Hospital

LITTLE COLORADO MEDICAL CENTER

Winslow, AZ · CCN 031311 · Rates published

5,237 distinct procedures filed

10 distinct payers

87,143 rate rows

2026-05-22 last MRF observed

Data quality

26,609 of 87,143 rate rows are consumer-grade (30.5%)

60,534 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	55,215
per-diem day rate — not a per-procedure price	3,015
exceeds 10× this hospital's gross charge — excluded from medians	2,304

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

Source MRF file	https://apim.services.craneware.com/api-pricing-transparency/api/public/75a0cb7c61513f26189187ede8493cd6/charges/mrf
Found on page	https://www.cdmpricing.com/75a0cb7c61513f26189187ede8493cd6/
Discovered via	Discovered by HANK
Last fetch	success · 2026-05-18
Content fingerprint	12eea17db286557c… · 22,753,276 bytes · first seen 2026-05-17

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
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	$2,814.61	$273,426.71	$138,120.66	nat. median $263,894 0.5× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	$129,181.38	$129,181.38	$129,181.38	nat. median $29,655 outlier · 4.4×
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	1	$2,023.71	$244,135.68	$123,079.70	nat. median $218,232 0.6× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	1	$1,898.22	$238,932.16	$120,415.19	nat. median $146,562 0.8× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	$106,051.53	$106,051.53	$106,051.53	nat. median $80,273 1.3× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	$98,133.95	$98,133.95	$98,133.95	nat. median $51,811 1.9× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	$1,347.31	$192,526.27	$96,936.79	nat. median $117,167 0.8× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	$93,864.77	$93,864.77	$93,864.77	nat. median $62,997 1.5× median
215 OTHER	Other Heart Assist System Implant	1	$1,030.32	$182,328.97	$91,679.65	nat. median $92,359 1.0× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	1	$88,659.12	$88,659.12	$88,659.12	nat. median $90,581 1.0× median
430 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	1	$85,029.79	$85,029.79	$85,029.79	nat. median $88 outlier · 966.8×
428 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	$85,029.79	$85,029.79	$85,029.79	nat. median $40,399 outlier · 2.1×
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	1	$78,004.18	$78,004.18	$78,004.18	nat. median $3,947 outlier · 19.8×
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	1	$1,373.17	$147,539.91	$74,456.54	nat. median $150,232 outlier · 0.5×
402 OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	1	$72,883.28	$72,883.28	$72,883.28	nat. median $550 outlier · 132.6×
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	1	$930.33	$144,109.74	$72,520.04	nat. median $82,426 0.9× median
850 OTHER	Acute Leukemia With Other Procedures	1	$70,340.84	$70,340.84	$70,340.84	nat. median $407 outlier · 172.7×
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	1	$1,140.70	$138,499.42	$69,820.06	nat. median $104,489 0.7× median
014 OTHER	Allogeneic Bone Marrow Transplant	1	$1,119.30	$136,965.48	$69,042.39	nat. median $105,808 0.7× median
007 OTHER	Lung Transplant	1	$1,220.73	$133,812.85	$67,516.79	nat. median $141,082 outlier · 0.5×
277 OTHER	Cardiac Defibrillator Implant Without Mcc	1	$67,313.22	$67,313.22	$67,313.22	nat. median $44,716 1.5× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	1	$713.46	$132,151.79	$66,432.63	nat. median $67,495 1.0× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	1	$63,503.80	$63,503.80	$63,503.80	nat. median $54,322 1.2× median
021 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	1	$678.92	$125,312.63	$62,995.78	nat. median $58,177 1.1× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	$974.19	$119,611.21	$60,292.70	nat. median $90,130 0.7× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	1	$660.07	$112,933.07	$56,796.57	nat. median $58,866 1.0× median
008 OTHER	Simultaneous Pancreas And Kidney Transplant	1	$559.11	$111,437.26	$55,998.18	nat. median $59,265 0.9× median
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$3,614.52	$103,742.15	$53,678.33	nat. median $424,868 outlier · 0.1×
022 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	1	$435.85	$104,867.18	$52,651.51	nat. median $36,711 1.4× median
267 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	1	$516.06	$103,968.85	$52,242.46	nat. median $45,097 1.2× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	$812.83	$103,333.24	$52,073.04	nat. median $72,612 0.7× median
231 OTHER	Coronary Bypass With Ptca With Mcc	1	$839.32	$102,962.46	$51,900.89	nat. median $74,989 0.7× median
321 OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	1	$49,925.05	$49,925.05	$49,925.05	nat. median $26,529 1.9× median
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	1	$608.44	$98,555.57	$49,582.01	nat. median $60,768 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	1	$774.49	$97,970.81	$49,372.65	nat. median $68,249 0.7× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	$634.88	$97,462.32	$49,048.60	nat. median $60,727 0.8× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	1	$48,863.58	$48,863.58	$48,863.58	nat. median $48,503 1.0× median
006 OTHER	Liver Transplant Without Mcc	1	$480.93	$94,701.65	$47,591.29	nat. median $50,611 0.9× median
955 OTHER	Craniotomy For Multiple Significant Trauma	1	$673.60	$94,053.33	$47,363.46	nat. median $62,467 0.8× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	1	$679.09	$92,699.48	$46,689.28	nat. median $54,603 0.9× median
228 OTHER	Other Cardiothoracic Procedures With Mcc	1	$492.83	$92,710.07	$46,601.45	nat. median $48,497 1.0× median
448 OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	1	$45,488.49	$45,488.49	$45,488.49	nat. median $35,627 1.3× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	1	$844.92	$88,315.89	$44,580.40	nat. median $76,493 0.6× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	$593.87	$88,184.53	$44,389.20	nat. median $56,507 0.8× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	1	$585.78	$87,379.43	$43,982.60	nat. median $56,351 0.8× median
010 OTHER	Pancreas Transplant	1	$414.68	$85,887.86	$43,151.27	nat. median $67,882 0.6× median
323 OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	1	$42,518.07	$42,518.07	$42,518.07	nat. median $31,081 1.4× median
025 OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	1	$454.05	$83,769.16	$42,111.61	nat. median $45,801 0.9× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	1	$602.11	$83,366.61	$41,984.36	nat. median $42,495 1.0× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	1	$656.59	$81,601.73	$41,129.16	nat. median $66,849 0.6× median

