Hospital

WETZEL COUNTY HOSPITAL

New Martinsville, WV · CCN 510072 · Rates published

4,574 distinct procedures filed

38 distinct payers

216,816 rate rows

2026-05-13 last MRF observed

Data quality

194,271 of 216,816 rate rows are consumer-grade (89.6%)

22,545 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	19,457
per-diem day rate — not a per-procedure price	2,511
template filing: same amount across many unrelated codes — excluded	451
exceeds 10× this hospital's gross charge — excluded from medians	112
placeholder amount (≤ $0.02) — excluded from medians	14

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

Source MRF file	https://wvumedicine.org/wp-content/uploads/2026/03/843480493_Wetzel-County-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	f9ae09633f72babc… · 43,550,168 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	21	$292,140.02	$449,617.88	$306,747.02	nat. median $424,868 0.7× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	$158,954.92	$200,962.35	$196,222.67	nat. median $263,894 0.7× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	21	$144,440.28	$215,324.58	$151,662.29	nat. median $146,562 1.0× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	21	$113,359.59	$156,515.92	$149,336.29	nat. median $218,232 0.7× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	21	$73,248.62	$102,141.07	$97,455.70	nat. median $150,232 0.6× median
007 OTHER	Lung Transplant	21	$73,455.09	$95,495.56	$91,115.03	nat. median $141,082 0.6× median
014 OTHER	Allogeneic Bone Marrow Transplant	21	$68,166.97	$88,620.74	$84,555.57	nat. median $105,808 0.8× median
J9029 OTHER	Instill Adstiladrin, Tx Dose	37	$64,274.79	$101,970.00	$83,122.40	nat. median $66,509 1.2× median
209 OTHER	Complex Aortic Arch Procedures	21	$76,573.88	$117,851.91	$80,402.57	nat. median $23,389 outlier · 3.4×
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	$64,275.33	$81,261.54	$79,344.99	nat. median $117,167 0.7× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	21	$74,560.54	$114,753.76	$78,288.57	nat. median $80,273 1.0× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	21	$73,565.41	$113,222.26	$77,243.68	nat. median $90,581 0.9× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	21	$58,482.39	$76,030.26	$72,542.63	nat. median $104,489 0.7× median
215 OTHER	Other Heart Assist System Implant	21	$67,361.04	$92,361.81	$70,729.09	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	$66,182.54	$79,875.96	$69,491.67	nat. median $90,130 0.8× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	21	$60,951.69	$93,807.48	$63,999.27	nat. median $62,997 1.0× median
850 OTHER	Acute Leukemia With Other Procedures	21	$58,583.20	$90,163.24	$61,512.36	nat. median $407 outlier · 151.1×
231 OTHER	Coronary Bypass With Ptca With Mcc	21	$57,029.91	$68,319.41	$59,881.41	nat. median $74,989 0.8× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	$47,153.47	$61,967.18	$59,124.64	nat. median $76,493 0.8× median
J9226 OTHER	Supprelin La Implant	37	$43,185.34	$73,550.30	$58,367.82	nat. median $45,345 1.3× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	21	$53,233.96	$75,581.54	$55,895.66	nat. median $82,426 0.7× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	21	$51,945.19	$66,214.78	$54,542.45	nat. median $72,612 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	21	$50,338.93	$59,981.31	$54,307.32	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	21	$42,538.63	$56,189.62	$53,612.11	nat. median $68,309 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	21	$43,639.59	$52,891.93	$50,950.95	nat. median $46,003 1.1× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	21	$41,285.09	$53,230.40	$50,788.64	nat. median $51,811 1.0× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	21	$45,444.46	$54,149.31	$50,650.47	nat. median $29,655 1.7× median
010 OTHER	Pancreas Transplant	21	$40,701.43	$52,914.06	$50,486.81	nat. median $67,882 0.7× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	21	$40,468.31	$52,610.98	$50,197.63	nat. median $67,495 0.7× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	21	$40,358.27	$50,968.05	$48,630.07	nat. median $54,564 0.9× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	21	$38,026.46	$50,718.06	$48,391.54	nat. median $67,670 0.7× median
955 OTHER	Craniotomy For Multiple Significant Trauma	21	$45,537.20	$63,117.31	$47,814.06	nat. median $62,467 0.8× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	21	$45,235.48	$63,985.11	$47,497.25	nat. median $48,503 1.0× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	21	$45,202.31	$69,569.08	$47,462.43	nat. median $54,322 0.9× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	$44,483.19	$55,328.01	$46,707.35	nat. median $60,727 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	21	$44,321.50	$68,213.30	$46,537.58	nat. median $54,881 0.8× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	$33,304.99	$48,486.68	$46,262.52	nat. median $56,507 0.8× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	30	$24,932.03	$47,449.86	$43,586.19	nat. median $66,849 0.7× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	21	$41,459.81	$70,425.39	$43,532.80	nat. median $58,866 0.7× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	21	$41,411.78	$63,735.72	$43,482.37	nat. median $64,729 0.7× median
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	$40,341.53	$51,883.82	$42,358.61	nat. median $52,731 0.8× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	21	$6,040.24	$43,827.74	$41,817.30	nat. median $42,432 1.0× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	21	$39,676.51	$61,064.72	$41,660.34	nat. median $45,878 0.9× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	30	$23,560.09	$44,705.99	$41,014.67	nat. median $56,351 0.7× median
028 OTHER	Spinal Procedures With Mcc	30	$23,359.88	$44,305.57	$40,647.31	nat. median $61,887 0.7× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	30	$23,353.62	$44,293.04	$40,635.82	nat. median $3,947 outlier · 10.3×
213 OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	21	$38,608.29	$59,420.35	$40,538.70	nat. median $39,925 1.0× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	30	$25,119.06	$47,823.92	$40,514.60	nat. median $56,120 0.7× median
430 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	30	$25,313.37	$48,212.54	$40,186.02	nat. median $88 outlier · 456.9×
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	30	$23,070.08	$43,725.97	$40,115.57	nat. median $60,768 0.7× median

