Hospital

PRINCETON COMMUNITY HOSPITAL ASSN INC

Princeton, WV · CCN 510046 · Rates published

4,874 distinct procedures filed

26 distinct payers

247,595 rate rows

2026-05-26 last MRF observed

Data quality

200,102 of 247,595 rate rows are consumer-grade (80.8%)

47,493 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	47,038
exceeds 10× this hospital's gross charge — excluded from medians	225
per-diem day rate — not a per-procedure price	170
placeholder amount (≤ $0.02) — excluded from medians	60

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

Source MRF file	https://wvumedicine.org/wp-content/uploads/2026/03/550483245_Princeton-Community-Hospital-Assn-Inc._standardcharges.csv
Found on page	https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-18
Content fingerprint	f023e280ee1ad6fb… · 41,628,370 bytes · first seen 2026-05-13

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	26	$323,617.41	$913,666.41	$447,517.02	nat. median $424,868 1.1× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	$161,982.63	$632,752.31	$221,565.49	nat. median $263,894 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	26	$160,003.37	$615,475.64	$214,318.47	nat. median $146,562 1.5× median
J9029 OTHER	Instill Adstiladrin, Tx Dose	24	$64,274.79	$346,833.19	$205,553.99	nat. median $66,509 outlier · 3.1×
003 OTHER	Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r.	26	$115,518.81	$497,829.00	$168,608.23	nat. median $218,232 0.8× median
J9226 OTHER	Supprelin La Implant	24	$43,185.34	$233,032.41	$138,108.88	nat. median $45,345 outlier · 3.0×
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	26	$81,491.89	$251,495.84	$112,693.22	nat. median $90,581 1.2× median
004 OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	26	$74,643.83	$343,245.00	$110,032.40	nat. median $150,232 0.7× median
007 OTHER	Lung Transplant	26	$74,854.23	$286,420.44	$102,873.48	nat. median $141,082 0.7× median
0408T OTHER	Insj/rplc Cardiac Modulj Sys	20	$32,089.77	$173,159.61	$102,624.69	nat. median $31,782 outlier · 3.2×
014 OTHER	Allogeneic Bone Marrow Transplant	26	$69,465.38	$267,612.02	$95,467.51	nat. median $105,808 0.9× median
215 OTHER	Other Heart Assist System Implant	26	$74,619.03	$238,515.58	$91,930.25	nat. median $92,359 1.0× median
209 OTHER	Complex Aortic Arch Procedures	17	$84,824.53	$239,486.32	$91,186.37	nat. median $23,389 outlier · 3.9×
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	25	$65,499.62	$285,899.74	$89,592.66	nat. median $117,167 0.8× median
426 OTHER	Non-hypovolemic Sodium Disorders	17	$82,594.28	$233,190.59	$88,788.86	nat. median $80,273 1.1× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	26	$59,596.34	$241,672.50	$81,904.29	nat. median $104,489 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	$68,312.24	$226,618.75	$79,875.96	nat. median $90,130 0.9× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	26	$58,969.80	$197,363.54	$75,228.38	nat. median $82,426 0.9× median
0409T OTHER	Insj/rplc Car Modulj Pls Gn	20	$22,740.26	$122,708.72	$72,724.49	nat. median $23,016 outlier · 3.2×
0414T OTHER	Rmvl & Rpl Car Modulj Pls Gn	20	$22,740.26	$122,708.72	$72,724.49	nat. median $22,811 outlier · 3.2×
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	17	$67,519.09	$190,625.74	$72,583.02	nat. median $62,997 1.2× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	26	$45,927.01	$145,846.43	$70,096.33	nat. median $58,866 1.2× median
850 OTHER	Acute Leukemia With Other Procedures	17	$64,895.39	$183,220.29	$69,762.54	nat. median $407 outlier · 171.3×
231 OTHER	Coronary Bypass With Ptca With Mcc	26	$58,428.75	$189,489.92	$68,319.41	nat. median $74,989 0.9× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	26	$49,097.04	$145,192.63	$67,894.57	nat. median $54,881 1.2× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	26	$48,051.63	$196,826.49	$66,754.72	nat. median $76,493 0.9× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	$56,628.81	$180,056.52	$65,905.39	nat. median $72,612 0.9× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	26	$45,873.80	$160,475.21	$63,437.91	nat. median $64,729 1.0× median
955 OTHER	Craniotomy For Multiple Significant Trauma	26	$50,443.73	$142,206.17	$62,822.39	nat. median $62,467 1.0× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	26	$43,951.56	$141,190.44	$60,779.39	nat. median $45,972 1.3× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	26	$51,297.76	$182,120.66	$60,731.77	nat. median $68,249 0.9× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	26	$43,348.89	$168,878.88	$60,530.79	nat. median $68,309 0.9× median
011 OTHER	Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity	26	$40,873.72	$123,526.23	$60,503.58	nat. median $56,278 1.1× median
36836 OTHER	Percutaneous Arteriovenous Fistula Creation; Upper Extremity; Single Access Of B…	23	$18,740.98	$101,128.20	$59,934.59	nat. median $16,121 outlier · 3.7×
C9607 OTHER	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion; Coronary…	23	$18,740.98	$101,128.20	$59,934.59	nat. median $18,763 outlier · 3.2×
C9797 OTHER	Vasc Emb/occ W/prs Cath	23	$18,740.98	$101,128.20	$59,934.59	nat. median $18,561 outlier · 3.2×
278 OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures…	26	$41,713.81	$117,771.62	$57,684.95	nat. median $1,931 outlier · 29.9×
23472 OTHER	Prosthetic Repair Of Shoulder Joint; Total Shoulder	23	$17,925.33	$96,726.87	$57,326.10	nat. median $17,032 outlier · 3.4×
461 OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	26	$41,390.06	$159,211.98	$57,236.93	nat. median $53,999 1.1× median
010 OTHER	Pancreas Transplant	26	$41,476.69	$112,397.56	$57,002.15	nat. median $67,882 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	26	$44,470.82	$161,575.00	$56,978.32	nat. median $46,003 1.2× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	26	$41,239.13	$186,648.22	$56,675.66	nat. median $67,495 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	26	$46,310.06	$164,285.93	$56,642.30	nat. median $29,655 1.9× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	$47,318.12	$148,629.76	$55,069.49	nat. median $60,727 0.9× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	26	$41,126.99	$162,630.42	$54,905.80	nat. median $54,603 1.0× median
021 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	26	$39,672.42	$143,401.69	$54,862.29	nat. median $58,177 0.9× median
234 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	26	$40,938.17	$121,370.96	$54,860.95	nat. median $50,947 1.1× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	26	$38,750.77	$160,057.24	$54,636.48	nat. median $67,670 0.8× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	$42,071.47	$99,965.31	$54,097.12	nat. median $51,811 1.0× median
220 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	$39,964.69	$122,461.41	$53,995.18	nat. median $50,021 1.1× median