Other procedures at this hospital

Browse this hospital's 5,237 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

001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	2	1	—	—	$2,814.61	$273,426.71	$138,120.66	2026-05-22
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	1	—	—	$129,181.38	$129,181.38	$129,181.38	2026-05-22
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	2	1	—	—	$2,023.71	$244,135.68	$123,079.70	2026-05-22
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	2	1	—	—	$1,898.22	$238,932.16	$120,415.19	2026-05-22
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$106,051.53	$106,051.53	$106,051.53	2026-05-22
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$98,133.95	$98,133.95	$98,133.95	2026-05-22
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	2	1	—	—	$1,347.31	$192,526.27	$96,936.79	2026-05-22
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	1	—	—	$93,864.77	$93,864.77	$93,864.77	2026-05-22
215	OTHER	Other Heart Assist System Implant	2	1	—	—	$1,030.32	$182,328.97	$91,679.65	2026-05-22
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	1	1	—	—	$88,659.12	$88,659.12	$88,659.12	2026-05-22
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	1	1	—	—	$85,029.79	$85,029.79	$85,029.79	2026-05-22
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$85,029.79	$85,029.79	$85,029.79	2026-05-22
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	1	1	—	—	$78,004.18	$78,004.18	$78,004.18	2026-05-22
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	2	1	—	—	$1,373.17	$147,539.91	$74,456.54	2026-05-22
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	1	1	—	—	$72,883.28	$72,883.28	$72,883.28	2026-05-22
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	2	1	—	—	$930.33	$144,109.74	$72,520.04	2026-05-22
850	OTHER	Acute Leukemia With Other Procedures	1	1	—	—	$70,340.84	$70,340.84	$70,340.84	2026-05-22
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	2	1	—	—	$1,140.70	$138,499.42	$69,820.06	2026-05-22
014	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$1,119.30	$136,965.48	$69,042.39	2026-05-22
007	OTHER	Lung Transplant	2	1	—	—	$1,220.73	$133,812.85	$67,516.79	2026-05-22
277	OTHER	Cardiac Defibrillator Implant Without Mcc	1	1	—	—	$67,313.22	$67,313.22	$67,313.22	2026-05-22
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	2	1	—	—	$713.46	$132,151.79	$66,432.63	2026-05-22
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	1	1	—	—	$63,503.80	$63,503.80	$63,503.80	2026-05-22
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	2	1	—	—	$678.92	$125,312.63	$62,995.78	2026-05-22
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$974.19	$119,611.21	$60,292.70	2026-05-22
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	1	—	—	$660.07	$112,933.07	$56,796.57	2026-05-22
008	OTHER	Simultaneous Pancreas And Kidney Transplant	2	1	—	—	$559.11	$111,437.26	$55,998.18	2026-05-22
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$3,614.52	$103,742.15	$53,678.33	2026-05-22
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	2	1	—	—	$435.85	$104,867.18	$52,651.51	2026-05-22
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	1	—	—	$516.06	$103,968.85	$52,242.46	2026-05-22
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	1	—	—	$812.83	$103,333.24	$52,073.04	2026-05-22
231	OTHER	Coronary Bypass With Ptca With Mcc	2	1	—	—	$839.32	$102,962.46	$51,900.89	2026-05-22
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	1	1	—	—	$49,925.05	$49,925.05	$49,925.05	2026-05-22
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	2	1	—	—	$608.44	$98,555.57	$49,582.01	2026-05-22
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	2	1	—	—	$774.49	$97,970.81	$49,372.65	2026-05-22
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$634.88	$97,462.32	$49,048.60	2026-05-22
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	1	1	—	—	$48,863.58	$48,863.58	$48,863.58	2026-05-22
006	OTHER	Liver Transplant Without Mcc	2	1	—	—	$480.93	$94,701.65	$47,591.29	2026-05-22
955	OTHER	Craniotomy For Multiple Significant Trauma	2	1	—	—	$673.60	$94,053.33	$47,363.46	2026-05-22
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	2	1	—	—	$679.09	$92,699.48	$46,689.28	2026-05-22
228	OTHER	Other Cardiothoracic Procedures With Mcc	2	1	—	—	$492.83	$92,710.07	$46,601.45	2026-05-22
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	1	1	—	—	$45,488.49	$45,488.49	$45,488.49	2026-05-22
