Hospital

CAMDEN CLARK MEDICAL CENTER

Parkersburg, WV · CCN 510058 · Rates published

8,951 distinct procedures filed

36 distinct payers

502,916 rate rows

2026-05-13 last MRF observed

Data quality

375,863 of 502,916 rate rows are consumer-grade (74.7%)

127,053 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	125,986
per-diem day rate — not a per-procedure price	885
exceeds 10× this hospital's gross charge — excluded from medians	152
placeholder amount (≤ $0.02) — excluded from medians	30

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

Source MRF file	https://wvumedicine.org/wp-content/uploads/2026/03/311524546_Camden-Clark-Memorial-Hospital-Corporation_standardcharges-1.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	91a0861a9afeb5d4… · 94,362,077 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	19	$310,348.64	$465,522.96	$325,866.07	nat. median $424,868 0.8× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$134,754.04	$302,298.38	$210,601.20	nat. median $263,894 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	19	$153,196.72	$230,442.04	$161,309.43	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.	19	$96,100.60	$229,092.87	$160,365.01	nat. median $218,232 0.7× median
004 OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	19	$62,096.52	$149,694.92	$104,786.44	nat. median $150,232 0.7× median
007 OTHER	Lung Transplant	19	$62,271.55	$139,991.14	$97,993.80	nat. median $141,082 0.7× median
014 OTHER	Allogeneic Bone Marrow Transplant	19	$57,788.55	$129,952.58	$90,966.80	nat. median $105,808 0.9× median
209 OTHER	Complex Aortic Arch Procedures	19	$81,616.62	$122,424.93	$85,697.45	nat. median $23,389 outlier · 3.7×
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	18	$54,489.41	$122,564.92	$85,386.90	nat. median $117,167 0.7× median
426 OTHER	Non-hypovolemic Sodium Disorders	19	$79,480.34	$119,220.51	$83,454.36	nat. median $80,273 1.0× median
J9029 OTHER	Instill Adstiladrin, Tx Dose	36	$64,274.79	$101,970.00	$83,122.40	nat. median $66,509 1.2× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	19	$78,424.41	$117,636.62	$82,345.63	nat. median $90,581 0.9× median
55566-1050-00 OTHER	Adstiladrin	36	$64,274.79	$96,412.18	$80,343.49	nat. median $69,095 1.2× median
005 OTHER	Liver Transplant With Comorbity Or Intestinal Transplant	19	$49,578.45	$111,567.99	$78,097.59	nat. median $104,489 0.7× median
215 OTHER	Other Heart Assist System Implant	19	$65,712.55	$107,761.66	$75,433.17	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity	19	$56,829.25	$105,885.94	$74,120.16	nat. median $90,130 0.8× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	19	$65,040.33	$97,560.49	$68,292.35	nat. median $62,997 1.1× median
850 OTHER	Acute Leukemia With Other Procedures	19	$62,527.16	$93,790.74	$65,653.52	nat. median $407 outlier · 161.2×
231 OTHER	Coronary Bypass With Ptca With Comorbity	19	$48,607.13	$91,318.52	$63,922.96	nat. median $74,989 0.9× median
456 OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity	19	$39,974.35	$91,033.17	$63,723.22	nat. median $76,493 0.8× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	19	$53,773.90	$85,276.82	$59,693.77	nat. median $82,426 0.7× median
J9226 OTHER	Supprelin La Implant	36	$43,185.34	$73,550.30	$58,367.82	nat. median $45,345 1.3× median
219 OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity	19	$47,109.75	$83,225.61	$58,257.93	nat. median $72,612 0.8× median
233 OTHER	Coronary Bypass With Cardiac Cath With Comorbity	19	$42,674.83	$82,869.21	$58,008.45	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	19	$36,062.13	$82,596.78	$57,817.75	nat. median $68,309 0.8× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	$34,999.44	$78,275.74	$54,793.02	nat. median $51,811 1.1× median
010 OTHER	Pancreas Transplant	19	$34,504.64	$77,813.82	$54,469.67	nat. median $67,882 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	19	$36,995.46	$77,781.54	$54,447.08	nat. median $46,003 1.2× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	19	$34,307.01	$77,371.26	$54,159.88	nat. median $67,495 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	19	$38,525.54	$77,326.04	$54,128.22	nat. median $29,655 1.8× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	19	$34,213.72	$74,972.28	$52,480.60	nat. median $54,603 1.0× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity	19	$32,236.93	$74,607.23	$52,225.06	nat. median $67,670 0.8× median
955 OTHER	Craniotomy For Multiple Significant Trauma	19	$44,905.99	$73,026.54	$51,118.58	nat. median $62,467 0.8× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	19	$45,523.41	$72,546.30	$50,782.41	nat. median $48,503 1.0× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	19	$48,329.03	$72,493.54	$50,745.48	nat. median $54,322 0.9× median