Other procedures at this hospital

Browse this hospital's 4,874 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	29	26	—	—	$323,617.41	$913,666.41	$447,517.02	2026-05-26
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	25	—	—	$161,982.63	$632,752.31	$221,565.49	2026-05-26
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	26	—	—	$160,003.37	$615,475.64	$214,318.47	2026-05-26
J9029	OTHER	Instill Adstiladrin, Tx Dose	27	24	$161,490.00	$80,745.00 50% off	$64,274.79	$346,833.19	$205,553.99	2026-05-26
003	OTHER	Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r.	29	26	—	—	$115,518.81	$497,829.00	$168,608.23	2026-05-26
J9226	OTHER	Supprelin La Implant	27	24	$150,543.00	$75,271.50 50% off	$43,185.34	$233,032.41	$138,108.88	2026-05-26
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	29	26	—	—	$81,491.89	$251,495.84	$112,693.22	2026-05-26
004	OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	29	26	—	—	$74,643.83	$343,245.00	$110,032.40	2026-05-26
007	OTHER	Lung Transplant	29	26	—	—	$74,854.23	$286,420.44	$102,873.48	2026-05-26
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	22	20	$19,959.00	$9,979.50 50% off	$32,089.77	$173,159.61	$102,624.69	2026-05-26
014	OTHER	Allogeneic Bone Marrow Transplant	29	26	—	—	$69,465.38	$267,612.02	$95,467.51	2026-05-26
215	OTHER	Other Heart Assist System Implant	29	26	—	—	$74,619.03	$238,515.58	$91,930.25	2026-05-26
209	OTHER	Complex Aortic Arch Procedures	18	17	—	—	$84,824.53	$239,486.32	$91,186.37	2026-05-26
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	28	25	—	—	$65,499.62	$285,899.74	$89,592.66	2026-05-26
426	OTHER	Non-hypovolemic Sodium Disorders	18	17	—	—	$82,594.28	$233,190.59	$88,788.86	2026-05-26
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	29	26	—	—	$59,596.34	$241,672.50	$81,904.29	2026-05-26
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	26	—	—	$68,312.24	$226,618.75	$79,875.96	2026-05-26
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	29	26	—	—	$58,969.80	$197,363.54	$75,228.38	2026-05-26
0409T	OTHER	Insj/rplc Car Modulj Pls Gn	22	20	$15,332.00	$7,666.00 50% off	$22,740.26	$122,708.72	$72,724.49	2026-05-26
0414T	OTHER	Rmvl & Rpl Car Modulj Pls Gn	22	20	$15,332.00	$7,666.00 50% off	$22,740.26	$122,708.72	$72,724.49	2026-05-26
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	18	17	—	—	$67,519.09	$190,625.74	$72,583.02	2026-05-26
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	29	26	—	—	$45,927.01	$145,846.43	$70,096.33	2026-05-26
850	OTHER	Acute Leukemia With Other Procedures	18	17	—	—	$64,895.39	$183,220.29	$69,762.54	2026-05-26
231	OTHER	Coronary Bypass With Ptca With Mcc	29	26	—	—	$58,428.75	$189,489.92	$68,319.41	2026-05-26
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	29	26	—	—	$49,097.04	$145,192.63	$67,894.57	2026-05-26
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	29	26	—	—	$48,051.63	$196,826.49	$66,754.72	2026-05-26
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	26	—	—	$56,628.81	$180,056.52	$65,905.39	2026-05-26
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	29	26	—	—	$45,873.80	$160,475.21	$63,437.91	2026-05-26
955	OTHER	Craniotomy For Multiple Significant Trauma	29	26	—	—	$50,443.73	$142,206.17	$62,822.39	2026-05-26
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	29	26	—	—	$43,951.56	$141,190.44	$60,779.39	2026-05-26
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	29	26	—	—	$51,297.76	$182,120.66	$60,731.77	2026-05-26
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	29	26	—	—	$43,348.89	$168,878.88	$60,530.79	2026-05-26
011	OTHER	Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity	29	26	—	—	$40,873.72	$123,526.23	$60,503.58	2026-05-26
C9797	OTHER	Vasc Emb/occ W/prs Cath	26	23	$19,806.00	$9,903.00 50% off	$18,740.98	$101,128.20	$59,934.59	2026-05-26
C9607	OTHER	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion; Coronary…	78	23	$79,514.00	$39,757.00 50% off	$18,740.98	$101,128.20	$59,934.59	2026-05-26
36836	OTHER	Percutaneous Arteriovenous Fistula Creation; Upper Extremity; Single Access Of B…	26	23	$16,876.00	$8,438.00 50% off	$18,740.98	$101,128.20	$59,934.59	2026-05-26
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	29	26	—	—	$41,713.81	$117,771.62	$57,684.95	2026-05-26
23472	OTHER	Prosthetic Repair Of Shoulder Joint; Total Shoulder	52	23	$31,560.50	$15,780.25 50% off	$17,925.33	$96,726.87	$57,326.10	2026-05-26
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	29	26	—	—	$41,390.06	$159,211.98	$57,236.93	2026-05-26
010	OTHER	Pancreas Transplant	29	26	—	—	$41,476.69	$112,397.56	$57,002.15	2026-05-26
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	29	26	—	—	$44,470.82	$161,575.00	$56,978.32	2026-05-26
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	29	26	—	—	$41,239.13	$186,648.22	$56,675.66	2026-05-26
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	29	26	—	—	$46,310.06	$164,285.93	$56,642.30	2026-05-26
