Hospital

WHEELING HOSPITAL, INC

Wheeling, WV · CCN 510050 · Rates published

5,969 distinct procedures filed

39 distinct payers

466,417 rate rows

2026-05-13 last MRF observed

Data quality

361,768 of 466,417 rate rows are consumer-grade (77.6%)

104,649 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	102,525
per-diem day rate — not a per-procedure price	1,752
exceeds 10× this hospital's gross charge — excluded from medians	252
placeholder amount (≤ $0.02) — excluded from medians	120

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

Source MRF file	https://wvumedicine.org/wp-content/uploads/2026/03/550357057_Wheeling-Hospital-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	0a00403d41ea98d8… · 82,870,775 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	22	$216,816.09	$766,917.64	$335,556.14	nat. median $424,868 0.8× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	21	$140,704.92	$564,084.46	$216,941.71	nat. median $263,894 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	22	$107,198.51	$548,682.70	$166,254.77	nat. median $146,562 1.1× median
003 OTHER	Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r.	22	$100,344.50	$443,803.36	$165,283.50	nat. median $218,232 0.8× median
A9543 OTHER	Y90 Ibritumomab, Rx	38	$36,935.96	$233,168.18	$135,052.07	nat. median $66,156 outlier · 2.0×
004 OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	22	$64,838.77	$305,995.20	$108,124.30	nat. median $150,232 0.7× median
007 OTHER	Lung Transplant	22	$65,021.53	$255,337.38	$101,138.51	nat. median $141,082 0.7× median
014 OTHER	Allogeneic Bone Marrow Transplant	22	$60,340.55	$238,570.09	$93,911.64	nat. median $105,808 0.9× median
J7330 OTHER	Autologous Cultured Chondrocytes; Implant	38	$82,762.56	$88,874.40	$88,874.40	nat. median $65,518 1.4× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	21	$56,895.72	$254,873.19	$88,169.33	nat. median $117,167 0.8× median
209 OTHER	Complex Aortic Arch Procedures	20	$56,830.45	$110,856.91	$87,809.90	nat. median $23,389 outlier · 3.8×
J9029 OTHER	Instill Adstiladrin, Tx Dose	39	$41,778.61	$263,738.75	$86,014.76	nat. median $66,509 1.3× median
426 OTHER	Non-hypovolemic Sodium Disorders	20	$55,336.23	$107,966.99	$85,511.18	nat. median $80,273 1.1× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	22	$54,597.66	$224,202.89	$85,045.29	nat. median $90,581 0.9× median
005 OTHER	Liver Transplant With Comorbity Or Intestinal Transplant	22	$51,767.89	$215,445.60	$80,676.45	nat. median $104,489 0.8× median
215 OTHER	Other Heart Assist System Implant	22	$49,993.00	$212,631.28	$77,936.23	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity	22	$49,118.36	$202,025.52	$76,585.90	nat. median $90,130 0.8× median
61886 OTHER	Insertion Of Brain Neurostimulator Pulse Device With Connection To 2 Or More Ele…	37	$19,306.29	$70,591.21	$70,591.21	nat. median $27,282 outlier · 2.6×
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	20	$45,236.21	$88,432.90	$69,971.49	nat. median $62,997 1.1× median
850 OTHER	Acute Leukemia With Other Procedures	20	$43,478.40	$85,033.19	$67,267.43	nat. median $407 outlier · 165.2×
231 OTHER	Coronary Bypass With Ptca With Comorbity	22	$42,325.60	$168,926.00	$66,098.68	nat. median $74,989 0.9× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	$41,739.66	$175,466.39	$65,893.25	nat. median $76,493 0.9× median
27702 OTHER	Reconstruction Of Ankle Joint With Prosthesis	38	$16,976.55	$107,169.05	$62,072.80	nat. median $16,909 outlier · 3.7×
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	22	$39,508.38	$175,945.16	$61,749.21	nat. median $82,426 0.7× median
J9226 OTHER	Supprelin La Implant	39	$28,070.47	$177,202.41	$60,311.16	nat. median $45,345 1.3× median
219 OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity	22	$38,551.90	$160,516.34	$60,272.53	nat. median $72,612 0.8× median
233 OTHER	Coronary Bypass With Cardiac Cath With Comorbity	22	$38,385.71	$162,356.47	$60,015.94	nat. median $68,249 0.9× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Comorbity	22	$37,654.67	$150,551.72	$59,819.83	nat. median $68,309 0.9× median
010 OTHER	Pancreas Transplant	22	$36,028.40	$100,199.90	$56,376.54	nat. median $67,882 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	22	$36,013.34	$144,040.48	$56,353.28	nat. median $46,003 1.2× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	20	$36,243.80	$71,041.02	$56,166.42	nat. median $51,811 1.1× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	22	$35,822.04	$166,392.70	$56,057.94	nat. median $67,495 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	22	$35,800.95	$146,457.21	$56,025.38	nat. median $29,655 1.9× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	22	$34,703.39	$144,981.36	$54,330.87	nat. median $54,603 1.0× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity	22	$33,660.55	$142,687.44	$54,068.11	nat. median $67,670 0.8× median
955 OTHER	Craniotomy For Multiple Significant Trauma	22	$33,796.11	$126,773.60	$52,930.15	nat. median $62,467 0.8× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	20	$33,572.18	$65,873.95	$52,081.23	nat. median $48,503 1.1× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	20	$33,547.58	$65,826.35	$52,043.60	nat. median $54,322 1.0× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	$33,013.86	$132,500.08	$51,722.46	nat. median $60,727 0.9× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	$29,481.16	$118,582.51	$51,722.46	nat. median $56,507 0.9× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	22	$32,893.86	$129,435.97	$51,537.17	nat. median $54,881 0.9× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	22	$32,307.92	$143,796.93	$50,632.56	nat. median $66,849 0.8× median
266 OTHER	Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity	22	$30,770.02	$130,018.82	$48,489.12	nat. median $58,866 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	22	$30,734.37	$143,060.04	$48,203.18	nat. median $64,729 0.7× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	22	$30,092.70	$123,826.06	$47,748.18	nat. median $56,351 0.8× median
028 OTHER	Spinal Procedures With Mcc	22	$28,190.79	$125,439.30	$47,327.25	nat. median $61,887 0.8× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	22	$26,384.27	$129,271.52	$47,314.08	nat. median $3,947 outlier · 12.0×
457 OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication	22	$29,940.07	$126,463.44	$46,976.88	nat. median $52,731 0.9× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	22	$5,346.75	$124,898.08	$46,824.96	nat. median $42,495 1.1× median
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	22	$29,772.37	$128,580.43	$46,717.96	nat. median $60,768 0.8× median