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$844.92	$88,315.89	$44,580.40	2026-05-22
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$593.87	$88,184.53	$44,389.20	2026-05-22
232	OTHER	Coronary Bypass With Ptca Without Mcc	2	1	—	—	$585.78	$87,379.43	$43,982.60	2026-05-22
010	OTHER	Pancreas Transplant	2	1	—	—	$414.68	$85,887.86	$43,151.27	2026-05-22
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	1	1	—	—	$42,518.07	$42,518.07	$42,518.07	2026-05-22
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	2	1	—	—	$454.05	$83,769.16	$42,111.61	2026-05-22
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	2	1	—	—	$602.11	$83,366.61	$41,984.36	2026-05-22
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	2	1	—	—	$656.59	$81,601.73	$41,129.16	2026-05-22
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	1	—	—	$543.51	$79,317.77	$39,930.64	2026-05-22
322	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc	1	1	—	—	$39,611.22	$39,611.22	$39,611.22	2026-05-22
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	2	1	—	—	$599.00	$76,830.42	$38,714.71	2026-05-22
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	2	1	—	—	$619.13	$76,535.92	$38,577.52	2026-05-22
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	2	1	—	—	$430.66	$76,137.60	$38,284.13	2026-05-22
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	2	1	—	—	$741.05	$75,643.95	$38,192.50	2026-05-22
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	2	1	—	—	$573.14	$75,588.86	$38,081.00	2026-05-22
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	1	—	—	$473.16	$75,218.09	$37,845.62	2026-05-22
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	2	1	—	—	$518.63	$74,760.45	$37,639.54	2026-05-22
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	2	1	—	—	$641.52	$73,247.70	$36,944.61	2026-05-22
229	OTHER	Other Cardiothoracic Procedures Without Mcc	2	1	—	—	$330.09	$73,165.07	$36,747.58	2026-05-22
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	1	1	—	—	$36,301.81	$36,301.81	$36,301.81	2026-05-22
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	2	1	—	—	$692.08	$71,662.91	$36,177.50	2026-05-22
028	OTHER	Spinal Procedures With Mcc	2	1	—	—	$587.75	$71,395.95	$35,991.85	2026-05-22
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$603.68	$71,323.92	$35,963.80	2026-05-22
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	1	1	—	—	$35,286.95	$35,286.95	$35,286.95	2026-05-22
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	2	1	—	—	$531.76	$68,658.59	$34,595.18	2026-05-22
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	2	1	—	—	$490.10	$67,436.10	$33,963.10	2026-05-22
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	2	1	—	—	$437.01	$67,482.71	$33,959.86	2026-05-22
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	2	1	—	—	$464.39	$66,874.65	$33,669.52	2026-05-22
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	2	1	—	—	$724.76	$66,614.05	$33,669.41	2026-05-22
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$481.31	$64,520.77	$32,501.04	2026-05-22
834	OTHER	Acute Leukemia With Mcc	2	1	—	—	$553.00	$64,330.09	$32,441.54	2026-05-22
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	2	1	—	—	$554.19	$63,755.92	$32,155.05	2026-05-22
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	2	1	—	—	$514.19	$63,270.74	$31,892.46	2026-05-22
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	2	1	—	—	$511.88	$63,094.89	$31,803.39	2026-05-22
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	2	1	—	—	$394.88	$62,639.37	$31,517.13	2026-05-22
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	2	1	—	—	$302.35	$62,450.80	$31,376.58	2026-05-22
653	OTHER	Major Bladder Procedures With Mcc	2	1	—	—	$555.67	$61,448.66	$31,002.17	2026-05-22
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	2	1	—	—	$298.56	$59,202.83	$29,750.70	2026-05-22
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	2	1	—	—	$417.05	$58,450.70	$29,433.87	2026-05-22
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	2	1	—	—	$380.42	$58,272.72	$29,326.57	2026-05-22
329	OTHER	Major Small And Large Bowel Procedures With Mcc	2	1	—	—	$462.33	$56,346.83	$28,404.58	2026-05-22
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	2	1	—	—	$407.84	$55,785.37	$28,096.61	2026-05-22
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	2	1	—	—	$538.22	$55,456.97	$27,997.60	2026-05-22
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	2	1	—	—	$354.62	$54,901.87	$27,628.24	2026-05-22