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	26	—	—	$47,318.12	$148,629.76	$55,069.49	2026-05-26
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	29	26	—	—	$41,126.99	$162,630.42	$54,905.80	2026-05-26
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	29	26	—	—	$39,672.42	$143,401.69	$54,862.29	2026-05-26
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	29	26	—	—	$40,938.17	$121,370.96	$54,860.95	2026-05-26
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	29	26	—	—	$38,750.77	$160,057.24	$54,636.48	2026-05-26
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	17	—	—	$42,071.47	$99,965.31	$54,097.12	2026-05-26
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	26	—	—	$39,964.69	$122,461.41	$53,995.18	2026-05-26
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	18	17	—	—	$50,109.48	$130,023.85	$53,867.69	2026-05-26
653	OTHER	Major Bladder Procedures With Mcc	29	26	—	—	$38,942.49	$126,407.56	$53,851.89	2026-05-26
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	18	17	—	—	$50,072.75	$141,371.00	$53,828.21	2026-05-26
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	26	—	—	$33,939.37	$133,017.94	$52,232.71	2026-05-26
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	29	26	—	—	$44,372.55	$141,858.26	$51,641.39	2026-05-26
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	29	26	—	—	$38,033.45	$161,301.80	$51,115.80	2026-05-26
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	29	26	—	—	$36,730.22	$132,700.38	$50,793.11	2026-05-26
826	OTHER	Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity	29	26	—	—	$35,056.03	$102,478.48	$48,478.34	2026-05-26
232	OTHER	Coronary Bypass With Ptca Without Mcc	29	26	—	—	$34,643.39	$138,899.81	$48,159.93	2026-05-26
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	29	26	—	—	$40,900.41	$137,312.01	$47,823.92	2026-05-26
028	OTHER	Spinal Procedures With Mcc	29	26	—	—	$32,453.86	$140,709.43	$47,728.57	2026-05-26
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	29	26	—	—	$30,374.16	$145,008.17	$47,715.08	2026-05-26
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	29	26	—	—	$34,359.06	$105,119.37	$47,513.69	2026-05-26
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	29	26	—	—	$32,430.09	$96,945.17	$47,484.09	2026-05-26
245	OTHER	Aicd Generator Procedures	29	26	—	—	$34,191.20	$105,808.19	$47,281.60	2026-05-26
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	29	26	—	—	$34,274.61	$144,232.95	$47,104.21	2026-05-26
270	OTHER	Other Major Cardiovascular Procedures With Comorbity	29	26	—	—	$39,541.27	$118,078.61	$46,828.20	2026-05-26
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	18	17	—	—	$42,768.24	$120,747.81	$45,975.85	2026-05-26
C9606	OTHER	Perc D-e Cor Revasc W Ami S	26	23	$85,806.00	$42,903.00 50% off	$14,238.21	$76,830.80	$45,534.50	2026-05-26
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	29	26	—	—	$38,797.59	$132,366.48	$45,520.23	2026-05-26
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	18	17	—	—	$41,232.77	$97,972.49	$45,380.35	2026-05-26
463	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity	29	26	—	—	$31,809.38	$132,247.40	$45,275.56	2026-05-26
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	20	19	—	—	$6,155.29	$140,102.34	$44,541.35	2026-05-26
008	OTHER	Simultaneous Pancreas And Kidney Transplant	29	26	—	—	$32,395.48	$122,860.70	$44,521.67	2026-05-26
834	OTHER	Acute Leukemia With Mcc	29	26	—	—	$34,834.13	$130,736.65	$43,610.54	2026-05-26
901	OTHER	Wound Debridements For Injuries With Mcc	29	26	—	—	$31,449.84	$101,054.13	$43,490.92	2026-05-26
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	29	26	—	—	$33,801.22	$128,546.42	$43,456.43	2026-05-26
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	29	26	—	—	$31,391.40	$94,362.02	$43,415.58	2026-05-26
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	29	26	—	—	$31,399.56	$144,232.95	$43,152.98	2026-05-26
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	29	26	—	—	$31,123.12	$91,319.52	$43,038.87	2026-05-26
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	18	17	—	—	$39,940.71	$112,765.53	$42,936.26	2026-05-26
229	OTHER	Other Cardiothoracic Procedures Without Mcc	29	26	—	—	$23,602.75	$87,329.90	$42,774.49	2026-05-26
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	17	—	—	$32,655.59	$77,592.40	$42,131.99	2026-05-26
23615	OTHER	Treatment Of Broken Top Of Upper Arm Bone	26	23	$39,577.00	$19,788.50 50% off	$13,125.37	$70,825.81	$41,975.59	2026-05-26
28297	OTHER	Correction Of Bunion With Midfoot And Hindfoot Bone Fusion	121	24	$22,028.00	$11,014.00 50% off	$205.80	$70,825.81	$41,975.59	2026-05-26
27130	OTHER	Replacement Of Thigh Bone And Hip Joint With Prosthesis	95	24	$17,567.34	$8,783.67 50% off	$776.00	$70,825.81	$41,975.59	2026-05-26
27447	OTHER	Replacement Of Knee Joint; Both Sides Of Knee	121	24	$24,713.00	$12,356.50 50% off	$205.80	$70,825.81	$41,975.59	2026-05-26
27758	OTHER	Treatment Broken Middle Part Of Shin Bone With Plate Or Screws	26	23	$21,867.00	$10,933.50 50% off	$13,125.37	$70,825.81	$41,975.59	2026-05-26
