Hospital

NORTHWEST MEDICAL CENTER

Tucson, AZ · CCN 030085 · Rates published

9,393 distinct procedures filed

56 distinct payers

407,161 rate rows

2026-05-06 last MRF observed

Data quality

385,107 of 407,161 rate rows are consumer-grade (94.6%)

22,054 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	16,306
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4,807
placeholder amount (≤ $0.02) — excluded from medians	707
exceeds 10× this hospital's gross charge — excluded from medians	234

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

Source MRF file	https://www.healthiertucson.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621762430_northwest-medical-center-tucson_standardcharges.csv
Found on page	https://www.healthiertucson.com/pricing-information
Discovered via	Public MRF directory
Last fetch	not_modified · 2026-05-15
Content fingerprint	e7a2a22bf6a78800… · 534,445,854 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
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	8	$451,084.07	$524,630.38	$490,308.77	nat. median $151,691 outlier · 3.2×
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	35	$92,813.16	$1,716,036.60	$363,698.34	nat. median $386,529 0.9× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$295,709.00	$324,448.35	$310,078.67	nat. median $0
583-4 OTHER	Neonate With Ecmo	8	$224,683.02	$261,316.12	$244,220.67	nat. median $309,400 0.8× median
842-4 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	$224,319.65	$260,893.51	$243,825.71	nat. median $83,517 outlier · 2.9×
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	32	$11,298.95	$507,955.22	$238,493.30	nat. median $239,422 1.0× median
583-3 OTHER	Neonate With Ecmo	8	$180,498.75	$209,927.90	$196,194.29	nat. median $259,487 0.8× median
7 OTHER	Lung Transplant	30	$15,698.73	$1,297,708.32	$195,085.95	nat. median $169,933 1.1× median
841-3 OTHER	Extensive Third Degree Burns With Skin Graft	8	$179,187.98	$208,403.41	$194,769.55	nat. median $61,016 outlier · 3.2×
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$177,976.07	$206,993.91	$193,452.25	nat. median $267,493 0.7× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	38	$14,670.37	$397,321.83	$186,112.98	nat. median $146,562 1.3× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	38	$12,332.28	$405,974.81	$185,022.42	nat. median $181,005 1.0× median
002-4 OTHER	Heart And/or Lung Transplant	8	$145,682.89	$169,435.54	$158,350.96	nat. median $216,800 0.7× median
863-4 OTHER	Neonatal Aftercare	8	$135,367.35	$157,438.12	$147,138.43	nat. median $108,047 1.4× median
161-4 OTHER	Implantable Heart Assist Systems	8	$128,400.92	$149,335.85	$139,566.21	nat. median $202,242 0.7× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	$124,746.43	$145,085.53	$135,593.95	nat. median $108,000 1.3× median
583-2 OTHER	Neonate With Ecmo	8	$122,471.14	$142,439.26	$133,120.81	nat. median $191,347 0.7× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$121,512.77	$141,324.64	$132,079.09	nat. median $156,696 0.8× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	$119,033.55	$138,441.18	$129,384.28	nat. median $169,856 0.8× median
841-1 OTHER	Chemotherapy For Acute Leukemia	8	$116,444.76	$135,430.31	$126,570.38	nat. median $20,206 outlier · 6.3×
841-2 OTHER	Extensive Third Degree Burns With Skin Graft	8	$116,444.76	$135,430.31	$126,570.38	nat. median $28,587 outlier · 4.4×
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	38	$8,301.43	$569,526.76	$125,736.38	nat. median $134,983 0.9× median
843-4 OTHER	Extensive Third Degree Burns Without Skin Graft	8	$111,647.38	$129,850.77	$121,355.86	nat. median $13,306 outlier · 9.1×
007-4 OTHER	Allogeneic Bone Marrow Transplant	8	$110,490.22	$128,504.94	$120,098.07	nat. median $172,311 0.7× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$108,487.18	$126,175.31	$117,920.85	nat. median $165,000 0.7× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	$106,125.65	$123,428.74	$115,353.96	nat. median $203,379 0.6× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	$102,210.67	$118,875.45	$111,098.56	nat. median $210,669 0.5× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$100,881.13	$117,329.14	$109,653.40	nat. median $151,250 0.7× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	$99,836.83	$116,114.57	$108,518.28	nat. median $150,954 0.7× median
583-1 OTHER	Neonate With Ecmo	8	$96,767.00	$112,544.22	$105,181.52	nat. median $171,226 0.6× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	$94,505.03	$109,913.46	$102,722.87	nat. median $107,050 1.0× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	8	$94,412.27	$109,805.58	$102,622.04	nat. median $124,561 0.8× median
14 OTHER	Allogeneic Bone Marrow Transplant	32	$7,593.63	$227,760.79	$101,949.91	nat. median $100,915 1.0× median
842-3 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	$91,334.29	$106,225.76	$99,276.41	nat. median $32,270 outlier · 3.1×
161-3 OTHER	Implantable Heart Assist Systems	8	$89,518.60	$104,114.01	$97,302.82	nat. median $152,491 0.6× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	$17,852.87	$451,732.15	$95,639.19	nat. median $111,558 0.9× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$87,656.05	$101,947.80	$95,278.31	nat. median $110,000 0.9× median
232-4 OTHER	Gastric Fundoplication	8	$86,926.69	$101,099.52	$94,485.54	nat. median $48,638 1.9× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	38	$7,449.54	$195,125.24	$92,275.27	nat. median $90,581 1.0× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	30	$9,801.76	$284,137.47	$87,043.89	nat. median $94,894 0.9× median
215 OTHER	Other Heart Assist System Implant	38	$74,743.94	$303,196.02	$86,948.30	nat. median $92,359 0.9× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	38	$13,279.52	$198,902.26	$85,432.11	nat. median $90,130 0.9× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	$78,066.60	$90,794.85	$84,855.00	nat. median $125,000 0.7× median
006-4 OTHER	Pancreas Transplant	8	$78,030.08	$90,752.38	$84,815.30	nat. median $92,449 0.9× median
002-3 OTHER	Heart And/or Lung Transplant	8	$76,578.06	$89,063.62	$83,237.02	nat. median $133,471 0.6× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	8	$75,049.04	$87,285.29	$81,575.04	nat. median $86,371 0.9× median
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	8	$72,394.19	$84,197.60	$78,689.34	nat. median $49,980 1.6× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$72,215.56	$83,989.83	$78,495.17	nat. median $99,157 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$69,862.46	$81,253.08	$75,937.46	nat. median $112,711 0.7× median
231 OTHER	Coronary Bypass With Ptca With Mcc	38	$15,494.55	$187,536.18	$73,656.98	nat. median $74,989 1.0× median

