Hospital

RIVER FALLS AREA HOSPITAL

River Falls, WI · CCN 521349 · Rates published

18,819 distinct procedures filed

25 distinct payers

557,709 rate rows

2026-05-08 last MRF observed

Data quality

545,233 of 557,709 rate rows are consumer-grade (97.8%)

12,476 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
template filing: same amount across many unrelated codes — excluded	7,215
per-diem day rate — not a per-procedure price	3,471
placeholder amount (≤ $0.02) — excluded from medians	1,110
exceeds 10× this hospital's gross charge — excluded from medians	460
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	220

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

Source MRF file	https://www.allinahealth.org/-/media/allina-health/files/customer-service/billing-and-insurance/price-transparency/363261413_river-falls-area-hospital_standardcharges.csv
Found on page	https://www.allinahealth.org/customer-service/billing-and-insurance
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	00c72e4fb4041b31… · 71,494,086 bytes · first seen 2026-05-09

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
583-4 OTHER	Neonate With Ecmo	5	$3,319.06	$882,389.35	$698,759.55	nat. median $309,400 outlier · 2.3×
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$3,319.06	$806,685.37	$638,809.97	nat. median $267,493 outlier · 2.4×
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$3,319.06	$793,766.28	$628,579.40	nat. median $86,371 outlier · 7.3×
583-3 OTHER	Neonate With Ecmo	5	$3,319.06	$750,364.17	$594,209.50	nat. median $259,487 outlier · 2.3×
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$3,319.06	$727,772.95	$576,319.63	nat. median $156,696 outlier · 3.7×
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	5	$3,319.06	$593,111.68	$469,682.06	nat. median $151,691 outlier · 3.1×
002-4 OTHER	Heart And/or Lung Transplant	5	$3,319.06	$588,351.29	$465,912.33	nat. median $216,800 outlier · 2.1×
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$3,319.06	$578,090.31	$457,786.72	nat. median $49,980 outlier · 9.2×
161-4 OTHER	Implantable Heart Assist Systems	5	$3,319.06	$566,387.45	$448,519.28	nat. median $202,242 outlier · 2.2×
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$3,319.06	$509,598.46	$403,548.38	nat. median $125,000 outlier · 3.2×
583-2 OTHER	Neonate With Ecmo	5	$3,319.06	$499,166.88	$395,287.66	nat. median $191,347 outlier · 2.1×
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$3,319.06	$496,643.60	$393,289.49	nat. median $151,250 outlier · 2.6×
161-3 OTHER	Implantable Heart Assist Systems	5	$3,319.06	$496,349.17	$393,056.33	nat. median $152,491 outlier · 2.6×
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$3,319.06	$485,458.05	$384,431.72	nat. median $87,000 outlier · 4.4×
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$3,319.06	$467,731.79	$370,394.38	nat. median $169,856 outlier · 2.2×
007-4 OTHER	Allogeneic Bone Marrow Transplant	5	$3,319.06	$450,253.17	$356,553.15	nat. median $172,311 outlier · 2.1×
583-1 OTHER	Neonate With Ecmo	5	$3,319.06	$408,411.26	$323,418.76	nat. median $171,226 1.9× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$3,319.06	$406,119.12	$321,603.63	nat. median $165,000 1.9× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	$3,319.06	$403,708.66	$319,694.79	nat. median $100,015 outlier · 3.2×
161-2 OTHER	Implantable Heart Assist Systems	5	$3,319.06	$398,524.51	$315,589.49	nat. median $109,992 outlier · 2.9×
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$3,319.06	$395,318.81	$313,050.92	nat. median $153,523 outlier · 2.0×
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$3,319.06	$389,108.29	$308,132.84	nat. median $110,000 outlier · 2.8×
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$3,319.06	$384,967.03	$304,853.39	nat. median $99,067 outlier · 3.1×
002-3 OTHER	Heart And/or Lung Transplant	5	$3,319.06	$383,742.53	$303,883.72	nat. median $133,471 outlier · 2.3×
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$3,319.06	$383,467.37	$303,665.82	nat. median $112,711 outlier · 2.7×
161-1 OTHER	Implantable Heart Assist Systems	5	$3,319.06	$378,599.66	$299,811.11	nat. median $101,352 outlier · 3.0×
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$3,319.06	$367,637.00	$291,129.84	nat. median $89,334 outlier · 3.3×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	$3,319.06	$351,768.12	$278,563.35	nat. median $107,050 outlier · 2.6×
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	5	$3,319.06	$345,549.34	$273,638.73	nat. median $124,561 outlier · 2.2×