69714	OTHER	Implantation Of Cochlear Stimulating System Into Skull With Attachment Through S…	26	23	$27,051.00	$13,525.50 50% off	$13,125.37	$70,825.81	$41,975.59	2026-05-26
69716	OTHER	Implantation Of Cochlear Stimulating System Into Skull With Magnetic Attachment …	52	23	$24,338.50	$12,169.25 50% off	$13,125.37	$70,825.81	$41,975.59	2026-05-26
29867	OTHER	Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope	26	23	$27,683.00	$13,841.50 50% off	$13,125.37	$70,825.81	$41,975.59	2026-05-26
0627T	OTHER	Perq Njx Algc Fluor Lmbr 1st	22	20	$15,184.00	$7,592.00 50% off	$13,125.37	$70,825.81	$41,975.59	2026-05-26
466	OTHER	Revision Of Hip Or Knee Replacement With Comorbity	29	26	—	—	$32,648.66	$121,107.11	$41,350.54	2026-05-26
802	OTHER	Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity	29	26	—	—	$29,857.36	$84,297.40	$41,289.16	2026-05-26
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	29	26	—	—	$31,595.25	$93,514.42	$40,773.20	2026-05-26
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	29	26	—	—	$29,183.63	$82,393.85	$40,356.80	2026-05-26
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	26	—	—	$33,276.96	$108,544.81	$40,038.22	2026-05-26
956	OTHER	Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma	29	26	—	—	$28,200.40	$90,555.97	$39,851.60	2026-05-26
326	OTHER	Stomach; Esophageal & Duodenal Proc With Comorbity	29	26	—	—	$28,860.34	$118,594.65	$39,618.78	2026-05-26
228	OTHER	Other Cardiothoracic Procedures With Comorbity	29	26	—	—	$33,856.71	$117,653.64	$39,587.88	2026-05-26
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	29	26	—	—	$33,445.54	$101,850.37	$39,338.33	2026-05-26
853	OTHER	Infectious & Parasitic Diseases With O.r. Procedure With Comorbity	29	26	—	—	$33,353.26	$116,733.66	$39,231.14	2026-05-26
239	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity	29	26	—	—	$29,300.79	$112,238.78	$39,096.88	2026-05-26
335	OTHER	Peritoneal Adhesiolysis With Comorbity	29	26	—	—	$26,760.77	$83,476.25	$38,807.56	2026-05-26
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	29	26	—	—	$28,007.80	$85,269.53	$38,730.20	2026-05-26
471	OTHER	Cervical Spinal Fusion With Mcc	29	26	—	—	$28,337.23	$114,858.65	$38,358.11	2026-05-26
904	OTHER	Skin Grafts For Injuries With Cc/mcc	29	26	—	—	$27,526.68	$77,716.00	$38,065.57	2026-05-26
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	29	26	—	—	$26,466.77	$113,952.67	$37,818.72	2026-05-26
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	29	26	—	—	$11,497.89	$111,066.61	$37,804.24	2026-05-26
0913T	OTHER	Prq Tcat Ther Rx Ntrac Balo1	22	20	$8,627.00	$4,313.50 50% off	$11,801.97	$63,684.61	$37,743.29	2026-05-26
C9600	OTHER	Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s); Wit…	182	23	$50,072.00	$25,036.00 50% off	$11,801.97	$63,684.61	$37,743.29	2026-05-26
92928	OTHER	Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch; Single A…	121	24	$50,072.00	$25,036.00 50% off	$450.63	$63,684.61	$37,743.29	2026-05-26
C9604	OTHER	Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…	78	23	$50,072.00	$25,036.00 50% off	$11,801.97	$63,684.61	$37,743.29	2026-05-26
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	29	26	—	—	$27,192.44	$76,773.84	$37,604.10	2026-05-26
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	29	26	—	—	$27,171.46	$83,621.02	$37,574.50	2026-05-26
332	OTHER	Rectal Resection With Mcc	29	26	—	—	$27,133.99	$84,704.46	$37,522.70	2026-05-26
265	OTHER	Aicd Lead Procedures	29	26	—	—	$27,115.25	$82,521.23	$37,495.79	2026-05-26
140	OTHER	Major Head And Neck Procedures With Mcc	29	26	—	—	$31,964.70	$88,218.63	$37,445.34	2026-05-26
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Comorbity	29	26	—	—	$24,376.89	$77,409.92	$37,408.34	2026-05-26
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	29	26	—	—	$27,174.84	$105,016.62	$37,346.86	2026-05-26
981	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity	29	26	—	—	$31,669.50	$110,688.34	$37,270.60	2026-05-26
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	29	26	—	—	$31,786.83	$103,113.60	$37,140.17	2026-05-26
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	29	26	—	—	$26,849.97	$84,440.60	$37,129.17	2026-05-26
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	29	26	—	—	$31,269.99	$105,798.85	$37,041.05	2026-05-26
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	29	26	—	—	$26,721.06	$86,913.37	$36,952.25	2026-05-26
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity	29	26	—	—	$26,698.59	$82,313.42	$36,920.63	2026-05-26
006	OTHER	Liver Transplant Without Mcc	29	26	—	—	$26,802.60	$112,941.62	$36,835.30	2026-05-26
277	OTHER	Cardiac Defibrillator Implant Without Mcc	29	26	—	—	$28,977.68	$111,669.04	$36,688.32	2026-05-26
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	29	26	—	—	$25,415.36	$105,467.28	$36,513.57	2026-05-26
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity	29	26	—	—	$22,153.62	$103,403.14	$36,133.85	2026-05-26
