	$31,503.93	2026-05-24
242	OTHER	Permanent Cardiac Pacemaker Implant With Comorbity	76	35	—	—	$21,976.63	$136,967.07	$31,394.00	2026-05-24
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	76	35	—	—	$26,594.87	$107,374.32	$31,318.90	2026-05-24
321	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	76	35	—	—	$22,927.28	$113,958.86	$31,290.69	2026-05-24
33270	OTHER	Ins/rep Subq Defibrillator	36	18	$25,040.00	$12,520.00 50% off	$19,638.62	$45,319.89	$31,270.72	2026-05-24
654	OTHER	Major Bladder Procedures With Complication	76	35	—	—	$24,258.76	$108,519.98	$31,182.63	2026-05-24
33231	OTHER	Insrt Pulse Gen W/mult Leads	42	21	$25,628.00	$12,814.00 50% off	$776.00	$45,319.89	$31,119.66	2026-05-24
33264	OTHER	Rmvl & Rplcmt Dfb Gen Mlt Ld	42	21	$25,628.00	$12,814.00 50% off	$776.00	$45,319.89	$31,119.66	2026-05-24
510	OTHER	Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity	76	35	—	—	$23,995.21	$107,850.03	$31,082.44	2026-05-24
625	OTHER	Thyroid; Parathyroid & Thyroglossal Procedures With Comorbity	76	35	—	—	$24,966.19	$115,802.21	$31,077.10	2026-05-24
264	OTHER	Other Circulatory System O.r. Procedures	76	35	—	—	$15,482.62	$129,470.77	$31,010.53	2026-05-24
63685	OTHER	Ins/rplc Spi Npg/rcvr Pocket	42	21	$13,328.00	$6,664.00 50% off	$60.20	$44,552.97	$30,593.04	2026-05-24
037	OTHER	Extracranial Procedures With Comorbity	76	35	—	—	$21,323.20	$133,815.54	$30,568.57	2026-05-24
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	74	34	—	—	$22,060.01	$41,869.32	$30,425.04	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	74	34	—	—	$7,293.21	$53,810.73	$30,236.37	2026-05-24
579	OTHER	Other Skin; Subcut Tiss & Breast Proc With Comorbity	76	35	—	—	$18,724.24	$132,491.49	$30,080.15	2026-05-24
668	OTHER	Transurethral Procedures With Comorbity	76	35	—	—	$24,209.61	$111,711.16	$30,047.76	2026-05-24
840	OTHER	Lymphoma & Non-acute Leukemia With Comorbity	76	35	—	—	$23,042.42	$123,889.18	$30,047.35	2026-05-24
652	OTHER	Kidney Transplant	76	35	—	—	$18,318.11	$119,100.42	$29,998.15	2026-05-24
619	OTHER	O.r. Procedures For Obesity With Comorbity	76	35	—	—	$25,005.51	$102,613.32	$29,711.77	2026-05-24
013	OTHER	Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy Without Complicati…	76	35	—	—	$23,905.58	$106,466.52	$29,654.33	2026-05-24
656	OTHER	Kidney & Ureter Procedures For Neoplasm With Comorbity	76	35	—	—	$22,553.48	$124,380.74	$29,581.74	2026-05-24
791	OTHER	Prematurity With Major Problems	74	34	—	—	$11,898.97	$52,404.52	$29,533.26	2026-05-24
500	OTHER	Soft Tissue Procedures With Comorbity	76	35	—	—	$22,280.65	$128,551.08	$29,408.59	2026-05-24
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	76	35	—	—	$19,610.79	$125,022.94	$29,364.85	2026-05-24
464	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication	76	35	—	—	$17,627.81	$118,981.50	$28,952.10	2026-05-24
026	OTHER	Craniotomy & Endovascular Intracranial Procedures With Complication	76	35	—	—	$23,544.40	$117,066.79	$28,901.97	2026-05-24
614	OTHER	Adrenal & Pituitary Procedures With Complication/comorbity	76	35	—	—	$19,109.41	$89,289.64	$28,877.31	2026-05-24
503	OTHER	Foot Procedures With Comorbity	76	35	—	—	$23,098.91	$106,315.88	$28,721.18	2026-05-24
707	OTHER	Major Male Pelvic Procedures With Complication/comorbity	76	35	—	—	$16,876.70	$77,773.64	$28,493.70	2026-05-24
263	OTHER	Vein Ligation & Stripping	76	35	—	—	$20,257.13	$111,996.58	$28,429.97	2026-05-24
