Hospital

OAKLEAF SURGICAL HOSPITAL

Altoona, WI · CCN 520196 · Rates published

7,384 distinct procedures filed

19 distinct payers

294,631 rate rows

2026-05-23 last MRF observed

Data quality

169,785 of 294,631 rate rows are consumer-grade (57.6%)

124,846 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	124,548
template filing: same amount across many unrelated codes — excluded	175
exceeds 10× this hospital's gross charge — excluded from medians	123

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

Source MRF file	https://apim.services.craneware.com/api-pricing-transparency/api/public/9b6eb97fb433de65f56684ef2ab01f4c/charges/mrf
Found on page	https://www.oakleafsurgical.com/pricing.htm
Discovered via	Discovered by HANK
Last fetch	success · 2026-05-18
Content fingerprint	d9b44a4211a06625… · 68,450,793 bytes · first seen 2026-05-16

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
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	19	$305,805.22	$305,805.22	$305,805.22	nat. median $386,529 0.8× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	19	$198,455.29	$198,455.29	$198,455.29	nat. median $239,422 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	19	$151,196.64	$151,196.64	$151,196.64	nat. median $146,562 1.0× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	19	$150,309.31	$150,309.31	$150,309.31	nat. median $181,005 0.8× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	19	$98,090.69	$98,090.69	$98,090.69	nat. median $134,983 0.7× median
7 OTHER	Lung Transplant	19	$91,708.71	$91,708.71	$91,708.71	nat. median $169,933 0.5× median
14 OTHER	Allogeneic Bone Marrow Transplant	19	$85,106.48	$85,106.48	$85,106.48	nat. median $100,915 0.8× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	19	$80,247.78	$80,247.78	$80,247.78	nat. median $111,558 0.7× median
209 OTHER	Complex Aortic Arch Procedures	19	$80,155.71	$80,155.71	$80,155.71	nat. median $23,389 outlier · 3.4×
426 OTHER	Non-hypovolemic Sodium Disorders	19	$78,048.21	$78,048.21	$78,048.21	nat. median $80,273 1.0× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	19	$77,006.50	$77,006.50	$77,006.50	nat. median $90,581 0.9× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	19	$73,015.29	$73,015.29	$73,015.29	nat. median $94,894 0.8× median
215 OTHER	Other Heart Assist System Implant	19	$70,511.93	$70,511.93	$70,511.93	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	$69,278.30	$69,278.30	$69,278.30	nat. median $90,130 0.8× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	19	$63,802.78	$63,802.78	$63,802.78	nat. median $62,997 1.0× median
850 OTHER	Acute Leukemia With Other Procedures	19	$61,323.50	$61,323.50	$61,323.50	nat. median $407 outlier · 150.6×
231 OTHER	Coronary Bypass With Ptca With Mcc	19	$59,697.55	$59,697.55	$59,697.55	nat. median $74,989 0.8× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	$59,509.89	$59,509.89	$59,509.89	nat. median $76,493 0.8× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	19	$55,724.04	$55,724.04	$55,724.04	nat. median $74,209 0.8× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	19	$54,374.99	$54,374.99	$54,374.99	nat. median $72,612 0.7× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	19	$54,140.58	$54,140.58	$54,140.58	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	19	$53,961.42	$53,961.42	$53,961.42	nat. median $68,309 0.8× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	$51,119.56	$190,822.21	$51,119.56	nat. median $51,811 1.0× median
10 OTHER	Pancreas Transplant	19	$50,815.75	$50,815.75	$50,815.75	nat. median $62,879 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	19	$50,794.51	$50,794.51	$50,794.51	nat. median $46,003 1.1× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	19	$50,524.69	$50,524.69	$50,524.69	nat. median $61,133 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	19	$50,494.96	$50,494.96	$50,494.96	nat. median $29,655 1.7× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	19	$48,946.91	$48,946.91	$48,946.91	nat. median $54,564 0.9× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	19	$48,706.84	$48,706.84	$48,706.84	nat. median $67,670 0.7× median
955 OTHER	Craniotomy For Multiple Significant Trauma	19	$47,667.26	$47,667.26	$47,667.26	nat. median $62,467 0.8× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	19	$47,351.41	$47,351.41	$47,351.41	nat. median $48,503 1.0× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	19	$47,316.71	$47,316.71	$47,316.71	nat. median $54,322 0.9× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	$46,563.93	$46,563.93	$46,563.93	nat. median $56,507 0.8× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	$46,563.93	$46,563.93	$46,563.93	nat. median $60,727 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	19	$46,394.68	$46,394.68	$46,394.68	nat. median $54,881 0.8× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	19	$45,568.26	$45,568.26	$45,568.26	nat. median $66,849 0.7× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	19	$43,399.15	$43,399.15	$43,399.15	nat. median $58,866 0.7× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	19	$43,348.87	$43,348.87	$43,348.87	nat. median $64,729 0.7× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	19	$42,933.17	$42,933.17	$42,933.17	nat. median $56,351 0.8× median
28 OTHER	Spinal Procedures With Comorbity	19	$42,548.64	$42,548.64	$42,548.64	nat. median $52,701 0.8× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	19	$42,536.61	$42,536.61	$42,536.61	nat. median $3,947 outlier · 10.8×
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	$42,228.55	$42,228.55	$42,228.55	nat. median $52,731 0.8× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	19	$42,089.75	$42,089.75	$42,089.75	nat. median $42,432 1.0× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	19	$41,992.02	$41,992.02	$41,992.02	nat. median $50,271 0.8× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	19	$41,559.33	$41,559.33	$41,559.33	nat. median $56,120 0.7× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	19	$41,532.42	$41,532.42	$41,532.42	nat. median $45,878 0.9× median
430 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	19	$40,840.55	$40,840.55	$40,840.55	nat. median $88 outlier · 464.4×
23 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	19	$40,579.94	$40,579.94	$40,579.94	nat. median $56,822 0.7× median
213 OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	19	$40,414.24	$40,414.24	$40,414.24	nat. median $39,925 1.0× median
463 OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	19	$40,361.83	$40,361.83	$40,361.83	nat. median $48,651 0.8× median

