Hospital

GADSDEN REGIONAL MEDICAL CENTER

Gadsden, AL · CCN 010040 · Rates published

6,339 distinct procedures filed

52 distinct payers

233,460 rate rows

2026-05-06 last MRF observed

Data quality

210,910 of 233,460 rate rows are consumer-grade (90.3%)

22,550 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
per-diem day rate — not a per-procedure price	16,395
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4,052
exceeds 10× this hospital's gross charge — excluded from medians	1,115
template filing: same amount across many unrelated codes — excluded	839
placeholder amount (≤ $0.02) — excluded from medians	149

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

Source MRF file	https://www.gadsdenregional.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/631102774_gadsden-regional-medical-center_standardcharges.csv
Found on page	https://www.gadsdenregional.com/pricing-information
Discovered via	Public MRF directory
Last fetch	not_modified · 2026-05-15
Content fingerprint	2deeea276770aec3… · 119,551,828 bytes · first seen 2026-05-06

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
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$302,086.50	$350,532.91	$326,309.70	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	$1,912.00	$577,569.95	$284,449.51	nat. median $386,529 0.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	$1,912.00	$374,819.66	$182,158.66	nat. median $239,422 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	25	$1,912.00	$579,687.43	$140,912.66	nat. median $146,562 1.0× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	25	$1,912.00	$576,285.41	$140,093.96	nat. median $181,005 0.8× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	25	$1,912.00	$376,079.36	$91,914.23	nat. median $134,983 0.7× median
7 OTHER	Lung Transplant	20	$1,912.00	$173,208.92	$84,934.69	nat. median $169,933 outlier · 0.5×
14 OTHER	Allogeneic Bone Marrow Transplant	20	$1,912.00	$160,739.41	$78,921.44	nat. median $100,915 0.8× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	$1,912.00	$151,562.83	$74,496.16	nat. median $111,558 0.7× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	25	$1,912.00	$295,242.69	$72,460.85	nat. median $90,581 0.8× median
1411004 OTHER	Aicd Ohr Thn Sgl/du4	13	$11,999.99	$99,999.95	$69,999.96	nat. median $29,800 outlier · 2.3×
1411003 OTHER	Aicd Ohr Thn Sgl/du3	13	$11,999.99	$99,999.93	$69,999.95	nat. median $29,432 outlier · 2.4×
1410040 OTHER	Aicd Dual Chamber L6	13	$11,999.99	$99,999.90	$69,999.93	nat. median $23,700 outlier · 3.0×
1413003 OTHER	Aicd Dual Chamber L1	13	$11,999.95	$99,999.55	$69,999.68	nat. median $21,100 outlier · 3.3×
1410039 OTHER	Aicd Dual Chamber L5	13	$11,999.94	$99,999.51	$69,999.66	nat. median $30,000 outlier · 2.3×
1410069 OTHER	Pmkr Dual Rate-rs L5	13	$11,999.94	$99,999.51	$69,999.66	nat. median $25,000 outlier · 2.8×
1413006 OTHER	Aicd Single Chamber2	13	$11,999.90	$99,999.17	$69,999.42	nat. median $25,000 outlier · 2.8×
215 OTHER	Other Heart Assist System Implant	25	$1,912.00	$270,342.51	$68,859.96	nat. median $92,359 0.7× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	20	$1,912.00	$137,902.94	$67,908.86	nat. median $94,894 0.7× median
1411002 OTHER	Aicd Ohr Thn Sgl/du2	13	$11,541.25	$96,177.08	$67,323.96	nat. median $25,000 outlier · 2.7×
1413005 OTHER	Aicd Single Chamber1	13	$11,485.76	$95,714.64	$67,000.25	nat. median $20,000 outlier · 3.4×
1414904 OTHER	Watchman Atr App L1	15	$10,000.00	$99,999.99	$66,499.99	nat. median $23,500 outlier · 2.8×
1411701 OTHER	Impella Device L2	15	$9,999.94	$99,999.42	$66,499.61	nat. median $25,000 outlier · 2.7×
1414710 OTHER	Joint Device Implt11	15	$9,999.94	$99,999.36	$66,499.57	nat. median $21,860 outlier · 3.0×
1414711 OTHER	Joint Device Implt12	15	$9,999.93	$99,999.30	$66,499.54	nat. median $23,950 outlier · 2.8×
1411702 OTHER	Impella Device L3	15	$9,999.92	$99,999.17	$66,499.45	nat. median $27,084 outlier · 2.5×
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	$1,912.00	$265,612.80	$65,137.31	nat. median $90,130 0.7× median
1414709 OTHER	Joint Device Implt10	15	$9,617.71	$96,177.08	$63,957.76	nat. median $25,000 outlier · 2.6×
1414906 OTHER	Tavr L1	15	$9,500.00	$95,000.00	$63,175.00	nat. median $26,886 outlier · 2.3×
1110864 OTHER	Lithotripsy	12	$3,900.00	$84,999.64	$62,999.74	nat. median $18,638 outlier · 3.4×
1110865 OTHER	Bilat Lithotripsy	12	$3,900.00	$84,999.57	$62,999.68	nat. median $22,027 outlier · 2.9×
8060109 OTHER	Ic-prq De Cor Stnt B	15	$6,751.00	$84,999.63	$61,499.73	nat. median $15,728 outlier · 3.9×
8060110 OTHER	Ic-pr De Cr Stn Ar B	15	$6,751.00	$84,999.63	$61,499.73	nat. median $16,032 outlier · 3.8×
8060111 OTHER	Ic-pr De Cr Rv Cab B	15	$6,751.00	$84,999.63	$61,499.73	nat. median $15,940 outlier · 3.9×
8060112 OTHER	Ic-pr De Cr Rv Ch Ea	15	$6,751.00	$84,999.63	$61,499.73	nat. median $15,502 outlier · 4.0×
1061570 OTHER	Ic-prq De Cr Rev Ami	17	$1,290.00	$84,999.63	$59,999.74	nat. median $22,908 outlier · 2.6×
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	21	$1,912.00	$85,232.54	$58,275.40	nat. median $65,342 0.9× median
1414577 OTHER	Genratr Neurostm 4	15	$8,703.60	$87,036.00	$57,878.94	nat. median $25,070 outlier · 2.3×
1410068 OTHER	Pmkr Dual Rate-rs L4	13	$9,892.39	$82,436.59	$57,705.61	nat. median $18,932 outlier · 3.0×
1410038 OTHER	Aicd Dual Chamber L4	13	$9,892.39	$82,436.59	$57,705.61	nat. median $25,000 outlier · 2.3×
1410049 OTHER	Pmkr Singl Rate-rsl4	13	$9,892.39	$82,436.59	$57,705.61	nat. median $25,000 outlier · 2.3×
1414579 OTHER	Genratr Neurostm 6	15	$8,604.00	$86,040.00	$57,216.60	nat. median $35,000 1.6× median
1061560 OTHER	Ic-prq Card Rev 1 Vs	21	$569.55	$84,999.49	$56,499.67	nat. median $15,700 outlier · 3.6×
231 OTHER	Coronary Bypass With Ptca With Mcc	25	$1,912.00	$228,880.21	$56,490.65	nat. median $74,989 0.8× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	$1,912.00	$228,160.71	$56,317.50	nat. median $76,493 0.7× median
613 OTHER	Neonate, Birth Weight <750 Grams, Died	2	$50,003.12	$56,702.65	$53,352.89	nat. median $42,666 1.3× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	25	$1,912.00	$213,645.79	$52,824.48	nat. median $74,209 0.7× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	$1,912.00	$208,473.52	$51,430.39	nat. median $72,612 0.7× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	25	$1,912.00	$207,574.83	$51,363.50	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	25	$1,912.00	$206,887.90	$51,198.18	nat. median $68,309 0.7× median

