Hospital

WESTERN ARIZONA REGIONAL MEDICAL CENTER

Bullhead City, AZ · CCN 030101 · Rates published

5,176 distinct procedures filed

43 distinct payers

341,012 rate rows

2026-05-24 last MRF observed

Data quality

315,692 of 341,012 rate rows are consumer-grade (92.6%)

25,320 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	13,698
per-diem day rate — not a per-procedure price	10,692
placeholder amount (≤ $0.02) — excluded from medians	806
exceeds 10× this hospital's gross charge — excluded from medians	124

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

Source MRF file	https://www.warmc.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/860982071_western-arizona-regional-medical-center_standardcharges.csv
Found on page	https://www.warmc.com/pricing-information
Discovered via	Public MRF directory
Last fetch	not_modified · 2026-05-15
Content fingerprint	3a8539939e941ccc… · 162,026,834 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	$491,833.08	$565,608.04	$504,128.91	nat. median $151,691 outlier · 3.3×
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	21	$116,761.94	$1,716,036.60	$355,038.30	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	$331,194.08	$313,451.54	nat. median $0
583-4 OTHER	Neonate With Ecmo	8	$244,979.93	$281,726.92	$251,104.42	nat. median $309,400 0.8× median
842-4 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	$244,583.73	$281,271.29	$250,698.33	nat. median $83,517 outlier · 3.0×
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	23	$8,739.07	$566,491.65	$231,441.01	nat. median $239,422 1.0× median
583-3 OTHER	Neonate With Ecmo	8	$196,804.24	$226,324.88	$201,724.35	nat. median $259,487 0.8× median
841-3 OTHER	Extensive Third Degree Burns With Skin Graft	8	$195,375.06	$224,681.32	$200,259.43	nat. median $61,016 outlier · 3.3×
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$194,053.68	$223,161.73	$198,905.02	nat. median $267,493 0.7× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	22	$14,670.37	$446,152.54	$176,335.67	nat. median $146,562 1.2× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	22	$12,332.28	$455,868.97	$175,301.01	nat. median $181,005 1.0× median
002-4 OTHER	Heart And/or Lung Transplant	8	$158,843.26	$182,669.75	$162,814.34	nat. median $216,800 0.8× median
863-4 OTHER	Neonatal Aftercare	8	$147,595.87	$169,735.24	$151,285.77	nat. median $108,047 1.4× median
161-4 OTHER	Implantable Heart Assist Systems	8	$140,000.11	$161,000.12	$143,500.11	nat. median $202,242 0.7× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	$136,015.49	$156,417.82	$139,415.88	nat. median $108,000 1.3× median
583-2 OTHER	Neonate With Ecmo	8	$133,534.67	$153,564.87	$136,873.03	nat. median $191,347 0.7× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$132,489.72	$152,363.17	$135,801.96	nat. median $156,696 0.9× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	$129,786.53	$149,254.51	$133,031.20	nat. median $169,856 0.8× median
841-1 OTHER	Chemotherapy For Acute Leukemia	8	$126,963.88	$146,008.46	$130,137.98	nat. median $20,206 outlier · 6.4×
841-2 OTHER	Extensive Third Degree Burns With Skin Graft	8	$126,963.88	$146,008.46	$130,137.98	nat. median $28,587 outlier · 4.6×
843-4 OTHER	Extensive Third Degree Burns Without Skin Graft	8	$121,733.14	$139,993.11	$124,776.47	nat. median $13,306 outlier · 9.4×
007-4 OTHER	Allogeneic Bone Marrow Transplant	8	$120,471.44	$138,542.16	$123,483.23	nat. median $172,311 0.7× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$118,287.45	$136,030.58	$121,244.64	nat. median $165,000 0.7× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	$115,712.59	$133,069.47	$118,605.40	nat. median $203,379 0.6× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	22	$8,301.43	$569,526.76	$114,412.12	nat. median $134,983 0.8× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	$111,443.94	$128,160.54	$114,230.04	nat. median $210,669 0.5× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$109,994.30	$126,493.45	$112,744.16	nat. median $151,250 0.7× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	$108,855.66	$125,184.01	$111,577.05	nat. median $150,954 0.7× median
583-1 OTHER	Neonate With Ecmo	8	$105,508.52	$121,334.79	$108,146.23	nat. median $171,226 0.6× median
7 OTHER	Lung Transplant	20	$19,532.49	$1,297,708.32	$106,970.51	nat. median $169,933 0.6× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	$103,042.22	$118,498.56	$105,618.27	nat. median $107,050 1.0× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	8	$102,941.08	$118,382.23	$105,514.61	nat. median $124,561 0.8× median