Other procedures at this hospital

Browse this hospital's 7,384 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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	34	19	—	—	$305,805.22	$305,805.22	$305,805.22	2026-05-23
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	33	19	—	—	$198,455.29	$198,455.29	$198,455.29	2026-05-23
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	34	19	—	—	$151,196.64	$151,196.64	$151,196.64	2026-05-23
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	34	19	—	—	$150,309.31	$150,309.31	$150,309.31	2026-05-23
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	34	19	—	—	$98,090.69	$98,090.69	$98,090.69	2026-05-23
7	OTHER	Lung Transplant	33	19	—	—	$91,708.71	$91,708.71	$91,708.71	2026-05-23
14	OTHER	Allogeneic Bone Marrow Transplant	33	19	—	—	$85,106.48	$85,106.48	$85,106.48	2026-05-23
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	33	19	—	—	$80,247.78	$80,247.78	$80,247.78	2026-05-23
209	OTHER	Complex Aortic Arch Procedures	33	19	—	—	$80,155.71	$80,155.71	$80,155.71	2026-05-23
426	OTHER	Non-hypovolemic Sodium Disorders	34	19	—	—	$78,048.21	$78,048.21	$78,048.21	2026-05-23
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	34	19	—	—	$77,006.50	$77,006.50	$77,006.50	2026-05-23
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	33	19	—	—	$73,015.29	$73,015.29	$73,015.29	2026-05-23
215	OTHER	Other Heart Assist System Implant	34	19	—	—	$70,511.93	$70,511.93	$70,511.93	2026-05-23
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	34	19	—	—	$69,278.30	$69,278.30	$69,278.30	2026-05-23
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	33	19	—	—	$63,802.78	$63,802.78	$63,802.78	2026-05-23
850	OTHER	Acute Leukemia With Other Procedures	33	19	—	—	$61,323.50	$61,323.50	$61,323.50	2026-05-23
231	OTHER	Coronary Bypass With Ptca With Mcc	34	19	—	—	$59,697.55	$59,697.55	$59,697.55	2026-05-23
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	19	—	—	$59,509.89	$59,509.89	$59,509.89	2026-05-23
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	34	19	—	—	$55,724.04	$55,724.04	$55,724.04	2026-05-23
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	34	19	—	—	$54,374.99	$54,374.99	$54,374.99	2026-05-23
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	34	19	—	—	$54,140.58	$54,140.58	$54,140.58	2026-05-23
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	34	19	—	—	$53,961.42	$53,961.42	$53,961.42	2026-05-23
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	33	19	—	—	$51,119.56	$190,822.21	$51,119.56	2026-05-23
10	OTHER	Pancreas Transplant	33	19	—	—	$50,815.75	$50,815.75	$50,815.75	2026-05-23
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	34	19	—	—	$50,794.51	$50,794.51	$50,794.51	2026-05-23
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	34	19	—	—	$50,524.69	$50,524.69	$50,524.69	2026-05-23
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	34	19	—	—	$50,494.96	$50,494.96	$50,494.96	2026-05-23
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	34	19	—	—	$48,946.91	$48,946.91	$48,946.91	2026-05-23
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	34	19	—	—	$48,706.84	$48,706.84	$48,706.84	2026-05-23
955	OTHER	Craniotomy For Multiple Significant Trauma	34	19	—	—	$47,667.26	$47,667.26	$47,667.26	2026-05-23
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	33	19	—	—	$47,351.41	$47,351.41	$47,351.41	2026-05-23
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	33	19	—	—	$47,316.71	$47,316.71	$47,316.71	2026-05-23
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	34	19	—	—	$46,563.93	$46,563.93	$46,563.93	2026-05-23
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	34	19	—	—	$46,563.93	$46,563.93	$46,563.93	2026-05-23
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	34	19	—	—	$46,394.68	$46,394.68	$46,394.68	2026-05-23
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	34	19	—	—	$45,568.26	$45,568.26	$45,568.26	2026-05-23
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	34	19	—	—	$43,399.15	$43,399.15	$43,399.15	2026-05-23
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	34	19	—	—	$43,348.87	$43,348.87	$43,348.87	2026-05-23
232	OTHER	Coronary Bypass With Ptca Without Mcc	34	19	—	—	$42,933.17	$42,933.17	$42,933.17	2026-05-23
28	OTHER	Spinal Procedures With Comorbity	34	19	—	—	$42,548.64	$42,548.64	$42,548.64	2026-05-23
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	34	19	—	—	$42,536.61	$42,536.61	$42,536.61	2026-05-23
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	19	—	—	$42,228.55	$42,228.55	$42,228.55	2026-05-23
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	34	19	—	—	$42,089.75	$42,089.75	$42,089.75	2026-05-23