Other procedures at this hospital

Browse this hospital's 4,574 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

001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	20	—	—	$158,954.92	$200,962.35	$196,222.67	2026-05-13
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	20	—	—	$64,275.33	$81,261.54	$79,344.99	2026-05-13
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	21	21	—	—	$113,359.59	$156,515.92	$149,336.29	2026-05-13
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	21	21	—	—	$73,248.62	$102,141.07	$97,455.70	2026-05-13
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	21	21	—	—	$58,482.39	$76,030.26	$72,542.63	2026-05-13
006	OTHER	Liver Transplant Without Mcc	32	30	—	—	$18,303.85	$34,193.52	$31,370.20	2026-05-13
007	OTHER	Lung Transplant	21	21	—	—	$73,455.09	$95,495.56	$91,115.03	2026-05-13
008	OTHER	Simultaneous Pancreas And Kidney Transplant	32	30	—	—	$21,871.42	$41,328.66	$37,916.20	2026-05-13
010	OTHER	Pancreas Transplant	21	21	—	—	$40,701.43	$52,914.06	$50,486.81	2026-05-13
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	21	21	—	—	$36,898.03	$60,787.61	$38,742.93	2026-05-13
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	32	30	—	—	$21,689.40	$40,964.61	$29,377.72	2026-05-13
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	32	30	—	—	$16,209.52	$30,004.85	$20,080.81	2026-05-13
014	OTHER	Allogeneic Bone Marrow Transplant	21	21	—	—	$68,166.97	$88,620.74	$84,555.57	2026-05-13
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	32	30	—	—	$23,070.08	$43,725.97	$40,115.57	2026-05-13
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	32	30	—	—	$21,236.15	$40,058.11	$36,750.56	2026-05-13
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	21	21	—	—	$292,140.02	$449,617.88	$306,747.02	2026-05-13
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	21	21	—	—	$40,468.31	$52,610.98	$50,197.63	2026-05-13
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	21	21	—	—	$53,233.96	$75,581.54	$55,895.66	2026-05-13
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	21	21	—	—	$35,813.59	$55,119.84	$37,604.27	2026-05-13
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	32	30	—	—	$17,229.73	$32,045.27	$22,140.60	2026-05-13
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	30	—	—	$23,889.67	$45,365.14	$39,348.10	2026-05-13
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	30	—	—	$15,630.40	$28,846.60	$26,475.39	2026-05-13
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	32	30	—	—	$19,790.90	$37,167.62	$31,437.39	2026-05-13
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	32	30	—	—	$15,234.25	$28,054.31	$21,665.37	2026-05-13
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	32	30	—	—	$11,886.72	$21,359.24	$17,579.96	2026-05-13
028	OTHER	Spinal Procedures With Mcc	32	30	—	—	$23,359.88	$44,305.57	$40,647.31	2026-05-13
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	32	30	—	—	$13,785.77	$25,157.35	$23,080.14	2026-05-13
030	OTHER	Spinal Procedures Without Cc/mcc	32	30	—	—	$9,300.87	$16,187.55	$14,850.96	2026-05-13
031	OTHER	Ventricular Shunt Procedures With Mcc	32	30	—	—	$17,726.83	$33,039.48	$30,311.45	2026-05-13
032	OTHER	Ventricular Shunt Procedures With Cc	32	30	—	—	$9,064.16	$15,714.13	$14,416.63	2026-05-13
034	OTHER	Carotid Artery Stent Procedures With Mcc	32	30	—	—	$15,478.48	$28,542.77	$26,186.03	2026-05-13
035	OTHER	Carotid Artery Stent Procedures With Cc	32	30	—	—	$10,098.72	$17,783.25	$16,414.78	2026-05-13
037	OTHER	Extracranial Procedures With Mcc	32	30	—	—	$13,910.92	$25,407.64	$22,605.78	2026-05-13
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	32	30	—	—	$15,443.45	$28,472.72	$26,121.76	2026-05-13
041	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	32	30	—	—	$9,730.38	$17,046.57	$15,097.74	2026-05-13
056	OTHER	Degenerative Nervous System Disorders With Mcc	32	30	—	—	$11,655.91	$20,897.62	$16,187.72	2026-05-13
061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	32	30	—	—	$15,188.30	$27,962.40	$19,211.88	2026-05-13
064	OTHER	Intracranial Hemorrhage Or Cerebral Infarction With Comorbity	32	30	—	—	$10,124.41	$17,834.62	$14,012.95	2026-05-13
0797T	OTHER	Tcat Ins 2chmbr Ldls Pm Rv	36	35	$15,397.00	$7,698.50 50% off	$19,691.80	$21,464.06	$20,577.93	2026-05-13
0803T	OTHER	Tcat Rmv&rpl2chmb Ldls Pm Rv	36	35	$15,397.00	$7,698.50 50% off	$19,691.80	$21,464.06	$20,577.93	2026-05-13
082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	32	30	—	—	$10,624.54	$18,834.89	$15,866.74	2026-05-13
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	32	30	—	—	$8,313.63	$16,753.13	$15,369.84	2026-05-13