Other procedures at this hospital

Browse this hospital's 5,969 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

33229	OTHER	Removal And Replacement Of Multiple Lead Permanent Pacemaker	108	39	$44,278.00	$22,139.00 50% off	$205.80	$76,076.37	$19,560.00	2026-05-13
33274	OTHER	Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance	106	38	$52,930.00	$26,465.00 50% off	$361.84	$76,076.37	$19,652.71	2026-05-13
473	OTHER	Cervical Spinal Fusion Without Complication/comorbity	22	22	—	—	$12,257.50	$51,219.85	$19,677.09	2026-05-13
327	OTHER	Stomach; Esophageal & Duodenal Proc With Complication	22	22	—	—	$12,272.06	$51,985.88	$19,699.56	2026-05-13
792	OTHER	Prematurity Without Major Problems	22	22	—	—	$1,674.47	$51,467.56	$19,738.31	2026-05-13
783	OTHER	Cesarean Section With Sterilization With Comorbity	22	22	—	—	$5,830.26	$36,881.79	$19,784.06	2026-05-13
982	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication	22	22	—	—	$12,343.86	$51,748.58	$19,810.42	2026-05-13
478	OTHER	Biopsies Of Musculoskeletal System & Connective Tissue With Complication	22	22	—	—	$12,082.77	$49,619.10	$19,815.83	2026-05-13
545	OTHER	Connective Tissue Disorders With Comorbity	22	22	—	—	$12,460.34	$51,898.45	$19,990.26	2026-05-13
350	OTHER	Inguinal & Femoral Hernia Procedures With Comorbity	22	22	—	—	$12,511.56	$49,958.40	$20,069.32	2026-05-13
0823T	OTHER	Tcat Ins 1chmbr Ldls Pm Ra	37	35	$17,108.00	$8,554.00 50% off	$12,051.19	$76,076.37	$20,208.92	2026-05-13
0797T	OTHER	Tcat Ins 2chmbr Ldls Pm Rv	37	35	$41,226.00	$20,613.00 50% off	$12,051.19	$76,076.37	$20,208.92	2026-05-13
027	OTHER	Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity	22	22	—	—	$12,667.20	$50,643.25	$20,309.60	2026-05-13
164	OTHER	Major Chest Procedures With Complication	22	22	—	—	$12,672.73	$53,089.13	$20,318.15	2026-05-13
493	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication	22	22	—	—	$12,733.48	$49,993.79	$20,411.93	2026-05-13
659	OTHER	Kidney & Ureter Procedures For Non-neoplasm With Comorbity	22	22	—	—	$12,757.58	$53,890.54	$20,449.17	2026-05-13
272	OTHER	Other Major Cardiovascular Procedures Without Complication/comorbity	22	22	—	—	$12,818.33	$50,780.63	$20,542.96	2026-05-13
749	OTHER	Other Female Reproductive System O.r. Procedures With Complication/comorbity	22	22	—	—	$12,891.64	$52,398.04	$20,656.10	2026-05-13
095	OTHER	Bacterial & Tuberculous Infections Of Nervous System With Complication	22	22	—	—	$12,182.19	$49,629.51	$20,746.05	2026-05-13
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	22	22	—	—	$8,737.85	$45,372.64	$20,746.05	2026-05-13
344	OTHER	Minor Small & Large Bowel Procedures With Comorbity	22	22	—	—	$12,967.95	$57,044.17	$20,773.94	2026-05-13
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity	22	22	—	—	$8,712.75	$50,874.30	$20,849.14	2026-05-13
253	OTHER	Other Vascular Procedures With Complication	22	22	—	—	$13,032.22	$53,103.70	$20,873.15	2026-05-13
078	OTHER	Hypertensive Encephalopathy With Complication	2	2	—	—	$21,167.79	$21,167.79	$21,167.79	2026-05-13
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	22	22	—	—	$13,242.10	$50,049.99	$21,197.20	2026-05-13
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	22	22	—	—	$13,308.87	$55,143.67	$21,300.28	2026-05-13
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	22	22	—	—	$13,355.57	$59,248.58	$21,372.37	2026-05-13
C9761	OTHER	Cystourethroscopy; With Ureteroscopy And/or Pyeloscopy; With Lithotripsy; And Ur…	287	38	$6,500.71	$3,250.36 50% off	$5,922.74	$37,388.90	$21,655.82	2026-05-13
255	OTHER	Upper Limb & Toe Amputation For Circ System Disorders With Comorbity	22	22	—	—	$13,543.35	$57,189.88	$21,662.28	2026-05-13
288	OTHER	Acute & Subacute Endocarditis With Comorbity	22	22	—	—	$13,587.53	$53,975.89	$21,730.50	2026-05-13
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	26	26	$51,132.00	$25,566.00 50% off	$205.80	$87,853.66	$21,731.65	2026-05-13
33263	OTHER	Removal And Replacement Of Dual Lead Defibrillator	26	26	$15,332.00	$7,666.00 50% off	$205.80	$87,853.66	$21,731.65	2026-05-13
33240	OTHER	Insrt Pulse Gen W/singl Lead	26	26	$15,332.00	$7,666.00 50% off	$205.80	$87,853.66	$21,731.65	2026-05-13
849	OTHER	Radiotherapy	22	22	—	—	$13,604.10	$56,024.18	$21,756.07	2026-05-13
321	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	22	22	—	—	$13,660.84	$59,839.76	$21,843.67	2026-05-13
963	OTHER	Other Multiple Significant Trauma With Comorbity	22	22	—	—	$13,726.11	$56,917.19	$21,944.43	2026-05-13
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	22	22	—	—	$13,797.41	$55,570.39	$22,054.50	2026-05-13
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	22	22	—	—	$12,905.19	$56,282.30	$22,059.95	2026-05-13
061	OTHER	Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	22	22	—	—	$13,843.10	$58,343.08	$22,125.07	2026-05-13
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	22	22	—	—	$12,239.93	$51,711.11	$22,239.81	2026-05-13
503	OTHER	Foot Procedures With Mcc	22	22	—	—	$14,013.81	$55,826.43	$22,388.62	2026-05-13