217 OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication	19	$39,364.15	$71,348.98	$49,944.29	nat. median $60,727 0.8× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	$28,234.30	$71,348.98	$49,944.29	nat. median $56,507 0.9× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Comorbity	19	$47,394.41	$71,091.62	$49,764.13	nat. median $54,881 0.9× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	19	$31,640.19	$69,835.04	$48,884.52	nat. median $66,849 0.7× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	19	$44,357.95	$66,536.92	$46,575.85	nat. median $58,866 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	19	$44,306.98	$66,460.47	$46,522.33	nat. median $64,729 0.7× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	19	$28,819.98	$65,828.43	$46,079.90	nat. median $56,351 0.8× median
028 OTHER	Spinal Procedures With Comorbity	19	$26,998.51	$65,243.74	$45,670.62	nat. median $61,887 0.7× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	19	$25,268.40	$65,225.44	$45,657.81	nat. median $3,947 outlier · 11.6×
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	$36,913.72	$64,757.06	$45,329.94	nat. median $52,731 0.9× median
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	19	$28,513.20	$64,397.42	$45,078.19	nat. median $60,768 0.7× median
235 OTHER	Coronary Bypass Without Cardiac Cath With Comorbity	19	$34,025.23	$63,739.52	$44,617.66	nat. median $56,120 0.8× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	19	$42,465.73	$63,698.60	$44,589.02	nat. median $45,972 1.0× median
430 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	19	$34,301.72	$62,646.63	$43,852.64	nat. median $88 outlier · 498.6×
023 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or…	19	$32,275.88	$62,250.36	$43,575.25	nat. median $59,073 0.7× median

Other procedures at this hospital

Browse this hospital's 8,951 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	19	19	—	—	$310,348.64	$465,522.96	$325,866.07	2026-05-13
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	18	—	—	$134,754.04	$302,298.38	$210,601.20	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	19	19	—	—	$153,196.72	$230,442.04	$161,309.43	2026-05-13
003	OTHER	Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r.	19	19	—	—	$96,100.60	$229,092.87	$160,365.01	2026-05-13
004	OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	19	19	—	—	$62,096.52	$149,694.92	$104,786.44	2026-05-13
007	OTHER	Lung Transplant	19	19	—	—	$62,271.55	$139,991.14	$97,993.80	2026-05-13
014	OTHER	Allogeneic Bone Marrow Transplant	19	19	—	—	$57,788.55	$129,952.58	$90,966.80	2026-05-13
209	OTHER	Complex Aortic Arch Procedures	19	19	—	—	$81,616.62	$122,424.93	$85,697.45	2026-05-13
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	18	18	—	—	$54,489.41	$122,564.92	$85,386.90	2026-05-13
426	OTHER	Non-hypovolemic Sodium Disorders	19	19	—	—	$79,480.34	$119,220.51	$83,454.36	2026-05-13
J9029	OTHER	Instill Adstiladrin, Tx Dose	38	36	$161,490.00	$80,745.00 50% off	$64,274.79	$101,970.00	$83,122.40	2026-05-13
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	19	19	—	—	$78,424.41	$117,636.62	$82,345.63	2026-05-13
55566-1050-00	OTHER	Adstiladrin	38	36	$180,000.00	$90,000.00 50% off	$64,274.79	$96,412.18	$80,343.49	2026-05-13
005	OTHER	Liver Transplant With Comorbity Or Intestinal Transplant	19	19	—	—	$49,578.45	$111,567.99	$78,097.59	2026-05-13
215	OTHER	Other Heart Assist System Implant	19	19	—	—	$65,712.55	$107,761.66	$75,433.17	2026-05-13
216	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity	19	19	—	—	$56,829.25	$105,885.94	$74,120.16	2026-05-13
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	19	19	—	—	$65,040.33	$97,560.49	$68,292.35	2026-05-13
850	OTHER	Acute Leukemia With Other Procedures	19	19	—	—	$62,527.16	$93,790.74	$65,653.52	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Comorbity	19	19	—	—	$48,607.13	$91,318.52	$63,922.96	2026-05-13
456	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity	19	19	—	—	$39,974.35	$91,033.17	$63,723.22	2026-05-13
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	19	19	—	—	$53,773.90	$85,276.82	$59,693.77	2026-05-13
J9226	OTHER	Supprelin La Implant	38	36	$150,543.00	$75,271.50 50% off	$43,185.34	$73,550.30	$58,367.82	2026-05-13
219	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity	19	19	—	—	$47,109.75	$83,225.61	$58,257.93	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Cath With Comorbity	19	19	—	—	$42,674.83	$82,869.21	$58,008.45	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	19	19	—	—	$36,062.13	$82,596.78	$57,817.75	2026-05-13
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	19	—	—	$34,999.44	$78,275.74	$54,793.02	2026-05-13
010	OTHER	Pancreas Transplant	19	19	—	—	$34,504.64	$77,813.82	$54,469.67	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	19	19	—	—	$36,995.46	$77,781.54	$54,447.08	2026-05-13
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	19	19	—	—	$34,307.01	$77,371.26	$54,159.88	2026-05-13
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	19	19	—	—	$38,525.54	$77,326.04	$54,128.22	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	19	19	—	—	$34,213.72	$74,972.28	$52,480.60	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity	19	19	—	—	$32,236.93	$74,607.23	$52,225.06	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	19	19	—	—	$44,905.99	$73,026.54	$51,118.58	2026-05-13