Other procedures at this hospital

Browse this hospital's 6,339 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

1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	21	20	—	—	$1,912.00	$374,819.66	$182,158.66	2026-05-06
10	OTHER	Pancreas Transplant	21	20	—	—	$1,912.00	$95,974.99	$47,689.71	2026-05-06
1061560	OTHER	Ic-prq Card Rev 1 Vs	26	21	$99,999.40	$11,999.93 88% off	$569.55	$84,999.49	$56,499.67	2026-05-06
1061566	OTHER	Ic-prq De Cr Stnt Ar	43	37	$99,999.56	$11,999.95 88% off	$6,751.00	$97,160.24	$17,278.15	2026-05-06
1061570	OTHER	Ic-prq De Cr Rev Ami	22	17	$99,999.56	$11,999.95 88% off	$1,290.00	$84,999.63	$59,999.74	2026-05-06
1061571	OTHER	Ic-prq De Cor Rev Ch	43	37	$99,999.56	$11,999.95 88% off	$6,751.00	$97,160.24	$17,278.15	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	26	25	—	—	$1,912.00	$148,084.27	$37,047.06	2026-05-06
1110864	OTHER	Lithotripsy	17	12	$99,999.58	$11,999.95 88% off	$3,900.00	$84,999.64	$62,999.74	2026-05-06
1110865	OTHER	Bilat Lithotripsy	17	12	$99,999.50	$11,999.94 88% off	$3,900.00	$84,999.57	$62,999.68	2026-05-06
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	26	25	—	—	$1,912.00	$114,468.62	$28,957.42	2026-05-06
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	26	25	—	—	$1,912.00	$78,243.75	$20,239.86	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	21	20	—	—	$1,912.00	$160,739.41	$78,921.44	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	26	25	—	—	$1,912.00	$115,807.16	$29,279.54	2026-05-06
1410016	OTHER	Oth Ster Supp Lvl 16	20	15	$41,219.94	$4,946.39 88% off	$4,946.39	$35,036.95	$25,350.26	2026-05-06
1410037	OTHER	Aicd Dual Chamber L3	19	13	$41,219.94	$4,946.39 88% off	$4,946.39	$41,219.94	$28,853.96	2026-05-06
1410038	OTHER	Aicd Dual Chamber L4	19	13	$82,436.59	$9,892.39 88% off	$9,892.39	$82,436.59	$57,705.61	2026-05-06
1410039	OTHER	Aicd Dual Chamber L5	19	13	$99,999.51	$11,999.94 88% off	$11,999.94	$99,999.51	$69,999.66	2026-05-06
1410040	OTHER	Aicd Dual Chamber L6	19	13	$99,999.90	$11,999.99 88% off	$11,999.99	$99,999.90	$69,999.93	2026-05-06
1410048	OTHER	Pmkr Singl Rate-rsl3	19	13	$41,219.94	$4,946.39 88% off	$4,946.39	$41,219.94	$28,853.96	2026-05-06
1410049	OTHER	Pmkr Singl Rate-rsl4	19	13	$82,436.59	$9,892.39 88% off	$9,892.39	$82,436.59	$57,705.61	2026-05-06
1410055	OTHER	Lead Pmkr Non-trn L5	19	13	$41,219.94	$4,946.39 88% off	$4,946.39	$41,219.94	$28,853.96	2026-05-06
1410067	OTHER	Pmkr Dual Rate-rs L3	19	13	$41,219.94	$4,946.39 88% off	$4,946.39	$41,219.94	$28,853.96	2026-05-06
1410068	OTHER	Pmkr Dual Rate-rs L4	19	13	$82,436.59	$9,892.39 88% off	$9,892.39	$82,436.59	$57,705.61	2026-05-06
1410069	OTHER	Pmkr Dual Rate-rs L5	19	13	$99,999.51	$11,999.94 88% off	$11,999.94	$99,999.51	$69,999.66	2026-05-06
1410072	OTHER	Lead Aicd End Dul L2	19	13	$28,578.74	$3,429.45 88% off	$3,429.45	$28,578.74	$20,005.12	2026-05-06
1410075	OTHER	Lead Aicd End Dul L5	19	13	$34,348.03	$4,121.76 88% off	$4,121.76	$34,348.03	$24,043.62	2026-05-06
1410076	OTHER	Lead Aicd End Dul L6	19	13	$48,089.49	$5,770.74 88% off	$5,770.74	$48,089.49	$33,662.64	2026-05-06
1410093	OTHER	Pmkr Othr Th Sngl L3	19	13	$41,219.94	$4,946.39 88% off	$4,946.39	$41,219.94	$28,853.96	2026-05-06
1410730	OTHER	Lead Neurostimulat 7	22	15	$49,587.00	$5,950.44 88% off	$4,958.70	$49,587.00	$32,975.36	2026-05-06
1411002	OTHER	Aicd Ohr Thn Sgl/du2	19	13	$96,177.08	$11,541.25 88% off	$11,541.25	$96,177.08	$67,323.96	2026-05-06
1411003	OTHER	Aicd Ohr Thn Sgl/du3	19	13	$99,999.93	$11,999.99 88% off	$11,999.99	$99,999.93	$69,999.95	2026-05-06
1411004	OTHER	Aicd Ohr Thn Sgl/du4	19	13	$99,999.95	$11,999.99 88% off	$11,999.99	$99,999.95	$69,999.96	2026-05-06
1411701	OTHER	Impella Device L2	22	15	$99,999.42	$11,999.93 88% off	$9,999.94	$99,999.42	$66,499.61	2026-05-06
1411702	OTHER	Impella Device L3	22	15	$99,999.17	$11,999.90 88% off	$9,999.92	$99,999.17	$66,499.45	2026-05-06
1413003	OTHER	Aicd Dual Chamber L1	19	13	$99,999.55	$11,999.95 88% off	$11,999.95	$99,999.55	$69,999.68	2026-05-06
1413005	OTHER	Aicd Single Chamber1	19	13	$95,714.64	$11,485.76 88% off	$11,485.76	$95,714.64	$67,000.25	2026-05-06
1413006	OTHER	Aicd Single Chamber2	19	13	$99,999.17	$11,999.90 88% off	$11,999.90	$99,999.17	$69,999.42	2026-05-06
1413160	OTHER	Interspinous Impl L1	22	15	$31,510.66	$3,781.28 88% off	$3,151.07	$31,510.66	$20,954.59	2026-05-06
1413177	OTHER	Lead Aicd End Dul L1	19	13	$26,928.46	$3,231.42 88% off	$3,231.42	$26,928.46	$18,849.92	2026-05-06