800	OTHER	Splenic Procedures With Cc	22	22	—	—	$14,105.69	$58,653.24	$22,530.46	2026-05-13
654	OTHER	Major Bladder Procedures With Complication	22	22	—	—	$14,054.98	$56,983.80	$22,559.59	2026-05-13
240	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication	22	22	—	—	$14,312.05	$58,476.31	$22,849.05	2026-05-13
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	22	22	—	—	$14,410.96	$62,327.27	$23,001.78	2026-05-13
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	22	22	—	—	$14,469.20	$55,905.53	$23,091.67	2026-05-13
974	OTHER	HIV With Major Related Condition With Comorbity	22	22	—	—	$14,490.29	$60,709.86	$23,124.24	2026-05-13
619	OTHER	O.r. Procedures For Obesity With Mcc	22	22	—	—	$14,497.32	$53,882.22	$23,135.10	2026-05-13
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	22	22	—	—	$14,561.59	$60,104.12	$23,234.30	2026-05-13
353	OTHER	Hernia Procedures Except Inguinal & Femoral With Comorbity	22	22	—	—	$14,570.62	$60,872.23	$23,248.28	2026-05-13
480	OTHER	Hip & Femur Procedures Except Major Joint With Comorbity	22	22	—	—	$14,622.34	$61,384.30	$23,328.11	2026-05-13
0414T	OTHER	Rmvl & Rpl Car Modulj Pls Gn	37	35	$16,789.00	$8,394.50 50% off	$13,916.82	$87,853.66	$23,337.43	2026-05-13
0409T	OTHER	Insj/rplc Car Modulj Pls Gn	37	35	$16,789.00	$8,394.50 50% off	$13,916.82	$87,853.66	$23,337.43	2026-05-13
0923T	OTHER	Rmvl&rplcmt Perm Ccm-d Pg	37	35	$15,792.00	$7,896.00 50% off	$13,916.82	$87,853.66	$23,337.43	2026-05-13
0916T	OTHER	Insj Perm Ccm-d Sys Pg Only	37	35	$15,792.00	$7,896.00 50% off	$13,916.82	$87,853.66	$23,337.43	2026-05-13
668	OTHER	Transurethral Procedures With Comorbity	22	22	—	—	$14,661.00	$58,659.49	$23,387.80	2026-05-13
570	OTHER	Skin Debridement With Comorbity	22	22	—	—	$12,551.72	$60,828.52	$23,551.35	2026-05-13
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	22	22	—	—	$14,782.00	$52,714.44	$23,574.62	2026-05-13
472	OTHER	Cervical Spinal Fusion With Complication	22	22	—	—	$14,792.04	$61,519.61	$23,590.11	2026-05-13
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	22	22	—	—	$14,944.18	$64,009.20	$23,825.00	2026-05-13
498	OTHER	Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb…	22	22	—	—	$15,147.02	$54,350.58	$24,138.17	2026-05-13
625	OTHER	Thyroid; Parathyroid & Thyroglossal Procedures With Comorbity	22	22	—	—	$15,163.59	$60,807.70	$24,163.75	2026-05-13
510	OTHER	Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity	22	22	—	—	$15,165.60	$56,632.01	$24,166.85	2026-05-13
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…	22	22	—	—	$15,229.36	$69,313.12	$24,265.28	2026-05-13
43889	OTHER	Gstr Rstcv Px Trnsorl Esg	41	38	$21,044.00	$10,522.00 50% off	$6,650.62	$41,983.82	$24,317.22	2026-05-13
43280	OTHER	Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac…	40	37	$3,969.00	$1,984.50 50% off	$6,650.62	$24,317.22	$24,317.22	2026-05-13
C9785	OTHER	Endo Outlet Restrict W/tube	41	38	$21,044.00	$10,522.00 50% off	$6,650.62	$41,983.82	$24,317.22	2026-05-13
263	OTHER	Vein Ligation & Stripping	22	22	—	—	$15,350.87	$58,809.36	$24,452.88	2026-05-13
662	OTHER	Minor Bladder Procedures With Mcc	22	22	—	—	$15,371.45	$62,379.31	$24,484.67	2026-05-13
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	22	22	—	—	$15,610.95	$61,471.73	$24,854.40	2026-05-13
464	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication	22	22	—	—	$15,603.92	$62,477.14	$24,897.04	2026-05-13
665	OTHER	Prostatectomy With Mcc	22	22	—	—	$15,671.20	$64,302.71	$24,947.44	2026-05-13
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	22	22	—	—	$15,776.14	$56,382.22	$25,109.44	2026-05-13
324	OTHER	Non-elective Or Complex Hip Joint Replacement	22	22	—	—	$15,820.82	$61,794.38	$25,178.43	2026-05-13
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	22	22	—	—	$15,866.01	$65,649.50	$25,248.21	2026-05-13
500	OTHER	Soft Tissue Procedures With Comorbity	22	22	—	—	$15,890.11	$67,502.12	$25,285.40	2026-05-13
229	OTHER	Other Cardiothoracic Procedures Without Comorbity	22	22	—	—	$15,813.29	$66,186.55	$25,287.22	2026-05-13
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	22	22	—	—	$15,953.38	$72,370.99	$25,383.09	2026-05-13
656	OTHER	Kidney & Ureter Procedures For Neoplasm With Comorbity	22	22	—	—	$15,985.51	$65,312.28	$25,432.69	2026-05-13
515	OTHER	Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity	22	22	—	—	$16,001.07	$65,809.78	$25,456.74	2026-05-13
242	OTHER	Permanent Cardiac Pacemaker Implant With Comorbity	22	22	—	—	$16,030.70	$71,921.36	$25,502.46	2026-05-13
93656	OTHER	Compre Ep Eval Abltj Atr Fib	26	26	$38,226.00	$19,113.00 50% off	$721.62	$103,234.56	$25,536.29	2026-05-13
93654	OTHER	Compre Ep Eval Tx Vt	26	26	$27,905.00	$13,952.50 50% off	$767.69	$103,234.56	$25,536.29	2026-05-13
93653	OTHER	Compre Ep Eval Tx Svt	26	26	$38,226.00	$19,113.00 50% off	$636.95	$103,234.56	$25,536.29	2026-05-13
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	20	20	—	—	$16,219.48	$32,312.74	$25,547.08	2026-05-13
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	22	22	—	—	$16,119.07	$55,043.75	$25,638.90	2026-05-13