842-3 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	$99,585.05	$114,522.81	$102,074.68	nat. median $32,270 outlier · 3.2×
161-3 OTHER	Implantable Heart Assist Systems	8	$97,605.32	$112,246.12	$100,045.46	nat. median $152,491 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	21	$7,593.63	$255,752.51	$99,272.07	nat. median $100,915 1.0× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$95,574.53	$109,910.70	$97,963.89	nat. median $110,000 0.9× median
232-4 OTHER	Gastric Fundoplication	8	$94,779.27	$108,996.17	$97,148.76	nat. median $48,638 2.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	22	$8,739.07	$451,732.15	$93,606.63	nat. median $111,558 0.8× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	22	$7,449.54	$219,324.79	$89,827.18	nat. median $90,581 1.0× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	$85,118.80	$97,886.62	$87,246.77	nat. median $125,000 0.7× median
006-4 OTHER	Pancreas Transplant	8	$85,078.99	$97,840.84	$87,205.96	nat. median $92,449 0.9× median
002-3 OTHER	Heart And/or Lung Transplant	8	$83,495.80	$96,020.17	$85,583.20	nat. median $133,471 0.6× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	20	$9,801.76	$284,137.47	$85,173.28	nat. median $94,894 0.9× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	8	$81,828.65	$94,102.95	$83,874.36	nat. median $86,371 1.0× median
215 OTHER	Other Heart Assist System Implant	24	$8,739.07	$340,458.70	$82,254.27	nat. median $92,359 0.9× median
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	8	$78,933.98	$90,774.07	$80,907.33	nat. median $49,980 1.6× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	23	$8,739.07	$223,347.27	$80,815.82	nat. median $90,130 0.9× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$78,739.20	$90,550.08	$80,707.68	nat. median $99,157 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$76,173.55	$87,599.58	$78,077.89	nat. median $112,711 0.7× median
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	8	$71,758.16	$82,521.89	$73,552.12	nat. median $87,000 0.8× median

Other procedures at this hospital

Browse this hospital's 5,176 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	16	8	—	—	$491,833.08	$565,608.04	$504,128.91	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	44	21	—	—	$116,761.94	$1,716,036.60	$355,038.30	2026-05-24
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	4	2	—	—	$295,709.00	$331,194.08	$313,451.54	2026-05-24
583-4	OTHER	Neonate With Ecmo	16	8	—	—	$244,979.93	$281,726.92	$251,104.42	2026-05-24
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	16	8	—	—	$244,583.73	$281,271.29	$250,698.33	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	48	23	—	—	$8,739.07	$566,491.65	$231,441.01	2026-05-24
583-3	OTHER	Neonate With Ecmo	16	8	—	—	$196,804.24	$226,324.88	$201,724.35	2026-05-24
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	16	8	—	—	$195,375.06	$224,681.32	$200,259.43	2026-05-24
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	16	8	—	—	$194,053.68	$223,161.73	$198,905.02	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	46	22	—	—	$14,670.37	$446,152.54	$176,335.67	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	46	22	—	—	$12,332.28	$455,868.97	$175,301.01	2026-05-24
002-4	OTHER	Heart And/or Lung Transplant	16	8	—	—	$158,843.26	$182,669.75	$162,814.34	2026-05-24
863-4	OTHER	Neonatal Aftercare	16	8	—	—	$147,595.87	$169,735.24	$151,285.77	2026-05-24
161-4	OTHER	Implantable Heart Assist Systems	16	8	—	—	$140,000.11	$161,000.12	$143,500.11	2026-05-24
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	8	—	—	$136,015.49	$156,417.82	$139,415.88	2026-05-24
583-2	OTHER	Neonate With Ecmo	16	8	—	—	$133,534.67	$153,564.87	$136,873.03	2026-05-24
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	16	8	—	—	$132,489.72	$152,363.17	$135,801.96	2026-05-24
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	16	8	—	—	$129,786.53	$149,254.51	$133,031.20	2026-05-24
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	16	8	—	—	$126,963.88	$146,008.46	$130,137.98	2026-05-24
841-1	OTHER	Chemotherapy For Acute Leukemia	16	8	—	—	$126,963.88	$146,008.46	$130,137.98	2026-05-24
843-4	OTHER	Extensive Third Degree Burns Without Skin Graft	16	8	—	—	$121,733.14	$139,993.11	$124,776.47	2026-05-24
007-4	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$120,471.44	$138,542.16	$123,483.23	2026-05-24
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	16	8	—	—	$118,287.45	$136,030.58	$121,244.64	2026-05-24
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	16	8	—	—	$115,712.59	$133,069.47	$118,605.40	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	46	22	—	—	$8,301.43	$569,526.76	$114,412.12	2026-05-24