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	32	30	—	—	$15,634.02	$28,853.86	$24,369.56	2026-05-13
095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	32	30	—	—	$10,716.68	$19,019.18	$17,448.79	2026-05-13
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	32	30	—	—	$9,871.19	$19,019.18	$17,448.79	2026-05-13
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	32	30	—	—	$14,523.92	$26,633.65	$24,434.54	2026-05-13
098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	32	30	—	—	$9,668.46	$16,922.73	$15,525.44	2026-05-13
113	OTHER	Orbital Procedures With Cc/mcc	32	30	—	—	$13,447.27	$24,480.36	$16,382.82	2026-05-13
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	32	30	—	—	$12,504.45	$22,594.71	$15,120.87	2026-05-13
140	OTHER	Major Head And Neck Procedures With Mcc	32	30	—	—	$20,017.66	$37,621.13	$29,721.26	2026-05-13
141	OTHER	Major Head And Neck Procedures With Cc	32	30	—	—	$11,983.36	$21,552.53	$15,198.22	2026-05-13
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	32	30	—	—	$15,020.92	$27,627.66	$25,402.57	2026-05-13
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	32	30	—	—	$9,014.00	$15,613.82	$14,324.61	2026-05-13
163	OTHER	Major Chest Procedures With Mcc	32	30	—	—	$17,731.62	$33,049.05	$30,320.23	2026-05-13
164	OTHER	Major Chest Procedures With Cc	32	30	—	—	$12,172.94	$21,931.69	$17,587.60	2026-05-13
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	32	30	—	—	$14,988.10	$27,562.02	$25,286.26	2026-05-13
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	32	30	—	—	$16,702.90	$30,991.61	$20,740.01	2026-05-13
19357	OTHER	Tiss Xpndr Plmt Brst Rcnstj	22	22	$16,324.00	$8,162.00 50% off	$205.80	$15,356.66	$14,581.78	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	32	30	—	—	$24,932.03	$47,449.86	$43,586.19	2026-05-13
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	32	30	—	—	$11,341.64	$20,269.08	$18,595.49	2026-05-13
209	OTHER	Complex Aortic Arch Procedures	21	21	—	—	$76,573.88	$117,851.91	$80,402.57	2026-05-13
20982	OTHER	Ablate Bone Tumor(s) Perq	22	22	$14,832.00	$7,416.00 50% off	$205.80	$19,538.61	$18,552.72	2026-05-13
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	21	21	—	—	$73,565.41	$113,222.26	$77,243.68	2026-05-13
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	21	21	—	—	$38,608.29	$59,420.35	$40,538.70	2026-05-13
215	OTHER	Other Heart Assist System Implant	21	21	—	—	$67,361.04	$92,361.81	$70,729.09	2026-05-13
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	21	—	—	$66,182.54	$79,875.96	$69,491.67	2026-05-13
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	21	—	—	$44,483.19	$55,328.01	$46,707.35	2026-05-13
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	21	—	—	$33,304.99	$48,486.68	$46,262.52	2026-05-13
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	21	21	—	—	$51,945.19	$66,214.78	$54,542.45	2026-05-13
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	21	21	—	—	$36,077.42	$54,248.66	$37,881.29	2026-05-13
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	30	—	—	$20,662.09	$38,909.99	$34,609.40	2026-05-13
228	OTHER	Other Cardiothoracic Procedures With Mcc	32	30	—	—	$21,001.03	$39,587.88	$33,972.17	2026-05-13
229	OTHER	Other Cardiothoracic Procedures Without Mcc	32	30	—	—	$21,306.98	$42,975.30	$22,640.07	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Mcc	21	21	—	—	$57,029.91	$68,319.41	$59,881.41	2026-05-13
232	OTHER	Coronary Bypass With Ptca Without Mcc	32	30	—	—	$23,560.09	$44,705.99	$41,014.67	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	21	21	—	—	$50,338.93	$59,981.31	$54,307.32	2026-05-13
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	21	21	—	—	$36,956.22	$55,118.49	$38,804.03	2026-05-13
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	32	30	—	—	$25,119.06	$47,823.92	$40,514.60	2026-05-13
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	32	30	—	—	$23,016.79	$43,619.39	$29,188.18	2026-05-13
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	32	30	—	—	$19,353.55	$36,292.91	$33,458.30	2026-05-13
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	32	30	—	—	$11,716.98	$21,019.77	$19,561.33	2026-05-13
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	32	30	—	—	$14,300.21	$26,186.23	$22,112.27	2026-05-13
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	32	30	—	—	$10,595.48	$18,776.77	$14,848.43	2026-05-13
245	OTHER	Aicd Generator Procedures	32	30	—	—	$24,958.88	$47,503.57	$31,791.49	2026-05-13
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	32	30	—	—	$9,869.94	$17,325.70	$14,986.51	2026-05-13