1413213	OTHER	Pmkr Dual Rate-rs L1	19	13	$31,721.54	$3,806.58 88% off	$3,806.58	$31,721.54	$22,205.08	2026-05-06
1413233	OTHER	Prsths Penile Nninf3	22	15	$30,466.80	$3,656.02 88% off	$3,046.68	$30,466.80	$20,260.42	2026-05-06
1414016	OTHER	Anchor/scrw Level 16	22	15	$27,174.90	$3,260.99 88% off	$2,717.49	$27,174.90	$18,071.31	2026-05-06
1414017	OTHER	Anchor/scrw Level 17	22	15	$34,721.95	$4,166.63 88% off	$3,472.19	$34,721.95	$23,090.10	2026-05-06
1414018	OTHER	Anchor/scrw Level 18	22	15	$43,780.52	$5,253.66 88% off	$4,378.05	$43,780.52	$29,114.04	2026-05-06
1414019	OTHER	Anchor/scrw Level 19	22	15	$49,461.28	$5,935.35 88% off	$4,946.13	$49,461.28	$32,891.76	2026-05-06
1414020	OTHER	Anchor/scrw Level 20	22	15	$60,452.99	$7,254.36 88% off	$6,045.30	$60,452.99	$40,201.24	2026-05-06
1414480	OTHER	Conn Tissue Human 6	22	15	$25,965.27	$3,115.83 88% off	$2,596.53	$25,965.27	$17,266.90	2026-05-06
1414481	OTHER	Conn Tissue Human 7	22	15	$36,231.74	$4,347.81 88% off	$3,623.17	$36,231.74	$24,094.11	2026-05-06
1414482	OTHER	Conn Tissue Human 8	22	15	$43,965.27	$5,275.83 88% off	$4,396.53	$43,965.27	$29,236.90	2026-05-06
1414483	OTHER	Conn Tissue Human 9	22	15	$57,706.72	$6,924.81 88% off	$5,770.67	$57,706.72	$38,374.96	2026-05-06
1414484	OTHER	Conn Tissue Human 10	22	15	$72,422.67	$8,690.72 88% off	$7,242.27	$72,422.67	$48,161.07	2026-05-06
1414575	OTHER	Genratr Neurostm 2	22	15	$30,193.54	$3,623.22 88% off	$3,019.35	$30,193.54	$20,078.71	2026-05-06
1414576	OTHER	Genratr Neurostm 3	22	15	$76,614.39	$9,193.73 88% off	$7,661.44	$76,614.39	$50,948.57	2026-05-06
1414577	OTHER	Genratr Neurostm 4	22	15	$87,036.00	$10,444.32 88% off	$8,703.60	$87,036.00	$57,878.94	2026-05-06
1414578	OTHER	Genratr Neurostm 5	22	15	$68,094.00	$8,171.28 88% off	$6,809.40	$68,094.00	$45,282.51	2026-05-06
1414579	OTHER	Genratr Neurostm 6	22	15	$86,040.00	$10,324.80 88% off	$8,604.00	$86,040.00	$57,216.60	2026-05-06
1414605	OTHER	Graft Vascular 6	22	15	$27,174.90	$3,260.99 88% off	$2,717.49	$27,174.90	$18,071.31	2026-05-06
1414607	OTHER	Graft Vascular 8	22	15	$48,958.03	$5,874.96 88% off	$4,895.80	$48,958.03	$32,557.09	2026-05-06
1414704	OTHER	Joint Device Implt 5	22	15	$27,174.90	$3,260.99 88% off	$2,717.49	$27,174.90	$18,071.31	2026-05-06
1414705	OTHER	Joint Device Implt 6	22	15	$34,721.95	$4,166.63 88% off	$3,472.19	$34,721.95	$23,090.10	2026-05-06
1414706	OTHER	Joint Device Implt 7	22	15	$43,780.52	$5,253.66 88% off	$4,378.05	$43,780.52	$29,114.04	2026-05-06
1414707	OTHER	Joint Device Implt 8	22	15	$54,346.21	$6,521.55 88% off	$5,434.62	$54,346.21	$36,140.23	2026-05-06
1414708	OTHER	Joint Device Implt 9	22	15	$75,482.90	$9,057.95 88% off	$7,548.29	$75,482.90	$50,196.13	2026-05-06
1414709	OTHER	Joint Device Implt10	22	15	$96,177.08	$11,541.25 88% off	$9,617.71	$96,177.08	$63,957.76	2026-05-06
1414710	OTHER	Joint Device Implt11	22	15	$99,999.36	$11,999.92 88% off	$9,999.94	$99,999.36	$66,499.57	2026-05-06
1414711	OTHER	Joint Device Implt12	22	15	$99,999.30	$11,999.92 88% off	$9,999.93	$99,999.30	$66,499.54	2026-05-06
1414761	OTHER	Mesh Implantable 12	22	15	$27,478.49	$3,297.42 88% off	$2,747.85	$27,478.49	$18,273.19	2026-05-06
1414878	OTHER	Prsths Penile Infl 4	22	15	$37,265.12	$4,471.81 88% off	$3,726.51	$37,265.12	$24,781.31	2026-05-06
1414902	OTHER	Rep Dev Urinry W/sl3	22	15	$26,840.87	$3,220.90 88% off	$2,684.09	$26,840.87	$17,849.18	2026-05-06
1414904	OTHER	Watchman Atr App L1	22	15	$99,999.99	$12,000.00 88% off	$10,000.00	$99,999.99	$66,499.99	2026-05-06
1414906	OTHER	Tavr L1	22	15	$95,000.00	$11,400.00 88% off	$9,500.00	$95,000.00	$63,175.00	2026-05-06
1414907	OTHER	Tavr L2	22	15	$54,204.13	$6,504.50 88% off	$5,420.41	$54,204.13	$36,045.74	2026-05-06
1414954	OTHER	Stnt Coat/cov W/del4	22	15	$41,219.94	$4,946.39 88% off	$4,121.99	$41,219.94	$27,411.26	2026-05-06
1414955	OTHER	Stnt Coat/cov W/del5	22	15	$28,005.47	$3,360.66 88% off	$2,800.55	$28,005.47	$18,623.64	2026-05-06
1414956	OTHER	Stnt Coat/cov W/del6	22	15	$36,396.25	$4,367.55 88% off	$3,639.62	$36,396.25	$24,203.51	2026-05-06
1417055	OTHER	Tissue Non-human 7	22	15	$27,174.90	$3,260.99 88% off	$2,717.49	$27,174.90	$18,071.31	2026-05-06
1417056	OTHER	Tissue Non-human 8	22	15	$36,231.74	$4,347.81 88% off	$3,623.17	$36,231.74	$24,094.11	2026-05-06
1417057	OTHER	Tissue Non-human 9	22	15	$48,308.93	$5,797.07 88% off	$4,830.89	$48,308.93	$32,125.44	2026-05-06
1417058	OTHER	Tissue Non-human 10	22	15	$65,949.80	$7,913.98 88% off	$6,594.98	$65,949.80	$43,856.62	2026-05-06