270	OTHER	Other Major Cardiovascular Procedures With Mcc	2	1	—	—	$511.26	$54,024.73	$27,267.99	2026-05-22
163	OTHER	Major Chest Procedures With Mcc	2	1	—	—	$484.37	$53,819.22	$27,151.79	2026-05-22
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	2	1	—	—	$516.52	$52,889.11	$26,702.82	2026-05-22
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	2	1	—	—	$524.51	$52,598.85	$26,561.68	2026-05-22
031	OTHER	Ventricular Shunt Procedures With Mcc	2	1	—	—	$412.10	$52,033.15	$26,222.62	2026-05-22
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	2	1	—	—	$366.95	$52,060.70	$26,213.83	2026-05-22
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	2	1	—	—	$458.04	$49,478.00	$24,968.02	2026-05-22
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	2	1	—	—	$393.19	$48,980.11	$24,686.65	2026-05-22
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	2	1	—	—	$256.87	$48,272.46	$24,264.66	2026-05-22
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	2	1	—	—	$341.76	$47,816.94	$24,079.35	2026-05-22
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	2	1	—	—	$308.84	$47,761.85	$24,035.35	2026-05-22
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	2	1	—	—	$426.52	$47,289.38	$23,857.95	2026-05-22
652	OTHER	Kidney Transplant	2	1	—	—	$308.51	$47,327.52	$23,818.01	2026-05-22
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	2	1	—	—	$524.16	$47,096.58	$23,810.37	2026-05-22
245	OTHER	Aicd Generator Procedures	2	1	—	—	$487.60	$47,022.43	$23,755.01	2026-05-22
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	2	1	—	—	$347.35	$47,117.77	$23,732.56	2026-05-22
411	OTHER	Cholecystectomy With C.d.e. With Mcc	2	1	—	—	$337.82	$47,092.34	$23,715.08	2026-05-22
265	OTHER	Aicd Lead Procedures	2	1	—	—	$338.21	$47,022.43	$23,680.32	2026-05-22
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	2	1	—	—	$427.63	$46,922.85	$23,675.24	2026-05-22
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	2	1	—	—	$432.64	$46,893.19	$23,662.92	2026-05-22
854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	2	1	—	—	$205.56	$46,880.47	$23,543.02	2026-05-22
332	OTHER	Rectal Resection With Mcc	2	1	—	—	$406.03	$46,312.66	$23,359.35	2026-05-22
034	OTHER	Carotid Artery Stent Procedures With Mcc	2	1	—	—	$399.94	$46,007.57	$23,203.75	2026-05-22
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	2	1	—	—	$249.54	$45,992.74	$23,121.14	2026-05-22
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	2	1	—	—	$401.30	$45,509.68	$22,955.49	2026-05-22
471	OTHER	Cervical Spinal Fusion With Mcc	2	1	—	—	$503.70	$45,316.87	$22,910.29	2026-05-22
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	2	1	—	—	$326.12	$45,454.59	$22,890.35	2026-05-22
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	2	1	—	—	$465.01	$45,242.72	$22,853.86	2026-05-22
835	OTHER	Acute Leukemia With Cc	2	1	—	—	$209.71	$45,335.94	$22,772.83	2026-05-22
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	2	1	—	—	$366.58	$44,770.25	$22,568.42	2026-05-22
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	2	1	—	—	$441.27	$44,499.06	$22,470.17	2026-05-22
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	2	1	—	—	$247.14	$44,107.10	$22,177.12	2026-05-22
799	OTHER	Splenic Procedures With Mcc	2	1	—	—	$520.77	$43,371.91	$21,946.34	2026-05-22
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	2	1	—	—	$292.97	$42,897.32	$21,595.15	2026-05-22
654	OTHER	Major Bladder Procedures With Cc	2	1	—	—	$284.25	$42,829.52	$21,556.88	2026-05-22
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	2	1	—	—	$303.30	$42,751.13	$21,527.21	2026-05-22
140	OTHER	Major Head And Neck Procedures With Mcc	2	1	—	—	$415.63	$42,518.07	$21,466.85	2026-05-22
356	OTHER	Other Digestive System O.r. Procedures With Mcc	2	1	—	—	$422.25	$41,643.05	$21,032.65	2026-05-22
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	2	1	—	—	$390.95	$41,401.52	$20,896.24	2026-05-22
335	OTHER	Peritoneal Adhesiolysis With Mcc	2	1	—	—	$368.38	$40,979.90	$20,674.14	2026-05-22
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	2	1	—	—	$293.88	$40,975.66	$20,634.77	2026-05-22
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	2	1	—	—	$362.59	$40,886.67	$20,624.63	2026-05-22
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	2	1	—	—	$216.24	$40,988.37	$20,602.31	2026-05-22
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	2	1	—	—	$256.13	$40,231.99	$20,244.06	2026-05-22