006-4 OTHER	Pancreas Transplant	5	$3,319.06	$342,767.40	$271,435.73	nat. median $92,449 outlier · 2.9×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$3,319.06	$334,583.93	$264,955.28	nat. median $210,669 1.3× median
593-1 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$3,319.06	$334,215.21	$264,663.29	nat. median $2,705 outlier · 97.8×
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$3,319.06	$330,115.22	$261,416.53	nat. median $99,157 outlier · 2.6×
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$3,319.06	$329,292.47	$260,765.00	nat. median $105,647 outlier · 2.5×
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	$3,319.06	$311,833.12	$246,939.03	nat. median $150,954 1.6× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$3,319.06	$310,938.82	$246,230.84	nat. median $203,379 1.2× median
005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	$3,319.06	$307,405.68	$243,432.96	nat. median $88,000 outlier · 2.8×
607-3 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	$3,319.06	$301,552.87	$238,798.16	nat. median $77,124 outlier · 3.1×
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	$3,319.06	$290,656.26	$230,169.18	nat. median $106,926 outlier · 2.2×
178-4 OTHER	External Heart Assist Systems	5	$3,319.06	$285,967.41	$226,456.11	nat. median $67,533 outlier · 3.4×
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	$3,319.06	$284,511.77	$225,303.40	nat. median $93,000 outlier · 2.4×
007-3 OTHER	Allogeneic Bone Marrow Transplant	5	$3,319.06	$284,286.14	$225,124.72	nat. median $104,111 outlier · 2.2×
001-3 OTHER	Liver Transplant And/or Intestinal Transplant	5	$3,319.06	$278,229.71	$220,328.66	nat. median $81,541 outlier · 2.7×
002-2 OTHER	Heart And/or Lung Transplant	5	$3,319.06	$276,190.72	$218,714.00	nat. median $106,681 outlier · 2.1×
621-4 OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	5	$3,319.06	$275,615.62	$218,258.58	nat. median $80,035 outlier · 2.7×
602-2 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$3,319.06	$272,627.31	$215,892.15	nat. median $80,000 outlier · 2.7×
006-3 OTHER	Pancreas Transplant	5	$3,319.06	$270,990.06	$214,595.63	nat. median $85,000 outlier · 2.5×
841-3 OTHER	Extensive Third Degree Burns With Skin Graft	5	$3,319.06	$270,811.20	$214,453.99	nat. median $61,016 outlier · 3.5×
588-1 OTHER	Female Reproductive System Reconstructive Procedures	5	$3,319.06	$262,930.42	$208,213.24	nat. median $75,325 outlier · 2.8×
591-2 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$3,319.06	$250,897.36	$198,684.32	nat. median $80,000 outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 18,819 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

583-4	OTHER	Neonate With Ecmo	7	5	—	—	$3,319.06	$882,389.35	$698,759.55	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	5	—	—	$3,319.06	$806,685.37	$638,809.97	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	5	—	—	$3,319.06	$793,766.28	$628,579.40	2026-05-08
583-3	OTHER	Neonate With Ecmo	7	5	—	—	$3,319.06	$750,364.17	$594,209.50	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	5	—	—	$3,319.06	$727,772.95	$576,319.63	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	7	5	—	—	$3,319.06	$593,111.68	$469,682.06	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	7	5	—	—	$3,319.06	$588,351.29	$465,912.33	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	5	—	—	$3,319.06	$578,090.31	$457,786.72	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	7	5	—	—	$3,319.06	$566,387.45	$448,519.28	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$509,598.46	$403,548.38	2026-05-08
583-2	OTHER	Neonate With Ecmo	7	5	—	—	$3,319.06	$499,166.88	$395,287.66	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	5	—	—	$3,319.06	$496,643.60	$393,289.49	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	7	5	—	—	$3,319.06	$496,349.17	$393,056.33	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	5	—	—	$3,319.06	$485,458.05	$384,431.72	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	5	—	—	$3,319.06	$467,731.79	$370,394.38	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	7	5	—	—	$3,319.06	$450,253.17	$356,553.15	2026-05-08
583-1	OTHER	Neonate With Ecmo	7	5	—	—	$3,319.06	$408,411.26	$323,418.76	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	5	—	—	$3,319.06	$406,119.12	$321,603.63	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$403,708.66	$319,694.79	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	7	5	—	—	$3,319.06	$398,524.51	$315,589.49	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	5	—	—	$3,319.06	$395,318.81	$313,050.92	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	5	—	—	$3,319.06	$389,108.29	$308,132.84	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$384,967.03	$304,853.39	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	7	5	—	—	$3,319.06	$383,742.53	$303,883.72	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	5	—	—	$3,319.06	$383,467.37	$303,665.82	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	7	5	—	—	$3,319.06	$378,599.66	$299,811.11	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	5	—	—	$3,319.06	$367,637.00	$291,129.84	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	5	—	—	$3,319.06	$351,768.12	$278,563.35	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	7	5	—	—	$3,319.06	$345,549.34	$273,638.73	2026-05-08