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	19	19	—	—	$45,523.41	$72,546.30	$50,782.41	2026-05-13
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	19	19	—	—	$48,329.03	$72,493.54	$50,745.48	2026-05-13
217	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication	19	19	—	—	$39,364.15	$71,348.98	$49,944.29	2026-05-13
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	19	—	—	$28,234.30	$71,348.98	$49,944.29	2026-05-13
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Comorbity	19	19	—	—	$47,394.41	$71,091.62	$49,764.13	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	19	19	—	—	$31,640.19	$69,835.04	$48,884.52	2026-05-13
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	19	19	—	—	$44,357.95	$66,536.92	$46,575.85	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	19	19	—	—	$44,306.98	$66,460.47	$46,522.33	2026-05-13
232	OTHER	Coronary Bypass With Ptca Without Mcc	19	19	—	—	$28,819.98	$65,828.43	$46,079.90	2026-05-13
028	OTHER	Spinal Procedures With Comorbity	19	19	—	—	$26,998.51	$65,243.74	$45,670.62	2026-05-13
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	19	19	—	—	$25,268.40	$65,225.44	$45,657.81	2026-05-13
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	19	—	—	$36,913.72	$64,757.06	$45,329.94	2026-05-13
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	19	19	—	—	$28,513.20	$64,397.42	$45,078.19	2026-05-13
235	OTHER	Coronary Bypass Without Cardiac Cath With Comorbity	19	19	—	—	$34,025.23	$63,739.52	$44,617.66	2026-05-13
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	19	19	—	—	$42,465.73	$63,698.60	$44,589.02	2026-05-13
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	19	19	—	—	$34,301.72	$62,646.63	$43,852.64	2026-05-13
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or …	19	19	—	—	$32,275.88	$62,250.36	$43,575.25	2026-05-13
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	19	19	—	—	$41,332.25	$61,998.38	$43,398.86	2026-05-13
463	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity	19	19	—	—	$26,462.36	$61,918.74	$43,343.12	2026-05-13
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	19	—	—	$27,166.33	$61,084.23	$42,758.96	2026-05-13
008	OTHER	Simultaneous Pancreas And Kidney Transplant	19	19	—	—	$26,949.94	$60,896.88	$42,627.82	2026-05-13
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	19	19	—	—	$40,322.25	$60,483.38	$42,338.36	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	19	19	—	—	$40,012.16	$60,018.24	$42,012.77	2026-05-13
834	OTHER	Acute Leukemia Without Major O.r. Procedure With Comorbity	19	19	—	—	$28,978.67	$59,661.86	$41,763.30	2026-05-13
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	19	19	—	—	$28,119.38	$59,452.95	$41,617.06	2026-05-13
234	OTHER	Coronary Bypass With Cardiac Cath Without Comorbity	19	19	—	—	$39,215.09	$59,368.93	$41,558.25	2026-05-13
011	OTHER	Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity	19	19	—	—	$39,517.56	$59,276.34	$41,493.44	2026-05-13
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	19	19	—	—	$26,121.43	$59,041.65	$41,329.16	2026-05-13
220	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication	19	19	—	—	$38,596.23	$57,970.26	$40,579.18	2026-05-13
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	19	19	—	—	$38,623.86	$57,935.79	$40,555.05	2026-05-13
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	19	19	—	—	$38,366.87	$57,550.30	$40,285.21	2026-05-13
270	OTHER	Other Major Cardiovascular Procedures With Comorbity	19	19	—	—	$33,473.21	$57,361.90	$40,153.33	2026-05-13
466	OTHER	Revision Of Hip Or Knee Replacement With Comorbity	19	19	—	—	$27,160.56	$56,598.48	$39,618.94	2026-05-13
653	OTHER	Major Bladder Procedures With Mcc	19	19	—	—	$37,667.70	$56,501.55	$39,551.08	2026-05-13
221	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati…	19	19	—	—	$27,683.25	$54,819.64	$38,373.75	2026-05-13
326	OTHER	Stomach; Esophageal & Duodenal Proc With Comorbity	19	19	—	—	$24,009.04	$54,251.13	$37,975.79	2026-05-13
228	OTHER	Other Cardiothoracic Procedures With Comorbity	19	19	—	—	$28,165.54	$53,820.42	$37,674.29	2026-05-13
853	OTHER	Infectious & Parasitic Diseases With O.r. Procedure With Comorbity	19	19	—	—	$27,746.72	$53,725.68	$37,607.98	2026-05-13
239	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity	19	19	—	—	$24,375.45	$53,543.70	$37,480.59	2026-05-13
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	34	33	$21,456.00	$10,728.00 50% off	$29,962.43	$44,943.64	$37,453.04	2026-05-13
576	OTHER	Skin Graft Exc For Skin Ulcer Or Cellulitis With Comorbity	19	19	—	—	$35,548.65	$53,322.98	$37,326.08	2026-05-13
471	OTHER	Cervical Spinal Fusion With Comorbity	19	19	—	—	$23,573.87	$52,542.32	$36,779.62	2026-05-13
837	OTHER	Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity	19	19	—	—	$9,565.15	$52,279.57	$36,595.70	2026-05-13
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	19	19	—	—	$22,017.82	$51,811.20	$36,267.84	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	19	19	—	—	$22,606.87	$51,171.58	$35,820.11	2026-05-13
981	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity	19	19	—	—	$26,345.99	$51,068.24	$35,747.76	2026-05-13