799	OTHER	Splenic Procedures With Mcc	29	26	—	—	$24,443.72	$115,689.91	$35,976.58	2026-05-26
163	OTHER	Major Chest Procedures With Comorbity	29	26	—	—	$25,336.18	$110,062.56	$35,602.41	2026-05-26
031	OTHER	Ventricular Shunt Procedures With Mcc	29	26	—	—	$19,332.90	$96,122.61	$35,592.09	2026-05-26
420	OTHER	Hepatobiliary Diagnostic Procedures With Comorbity	29	26	—	—	$25,533.23	$74,738.68	$35,309.51	2026-05-26
356	OTHER	Other Digestive System O.r. Procedures With Comorbity	29	26	—	—	$25,693.39	$99,907.64	$34,895.41	2026-05-26
43889	OTHER	Gstr Rstcv Px Trnsorl Esg	26	23	$21,044.00	$10,522.00 50% off	$10,867.19	$58,640.44	$34,753.82	2026-05-26
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	29	26	—	—	$29,508.87	$90,994.95	$34,342.83	2026-05-26
33228	OTHER	Removal And Replacement Of Dual Lead Permanent Pacemaker	93	24	$6,414.00	$3,207.00 50% off	$205.80	$57,659.38	$34,172.38	2026-05-26
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	29	26	—	—	$25,368.54	$100,470.38	$34,101.82	2026-05-26
271	OTHER	Other Major Cardiovascular Procedures With Cc	29	26	—	—	$26,651.36	$80,702.27	$33,719.91	2026-05-26
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity	29	26	—	—	$26,837.28	$97,103.31	$33,548.15	2026-05-26
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Complication	29	26	—	—	$24,165.69	$94,446.08	$33,474.28	2026-05-26
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	29	26	—	—	$24,184.30	$76,914.90	$33,443.43	2026-05-26
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	29	26	—	—	$24,137.08	$75,081.92	$33,378.18	2026-05-26
673	OTHER	Other Kidney & Urinary Tract Procedures With Comorbity	29	26	—	—	$24,036.22	$86,348.30	$33,376.57	2026-05-26
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	29	26	—	—	$24,059.15	$67,926.31	$33,270.54	2026-05-26
411	OTHER	Cholecystectomy With C.d.e. With Mcc	29	26	—	—	$24,755.35	$67,699.70	$33,159.55	2026-05-26
33270	OTHER	Ins/rep Subq Defibrillator	16	16	$20,964.00	$10,482.00 50% off	$205.80	$173,159.61	$32,731.57	2026-05-26
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	29	26	—	—	$23,883.04	$73,821.03	$32,721.62	2026-05-26
252	OTHER	Other Vascular Procedures With Comorbity	29	26	—	—	$26,141.76	$78,311.23	$32,544.03	2026-05-26
665	OTHER	Prostatectomy With Mcc	29	26	—	—	$23,390.68	$72,130.48	$32,346.92	2026-05-26
33264	OTHER	Removal And Replacement Of Multiple Lead Defibrillator	15	15	$10,214.00	$5,107.00 50% off	$205.80	$34,977.85	$32,089.77	2026-05-26
33249	OTHER	Insertion Of Implantable Defibrillator System	17	17	$23,293.00	$11,646.50 50% off	$205.80	$173,159.61	$32,089.77	2026-05-26
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	29	26	—	—	$23,811.84	$81,180.95	$31,895.54	2026-05-26
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	29	26	—	—	$24,668.41	$75,672.68	$31,808.76	2026-05-26
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	18	17	—	—	$26,946.53	$64,027.19	$31,781.11	2026-05-26
662	OTHER	Minor Bladder Procedures With Mcc	29	26	—	—	$22,943.27	$69,972.95	$31,727.36	2026-05-26
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	19	18	—	—	$28,964.05	$82,902.74	$31,570.81	2026-05-26
63685	OTHER	Ins/rplc Spi Npg/rcvr Pocket	16	16	$11,995.00	$5,997.50 50% off	$60.20	$34,385.95	$31,546.74	2026-05-26
258	OTHER	Cardiac Pacemaker Device Replacement With Comorbity	29	26	—	—	$23,547.30	$64,395.26	$31,541.03	2026-05-26
654	OTHER	Major Bladder Procedures With Complication	29	26	—	—	$20,978.32	$64,115.09	$31,403.79	2026-05-26
510	OTHER	Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity	29	26	—	—	$22,636.01	$63,909.07	$31,302.89	2026-05-26
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	29	26	—	—	$22,633.02	$68,210.02	$31,297.51	2026-05-26
793	OTHER	Full Term Neonate With Major Problems	20	19	—	—	$2,429.40	$98,287.15	$31,247.52	2026-05-26
324	OTHER	Non-elective Or Complex Hip Joint Replacement	29	26	—	—	$23,613.99	$69,316.81	$31,150.86	2026-05-26
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	29	26	—	—	$23,083.07	$88,468.48	$31,075.26	2026-05-26
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	29	26	—	—	$22,305.52	$71,801.25	$30,846.80	2026-05-26
034	OTHER	Carotid Artery Stent Procedures With Mcc	29	26	—	—	$20,507.43	$91,097.69	$30,747.96	2026-05-26
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	29	26	—	—	$17,657.81	$89,909.17	$30,672.51	2026-05-26
907	OTHER	Other O.r. Procedures For Injuries With Comorbity	29	26	—	—	$18,958.35	$86,850.32	$30,498.54	2026-05-26
791	OTHER	Prematurity With Major Problems	20	19	—	—	$3,147.88	$95,681.30	$30,418.67	2026-05-26
668	OTHER	Transurethral Procedures With Mcc	29	26	—	—	$21,882.85	$65,800.30	$30,260.87	2026-05-26
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	18	17	—	—	$25,114.80	$59,674.84	$30,130.14	2026-05-26
619	OTHER	O.r. Procedures For Obesity With Mcc	29	26	—	—	$21,638.54	$61,090.83	$29,922.50	2026-05-26
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	29	26	—	—	$21,596.57	$62,711.10	$29,864.65	2026-05-26