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	16	8	—	—	$111,443.94	$128,160.54	$114,230.04	2026-05-24
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	16	8	—	—	$109,994.30	$126,493.45	$112,744.16	2026-05-24
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$108,855.66	$125,184.01	$111,577.05	2026-05-24
583-1	OTHER	Neonate With Ecmo	16	8	—	—	$105,508.52	$121,334.79	$108,146.23	2026-05-24
7	OTHER	Lung Transplant	42	20	—	—	$19,532.49	$1,297,708.32	$106,970.51	2026-05-24
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	16	8	—	—	$103,042.22	$118,498.56	$105,618.27	2026-05-24
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	16	8	—	—	$102,941.08	$118,382.23	$105,514.61	2026-05-24
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	16	8	—	—	$99,585.05	$114,522.81	$102,074.68	2026-05-24
161-3	OTHER	Implantable Heart Assist Systems	16	8	—	—	$97,605.32	$112,246.12	$100,045.46	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	44	21	—	—	$7,593.63	$255,752.51	$99,272.07	2026-05-24
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$95,574.53	$109,910.70	$97,963.89	2026-05-24
232-4	OTHER	Gastric Fundoplication	16	8	—	—	$94,779.27	$108,996.17	$97,148.76	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	46	22	—	—	$8,739.07	$451,732.15	$93,606.63	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	46	22	—	—	$7,449.54	$219,324.79	$89,827.18	2026-05-24
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$85,118.80	$97,886.62	$87,246.77	2026-05-24
006-4	OTHER	Pancreas Transplant	16	8	—	—	$85,078.99	$97,840.84	$87,205.96	2026-05-24
002-3	OTHER	Heart And/or Lung Transplant	16	8	—	—	$83,495.80	$96,020.17	$85,583.20	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	42	20	—	—	$9,801.76	$284,137.47	$85,173.28	2026-05-24
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	16	8	—	—	$81,828.65	$94,102.95	$83,874.36	2026-05-24
215	OTHER	Other Heart Assist System Implant	50	24	—	—	$8,739.07	$340,458.70	$82,254.27	2026-05-24
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	16	8	—	—	$78,933.98	$90,774.07	$80,907.33	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	48	23	—	—	$8,739.07	$223,347.27	$80,815.82	2026-05-24
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	16	8	—	—	$78,739.20	$90,550.08	$80,707.68	2026-05-24
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	16	8	—	—	$76,173.55	$87,599.58	$78,077.89	2026-05-24
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	16	8	—	—	$71,758.16	$82,521.89	$73,552.12	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	46	22	—	—	$28,036.12	$273,655.62	$73,207.39	2026-05-24
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	16	8	—	—	$71,231.74	$81,916.49	$73,012.53	2026-05-24
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$70,960.63	$81,604.73	$72,734.65	2026-05-24
002-2	OTHER	Heart And/or Lung Transplant	16	8	—	—	$70,000.05	$80,500.06	$71,750.05	2026-05-24
161-2	OTHER	Implantable Heart Assist Systems	16	8	—	—	$68,362.29	$78,616.64	$70,071.35	2026-05-24
161-1	OTHER	Implantable Heart Assist Systems	16	8	—	—	$68,362.29	$78,616.64	$70,071.35	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	48	23	—	—	$8,739.07	$192,259.45	$69,644.30	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	22	—	—	$16,332.54	$195,301.61	$69,425.49	2026-05-24
844-4	OTHER	Partial Thickness Burns Without Skin Graft	16	8	—	—	$66,250.45	$76,188.02	$67,906.71	2026-05-24
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	16	8	—	—	$66,165.94	$76,090.83	$67,820.08	2026-05-24
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	16	8	—	—	$65,985.26	$75,883.05	$67,634.89	2026-05-24
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$65,352.88	$75,155.82	$66,986.71	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	46	22	—	—	$11,035.52	$248,393.97	$65,011.04	2026-05-24
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	16	8	—	—	$62,858.96	$72,287.81	$64,430.43	2026-05-24
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$62,727.31	$72,136.41	$64,295.49	2026-05-24
007-3	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$62,008.69	$71,309.99	$63,558.90	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	22	—	—	$15,834.21	$192,951.79	$63,437.99	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	48	23	—	—	$8,739.07	$182,938.64	$63,164.66	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	46	22	—	—	$11,153.67	$153,449.36	$62,955.75	2026-05-24
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$58,031.66	$66,736.40	$59,482.45	2026-05-24