252	OTHER	Other Vascular Procedures With Mcc	32	30	—	—	$17,555.49	$32,696.80	$24,307.00	2026-05-13
253	OTHER	Other Vascular Procedures With Cc	32	30	—	—	$11,996.20	$21,578.21	$18,086.54	2026-05-13
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	32	30	—	—	$11,152.49	$19,890.79	$18,522.15	2026-05-13
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	32	30	—	—	$17,051.64	$31,689.09	$21,894.62	2026-05-13
259	OTHER	Cardiac Pacemaker Device Replacement Without Mcc	32	30	—	—	$11,734.31	$21,054.42	$14,090.30	2026-05-13
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	32	30	—	—	$19,999.07	$37,583.95	$22,665.99	2026-05-13
263	OTHER	Vein Ligation And Stripping	32	30	—	—	$14,538.45	$26,662.72	$21,304.42	2026-05-13
264	OTHER	Other Circulatory System O.r. Procedures	32	30	—	—	$13,523.99	$24,633.78	$22,599.80	2026-05-13
265	OTHER	Aicd Lead Procedures	32	30	—	—	$20,043.01	$37,671.82	$25,212.15	2026-05-13
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	21	21	—	—	$41,459.81	$70,425.39	$43,532.80	2026-05-13
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	32	30	—	—	$18,760.31	$35,106.43	$32,207.73	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	21	21	—	—	$38,026.46	$50,718.06	$48,391.54	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	32	30	—	—	$16,897.21	$31,380.23	$28,999.34	2026-05-13
270	OTHER	Other Major Cardiovascular Procedures With Mcc	32	30	—	—	$24,731.12	$47,048.04	$36,766.06	2026-05-13
271	OTHER	Other Major Cardiovascular Procedures With Cc	32	30	—	—	$18,146.20	$33,878.21	$24,780.82	2026-05-13
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	32	30	—	—	$13,225.25	$24,036.32	$17,789.69	2026-05-13
27279	OTHER	Arthrd Si Jt Plmt Tartclr Dv	22	22	$15,879.00	$7,939.50 50% off	$205.80	$19,538.61	$18,552.72	2026-05-13
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	32	30	—	—	$18,459.12	$34,504.06	$28,747.09	2026-05-13
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	32	30	—	—	$17,186.14	$31,958.09	$22,937.05	2026-05-13
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	21	21	—	—	$45,444.46	$54,149.31	$50,650.47	2026-05-13
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	32	30	—	—	$23,353.62	$44,293.04	$40,635.82	2026-05-13
277	OTHER	Cardiac Defibrillator Implant Without Mcc	32	30	—	—	$18,235.63	$34,057.08	$31,713.71	2026-05-13
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	21	21	—	—	$37,656.42	$57,955.76	$39,539.24	2026-05-13
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	32	30	—	—	$14,504.00	$26,593.82	$24,398.00	2026-05-13
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	32	30	—	—	$9,365.75	$16,317.31	$15,194.56	2026-05-13
288	OTHER	Acute And Subacute Endocarditis With Mcc	32	30	—	—	$11,184.94	$19,955.69	$18,401.38	2026-05-13
314	OTHER	Other Circulatory System Diagnoses With Comorbity	32	30	—	—	$8,931.51	$15,448.83	$14,318.38	2026-05-13
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	21	21	—	—	$45,235.48	$63,985.11	$47,497.25	2026-05-13
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	32	30	—	—	$13,816.64	$25,219.08	$16,878.27	2026-05-13
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	32	30	—	—	$20,968.60	$39,523.00	$31,098.15	2026-05-13
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	32	30	—	—	$13,729.11	$25,044.03	$16,760.49	2026-05-13
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	32	30	—	—	$14,866.58	$27,318.98	$18,958.93	2026-05-13
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	32	30	—	—	$25,060.60	$47,707.00	$30,153.98	2026-05-13
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	32	30	—	—	$16,855.65	$31,297.10	$21,956.64	2026-05-13
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	32	30	—	—	$17,920.46	$33,426.73	$22,370.55	2026-05-13
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	32	30	—	—	$19,595.78	$36,777.38	$33,740.72	2026-05-13
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	32	30	—	—	$11,429.50	$20,444.80	$17,031.54	2026-05-13
329	OTHER	Major Small And Large Bowel Procedures With Mcc	32	30	—	—	$18,154.53	$33,894.87	$31,096.21	2026-05-13
330	OTHER	Major Small And Large Bowel Procedures With Cc	32	30	—	—	$12,327.71	$22,241.23	$16,704.06	2026-05-13
332	OTHER	Rectal Resection With Mcc	32	30	—	—	$20,056.52	$37,698.85	$25,229.57	2026-05-13
33270	OTHER	Ins/rep Subq Defibrillator	22	22	$20,964.00	$10,482.00 50% off	$205.80	$34,977.85	$33,212.91	2026-05-13
333	OTHER	Rectal Resection With Cc	32	30	—	—	$13,400.64	$24,387.09	$16,320.80	2026-05-13
335	OTHER	Peritoneal Adhesiolysis With Mcc	32	30	—	—	$20,701.97	$38,989.75	$24,882.55	2026-05-13