Other procedures at this hospital

Browse this hospital's 9,393 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

841-4	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$451,084.07	$524,630.38	$490,308.77	2026-05-06
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	36	35	—	—	$92,813.16	$1,716,036.60	$363,698.34	2026-05-06
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$295,709.00	$324,448.35	$310,078.67	2026-05-06
583-4	OTHER	Neonate With Ecmo	8	8	—	—	$224,683.02	$261,316.12	$244,220.67	2026-05-06
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	8	—	—	$224,319.65	$260,893.51	$243,825.71	2026-05-06
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	34	32	—	—	$11,298.95	$507,955.22	$238,493.30	2026-05-06
583-3	OTHER	Neonate With Ecmo	8	8	—	—	$180,498.75	$209,927.90	$196,194.29	2026-05-06
7	OTHER	Lung Transplant	30	30	—	—	$15,698.73	$1,297,708.32	$195,085.95	2026-05-06
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$179,187.98	$208,403.41	$194,769.55	2026-05-06
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$177,976.07	$206,993.91	$193,452.25	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	41	38	—	—	$14,670.37	$397,321.83	$186,112.98	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	41	38	—	—	$12,332.28	$405,974.81	$185,022.42	2026-05-06
002-4	OTHER	Heart And/or Lung Transplant	8	8	—	—	$145,682.89	$169,435.54	$158,350.96	2026-05-06
863-4	OTHER	Neonatal Aftercare	8	8	—	—	$135,367.35	$157,438.12	$147,138.43	2026-05-06
161-4	OTHER	Implantable Heart Assist Systems	8	8	—	—	$128,400.92	$149,335.85	$139,566.21	2026-05-06
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$124,746.43	$145,085.53	$135,593.95	2026-05-06
583-2	OTHER	Neonate With Ecmo	8	8	—	—	$122,471.14	$142,439.26	$133,120.81	2026-05-06
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$121,512.77	$141,324.64	$132,079.09	2026-05-06
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$119,033.55	$138,441.18	$129,384.28	2026-05-06
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$116,444.76	$135,430.31	$126,570.38	2026-05-06
841-1	OTHER	Chemotherapy For Acute Leukemia	8	8	—	—	$116,444.76	$135,430.31	$126,570.38	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	42	38	—	—	$8,301.43	$569,526.76	$125,736.38	2026-05-06
843-4	OTHER	Extensive Third Degree Burns Without Skin Graft	8	8	—	—	$111,647.38	$129,850.77	$121,355.86	2026-05-06
007-4	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$110,490.22	$128,504.94	$120,098.07	2026-05-06
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$108,487.18	$126,175.31	$117,920.85	2026-05-06
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	8	—	—	$106,125.65	$123,428.74	$115,353.96	2026-05-06
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$102,210.67	$118,875.45	$111,098.56	2026-05-06
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$100,881.13	$117,329.14	$109,653.40	2026-05-06
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	8	—	—	$99,836.83	$116,114.57	$108,518.28	2026-05-06
583-1	OTHER	Neonate With Ecmo	8	8	—	—	$96,767.00	$112,544.22	$105,181.52	2026-05-06
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$94,505.03	$109,913.46	$102,722.87	2026-05-06
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	8	8	—	—	$94,412.27	$109,805.58	$102,622.04	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	33	32	—	—	$7,593.63	$227,760.79	$101,949.91	2026-05-06
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	8	—	—	$91,334.29	$106,225.76	$99,276.41	2026-05-06
161-3	OTHER	Implantable Heart Assist Systems	8	8	—	—	$89,518.60	$104,114.01	$97,302.82	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	30	—	—	$17,852.87	$451,732.15	$95,639.19	2026-05-06
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$87,656.05	$101,947.80	$95,278.31	2026-05-06
232-4	OTHER	Gastric Fundoplication	8	8	—	—	$86,926.69	$101,099.52	$94,485.54	2026-05-06
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	41	38	—	—	$7,449.54	$195,125.24	$92,275.27	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	30	30	—	—	$9,801.76	$284,137.47	$87,043.89	2026-05-06
215	OTHER	Other Heart Assist System Implant	41	38	—	—	$74,743.94	$303,196.02	$86,948.30	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	41	38	—	—	$13,279.52	$198,902.26	$85,432.11	2026-05-06