1417059	OTHER	Tissue Non-human 11	22	15	$54,204.13	$6,504.50 88% off	$5,420.41	$54,204.13	$36,045.74	2026-05-06
1417227	OTHER	Lead Neurostimulat 4	22	15	$32,367.00	$3,884.04 88% off	$3,236.70	$32,367.00	$21,524.06	2026-05-06
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$101,723.94	$25,890.40	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	21	20	—	—	$1,912.00	$79,309.74	$39,653.11	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	26	25	—	—	$1,912.00	$121,685.35	$30,694.15	2026-05-06
164	OTHER	Major Chest Procedures With Cc	26	25	—	—	$1,912.00	$68,529.12	$17,902.04	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$314,438.94	$26,740.43	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	21	20	—	—	$1,912.00	$72,657.01	$36,444.93	2026-05-06
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	26	25	—	—	$1,912.00	$80,812.24	$20,857.98	2026-05-06
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	22	—	—	$1,912.00	$577,569.95	$284,449.51	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	22	21	—	—	$1,912.00	$95,425.27	$47,656.91	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	21	20	—	—	$1,912.00	$151,562.83	$74,496.16	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	26	25	—	—	$1,912.00	$213,645.79	$52,824.48	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	26	25	—	—	$1,889.00	$86,064.12	$42,700.15	2026-05-06
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	26	25	—	—	$1,889.00	$36,763.86	$19,042.32	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	26	25	—	—	$1,912.00	$143,731.96	$35,999.68	2026-05-06
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	26	25	—	—	$1,912.00	$295,242.69	$72,460.85	2026-05-06
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$35,059.17	$43,573.16	$39,316.17	2026-05-06
215	OTHER	Other Heart Assist System Implant	26	25	—	—	$1,912.00	$270,342.51	$68,859.96	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	27	26	—	—	$1,912.00	$265,612.80	$65,137.31	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	27	26	—	—	$1,912.00	$178,525.97	$44,246.41	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	27	26	—	—	$1,912.00	$178,525.97	$44,246.41	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	27	26	—	—	$1,912.00	$208,473.52	$51,430.39	2026-05-06
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	26	25	—	—	$1,912.00	$86,269.59	$22,945.85	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	27	26	—	—	$1,912.00	$144,790.85	$36,153.82	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	27	26	—	—	$1,912.00	$136,846.47	$34,248.08	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	26	25	—	—	$1,912.00	$134,326.86	$33,736.32	2026-05-06
229	OTHER	Other Cardiothoracic Procedures Without Mcc	26	25	—	—	$1,912.00	$85,512.07	$21,989.01	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	26	25	—	—	$1,912.00	$155,583.38	$38,851.72	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	26	25	—	—	$1,912.00	$228,880.21	$56,490.65	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	26	25	—	—	$1,912.00	$164,605.65	$41,022.95	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	26	25	—	—	$1,912.00	$207,574.83	$51,363.50	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	26	25	—	—	$1,912.00	$148,317.77	$37,103.24	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	26	25	—	—	$1,912.00	$159,338.36	$39,755.36	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	26	25	—	—	$1,912.00	$113,730.11	$28,779.71	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	26	25	—	—	$1,912.00	$133,629.08	$33,568.40	2026-05-06
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	26	25	—	—	$1,912.00	$106,212.00	$26,970.47	2026-05-06
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	26	25	—	—	$1,912.00	$77,393.93	$20,035.35	2026-05-06
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	26	25	—	—	$1,912.00	$86,687.71	$22,271.93	2026-05-06
245	OTHER	Aicd Generator Procedures	26	25	—	—	$1,912.00	$123,873.72	$31,220.75	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	26	25	—	—	$1,912.00	$123,447.45	$31,118.18	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	26	25	—	—	$1,912.00	$94,710.83	$24,202.71	2026-05-06
253	OTHER	Other Vascular Procedures With Cc	26	25	—	—	$1,912.00	$70,473.14	$18,369.88	2026-05-06
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	26	25	—	—	$1,912.00	$73,237.11	$19,035.01	2026-05-06