336	OTHER	Peritoneal Adhesiolysis With Cc	32	30	—	—	$9,873.66	$17,333.13	$14,620.23	2026-05-13
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	32	30	—	—	$14,653.01	$26,891.83	$17,997.34	2026-05-13
347	OTHER	Anal And Stomal Procedures With Mcc	32	30	—	—	$13,158.34	$23,902.50	$15,996.09	2026-05-13
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	32	30	—	—	$14,179.91	$25,945.63	$17,363.95	2026-05-13
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	32	30	—	—	$13,715.93	$25,017.67	$20,221.57	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Mcc	32	30	—	—	$17,403.49	$32,392.78	$29,718.15	2026-05-13
357	OTHER	Other Digestive System O.r. Procedures With Cc	32	30	—	—	$9,781.28	$17,148.38	$15,968.44	2026-05-13
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	32	30	—	—	$17,487.58	$32,560.96	$23,960.67	2026-05-13
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	32	30	—	—	$12,820.08	$23,225.96	$16,823.21	2026-05-13
374	OTHER	Digestive Malignancy With Mcc	32	30	—	—	$9,352.57	$16,290.95	$14,685.76	2026-05-13
397	OTHER	Appendix Procedures With Mcc	32	30	—	—	$11,330.82	$20,247.44	$16,688.01	2026-05-13
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	32	30	—	—	$16,030.80	$29,647.41	$27,607.45	2026-05-13
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	32	30	—	—	$21,376.99	$40,339.80	$37,564.12	2026-05-13
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	32	30	—	—	$13,471.94	$24,529.70	$20,209.02	2026-05-13
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	32	30	—	—	$12,762.63	$23,111.07	$15,466.49	2026-05-13
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	32	30	—	—	$19,769.96	$37,125.72	$24,845.62	2026-05-13
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	32	30	—	—	$12,542.30	$22,670.41	$15,171.75	2026-05-13
411	OTHER	Cholecystectomy With C.d.e. With Mcc	32	30	—	—	$17,864.71	$33,315.22	$23,017.89	2026-05-13
412	OTHER	Cholecystectomy With C.d.e. With Cc	32	30	—	—	$12,152.33	$21,890.46	$14,650.53	2026-05-13
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	32	30	—	—	$19,754.08	$37,093.96	$24,824.73	2026-05-13
415	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Cc	32	30	—	—	$10,630.62	$18,847.06	$14,401.08	2026-05-13
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	32	30	—	—	$10,005.82	$17,597.45	$16,190.47	2026-05-13
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	32	30	—	—	$18,944.73	$35,475.27	$23,741.18	2026-05-13
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	32	30	—	—	$22,827.55	$43,240.91	$28,938.73	2026-05-13
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	32	30	—	—	$12,597.38	$22,780.57	$15,245.63	2026-05-13
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	21	21	—	—	$74,560.54	$114,753.76	$78,288.57	2026-05-13
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	21	21	—	—	$41,285.09	$53,230.40	$50,788.64	2026-05-13
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	32	30	—	—	$21,935.58	$41,456.97	$38,033.92	2026-05-13
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	21	21	—	—	$60,951.69	$93,807.48	$63,999.27	2026-05-13
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	32	30	—	—	$25,313.37	$48,212.54	$40,186.02	2026-05-13
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	21	21	—	—	$45,202.31	$69,569.08	$47,462.43	2026-05-13
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	32	30	—	—	$16,961.08	$31,507.96	$29,120.19	2026-05-13
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	21	21	—	—	$36,055.78	$55,492.24	$37,858.57	2026-05-13
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	32	30	—	—	$14,349.89	$26,285.59	$22,284.96	2026-05-13
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	21	—	—	$47,153.47	$61,967.18	$59,124.64	2026-05-13
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	21	—	—	$40,341.53	$51,883.82	$42,358.61	2026-05-13
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	30	—	—	$19,814.56	$37,214.93	$29,075.30	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	21	21	—	—	$37,364.16	$57,505.63	$39,232.37	2026-05-13
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	32	30	—	—	$15,054.81	$27,695.43	$18,535.28	2026-05-13
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	32	30	—	—	$22,221.33	$42,028.46	$38,558.22	2026-05-13
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	32	30	—	—	$12,691.09	$22,968.00	$21,071.56	2026-05-13
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	32	30	—	—	$20,399.57	$38,384.95	$35,743.79	2026-05-13
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	32	30	—	—	$15,552.25	$28,690.30	$24,326.01	2026-05-13