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	29	26	—	—	$22,187.72	$77,652.76	$29,762.16	2026-05-26
166	OTHER	Other Resp System O.r. Procedures With Comorbity	29	26	—	—	$20,099.93	$94,749.63	$29,691.45	2026-05-26
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	29	26	—	—	$14,990.51	$60,443.95	$29,605.66	2026-05-26
628	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity	29	26	—	—	$16,316.81	$93,738.58	$29,604.85	2026-05-26
614	OTHER	Adrenal & Pituitary Procedures With Complication/comorbity	29	26	—	—	$16,425.62	$60,240.68	$29,506.10	2026-05-26
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	29	26	—	—	$21,420.12	$80,753.64	$29,438.04	2026-05-26
949	OTHER	Aftercare With Complication/comorbity	29	26	—	—	$8,915.76	$60,795.54	$29,358.45	2026-05-26
492	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity	29	26	—	—	$20,841.52	$80,840.04	$29,166.37	2026-05-26
503	OTHER	Foot Procedures With Mcc	29	26	—	—	$20,916.87	$62,622.36	$28,924.88	2026-05-26
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	29	26	—	—	$24,676.66	$84,590.04	$28,748.58	2026-05-26
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	29	26	—	—	$19,368.74	$84,921.62	$28,691.33	2026-05-26
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	29	26	—	—	$24,536.78	$81,405.10	$28,690.30	2026-05-26
584	OTHER	Breast Biopsy; Local Excision & Other Breast Procedures With Complication/comorb…	29	26	—	—	$16,042.67	$58,519.80	$28,663.20	2026-05-26
279	OTHER	Hepatic Coma And Other Major Acute Liver Disorders	29	26	—	—	$21,023.02	$74,734.01	$28,648.43	2026-05-26
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	29	26	—	—	$22,780.19	$90,766.12	$28,395.03	2026-05-26
622	OTHER	Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity	29	26	—	—	$16,610.45	$89,327.76	$28,273.49	2026-05-26
849	OTHER	Radiotherapy	29	26	—	—	$20,305.34	$62,844.19	$28,079.30	2026-05-26
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	29	26	—	—	$23,300.75	$68,954.88	$27,923.23	2026-05-26
061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	29	26	—	—	$20,662.05	$65,445.38	$27,831.74	2026-05-26
616	OTHER	Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity	29	26	—	—	$19,984.33	$92,412.30	$27,703.12	2026-05-26
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	18	17	—	—	$25,769.29	$66,166.97	$27,581.26	2026-05-26
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	29	26	—	—	$17,547.99	$79,525.43	$27,576.02	2026-05-26
462	OTHER	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity	29	26	—	—	$19,934.38	$66,461.10	$27,566.02	2026-05-26
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	29	26	—	—	$19,212.10	$78,666.15	$27,442.56	2026-05-26
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	29	26	—	—	$19,765.01	$56,142.74	$27,331.92	2026-05-26
840	OTHER	Lymphoma & Non-acute Leukemia With Comorbity	29	26	—	—	$23,481.32	$72,973.42	$27,327.89	2026-05-26
987	OTHER	Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity	29	26	—	—	$18,757.20	$78,845.95	$27,234.43	2026-05-26
321	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	29	26	—	—	$20,390.02	$67,124.25	$27,191.33	2026-05-26
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	29	26	—	—	$19,864.67	$61,856.48	$27,101.86	2026-05-26
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	29	26	—	—	$18,269.93	$80,048.47	$27,101.00	2026-05-26
0411T	OTHER	Insj/rplc Car Modulj Vnt Elt	22	20	$5,761.00	$2,880.50 50% off	$8,460.18	$45,651.98	$27,056.08	2026-05-26
33227	OTHER	Removal And Replacement Of Single Lead Permanent Pacemaker	52	23	$6,267.50	$3,133.75 50% off	$8,460.18	$45,651.98	$27,056.08	2026-05-26
0410T	OTHER	Insj/rplc Car Modulj Atr Elt	22	20	$5,761.00	$2,880.50 50% off	$8,460.18	$45,651.98	$27,056.08	2026-05-26
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	29	26	—	—	$19,355.83	$63,988.34	$26,766.18	2026-05-26
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	29	26	—	—	$22,983.07	$73,262.96	$26,748.02	2026-05-26
93653	OTHER	Compre Ep Eval Tx Svt	17	17	$25,484.00	$12,742.00 50% off	$636.95	$144,191.89	$26,721.50	2026-05-26
263	OTHER	Vein Ligation & Stripping	29	26	—	—	$22,802.73	$65,968.42	$26,538.13	2026-05-26
264	OTHER	Other Circulatory System O.r. Procedures	29	26	—	—	$15,777.52	$76,261.10	$26,536.96	2026-05-26
835	OTHER	Acute Leukemia Without Major O.r. Procedure With Complication	29	26	—	—	$15,631.26	$53,957.32	$26,428.48	2026-05-26
500	OTHER	Soft Tissue Procedures With Mcc	29	26	—	—	$22,705.05	$75,719.38	$26,424.45	2026-05-26
037	OTHER	Extracranial Procedures With Mcc	29	26	—	—	$21,729.36	$78,820.26	$26,151.69	2026-05-26
242	OTHER	Permanent Cardiac Pacemaker Implant With Comorbity	29	26	—	—	$22,395.23	$80,676.58	$26,080.70	2026-05-26
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	29	26	—	—	$18,674.62	$56,040.00	$25,824.40	2026-05-26
579	OTHER	Other Skin; Subcut Tiss & Breast Proc With Comorbity	29	26	—	—	$19,080.89	$78,040.37	$25,725.92	2026-05-26
545	OTHER	Connective Tissue Disorders With Mcc	29	26	—	—	$18,598.19	$58,216.22	$25,719.45	2026-05-26