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	26	25	—	—	$1,912.00	$85,311.16	$21,940.67	2026-05-06
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	26	25	—	—	$1,912.00	$84,417.89	$21,725.69	2026-05-06
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	26	25	—	—	$1,912.00	$88,316.77	$22,663.94	2026-05-06
263	OTHER	Vein Ligation And Stripping	26	25	—	—	$1,912.00	$83,011.47	$21,387.22	2026-05-06
264	OTHER	Other Circulatory System O.r. Procedures	26	25	—	—	$1,912.00	$90,700.63	$23,237.62	2026-05-06
265	OTHER	Aicd Lead Procedures	26	25	—	—	$1,912.00	$98,237.75	$25,051.44	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	26	25	—	—	$1,912.00	$166,392.19	$42,931.19	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	26	25	—	—	$1,912.00	$129,260.48	$32,517.10	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	26	25	—	—	$1,912.00	$186,741.86	$46,350.02	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	26	25	—	—	$1,912.00	$114,664.10	$29,004.47	2026-05-06
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	26	25	—	—	$1,912.00	$68,499.26	$18,513.33	2026-05-06
270	OTHER	Other Major Cardiovascular Procedures With Mcc	26	25	—	—	$1,912.00	$143,256.82	$35,885.33	2026-05-06
271	OTHER	Other Major Cardiovascular Procedures With Cc	26	25	—	—	$1,912.00	$96,557.10	$24,647.01	2026-05-06
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	26	25	—	—	$1,912.00	$69,316.50	$18,091.53	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	26	25	—	—	$1,912.00	$112,011.45	$28,366.09	2026-05-06
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	26	25	—	—	$1,912.00	$89,372.95	$23,719.94	2026-05-06
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	27	26	—	—	$1,912.00	$193,597.49	$47,861.85	2026-05-06
276	OTHER	Non-maligant Breast Disorders	27	26	—	—	$1,912.00	$163,085.20	$40,542.40	2026-05-06
277	OTHER	Cellulitis Age >17 W Cc	27	26	—	—	$1,912.00	$125,396.89	$31,501.50	2026-05-06
278	OTHER	Cellulitis Age >17 Without Cc	26	25	—	—	$1,912.00	$151,127.90	$37,779.51	2026-05-06
279	OTHER	Cellulitis Age 0-17	26	25	—	—	$1,912.00	$97,917.37	$24,974.35	2026-05-06
28	OTHER	Spinal Procedures With Mcc	26	25	—	—	$1,912.00	$163,131.35	$40,668.13	2026-05-06
288	OTHER	Acute And Subacute Endocarditis With Mcc	26	25	—	—	$1,889.00	$36,195.42	$18,930.48	2026-05-06
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	26	25	—	—	$1,912.00	$92,628.35	$23,701.54	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	26	25	—	—	$1,912.00	$576,285.41	$140,093.96	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	26	25	—	—	$1,912.00	$121,650.06	$30,685.65	2026-05-06
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$28,780.96	$35,770.31	$32,275.63	2026-05-06
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$41,165.71	$51,162.65	$46,164.18	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	26	25	—	—	$1,912.00	$121,172.20	$30,570.65	2026-05-06
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	26	25	—	—	$1,912.00	$65,306.30	$17,425.67	2026-05-06
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	26	25	—	—	$1,912.00	$73,872.44	$19,187.91	2026-05-06
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	26	25	—	—	$1,912.00	$117,493.24	$29,685.30	2026-05-06
324	OTHER	Urinary Stones Without Cc	26	25	—	—	$1,912.00	$85,552.80	$22,767.06	2026-05-06
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	26	25	—	—	$1,912.00	$87,165.57	$22,386.90	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	26	25	—	—	$1,912.00	$135,412.90	$33,997.67	2026-05-06
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	26	25	—	—	$1,912.00	$66,362.47	$17,380.65	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	26	25	—	—	$1,912.00	$124,799.57	$31,443.57	2026-05-06
332	OTHER	Rectal Resection With Mcc	26	25	—	—	$1,912.00	$98,305.63	$25,067.79	2026-05-06
335	OTHER	Peritoneal Adhesiolysis With Mcc	26	25	—	—	$1,912.00	$96,953.51	$24,742.39	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	26	25	—	—	$1,912.00	$105,093.38	$26,701.26	2026-05-06
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	26	25	—	—	$1,912.00	$70,125.60	$18,286.24	2026-05-06
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	26	25	—	—	$1,912.00	$67,657.58	$17,692.31	2026-05-06
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	26	25	—	—	$1,912.00	$78,792.20	$20,371.86	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$119,268.91	$30,112.61	2026-05-06
360	OTHER	Removal Of Skin Lesion	14,905	45	$75,844.75	$9,101.37 88% off	$2.96	$395,944.90	$33,707.42	2026-05-06