006-4	OTHER	Pancreas Transplant	7	5	—	—	$3,319.06	$342,767.40	$271,435.73	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	5	—	—	$3,319.06	$334,583.93	$264,955.28	2026-05-08
593-1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	5	—	—	$3,319.06	$334,215.21	$264,663.29	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	5	—	—	$3,319.06	$330,115.22	$261,416.53	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	5	—	—	$3,319.06	$329,292.47	$260,765.00	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	5	—	—	$3,319.06	$311,833.12	$246,939.03	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	5	—	—	$3,319.06	$310,938.82	$246,230.84	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	5	—	—	$3,319.06	$307,405.68	$243,432.96	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$301,552.87	$238,798.16	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	5	—	—	$3,319.06	$290,656.26	$230,169.18	2026-05-08
178-4	OTHER	External Heart Assist Systems	7	5	—	—	$3,319.06	$285,967.41	$226,456.11	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	5	—	—	$3,319.06	$284,511.77	$225,303.40	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	7	5	—	—	$3,319.06	$284,286.14	$225,124.72	2026-05-08
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	7	5	—	—	$3,319.06	$278,229.71	$220,328.66	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	7	5	—	—	$3,319.06	$276,190.72	$218,714.00	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	5	—	—	$3,319.06	$275,615.62	$218,258.58	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$272,627.31	$215,892.15	2026-05-08
006-3	OTHER	Pancreas Transplant	7	5	—	—	$3,319.06	$270,990.06	$214,595.63	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	7	5	—	—	$3,319.06	$270,811.20	$214,453.99	2026-05-08
588-1	OTHER	Female Reproductive System Reconstructive Procedures	7	5	—	—	$3,319.06	$262,930.42	$208,213.24	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	5	—	—	$3,319.06	$250,897.36	$198,684.32	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	5	—	—	$3,319.06	$250,382.80	$198,276.84	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	7	5	—	—	$3,319.06	$244,153.02	$193,343.51	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$243,822.82	$193,082.02	2026-05-08
591-1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	5	—	—	$3,319.06	$228,088.76	$180,622.31	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	7	5	—	—	$3,319.06	$227,056.88	$179,805.17	2026-05-08
863-4	OTHER	Neonatal Aftercare	7	5	—	—	$3,319.06	$225,447.16	$178,530.43	2026-05-08
007-2	OTHER	Allogeneic Bone Marrow Transplant	7	5	—	—	$3,319.06	$223,928.23	$177,327.61	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	5	—	—	$3,319.06	$223,573.27	$177,046.51	2026-05-08
006-2	OTHER	Pancreas Transplant	7	5	—	—	$3,319.06	$222,599.18	$176,275.13	2026-05-08
440-4	OTHER	Kidney Transplant	7	5	—	—	$3,319.06	$220,675.76	$174,751.99	2026-05-08
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	5	—	—	$3,319.06	$210,213.91	$166,467.30	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	5	—	—	$3,319.06	$204,212.51	$161,714.83	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	5	—	—	$3,319.06	$202,773.39	$160,575.19	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	5	—	—	$3,319.06	$200,159.30	$158,505.11	2026-05-08
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$199,251.25	$157,786.03	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$198,290.92	$157,025.55	2026-05-08
524991	OTHER	Hchg Ide Team-hf Heartmate 3 G240119 Pr96570	23	15	$324,864.00	$181,923.84 44% off	$65,362.64	$324,864.00	$155,934.72	2026-05-08
511582	OTHER	Vutrisiran 25 Mg/0.5 Ml Syrg 0.5 Ml Syringe	29	20	$346,162.90	$193,851.22 44% off	$4,671.69	$346,162.90	$153,791.87	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	5	—	—	$3,319.06	$190,187.24	$150,608.29	2026-05-08
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	7	5	—	—	$3,319.06	$190,030.40	$150,484.09	2026-05-08
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$187,262.22	$148,291.98	2026-05-08
690-4	OTHER	Acute Leukemia	7	5	—	—	$3,319.06	$185,292.02	$146,731.79	2026-05-08