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	32	30	—	—	$12,119.55	$21,824.90	$18,869.61	2026-05-13
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	32	30	—	—	$12,390.60	$22,367.01	$20,520.19	2026-05-13
471	OTHER	Cervical Spinal Fusion With Mcc	32	30	—	—	$19,010.67	$35,607.14	$32,667.10	2026-05-13
472	OTHER	Cervical Spinal Fusion With Cc	32	30	—	—	$13,995.06	$25,575.93	$20,528.87	2026-05-13
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	32	30	—	—	$11,239.24	$20,064.29	$16,925.08	2026-05-13
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	32	30	—	—	$17,035.15	$31,656.11	$29,075.35	2026-05-13
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	32	30	—	—	$10,914.83	$19,415.46	$15,857.42	2026-05-13
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	32	30	—	—	$13,944.31	$25,474.43	$23,371.04	2026-05-13
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	32	30	—	—	$10,274.25	$18,134.30	$16,636.97	2026-05-13
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	32	30	—	—	$12,898.82	$23,383.44	$19,997.81	2026-05-13
481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	32	30	—	—	$10,508.97	$18,603.75	$14,594.78	2026-05-13
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	32	30	—	—	$11,427.17	$20,440.16	$18,752.44	2026-05-13
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	32	30	—	—	$18,007.31	$33,600.43	$22,486.92	2026-05-13
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	32	30	—	—	$8,917.04	$15,419.89	$14,358.89	2026-05-13
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	32	30	—	—	$14,744.40	$27,074.60	$24,839.08	2026-05-13
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	32	30	—	—	$10,892.18	$19,370.18	$17,414.56	2026-05-13
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	32	30	—	—	$20,082.54	$37,750.89	$25,264.42	2026-05-13
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	32	30	—	—	$12,801.16	$23,188.12	$20,715.37	2026-05-13
499	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…	32	30	—	—	$9,782.08	$17,149.97	$14,039.45	2026-05-13
500	OTHER	Soft Tissue Procedures With Mcc	32	30	—	—	$14,481.34	$26,548.50	$22,052.80	2026-05-13
503	OTHER	Foot Procedures With Mcc	32	30	—	—	$15,737.43	$29,060.67	$19,448.81	2026-05-13
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	32	30	—	—	$16,932.01	$31,449.84	$21,047.29	2026-05-13
511	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	32	30	—	—	$10,450.17	$18,486.15	$14,489.57	2026-05-13
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	32	30	—	—	$17,644.71	$32,875.23	$22,206.79	2026-05-13
516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	32	30	—	—	$10,889.14	$19,364.09	$14,480.50	2026-05-13
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	32	30	—	—	$20,663.10	$38,912.02	$26,042.07	2026-05-13
519	OTHER	Back And Neck Procedures Except Spinal Fusion With Cc	32	30	—	—	$11,899.22	$21,384.24	$13,937.70	2026-05-13
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	32	30	—	—	$12,345.28	$22,276.38	$19,708.72	2026-05-13
522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	32	30	—	—	$11,143.94	$19,873.69	$14,756.46	2026-05-13
545	OTHER	Connective Tissue Disorders With Mcc	32	30	—	—	$14,127.19	$25,840.19	$17,292.86	2026-05-13
570	OTHER	Skin Debridement With Mcc	32	30	—	—	$12,051.02	$21,687.86	$19,897.12	2026-05-13
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	21	21	—	—	$44,321.50	$68,213.30	$46,537.58	2026-05-13
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	32	30	—	—	$14,006.25	$25,598.32	$23,484.70	2026-05-13
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	21	21	—	—	$33,157.57	$51,031.56	$34,815.45	2026-05-13
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	32	30	—	—	$14,821.64	$27,229.09	$18,470.46	2026-05-13
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	32	30	—	—	$13,147.56	$23,880.92	$21,909.10	2026-05-13
584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	32	30	—	—	$14,482.25	$28,797.76	$15,478.58	2026-05-13
595	OTHER	Major Skin Disorders With Mcc	32	30	—	—	$12,247.62	$22,081.05	$14,777.35	2026-05-13
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	32	30	—	—	$14,827.94	$29,644.62	$15,873.51	2026-05-13
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	32	30	—	—	$14,065.25	$25,716.32	$23,592.95	2026-05-13
619	OTHER	O.r. Procedures For Obesity With Mcc	32	30	—	—	$16,238.58	$30,062.97	$20,119.82	2026-05-13
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	32	30	—	—	$14,329.98	$26,245.76	$24,078.68	2026-05-13