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	33	19	—	—	$41,992.02	$41,992.02	$41,992.02	2026-05-23
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	34	19	—	—	$41,559.33	$41,559.33	$41,559.33	2026-05-23
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	34	19	—	—	$41,532.42	$41,532.42	$41,532.42	2026-05-23
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	33	19	—	—	$40,840.55	$40,840.55	$40,840.55	2026-05-23
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	34	19	—	—	$40,579.94	$40,579.94	$40,579.94	2026-05-23
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	33	19	—	—	$40,414.24	$40,414.24	$40,414.24	2026-05-23
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	34	19	—	—	$40,361.83	$40,361.83	$40,361.83	2026-05-23
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	33	19	—	—	$39,813.00	$154,888.02	$39,813.00	2026-05-23
8	OTHER	Simultaneous Pancreas And Kidney Transplant	33	19	—	—	$39,689.78	$39,689.78	$39,689.78	2026-05-23
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	34	19	—	—	$39,417.84	$39,417.84	$39,417.84	2026-05-23
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	34	19	—	—	$39,111.92	$39,111.92	$39,111.92	2026-05-23
834	OTHER	Acute Leukemia With Mcc	34	19	—	—	$38,877.51	$38,877.51	$38,877.51	2026-05-23
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	34	19	—	—	$38,740.14	$38,740.14	$38,740.14	2026-05-23
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	34	19	—	—	$38,684.90	$38,684.90	$38,684.90	2026-05-23
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	34	19	—	—	$38,623.99	$38,623.99	$38,623.99	2026-05-23
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	33	19	—	—	$38,469.62	$38,469.62	$38,469.62	2026-05-23
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	34	19	—	—	$37,765.00	$37,765.00	$37,765.00	2026-05-23
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	33	19	—	—	$37,742.33	$37,742.33	$37,742.33	2026-05-23
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	34	19	—	—	$37,488.81	$37,488.81	$37,488.81	2026-05-23
270	OTHER	Other Major Cardiovascular Procedures With Mcc	34	19	—	—	$37,364.88	$37,364.88	$37,364.88	2026-05-23
466	OTHER	Revision Of Hip Or Knee Replacement With Comorbity	34	19	—	—	$36,862.79	$36,862.79	$36,862.79	2026-05-23
653	OTHER	Major Bladder Procedures With Mcc	34	19	—	—	$36,799.06	$36,799.06	$36,799.06	2026-05-23
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	34	19	—	—	$35,692.90	$35,692.90	$35,692.90	2026-05-23
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	34	19	—	—	$35,318.99	$35,318.99	$35,318.99	2026-05-23
228	OTHER	Other Cardiothoracic Procedures With Mcc	34	19	—	—	$35,035.73	$35,035.73	$35,035.73	2026-05-23
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	34	19	—	—	$34,973.41	$34,973.41	$34,973.41	2026-05-23
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	34	19	—	—	$34,853.72	$34,853.72	$34,853.72	2026-05-23
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	34	19	—	—	$34,708.56	$34,708.56	$34,708.56	2026-05-23
471	OTHER	Cervical Spinal Fusion With Mcc	34	19	—	—	$34,195.13	$34,195.13	$34,195.13	2026-05-23
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	34	19	—	—	$34,022.34	$34,022.34	$34,022.34	2026-05-23
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	34	19	—	—	$33,714.29	$33,714.29	$33,714.29	2026-05-23
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	34	19	—	—	$33,293.64	$33,293.64	$33,293.64	2026-05-23
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	34	19	—	—	$33,225.66	$33,225.66	$33,225.66	2026-05-23
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	34	19	—	—	$33,126.52	$33,126.52	$33,126.52	2026-05-23
6	OTHER	Liver Transplant Without Mcc	33	19	—	—	$32,837.58	$32,837.58	$32,837.58	2026-05-23
277	OTHER	Cardiac Defibrillator Implant Without Mcc	34	19	—	—	$32,706.57	$32,706.57	$32,706.57	2026-05-23
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	34	19	—	—	$32,550.77	$32,550.77	$32,550.77	2026-05-23
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	34	19	—	—	$32,467.92	$32,467.92	$32,467.92	2026-05-23
63685	OTHER	Insertion Of Spinal Neurostimulator Generator Or Receiver	34	19	$14,425.49	$12,982.94	$16,850.05	$47,904.00	$32,377.03	2026-05-23
64568	OTHER	Opn Impltj Crnl Nrv Nea&pg	34	19	$70,170.61	$63,153.55	$16,850.05	$47,904.00	$32,377.03	2026-05-23
245	OTHER	Aicd Generator Procedures	34	19	—	—	$32,309.29	$32,309.29	$32,309.29	2026-05-23
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	34	19	—	—	$32,212.27	$32,212.27	$32,212.27	2026-05-23
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	34	19	—	—	$32,198.11	$32,198.11	$32,198.11	2026-05-23
799	OTHER	Splenic Procedures With Mcc	34	19	—	—	$32,072.06	$32,072.06	$32,072.06	2026-05-23