006-1	OTHER	Pancreas Transplant	7	5	—	—	$3,319.06	$184,915.04	$146,433.26	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	5	—	—	$3,319.06	$180,226.20	$142,720.19	2026-05-08
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$179,890.49	$142,454.35	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	7	5	—	—	$3,319.06	$179,623.58	$142,242.98	2026-05-08
524900	OTHER	Hchg Ide Innovate G240020 Pr87670	23	15	$294,784.00	$165,079.04 44% off	$59,310.54	$294,784.00	$141,496.32	2026-05-08
523374	OTHER	Hchg Heartmate 3 Implant Pr96570	25	16	$302,721.10	$169,523.82 44% off	$60,907.49	$302,721.10	$140,896.09	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	5	—	—	$3,319.06	$177,003.99	$140,168.54	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	5	—	—	$3,319.06	$176,937.95	$140,116.24	2026-05-08
007-1	OTHER	Allogeneic Bone Marrow Transplant	7	5	—	—	$3,319.06	$176,610.50	$139,856.94	2026-05-08
440-3	OTHER	Kidney Transplant	7	5	—	—	$3,319.06	$176,453.65	$139,732.73	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	5	—	—	$3,319.06	$175,900.57	$139,294.75	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	7	5	—	—	$3,319.06	$174,607.28	$138,270.60	2026-05-08
023-4	OTHER	Spinal Procedures	7	5	—	—	$3,319.06	$172,521.52	$136,618.89	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	7	5	—	—	$3,319.06	$170,039.51	$134,653.41	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	5	—	—	$3,319.06	$169,857.90	$134,509.59	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	7	5	—	—	$3,319.06	$169,742.33	$134,418.07	2026-05-08
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	7	5	—	—	$3,319.06	$169,373.61	$134,126.08	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	5	—	—	$3,319.06	$169,180.99	$133,973.55	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	5	—	—	$3,319.06	$168,239.92	$133,228.32	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	7	5	—	—	$3,319.06	$165,823.95	$131,315.13	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	5	—	—	$3,319.06	$165,408.45	$130,986.09	2026-05-08
178-3	OTHER	External Heart Assist Systems	7	5	—	—	$3,319.06	$164,624.22	$130,365.07	2026-05-08
523722	OTHER	Hchg Heartmate 3 Implant Pr87670	25	16	$279,229.70	$156,368.63 44% off	$56,181.02	$279,229.70	$129,962.44	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	7	5	—	—	$3,319.06	$162,535.70	$128,711.18	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$160,895.71	$127,412.48	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$160,826.91	$127,358.00	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	7	5	—	—	$3,319.06	$160,301.35	$126,941.80	2026-05-08
182-4	OTHER	Other Peripheral Vascular And Related Procedures	7	5	—	—	$3,319.06	$158,408.20	$125,442.63	2026-05-08
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$156,960.82	$124,296.46	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	7	5	—	—	$3,319.06	$156,691.15	$124,082.91	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	7	5	—	—	$3,319.06	$155,884.91	$123,444.46	2026-05-08
181-4	OTHER	Lower Extremity Arterial Procedures	7	5	—	—	$3,319.06	$155,419.88	$123,076.20	2026-05-08
440-2	OTHER	Kidney Transplant	7	5	—	—	$3,319.06	$155,139.21	$122,853.94	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	5	—	—	$3,319.06	$149,955.06	$118,748.64	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	5	—	—	$3,319.06	$148,868.15	$117,887.92	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	7	5	—	—	$3,319.06	$148,378.36	$117,500.05	2026-05-08
523381	OTHER	Hchg Heartmate 3 Implant Pr79770	25	16	$251,797.70	$141,006.71 44% off	$50,661.70	$251,797.70	$117,194.70	2026-05-08
178-2	OTHER	External Heart Assist Systems	7	5	—	—	$3,319.06	$147,274.94	$116,626.26	2026-05-08
179-4	OTHER	Defibrillator Implants	7	5	—	—	$3,319.06	$146,020.17	$115,632.62	2026-05-08
589-4	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	5	—	—	$3,319.06	$145,637.69	$115,329.73	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	7	5	—	—	$3,319.06	$144,944.27	$114,780.62	2026-05-08
089-4	OTHER	Major Cranial Or Facial Bone Procedures	7	5	—	—	$3,319.06	$144,611.32	$114,516.95	2026-05-08
863-3	OTHER	Neonatal Aftercare	7	5	—	—	$3,319.06	$142,828.23	$113,104.94	2026-05-08
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	5	—	—	$3,319.06	$142,767.70	$113,057.00	2026-05-08
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	7	5	—	—	$3,319.06	$142,261.39	$112,656.06	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	7	5	—	—	$3,319.06	$142,143.07	$112,562.36	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	5	—	—	$3,319.06	$140,274.68	$111,082.80	2026-05-08