652	OTHER	Kidney Transplant	29	26	—	—	$18,667.03	$70,152.74	$25,654.42	2026-05-26
472	OTHER	Cervical Spinal Fusion With Cc	29	26	—	—	$21,873.28	$69,008.59	$25,456.43	2026-05-26
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	18	17	—	—	$22,480.20	$53,414.82	$25,419.48	2026-05-26
974	OTHER	HIV With Major Related Condition With Comorbity	29	26	—	—	$21,628.06	$68,100.28	$25,349.47	2026-05-26
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	29	26	—	—	$19,984.33	$73,641.23	$25,102.32	2026-05-26
542	OTHER	Pathological Fractures & Musculoskelet & Conn Tiss Malig With Comorbity	29	26	—	—	$13,238.38	$51,000.36	$24,980.15	2026-05-26
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	29	26	—	—	$18,025.63	$51,977.10	$24,927.01	2026-05-26
353	OTHER	Hernia Procedures Except Inguinal & Femoral With Comorbity	29	26	—	—	$21,395.84	$68,282.40	$24,900.77	2026-05-26
464	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication	29	26	—	—	$17,963.58	$70,082.69	$24,742.48	2026-05-26
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	29	26	—	—	$20,978.51	$67,420.79	$24,415.08	2026-05-26
113	OTHER	Orbital Procedures With Cc/mcc	29	26	—	—	$17,619.46	$58,545.46	$24,365.98	2026-05-26
578	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc	29	26	—	—	$12,038.57	$49,556.90	$24,273.14	2026-05-26
333	OTHER	Rectal Resection With Cc	29	26	—	—	$17,552.75	$49,556.90	$24,273.14	2026-05-26
709	OTHER	Penis Procedures With Cc/mcc	29	26	—	—	$17,439.58	$49,502.00	$24,116.40	2026-05-26
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…	29	26	—	—	$17,875.14	$77,750.83	$24,095.06	2026-05-26
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	29	26	—	—	$19,831.15	$60,966.85	$23,964.78	2026-05-26
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	29	26	—	—	$19,132.51	$56,962.32	$23,924.01	2026-05-26
347	OTHER	Anal And Stomal Procedures With Mcc	29	26	—	—	$17,203.52	$59,521.48	$23,790.81	2026-05-26
27769	OTHER	Treatment Of Broken Back Portion Of Shin Bone At Ankle	26	23	$8,245.34	$4,122.67 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
23515	OTHER	Treatment Of Broken Collar Bone	52	23	$27,019.00	$13,509.50 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
23430	OTHER	Anchoring Of Biceps Tendon	26	23	$16,393.00	$8,196.50 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
29888	OTHER	Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope	78	23	$20,105.34	$10,052.67 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
25609	OTHER	Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri…	52	23	$13,656.00	$6,828.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
62330	OTHER	Dcmprn Prq Rmv Lig Flv 1lmbr	26	23	$11,601.00	$5,800.50 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
29807	OTHER	Repair Of Shoulder Socket Using An Endoscope	52	23	$12,570.00	$6,285.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
29827	OTHER	Repair Of Shoulder Rotator Cuff Using An Endoscope	52	23	$11,379.50	$5,689.75 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
29828	OTHER	Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope	52	23	$9,798.75	$4,899.38 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
27766	OTHER	Treatment Of Inside Portion Of Broken Shin Bone At Ankle	26	23	$10,284.67	$5,142.34 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
28750	OTHER	Fusion Of Big Toe At Joint With Foot	78	23	$11,358.00	$5,679.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
28755	OTHER	Fusion Of Big Toe Between Toe Joints	52	23	$12,818.00	$6,409.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
27829	OTHER	Treatment Of Ligament Tear At Ankle Joint	52	23	$4,686.16	$2,343.08 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
24685	OTHER	Treatment Of Broken Forearm Bone On Small Finger Side At Elbow	26	23	$29,756.00	$14,878.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
27385	OTHER	Primary Suture Of Ruptured Muscle Of Thigh	52	23	$20,778.00	$10,389.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
29806	OTHER	Repair Of Shoulder Joint Capsule Using An Endoscope	52	23	$15,838.00	$7,919.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
25607	OTHER	Treatment Of Broken Forearm Bone On Thumb Side Of Wrist; Above Wrist; With Place…	78	23	$16,724.67	$8,362.34 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
27823	OTHER	Treatment Of 3 Broken Lower Leg Bones At Ankle With Fixation Of Posterior Lip	26	23	$20,579.00	$10,289.50 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
28299	OTHER	Correction Of Bunion With 2 Areas Of Realignment	26	23	$8,665.00	$4,332.50 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
29887	OTHER	Repair Of Knee Joint With Bone Graft And Internal Stabilizing Device Using An En…	26	23	$11,126.00	$5,563.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
24342	OTHER	Reinsertion Of Torn Upper Arm Tendon	52	23	$19,334.00	$9,667.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