362	OTHER	Cardiac Defibrillator Implant Without Mcc	2	2	—	—	$21,396.52	$26,592.59	$23,994.56	2026-05-06
364	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	2	2	—	—	$20,535.08	$25,521.94	$23,028.51	2026-05-06
37	OTHER	Extracranial Procedures With Mcc	26	25	—	—	$1,912.00	$89,383.81	$22,920.73	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	26	25	—	—	$1,912.00	$376,079.36	$91,914.23	2026-05-06
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	26	25	—	—	$1,912.00	$104,835.44	$26,639.18	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	26	25	—	—	$1,912.00	$148,529.55	$37,154.20	2026-05-06
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	26	25	—	—	$1,912.00	$78,743.33	$20,360.10	2026-05-06
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	26	25	—	—	$1,912.00	$96,809.61	$24,707.78	2026-05-06
411	OTHER	Cholecystectomy With C.d.e. With Mcc	26	25	—	—	$1,912.00	$89,687.90	$23,412.34	2026-05-06
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	26	25	—	—	$1,912.00	$96,728.15	$25,554.58	2026-05-06
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	26	25	—	—	$1,912.00	$92,506.17	$23,672.15	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$112,758.10	$29,553.01	2026-05-06
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	22	21	—	—	$1,912.00	$85,232.54	$58,275.40	2026-05-06
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	22	21	—	—	$1,912.00	$59,915.32	$40,656.56	2026-05-06
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	22	21	—	—	$1,912.00	$45,982.60	$31,503.03	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	26	25	—	—	$1,912.00	$228,160.71	$56,317.50	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	26	25	—	—	$1,912.00	$161,904.13	$40,372.82	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	26	25	—	—	$1,912.00	$113,290.26	$28,673.85	2026-05-06
459	OTHER	Spinal Fusion Except Cervical With Mcc	22	21	—	—	$1,912.00	$64,674.23	$43,968.39	2026-05-06
460	OTHER	Spinal Fusion Except Cervical Without Mcc	22	21	—	—	$1,912.00	$37,242.24	$25,122.58	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	26	25	—	—	$1,912.00	$149,954.97	$37,497.24	2026-05-06
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	26	25	—	—	$1,912.00	$72,221.66	$19,441.82	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	26	25	—	—	$1,912.00	$154,747.12	$38,650.48	2026-05-06
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	26	25	—	—	$1,912.00	$84,567.22	$21,761.62	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	26	25	—	—	$1,912.00	$141,331.82	$35,422.07	2026-05-06
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	26	25	—	—	$1,912.00	$95,750.72	$24,452.94	2026-05-06
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	26	25	—	—	$1,912.00	$74,610.95	$20,037.80	2026-05-06
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	26	25	—	—	$1,912.00	$82,354.41	$21,611.68	2026-05-06
471	OTHER	Cervical Spinal Fusion With Mcc	26	25	—	—	$1,912.00	$131,104.03	$32,960.74	2026-05-06
472	OTHER	Cervical Spinal Fusion With Cc	26	25	—	—	$1,912.00	$79,989.56	$21,379.41	2026-05-06
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	26	25	—	—	$1,912.00	$66,283.74	$17,960.68	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	26	25	—	—	$1,912.00	$116,556.53	$29,459.88	2026-05-06
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	26	25	—	—	$1,912.00	$93,795.84	$23,982.51	2026-05-06
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	26	25	—	—	$1,912.00	$66,769.74	$17,478.65	2026-05-06
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	26	25	—	—	$1,912.00	$79,071.86	$20,439.16	2026-05-06
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	26	25	—	—	$1,912.00	$75,259.86	$20,199.66	2026-05-06
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	26	25	—	—	$1,912.00	$87,618.99	$22,496.03	2026-05-06
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	26	25	—	—	$1,912.00	$99,687.61	$25,400.36	2026-05-06
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	26	25	—	—	$1,912.00	$68,857.65	$17,981.10	2026-05-06
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	26	25	—	—	$1,912.00	$98,441.38	$25,100.45	2026-05-06
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	26	25	—	—	$1,912.00	$81,909.14	$21,121.96	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	21	20	—	—	$1,912.00	$137,902.94	$67,908.86	2026-05-06
500	OTHER	Soft Tissue Procedures With Mcc	26	25	—	—	$1,912.00	$85,927.48	$22,088.97	2026-05-06