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$78,066.60	$90,794.85	$84,855.00	2026-05-06
006-4	OTHER	Pancreas Transplant	8	8	—	—	$78,030.08	$90,752.38	$84,815.30	2026-05-06
002-3	OTHER	Heart And/or Lung Transplant	8	8	—	—	$76,578.06	$89,063.62	$83,237.02	2026-05-06
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$75,049.04	$87,285.29	$81,575.04	2026-05-06
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$72,394.19	$84,197.60	$78,689.34	2026-05-06
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$72,215.56	$83,989.83	$78,495.17	2026-05-06
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$69,862.46	$81,253.08	$75,937.46	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	41	38	—	—	$15,494.55	$187,536.18	$73,656.98	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	41	38	—	—	$16,332.54	$195,301.61	$73,426.36	2026-05-06
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	32	32	—	—	$28,036.12	$273,655.62	$72,474.31	2026-05-06
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$65,812.90	$76,543.26	$71,535.77	2026-05-06
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$65,330.09	$75,981.74	$71,010.97	2026-05-06
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$65,081.44	$75,692.56	$70,740.71	2026-05-06
002-2	OTHER	Heart And/or Lung Transplant	8	8	—	—	$64,200.45	$74,667.92	$69,783.11	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	41	38	—	—	$51,313.02	$156,401.89	$69,498.61	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	42	38	—	—	$16,137.17	$162,916.29	$69,463.61	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	41	38	—	—	$11,035.52	$232,310.24	$68,773.40	2026-05-06
161-1	OTHER	Implantable Heart Assist Systems	8	8	—	—	$62,698.38	$72,920.95	$68,150.42	2026-05-06
161-2	OTHER	Implantable Heart Assist Systems	8	8	—	—	$62,698.38	$72,920.95	$68,150.42	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	41	38	—	—	$15,834.21	$181,459.24	$67,115.35	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	41	38	—	—	$11,153.67	$136,900.09	$66,607.07	2026-05-06
844-4	OTHER	Partial Thickness Burns Without Skin Graft	8	8	—	—	$60,761.52	$70,668.28	$66,045.12	2026-05-06
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	8	—	—	$60,684.00	$70,578.13	$65,960.87	2026-05-06
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$60,518.30	$70,385.41	$65,780.76	2026-05-06
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$59,938.31	$69,710.86	$65,150.33	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	41	38	—	—	$46,743.04	$187,797.13	$63,275.73	2026-05-06
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	8	—	—	$57,651.02	$67,050.64	$62,664.15	2026-05-06
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$57,530.27	$66,910.21	$62,532.91	2026-05-06
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	41	38	—	—	$13,430.03	$214,816.55	$62,346.65	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	41	38	—	—	$5,999.93	$128,898.67	$62,131.87	2026-05-06
007-3	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$56,871.18	$66,143.66	$61,816.51	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	36	35	—	—	$9,821.34	$219,756.08	$61,500.19	2026-05-06
10	OTHER	Pancreas Transplant	30	30	—	—	$26,378.42	$218,345.01	$60,661.29	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	41	38	—	—	$8,777.65	$152,607.41	$60,444.04	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	41	38	—	—	$5,826.36	$324,452.50	$60,148.98	2026-05-06
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$53,223.66	$61,901.42	$57,851.80	2026-05-06
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$52,945.89	$61,578.37	$57,549.88	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	41	38	—	—	$14,558.27	$162,070.72	$57,515.26	2026-05-06
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	8	—	—	$52,453.58	$61,005.79	$57,014.76	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	41	38	—	—	$23,391.72	$146,642.63	$56,977.79	2026-05-06
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$52,373.92	$60,913.14	$56,928.17	2026-05-06
863-3	OTHER	Neonatal Aftercare	8	8	—	—	$51,981.41	$60,456.65	$56,501.54	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	41	38	—	—	$8,042.99	$334,788.15	$56,291.54	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	41	38	—	—	$8,652.82	$117,782.15	$55,712.46	2026-05-06