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	22	22	—	—	$16,171.28	$66,933.85	$25,719.49	2026-05-13
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	22	22	—	—	$16,202.91	$68,567.90	$25,768.31	2026-05-13
652	OTHER	Kidney Transplant	22	22	—	—	$16,214.96	$62,539.59	$25,786.93	2026-05-13
840	OTHER	Lymphoma & Non-acute Leukemia With Comorbity	22	22	—	—	$16,242.08	$65,054.16	$25,828.79	2026-05-13
579	OTHER	Other Skin; Subcut Tiss & Breast Proc With Comorbity	22	22	—	—	$16,260.15	$69,571.24	$25,856.71	2026-05-13
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Comorbity	22	22	—	—	$16,331.95	$69,009.20	$26,091.80	2026-05-13
274	OTHER	Percutaneous Intracardiac Procedures Without Comorbity	22	22	—	—	$16,527.26	$67,460.49	$26,269.10	2026-05-13
037	OTHER	Extracranial Procedures With Comorbity	22	22	—	—	$16,529.27	$70,266.49	$26,272.18	2026-05-13
411	OTHER	Cholecystectomy With C.d.e. With Mcc	22	22	—	—	$16,585.51	$59,960.49	$26,359.03	2026-05-13
37269	OTHER	Revsc Evasc Fpvt St Cplx 1st	41	38	$54,313.00	$27,156.50 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
C9772	OTHER	Revasc Lithotrip Tibi/perone	41	38	$26,537.00	$13,268.50 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
C9600	OTHER	Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s); Wit…	205	38	$9,548.00	$4,774.00 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
37282	OTHER	Rvsc Evsc Tpvt Angio Cplx 1	41	38	$26,094.00	$13,047.00 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
C9604	OTHER	Perc D-e Cor Revasc T Cabg S	82	38	$21,379.00	$10,689.50 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
37258	OTHER	Revsc Evasc Ivt Stent Sf 1st	41	38	$17,130.00	$8,565.00 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
37267	OTHER	Revsc Evsc Fpvt Stent Sf 1st	41	38	$54,313.00	$27,156.50 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
37280	OTHER	Revsc Evsc Tpvt Angio Sf 1st	41	38	$26,094.00	$13,047.00 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
37260	OTHER	Revsc Evasc Ivt St Cplx 1st	41	38	$17,130.00	$8,565.00 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
C9764	OTHER	Revasc Intravasc Lithotripsy	82	38	$15,733.50	$7,866.75 50% off	$7,222.68	$45,595.13	$26,408.90	2026-05-13
264	OTHER	Other Circulatory System O.r. Procedures	22	22	—	—	$13,705.02	$67,985.06	$26,648.16	2026-05-13
22630	OTHER	Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac…	24	24	$21,033.00	$10,516.50 50% off	$1,232.47	$107,169.05	$26,901.30	2026-05-13
22633	OTHER	Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc	24	24	$84,855.00	$42,427.50 50% off	$205.80	$107,169.05	$26,901.30	2026-05-13
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	20	20	—	—	$17,264.83	$34,334.52	$27,145.54	2026-05-13
420	OTHER	Hepatobiliary Diagnostic Procedures With Comorbity	22	22	—	—	$17,106.67	$66,627.85	$27,163.64	2026-05-13
029	OTHER	Spinal Procedures With Complication Or Spinal Neurostimulators	22	22	—	—	$15,870.03	$71,361.41	$27,198.53	2026-05-13
987	OTHER	Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity	22	22	—	—	$16,293.29	$70,289.39	$27,328.75	2026-05-13
477	OTHER	Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity	22	22	—	—	$16,688.43	$70,129.10	$27,531.84	2026-05-13
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Complication	22	22	—	—	$15,242.92	$70,895.13	$27,662.06	2026-05-13
616	OTHER	Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity	22	22	—	—	$17,359.23	$82,383.48	$27,786.08	2026-05-13
252	OTHER	Other Vascular Procedures With Comorbity	22	22	—	—	$17,514.37	$69,812.70	$27,793.06	2026-05-13
094	OTHER	Bacterial & Tuberculous Infections Of Nervous System With Comorbity	22	22	—	—	$17,670.52	$75,410.12	$28,034.15	2026-05-13
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	22	22	—	—	$17,706.67	$72,570.82	$28,089.94	2026-05-13
271	OTHER	Other Major Cardiovascular Procedures With Complication	22	22	—	—	$17,855.79	$71,944.26	$28,320.17	2026-05-13
622	OTHER	Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity	22	22	—	—	$14,428.53	$79,633.69	$28,342.66	2026-05-13
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity	22	22	—	—	$17,887.42	$73,380.56	$28,369.03	2026-05-13
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	22	22	—	—	$17,902.49	$77,481.32	$28,392.28	2026-05-13
33289	OTHER	Tcat Impl Wrls P-art Prs Snr	24	24	$16,306.00	$8,153.00 50% off	$255.81	$113,288.34	$28,437.35	2026-05-13
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	22	22	—	—	$17,947.17	$80,915.96	$28,461.26	2026-05-13
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	22	22	—	—	$17,988.84	$75,276.90	$28,525.60	2026-05-13
335	OTHER	Peritoneal Adhesiolysis With Comorbity	22	22	—	—	$17,929.10	$74,417.20	$28,569.40	2026-05-13
279	OTHER	Hepatic Coma And Other Major Acute Liver Disorders	22	22	—	—	$18,107.34	$66,623.69	$28,708.52	2026-05-13
097	OTHER	Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity	22	22	—	—	$16,824.50	$75,705.71	$28,750.40	2026-05-13
265	OTHER	Aicd Lead Procedures	22	22	—	—	$18,166.58	$73,565.83	$28,800.02	2026-05-13