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	32	30	—	—	$16,929.31	$31,444.43	$21,044.52	2026-05-13
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	32	30	—	—	$14,947.92	$27,481.65	$25,212.52	2026-05-13
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	32	30	—	—	$9,254.57	$16,094.95	$14,961.10	2026-05-13
63685	OTHER	Ins/rplc Spi Npg/rcvr Pocket	22	22	$12,773.00	$6,386.50 50% off	$205.80	$34,385.95	$32,650.88	2026-05-13
64590	OTHER	Ins/rpl Prph Sac/gstr Npg/r	22	22	$8,451.00	$4,225.50 50% off	$205.80	$21,618.31	$20,527.47	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	32	30	—	—	$18,541.30	$34,668.41	$31,805.88	2026-05-13
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	32	30	—	—	$14,870.50	$27,326.80	$25,070.46	2026-05-13
652	OTHER	Kidney Transplant	32	30	—	—	$13,114.36	$23,814.53	$21,848.19	2026-05-13
653	OTHER	Major Bladder Procedures With Mcc	21	21	—	—	$35,154.65	$54,104.70	$36,912.38	2026-05-13
654	OTHER	Major Bladder Procedures With Cc	32	30	—	—	$16,982.71	$31,551.22	$19,505.94	2026-05-13
655	OTHER	Major Bladder Procedures Without Cc/mcc	32	30	—	—	$12,521.68	$22,629.18	$14,748.78	2026-05-13
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	32	30	—	—	$14,643.89	$26,873.59	$22,185.19	2026-05-13
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	32	30	—	—	$10,575.47	$18,736.75	$17,443.63	2026-05-13
662	OTHER	Minor Bladder Procedures With Mcc	32	30	—	—	$17,145.25	$31,876.31	$21,332.99	2026-05-13
665	OTHER	Prostatectomy With Mcc	32	30	—	—	$17,456.49	$32,498.78	$21,748.99	2026-05-13
668	OTHER	Transurethral Procedures With Mcc	32	30	—	—	$16,408.56	$30,402.93	$20,346.99	2026-05-13
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	32	30	—	—	$16,698.53	$30,982.86	$28,424.64	2026-05-13
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	32	30	—	—	$9,829.58	$17,244.98	$15,821.08	2026-05-13
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	32	30	—	—	$13,532.42	$29,744.64	$14,547.35	2026-05-13
709	OTHER	Penis Procedures With Cc/mcc	32	30	—	—	$13,321.91	$24,229.62	$16,215.58	2026-05-13
711	OTHER	Testes Procedures With Cc/mcc	32	30	—	—	$8,890.13	$15,366.07	$14,097.31	2026-05-13
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	32	30	—	—	$12,488.91	$22,563.62	$15,589.83	2026-05-13
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	32	30	—	—	$12,295.61	$22,177.03	$14,842.17	2026-05-13
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	32	30	—	—	$14,525.27	$26,636.36	$24,544.93	2026-05-13
737	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	32	30	—	—	$9,373.18	$16,332.18	$14,149.47	2026-05-13
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	32	30	—	—	$19,858.83	$37,303.47	$24,965.49	2026-05-13
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	32	30	—	—	$11,187.87	$19,961.55	$17,630.86	2026-05-13
783	OTHER	Cesarean Section With Sterilization With Mcc	32	30	—	—	$6,586.47	$18,104.05	$16,609.22	2026-05-13
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	21	21	—	—	$6,040.24	$43,827.74	$41,817.30	2026-05-13
791	OTHER	Prematurity With Major Problems	21	21	—	—	$3,089.04	$29,931.32	$28,558.33	2026-05-13
792	OTHER	Prematurity Without Major Problems	21	21	—	—	$1,891.65	$18,060.56	$17,232.09	2026-05-13
793	OTHER	Full Term Neonate With Major Problems	21	21	—	—	$2,383.99	$30,746.89	$29,336.49	2026-05-13
799	OTHER	Splenic Procedures With Mcc	32	30	—	—	$17,905.29	$33,396.39	$30,638.89	2026-05-13
800	OTHER	Splenic Procedures With Cc	32	30	—	—	$11,565.43	$20,716.68	$19,291.22	2026-05-13
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	32	30	—	—	$21,948.60	$41,483.00	$27,761.81	2026-05-13
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	32	30	—	—	$9,885.83	$17,357.46	$15,160.93	2026-05-13
814	OTHER	Reticuloendothelial And Immunity Disorders With Mcc	32	30	—	—	$9,048.30	$15,682.41	$14,387.53	2026-05-13
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	32	30	—	—	$9,619.42	$16,824.66	$15,435.47	2026-05-13
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	21	21	—	—	$39,676.51	$61,064.72	$41,660.34	2026-05-13
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	32	30	—	—	$12,861.31	$23,308.42	$15,598.91	2026-05-13
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	32	30	—	—	$25,075.47	$47,736.74	$31,947.57	2026-05-13
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	32	30	—	—	$9,560.43	$16,706.67	$15,327.22	2026-05-13
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	21	21	—	—	$31,646.22	$48,705.92	$33,228.53	2026-05-13
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	32	30	—	—	$12,189.83	$21,965.48	$16,104.77	2026-05-13