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$50,965.49	$60,243.65	$55,604.57	2026-05-06
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$51,032.91	$59,353.49	$55,470.56	2026-05-06
459	OTHER	Spinal Fusion Except Cervical With Mcc	32	32	—	—	$19,122.78	$176,973.88	$54,313.81	2026-05-06
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	8	—	—	$49,843.33	$57,969.97	$54,177.54	2026-05-06
002-1	OTHER	Heart And/or Lung Transplant	8	8	—	—	$49,630.20	$57,722.08	$53,945.87	2026-05-06
842-2	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	8	—	—	$49,514.26	$57,587.23	$53,819.85	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	41	38	—	—	$10,037.28	$444,531.38	$53,563.82	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	41	38	—	—	$15,548.86	$145,303.81	$53,052.91	2026-05-06
28	OTHER	Spinal Procedures With Mcc	41	38	—	—	$9,409.83	$118,724.79	$52,086.01	2026-05-06
276	OTHER	Non-maligant Breast Disorders	41	38	—	—	$22,239.58	$129,713.65	$52,071.36	2026-05-06
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$47,701.53	$55,478.95	$51,849.48	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	42	39	—	—	$3,075.03	$149,498.79	$51,771.62	2026-05-06
588-1	OTHER	Female Reproductive System Reconstructive Procedures	8	8	—	—	$47,612.65	$55,375.59	$51,752.88	2026-05-06
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$47,602.56	$55,363.84	$51,741.91	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	41	38	—	—	$18,886.27	$113,859.25	$51,696.05	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	41	38	—	—	$16,891.75	$131,595.04	$51,364.41	2026-05-06
007-2	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$47,231.73	$54,932.55	$51,338.83	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	41	38	—	—	$8,394.53	$114,172.82	$51,331.35	2026-05-06
591-1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$47,102.85	$54,782.66	$51,198.75	2026-05-06
006-3	OTHER	Pancreas Transplant	8	8	—	—	$46,950.55	$54,605.53	$51,033.20	2026-05-06
440-4	OTHER	Kidney Transplant	8	8	—	—	$46,811.64	$54,443.97	$50,882.21	2026-05-06
483-4	OTHER	Penis, Testes And Scrotal Procedures	8	8	—	—	$46,368.10	$53,928.11	$50,400.11	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	30	30	—	—	$6,118.79	$163,888.69	$50,174.90	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	41	38	—	—	$9,991.92	$172,148.13	$50,160.71	2026-05-06
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	32	32	—	—	$22,399.15	$109,997.17	$50,109.93	2026-05-06
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$45,560.88	$52,989.28	$49,522.69	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	41	38	—	—	$7,722.84	$102,539.68	$48,937.31	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	42	39	—	—	$17,958.97	$131,898.04	$48,496.66	2026-05-06
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	8	8	—	—	$44,502.01	$51,757.78	$48,371.76	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	41	38	—	—	$16,028.63	$224,388.85	$48,356.46	2026-05-06
178-4	OTHER	External Heart Assist Systems	8	8	—	—	$44,486.27	$51,739.46	$48,354.64	2026-05-06
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	8	8	—	—	$44,428.69	$51,672.49	$48,292.05	2026-05-06
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	8	—	—	$44,187.09	$51,391.51	$48,029.44	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	41	38	—	—	$8,997.54	$106,020.13	$47,899.50	2026-05-06
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	8	—	—	$44,043.69	$51,224.73	$47,873.58	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	41	38	—	—	$16,001.23	$128,050.70	$47,831.62	2026-05-06
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	41	38	—	—	$6,740.27	$106,974.92	$47,613.51	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	30	30	—	—	$12,361.79	$355,164.24	$47,438.85	2026-05-06
278	OTHER	Cellulitis Age >17 Without Cc	41	38	—	—	$8,658.56	$100,154.62	$47,379.31	2026-05-06
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$43,405.25	$51,307.09	$47,356.17	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	41	38	—	—	$10,951.37	$135,086.91	$47,317.37	2026-05-06
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	8	8	—	—	$43,271.15	$50,326.23	$47,033.86	2026-05-06
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$43,056.30	$50,076.35	$46,800.33	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	41	38	—	—	$9,168.12	$221,666.88	$46,361.60	2026-05-06