826	OTHER	Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity	19	19	—	—	$33,945.00	$50,917.50	$35,642.25	2026-05-13
006	OTHER	Liver Transplant Without Mcc	19	19	—	—	$22,297.20	$50,478.18	$35,334.73	2026-05-13
277	OTHER	Cardiac Defibrillator Implant Without Mcc	19	19	—	—	$24,106.65	$50,278.95	$35,195.27	2026-05-13
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	19	19	—	—	$21,143.15	$50,042.09	$35,029.46	2026-05-13
823	OTHER	Lymphoma & Non-acute Leukemia With Other Proc With Comorbity	19	19	—	—	$33,277.40	$49,916.10	$34,941.27	2026-05-13
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	33	31	—	—	$5,120.61	$64,546.02	$34,833.32	2026-05-13
245	OTHER	Aicd Generator Procedures	19	19	—	—	$33,116.59	$49,674.88	$34,772.42	2026-05-13
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity	19	19	—	—	$18,429.69	$49,527.40	$34,669.18	2026-05-13
025	OTHER	Craniotomy & Endovascular Intracranial Procedures With Comorbity	19	19	—	—	$26,443.60	$49,505.87	$34,654.11	2026-05-13
799	OTHER	Splenectomy With Comorbity	19	19	—	—	$20,334.83	$49,314.18	$34,519.93	2026-05-13
163	OTHER	Major Chest Procedures With Comorbity	19	19	—	—	$21,077.27	$48,807.03	$34,164.92	2026-05-13
031	OTHER	Ventricular Shunt Procedures With Mcc	19	19	—	—	$16,083.12	$48,793.05	$34,155.14	2026-05-13
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	19	19	—	—	$28,119.38	$48,603.53	$34,022.47	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Comorbity	19	19	—	—	$21,374.44	$47,848.71	$33,494.10	2026-05-13
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	19	19	—	—	$31,429.68	$47,144.52	$33,001.16	2026-05-13
474	OTHER	Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity	19	19	—	—	$21,104.20	$46,773.03	$32,741.12	2026-05-13
140	OTHER	Major Head And Neck Procedures With Mcc	19	19	—	—	$26,766.26	$46,475.88	$32,533.12	2026-05-13
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	19	19	—	—	$22,416.93	$46,212.04	$32,348.43	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity	19	19	—	—	$22,326.05	$46,022.55	$32,215.78	2026-05-13
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	19	19	—	—	$29,145.04	$45,945.02	$32,161.51	2026-05-13
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Complication	19	19	—	—	$20,103.54	$45,922.42	$32,145.70	2026-05-13
673	OTHER	Other Kidney & Urinary Tract Procedures With Comorbity	19	19	—	—	$19,995.83	$45,789.98	$32,052.98	2026-05-13
901	OTHER	Wound Debridements For Injuries With Mcc	19	19	—	—	$30,490.75	$45,736.12	$32,015.29	2026-05-13
236	OTHER	Coronary Bypass Without Cardiac Cath Without Comorbity	19	19	—	—	$30,434.75	$45,652.12	$31,956.49	2026-05-13
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	19	—	—	$26,477.26	$45,477.70	$31,834.39	2026-05-13
793	OTHER	Full Term Neonate With Major Problems	19	19	—	—	$2,021.03	$45,445.41	$31,811.79	2026-05-13
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	19	19	—	—	$30,177.78	$45,266.67	$31,686.67	2026-05-13
273	OTHER	Percutaneous Intracardiac Procedures With Comorbity	19	19	—	—	$24,548.56	$44,970.56	$31,479.39	2026-05-13
33249	OTHER	Insj/rplcmt Defib W/lead(s)	20	20	$22,913.00	$11,456.50 50% off	$205.80	$44,943.64	$31,310.74	2026-05-13
33264	OTHER	Removal And Replacement Of Multiple Lead Defibrillator	20	20	$17,811.00	$8,905.50 50% off	$205.80	$44,943.64	$31,310.74	2026-05-13
33270	OTHER	Ins/rep Subq Defibrillator	20	20	$22,537.00	$11,268.50 50% off	$205.80	$44,943.64	$31,310.74	2026-05-13
63685	OTHER	Insertion Of Spinal Neurostimulator Generator Or Receiver	20	20	$4,877.00	$2,438.50 50% off	$205.80	$44,183.12	$30,780.90	2026-05-13
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	32	30	—	—	$22,822.52	$43,448.04	$29,239.61	2026-05-13
33289	OTHER	Tcat Impl Wrls P-art Prs Snr	20	20	$15,345.00	$7,672.50 50% off	$255.81	$41,069.80	$28,611.96	2026-05-13
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	32	30	—	—	$22,338.51	$42,480.03	$28,583.71	2026-05-13
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	32	30	—	—	$22,156.27	$42,164.54	$28,370.11	2026-05-13
956	OTHER	Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma	32	30	—	—	$21,632.15	$41,067.30	$27,788.88	2026-05-13
518	OTHER	Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim	32	30	—	—	$21,493.79	$40,790.58	$27,439.21	2026-05-13
22633	OTHER	Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc	20	20	$5,846.64	$2,923.32 50% off	$205.80	$38,851.43	$27,066.50	2026-05-13
904	OTHER	Skin Grafts For Injuries With Complication/comorbity	32	30	—	—	$21,148.14	$40,099.28	$26,971.22	2026-05-13
939	OTHER	O.r. Proc With Diagnoses Of Other Contact With Health Services With Comorbity	32	30	—	—	$20,908.03	$39,619.06	$26,646.22	2026-05-13
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	32	30	—	—	$20,892.96	$39,588.92	$26,625.60	2026-05-13
332	OTHER	Rectal Resection With Mcc	32	30	—	—	$20,866.04	$39,535.08	$26,589.14	2026-05-13
265	OTHER	Aicd Lead Procedures	32	30	—	—	$20,852.58	$39,508.17	$26,570.55	2026-05-13
0414T	OTHER	Rmvl & Rpl Car Modulj Pls Gn	34	33	$16,482.00	$8,241.00 50% off	$21,232.75	$31,849.12	$26,540.94	2026-05-13