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	7	5	—	—	$3,319.06	$139,991.26	$110,858.35	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	5	—	—	$3,319.06	$139,212.54	$110,241.69	2026-05-08
440-1	OTHER	Kidney Transplant	7	5	—	—	$3,319.06	$139,105.22	$110,156.71	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	7	5	—	—	$3,319.06	$138,648.45	$109,794.99	2026-05-08
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	5	—	—	$3,319.06	$138,612.67	$109,766.66	2026-05-08
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	7	5	—	—	$3,319.06	$138,447.57	$109,635.92	2026-05-08
178-1	OTHER	External Heart Assist Systems	7	5	—	—	$3,319.06	$137,388.18	$108,796.99	2026-05-08
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	7	5	—	—	$3,319.06	$136,485.63	$108,082.27	2026-05-08
695-4	OTHER	Chemotherapy For Acute Leukemia	7	5	—	—	$3,319.06	$136,210.47	$107,864.36	2026-05-08
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	7	5	—	—	$3,319.06	$135,891.27	$107,611.59	2026-05-08
022-4	OTHER	Ventricular Shunt Procedures	7	5	—	—	$3,319.06	$135,825.23	$107,559.30	2026-05-08
519930	OTHER	Hchg Kit Strl Implant Pr72570	25	16	$230,882.80	$129,294.37 44% off	$46,453.62	$230,882.80	$107,460.24	2026-05-08
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	7	5	—	—	$3,319.06	$135,398.72	$107,221.55	2026-05-08
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	7	5	—	—	$3,319.06	$135,318.92	$107,158.36	2026-05-08
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	7	5	—	—	$3,319.06	$133,018.53	$105,336.68	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	7	5	—	—	$3,319.06	$132,459.94	$104,894.34	2026-05-08
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$131,452.83	$104,096.81	2026-05-08
401-4	OTHER	Adrenal Procedures	7	5	—	—	$3,319.06	$131,001.55	$103,739.45	2026-05-08
027-4	OTHER	Other Open Craniotomy	7	5	—	—	$3,319.06	$130,751.15	$103,541.16	2026-05-08
317-4	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	7	5	—	—	$3,319.06	$130,561.29	$103,390.81	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	7	5	—	—	$3,319.06	$128,574.58	$101,817.54	2026-05-08
313-4	OTHER	Knee And Lower Leg Procedures Except Foot	7	5	—	—	$3,319.06	$127,848.14	$101,242.28	2026-05-08
752-4	OTHER	Disorders Of Personality And Impulse Control	7	5	—	—	$3,319.06	$127,608.74	$101,052.70	2026-05-08
691-4	OTHER	Lymphoma, Myeloma And Non-acute Leukemia	7	5	—	—	$3,319.06	$127,176.73	$100,710.59	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	5	—	—	$3,319.06	$126,678.68	$100,316.19	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	5	—	—	$3,319.06	$126,387.00	$100,085.21	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	5	—	—	$3,319.06	$124,348.01	$98,470.55	2026-05-08
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	7	5	—	—	$3,319.06	$124,086.60	$98,263.54	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	7	5	—	—	$3,319.06	$124,083.85	$98,261.36	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	7	5	—	—	$3,319.06	$124,061.84	$98,243.93	2026-05-08
403-4	OTHER	Procedures For Obesity	7	5	—	—	$3,319.06	$123,910.50	$98,124.08	2026-05-08
519932	OTHER	Hchg Kit Pump Implant Pr65970	25	16	$209,967.70	$117,581.91 44% off	$42,245.50	$209,967.70	$97,725.68	2026-05-08
519931	OTHER	Hchg Hospital Implant Set Pr65970	25	16	$209,967.70	$117,581.91 44% off	$42,245.50	$209,967.70	$97,725.68	2026-05-08
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	7	5	—	—	$3,319.06	$122,908.89	$97,330.91	2026-05-08
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	7	5	—	—	$3,319.06	$122,358.55	$96,895.10	2026-05-08
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	7	5	—	—	$3,319.06	$121,992.58	$96,605.29	2026-05-08
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	7	5	—	—	$3,319.06	$121,632.11	$96,319.84	2026-05-08
759-4	OTHER	Eating Disorders	7	5	—	—	$3,319.06	$121,403.72	$96,138.98	2026-05-08
952-4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	7	5	—	—	$3,319.06	$120,946.95	$95,777.26	2026-05-08
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	5	—	—	$3,319.06	$120,498.42	$95,422.08	2026-05-08
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	5	—	—	$3,319.06	$118,946.48	$94,193.10	2026-05-08
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	5	—	—	$3,319.06	$118,726.35	$94,018.78	2026-05-08
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	7	5	—	—	$3,319.06	$118,123.73	$93,541.57	2026-05-08
020-4	OTHER	Open Craniotomy For Trauma	7	5	—	—	$3,319.06	$117,889.84	$93,356.35	2026-05-08
611-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	5	—	—	$3,319.06	$117,631.18	$93,151.52	2026-05-08
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	7	5	—	—	$3,319.06	$117,507.36	$93,053.47	2026-05-08