10	OTHER	Pancreas Transplant	42	20	—	—	$26,378.42	$218,345.01	$59,287.80	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	46	22	—	—	$5,999.93	$144,396.61	$59,263.02	2026-05-24
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	8	—	—	$57,728.80	$66,388.12	$59,172.02	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	44	21	—	—	$9,821.34	$246,764.02	$58,948.41	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	48	23	—	—	$8,739.07	$241,217.43	$58,913.73	2026-05-24
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	16	8	—	—	$57,192.01	$65,770.81	$58,621.82	2026-05-24
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	16	8	—	—	$57,105.15	$65,670.92	$58,532.78	2026-05-24
863-3	OTHER	Neonatal Aftercare	16	8	—	—	$56,677.19	$65,178.77	$58,094.12	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	52	25	—	—	$8,777.65	$171,362.80	$57,108.65	2026-05-24
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	16	8	—	—	$55,643.01	$63,989.45	$57,034.09	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	48	23	—	—	$5,826.36	$324,452.50	$56,828.72	2026-05-24
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	8	—	—	$54,345.97	$62,497.87	$55,704.62	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	46	22	—	—	$52,969.77	$175,623.63	$55,616.53	2026-05-24
002-1	OTHER	Heart And/or Lung Transplant	16	8	—	—	$54,113.59	$62,230.62	$55,466.43	2026-05-24
842-2	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	16	8	—	—	$53,987.16	$62,085.24	$55,336.85	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	46	22	—	—	$19,122.78	$176,973.88	$54,800.68	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	22	—	—	$23,391.72	$164,664.96	$54,330.01	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	22	—	—	$14,558.27	$181,989.16	$54,330.01	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	46	22	—	—	$8,652.82	$131,819.50	$54,132.66	2026-05-24
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	4	2	—	—	$50,965.49	$57,081.35	$54,023.42	2026-05-24
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$52,010.69	$59,812.28	$53,310.96	2026-05-24
588-1	OTHER	Female Reproductive System Reconstructive Procedures	16	8	—	—	$51,913.78	$59,700.84	$53,211.62	2026-05-24
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	16	8	—	—	$51,902.77	$59,688.18	$53,200.34	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	48	23	—	—	$8,042.99	$334,788.15	$53,169.01	2026-05-24
007-2	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$51,498.43	$59,223.20	$52,785.90	2026-05-24
591-1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	16	8	—	—	$51,357.92	$59,061.61	$52,641.87	2026-05-24
006-3	OTHER	Pancreas Transplant	16	8	—	—	$51,191.86	$58,870.64	$52,471.65	2026-05-24
440-4	OTHER	Kidney Transplant	16	8	—	—	$51,040.40	$58,696.46	$52,316.41	2026-05-24
483-4	OTHER	Penis, Testes And Scrotal Procedures	16	8	—	—	$50,556.80	$58,140.31	$51,820.72	2026-05-24
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	16	8	—	—	$49,676.65	$57,128.15	$50,918.57	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	46	22	—	—	$48,229.98	$210,877.33	$50,639.75	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	46	22	—	—	$10,532.91	$444,531.38	$50,581.12	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	46	22	—	—	$32,768.47	$123,011.67	$50,539.83	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	46	22	—	—	$15,548.86	$163,161.60	$50,096.40	2026-05-24
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	16	8	—	—	$48,522.14	$55,800.45	$49,735.19	2026-05-24
178-4	OTHER	External Heart Assist Systems	16	8	—	—	$48,504.97	$55,780.72	$49,717.60	2026-05-24
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	16	8	—	—	$48,442.19	$55,708.52	$49,653.24	2026-05-24
28	OTHER	Spinal Procedures With Mcc	46	22	—	—	$9,409.83	$133,316.03	$49,648.03	2026-05-24
276	OTHER	Non-maligant Breast Disorders	48	23	—	—	$22,239.58	$220,433.49	$49,633.99	2026-05-24
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$48,178.77	$55,405.58	$49,383.24	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	22	—	—	$18,886.27	$127,852.52	$49,274.80	2026-05-24
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	16	8	—	—	$48,022.40	$55,225.77	$49,222.96	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	46	22	—	—	$3,075.03	$155,668.56	$49,112.94	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	44	21	—	—	$6,118.79	$184,030.56	$48,999.01	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	46	22	—	—	$16,891.75	$147,768.03	$48,494.46	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	46	22	—	—	$8,394.53	$128,204.62	$48,463.07	2026-05-24
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	16	8	—	—	$47,180.08	$54,257.10	$48,359.58	2026-05-24