163	OTHER	Major Chest Procedures With Mcc	34	19	—	—	$31,738.51	$31,738.51	$31,738.51	2026-05-23
31	OTHER	Ventricular Shunt Procedures With Mcc	34	19	—	—	$31,729.30	$31,729.30	$31,729.30	2026-05-23
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	34	19	—	—	$31,604.67	$31,604.67	$31,604.67	2026-05-23
356	OTHER	Other Digestive System O.r. Procedures With Mcc	34	19	—	—	$31,108.24	$31,108.24	$31,108.24	2026-05-23
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	34	19	—	—	$30,645.11	$30,645.11	$30,645.11	2026-05-23
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	34	19	—	—	$30,400.79	$30,400.79	$30,400.79	2026-05-23
140	OTHER	Major Head And Neck Procedures With Mcc	34	19	—	—	$30,205.33	$30,205.33	$30,205.33	2026-05-23
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	33	19	—	—	$30,031.84	$30,031.84	$30,031.84	2026-05-23
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	34	19	—	—	$29,907.20	$29,907.20	$29,907.20	2026-05-23
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	34	19	—	—	$29,856.21	$29,856.21	$29,856.21	2026-05-23
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	34	19	—	—	$29,841.34	$29,841.34	$29,841.34	2026-05-23
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	34	19	—	—	$29,754.23	$29,754.23	$29,754.23	2026-05-23
901	OTHER	Wound Debridements For Injuries With Mcc	34	19	—	—	$29,718.83	$29,718.83	$29,718.83	2026-05-23
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	34	19	—	—	$29,663.59	$29,663.59	$29,663.59	2026-05-23
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	19	—	—	$29,548.87	$29,548.87	$29,548.87	2026-05-23
793	OTHER	Full Term Neonate With Major Problems	34	19	—	—	$29,527.63	$29,527.63	$29,527.63	2026-05-23
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	34	19	—	—	$29,410.07	$29,410.07	$29,410.07	2026-05-23
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	34	19	—	—	$29,215.32	$29,215.32	$29,215.32	2026-05-23
791	OTHER	Prematurity With Major Problems	34	19	—	—	$28,744.39	$28,744.39	$28,744.39	2026-05-23
C1785	OTHER	Pacemaker; Dual Chamber; Rate-responsive (implantable)	1	1	$12,860.00	$11,574.00	$28,481.70	$28,481.70	$28,481.70	2026-05-23
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	33	19	—	—	$28,471.75	$225,162.86	$28,471.75	2026-05-23
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	34	19	—	—	$28,213.98	$28,213.98	$28,213.98	2026-05-23
C1773	OTHER	Ret Dev, Insertable	1	1	$3,150.00	$2,835.00	$27,825.00	$27,825.00	$27,825.00	2026-05-23
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	34	19	—	—	$27,702.68	$27,702.68	$27,702.68	2026-05-23
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	34	19	—	—	$27,577.34	$27,577.34	$27,577.34	2026-05-23
34	OTHER	Carotid Artery Stent Procedures With Mcc	34	19	—	—	$27,410.92	$27,410.92	$27,410.92	2026-05-23
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	34	19	—	—	$27,369.84	$27,369.84	$27,369.84	2026-05-23
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	34	19	—	—	$27,343.64	$27,343.64	$27,343.64	2026-05-23
907	OTHER	Other O.r. Procedures For Injuries With Mcc	34	19	—	—	$27,188.55	$27,188.55	$27,188.55	2026-05-23
956	OTHER	Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma	34	19	—	—	$26,648.22	$26,648.22	$26,648.22	2026-05-23
143	OTHER	Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc	34	19	—	—	$19,457.46	$26,532.09	$26,532.09	2026-05-23
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	34	19	—	—	$26,469.06	$26,469.06	$26,469.06	2026-05-23
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	34	19	—	—	$26,466.23	$26,466.23	$26,466.23	2026-05-23
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	34	19	—	—	$26,391.87	$26,391.87	$26,391.87	2026-05-23
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	34	19	—	—	$26,243.16	$26,243.16	$26,243.16	2026-05-23
904	OTHER	Skin Grafts For Injuries With Cc/mcc	34	19	—	—	$26,011.59	$26,011.59	$26,011.59	2026-05-23
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	34	19	—	—	$26,000.96	$26,000.96	$26,000.96	2026-05-23
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	34	19	—	—	$25,695.75	$25,695.75	$25,695.75	2026-05-23
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	34	19	—	—	$25,675.92	$25,675.92	$25,675.92	2026-05-23
332	OTHER	Rectal Resection With Mcc	34	19	—	—	$25,640.51	$25,640.51	$25,640.51	2026-05-23
265	OTHER	Aicd Lead Procedures	34	19	—	—	$25,622.80	$25,622.80	$25,622.80	2026-05-23
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	34	19	—	—	$25,577.49	$25,577.49	$25,577.49	2026-05-23
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	34	19	—	—	$25,539.24	$25,539.24	$25,539.24	2026-05-23
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	34	19	—	—	$25,372.12	$25,372.12	$25,372.12	2026-05-23