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$117,463.33	$93,018.60	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$117,067.09	$92,704.82	2026-05-08
232-4	OTHER	Gastric Fundoplication	7	5	—	—	$3,319.06	$116,913.00	$92,582.80	2026-05-08
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	5	—	—	$3,319.06	$116,032.46	$91,885.51	2026-05-08
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	5	—	—	$3,319.06	$115,982.93	$91,846.28	2026-05-08
625-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	7	5	—	—	$3,319.06	$115,548.17	$91,502.00	2026-05-08
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	7	5	—	—	$3,319.06	$114,095.29	$90,351.47	2026-05-08
522889	OTHER	Hchg Ide Vad Heartassist5 G100297 Pr59970	23	15	$187,889.20	$105,217.95 44% off	$37,803.31	$187,889.20	$90,186.82	2026-05-08
444-4	OTHER	Renal Dialysis Access Device Procedures	7	5	—	—	$3,319.06	$113,787.10	$90,107.41	2026-05-08
261-4	OTHER	Major Biliary Tract Procedures	7	5	—	—	$3,319.06	$113,624.75	$89,978.85	2026-05-08
029-4	OTHER	Other Percutaneous Intracranial Procedures	7	5	—	—	$3,319.06	$112,171.87	$88,828.32	2026-05-08
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	7	5	—	—	$3,319.06	$112,075.56	$88,752.05	2026-05-08
180-4	OTHER	Other Circulatory System Procedures	7	5	—	—	$3,319.06	$111,800.39	$88,534.15	2026-05-08
690-3	OTHER	Acute Leukemia	7	5	—	—	$3,319.06	$111,756.37	$88,499.29	2026-05-08
024-4	OTHER	Open Extracranial Vascular Procedures	7	5	—	—	$3,319.06	$111,032.68	$87,926.20	2026-05-08
518-4	OTHER	Other Female Reproductive System And Related Procedures	7	5	—	—	$3,319.06	$110,831.80	$87,767.13	2026-05-08
042-4	OTHER	Degenerative Nervous System Disorders Except Multiple Sclerosis	7	5	—	—	$3,319.06	$110,457.58	$87,470.78	2026-05-08
622-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$109,345.90	$86,590.45	2026-05-08
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	5	—	—	$3,319.06	$108,691.00	$86,071.84	2026-05-08
626-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	5	—	—	$3,319.06	$108,608.45	$86,006.47	2026-05-08
650-4	OTHER	Splenectomy	7	5	—	—	$3,319.06	$108,580.94	$85,984.68	2026-05-08
043-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	7	5	—	—	$3,319.06	$108,181.95	$85,668.72	2026-05-08
179-3	OTHER	Defibrillator Implants	7	5	—	—	$3,319.06	$107,774.70	$85,346.22	2026-05-08
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	5	—	—	$3,319.06	$107,763.69	$85,337.51	2026-05-08
305-4	OTHER	Amputation Of Lower Limb Except Toes	7	5	—	—	$3,319.06	$106,880.40	$84,638.04	2026-05-08
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	7	5	—	—	$3,319.06	$106,594.23	$84,411.42	2026-05-08
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	7	5	—	—	$3,319.06	$106,478.66	$84,319.90	2026-05-08
230-4	OTHER	Major Small Bowel Procedures	7	5	—	—	$3,319.06	$106,470.41	$84,313.36	2026-05-08
590029	OTHER	Hchg New Tech Evoque Ttvr	25	16	$180,600.00	$101,136.00 44% off	$36,336.72	$180,600.00	$84,057.02	2026-05-08
121-4	OTHER	Other Respiratory And Chest Procedures	7	5	—	—	$3,319.06	$105,922.82	$83,879.73	2026-05-08
482-4	OTHER	Transurethral Prostatectomy	7	5	—	—	$3,319.06	$105,771.48	$83,759.89	2026-05-08
441-4	OTHER	Major Bladder Procedures	7	5	—	—	$3,319.06	$104,901.95	$83,071.31	2026-05-08
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$104,742.36	$82,944.93	2026-05-08
231-4	OTHER	Major Large Bowel Procedures	7	5	—	—	$3,319.06	$104,524.97	$82,772.79	2026-05-08
514-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	5	—	—	$3,319.06	$103,977.39	$82,339.16	2026-05-08
026-4	OTHER	Other Nervous System And Related Procedures	7	5	—	—	$3,319.06	$103,837.06	$82,228.03	2026-05-08
844-4	OTHER	Partial Thickness Burns Without Skin Graft	7	5	—	—	$3,319.06	$103,594.91	$82,036.27	2026-05-08
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	5	—	—	$3,319.06	$103,341.76	$81,835.80	2026-05-08
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	7	5	—	—	$3,319.06	$102,296.12	$81,007.77	2026-05-08
519929	OTHER	Hchg Pump Pr54570	25	16	$173,594.00	$97,212.64 44% off	$34,927.11	$173,594.00	$80,796.20	2026-05-08
326-4	OTHER	Elective Knee Joint Replacement	7	5	—	—	$3,319.06	$101,514.65	$80,388.92	2026-05-08
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	7	5	—	—	$3,319.06	$101,126.66	$80,081.68	2026-05-08
524756	OTHER	Hchg Ide Altavalve Pivotal G190128 Pr49670	23	15	$166,784.00	$93,399.04 44% off	$33,556.94	$166,784.00	$80,056.32	2026-05-08
310-4	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	7	5	—	—	$3,319.06	$100,967.06	$79,955.29	2026-05-08
484-4	OTHER	Other Male Reproductive System And Related Procedures	7	5	—	—	$3,319.06	$100,843.24	$79,857.24	2026-05-08