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	8	8	—	—	$42,625.41	$49,575.20	$46,331.97	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	33	32	—	—	$10,419.01	$112,217.44	$46,246.76	2026-05-06
270	OTHER	Other Major Cardiovascular Procedures With Mcc	41	38	—	—	$4,456.02	$94,967.66	$46,209.26	2026-05-06
006-2	OTHER	Pancreas Transplant	8	8	—	—	$42,086.67	$48,948.63	$45,746.37	2026-05-06
006-1	OTHER	Pancreas Transplant	8	8	—	—	$42,086.67	$48,948.63	$45,746.37	2026-05-06
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$41,984.31	$48,829.59	$45,635.13	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	41	38	—	—	$7,557.01	$259,576.66	$45,513.83	2026-05-06
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$41,749.10	$48,556.02	$45,379.45	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	41	38	—	—	$13,164.92	$93,699.08	$45,158.99	2026-05-06
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$41,059.23	$47,753.67	$44,629.60	2026-05-06
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$40,913.58	$47,584.27	$44,471.28	2026-05-06
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	8	8	—	—	$40,688.12	$47,322.06	$44,226.22	2026-05-06
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	8	—	—	$40,648.14	$47,275.56	$44,182.77	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	41	38	—	—	$23,401.73	$125,080.65	$44,154.35	2026-05-06
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$40,438.38	$47,031.60	$43,954.77	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	41	38	—	—	$8,805.81	$228,649.42	$43,694.79	2026-05-06
910-4	OTHER	Craniotomy For Multiple Significant Trauma	8	8	—	—	$40,178.01	$46,728.77	$43,671.75	2026-05-06
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	8	8	—	—	$40,030.30	$46,556.98	$43,511.19	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	41	38	—	—	$13,851.61	$154,168.19	$43,346.65	2026-05-06
007-1	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$39,754.24	$46,235.92	$43,211.14	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	44	40	—	—	$8,184.72	$244,871.53	$43,063.60	2026-05-06
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	8	8	—	—	$39,441.31	$45,871.96	$42,870.99	2026-05-06
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	8	8	—	—	$39,313.24	$45,723.01	$42,731.79	2026-05-06
183-4	OTHER	Percutaneous Structural Cardiac Procedures	8	8	—	—	$39,209.62	$45,602.49	$42,619.15	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	41	38	—	—	$14,443.60	$117,553.80	$42,607.64	2026-05-06
690-4	OTHER	Acute Leukemia	8	8	—	—	$38,889.64	$45,230.33	$42,271.34	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	41	38	—	—	$5,127.61	$280,987.43	$42,101.15	2026-05-06
471	OTHER	Cervical Spinal Fusion With Mcc	41	38	—	—	$12,273.27	$233,602.16	$41,909.01	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	41	38	—	—	$7,638.26	$88,256.27	$41,754.54	2026-05-06
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	8	8	—	—	$38,397.80	$44,658.31	$41,736.74	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	41	38	—	—	$3,599.44	$172,890.47	$41,722.56	2026-05-06
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	8	8	—	—	$38,155.19	$44,376.14	$41,473.03	2026-05-06
423-4	OTHER	Inborn Errors Of Metabolism	8	8	—	—	$37,996.19	$44,191.22	$41,300.21	2026-05-06
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$40,116.39	$42,227.35	$41,171.87	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	41	38	—	—	$7,656.50	$84,509.59	$41,121.99	2026-05-06
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	8	8	—	—	$37,775.03	$43,934.00	$41,059.82	2026-05-06
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	8	8	—	—	$37,773.91	$43,932.70	$41,058.60	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	41	38	—	—	$10,309.36	$105,213.32	$41,000.14	2026-05-06
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	8	8	—	—	$37,551.21	$43,673.69	$40,816.54	2026-05-06
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	8	8	—	—	$37,551.21	$43,673.69	$40,816.54	2026-05-06
277	OTHER	Cellulitis Age >17 W Cc	41	38	—	—	$11,927.21	$139,747.20	$40,484.03	2026-05-06