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	34	19	—	—	$25,313.33	$25,313.33	$25,313.33	2026-05-23
335	OTHER	Peritoneal Adhesiolysis With Mcc	34	19	—	—	$25,287.84	$25,287.84	$25,287.84	2026-05-23
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	34	19	—	—	$25,250.31	$25,250.31	$25,250.31	2026-05-23
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	34	19	—	—	$25,229.06	$25,229.06	$25,229.06	2026-05-23
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	34	19	—	—	$25,204.99	$25,204.99	$25,204.99	2026-05-23
271	OTHER	Other Major Cardiovascular Procedures With Cc	34	19	—	—	$25,184.45	$25,184.45	$25,184.45	2026-05-23
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	34	19	—	—	$24,974.13	$90,935.60	$24,974.13	2026-05-23
64582	OTHER	Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…	34	19	$68,126.81	$61,314.13	$19,373.00	$30,564.08	$24,968.54	2026-05-23
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	34	19	—	—	$24,923.14	$24,923.14	$24,923.14	2026-05-23
252	OTHER	Other Vascular Procedures With Mcc	34	19	—	—	$24,702.90	$24,702.90	$24,702.90	2026-05-23
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	34	19	—	—	$24,696.52	$24,696.52	$24,696.52	2026-05-23
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	34	19	—	—	$24,583.22	$24,583.22	$24,583.22	2026-05-23
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	34	19	—	—	$24,464.25	$24,464.25	$24,464.25	2026-05-23
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	33	19	—	—	$24,350.94	$24,350.94	$24,350.94	2026-05-23
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	34	19	—	—	$24,278.71	$24,278.71	$24,278.71	2026-05-23
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	34	19	—	—	$24,159.74	$24,159.74	$24,159.74	2026-05-23
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	34	19	—	—	$24,127.87	$24,127.87	$24,127.87	2026-05-23
33249	OTHER	Insertion Of Implantable Defibrillator System	68	19	$76,907.73	$69,216.96	$16,850.05	$31,090.19	$23,970.12	2026-05-23
33264	OTHER	Removal And Replacement Of Multiple Lead Defibrillator	68	19	$56,813.93	$51,132.54	$16,850.05	$31,090.19	$23,970.12	2026-05-23
61886	OTHER	Implant Neurostim Arrays	34	19	$62,329.13	$56,096.22	$16,850.05	$30,564.08	$23,707.06	2026-05-23
264	OTHER	Other Circulatory System O.r. Procedures	34	19	—	—	$23,656.94	$23,656.94	$23,656.94	2026-05-23
411	OTHER	Cholecystectomy With C.d.e. With Mcc	34	19	—	—	$23,392.79	$23,392.79	$23,392.79	2026-05-23
37	OTHER	Extracranial Procedures With Mcc	34	19	—	—	$23,313.48	$23,313.48	$23,313.48	2026-05-23
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	34	19	—	—	$23,310.65	$23,310.65	$23,310.65	2026-05-23
22633	OTHER	Arthrd Cmbn 1ntrspc Lumbar	34	19	$31,970.35	$28,773.32	$19,373.00	$26,875.83	$23,124.42	2026-05-23
22630	OTHER	Arthrd Pst Tq 1ntrspc Lum	34	19	$31,970.35	$28,773.32	$19,373.00	$26,875.83	$23,124.42	2026-05-23
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	34	19	—	—	$23,035.17	$23,035.17	$23,035.17	2026-05-23
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	34	19	—	—	$22,933.90	$22,933.90	$22,933.90	2026-05-23
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	34	19	—	—	$22,908.41	$22,908.41	$22,908.41	2026-05-23
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	33	19	—	—	$22,876.54	$22,876.54	$22,876.54	2026-05-23
652	OTHER	Kidney Transplant	33	19	—	—	$22,870.17	$22,870.17	$22,870.17	2026-05-23
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	34	19	—	—	$22,853.17	$22,853.17	$22,853.17	2026-05-23
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	34	19	—	—	$22,808.56	$22,808.56	$22,808.56	2026-05-23
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	34	19	—	—	$22,734.91	$22,734.91	$22,734.91	2026-05-23
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	34	19	—	—	$22,610.28	$22,610.28	$22,610.28	2026-05-23
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	34	19	—	—	$22,568.49	$22,568.49	$22,568.49	2026-05-23
656	OTHER	Kidney & Ureter Procedures For Neoplasm With Comorbity	34	19	—	—	$22,546.54	$24,115.85	$22,546.54	2026-05-23
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	34	19	—	—	$22,501.21	$22,501.21	$22,501.21	2026-05-23
500	OTHER	Soft Tissue Procedures With Mcc	34	19	—	—	$22,411.98	$22,411.98	$22,411.98	2026-05-23
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	34	19	—	—	$22,377.99	$22,377.99	$22,377.99	2026-05-23
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	34	19	—	—	$22,314.26	$22,314.26	$22,314.26	2026-05-23
229	OTHER	Other Cardiothoracic Procedures Without Mcc	34	19	—	—	$22,303.64	$22,303.64	$22,303.64	2026-05-23
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	34	19	—	—	$22,251.24	$22,251.24	$22,251.24	2026-05-23