503	OTHER	Foot Procedures With Mcc	26	25	—	—	$1,912.00	$75,781.16	$19,647.26	2026-05-06
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	26	25	—	—	$1,912.00	$82,009.60	$21,146.14	2026-05-06
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$86,527.52	$23,010.22	2026-05-06
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	26	25	—	—	$1,912.00	$101,471.43	$26,305.69	2026-05-06
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	26	25	—	—	$1,912.00	$77,928.80	$20,164.10	2026-05-06
545	OTHER	Connective Tissue Disorders With Mcc	26	25	—	—	$1,889.00	$33,192.74	$17,328.65	2026-05-06
570	OTHER	Skin Debridement With Mcc	26	25	—	—	$1,912.00	$79,853.81	$20,627.33	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	26	25	—	—	$1,912.00	$177,877.06	$44,216.71	2026-05-06
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	26	25	—	—	$1,912.00	$94,251.98	$24,092.28	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	26	25	—	—	$1,912.00	$133,072.48	$33,434.45	2026-05-06
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	26	25	—	—	$1,912.00	$71,969.16	$18,729.89	2026-05-06
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	26	25	—	—	$1,912.00	$87,928.51	$22,570.53	2026-05-06
6	OTHER	Liver Transplant Without Mcc	21	20	—	—	$1,912.00	$62,019.88	$31,315.29	2026-05-06
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	26	25	—	—	$1,889.00	$36,876.21	$19,096.22	2026-05-06
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$50,003.12	$56,702.65	$53,352.89	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	26	25	—	—	$1,912.00	$94,686.40	$24,196.81	2026-05-06
619	OTHER	O.r. Procedures For Obesity With Mcc	26	25	—	—	$1,912.00	$78,395.80	$20,639.67	2026-05-06
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	26	25	—	—	$1,912.00	$96,635.84	$25,531.57	2026-05-06
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	26	25	—	—	$1,912.00	$81,998.74	$21,143.53	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$101,186.35	$25,761.03	2026-05-06
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	2	—	—	$25,548.80	$26,546.33	$26,047.57	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	22	21	—	—	$1,912.00	$62,881.23	$31,886.07	2026-05-06
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	22	21	—	—	$1,912.00	$49,565.07	$25,433.06	2026-05-06
652	OTHER	Kidney Transplant	21	20	—	—	$1,912.00	$43,194.56	$22,237.07	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	26	25	—	—	$1,912.00	$141,087.46	$35,363.26	2026-05-06
654	OTHER	Major Bladder Procedures With Cc	26	25	—	—	$1,912.00	$76,003.79	$19,700.82	2026-05-06
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	26	25	—	—	$1,912.00	$86,443.35	$22,213.10	2026-05-06
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	27	26	—	—	$1,912.00	$68,987.98	$18,055.15	2026-05-06
662	OTHER	Minor Bladder Procedures With Mcc	26	25	—	—	$1,912.00	$83,122.79	$21,414.03	2026-05-06
665	OTHER	Prostatectomy With Mcc	26	25	—	—	$1,912.00	$84,743.70	$21,804.10	2026-05-06
668	OTHER	Transurethral Procedures With Mcc	26	25	—	—	$1,912.00	$79,280.92	$20,489.47	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	26	25	—	—	$1,912.00	$114,077.64	$28,863.33	2026-05-06
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$302,086.50	$350,532.91	$326,309.70	2026-05-06
7	OTHER	Lung Transplant	21	20	—	—	$1,912.00	$173,208.92	$84,934.69	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	26	25	—	—	$1,912.00	$97,051.25	$24,765.92	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	26	25	—	—	$1,912.00	$97,276.60	$24,820.15	2026-05-06
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	26	25	—	—	$1,912.00	$69,712.91	$18,186.92	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	26	25	—	—	$1,889.00	$79,494.31	$39,547.46	2026-05-06
791	OTHER	Prematurity With Major Problems	26	25	—	—	$1,889.00	$54,289.13	$27,452.19	2026-05-06
792	OTHER	Prematurity Without Major Problems	26	25	—	—	$1,692.89	$32,758.05	$17,120.03	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	26	25	—	—	$1,889.00	$55,768.40	$28,162.07	2026-05-06
799	OTHER	Splenectomy With Mcc	26	25	—	—	$1,912.00	$122,964.16	$31,001.89	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	21	20	—	—	$1,912.00	$74,961.53	$37,556.24	2026-05-06
800	OTHER	Splenectomy With Cc	26	25	—	—	$1,912.00	$76,278.02	$19,766.84	2026-05-06
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	26	25	—	—	$1,912.00	$108,172.30	$27,442.20	2026-05-06
8060078	OTHER	Ic-cor Thrombectomy	21	16	$62,206.10	$7,464.73 88% off	$151.72	$52,875.18	$37,323.66	2026-05-06