0409T	OTHER	Insj/rplc Car Modulj Pls Gn	34	33	$16,482.00	$8,241.00 50% off	$21,232.75	$31,849.12	$26,540.94	2026-05-13
93653	OTHER	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	58	36	$27,102.00	$13,551.00 50% off	$636.95	$37,425.07	$26,447.05	2026-05-13
335	OTHER	Peritoneal Adhesiolysis With Comorbity	32	30	—	—	$20,597.92	$38,998.84	$26,389.22	2026-05-13
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	32	30	—	—	$20,662.00	$39,127.00	$26,312.46	2026-05-13
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	32	30	—	—	$20,569.40	$38,941.79	$26,187.49	2026-05-13
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	32	30	—	—	$20,553.25	$38,909.50	$26,165.43	2026-05-13
93654	OTHER	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	20	20	$27,102.00	$13,551.00 50% off	$767.69	$37,425.07	$26,072.80	2026-05-13
93656	OTHER	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	20	20	$27,102.00	$13,551.00 50% off	$721.62	$37,425.07	$26,072.80	2026-05-13
420	OTHER	Hepatobiliary Diagnostic Procedures With Comorbity	32	30	—	—	$19,716.06	$37,235.13	$25,031.49	2026-05-13
271	OTHER	Other Major Cardiovascular Procedures With Complication	32	30	—	—	$20,519.32	$38,841.64	$24,504.99	2026-05-13
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Comorbity	32	30	—	—	$18,885.35	$35,573.70	$24,071.53	2026-05-13
411	OTHER	Cholecystectomy With C.d.e. With Mcc	32	30	—	—	$19,157.22	$36,117.45	$24,059.82	2026-05-13
485	OTHER	Knee Procedures With Pdx Of Infection With Comorbity	32	30	—	—	$18,746.98	$35,296.96	$23,718.49	2026-05-13
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	32	30	—	—	$18,713.06	$35,229.12	$23,672.54	2026-05-13
252	OTHER	Other Vascular Procedures With Comorbity	32	30	—	—	$20,153.24	$38,109.48	$23,650.46	2026-05-13
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	32	30	—	—	$18,657.07	$35,117.14	$23,596.76	2026-05-13
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	32	30	—	—	$19,885.65	$37,574.31	$23,552.19	2026-05-13
791	OTHER	Prematurity With Major Problems	33	31	—	—	$2,618.73	$44,254.53	$23,436.63	2026-05-13
229	OTHER	Other Cardiothoracic Procedures Without Comorbity	32	30	—	—	$18,329.20	$34,461.40	$23,318.89	2026-05-13
515	OTHER	Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity	32	30	—	—	$18,530.56	$34,864.12	$23,316.22	2026-05-13
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	32	30	—	—	$18,479.40	$34,761.81	$23,149.72	2026-05-13
274	OTHER	Percutaneous Intracardiac Procedures Without Comorbity	32	30	—	—	$19,094.77	$35,992.54	$23,116.12	2026-05-13
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	32	30	—	—	$20,893.11	$43,839.96	$23,018.48	2026-05-13
0802T	OTHER	Tcat Rmv&rpl2chmb Ldls Pm Ra	34	33	$16,552.00	$8,276.00 50% off	$18,386.36	$27,579.54	$22,982.95	2026-05-13
33274	OTHER	Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance	96	36	$10,234.00	$5,117.00 50% off	$361.84	$27,579.54	$22,982.95	2026-05-13
0801T	OTHER	Tcat Rmv&rpl 2chmbr Ldls Pm	34	33	$16,552.00	$8,276.00 50% off	$18,386.36	$27,579.54	$22,982.95	2026-05-13
33229	OTHER	Removal And Replacement Of Multiple Lead Permanent Pacemaker	38	36	$18,391.00	$9,195.50 50% off	$18,386.36	$27,579.54	$22,982.95	2026-05-13
0797T	OTHER	Tcat Ins 2chmbr Ldls Pm Rv	34	33	$16,552.00	$8,276.00 50% off	$18,386.36	$27,579.54	$22,982.95	2026-05-13
0803T	OTHER	Tcat Rmv&rpl2chmb Ldls Pm Rv	34	33	$16,552.00	$8,276.00 50% off	$18,386.36	$27,579.54	$22,982.95	2026-05-13
0795T	OTHER	Tcat Ins 2chmbr Ldls Pm Cmpl	34	33	$16,552.00	$8,276.00 50% off	$18,386.36	$27,579.54	$22,982.95	2026-05-13
0796T	OTHER	Tcat Ins 2chmbr Ldls Pm Ra	34	33	$16,552.00	$8,276.00 50% off	$18,386.36	$27,579.54	$22,982.95	2026-05-13
665	OTHER	Prostatectomy With Comorbity	32	30	—	—	$18,176.83	$34,156.65	$22,946.48	2026-05-13
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	32	30	—	—	$18,289.36	$34,381.72	$22,894.51	2026-05-13
324	OTHER	Non-elective Or Complex Hip Joint Replacement	32	30	—	—	$18,337.28	$34,477.56	$22,638.01	2026-05-13
662	OTHER	Minor Bladder Procedures With Comorbity	32	30	—	—	$17,855.43	$33,513.86	$22,510.78	2026-05-13
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	30	—	—	$19,202.90	$42,670.62	$22,433.81	2026-05-13
034	OTHER	Carotid Artery Stent Procedure With Comorbity	32	30	—	—	$17,060.22	$42,226.98	$22,211.99	2026-05-13
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	32	30	—	—	$17,634.69	$33,072.38	$22,211.92	2026-05-13
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	32	30	—	—	$17,632.54	$33,068.08	$22,208.56	2026-05-13
33262	OTHER	Removal And Replacement Of Single Lead Defibrillator	20	20	$20,485.00	$10,242.50 50% off	$205.80	$31,849.12	$22,188.22	2026-05-13
33263	OTHER	Removal And Replacement Of Dual Lead Defibrillator	20	20	$17,811.00	$8,905.50 50% off	$205.80	$31,849.12	$22,188.22	2026-05-13
040	OTHER	Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity	32	30	—	—	$14,689.61	$42,124.68	$22,160.84	2026-05-13
907	OTHER	Other O.r. Procedures For Injuries With Comorbity	32	30	—	—	$15,771.53	$41,888.88	$22,042.94	2026-05-13