665	OTHER	Prostatectomy With Mcc	34	19	—	—	$22,103.23	$22,103.23	$22,103.23	2026-05-23
464	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication	34	19	—	—	$22,057.20	$22,057.20	$22,057.20	2026-05-23
61885	OTHER	Insrt/redo Neurostim 1 Array	34	19	$62,329.13	$56,096.22	$13,480.04	$30,564.08	$22,022.06	2026-05-23
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	34	19	—	—	$22,018.24	$22,018.24	$22,018.24	2026-05-23
662	OTHER	Minor Bladder Procedures With Mcc	34	19	—	—	$21,680.45	$21,680.45	$21,680.45	2026-05-23
263	OTHER	Vein Ligation And Stripping	34	19	—	—	$21,651.42	$21,651.42	$21,651.42	2026-05-23
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…	34	19	—	—	$21,480.05	$21,480.05	$21,480.05	2026-05-23
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	34	19	—	—	$21,390.11	$21,390.11	$21,390.11	2026-05-23
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	34	19	—	—	$21,387.27	$21,387.27	$21,387.27	2026-05-23
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	34	19	—	—	$21,363.91	$21,363.91	$21,363.91	2026-05-23
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	34	19	—	—	$21,077.81	$21,077.81	$21,077.81	2026-05-23
472	OTHER	Cervical Spinal Fusion With Complication	34	19	—	—	$20,863.23	$20,863.23	$20,863.23	2026-05-23
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	34	19	—	—	$20,849.07	$20,849.07	$20,849.07	2026-05-23
570	OTHER	Skin Debridement With Mcc	34	19	—	—	$20,827.82	$20,827.82	$20,827.82	2026-05-23
668	OTHER	Transurethral Procedures With Mcc	34	19	—	—	$20,678.40	$20,678.40	$20,678.40	2026-05-23
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	34	19	—	—	$20,623.87	$20,623.87	$20,623.87	2026-05-23
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	34	19	—	—	$20,550.93	$20,550.93	$20,550.93	2026-05-23
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	34	19	—	—	$20,538.19	$20,538.19	$20,538.19	2026-05-23
619	OTHER	O.r. Procedures For Obesity With Mcc	34	19	—	—	$20,447.54	$20,447.54	$20,447.54	2026-05-23
974	OTHER	HIV With Major Related Condition With Mcc	34	19	—	—	$20,437.63	$20,437.63	$20,437.63	2026-05-23
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	34	19	—	—	$20,407.88	$20,407.88	$20,407.88	2026-05-23
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	34	19	—	—	$20,325.74	$20,325.74	$20,325.74	2026-05-23
470	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	34	19	—	—	$13,659.79	$26,960.08	$20,309.94	2026-05-23
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	34	19	—	—	$20,186.23	$20,186.23	$20,186.23	2026-05-23
800	OTHER	Splenic Procedures With Cc	34	19	—	—	$19,895.17	$19,895.17	$19,895.17	2026-05-23
654	OTHER	Major Bladder Procedures With Complication	34	19	—	—	$19,823.65	$27,528.32	$19,823.65	2026-05-23
503	OTHER	Foot Procedures With Mcc	34	19	—	—	$19,765.58	$19,765.58	$19,765.58	2026-05-23
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	34	19	—	—	$19,629.61	$19,629.61	$19,629.61	2026-05-23
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	34	19	—	—	$19,524.80	$19,524.80	$19,524.80	2026-05-23
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	34	19	—	—	$19,465.32	$19,465.32	$19,465.32	2026-05-23
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	34	19	—	—	$19,460.35	$57,750.45	$19,460.35	2026-05-23
27447	OTHER	Replacement Of Knee Joint; Both Sides Of Knee	170	19	$8,396.65	$7,556.99	$6,691.36	$26,174.83	$19,445.67	2026-05-23
27130	OTHER	Replacement Of Thigh Bone And Hip Joint With Prosthesis	136	19	$10,134.60	$9,121.14	$6,465.38	$26,174.83	$19,445.67	2026-05-23
963	OTHER	Other Multiple Significant Trauma With Mcc	34	19	—	—	$19,359.80	$19,359.80	$19,359.80	2026-05-23
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	34	19	—	—	$19,267.74	$19,267.74	$19,267.74	2026-05-23
849	OTHER	Radiotherapy	34	19	—	—	$19,187.71	$19,187.71	$19,187.71	2026-05-23
288	OTHER	Acute And Subacute Endocarditis With Mcc	34	19	—	—	$19,164.34	$19,164.34	$19,164.34	2026-05-23
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	34	19	—	—	$19,102.03	$19,102.03	$19,102.03	2026-05-23
27132	OTHER	Total Hip Arthroplasty	34	19	$10,697.48	$9,627.73	$12,716.51	$24,978.00	$18,847.26	2026-05-23
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	34	19	—	—	$18,837.17	$18,837.17	$18,837.17	2026-05-23
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	34	19	—	—	$18,771.31	$18,771.31	$18,771.31	2026-05-23
C9765	OTHER	Revasc Intra Lithotrip-stent	68	19	$32,951.36	$29,656.23	$18,157.20	$19,373.00	$18,765.10	2026-05-23
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	34	19	—	—	$18,677.13	$18,677.13	$18,677.13	2026-05-23
27702	OTHER	Reconstruction Of Ankle Joint With Prosthesis	102	19	$6,026.82	$5,424.14	$9,999.00	$26,875.83	$18,437.42	2026-05-23