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…	76	35	—	—	$17,541.03	$131,999.93	$28,209.47	2026-05-24
584	OTHER	Breast Biopsy; Local Excision & Other Breast Procedures With Complication/comorb…	76	35	—	—	$16,083.21	$77,642.82	$28,136.94	2026-05-24
27702	OTHER	Reconstruction Of Ankle Joint With Prosthesis	180	42	$47,126.25	$23,563.12 50% off	$16,976.55	$39,176.66	$28,076.60	2026-05-24
498	OTHER	Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb…	76	35	—	—	$19,460.48	$103,505.26	$28,060.01	2026-05-24
33289	OTHER	Tcat Impl Wrls P-art Prs Snr	44	22	$16,784.00	$8,392.00 50% off	$255.81	$41,413.62	$28,023.22	2026-05-24
C9760	OTHER	Non-blind Interatrial Shunt	90	42	$79,756.00	$39,878.00 50% off	$16,924.00	$39,055.38	$27,989.69	2026-05-24
849	OTHER	Radiotherapy	76	35	—	—	$21,858.16	$106,692.48	$27,881.55	2026-05-24
783	OTHER	Cesarean Section With Sterilization With Comorbity	76	35	—	—	$6,586.47	$70,237.70	$27,636.88	2026-05-24
061	OTHER	Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	76	35	—	—	$23,467.26	$111,108.60	$27,635.74	2026-05-24
462	OTHER	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity	76	35	—	—	$23,078.01	$112,833.02	$27,597.36	2026-05-24
246	OTHER	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Comorbity Or…	34	15	—	—	$27,466.15	$27,466.15	$27,466.15	2026-05-24
472	OTHER	Cervical Spinal Fusion With Complication	76	35	—	—	$21,464.44	$117,157.97	$27,415.80	2026-05-24
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Complication/comor…	76	35	—	—	$17,009.55	$100,389.40	$27,397.59	2026-05-24
570	OTHER	Skin Debridement With Comorbity	76	35	—	—	$14,179.73	$115,841.85	$27,370.24	2026-05-24
294	OTHER	Deep Vein Thrombophlebitis With Complication/comorbity	36	16	—	—	$11,266.07	$43,356.46	$27,311.26	2026-05-24
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	76	35	—	—	$22,886.45	$95,315.22	$27,139.43	2026-05-24
480	OTHER	Hip & Femur Procedures Except Major Joint With Comorbity	76	35	—	—	$19,624.40	$116,900.29	$27,107.80	2026-05-24
22633	OTHER	Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc	36	18	$37,503.00	$18,751.50 50% off	$16,976.55	$39,176.66	$27,031.89	2026-05-24
22558	OTHER	Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc	36	18	$31,581.00	$15,790.50 50% off	$16,976.55	$39,176.66	$27,031.89	2026-05-24
353	OTHER	Hernia Procedures Except Inguinal & Femoral With Comorbity	76	35	—	—	$20,995.92	$115,925.10	$27,013.98	2026-05-24
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	76	35	—	—	$18,695.31	$118,696.08	$27,007.90	2026-05-24
406	OTHER	Pancreas; Liver & Shunt Procedures With Complication	76	35	—	—	$20,586.39	$114,462.31	$26,997.56	2026-05-24
397	OTHER	Appendix Procedures With Mcc	76	35	—	—	$16,992.54	$89,059.72	$26,976.08	2026-05-24
577	OTHER	Skin Graft Exc For Skin Ulcer Or Cellulitis With Complication	76	35	—	—	$22,384.51	$105,015.62	$26,911.00	2026-05-24
974	OTHER	HIV With Major Related Condition With Comorbity	76	35	—	—	$21,374.25	$115,615.89	$26,868.18	2026-05-24
344	OTHER	Minor Small & Large Bowel Procedures With Comorbity	76	35	—	—	$22,423.64	$108,634.94	$26,577.68	2026-05-24
240	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication	76	35	—	—	$16,966.45	$111,362.31	$26,544.69	2026-05-24
93654	OTHER	Compre Ep Eval Tx Vt	140	46	$23,472.00	$11,736.00 50% off	$767.69	$37,738.36	$26,542.65	2026-05-24
22630	OTHER	Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac…	44	22	$32,074.52	$16,037.26 50% off	$1,232.47	$39,176.66	$26,509.53	2026-05-24