332	OTHER	Rectal Resection With Comorbity	22	22	—	—	$18,179.14	$75,512.12	$28,819.40	2026-05-13
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	22	22	—	—	$18,204.24	$74,546.26	$28,858.14	2026-05-13
939	OTHER	O.r. Proc With Diagnoses Of Other Contact With Health Services With Comorbity	22	22	—	—	$18,218.30	$66,929.68	$28,879.86	2026-05-13
492	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity	22	22	—	—	$18,103.82	$72,067.07	$29,213.95	2026-05-13
904	OTHER	Skin Grafts For Injuries With Cc/mcc	22	22	—	—	$18,442.23	$67,781.06	$29,225.57	2026-05-13
27827	OTHER	Treatment Of Broken Shin Bone At Lower Weight Bearing Joint	82	38	$16,949.50	$8,474.75 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
27134	OTHER	Revision Of Thigh Bone And Hip Joint Prosthesis	41	38	$23,417.00	$11,708.50 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
27759	OTHER	Treatment Of Broken Part Of Shin Bone With Rod	82	38	$8,874.17	$4,437.09 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
27828	OTHER	Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones	41	38	$21,266.00	$10,633.00 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
24546	OTHER	Treatment Of Broken Upper Arm Bone At Elbow With Extension	41	38	$26,230.67	$13,115.34 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
24545	OTHER	Treatment Of Upper Arm Bone Broken At Elbow	41	38	$16,793.00	$8,396.50 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
24515	OTHER	Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing …	82	38	$21,071.25	$10,535.62 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
24516	OTHER	Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing …	41	38	$25,586.00	$12,793.00 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
27870	OTHER	Fusion Of Ankle Joint; Open Procedure	82	38	$15,405.17	$7,702.59 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
24366	OTHER	Joint Repair (arthroplasty) Forearm Bone On The Thumb Side (radius) At The Elbow…	41	38	$11,513.02	$5,756.51 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
28725	OTHER	Fusion Of Foot Below Ankle	82	38	$14,458.50	$7,229.25 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
23680	OTHER	Treatment Of Dislocated Shoulder And Broken Neck Of Upper Arm Bone	41	38	$7,186.00	$3,593.00 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
23615	OTHER	Treatment Of Broken Top Of Upper Arm Bone	82	38	$19,109.50	$9,554.75 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
28715	OTHER	Fusion Of 3 Bones Of Ankle	82	38	$32,975.00	$16,487.50 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
28297	OTHER	Correction Of Bunion With Midfoot And Hindfoot Bone Fusion	123	38	$18,546.00	$9,273.00 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
27486	OTHER	Revision Of Component Of Total Knee Joint Prosthesis	82	38	$25,627.00	$12,813.50 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
27132	OTHER	Total Hip Replacement After Previous Hip Surgery	41	38	$28,708.00	$14,354.00 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
28730	OTHER	Fusion Of Multiple Foot Joints	82	38	$27,426.00	$13,713.00 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
28737	OTHER	Fusion Of Upper Part Of Foot And Lengthening Of Tendon	41	38	$24,626.00	$12,313.00 50% off	$8,032.60	$50,707.92	$29,370.26	2026-05-13
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	22	22	—	—	$18,606.41	$71,990.05	$29,479.04	2026-05-13
628	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity	22	22	—	—	$14,173.47	$83,565.83	$29,641.83	2026-05-13
518	OTHER	Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim	22	22	—	—	$18,764.57	$76,015.87	$29,723.24	2026-05-13
166	OTHER	Other Resp System O.r. Procedures With Comorbity	22	22	—	—	$17,459.64	$84,467.16	$29,726.34	2026-05-13
143	OTHER	Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc	22	22	—	—	$18,811.27	$69,225.69	$29,795.32	2026-05-13
956	OTHER	Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma	22	22	—	—	$18,893.61	$80,728.61	$29,922.45	2026-05-13
63685	OTHER	Insertion Of Spinal Neurostimulator Generator Or Receiver	26	26	$13,426.00	$6,713.00 50% off	$60.20	$121,876.13	$30,147.51	2026-05-13
907	OTHER	Other O.r. Procedures For Injuries With Comorbity	22	22	—	—	$16,468.02	$77,425.11	$30,513.91	2026-05-13
33264	OTHER	Removal And Replacement Of Multiple Lead Defibrillator	26	26	$19,959.00	$9,979.50 50% off	$205.80	$123,974.07	$30,666.46	2026-05-13
040	OTHER	Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity	22	22	—	—	$15,338.32	$80,152.01	$30,683.67	2026-05-13
876	OTHER	O.r. Procedure With Principal Diagnoses Of Mental Illness	22	22	—	—	$19,405.24	$77,674.90	$30,712.34	2026-05-13
034	OTHER	Carotid Artery Stent Procedure With Comorbity	22	22	—	—	$17,813.62	$81,211.54	$30,757.29	2026-05-13
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	22	22	—	—	$19,552.35	$63,114.11	$30,939.47	2026-05-13
024	OTHER	Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity	22	22	—	—	$19,641.22	$78,867.66	$31,076.68	2026-05-13