22558	OTHER	Arthrd Ant Ntrbd Min Dsc Lum	34	19	$36,319.62	$32,687.66	$9,999.00	$26,875.83	$18,437.42	2026-05-23
253	OTHER	Other Vascular Procedures With Complication	34	19	—	—	$18,381.12	$18,381.12	$18,381.12	2026-05-23
22610	OTHER	Arthrd Pst Tq 1ntrspc Thrc	23	17	$884.11	$795.70	$18,369.99	$18,369.99	$18,369.99	2026-05-23
22600	OTHER	Arthrd Pst Tq 1ntrspc Crv	34	19	$28,180.25	$25,362.23	$17,366.97	$19,373.00	$18,369.99	2026-05-23
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	34	19	—	—	$18,359.16	$18,359.16	$18,359.16	2026-05-23
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	34	19	—	—	$18,290.47	$18,290.47	$18,290.47	2026-05-23
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	34	19	—	—	$18,264.97	$18,264.97	$18,264.97	2026-05-23
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	34	19	—	—	$18,264.97	$18,264.97	$18,264.97	2026-05-23
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	34	19	—	—	$18,182.83	$18,182.83	$18,182.83	2026-05-23
92930	OTHER	Prq Tcat Plmt Ntrac St 2+les	34	19	$29,068.33	$26,161.50	$18,157.20	$18,157.20	$18,157.20	2026-05-23
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	34	19	—	—	$18,079.44	$18,079.44	$18,079.44	2026-05-23
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	34	19	—	—	$17,993.75	$17,993.75	$17,993.75	2026-05-23
493	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication	34	19	—	—	$17,959.76	$17,959.76	$17,959.76	2026-05-23
164	OTHER	Major Chest Procedures With Cc	34	19	—	—	$17,874.07	$17,874.07	$17,874.07	2026-05-23
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	34	19	—	—	$17,866.28	$17,866.28	$17,866.28	2026-05-23
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	34	19	$77,641.32	$69,877.19	$13,480.04	$22,031.92	$17,755.98	2026-05-23
33263	OTHER	Removal And Replacement Of Dual Lead Defibrillator	34	19	$64,611.36	$58,150.22	$13,480.04	$55,999.55	$17,755.98	2026-05-23
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	34	19	—	—	$17,646.75	$17,646.75	$17,646.75	2026-05-23
545	OTHER	Connective Tissue Disorders With Mcc	34	19	—	—	$17,574.51	$17,574.51	$17,574.51	2026-05-23
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	34	19	—	—	$17,415.18	$17,415.18	$17,415.18	2026-05-23
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	34	19	—	—	$17,410.22	$17,410.22	$17,410.22	2026-05-23
783	OTHER	Cesarean Section With Sterilization With Mcc	34	19	—	—	$17,386.14	$17,386.14	$17,386.14	2026-05-23
792	OTHER	Prematurity Without Major Problems	34	19	—	—	$17,344.36	$17,344.36	$17,344.36	2026-05-23
327	OTHER	Stomach; Esophageal & Duodenal Proc With Complication	34	19	—	—	$17,308.96	$23,877.94	$17,308.96	2026-05-23
473	OTHER	Cervical Spinal Fusion Without Complication/comorbity	34	19	—	—	$17,288.41	$111,045.63	$17,288.41	2026-05-23
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	33	19	—	—	$17,153.16	$17,153.16	$17,153.16	2026-05-23
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	33	19	—	—	$17,097.21	$17,097.21	$17,097.21	2026-05-23
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	34	19	—	—	$17,033.48	$17,033.48	$17,033.48	2026-05-23
53447	OTHER	Removal And Replacement Of Inflatable Urethra Or Bladder Neck Sphincter	34	19	$17,041.68	$15,337.51	$13,480.04	$20,528.90	$17,004.47	2026-05-23
54410	OTHER	Removal And Replacement Of Multicomponent Inflatable Penile Implant During Same …	34	19	$34,708.00	$31,237.20	$13,480.04	$20,528.90	$17,004.47	2026-05-23
54405	OTHER	Insertion Of Multicomponent Inflatable Penile Implant	34	19	$27,792.63	$25,013.37	$13,480.04	$20,528.90	$17,004.47	2026-05-23
54416	OTHER	Remv/repl Penis Contain Pros	34	19	$28,626.41	$25,763.77	$13,480.04	$20,528.90	$17,004.47	2026-05-23
53445	OTHER	Insertion Of Inflatable Urethra Or Bladder Neck Sphincter	34	19	$19,073.38	$17,166.04	$13,480.04	$20,528.90	$17,004.47	2026-05-23
54401	OTHER	Insert Self-contd Prosthesis	34	19	$19,645.58	$17,681.02	$13,480.04	$20,528.90	$17,004.47	2026-05-23
330	OTHER	Major Small & Large Bowel Procedures With Complication	34	19	—	—	$16,976.12	$23,574.06	$16,976.12	2026-05-23
397	OTHER	Appendix Procedures With Mcc	34	19	—	—	$16,959.83	$16,959.83	$16,959.83	2026-05-23
27703	OTHER	Reconstruction Ankle Joint	34	19	$23,928.14	$21,535.33	$16,543.00	$17,366.97	$16,954.99	2026-05-23
27487	OTHER	Revise/replace Knee Joint	68	19	$11,024.24	$9,921.82	$16,543.00	$17,366.97	$16,954.99	2026-05-23
23472	OTHER	Prosthetic Repair Of Shoulder Joint; Total Shoulder	170	19	$8,493.85	$7,644.47	$7,432.12	$17,366.97	$16,954.99	2026-05-23
35	OTHER	Carotid Artery Stent Procedures With Cc	34	19	—	—	$16,928.67	$16,928.67	$16,928.67	2026-05-23
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	34	19	—	—	$16,899.64	$16,899.64	$16,899.64	2026-05-23