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	8	8	—	—	$37,192.42	$43,256.40	$40,426.55	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	33	33	—	—	$3,348.97	$141,988.50	$40,410.63	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	41	38	—	—	$7,197.63	$97,240.79	$40,292.54	2026-05-06
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	8	8	—	—	$36,991.66	$43,022.91	$40,208.32	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	41	38	—	—	$5,628.26	$102,258.18	$40,190.70	2026-05-06
759-4	OTHER	Eating Disorders	8	8	—	—	$36,900.48	$42,916.87	$40,109.22	2026-05-06
245	OTHER	Aicd Generator Procedures	41	38	—	—	$16,230.88	$82,194.34	$39,995.75	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	41	38	—	—	$12,545.56	$139,300.28	$39,859.11	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	41	38	—	—	$7,762.99	$81,949.21	$39,811.19	2026-05-06
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	8	8	—	—	$36,609.60	$42,578.56	$39,793.04	2026-05-06
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$36,299.39	$42,217.77	$39,455.86	2026-05-06
095-4	OTHER	Cleft Lip And Palate Repair	8	8	—	—	$36,284.41	$42,200.35	$39,439.58	2026-05-06
799	OTHER	Splenectomy With Mcc	41	38	—	—	$10,977.17	$81,594.94	$39,322.49	2026-05-06
6	OTHER	Liver Transplant Without Mcc	30	30	—	—	$13,070.88	$367,803.87	$39,295.49	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	41	38	—	—	$12,119.48	$276,002.60	$39,294.24	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	41	38	—	—	$7,128.46	$100,368.92	$39,282.93	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	41	38	—	—	$9,650.56	$126,609.72	$39,129.73	2026-05-06
021-4	OTHER	Open Craniotomy Except Trauma	8	8	—	—	$35,961.97	$41,825.34	$39,089.10	2026-05-06
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	32	32	—	—	$35,196.40	$146,158.35	$39,031.24	2026-05-06
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	8	8	—	—	$35,835.44	$41,678.18	$38,951.57	2026-05-06
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$35,632.47	$42,119.29	$38,875.88	2026-05-06
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	8	—	—	$35,504.57	$41,293.35	$38,591.92	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	41	38	—	—	$28,615.53	$304,641.72	$38,591.75	2026-05-06
695-4	OTHER	Chemotherapy For Acute Leukemia	8	8	—	—	$35,489.03	$41,275.28	$38,575.03	2026-05-06
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	8	—	—	$35,367.57	$41,134.02	$38,443.01	2026-05-06
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$35,365.87	$41,132.04	$38,441.16	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	42	39	—	—	$15,525.68	$95,549.18	$38,123.81	2026-05-06
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	8	8	—	—	$35,029.58	$40,740.92	$38,075.63	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	42	38	—	—	$8,576.42	$198,203.73	$37,961.29	2026-05-06
179-4	OTHER	Defibrillator Implants	8	8	—	—	$34,852.99	$40,535.55	$37,883.69	2026-05-06
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	41	38	—	—	$9,947.30	$77,989.66	$37,584.06	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	41	38	—	—	$3,914.55	$110,772.25	$37,409.90	2026-05-06
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$34,339.56	$39,938.39	$37,325.61	2026-05-06
091-4	OTHER	Other Major Head And Neck Procedures	8	8	—	—	$34,292.88	$39,884.11	$37,274.87	2026-05-06
169-4	OTHER	Major Abdominal Vascular Procedures	8	8	—	—	$34,273.20	$39,861.22	$37,253.47	2026-05-06
089-4	OTHER	Major Cranial Or Facial Bone Procedures	8	8	—	—	$34,110.11	$39,671.55	$37,076.21	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	41	38	—	—	$4,823.62	$125,410.96	$37,043.48	2026-05-06
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	41	38	—	—	$8,688.18	$102,068.74	$36,980.82	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	41	38	—	—	$10,761.36	$97,198.04	$36,962.54	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	41	38	—	—	$8,356.42	$77,372.37	$36,920.85	2026-05-06
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	8	8	—	—	$33,739.90	$39,240.97	$36,673.81	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	41	38	—	—	$25,656.64	$106,217.43	$36,603.08	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	41	38	—	—	$18,291.01	$81,449.34	$36,432.49	2026-05-06