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$46,945.83	$53,987.70	$48,119.48	2026-05-24
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	16	8	—	—	$46,476.01	$53,447.41	$47,637.91	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	22	—	—	$9,991.92	$172,148.13	$47,352.45	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	46	22	—	—	$7,722.84	$114,574.30	$47,098.12	2026-05-24
006-2	OTHER	Pancreas Transplant	16	8	—	—	$45,888.60	$52,771.89	$47,035.82	2026-05-24
006-1	OTHER	Pancreas Transplant	16	8	—	—	$45,888.60	$52,771.89	$47,035.82	2026-05-24
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$45,777.00	$52,643.56	$46,921.43	2026-05-24
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$45,520.54	$52,348.62	$46,658.56	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	42	20	—	—	$12,361.79	$355,164.24	$46,314.49	2026-05-24
213	OTHER	Splenic Procedures Age 0-17	4	2	—	—	$43,405.25	$48,613.88	$46,009.57	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	46	22	—	—	$8,658.56	$111,875.89	$45,997.40	2026-05-24
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	16	8	—	—	$44,768.34	$51,483.60	$45,887.55	2026-05-24
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	8	—	—	$44,609.54	$51,300.97	$45,724.78	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	46	22	—	—	$16,028.63	$224,388.85	$45,640.68	2026-05-24
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	16	8	—	—	$44,363.72	$51,018.27	$45,472.81	2026-05-24
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	16	8	—	—	$44,320.12	$50,968.14	$45,428.12	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	46	22	—	—	$6,740.27	$120,122.10	$45,367.35	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	46	22	—	—	$8,997.54	$119,049.97	$45,207.16	2026-05-24
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$44,091.41	$50,705.12	$45,193.70	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	48	23	—	—	$8,739.07	$143,788.09	$45,142.76	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	46	22	—	—	$10,951.37	$135,086.91	$45,071.75	2026-05-24
910-4	OTHER	Craniotomy For Multiple Significant Trauma	16	8	—	—	$43,807.52	$50,378.65	$44,902.71	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	44	21	—	—	$10,419.01	$126,008.93	$44,891.74	2026-05-24
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	16	8	—	—	$43,646.46	$50,193.43	$44,737.62	2026-05-24
007-1	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$43,345.47	$49,847.29	$44,429.11	2026-05-24
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	16	8	—	—	$43,004.27	$49,454.91	$44,079.38	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	22	—	—	$17,958.97	$148,108.26	$44,070.13	2026-05-24
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	16	8	—	—	$42,864.64	$49,294.33	$43,936.26	2026-05-24
183-4	OTHER	Percutaneous Structural Cardiac Procedures	16	8	—	—	$42,751.65	$49,164.39	$43,820.44	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	46	22	—	—	$9,168.12	$221,666.88	$43,748.07	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	50	24	—	—	$4,456.02	$370,601.02	$43,603.58	2026-05-24
690-4	OTHER	Acute Leukemia	16	8	—	—	$42,402.76	$48,763.17	$43,462.83	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	46	22	—	—	$13,164.92	$104,572.16	$43,018.12	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	46	22	—	—	$7,557.01	$259,576.66	$42,943.80	2026-05-24
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	16	8	—	—	$41,866.49	$48,146.46	$42,913.15	2026-05-24
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	16	8	—	—	$41,601.97	$47,842.26	$42,642.01	2026-05-24
613	OTHER	Neonate, Birth Weight <750 Grams, Died	4	2	—	—	$40,116.39	$44,930.35	$42,523.37	2026-05-24
423-4	OTHER	Inborn Errors Of Metabolism	16	8	—	—	$41,428.61	$47,642.90	$42,464.32	2026-05-24
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	16	8	—	—	$41,187.46	$47,365.59	$42,217.15	2026-05-24
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	16	8	—	—	$41,186.24	$47,364.18	$42,215.90	2026-05-24
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	16	8	—	—	$40,943.42	$47,084.94	$41,967.01	2026-05-24
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	16	8	—	—	$40,943.42	$47,084.94	$41,967.01	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	22	—	—	$23,401.73	$140,453.01	$41,653.98	2026-05-24
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	16	8	—	—	$40,552.23	$46,635.06	$41,566.04	2026-05-24
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	16	8	—	—	$40,333.33	$46,383.33	$41,341.67	2026-05-24
759-4	OTHER	Eating Disorders	16	8	—	—	$40,233.92	$46,269.01	$41,239.77	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	46	22	—	—	$8,805.81	$228,649.42	$41,218.00	2026-05-24