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	32	30	—	—	$17,397.26	$32,597.52	$21,890.62	2026-05-13
37290	OTHER	Revsc Evsc Tpvt Athrc Cplx 1	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
37288	OTHER	Revsc Evsc Tpvt Athrc Sf 1st	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
37292	OTHER	Rvsc Evsc Tpvt St Athrc Sf 1	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
37286	OTHER	Revsc Evasc Tpvt St Cplx 1st	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
37294	OTHER	Rvsc Evsc Tpvt St Athr Cpx 1	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
37277	OTHER	Rvsc Evsc Fpvt St Athr Cpx 1	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
37271	OTHER	Revsc Evsc Fpvt Athrc Sf 1st	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
37273	OTHER	Revsc Evsc Fpvt Athrc Cplx 1	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
37275	OTHER	Rvsc Evsc Fpvt St Athrc Sf 1	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
C9775	OTHER	Revasc Lith-sten-ath Tib/per	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
C9797	OTHER	Vasc Emb/occ W/prs Cath	38	36	$19,806.00	$9,903.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
37284	OTHER	Revsc Evasc Tpvt St Sf 1st	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
C9773	OTHER	Revasc Lithotr-stent Tib/per	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
C9767	OTHER	Revasc Lithotrip-stent-ather	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
C9766	OTHER	Revasc Intra Lithotrip-ather	38	36	$19,697.00	$9,848.50 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
C9607	OTHER	Perc D-e Cor Revasc Chro Sin	38	36	$19,092.00	$9,546.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
C9602	OTHER	Perc D-e Cor Stent Ather S	76	36	$25,280.50	$12,640.25 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
C9774	OTHER	Revasc Lithotr-ather Tib/per	38	36	$19,030.00	$9,515.00 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
92930	OTHER	Prq Tcat Plmt Ntrac St 2+les	38	36	$19,030.21	$9,515.11 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
0238T	OTHER	Trluml Perip Athrc Iliac Art	34	33	$19,697.00	$9,848.50 50% off	$17,498.57	$26,247.86	$21,873.22	2026-05-13
C9765	OTHER	Revasc Intra Lithotrip-stent	38	36	$35,932.00	$17,966.00 50% off	$17,498.57	$26,247.85	$21,873.21	2026-05-13
143	OTHER	Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc	32	30	—	—	$18,458.06	$40,890.74	$21,543.87	2026-05-13
166	OTHER	Other Resp System O.r. Procedures With Comorbity	32	30	—	—	$16,721.22	$40,794.88	$21,495.94	2026-05-13
668	OTHER	Transurethral Procedures With Comorbity	32	30	—	—	$17,093.62	$31,990.25	$21,478.79	2026-05-13
628	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity	32	30	—	—	$13,574.03	$40,677.51	$21,437.26	2026-05-13
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	32	30	—	—	$17,819.49	$40,451.42	$21,324.21	2026-05-13
619	OTHER	O.r. Procedures For Obesity With Mcc	32	30	—	—	$16,918.11	$31,639.22	$21,240.84	2026-05-13
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	32	30	—	—	$16,887.97	$31,578.93	$21,200.06	2026-05-13
492	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity	32	30	—	—	$17,338.15	$40,083.15	$21,140.08	2026-05-13
23472	OTHER	Prosthetic Repair Of Shoulder Joint; Total Shoulder	96	36	$23,195.00	$11,597.50 50% off	$205.80	$25,105.51	$20,921.26	2026-05-13
27279	OTHER	Fusion Of Pelvic Joint Using Imaging Guidance	96	36	$15,695.00	$7,847.50 50% off	$205.80	$25,105.51	$20,921.26	2026-05-13
27487	OTHER	Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis	76	36	$34,694.50	$17,347.25 50% off	$16,737.01	$25,105.51	$20,921.26	2026-05-13
094	OTHER	Bacterial & Tuberculous Infections Of Nervous System With Comorbity	32	30	—	—	$20,320.65	$38,444.31	$20,870.75	2026-05-13
097	OTHER	Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity	32	30	—	—	$16,112.94	$39,439.28	$20,818.14	2026-05-13
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	32	30	—	—	$17,489.14	$39,381.11	$20,789.06	2026-05-13
654	OTHER	Major Bladder Procedures With Complication	32	30	—	—	$16,443.80	$30,690.60	$20,767.31	2026-05-13
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	32	30	—	—	$20,359.43	$38,521.86	$20,752.44	2026-05-13
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	32	30	—	—	$18,950.94	$39,037.65	$20,617.33	2026-05-13
503	OTHER	Foot Procedures With Mcc	32	30	—	—	$16,399.65	$30,602.31	$20,538.65	2026-05-13
622	OTHER	Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity	32	30	—	—	$13,818.30	$38,872.88	$20,534.94	2026-05-13
026	OTHER	Craniotomy & Endovascular Intracranial Procedures With Complication	32	30	—	—	$18,112.24	$34,027.47	$20,292.42	2026-05-13
061	OTHER	Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	32	30	—	—	$16,216.60	$30,236.21	$20,157.47	2026-05-13
616	OTHER	Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity	32	30	—	—	$16,625.05	$38,099.76	$20,148.38	2026-05-13
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Complication	32	30	—	—	$14,598.25	$37,927.49	$20,062.24	2026-05-13