639-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	7	5	—	—	$3,319.06	$100,694.65	$79,739.57	2026-05-08
660-4	OTHER	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	7	5	—	—	$3,319.06	$100,254.38	$79,390.92	2026-05-08
445-4	OTHER	Other Bladder Procedures	7	5	—	—	$3,319.06	$100,224.11	$79,366.96	2026-05-08
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	7	5	—	—	$3,319.06	$99,715.05	$78,963.83	2026-05-08
480-4	OTHER	Major Male Pelvic Procedures	7	5	—	—	$3,319.06	$99,599.48	$78,872.31	2026-05-08
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	7	5	—	—	$3,319.06	$99,054.65	$78,440.87	2026-05-08
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	7	5	—	—	$3,319.06	$98,779.49	$78,222.96	2026-05-08
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	5	—	—	$3,319.06	$98,174.12	$77,743.58	2026-05-08
309-4	OTHER	Other Significant Hip And Femur Surgery	7	5	—	—	$3,319.06	$97,769.62	$77,423.26	2026-05-08
661-4	OTHER	Coagulation And Platelet Disorders	7	5	—	—	$3,319.06	$96,641.44	$76,529.85	2026-05-08
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	7	5	—	—	$3,319.06	$96,333.25	$76,285.80	2026-05-08
322-4	OTHER	Shoulder And Elbow Joint Replacement	7	5	—	—	$3,319.06	$96,264.46	$76,231.33	2026-05-08
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	7	5	—	—	$3,319.06	$96,192.91	$76,174.67	2026-05-08
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	5	—	—	$3,319.06	$95,934.26	$75,969.84	2026-05-08
363-4	OTHER	Breast Procedures Except Mastectomy	7	5	—	—	$3,319.06	$95,392.18	$75,540.57	2026-05-08
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	7	5	—	—	$3,319.06	$95,265.60	$75,440.34	2026-05-08
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	7	5	—	—	$3,319.06	$94,316.28	$74,688.57	2026-05-08
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$94,244.73	$74,631.91	2026-05-08
614-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	7	5	—	—	$3,319.06	$93,834.73	$74,307.24	2026-05-08
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	5	—	—	$3,319.06	$93,669.63	$74,176.50	2026-05-08
324-4	OTHER	Elective Hip Joint Replacement	7	5	—	—	$3,319.06	$93,669.63	$74,176.50	2026-05-08
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	5	—	—	$3,319.06	$93,102.79	$73,727.62	2026-05-08
750-4	OTHER	Schizophrenia	7	5	—	—	$3,319.06	$93,075.27	$73,705.83	2026-05-08
183-3	OTHER	Percutaneous Structural Cardiac Procedures	7	5	—	—	$3,319.06	$92,324.07	$73,110.95	2026-05-08
622-2	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$92,081.92	$72,919.19	2026-05-08
692-4	OTHER	Radiotherapy	7	5	—	—	$3,319.06	$91,641.65	$72,570.55	2026-05-08
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	7	5	—	—	$3,319.06	$91,171.12	$72,197.93	2026-05-08
757-4	OTHER	Organic Mental Health Disturbances	7	5	—	—	$3,319.06	$90,956.48	$72,027.97	2026-05-08
091-3	OTHER	Other Major Head And Neck Procedures	7	5	—	—	$3,319.06	$90,953.73	$72,025.79	2026-05-08
362-4	OTHER	Mastectomy Procedures	7	5	—	—	$3,319.06	$90,301.59	$71,509.36	2026-05-08
229-4	OTHER	Other Digestive System And Abdominal Procedures	7	5	—	—	$3,319.06	$90,111.72	$71,359.01	2026-05-08
200-4	OTHER	Cardiac Structural And Valvular Disorders	7	5	—	—	$3,319.06	$89,987.90	$71,260.95	2026-05-08
323-4	OTHER	Non-elective Or Complex Hip Joint Replacement	7	5	—	—	$3,319.06	$88,202.06	$69,846.76	2026-05-08
171-4	OTHER	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	7	5	—	—	$3,319.06	$88,086.49	$69,755.24	2026-05-08
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	7	5	—	—	$3,319.06	$87,981.93	$69,672.43	2026-05-08
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	7	5	—	—	$3,319.06	$87,483.88	$69,278.03	2026-05-08
179-2	OTHER	Defibrillator Implants	7	5	—	—	$3,319.06	$87,349.04	$69,171.26	2026-05-08
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$87,167.43	$69,027.44	2026-05-08
613-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	7	5	—	—	$3,319.06	$86,974.82	$68,874.91	2026-05-08
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	5	—	—	$3,319.06	$86,864.75	$68,787.75	2026-05-08
625-2	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	7	5	—	—	$3,319.06	$86,804.21	$68,739.81	2026-05-08
073-4	OTHER	Orbit And Eye Procedures	7	5	—	—	$3,319.06	$86,537.30	$68,528.44	2026-05-08
224-4	OTHER	Peritoneal Adhesiolysis	7	5	—	—	$3,319.06	$86,435.49	$68,447.82	2026-05-08
179-1	OTHER	Defibrillator Implants	7	5	—	—	$3,319.06	$86,281.40	$68,325.79	2026-05-08
020-3	OTHER	Open Craniotomy For Trauma	7	5	—	—	$3,319.06	$86,146.56	$68,219.02	2026-05-08
223-4	OTHER	Other Small And Large Bowel Procedures	7	5	—	—	$3,319.06	$85,973.21	$68,081.74	2026-05-08
170-3	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	7	5	—	—	$3,319.06	$85,395.36	$67,624.14	2026-05-08