33270	OTHER	Ins/rep Subq Defibrillator	24	24	$72,155.00	$36,077.50 50% off	$205.80	$123,974.07	$31,119.66	2026-05-13
077	OTHER	Hypertensive Encephalopathy With Comorbity	2	2	—	—	$31,450.89	$31,450.89	$31,450.89	2026-05-13
64582	OTHER	Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…	147	38	$23,428.33	$11,714.17 50% off	$633.61	$121,876.13	$31,484.10	2026-05-13
19340	OTHER	Placement Of Implant On Same Day Of Breast Reconstruction	41	38	$9,465.50	$4,732.75 50% off	$8,622.13	$54,429.49	$31,525.81	2026-05-13
19357	OTHER	Reconstruction Of Breast Using Tissue Expander	123	38	$13,788.00	$6,894.00 50% off	$8,622.13	$54,429.49	$31,525.81	2026-05-13
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	20	20	—	—	$20,186.49	$39,985.16	$31,613.05	2026-05-13
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	22	22	—	—	$20,003.73	$70,572.48	$31,636.35	2026-05-13
33249	OTHER	Insertion Of Implantable Defibrillator System	67	39	$19,959.00	$9,979.50 50% off	$205.80	$123,974.07	$31,723.92	2026-05-13
791	OTHER	Prematurity With Major Problems	22	22	—	—	$2,734.38	$85,297.72	$32,216.94	2026-05-13
273	OTHER	Percutaneous Intracardiac Procedures With Comorbity	22	22	—	—	$20,713.68	$81,119.95	$32,732.42	2026-05-13
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	37	35	$21,856.00	$10,928.00 50% off	$19,638.62	$123,974.07	$32,932.45	2026-05-13
0915T	OTHER	Insj Perm Ccm-d Sys Pg&eltrd	37	35	$20,964.00	$10,482.00 50% off	$19,638.62	$123,974.07	$32,932.45	2026-05-13
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity	22	22	—	—	$20,851.76	$81,409.29	$32,945.60	2026-05-13
793	OTHER	Full Term Neonate With Major Problems	22	22	—	—	$2,110.28	$87,620.79	$33,074.28	2026-05-13
458	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication…	22	22	—	—	$20,950.17	$94,317.30	$33,097.54	2026-05-13
236	OTHER	Coronary Bypass Without Cardiac Cath Without Comorbity	22	22	—	—	$21,031.50	$84,121.62	$33,223.11	2026-05-13
901	OTHER	Wound Debridements For Injuries With Comorbity	22	22	—	—	$21,070.67	$90,087.48	$33,283.57	2026-05-13
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	20	20	—	—	$21,292.59	$42,124.43	$33,304.40	2026-05-13
673	OTHER	Other Kidney & Urinary Tract Procedures With Comorbity	22	22	—	—	$20,878.87	$76,977.57	$33,322.33	2026-05-13
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Complication	22	22	—	—	$20,991.34	$84,196.56	$33,417.68	2026-05-13
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	22	22	—	—	$21,168.07	$83,366.00	$33,433.97	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity	22	22	—	—	$21,204.22	$86,565.42	$33,489.78	2026-05-13
140	OTHER	Major Head And Neck Procedures With Mcc	22	22	—	—	$21,415.60	$78,644.93	$33,816.10	2026-05-13
474	OTHER	Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity	22	22	—	—	$21,554.18	$89,567.08	$34,030.07	2026-05-13
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	22	22	—	—	$21,727.40	$86,178.24	$34,461.59	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Comorbity	22	22	—	—	$22,055.77	$89,065.42	$34,804.43	2026-05-13
319	OTHER	Other Endovascular Cardiac Valve Procedures With Comorbity	22	22	—	—	$22,407.73	$90,797.31	$35,347.83	2026-05-13
031	OTHER	Ventricular Shunt Procedures With Mcc	22	22	—	—	$16,793.37	$85,691.15	$35,484.26	2026-05-13
163	OTHER	Major Chest Procedures With Comorbity	22	22	—	—	$22,008.07	$98,118.30	$35,494.35	2026-05-13
799	OTHER	Splenectomy With Comorbity	22	22	—	—	$21,232.84	$103,134.95	$35,859.43	2026-05-13
025	OTHER	Craniotomy & Endovascular Intracranial Procedures With Comorbity	22	22	—	—	$22,828.48	$91,923.46	$35,997.43	2026-05-13
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity	22	22	—	—	$19,243.57	$92,181.57	$36,012.94	2026-05-13
245	OTHER	Aicd Generator Procedures	22	22	—	—	$22,907.31	$94,325.62	$36,119.13	2026-05-13
823	OTHER	Lymphoma & Non-acute Leukemia With Other Proc With Comorbity	22	22	—	—	$23,019.78	$93,711.55	$36,292.77	2026-05-13
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	22	22	—	—	$22,076.85	$94,021.71	$36,383.45	2026-05-13
277	OTHER	Cardiac Defibrillator Implant Without Mcc	22	22	—	—	$23,188.98	$99,550.44	$36,553.99	2026-05-13
006	OTHER	Liver Transplant Without Mcc	22	22	—	—	$23,281.87	$100,684.91	$36,697.42	2026-05-13
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	22	22	—	—	$23,486.72	$91,357.26	$37,013.66	2026-05-13
981	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity	22	22	—	—	$23,557.01	$98,676.17	$37,122.18	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	22	22	—	—	$23,605.21	$93,619.96	$37,196.60	2026-05-13
267	OTHER	Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity	22	22	—	—	$22,990.15	$101,586.24	$37,657.07	2026-05-13
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	22	22	—	—	$9,987.55	$99,013.39	$37,994.25	2026-05-13
471	OTHER	Cervical Spinal Fusion With Comorbity	22	22	—	—	$24,244.37	$102,393.90	$38,183.39	2026-05-13
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	22	22	—	—	$24,608.39	$118,299.41	$38,745.38	2026-05-13
239	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity	22	22	—	—	$24,711.31	$100,058.35	$38,904.29	2026-05-13