477	OTHER	Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity	32	30	—	—	$15,982.63	$37,746.58	$19,971.79	2026-05-13
849	OTHER	Radiotherapy	32	30	—	—	$15,960.33	$29,723.66	$19,943.55	2026-05-13
840	OTHER	Lymphoma & Non-acute Leukemia With Comorbity	32	30	—	—	$18,788.97	$35,380.95	$19,859.78	2026-05-13
987	OTHER	Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity	32	30	—	—	$15,604.19	$37,464.50	$19,830.75	2026-05-13
321	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	32	30	—	—	$16,021.17	$29,845.35	$19,760.53	2026-05-13
029	OTHER	Spinal Procedures With Complication Or Spinal Neurostimulators	32	30	—	—	$15,198.83	$37,283.60	$19,740.30	2026-05-13
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	32	30	—	—	$15,693.84	$29,190.68	$19,582.44	2026-05-13
656	OTHER	Kidney & Ureter Procedures For Neoplasm With Comorbity	32	30	—	—	$18,513.86	$34,830.72	$19,438.37	2026-05-13
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	32	30	—	—	$15,572.17	$28,947.33	$19,417.66	2026-05-13
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	32	30	—	—	$15,643.76	$29,090.52	$19,393.68	2026-05-13
264	OTHER	Other Circulatory System O.r. Procedures	32	30	—	—	$13,125.39	$36,519.07	$19,358.03	2026-05-13
64590	OTHER	Ins/rpl Prph Sac/gstr Npg/r	20	20	$8,652.00	$4,326.00 50% off	$205.80	$27,777.75	$19,351.83	2026-05-13
263	OTHER	Vein Ligation & Stripping	32	30	—	—	$17,833.35	$33,469.70	$19,285.84	2026-05-13
500	OTHER	Soft Tissue Procedures With Comorbity	32	30	—	—	$18,411.58	$34,626.15	$19,203.22	2026-05-13
037	OTHER	Extracranial Procedures With Comorbity	32	30	—	—	$18,076.74	$35,996.86	$19,096.93	2026-05-13
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	32	30	—	—	$15,278.21	$28,359.42	$19,019.49	2026-05-13
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	32	30	—	—	$18,701.37	$35,332.49	$19,013.06	2026-05-13
242	OTHER	Permanent Cardiac Pacemaker Implant With Comorbity	32	30	—	—	$18,562.32	$34,927.64	$18,941.19	2026-05-13
579	OTHER	Other Skin; Subcut Tiss & Breast Proc With Comorbity	32	30	—	—	$15,873.47	$35,419.72	$18,808.36	2026-05-13
652	OTHER	Kidney Transplant	32	30	—	—	$15,529.18	$35,322.81	$18,759.90	2026-05-13
36906	OTHER	Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…	58	36	$20,104.00	$10,052.00 50% off	$386.03	$26,247.86	$18,548.48	2026-05-13
472	OTHER	Cervical Spinal Fusion With Complication	32	30	—	—	$17,234.12	$32,271.25	$18,499.74	2026-05-13
974	OTHER	HIV With Major Related Condition With Mcc	32	30	—	—	$16,910.58	$31,624.16	$18,422.01	2026-05-13
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	32	30	—	—	$16,625.05	$34,574.44	$18,385.72	2026-05-13
350	OTHER	Inguinal & Femoral Hernia Procedures With Comorbity	32	30	—	—	$14,788.82	$27,380.64	$18,356.63	2026-05-13
92933	OTHER	Prq Trlml C Athrc St Angiop1	20	20	$19,030.00	$9,515.00 50% off	$505.70	$26,247.86	$18,286.00	2026-05-13
37184	OTHER	Prim Art M-thrmbc 1st Vsl	20	20	$19,030.00	$9,515.00 50% off	$205.80	$26,247.86	$18,286.00	2026-05-13
37242	OTHER	Vasc Embolize/occlude Artery	20	20	$19,030.00	$9,515.00 50% off	$205.80	$26,247.86	$18,286.00	2026-05-13
61624	OTHER	Tcat Perm Occls/embolj Cns	20	20	$23,294.00	$11,647.00 50% off	$923.64	$26,247.86	$18,286.00	2026-05-13
545	OTHER	Connective Tissue Disorders With Mcc	32	30	—	—	$14,733.91	$27,270.82	$18,282.52	2026-05-13
464	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication	32	30	—	—	$14,943.98	$34,086.72	$18,141.86	2026-05-13
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	32	30	—	—	$16,996.71	$31,796.42	$18,095.93	2026-05-13
62362	OTHER	Insertion Of Programmable Spinal Canal Drug Infusion Pump	20	20	$21,722.00	$10,861.00 50% off	$205.80	$25,807.17	$17,979.00	2026-05-13
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	32	30	—	—	$14,413.59	$26,630.18	$17,848.02	2026-05-13
406	OTHER	Pancreas; Liver & Shunt Procedures With Complication	32	30	—	—	$16,987.03	$31,777.05	$17,742.97	2026-05-13
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	32	30	—	—	$14,322.60	$26,448.20	$17,725.08	2026-05-13
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…	32	30	—	—	$14,870.41	$33,209.14	$17,703.07	2026-05-13
498	OTHER	Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb…	32	30	—	—	$16,497.62	$33,032.54	$17,614.77	2026-05-13
20982	OTHER	Ablate Bone Tumor(s) Perq	20	20	$15,695.00	$7,847.50 50% off	$205.80	$25,105.51	$17,490.18	2026-05-13
272	OTHER	Other Major Cardiovascular Procedures Without Complication/comorbity	32	30	—	—	$15,117.78	$28,038.57	$17,386.10	2026-05-13
113	OTHER	Orbital Procedures With Complication/comorbity	32	30	—	—	$14,030.79	$25,864.58	$17,330.03	2026-05-13
333	OTHER	Rectal Resection With Cc	32	30	—	—	$13,982.87	$25,768.74	$17,264.90	2026-05-13
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	32	30	—	—	$14,419.85	$32,249.76	$17,223.38	2026-05-13
570	OTHER	Skin Debridement With Comorbity	32	30	—	—	$12,020.87	$32,217.45	$17,207.22	2026-05-13
709	OTHER	Penis Procedures With Cc/mcc	32	30	—	—	$13,901.56	$25,606.12	$17,154.68	2026-05-13
480	OTHER	Hip & Femur Procedures Except Major Joint With Comorbity	32	30	—	—	$16,636.59	$31,907.34	$17,052.17	2026-05-13