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	2	1	—	—	$564.90	$39,746.81	$20,155.85	2026-05-22
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	2	1	—	—	$378.84	$39,674.78	$20,026.81	2026-05-22
252	OTHER	Other Vascular Procedures With Mcc	2	1	—	—	$334.33	$39,481.97	$19,908.15	2026-05-22
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	2	1	—	—	$213.14	$39,344.26	$19,778.70	2026-05-22
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	2	1	—	—	$587.05	$38,965.01	$19,776.03	2026-05-22
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	2	1	—	—	$353.47	$38,979.84	$19,666.65	2026-05-22
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	2	1	—	—	$323.14	$38,965.01	$19,644.08	2026-05-22
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	2	1	—	—	$301.92	$38,965.01	$19,633.47	2026-05-22
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	2	1	—	—	$234.99	$38,933.23	$19,584.11	2026-05-22
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	2	1	—	—	$243.47	$38,537.03	$19,390.25	2026-05-22
836	OTHER	Acute Leukemia Without Cc/mcc	2	1	—	—	$156.88	$38,541.27	$19,349.08	2026-05-22
061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	2	1	—	—	$293.26	$38,314.57	$19,303.91	2026-05-22
619	OTHER	O.r. Procedures For Obesity With Mcc	2	1	—	—	$289.17	$38,181.09	$19,235.13	2026-05-22
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	2	1	—	—	$376.45	$37,755.23	$19,065.84	2026-05-22
271	OTHER	Other Major Cardiovascular Procedures With Cc	2	1	—	—	$348.38	$37,770.06	$19,059.22	2026-05-22
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	2	1	—	—	$311.78	$37,693.79	$19,002.78	2026-05-22
907	OTHER	Other O.r. Procedures For Injuries With Mcc	2	1	—	—	$386.57	$37,558.19	$18,972.38	2026-05-22
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	2	1	—	—	$330.53	$37,460.73	$18,895.63	2026-05-22
164	OTHER	Major Chest Procedures With Cc	2	1	—	—	$258.27	$37,359.04	$18,808.66	2026-05-22
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	2	1	—	—	$236.86	$37,242.51	$18,739.69	2026-05-22
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	2	1	—	—	$250.82	$37,087.84	$18,669.33	2026-05-22
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	2	1	—	—	$234.40	$36,846.31	$18,540.35	2026-05-22
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	2	1	—	—	$278.93	$36,460.71	$18,369.82	2026-05-22
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	2	1	—	—	$357.35	$36,299.69	$18,328.52	2026-05-22
412	OTHER	Cholecystectomy With C.d.e. With Cc	2	1	—	—	$229.57	$36,403.50	$18,316.53	2026-05-22
655	OTHER	Major Bladder Procedures Without Cc/mcc	2	1	—	—	$215.87	$36,397.15	$18,306.51	2026-05-22
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	2	1	—	—	$409.69	$36,094.17	$18,251.93	2026-05-22
330	OTHER	Major Small & Large Bowel Procedures With Complication	2	1	—	—	$245.54	$36,183.16	$18,214.35	2026-05-22
974	OTHER	HIV With Major Related Condition With Mcc	2	1	—	—	$287.30	$35,793.32	$18,040.31	2026-05-22
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	2	1	—	—	$381.20	$35,687.38	$18,034.29	2026-05-22
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	2	1	—	—	$340.28	$35,577.21	$17,958.74	2026-05-22
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	2	1	—	—	$263.25	$35,511.53	$17,887.39	2026-05-22
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	2	1	—	—	$296.60	$35,403.48	$17,850.04	2026-05-22
43280	OTHER	Laparoscopy Fundoplasty	1	1	$3,617.36	$2,170.42 40% off	$17,726.67	$17,726.67	$17,726.67	2026-05-22
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	2	1	—	—	$325.10	$35,053.89	$17,689.49	2026-05-22
901	OTHER	Wound Debridements For Injuries With Mcc	2	1	—	—	$439.86	$34,765.75	$17,602.81	2026-05-22
838	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…	2	1	—	—	$222.41	$34,676.76	$17,449.58	2026-05-22
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	2	1	—	—	$241.97	$34,581.42	$17,411.69	2026-05-22
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	2	1	—	—	$271.42	$34,382.26	$17,326.84	2026-05-22
035	OTHER	Carotid Artery Stent Procedures With Cc	2	1	—	—	$228.38	$34,356.84	$17,292.61	2026-05-22
464	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication	2	1	—	—	$298.72	$34,263.62	$17,281.17	2026-05-22
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	2	1	—	—	$362.11	$34,144.97	$17,253.54	2026-05-22
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	2	1	—	—	$282.83	$34,119.54	$17,201.19	2026-05-22