853	OTHER	Infectious & Parasitic Diseases With O.r. Procedure With Comorbity	22	22	—	—	$24,796.17	$104,065.43	$39,035.29	2026-05-13
228	OTHER	Other Cardiothoracic Procedures With Comorbity	22	22	—	—	$24,840.35	$104,885.58	$39,103.53	2026-05-13
326	OTHER	Stomach; Esophageal & Duodenal Proc With Comorbity	22	22	—	—	$25,041.19	$105,724.46	$39,413.58	2026-05-13
221	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati…	22	22	—	—	$25,306.29	$96,765.26	$39,822.87	2026-05-13
27487	OTHER	Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis	41	38	$55,284.00	$27,642.00 50% off	$10,970.13	$69,251.89	$40,111.01	2026-05-13
24363	OTHER	Prosthetic Repair Of Elbow Joint	41	38	$24,829.00	$12,414.50 50% off	$10,970.13	$69,251.89	$40,111.01	2026-05-13
653	OTHER	Major Bladder Procedures With Comorbity	22	22	—	—	$26,090.55	$112,689.50	$41,033.68	2026-05-13
466	OTHER	Revision Of Hip Or Knee Replacement With Comorbity	22	22	—	—	$26,135.74	$107,964.27	$41,103.44	2026-05-13
270	OTHER	Other Major Cardiovascular Procedures With Comorbity	22	22	—	—	$26,491.72	$105,264.43	$41,653.06	2026-05-13
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	20	20	—	—	$26,759.34	$52,697.49	$41,663.67	2026-05-13
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	22	22	—	—	$26,579.59	$127,839.38	$41,788.69	2026-05-13
C9602	OTHER	Perc D-e Cor Stent Ather S	82	38	$35,850.00	$17,925.00 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
37273	OTHER	Revsc Evsc Fpvt Athrc Cplx 1	41	38	$64,978.00	$32,489.00 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
C9766	OTHER	Revasc Intra Lithotrip-ather	41	38	$33,324.00	$16,662.00 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
C9765	OTHER	Revasc Intra Lithotrip-stent	82	38	$31,878.00	$15,939.00 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
C9797	OTHER	Vasc Emb/occ W/prs Cath	41	38	$42,140.00	$21,070.00 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
37290	OTHER	Revsc Evsc Tpvt Athrc Cplx 1	41	38	$81,706.00	$40,853.00 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
37275	OTHER	Rvsc Evsc Fpvt St Athrc Sf 1	41	38	$98,587.00	$49,293.50 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
37271	OTHER	Revsc Evsc Fpvt Athrc Sf 1st	41	38	$64,978.00	$32,489.00 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
C9607	OTHER	Perc D-e Cor Revasc Chro Sin	41	38	$17,903.00	$8,951.50 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
37288	OTHER	Revsc Evsc Tpvt Athrc Sf 1st	41	38	$81,706.00	$40,853.00 50% off	$11,469.29	$72,402.97	$41,936.13	2026-05-13
220	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication	22	22	—	—	$26,775.40	$109,171.59	$42,091.00	2026-05-13
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	22	22	—	—	$27,274.98	$128,580.43	$42,862.29	2026-05-13
234	OTHER	Coronary Bypass With Cardiac Cath Without Comorbity	22	22	—	—	$27,427.62	$108,199.49	$43,097.94	2026-05-13
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	22	22	—	—	$27,466.78	$114,596.24	$43,158.42	2026-05-13
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	22	22	—	—	$27,384.44	$107,333.54	$43,237.16	2026-05-13
834	OTHER	Acute Leukemia Without Major O.r. Procedure With Comorbity	22	22	—	—	$27,564.18	$116,548.78	$43,308.79	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	22	22	—	—	$27,730.38	$141,933.90	$43,565.35	2026-05-13
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	22	22	—	—	$27,947.28	$92,847.69	$43,900.25	2026-05-13
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	20	20	—	—	$28,227.44	$55,536.92	$43,908.57	2026-05-13
008	OTHER	Simultaneous Pancreas And Kidney Transplant	22	22	—	—	$28,140.08	$109,527.55	$44,197.91	2026-05-13
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	20	20	—	—	$28,653.72	$56,361.34	$44,560.37	2026-05-13
64568	OTHER	Insertion Of Cranial Nerve Neurostimulator Electrode And Generator	67	39	$26,226.00	$13,113.00 50% off	$205.80	$174,823.44	$44,735.85	2026-05-13
463	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity	22	22	—	—	$27,630.96	$117,895.58	$44,933.54	2026-05-13
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	20	20	—	—	$28,955.97	$56,945.93	$45,022.56	2026-05-13
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or …	22	22	—	—	$28,771.21	$118,001.74	$45,172.29	2026-05-13
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	22	22	—	—	$29,446.52	$125,868.11	$46,214.89	2026-05-13
235	OTHER	Coronary Bypass Without Cardiac Cath With Comorbity	22	22	—	—	$29,465.60	$122,410.57	$46,244.35	2026-05-13
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	22	22	—	—	$29,772.37	$128,580.43	$46,717.96	2026-05-13
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	22	22	—	—	$5,346.75	$124,898.08	$46,824.96	2026-05-13
457	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication	22	22	—	—	$29,940.07	$126,463.44	$46,976.88	2026-05-13
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	22	22	—	—	$26,384.27	$129,271.52	$47,314.08	2026-05-13
028	OTHER	Spinal Procedures With Mcc	22	22	—	—	$28,190.79	$125,439.30	$47,327.25	2026-05-13