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$33,501.52	$38,963.72	$36,414.69	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	41	38	—	—	$15,894.29	$75,678.34	$36,193.14	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	41	38	—	—	$6,719.85	$104,817.67	$36,140.87	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	41	38	—	—	$7,404.95	$75,649.32	$36,098.17	2026-05-06
027-4	OTHER	Other Open Craniotomy	8	8	—	—	$32,876.85	$38,237.21	$35,735.71	2026-05-06
023-4	OTHER	Spinal Procedures	8	8	—	—	$32,550.12	$37,857.20	$35,380.57	2026-05-06
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$32,270.35	$37,531.82	$35,076.46	2026-05-06
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$32,270.35	$37,531.82	$35,076.46	2026-05-06
097-4	OTHER	Tonsil And Adenoid Procedures	8	8	—	—	$32,260.42	$37,520.27	$35,065.68	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	42	39	—	—	$4,745.20	$75,166.25	$34,997.07	2026-05-06
020-4	OTHER	Open Craniotomy For Trauma	8	8	—	—	$32,165.46	$37,409.83	$34,962.46	2026-05-06
022-4	OTHER	Ventricular Shunt Procedures	8	8	—	—	$32,134.54	$37,373.86	$34,928.84	2026-05-06
791	OTHER	Prematurity With Major Problems	41	38	—	—	$2,353.16	$73,187.33	$34,922.66	2026-05-06
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	41	38	—	—	$27,287.83	$74,884.75	$34,873.41	2026-05-06
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	8	8	—	—	$32,074.36	$37,303.88	$34,863.43	2026-05-06
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	8	8	—	—	$31,880.91	$37,078.88	$34,653.16	2026-05-06
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	8	8	—	—	$31,812.86	$36,999.74	$34,579.20	2026-05-06
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$31,807.24	$36,993.20	$34,573.08	2026-05-06
815-4	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses	8	8	—	—	$31,723.18	$36,895.44	$34,481.73	2026-05-06
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	41	38	—	—	$16,653.60	$104,163.41	$34,334.03	2026-05-06
842-1	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	8	—	—	$31,571.32	$36,718.82	$34,316.66	2026-05-06
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	41	38	—	—	$7,216.45	$138,089.45	$34,282.80	2026-05-06
441-4	OTHER	Major Bladder Procedures	8	8	—	—	$31,525.49	$36,665.53	$34,266.84	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	41	38	—	—	$12,819.89	$82,864.59	$34,179.99	2026-05-06
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$31,417.59	$36,540.02	$34,149.56	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	41	38	—	—	$12,742.49	$76,506.29	$33,975.44	2026-05-06
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	8	—	—	$31,224.07	$36,314.95	$33,939.20	2026-05-06
178-3	OTHER	External Heart Assist Systems	8	8	—	—	$31,200.44	$36,287.47	$33,913.54	2026-05-06
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	41	38	—	—	$8,497.79	$125,361.45	$33,892.77	2026-05-06
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	8	8	—	—	$30,953.79	$36,000.61	$33,645.42	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	42	39	—	—	$9,621.01	$69,256.40	$33,487.25	2026-05-06
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	41	38	—	—	$3,948.21	$69,714.47	$33,264.49	2026-05-06
120-4	OTHER	Major Respiratory And Chest Procedures	8	8	—	—	$30,459.82	$35,426.09	$33,108.49	2026-05-06
440-3	OTHER	Kidney Transplant	8	8	—	—	$30,413.14	$35,371.81	$33,057.76	2026-05-06
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	41	38	—	—	$11,647.42	$96,902.09	$33,038.08	2026-05-06
843-3	OTHER	Extensive Third Degree Burns Without Skin Graft	8	8	—	—	$30,346.74	$35,294.58	$32,985.59	2026-05-06
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	41	38	—	—	$24,439.08	$62,681.25	$32,904.74	2026-05-06
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	8	—	—	$30,241.95	$35,172.70	$32,871.69	2026-05-06
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	41	38	—	—	$20,327.34	$67,431.40	$32,492.98	2026-05-06
181-4	OTHER	Lower Extremity Arterial Procedures	8	8	—	—	$29,857.53	$34,725.61	$32,453.83	2026-05-06
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$29,713.88	$34,558.54	$32,297.70	2026-05-06
261-4	OTHER	Major Biliary Tract Procedures	8	8	—	—	$29,684.88	$34,524.81	$32,266.17	2026-05-06
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	41	38	—	—	$8,411.35	$72,681.56	$32,253.87	2026-05-06
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	8	8	—	—	$29,588.15	$34,412.31	$32,161.04	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	41	38	—	—	$5,935.89	$67,243.54	$32,084.72	2026-05-06