835	OTHER	Acute Leukemia Without Major O.r. Procedure With Complication	76	35	—	—	$18,210.91	$88,619.69	$26,242.36	2026-05-24
800	OTHER	Splenectomy With Complication	76	35	—	—	$16,998.21	$111,699.26	$26,234.95	2026-05-24
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	76	35	—	—	$13,827.49	$98,478.66	$25,828.51	2026-05-24
350	OTHER	Inguinal & Femoral Hernia Procedures With Comorbity	76	35	—	—	$21,549.73	$95,140.80	$25,642.53	2026-05-24
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	76	35	—	—	$14,579.05	$107,184.04	$25,617.08	2026-05-24
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	76	35	—	—	$18,316.41	$105,828.28	$25,610.70	2026-05-24
545	OTHER	Connective Tissue Disorders With Comorbity	76	35	—	—	$21,566.69	$98,835.43	$25,538.33	2026-05-24
963	OTHER	Other Multiple Significant Trauma With Comorbity	76	35	—	—	$18,246.64	$108,393.12	$25,481.33	2026-05-24
949	OTHER	Aftercare With Complication/comorbity	76	35	—	—	$9,728.31	$41,073.08	$25,400.69	2026-05-24
288	OTHER	Acute & Subacute Endocarditis With Comorbity	76	35	—	—	$15,817.27	$102,791.71	$25,229.83	2026-05-24
93653	OTHER	Compre Ep Eval Tx Svt	50	25	$23,472.00	$11,736.00 50% off	$636.95	$37,738.36	$25,158.91	2026-05-24
93656	OTHER	Compre Ep Eval Abltj Atr Fib	50	25	$23,472.00	$11,736.00 50% off	$721.62	$37,738.36	$25,158.91	2026-05-24
255	OTHER	Upper Limb & Toe Amputation For Circ System Disorders With Comorbity	76	35	—	—	$16,141.15	$108,912.43	$25,149.64	2026-05-24
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	74	34	—	—	$21,062.35	$31,593.53	$25,101.24	2026-05-24
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Comorbity	76	35	—	—	$20,919.11	$88,243.09	$24,751.46	2026-05-24
253	OTHER	Other Vascular Procedures With Complication	76	35	—	—	$18,109.38	$101,130.71	$24,222.05	2026-05-24
113	OTHER	Orbital Procedures With Complication/comorbity	76	35	—	—	$19,259.78	$99,394.39	$24,194.38	2026-05-24
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity	76	35	—	—	$9,842.83	$96,885.05	$24,193.81	2026-05-24
333	OTHER	Rectal Resection With Complication	76	35	—	—	$18,813.40	$82,435.54	$24,102.20	2026-05-24
095	OTHER	Bacterial & Tuberculous Infections Of Nervous System With Complication	76	35	—	—	$13,762.26	$94,514.46	$24,072.62	2026-05-24
096	OTHER	Bacterial & Tuberculous Infections Of Nervous System Without Complication/comorb…	76	35	—	—	$9,871.19	$86,407.67	$24,072.62	2026-05-24
749	OTHER	Other Female Reproductive System O.r. Procedures With Complication/comorbity	76	35	—	—	$16,752.61	$99,786.84	$24,045.90	2026-05-24
272	OTHER	Other Major Cardiovascular Procedures Without Complication/comorbity	76	35	—	—	$20,172.33	$96,706.66	$24,045.22	2026-05-24
542	OTHER	Pathological Fractures & Musculoskelet & Conn Tiss Malig With Comorbity	76	35	—	—	$15,504.45	$72,295.12	$24,041.93	2026-05-24
709	OTHER	Penis Procedures With Complication/comorbity	76	35	—	—	$20,256.25	$84,041.04	$23,946.56	2026-05-24
659	OTHER	Kidney & Ureter Procedures For Non-neoplasm With Comorbity	76	35	—	—	$15,135.49	$102,629.17	$23,735.40	2026-05-24
493	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication	76	35	—	—	$16,256.30	$95,208.19	$23,679.90	2026-05-24
347	OTHER	Anal & Stomal Procedures With Comorbity	76	35	—	—	$19,989.23	$101,051.42	$23,623.26	2026-05-24
164	OTHER	Major Chest Procedures With Complication	76	35	—	—	$18,406.03	$101,102.96	$23,569.61	2026-05-24