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	5	—	—	$3,319.06	$85,188.98	$67,460.71	2026-05-08
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$84,789.99	$67,144.75	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	5	—	—	$3,319.06	$84,770.73	$67,129.50	2026-05-08
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	7	5	—	—	$3,319.06	$84,751.47	$67,114.25	2026-05-08
696-4	OTHER	Other Chemotherapy	7	5	—	—	$3,319.06	$84,297.44	$66,754.71	2026-05-08
098-4	OTHER	Other Ear, Nose, Mouth And Throat Procedures	7	5	—	—	$3,319.06	$84,236.90	$66,706.77	2026-05-08
192-4	OTHER	Cardiac Catheterization For Other Non-coronary Conditions	7	5	—	—	$3,319.06	$84,231.40	$66,702.41	2026-05-08
316-4	OTHER	Hand And Wrist Procedures	7	5	—	—	$3,319.06	$84,124.09	$66,617.43	2026-05-08
169-3	OTHER	Major Abdominal Vascular Procedures	7	5	—	—	$3,319.06	$83,901.20	$66,440.93	2026-05-08
524925	OTHER	Hchg Ide Impella G210059 Pr41170	23	15	$138,144.00	$77,360.64 44% off	$27,794.57	$138,144.00	$66,309.12	2026-05-08
524271	OTHER	Hchg Ide Apollo G160020 Pr41170	23	15	$138,144.00	$77,360.64 44% off	$27,794.57	$138,144.00	$66,309.12	2026-05-08
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$83,216.03	$65,898.35	2026-05-08
361-3	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	7	5	—	—	$3,319.06	$82,894.09	$65,643.40	2026-05-08
183-2	OTHER	Percutaneous Structural Cardiac Procedures	7	5	—	—	$3,319.06	$82,869.32	$65,623.79	2026-05-08
364-4	OTHER	Other Skin, Subcutaneous Tissue And Related Procedures	7	5	—	—	$3,319.06	$82,635.43	$65,438.57	2026-05-08
130-2	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	5	—	—	$3,319.06	$82,327.24	$65,194.52	2026-05-08
608-1	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	5	—	—	$3,319.06	$81,925.50	$64,876.38	2026-05-08
040-4	OTHER	Spinal Disorders And Injuries	7	5	—	—	$3,319.06	$81,920.00	$64,872.02	2026-05-08
174-4	OTHER	Percutaneous Cardiac Intervention With Ami	7	5	—	—	$3,319.06	$81,708.12	$64,704.24	2026-05-08
312-3	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	7	5	—	—	$3,319.06	$81,697.11	$64,695.52	2026-05-08
320-4	OTHER	Other Musculoskeletal System And Connective Tissue Procedures	7	5	—	—	$3,319.06	$81,441.21	$64,492.87	2026-05-08
524521	OTHER	Hchg Transcatheter Heart Valve Pr41170	25	16	$138,144.00	$77,360.64 44% off	$27,794.57	$138,144.00	$64,296.64	2026-05-08
842-2	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	5	—	—	$3,319.06	$80,747.79	$63,943.75	2026-05-08
314-4	OTHER	Foot And Toe Procedures	7	5	—	—	$3,319.06	$80,186.44	$63,499.23	2026-05-08
794-4	OTHER	Non-extensive O.r. Procedures For Other Complications Of Treatment	7	5	—	—	$3,319.06	$80,062.62	$63,401.17	2026-05-08
519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	7	5	—	—	$3,319.06	$79,471.01	$62,932.68	2026-05-08
089-3	OTHER	Major Cranial Or Facial Bone Procedures	7	5	—	—	$3,319.06	$79,220.61	$62,734.39	2026-05-08
815-4	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses	7	5	—	—	$3,319.06	$78,772.09	$62,379.21	2026-05-08
621-2	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	5	—	—	$3,319.06	$78,741.82	$62,355.24	2026-05-08
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$78,582.22	$62,228.85	2026-05-08
633-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	7	5	—	—	$3,319.06	$78,089.67	$61,838.81	2026-05-08
523329	OTHER	Hchg Ide Expand Heart G140111 Pr41170	23	15	$128,810.20	$72,133.71 44% off	$25,916.61	$128,810.20	$61,828.90	2026-05-08
182-3	OTHER	Other Peripheral Vascular And Related Procedures	7	5	—	—	$3,319.06	$77,679.67	$61,514.13	2026-05-08
910-3	OTHER	Craniotomy For Multiple Significant Trauma	7	5	—	—	$3,319.06	$77,500.81	$61,372.49	2026-05-08
603-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	5	—	—	$3,319.06	$77,445.78	$61,328.91	2026-05-08
841-1	OTHER	Chemotherapy For Acute Leukemia	7	5	—	—	$3,319.06	$77,291.69	$61,206.89	2026-05-08
183-1	OTHER	Percutaneous Structural Cardiac Procedures	7	5	—	—	$3,319.06	$77,082.56	$61,041.28	2026-05-08
612-1	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$76,834.91	$60,845.17	2026-05-08
622-1	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$3,319.06	$76,573.50	$60,638.16	2026-05-08
181-3	OTHER	Lower Extremity Arterial Procedures	7	5	—	—	$3,319.06	$76,160.75	$60,311.30	2026-05-08
513-4	OTHER	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	7	5	—	—	$3,319.06	$75,888.33	$60,095.58	2026-05-08
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	5	—	—	$3,319.06	$75,692.97	$59,940.87	2026-05-08
050-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	7	5	—	—	$3,319.06	$75,472.83	$59,766.54	2026-05-08

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