037	OTHER	Extracranial Procedures With Mcc	2	1	—	—	$337.30	$33,731.82	$17,034.56	2026-05-22
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	2	1	—	—	$257.69	$33,513.60	$16,885.64	2026-05-22
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	2	1	—	—	$229.03	$33,534.78	$16,881.90	2026-05-22
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	2	1	—	—	$348.59	$33,253.00	$16,800.80	2026-05-22
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	2	1	—	—	$285.13	$33,240.28	$16,762.71	2026-05-22
167	OTHER	Other Respiratory System O.r. Procedures With Cc	2	1	—	—	$190.11	$33,089.86	$16,639.99	2026-05-22
472	OTHER	Cervical Spinal Fusion With Cc	2	1	—	—	$307.10	$32,390.69	$16,348.90	2026-05-22
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	2	1	—	—	$371.44	$32,225.43	$16,298.44	2026-05-22
253	OTHER	Other Vascular Procedures With Cc	2	1	—	—	$267.40	$32,280.51	$16,273.95	2026-05-22
963	OTHER	Other Multiple Significant Trauma With Mcc	2	1	—	—	$277.32	$32,189.41	$16,233.36	2026-05-22
333	OTHER	Rectal Resection With Complication	2	1	—	—	$223.31	$32,157.63	$16,190.47	2026-05-22
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	2	1	—	—	$331.84	$32,009.32	$16,170.58	2026-05-22
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	2	1	—	—	$335.95	$31,941.52	$16,138.74	2026-05-22
165	OTHER	Major Chest Procedures Without Cc/mcc	2	1	—	—	$192.69	$32,072.88	$16,132.79	2026-05-22
855	OTHER	Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc	2	1	—	—	$152.77	$32,098.31	$16,125.54	2026-05-22
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	2	1	—	—	$310.70	$31,884.32	$16,097.51	2026-05-22
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	8	7	—	—	$16,058.06	$30,524.11	$16,058.06	2026-05-22
425	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc	2	1	—	—	$143.06	$31,930.93	$16,036.99	2026-05-22
522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	2	1	—	—	$217.29	$31,551.68	$15,884.49	2026-05-22
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	2	1	—	—	$364.48	$31,339.81	$15,852.15	2026-05-22
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	2	1	—	—	$317.26	$31,361.00	$15,839.13	2026-05-22
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	2	1	—	—	$319.63	$31,339.81	$15,829.72	2026-05-22
062	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	2	1	—	—	$191.72	$31,331.34	$15,761.53	2026-05-22
032	OTHER	Ventricular Shunt Procedures With Cc	2	1	—	—	$205.45	$31,231.76	$15,718.60	2026-05-22
791	OTHER	Prematurity With Major Problems	2	1	—	—	$411.21	$30,803.78	$15,607.49	2026-05-22
500	OTHER	Soft Tissue Procedures With Mcc	2	1	—	—	$320.45	$30,865.22	$15,592.84	2026-05-22
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	2	1	—	—	$316.47	$30,858.87	$15,587.67	2026-05-22
737	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	2	1	—	—	$202.35	$30,960.56	$15,581.46	2026-05-22
470	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	2	1	—	—	$191.19	$30,920.31	$15,555.75	2026-05-22
244	OTHER	Permanent Cardiac Pacemaker Implant Without Cc/mcc	2	1	—	—	$190.11	$30,894.88	$15,542.50	2026-05-22
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	2	1	—	—	$360.46	$30,699.96	$15,530.21	2026-05-22
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	2	1	—	—	$390.23	$30,653.35	$15,521.79	2026-05-22
357	OTHER	Other Digestive System O.r. Procedures With Cc	2	1	—	—	$224.62	$30,744.46	$15,484.54	2026-05-22
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	2	1	—	—	$309.71	$30,653.35	$15,481.53	2026-05-22
036	OTHER	Carotid Artery Stent Procedures Without Cc/mcc	2	1	—	—	$188.07	$30,706.32	$15,447.19	2026-05-22
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	2	1	—	—	$260.01	$30,502.92	$15,381.47	2026-05-22
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	2	1	—	—	$235.76	$30,454.19	$15,344.98	2026-05-22
800	OTHER	Splenic Procedures With Cc	2	1	—	—	$265.85	$30,314.36	$15,290.11	2026-05-22
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	2	1	—	—	$315.17	$29,882.14	$15,098.66	2026-05-22
030	OTHER	Spinal Procedures Without Cc/mcc	2	1	—	—	$234.12	$29,706.29	$14,970.21	2026-05-22
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	2	1	—	—	$222.57	$29,642.73	$14,932.65	2026-05-22
095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	2	1	—	—	$255.68	$29,591.88	$14,923.78	2026-05-22
570	OTHER	Skin Debridement With Mcc	2	1	—	—	$291.71	$29,479.59	$14,885.65	2026-05-22