027	OTHER	Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity	76	35	—	—	$17,925.60	$96,445.02	$23,559.60	2026-05-24
578	OTHER	Skin Graft Exc For Skin Ulcer Or Cellulitis Without Complication/comorbity	76	35	—	—	$14,012.95	$63,843.44	$23,361.47	2026-05-24
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	74	34	—	—	$19,492.24	$31,493.08	$23,117.44	2026-05-24
327	OTHER	Stomach; Esophageal & Duodenal Proc With Complication	76	35	—	—	$17,158.16	$99,001.93	$23,046.15	2026-05-24
821	OTHER	Lymphoma & Leukemia With Major O.r. Procedure With Complication	76	35	—	—	$18,937.29	$88,484.91	$23,036.12	2026-05-24
0409T	OTHER	Insj/rplc Car Modulj Pls Gn	86	41	$19,687.00	$9,843.50 50% off	$13,916.82	$32,115.74	$23,016.28	2026-05-24
0923T	OTHER	Rmvl&rplcmt Perm Ccm-d Pg	86	41	$18,864.00	$9,432.00 50% off	$13,916.82	$32,115.74	$23,016.28	2026-05-24
0414T	OTHER	Rmvl & Rpl Car Modulj Pls Gn	86	41	$19,687.00	$9,843.50 50% off	$13,916.82	$32,115.74	$23,016.28	2026-05-24
0916T	OTHER	Insj Perm Ccm-d Sys Pg Only	86	41	$18,864.00	$9,432.00 50% off	$13,916.82	$32,115.74	$23,016.28	2026-05-24
0614T	OTHER	Rmvl&rplcmt Ss Impl Dfb Pg	86	41	$19,687.00	$9,843.50 50% off	$13,916.82	$32,115.74	$23,016.28	2026-05-24
478	OTHER	Biopsies Of Musculoskeletal System & Connective Tissue With Complication	76	35	—	—	$13,649.96	$94,494.64	$22,979.17	2026-05-24
982	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication	76	35	—	—	$15,681.14	$98,550.01	$22,972.79	2026-05-24
867	OTHER	Other Infectious & Parasitic Diseases Diagnoses With Comorbity	76	35	—	—	$18,273.65	$82,942.96	$22,863.79	2026-05-24
407	OTHER	Pancreas; Liver & Shunt Procedures Without Complication/comorbity	76	35	—	—	$18,593.72	$85,269.94	$22,841.08	2026-05-24
473	OTHER	Cervical Spinal Fusion Without Complication/comorbity	76	35	—	—	$16,838.82	$97,543.11	$22,816.07	2026-05-24
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhal Inj	76	35	—	—	$17,049.80	$82,950.88	$22,748.23	2026-05-24
330	OTHER	Major Small & Large Bowel Procedures With Complication	76	35	—	—	$18,665.81	$94,034.79	$22,518.85	2026-05-24
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Complication	76	35	—	—	$19,076.35	$82,744.75	$22,514.44	2026-05-24
409	OTHER	Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Complicatio…	76	35	—	—	$18,578.78	$77,591.29	$22,405.57	2026-05-24
655	OTHER	Major Bladder Procedures Without Complication/comorbity	76	35	—	—	$18,278.25	$83,557.41	$22,364.82	2026-05-24
035	OTHER	Carotid Artery Stent Procedure With Complication	76	35	—	—	$14,924.48	$91,156.78	$22,353.17	2026-05-24
135	OTHER	Sinus & Mastoid Procedures With Complication/comorbity	76	35	—	—	$18,809.88	$105,134.55	$22,330.76	2026-05-24
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Comorbity	76	35	—	—	$13,885.92	$91,882.23	$22,315.79	2026-05-24
715	OTHER	Other Male Reproductive System O.r. Proc For Malignancy With Complication/comorb…	76	35	—	—	$17,740.48	$87,509.72	$22,300.03	2026-05-24
33263	OTHER	Rmvl & Rplcmt Dfb Gen 2 Lead	42	21	$19,687.00	$9,843.50 50% off	$776.00	$32,115.74	$22,052.80	2026-05-24
33240	OTHER	Insrt Pulse Gen W/singl Lead	42	21	$19,687.00	$9,843.50 50% off	$776.00	$32,115.74	$22,052.80	2026-05-24
33230	OTHER	Insrt Pulse Gen W/dual Leads	42	21	$18,283.00	$9,141.50 50% off	$776.00	$32,115.74	$22,052.80	2026-05-24
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	42	21	$19,687.00	$9,843.50 50% off	$776.00	$32,115.74	$22,052.80	2026-05-24

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