347	OTHER	Anal & Stomal Procedures With Comorbity	32	30	—	—	$13,731.98	$25,266.96	$16,925.26	2026-05-13
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	32	30	—	—	$15,848.95	$31,454.04	$16,825.52	2026-05-13
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	32	30	—	—	$14,371.04	$26,545.08	$16,799.95	2026-05-13
240	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication	32	30	—	—	$14,383.30	$31,241.91	$16,719.46	2026-05-13
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	32	30	—	—	$13,425.12	$24,653.25	$16,509.35	2026-05-13
800	OTHER	Splenic Procedures With Cc	32	30	—	—	$14,410.23	$30,799.35	$16,498.17	2026-05-13
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	32	30	—	—	$13,322.82	$24,448.63	$16,370.94	2026-05-13
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	32	30	—	—	$13,173.14	$24,149.28	$16,341.01	2026-05-13
715	OTHER	Other Male Reproductive System O.r. Proc For Malignancy With Complication/comorb…	32	30	—	—	$13,418.11	$24,639.22	$16,320.85	2026-05-13
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	32	30	—	—	$13,274.38	$24,351.75	$16,305.23	2026-05-13
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	32	30	—	—	$11,722.26	$30,395.56	$16,296.28	2026-05-13
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	32	30	—	—	$12,359.39	$30,145.77	$16,171.39	2026-05-13
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	32	30	—	—	$15,527.74	$30,138.22	$16,167.61	2026-05-13
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Complication	32	30	—	—	$13,152.16	$24,107.32	$16,139.60	2026-05-13
963	OTHER	Other Multiple Significant Trauma With Comorbity	32	30	—	—	$15,468.59	$29,985.33	$16,091.17	2026-05-13
330	OTHER	Major Small & Large Bowel Procedures With Complication	32	30	—	—	$14,278.98	$26,360.96	$16,087.67	2026-05-13
409	OTHER	Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Complicatio…	32	30	—	—	$13,095.07	$23,993.14	$16,062.36	2026-05-13
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	32	30	—	—	$13,055.78	$23,914.56	$16,009.24	2026-05-13
584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	32	30	—	—	$12,898.04	$23,599.08	$15,968.71	2026-05-13
288	OTHER	Acute And Subacute Endocarditis With Mcc	32	30	—	—	$13,409.09	$29,688.15	$15,942.58	2026-05-13
255	OTHER	Upper Limb & Toe Amputation For Circ System Disorders With Comorbity	32	30	—	—	$13,683.66	$29,593.40	$15,895.20	2026-05-13
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	32	30	—	—	$13,815.97	$25,434.94	$15,888.21	2026-05-13
164	OTHER	Major Chest Procedures With Complication	32	30	—	—	$14,961.64	$27,726.27	$15,863.76	2026-05-13
655	OTHER	Major Bladder Procedures Without Complication/comorbity	32	30	—	—	$12,768.28	$23,339.56	$15,793.10	2026-05-13
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	32	30	—	—	$12,840.42	$23,483.84	$15,717.08	2026-05-13
595	OTHER	Major Skin Disorders With Comorbity	32	30	—	—	$12,790.35	$23,383.71	$15,649.56	2026-05-13
867	OTHER	Other Infectious & Parasitic Diseases Diagnoses With Comorbity	32	30	—	—	$12,642.31	$23,087.62	$15,622.62	2026-05-13
253	OTHER	Other Vascular Procedures With Complication	32	30	—	—	$15,347.12	$28,497.25	$15,608.09	2026-05-13
141	OTHER	Major Head And Neck Procedures With Cc	32	30	—	—	$13,115.55	$24,034.10	$15,589.51	2026-05-13
835	OTHER	Acute Leukemia Without Major O.r. Procedure With Complication	32	30	—	—	$12,602.47	$23,007.93	$15,568.70	2026-05-13
412	OTHER	Cholecystectomy With C.d.e. With Cc	32	30	—	—	$12,692.38	$23,187.75	$15,516.44	2026-05-13
027	OTHER	Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity	32	30	—	—	$14,955.74	$27,714.47	$15,449.69	2026-05-13
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity	32	30	—	—	$8,344.26	$28,463.85	$15,330.42	2026-05-13
23615	OTHER	Treatment Of Broken Top Of Upper Arm Bone	114	36	$13,514.00	$6,757.00 50% off	$12,255.24	$18,382.86	$15,319.05	2026-05-13
23474	OTHER	Revision Of Total Shoulder Repair; Total Shoulder	38	36	$28,681.00	$14,340.50 50% off	$12,255.24	$18,382.86	$15,319.05	2026-05-13
24666	OTHER	Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Prosthesis	38	36	$14,790.00	$7,395.00 50% off	$12,255.24	$18,382.86	$15,319.05	2026-05-13
24546	OTHER	Treatment Of Broken Upper Arm Bone At Elbow With Extension	38	36	$18,074.00	$9,037.00 50% off	$12,255.24	$18,382.86	$15,319.05	2026-05-13
27446	OTHER	Replacement Of Knee Joint On Side Of Knee	114	36	$18,120.00	$9,060.00 50% off	$12,255.24	$18,382.86	$15,319.05	2026-05-13
28730	OTHER	Fusion Of Multiple Foot Joints	190	36	$9,064.66	$4,532.33 50% off	$12,255.24	$18,382.86	$15,319.05	2026-05-13
24586	OTHER	Treatment Of Broken Or Dislocated Upper Or Forearm Bones At Elbow	76	36	$11,770.67	$5,885.34 50% off	$12,255.24	$18,382.86	$15,319.05	2026-05-13
24430	OTHER	Repair Of Nonhealed Broken Upper Arm Bone	38	36	$12,150.67	$6,075.34 50% off	$12,255.24	$18,382.86	$15,319.05	2026-05-13
24515	OTHER	Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing …	76	36	$15,642.00	$7,821.00 50% off	$12,255.24	$18,382.86	$15,319.05	2026-05-13

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