8060109	OTHER	Ic-prq De Cor Stnt B	20	15	$99,999.56	$11,999.95 88% off	$6,751.00	$84,999.63	$61,499.73	2026-05-06
8060110	OTHER	Ic-pr De Cr Stn Ar B	20	15	$99,999.56	$11,999.95 88% off	$6,751.00	$84,999.63	$61,499.73	2026-05-06
8060111	OTHER	Ic-pr De Cr Rv Cab B	20	15	$99,999.56	$11,999.95 88% off	$6,751.00	$84,999.63	$61,499.73	2026-05-06
8060112	OTHER	Ic-pr De Cr Rv Ch Ea	20	15	$99,999.56	$11,999.95 88% off	$6,751.00	$84,999.63	$61,499.73	2026-05-06
8061044	OTHER	Cth Plc Ext Cd W-ang	19	14	$27,648.81	$3,317.86 88% off	$207.50	$23,501.49	$17,418.75	2026-05-06
8061049	OTHER	S-abdomen Add Order	19	14	$27,573.46	$3,308.82 88% off	$98.33	$23,437.44	$17,371.28	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$159,235.18	$39,730.53	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	26	25	—	—	$1,912.00	$124,481.90	$31,367.13	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	26	25	—	—	$1,912.00	$127,006.95	$31,974.77	2026-05-06
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	26	25	—	—	$1,912.00	$85,797.16	$22,057.60	2026-05-06
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	26	25	—	—	$1,889.00	$73,427.41	$36,636.13	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	26	25	—	—	$1,889.00	$64,257.52	$32,235.76	2026-05-06
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	26	25	—	—	$1,889.00	$43,266.79	$22,162.89	2026-05-06
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	26	25	—	—	$1,889.00	$34,674.69	$18,039.78	2026-05-06
849	OTHER	Radiotherapy	26	25	—	—	$1,889.00	$36,239.56	$18,790.72	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$134,087.93	$33,678.83	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$123,501.75	$31,131.25	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	26	25	—	—	$1,889.00	$92,445.32	$45,762.30	2026-05-06
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	26	25	—	—	$1,457.65	$104,935.90	$26,534.45	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	26	25	—	—	$1,912.00	$113,941.89	$28,830.67	2026-05-06
904	OTHER	Skin Grafts For Injuries With Cc/mcc	26	25	—	—	$1,912.00	$99,728.34	$26,302.93	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	26	25	—	—	$1,912.00	$104,240.83	$26,496.11	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	26	25	—	—	$1,912.00	$579,687.43	$140,912.66	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	26	25	—	—	$1,912.00	$194,745.98	$48,276.21	2026-05-06
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	26	25	—	—	$1,912.00	$87,447.94	$22,454.89	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	26	25	—	—	$1,889.00	$52,084.93	$26,394.47	2026-05-06
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	26	25	—	—	$1,912.00	$98,517.40	$25,118.76	2026-05-06
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	26	25	—	—	$1,889.00	$47,071.97	$23,988.90	2026-05-06
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	26	25	—	—	$1,889.00	$34,496.80	$17,954.42	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	26	25	—	—	$1,912.00	$182,756.10	$47,012.91	2026-05-06
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	26	25	—	—	$1,912.00	$102,169.21	$25,997.54	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	26	25	—	—	$1,912.00	$206,887.90	$51,198.18	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	26	25	—	—	$1,912.00	$114,411.60	$28,943.69	2026-05-06
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	26	25	—	—	$1,912.00	$79,935.26	$20,646.94	2026-05-06
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	26	25	—	—	$1,889.00	$34,496.80	$17,954.42	2026-05-06
963	OTHER	Other Multiple Significant Trauma With Mcc	26	25	—	—	$1,889.00	$36,564.57	$18,946.68	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	26	25	—	—	$1,912.00	$166,199.42	$41,406.49	2026-05-06
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	26	25	—	—	$1,889.00	$48,307.83	$24,581.96	2026-05-06
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	26	25	—	—	$1,912.00	$71,608.05	$18,642.99	2026-05-06
974	OTHER	HIV With Major Related Condition With Mcc	26	25	—	—	$1,889.00	$77,476.29	$20,267.32	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	26	25	—	—	$1,912.00	$127,387.06	$32,066.25	2026-05-06
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	26	25	—	—	$1,912.00	$66,750.73	$17,474.08	2026-05-06
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	27	26	—	—	$1,912.00	$93,084.49	$23,750.19	2026-05-06

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