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	16	8	—	—	$39,916.75	$45,904.26	$40,914.67	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	46	22	—	—	$13,851.61	$173,115.40	$40,887.68	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	54	25	—	—	$8,184.72	$224,833.85	$40,815.02	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	46	22	—	—	$14,702.16	$117,553.80	$40,675.48	2026-05-24
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	16	8	—	—	$39,578.53	$45,515.30	$40,567.99	2026-05-24
095-4	OTHER	Cleft Lip And Palate Repair	16	8	—	—	$39,562.19	$45,496.53	$40,551.25	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	46	22	—	—	$7,638.26	$98,414.16	$40,506.20	2026-05-24
021-4	OTHER	Open Craniotomy Except Trauma	16	8	—	—	$39,210.63	$45,092.22	$40,190.90	2026-05-24
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	16	8	—	—	$39,072.67	$44,933.57	$40,049.48	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	48	23	—	—	$8,739.07	$233,602.16	$39,907.53	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	46	22	—	—	$5,127.61	$280,987.43	$39,706.03	2026-05-24
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	16	8	—	—	$38,711.90	$44,518.69	$39,679.69	2026-05-24
695-4	OTHER	Chemotherapy For Acute Leukemia	16	8	—	—	$38,694.96	$44,499.20	$39,662.33	2026-05-24
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	16	8	—	—	$38,562.53	$44,346.91	$39,526.60	2026-05-24
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$38,560.68	$44,344.77	$39,524.69	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	48	23	—	—	$3,599.44	$194,138.65	$39,346.84	2026-05-24
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	16	8	—	—	$38,194.00	$43,923.10	$39,148.85	2026-05-24
179-4	OTHER	Defibrillator Implants	16	8	—	—	$38,001.46	$43,701.69	$38,951.50	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	46	22	—	—	$3,348.97	$141,988.50	$38,856.35	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	52	25	—	—	$7,656.50	$227,434.15	$38,777.08	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	46	22	—	—	$10,309.36	$118,144.00	$38,661.48	2026-05-24
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	8	—	—	$37,441.65	$43,057.90	$38,377.69	2026-05-24
091-4	OTHER	Other Major Head And Neck Procedures	16	8	—	—	$37,390.76	$42,999.36	$38,325.53	2026-05-24
6	OTHER	Liver Transplant Without Mcc	42	20	—	—	$13,070.88	$367,803.87	$38,324.57	2026-05-24
169-4	OTHER	Major Abdominal Vascular Procedures	16	8	—	—	$37,369.29	$42,974.69	$38,303.53	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	48	23	—	—	$11,927.21	$139,747.20	$38,171.81	2026-05-24
089-4	OTHER	Major Cranial Or Facial Bone Procedures	16	8	—	—	$37,191.47	$42,770.20	$38,121.26	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	46	22	—	—	$36,254.30	$146,158.35	$38,065.28	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	48	23	—	—	$7,197.63	$122,324.60	$37,990.15	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	46	22	—	—	$5,628.26	$102,258.18	$37,893.52	2026-05-24
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	4	2	—	—	$35,632.47	$39,908.36	$37,770.42	2026-05-24
245	OTHER	Aicd Generator Procedures	46	22	—	—	$16,230.88	$91,555.76	$37,708.56	2026-05-24
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	16	8	—	—	$36,787.82	$42,305.99	$37,707.51	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	46	22	—	—	$7,762.99	$91,278.45	$37,595.44	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	46	22	—	—	$12,545.56	$156,420.24	$37,578.94	2026-05-24
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$36,527.90	$42,007.08	$37,441.10	2026-05-24
799	OTHER	Splenectomy With Mcc	46	22	—	—	$10,977.17	$90,877.64	$37,431.94	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	46	22	—	—	$12,119.48	$276,002.60	$37,043.01	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	46	22	—	—	$7,128.46	$112,704.23	$37,032.28	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	48	23	—	—	$9,650.56	$142,170.00	$36,886.95	2026-05-24
027-4	OTHER	Other Open Craniotomy	16	8	—	—	$35,846.81	$41,223.83	$36,742.98	2026-05-24
023-4	OTHER	Spinal Procedures	16	8	—	—	$35,490.56	$40,814.14	$36,377.82	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	50	24	—	—	$8,576.42	$198,203.73	$36,308.10	2026-05-24
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	16	8	—	—	$35,185.52	$40,463.34	$36,065.15	2026-05-24
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	16	8	—	—	$35,185.52	$40,463.34	$36,065.15	2026-05-24
097-4	OTHER	Tonsil And Adenoid Procedures	16	8	—	—	$35,174.69	$40,450.89	$36,054.06	2026-05-24