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	32	30	—	—	$12,890.70	$23,367.22	$21,698.69	2026-05-13
834	OTHER	Acute Leukemia With Mcc	32	30	—	—	$21,572.47	$40,730.76	$37,697.35	2026-05-13
835	OTHER	Acute Leukemia With Cc	32	30	—	—	$14,110.84	$26,552.55	$14,534.17	2026-05-13
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	32	30	—	—	$11,282.98	$35,427.21	$32,502.03	2026-05-13
838	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…	32	30	—	—	$7,300.59	$15,392.61	$14,121.66	2026-05-13
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	32	30	—	—	$14,935.18	$27,456.18	$22,541.26	2026-05-13
843	OTHER	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	32	30	—	—	$11,592.03	$20,769.88	$13,900.07	2026-05-13
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	32	30	—	—	$9,842.83	$19,117.25	$17,538.76	2026-05-13
849	OTHER	Radiotherapy	32	30	—	—	$15,312.65	$28,211.11	$18,880.20	2026-05-13
850	OTHER	Acute Leukemia With Other Procedures	21	21	—	—	$58,583.20	$90,163.24	$61,512.36	2026-05-13
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	32	30	—	—	$20,706.70	$38,999.21	$33,911.75	2026-05-13
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	32	30	—	—	$17,978.28	$33,542.38	$30,772.83	2026-05-13
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	32	30	—	—	$9,102.87	$15,791.55	$14,704.98	2026-05-13
867	OTHER	Other Infectious And Parasitic Diseases Diagnoses With Mcc	32	30	—	—	$12,774.12	$23,134.05	$14,585.74	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	21	21	—	—	$40,358.27	$50,968.05	$48,630.07	2026-05-13
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	32	30	—	—	$21,327.81	$40,241.44	$26,931.20	2026-05-13
886	OTHER	Behavioral And Developmental Disorders	32	30	—	—	$2,994.31	$15,303.38	$14,039.80	2026-05-13
901	OTHER	Wound Debridements For Injuries With Mcc	32	30	—	—	$23,054.64	$43,695.09	$29,242.53	2026-05-13
904	OTHER	Skin Grafts For Injuries With Cc/mcc	32	30	—	—	$20,329.23	$38,244.27	$25,594.71	2026-05-13
907	OTHER	Other O.r. Procedures For Injuries With Mcc	32	30	—	—	$15,362.70	$28,311.22	$25,973.60	2026-05-13
908	OTHER	Other O.r. Procedures For Injuries With Cc	32	30	—	—	$9,886.84	$17,359.49	$13,902.86	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	21	21	—	—	$144,440.28	$215,324.58	$151,662.29	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	21	21	—	—	$43,639.59	$52,891.93	$50,950.95	2026-05-13
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	32	30	—	—	$17,974.53	$33,534.87	$22,443.02	2026-05-13
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	32	30	—	—	$21,480.22	$40,546.25	$27,135.37	2026-05-13
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	32	30	—	—	$12,715.66	$23,017.12	$15,403.80	2026-05-13
935	OTHER	Non-extensive Burns	32	30	—	—	$8,802.38	$15,190.57	$13,936.30	2026-05-13
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	32	30	—	—	$20,097.41	$37,780.63	$25,283.94	2026-05-13
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	32	30	—	—	$10,567.77	$18,721.35	$16,046.74	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	21	21	—	—	$45,537.20	$63,117.31	$47,814.06	2026-05-13
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	32	30	—	—	$21,226.44	$40,038.68	$26,221.14	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	21	21	—	—	$42,538.63	$56,189.62	$53,612.11	2026-05-13
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	32	30	—	—	$16,743.88	$31,073.57	$28,507.86	2026-05-13
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	32	30	—	—	$12,062.08	$21,709.98	$19,917.41	2026-05-13
963	OTHER	Other Multiple Significant Trauma With Mcc	32	30	—	—	$12,077.98	$21,741.77	$18,772.11	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	21	21	—	—	$41,411.78	$63,735.72	$43,482.37	2026-05-13
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	32	30	—	—	$14,937.21	$27,460.23	$18,377.81	2026-05-13
974	OTHER	HIV With Major Related Condition With Mcc	32	30	—	—	$13,941.33	$25,468.47	$20,110.08	2026-05-13
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	30	—	—	$19,722.31	$37,030.42	$32,217.04	2026-05-13
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	32	30	—	—	$10,549.52	$18,684.85	$16,881.71	2026-05-13
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	30	—	—	$13,847.71	$25,281.23	$23,193.79	2026-05-13
J9029	OTHER	Instill Adstiladrin, Tx Dose	39	37	$161,490.00	$80,745.00 50% off	$64,274.79	$101,970.00	$83,122.40	2026-05-13
J9226	OTHER	Supprelin La Implant	39	37	$150,543.00	$75,271.50 50% off	$43,185.34	$73,550.30	$58,367.82	2026-05-13

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