232	OTHER	Coronary Bypass With Ptca Without Mcc	22	22	—	—	$30,092.70	$123,826.06	$47,748.18	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	22	22	—	—	$30,734.37	$143,060.04	$48,203.18	2026-05-13
266	OTHER	Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity	22	22	—	—	$30,770.02	$130,018.82	$48,489.12	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	22	22	—	—	$32,307.92	$143,796.93	$50,632.56	2026-05-13
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	22	22	—	—	$32,893.86	$129,435.97	$51,537.17	2026-05-13
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	22	—	—	$29,481.16	$118,582.51	$51,722.46	2026-05-13
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	22	—	—	$33,013.86	$132,500.08	$51,722.46	2026-05-13
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	20	20	—	—	$33,547.58	$65,826.35	$52,043.60	2026-05-13
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	20	20	—	—	$33,572.18	$65,873.95	$52,081.23	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	22	22	—	—	$33,796.11	$126,773.60	$52,930.15	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity	22	22	—	—	$33,660.55	$142,687.44	$54,068.11	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	22	22	—	—	$34,703.39	$144,981.36	$54,330.87	2026-05-13
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	22	22	—	—	$35,800.95	$146,457.21	$56,025.38	2026-05-13
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	22	22	—	—	$35,822.04	$166,392.70	$56,057.94	2026-05-13
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	20	20	—	—	$36,243.80	$71,041.02	$56,166.42	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	22	22	—	—	$36,013.34	$144,040.48	$56,353.28	2026-05-13
010	OTHER	Pancreas Transplant	22	22	—	—	$36,028.40	$100,199.90	$56,376.54	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Comorbity	22	22	—	—	$37,654.67	$150,551.72	$59,819.83	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Cath With Comorbity	22	22	—	—	$38,385.71	$162,356.47	$60,015.94	2026-05-13
219	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity	22	22	—	—	$38,551.90	$160,516.34	$60,272.53	2026-05-13
J9226	OTHER	Supprelin La Implant	42	39	$150,543.00	$75,271.50 50% off	$28,070.47	$177,202.41	$60,311.16	2026-05-13
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	22	22	—	—	$39,508.38	$175,945.16	$61,749.21	2026-05-13
27702	OTHER	Reconstruction Of Ankle Joint With Prosthesis	81	38	$41,318.00	$20,659.00 50% off	$16,976.55	$107,169.05	$62,072.80	2026-05-13
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	22	—	—	$41,739.66	$175,466.39	$65,893.25	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Comorbity	22	22	—	—	$42,325.60	$168,926.00	$66,098.68	2026-05-13
850	OTHER	Acute Leukemia With Other Procedures	20	20	—	—	$43,478.40	$85,033.19	$67,267.43	2026-05-13
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	20	20	—	—	$45,236.21	$88,432.90	$69,971.49	2026-05-13
61886	OTHER	Insertion Of Brain Neurostimulator Pulse Device With Connection To 2 Or More Ele…	40	37	$8,699.00	$4,349.50 50% off	$19,306.29	$70,591.21	$70,591.21	2026-05-13
216	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity	22	22	—	—	$49,118.36	$202,025.52	$76,585.90	2026-05-13
215	OTHER	Other Heart Assist System Implant	22	22	—	—	$49,993.00	$212,631.28	$77,936.23	2026-05-13
005	OTHER	Liver Transplant With Comorbity Or Intestinal Transplant	22	22	—	—	$51,767.89	$215,445.60	$80,676.45	2026-05-13
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	22	22	—	—	$54,597.66	$224,202.89	$85,045.29	2026-05-13
426	OTHER	Non-hypovolemic Sodium Disorders	20	20	—	—	$55,336.23	$107,966.99	$85,511.18	2026-05-13
J9029	OTHER	Instill Adstiladrin, Tx Dose	42	39	$161,490.00	$80,745.00 50% off	$41,778.61	$263,738.75	$86,014.76	2026-05-13
209	OTHER	Complex Aortic Arch Procedures	20	20	—	—	$56,830.45	$110,856.91	$87,809.90	2026-05-13
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	21	21	—	—	$56,895.72	$254,873.19	$88,169.33	2026-05-13
J7330	OTHER	Autologous Cultured Chondrocytes; Implant	42	38	$88,874.40	$44,437.20 50% off	$82,762.56	$88,874.40	$88,874.40	2026-05-13
014	OTHER	Allogeneic Bone Marrow Transplant	22	22	—	—	$60,340.55	$238,570.09	$93,911.64	2026-05-13
007	OTHER	Lung Transplant	22	22	—	—	$65,021.53	$255,337.38	$101,138.51	2026-05-13
004	OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	22	22	—	—	$64,838.77	$305,995.20	$108,124.30	2026-05-13
A9543	OTHER	Y90 Ibritumomab, Rx	41	38	$75,989.00	$37,994.50 50% off	$36,935.96	$233,168.18	$135,052.07	2026-05-13
003	OTHER	Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r.	22	22	—	—	$100,344.50	$443,803.36	$165,283.50	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	22	22	—	—	$107,198.51	$548,682.70	$166,254.77	2026-05-13
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	21	21	—	—	$140,704.92	$564,084.46	$216,941.71	2026-05-13
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	22	—	—	$216,816.09	$766,917.64	$335,556.14	2026-05-13

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