Hospital

ALHAMBRA HOSPITAL MEDICAL CENTER

Alhambra, CA · CCN 050281 · Rates published

8,941 distinct procedures filed

61 distinct payers

699,120 rate rows

2026-05-24 last MRF observed

Data quality

630,225 of 699,120 rate rows are consumer-grade (90.1%)

68,895 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	53,138
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	13,755
exceeds 10× this hospital's gross charge — excluded from medians	1,493
template filing: same amount across many unrelated codes — excluded	278
placeholder amount (≤ $0.02) — excluded from medians	231

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

Source MRF file	https://www.alhambrahospital.com/docs/PricingTransparency-Alhambra_Hosptial_Medical_Center_-_MediTech-3323-20260326202955.csv
Found on page	https://www.alhambrahospital.com/getpage.php?name=Pricing_Transparency_Page&sub=Visitors
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	7548a393036548f9… · 130,754,967 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	$215,839.74	$799,505.88	$579,256.76	nat. median $424,868 1.4× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	$255,142.68	$675,255.89	$551,195.09	nat. median $386,529 1.4× median
007 OTHER	Lung Transplant	21	$16,217.12	$477,071.91	$378,010.42	nat. median $141,082 outlier · 2.7×
7 OTHER	Lung Transplant	21	$9,920.16	$452,753.59	$369,560.56	nat. median $169,933 outlier · 2.2×
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	23	$3,800.00	$518,847.15	$305,528.93	nat. median $263,894 1.2× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	23	$3,800.00	$475,590.54	$301,682.74	nat. median $239,422 1.3× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	$255,267.67	$262,259.77	$262,259.77	nat. median $0
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$227,182.60	$278,391.75	$242,079.78	nat. median $203,379 1.2× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	23	$17,367.86	$400,533.19	$239,648.38	nat. median $146,562 1.6× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	23	$15,105.63	$392,972.95	$231,494.56	nat. median $218,232 1.1× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	23	$12,861.93	$361,848.82	$229,605.96	nat. median $181,005 1.3× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$221,000.00	$254,150.00	$221,000.00	nat. median $267,493 0.8× median
583-4 OTHER	Neonate With Ecmo	6	$221,000.00	$254,150.00	$221,000.00	nat. median $309,400 0.7× median
583-3 OTHER	Neonate With Ecmo	6	$221,000.00	$254,150.00	$221,000.00	nat. median $259,487 0.9× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$215,299.29	$247,594.18	$215,299.29	nat. median $210,669 1.0× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$107,679.82	$245,483.60	$213,464.00	nat. median $171,094 1.2× median
161-4 OTHER	Implantable Heart Assist Systems	6	$202,241.64	$232,577.89	$202,241.64	nat. median $202,242 1.0× median
002-4 OTHER	Heart And/or Lung Transplant	6	$176,539.22	$226,017.48	$196,536.94	nat. median $216,800 0.9× median
583-2 OTHER	Neonate With Ecmo	6	$178,836.98	$215,450.87	$187,348.58	nat. median $191,347 1.0× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$68,693.77	$199,866.37	$173,796.84	nat. median $86,371 outlier · 2.0×
583-1 OTHER	Neonate With Ecmo	6	$159,928.33	$196,536.09	$170,900.95	nat. median $171,226 1.0× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$165,000.00	$189,750.00	$165,000.00	nat. median $169,856 1.0× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	23	$10,168.31	$256,451.08	$164,295.75	nat. median $150,232 1.1× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	6	$147,760.06	$183,401.99	$159,479.99	nat. median $151,691 1.1× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	23	$8,326.02	$238,569.39	$156,343.76	nat. median $134,983 1.2× median
161-3 OTHER	Implantable Heart Assist Systems	6	$152,950.43	$179,401.35	$156,001.17	nat. median $152,491 1.0× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	6	$133,615.15	$172,310.93	$149,835.59	nat. median $172,311 0.9× median
14 OTHER	Allogeneic Bone Marrow Transplant	22	$7,802.92	$221,209.38	$140,484.43	nat. median $100,915 1.4× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	$134,202.70	$159,850.00	$139,000.00	nat. median $150,954 0.9× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$132,000.00	$151,800.00	$132,000.00	nat. median $165,000 0.8× median
002-3 OTHER	Heart And/or Lung Transplant	6	$130,623.46	$151,260.48	$131,530.85	nat. median $133,471 1.0× median
014 OTHER	Allogeneic Bone Marrow Transplant	22	$9,301.33	$222,504.83	$131,231.78	nat. median $105,808 1.2× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$130,000.00	$149,500.00	$130,000.00	nat. median $153,523 0.8× median
863-4 OTHER	Neonatal Aftercare	6	$122,116.81	$146,008.53	$126,963.94	nat. median $108,047 1.2× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	23	$3,800.00	$209,802.07	$123,760.49	nat. median $117,167 1.1× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$121,000.00	$139,150.00	$121,000.00	nat. median $151,250 0.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$120,000.00	$138,000.00	$120,000.00	nat. median $156,696 0.8× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	6	$120,000.00	$138,000.00	$120,000.00	nat. median $124,561 1.0× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	$120,000.00	$138,000.00	$120,000.00	nat. median $108,000 1.1× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	23	$9,124.84	$201,328.00	$118,562.17	nat. median $90,581 1.3× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	23	$3,800.00	$186,055.42	$118,207.79	nat. median $111,558 1.1× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	21	$11,584.74	$179,803.32	$114,245.92	nat. median $94,894 1.2× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	21	$12,006.03	$190,893.26	$112,639.05	nat. median $104,489 1.1× median
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	$62,271.99	$126,627.04	$110,110.47	nat. median $87,912 1.3× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$110,000.00	$126,500.00	$110,000.00	nat. median $110,000 1.0× median
161-1 OTHER	Implantable Heart Assist Systems	6	$109,991.74	$126,490.50	$109,991.74	nat. median $101,352 1.1× median
161-2 OTHER	Implantable Heart Assist Systems	6	$109,991.74	$129,460.41	$109,991.74	nat. median $109,992 1.0× median
215 OTHER	Other Heart Assist System Implant	25	$4,850.00	$184,348.40	$108,789.62	nat. median $92,359 1.2× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	$97,139.35	$122,964.82	$106,925.93	nat. median $106,926 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	27	$16,263.72	$181,123.18	$104,789.55	nat. median $90,130 1.2× median