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	8	8	—	—	$29,387.39	$34,178.82	$31,942.82	2026-05-06
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	33	33	—	—	$5,453.38	$131,488.35	$31,905.30	2026-05-06
332	OTHER	Rectal Resection With Mcc	41	38	—	—	$8,973.09	$70,851.55	$31,799.56	2026-05-06
265	OTHER	Aicd Lead Procedures	41	38	—	—	$12,667.44	$78,193.90	$31,777.80	2026-05-06
904	OTHER	Skin Grafts For Injuries With Cc/mcc	41	38	—	—	$21,766.18	$76,915.92	$31,625.95	2026-05-06
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	41	38	—	—	$9,314.30	$66,255.85	$31,613.13	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	41	38	—	—	$10,478.61	$82,338.62	$31,397.46	2026-05-06
335	OTHER	Peritoneal Adhesiolysis With Mcc	41	38	—	—	$6,606.54	$69,509.21	$31,366.11	2026-05-06
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	8	—	—	$28,786.79	$33,480.28	$31,289.99	2026-05-06
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	41	38	—	—	$27,262.06	$64,244.78	$31,264.28	2026-05-06
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	41	38	—	—	$7,622.04	$83,277.52	$31,244.94	2026-05-06
271	OTHER	Other Major Cardiovascular Procedures With Cc	41	38	—	—	$3,939.59	$77,765.19	$31,239.03	2026-05-06
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	41	38	—	—	$8,077.76	$76,281.85	$31,221.01	2026-05-06
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	8	8	—	—	$28,717.62	$33,399.84	$31,214.80	2026-05-06
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	8	8	—	—	$28,671.51	$33,346.20	$31,164.68	2026-05-06
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	41	38	—	—	$7,014.82	$65,185.88	$31,102.26	2026-05-06
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$28,610.20	$33,274.91	$31,098.05	2026-05-06
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	8	8	—	—	$28,600.08	$33,263.14	$31,087.05	2026-05-06
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	8	8	—	—	$28,555.09	$33,210.82	$31,038.14	2026-05-06
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	41	38	—	—	$6,017.05	$86,572.07	$31,011.61	2026-05-06
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	41	38	—	—	$23,960.40	$67,990.71	$30,980.55	2026-05-06
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$28,496.71	$33,142.91	$30,974.68	2026-05-06
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$28,460.38	$33,100.67	$30,935.20	2026-05-06
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	41	38	—	—	$5,933.46	$63,532.67	$30,917.88	2026-05-06
073-3	OTHER	Orbit And Eye Procedures	8	8	—	—	$28,435.25	$33,071.43	$30,907.89	2026-05-06
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$28,404.86	$33,036.09	$30,874.85	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	41	38	—	—	$13,806.29	$64,667.05	$30,854.54	2026-05-06
279	OTHER	Cellulitis Age 0-17	41	38	—	—	$12,680.37	$65,089.31	$30,802.70	2026-05-06
460	OTHER	Spinal Fusion Except Cervical Without Mcc	32	32	—	—	$19,932.22	$79,728.89	$30,733.86	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	41	38	—	—	$9,248.11	$73,940.28	$30,647.20	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	41	38	—	—	$6,968.27	$77,243.16	$30,639.36	2026-05-06
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	8	—	—	$28,050.66	$32,624.13	$30,489.84	2026-05-06
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	41	38	—	—	$4,955.95	$62,373.22	$30,353.88	2026-05-06
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	8	—	—	$27,745.86	$32,269.64	$30,158.54	2026-05-06
230-4	OTHER	Major Small Bowel Procedures	8	8	—	—	$27,678.93	$32,191.80	$30,085.80	2026-05-06
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	41	38	—	—	$25,233.73	$59,458.57	$30,081.14	2026-05-06
1061618	OTHER	Cc-imp Press Sen Ang	54	49	$91,500.00	$21,960.00 76% off	$309.55	$82,350.00	$30,030.07	2026-05-06
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	41	38	—	—	$10,528.71	$79,515.10	$29,979.62	2026-05-06
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	41	38	—	—	$24,367.05	$214,562.19	$29,965.27	2026-05-06
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	41	38	—	—	$7,223.39	$62,673.85	$29,902.86	2026-05-06
026-4	OTHER	Other Nervous System And Related Procedures	8	8	—	—	$27,472.55	$31,951.77	$29,861.46	2026-05-06

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