27650	OTHER	Repair Of Ruptured Achilles Tendon	26	23	$14,470.00	$7,235.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
28740	OTHER	Fusion Of Foot In Midfoot Region	52	23	$15,995.33	$7,997.67 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
25545	OTHER	Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side	26	23	$15,105.00	$7,552.50 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
25575	OTHER	Treatment Of Broken Midpart Of Both Forearm Bones With Placement Of Stabilizing …	26	23	$13,831.50	$6,915.75 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
25652	OTHER	Treatment Of Broken Base Of Forearm Bone On Small Finger Side At Wrist	52	23	$6,403.49	$3,201.75 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
26841	OTHER	Fusion Of Thumb At Wrist	26	23	$14,944.00	$7,472.00 50% off	$7,418.24	$40,029.56	$23,723.90	2026-05-26
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	29	26	—	—	$17,333.54	$59,131.54	$23,387.27	2026-05-26
480	OTHER	Hip & Femur Procedures Except Major Joint With Comorbity	29	26	—	—	$19,998.20	$68,856.81	$23,383.44	2026-05-26
570	OTHER	Skin Debridement With Comorbity	29	26	—	—	$14,449.82	$68,233.37	$23,363.43	2026-05-26
821	OTHER	Lymphoma & Leukemia With Major O.r. Procedure With Complication	29	26	—	—	$16,776.36	$52,119.53	$23,199.51	2026-05-26
31253	OTHER	Complete Exam Of Nose And Sinuses Using An Endoscope	50	23	$7,235.02	$3,617.51 50% off	$7,215.04	$38,933.08	$23,074.06	2026-05-26
31276	OTHER	Exploration Of Nasal Sinus Using An Endoscope	24	21	$2,359.75	$1,179.88 50% off	$7,215.04	$23,074.06	$23,074.06	2026-05-26
31254	OTHER	Partial Removal Of Nasal Sinus Using An Endoscope	95	24	$7,159.00	$3,579.50 50% off	$205.80	$38,933.08	$23,074.06	2026-05-26
31255	OTHER	Removal Of Nasal Sinus Using An Endoscope	26	23	$9,287.00	$4,643.50 50% off	$7,215.04	$38,933.08	$23,074.06	2026-05-26
31257	OTHER	Exam Of Nose And Sinus With Removal Of Nasal Sinus Using An Endoscope	26	23	$11,719.00	$5,859.50 50% off	$7,215.04	$38,933.08	$23,074.06	2026-05-26
31259	OTHER	Removal Of Tissue From Sphenoid Sinus Using An Endoscope	26	23	$10,123.00	$5,061.50 50% off	$7,215.04	$38,933.08	$23,074.06	2026-05-26
867	OTHER	Other Infectious & Parasitic Diseases Diagnoses With Comorbity	29	26	—	—	$15,686.72	$48,855.20	$23,025.95	2026-05-26
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	29	26	—	—	$16,633.96	$50,225.85	$23,003.08	2026-05-26
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	29	26	—	—	$16,566.52	$48,859.87	$22,909.57	2026-05-26
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	29	26	—	—	$19,051.41	$69,914.57	$22,800.22	2026-05-26
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	29	26	—	—	$16,396.41	$48,738.46	$22,674.13	2026-05-26
626	OTHER	Thyroid; Parathyroid & Thyroglossal Procedures With Complication	29	26	—	—	$11,236.69	$46,235.98	$22,646.55	2026-05-26
240	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication	29	26	—	—	$17,289.61	$65,594.82	$22,643.72	2026-05-26
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	29	26	—	—	$16,316.96	$46,068.43	$22,564.48	2026-05-26
655	OTHER	Major Bladder Procedures Without Cc/mcc	29	26	—	—	$15,862.06	$49,217.13	$22,523.44	2026-05-26
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	29	26	—	—	$16,262.25	$61,926.53	$22,489.13	2026-05-26
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	29	26	—	—	$16,766.60	$51,545.12	$22,458.19	2026-05-26
800	OTHER	Splenic Procedures With Cc	29	26	—	—	$17,321.98	$65,793.30	$22,317.24	2026-05-26
330	OTHER	Major Small & Large Bowel Procedures With Complication	29	26	—	—	$17,964.93	$55,388.54	$22,137.31	2026-05-26
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	29	26	—	—	$15,962.49	$50,753.56	$22,073.40	2026-05-26
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	29	26	—	—	$14,090.87	$58,006.07	$22,019.35	2026-05-26
595	OTHER	Major Skin Disorders With Mcc	29	26	—	—	$15,892.80	$50,786.25	$21,977.88	2026-05-26
827	OTHER	Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Complication	29	26	—	—	$17,320.43	$54,106.62	$21,862.85	2026-05-26
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	29	26	—	—	$14,856.75	$63,133.73	$21,835.05	2026-05-26
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	29	26	—	—	$18,665.29	$62,335.16	$21,829.49	2026-05-26
164	OTHER	Major Chest Procedures With Cc	29	26	—	—	$18,756.62	$59,551.84	$21,829.21	2026-05-26
412	OTHER	Cholecystectomy With C.d.e. With Cc	29	26	—	—	$15,756.40	$47,762.43	$21,788.18	2026-05-26
963	OTHER	Other Multiple Significant Trauma With Mcc	29	26	—	—	$18,594.20	$63,845.91	$21,741.77	2026-05-26
19302	OTHER	Partial Removal Of Breast And Underarm Lymph Nodes	26	23	$9,875.34	$4,937.67 50% off	$6,788.43	$36,631.05	$21,709.74	2026-05-26
19303	OTHER	Simple Complete Removal Of Breast	78	23	$9,895.01	$4,947.51 50% off	$6,788.43	$36,631.05	$21,709.74	2026-05-26
288	OTHER	Acute And Subacute Endocarditis With Mcc	29	26	—	—	$16,118.55	$60,546.55	$21,497.45	2026-05-26

See an error in this hospital's data? Submit a correction