020-4	OTHER	Open Craniotomy For Trauma	16	8	—	—	$35,071.15	$40,331.83	$35,947.93	2026-05-24
022-4	OTHER	Ventricular Shunt Procedures	16	8	—	—	$35,037.43	$40,293.04	$35,913.37	2026-05-24
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	16	8	—	—	$34,971.82	$40,217.60	$35,846.12	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	46	22	—	—	$9,947.30	$86,815.70	$35,768.06	2026-05-24
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	16	8	—	—	$34,760.89	$39,975.03	$35,629.92	2026-05-24
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	16	8	—	—	$34,686.70	$39,889.71	$35,553.86	2026-05-24
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$34,680.57	$39,882.66	$35,547.58	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	46	22	—	—	$8,356.42	$86,123.55	$35,483.17	2026-05-24
815-4	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses	16	8	—	—	$34,588.92	$39,777.26	$35,453.65	2026-05-24
1062275	OTHER	Ic-prq Cor Stnt 2p	60	25	$99,999.00	$11,999.88 88% off	$9,413.27	$99,999.00	$35,399.64	2026-05-24
842-1	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	16	8	—	—	$34,423.34	$39,586.84	$35,283.93	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	46	22	—	—	$3,914.55	$110,772.25	$35,255.27	2026-05-24
441-4	OTHER	Major Bladder Procedures	16	8	—	—	$34,373.37	$39,529.38	$35,232.71	2026-05-24
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$34,255.72	$39,394.08	$35,112.12	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	48	23	—	—	$4,823.62	$125,410.96	$34,907.63	2026-05-24
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	8	—	—	$34,044.72	$39,151.42	$34,895.83	2026-05-24
178-3	OTHER	External Heart Assist Systems	16	8	—	—	$34,018.96	$39,121.81	$34,869.43	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	46	22	—	—	$8,688.18	$102,068.74	$34,848.18	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	46	22	—	—	$10,761.36	$109,143.65	$34,830.83	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	46	22	—	—	$6,719.85	$104,817.67	$34,729.28	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	46	22	—	—	$7,404.95	$84,191.63	$34,687.99	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	46	22	—	—	$15,525.68	$107,292.14	$34,623.59	2026-05-24
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	16	8	—	—	$33,750.02	$38,812.53	$34,593.77	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	22	—	—	$25,656.64	$119,271.52	$34,489.81	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	48	23	—	—	$12,095.71	$91,459.43	$34,327.97	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	46	22	—	—	$5,122.92	$83,649.93	$34,129.17	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	46	22	—	—	$15,894.29	$84,979.18	$34,100.88	2026-05-24
120-4	OTHER	Major Respiratory And Chest Procedures	16	8	—	—	$33,211.42	$38,193.14	$34,041.71	2026-05-24
440-3	OTHER	Kidney Transplant	16	8	—	—	$33,160.54	$38,134.62	$33,989.56	2026-05-24
843-3	OTHER	Extensive Third Degree Burns Without Skin Graft	16	8	—	—	$33,088.13	$38,051.35	$33,915.34	2026-05-24
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	16	8	—	—	$32,973.88	$37,919.96	$33,798.23	2026-05-24
791	OTHER	Prematurity With Major Problems	46	22	—	—	$2,353.16	$81,431.12	$33,551.77	2026-05-24
181-4	OTHER	Lower Extremity Arterial Procedures	16	8	—	—	$32,554.73	$37,437.94	$33,368.60	2026-05-24
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	16	8	—	—	$32,398.10	$37,257.82	$33,208.06	2026-05-24
261-4	OTHER	Major Biliary Tract Procedures	16	8	—	—	$32,366.48	$37,221.46	$33,175.64	2026-05-24
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	16	8	—	—	$32,261.02	$37,100.17	$33,067.54	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	46	22	—	—	$7,216.45	$138,089.45	$32,933.27	2026-05-24
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	16	8	—	—	$32,042.12	$36,848.44	$32,843.18	2026-05-24
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	22	—	—	$16,653.60	$116,965.05	$32,337.08	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	46	22	—	—	$12,819.89	$82,864.59	$32,190.94	2026-05-24
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	16	8	—	—	$31,387.26	$36,095.35	$32,171.94	2026-05-24
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	16	8	—	—	$31,311.85	$36,008.62	$32,094.64	2026-05-24
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	16	8	—	—	$31,261.57	$35,950.80	$32,043.11	2026-05-24
34	OTHER	Carotid Artery Stent Procedures With Mcc	46	22	—	—	$12,742.49	$85,908.88	$31,996.87	2026-05-24
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	8	—	—	$31,194.73	$35,873.94	$31,974.60	2026-05-24
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	16	8	—	—	$31,183.70	$35,861.24	$31,963.29	2026-05-24