113	OTHER	Orbital Procedures With Cc/mcc	34	19	—	—	$16,649.65	$16,649.65	$16,649.65	2026-05-23
333	OTHER	Rectal Resection With Complication	34	19	—	—	$16,586.63	$16,586.63	$16,586.63	2026-05-23
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	34	19	—	—	$16,561.14	$16,561.14	$16,561.14	2026-05-23
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	34	19	—	—	$16,549.09	$16,549.09	$16,549.09	2026-05-23
709	OTHER	Penis Procedures With Cc/mcc	34	19	—	—	$16,479.70	$16,479.70	$16,479.70	2026-05-23
357	OTHER	Other Digestive System O.r. Procedures With Complication	34	19	—	—	$16,468.36	$16,468.36	$16,468.36	2026-05-23
56	OTHER	Degenerative Nervous System Disorders With Mcc	34	19	—	—	$16,451.37	$16,451.37	$16,451.37	2026-05-23
22856	OTHER	Insertion Of Artificial Upper Spine Disc; Anterior Approach	34	19	$27,109.41	$24,398.47	$13,480.04	$27,440.23	$16,426.52	2026-05-23
63655	OTHER	Implant Neuroelectrodes	34	19	$3,830.76	$3,447.68	$13,480.04	$19,373.00	$16,426.52	2026-05-23
19357	OTHER	Tiss Xpndr Plmt Brst Rcnstj	34	19	$19,264.39	$17,337.95	$13,480.04	$19,373.00	$16,426.52	2026-05-23
C9607	OTHER	Perc D-e Cor Revasc Chro Sin	68	19	$26,171.29	$23,554.17	$13,480.04	$19,373.00	$16,426.52	2026-05-23
92933	OTHER	Prq Trlml C Athrc St Angiop1	34	19	$31,084.51	$27,976.06	$13,480.04	$19,373.00	$16,426.52	2026-05-23
25442	OTHER	Arthrp W/prostc Dstl Ulna	34	19	$19,239.77	$17,315.79	$13,480.04	$19,373.00	$16,426.52	2026-05-23
33274	OTHER	Tcat Insj/rpl Perm Ldls Pm	34	19	$26,130.51	$23,517.46	$13,480.04	$19,373.00	$16,426.52	2026-05-23
33229	OTHER	Remv&replc Pm Gen Mult Leads	34	19	$29,538.18	$26,584.36	$13,480.04	$19,373.00	$16,426.52	2026-05-23
24363	OTHER	Replace Elbow Joint	34	19	$16,637.08	$14,973.37	$13,480.04	$19,373.00	$16,426.52	2026-05-23
64590	OTHER	Insertion Of Peripheral Or Gastric Neurostimulator Generator	34	19	$13,673.45	$12,306.11	$13,480.04	$19,373.00	$16,426.52	2026-05-23
62362	OTHER	Implant Spine Infusion Pump	34	19	$6,243.87	$5,619.48	$13,480.04	$19,373.00	$16,426.52	2026-05-23
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	34	19	—	—	$16,367.10	$16,367.10	$16,367.10	2026-05-23
347	OTHER	Anal And Stomal Procedures With Mcc	34	19	—	—	$16,256.62	$16,256.62	$16,256.62	2026-05-23
98	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	34	19	—	—	$16,251.67	$16,251.67	$16,251.67	2026-05-23
54400	OTHER	Insert Semi-rigid Prosthesis	34	19	$28,626.41	$25,763.77	$13,067.91	$19,373.00	$16,220.45	2026-05-23
53451	OTHER	Insertion Of Adjustable Balloon Continence Device On Both Sides Of Urethra Using…	68	19	$37,398.69	$33,658.82	$13,067.91	$19,373.00	$16,220.45	2026-05-23
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	34	19	—	—	$16,185.81	$16,185.81	$16,185.81	2026-05-23
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	34	19	—	—	$16,157.48	$16,157.48	$16,157.48	2026-05-23
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	34	19	—	—	$16,115.70	$16,115.70	$16,115.70	2026-05-23
85	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	34	19	—	—	$16,088.79	$16,088.79	$16,088.79	2026-05-23
23474	OTHER	Revis Reconst Shoulder Joint	34	19	$7,584.53	$6,826.08	$12,716.51	$19,373.00	$16,044.75	2026-05-23
64628	OTHER	Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower …	34	19	$29,038.45	$26,134.61	$12,716.51	$19,373.00	$16,044.75	2026-05-23
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	34	19	—	—	$16,044.17	$16,044.17	$16,044.17	2026-05-23
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	34	19	—	—	$15,852.97	$15,852.97	$15,852.97	2026-05-23
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	34	19	—	—	$15,843.76	$15,843.76	$15,843.76	2026-05-23
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	34	19	—	—	$15,718.42	$15,718.42	$15,718.42	2026-05-23
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	34	19	—	—	$15,670.26	$15,670.26	$15,670.26	2026-05-23
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	34	19	—	—	$15,654.68	$15,654.68	$15,654.68	2026-05-23
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	34	19	—	—	$15,635.57	$15,635.57	$15,635.57	2026-05-23
41	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	34	19	—	—	$15,570.41	$15,570.41	$15,570.41	2026-05-23
30	OTHER	Spinal Procedures Without Complication/comorbity	34	19	—	—	$15,545.63	$15,545.63	$15,545.63	2026-05-23
614	OTHER	Adrenal & Pituitary Procedures With Complication/comorbity	34	19	—	—	$15,521.55	$21,353.90	$15,521.55	2026-05-23
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	34	19	—	—	$15,493.93	$15,493.93	$15,493.93	2026-05-23
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	34	19	—	—	$15,455.69	$15,455.69	$15,455.69	2026-05-23

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