904	OTHER	Skin Grafts For Injuries With Cc/mcc	2	1	—	—	$355.19	$29,337.64	$14,846.42	2026-05-22
421	OTHER	Hepatobiliary Diagnostic Procedures With Cc	2	1	—	—	$181.16	$29,420.27	$14,800.72	2026-05-22
336	OTHER	Peritoneal Adhesiolysis With Cc	2	1	—	—	$212.70	$29,189.33	$14,701.02	2026-05-22
288	OTHER	Acute And Subacute Endocarditis With Mcc	2	1	—	—	$269.65	$29,005.00	$14,637.32	2026-05-22
353	OTHER	Hernia Procedures Except Inguinal & Femoral With Comorbity	2	1	—	—	$286.78	$28,831.27	$14,559.03	2026-05-22
615	OTHER	Adrenal And Pituitary Procedures Without Cc/mcc	2	1	—	—	$147.58	$28,924.49	$14,536.03	2026-05-22
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	8	7	—	—	$14,503.99	$27,415.98	$14,503.99	2026-05-22
041	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	2	1	—	—	$233.81	$28,761.35	$14,497.58	2026-05-22
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	2	1	—	—	$256.56	$28,604.57	$14,430.56	2026-05-22
415	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Cc	2	1	—	—	$200.00	$28,659.65	$14,429.83	2026-05-22
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	2	1	—	—	$388.82	$28,238.03	$14,313.42	2026-05-22
264	OTHER	Other Circulatory System O.r. Procedures	2	1	—	—	$330.97	$28,295.24	$14,313.10	2026-05-22
241	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…	2	1	—	—	$154.89	$28,335.49	$14,245.19	2026-05-22
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	2	1	—	—	$210.90	$28,246.51	$14,228.70	2026-05-22
397	OTHER	Appendix Procedures With Mcc	8	7	—	—	$14,210.55	$26,829.10	$14,210.55	2026-05-22
410	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	2	1	—	—	$169.77	$28,089.72	$14,129.75	2026-05-22
413	OTHER	Cholecystectomy With C.d.e. Without Cc/mcc	2	1	—	—	$162.04	$27,975.31	$14,068.68	2026-05-22
063	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	2	1	—	—	$158.10	$27,964.72	$14,061.41	2026-05-22
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	2	1	—	—	$208.60	$27,913.87	$14,061.24	2026-05-22
465	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	2	1	—	—	$199.27	$27,837.60	$14,018.43	2026-05-22
983	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	2	1	—	—	$167.02	$27,835.48	$14,001.25	2026-05-22
516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	2	1	—	—	$203.38	$27,759.21	$13,981.29	2026-05-22
481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	2	1	—	—	$211.24	$27,238.01	$13,724.62	2026-05-22
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	2	1	—	—	$259.64	$27,051.56	$13,655.60	2026-05-22
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	2	1	—	—	$228.43	$27,060.04	$13,644.24	2026-05-22
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	2	1	—	—	$222.12	$27,049.44	$13,635.78	2026-05-22
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	8	7	—	—	$13,490.19	$25,388.38	$13,490.19	2026-05-22
657	OTHER	Kidney And Ureter Procedures For Neoplasm With Cc	2	1	—	—	$187.80	$26,750.71	$13,469.25	2026-05-22
662	OTHER	Minor Bladder Procedures With Mcc	2	1	—	—	$303.87	$26,574.85	$13,439.36	2026-05-22
620	OTHER	O.r. Procedures For Obesity With Cc	2	1	—	—	$168.56	$26,665.96	$13,417.26	2026-05-22
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	2	1	—	—	$234.89	$26,574.85	$13,404.87	2026-05-22
975	OTHER	HIV With Major Related Condition With Cc	2	1	—	—	$137.57	$26,646.89	$13,392.23	2026-05-22
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	2	1	—	—	$312.98	$26,432.90	$13,372.94	2026-05-22
617	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	2	1	—	—	$194.40	$26,496.46	$13,345.43	2026-05-22
908	OTHER	Other O.r. Procedures For Injuries With Cc	2	1	—	—	$205.65	$26,464.68	$13,335.16	2026-05-22
082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	2	1	—	—	$226.53	$26,394.76	$13,310.65	2026-05-22
665	OTHER	Prostatectomy With Mcc	2	1	—	—	$306.03	$25,875.68	$13,090.86	2026-05-22
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	2	1	—	—	$349.86	$25,697.71	$13,023.78	2026-05-22
801	OTHER	Splenic Procedures Without Cc/mcc	2	1	—	—	$179.60	$25,521.86	$12,850.73	2026-05-22
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	2	1	—	—	$253.51	$25,377.79	$12,815.65	2026-05-22
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	2	1	—	—	$224.38	$25,324.82	$12,774.60	2026-05-22
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	2	1	—	—	$218.52	$25,312.11	$12,765.32	2026-05-22
422	OTHER	Hepatobiliary Diagnostic Procedures Without Cc/mcc	2	1	—	—	$138.56	$25,343.89	$12,741.22	2026-05-22