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	44	21	—	—	$3,948.21	$77,537.08	$31,948.98	2026-05-24
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	46	22	—	—	$8,497.79	$125,361.45	$31,918.44	2026-05-24
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	16	8	—	—	$31,134.64	$35,804.84	$31,913.00	2026-05-24
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$31,070.98	$35,731.63	$31,847.75	2026-05-24
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$31,031.37	$35,686.08	$31,807.15	2026-05-24
073-3	OTHER	Orbit And Eye Procedures	16	8	—	—	$31,003.98	$35,654.58	$31,779.07	2026-05-24
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	16	8	—	—	$30,970.84	$35,616.46	$31,745.10	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Mcc	50	24	—	—	$9,621.01	$77,023.52	$31,737.60	2026-05-24
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	16	8	—	—	$30,584.64	$35,172.32	$31,349.25	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	46	22	—	—	$11,647.42	$108,811.32	$31,107.55	2026-05-24
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	16	8	—	—	$30,252.29	$34,790.14	$31,008.60	2026-05-24
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	46	22	—	—	$8,411.35	$75,163.75	$30,972.12	2026-05-24
230-4	OTHER	Major Small Bowel Procedures	16	8	—	—	$30,179.33	$34,706.23	$30,933.81	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	46	22	—	—	$29,428.93	$306,198.06	$30,898.64	2026-05-24
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	46	22	—	—	$25,572.45	$74,977.20	$30,895.34	2026-05-24
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	46	22	—	—	$5,935.89	$74,766.55	$30,808.63	2026-05-24
026-4	OTHER	Other Nervous System And Related Procedures	16	8	—	—	$29,954.30	$34,447.44	$30,703.15	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	44	21	—	—	$5,453.38	$131,488.35	$30,635.22	2026-05-24
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	16	8	—	—	$29,840.25	$34,316.28	$30,586.25	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	46	22	—	—	$21,766.18	$76,915.92	$30,365.21	2026-05-24
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	46	22	—	—	$9,314.30	$73,659.15	$30,352.83	2026-05-24
844-3	OTHER	Partial Thickness Burns Without Skin Graft	16	8	—	—	$29,527.60	$33,956.74	$30,265.79	2026-05-24
460	OTHER	Spinal Fusion Except Cervical Without Mcc	46	22	—	—	$28,667.93	$79,728.89	$30,239.69	2026-05-24
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	16	8	—	—	$29,487.64	$33,910.78	$30,224.83	2026-05-24
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	16	8	—	—	$29,401.43	$33,811.65	$30,136.47	2026-05-24
183-3	OTHER	Percutaneous Structural Cardiac Procedures	16	8	—	—	$29,401.22	$33,811.40	$30,136.25	2026-05-24
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	46	22	—	—	$7,622.04	$83,277.52	$29,996.93	2026-05-24
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	16	8	—	—	$29,254.06	$33,642.17	$29,985.42	2026-05-24
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	46	22	—	—	$8,077.76	$76,281.85	$29,973.80	2026-05-24
332	OTHER	Rectal Resection With Mcc	46	22	—	—	$8,973.09	$79,559.18	$29,932.52	2026-05-24
265	OTHER	Aicd Lead Procedures	46	22	—	—	$12,667.44	$87,803.90	$29,911.87	2026-05-24
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	46	22	—	—	$7,014.82	$72,459.45	$29,859.03	2026-05-24
279	OTHER	Cellulitis Age 0-17	46	22	—	—	$12,680.37	$72,351.10	$29,814.43	2026-05-24
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	8	—	—	$29,046.82	$33,403.84	$29,772.99	2026-05-24
178-2	OTHER	External Heart Assist Systems	16	8	—	—	$28,980.60	$33,327.69	$29,705.11	2026-05-24
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	16	8	—	—	$28,954.23	$33,297.36	$29,678.08	2026-05-24
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	46	22	—	—	$13,806.29	$71,877.65	$29,619.56	2026-05-24
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$28,842.64	$33,169.03	$29,563.71	2026-05-24
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$28,842.64	$33,169.03	$29,563.71	2026-05-24
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	46	22	—	—	$10,478.61	$88,302.38	$29,551.02	2026-05-24
335	OTHER	Peritoneal Adhesiolysis With Mcc	46	22	—	—	$6,606.54	$78,051.87	$29,521.30	2026-05-24
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	16	8	—	—	$28,785.61	$33,103.44	$29,505.25	2026-05-24
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	46	22	—	—	$6,017.05	$97,211.75	$29,477.53	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	46	22	—	—	$28,051.90	$76,316.33	$29,452.76	2026-05-24

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