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	2	1	—	—	$349.40	$24,998.54	$12,673.97	2026-05-22
623	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	2	1	—	—	$188.46	$25,136.26	$12,662.36	2026-05-22
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	2	1	—	—	$237.58	$25,017.61	$12,627.59	2026-05-22
584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	2	1	—	—	$213.58	$24,888.37	$12,550.97	2026-05-22
350	OTHER	Inguinal & Femoral Hernia Procedures With Comorbity	2	1	—	—	$235.70	$24,824.81	$12,530.26	2026-05-22
168	OTHER	Other Respiratory System O.r. Procedures Without Cc/mcc	2	1	—	—	$141.76	$24,909.56	$12,525.66	2026-05-22
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	2	1	—	—	$288.81	$24,752.77	$12,520.79	2026-05-22
280	OTHER	Acute Myocardial Infarction, Discharged Alive With Mcc	2	1	—	—	$160.64	$24,752.77	$12,456.70	2026-05-22
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	2	1	—	—	$199.53	$24,642.60	$12,421.07	2026-05-22
738	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc	2	1	—	—	$140.38	$24,674.38	$12,407.38	2026-05-22
177	OTHER	Respiratory Infections & Inflammations With Comorbity	2	1	—	—	$177.99	$24,579.04	$12,378.51	2026-05-22
545	OTHER	Connective Tissue Disorders With Mcc	2	1	—	—	$250.86	$24,481.58	$12,366.22	2026-05-22
660	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Cc	2	1	—	—	$141.12	$24,557.85	$12,349.49	2026-05-22
841	OTHER	Lymphoma And Non-acute Leukemia With Cc	2	1	—	—	$159.48	$24,439.20	$12,299.34	2026-05-22
822	OTHER	Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc	2	1	—	—	$120.50	$24,411.66	$12,266.08	2026-05-22
254	OTHER	Other Vascular Procedures Without Cc/mcc	2	1	—	—	$182.85	$24,045.13	$12,113.99	2026-05-22
828	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	2	1	—	—	$173.91	$24,030.30	$12,102.10	2026-05-22
259	OTHER	Cardiac Pacemaker Device Replacement Without Mcc	2	1	—	—	$199.41	$24,000.63	$12,100.02	2026-05-22
345	OTHER	Minor Small & Large Bowel Procedures With Complication	2	1	—	—	$155.15	$24,036.65	$12,095.90	2026-05-22
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	2	1	—	—	$214.10	$23,970.97	$12,092.54	2026-05-22
180	OTHER	Respiratory Neoplasms With Mcc	2	1	—	—	$169.39	$23,941.31	$12,055.35	2026-05-22
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	2	1	—	—	$220.33	$23,795.12	$12,007.72	2026-05-22
964	OTHER	Other Multiple Significant Trauma With Cc	2	1	—	—	$146.45	$23,829.02	$11,987.74	2026-05-22
488	OTHER	Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc	2	1	—	—	$226.92	$23,695.54	$11,961.23	2026-05-22
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	2	1	—	—	$212.10	$23,695.54	$11,953.82	2026-05-22
141	OTHER	Major Head And Neck Procedures With Cc	2	1	—	—	$223.26	$23,682.83	$11,953.05	2026-05-22
839	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/mcc	2	1	—	—	$137.47	$23,394.69	$11,766.08	2026-05-22
803	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc	2	1	—	—	$205.33	$23,322.65	$11,763.99	2026-05-22
621	OTHER	O.r. Procedures For Obesity Without Cc/mcc	2	1	—	—	$155.50	$23,324.77	$11,740.14	2026-05-22
658	OTHER	Kidney And Ureter Procedures For Neoplasm Without Cc/mcc	2	1	—	—	$157.90	$23,312.06	$11,734.98	2026-05-22
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	2	1	—	—	$287.72	$23,085.36	$11,686.54	2026-05-22
503	OTHER	Foot Procedures With Mcc	2	1	—	—	$253.33	$23,079.00	$11,666.16	2026-05-22
033	OTHER	Ventricular Shunt Procedures Without Cc/mcc	2	1	—	—	$169.85	$23,059.93	$11,614.89	2026-05-22
482	OTHER	Hip And Femur Procedures Except Major Joint Without Cc/mcc	2	1	—	—	$164.61	$23,051.46	$11,608.03	2026-05-22
331	OTHER	Major Small & Large Bowel Procedures Without Complication/comorbity	2	1	—	—	$170.88	$23,028.15	$11,599.51	2026-05-22
289	OTHER	Acute And Subacute Endocarditis With Cc	2	1	—	—	$160.71	$22,966.71	$11,563.71	2026-05-22
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	2	1	—	—	$233.57	$22,877.72	$11,555.65	2026-05-22
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	2	1	—	—	$372.77	$22,720.94	$11,546.85	2026-05-22
042	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc	2	1	—	—	$184.97	$22,805.69	$11,495.33	2026-05-22
585	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc	2	1	—	—	$184.11	$22,691.28	$11,437.69	2026-05-22
902	OTHER	Wound Debridements For Injuries With Cc	2	1	—	—	$198.18	$22,674.33	$11,436.26	2026-05-22

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