Other procedures at this hospital

Browse this hospital's 8,941 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

018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	46	23	—	—	$215,839.74	$799,505.88	$579,256.76	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	23	—	—	$255,142.68	$675,255.89	$551,195.09	2026-05-06
007	OTHER	Lung Transplant	42	21	—	—	$16,217.12	$477,071.91	$378,010.42	2026-05-24
7	OTHER	Lung Transplant	21	21	—	—	$9,920.16	$452,753.59	$369,560.56	2026-05-06
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	46	23	—	—	$3,800.00	$518,847.15	$305,528.93	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	23	23	—	—	$3,800.00	$475,590.54	$301,682.74	2026-05-06
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	3	1	—	—	$255,267.67	$262,259.77	$262,259.77	2026-05-24
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	6	—	—	$227,182.60	$278,391.75	$242,079.78	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	69	23	—	—	$17,367.86	$400,533.19	$239,648.38	2026-05-24
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	46	23	—	—	$15,105.63	$392,972.95	$231,494.56	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	23	23	—	—	$12,861.93	$361,848.82	$229,605.96	2026-05-06
583-3	OTHER	Neonate With Ecmo	18	6	—	—	$221,000.00	$254,150.00	$221,000.00	2026-05-24
583-4	OTHER	Neonate With Ecmo	18	6	—	—	$221,000.00	$254,150.00	$221,000.00	2026-05-24
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	6	—	—	$221,000.00	$254,150.00	$221,000.00	2026-05-24
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	6	—	—	$215,299.29	$247,594.18	$215,299.29	2026-05-24
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	6	—	—	$107,679.82	$245,483.60	$213,464.00	2026-05-24
161-4	OTHER	Implantable Heart Assist Systems	18	6	—	—	$202,241.64	$232,577.89	$202,241.64	2026-05-24
002-4	OTHER	Heart And/or Lung Transplant	18	6	—	—	$176,539.22	$226,017.48	$196,536.94	2026-05-24
583-2	OTHER	Neonate With Ecmo	18	6	—	—	$178,836.98	$215,450.87	$187,348.58	2026-05-24
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	6	—	—	$68,693.77	$199,866.37	$173,796.84	2026-05-24
583-1	OTHER	Neonate With Ecmo	18	6	—	—	$159,928.33	$196,536.09	$170,900.95	2026-05-24
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	6	—	—	$165,000.00	$189,750.00	$165,000.00	2026-05-24
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	46	23	—	—	$10,168.31	$256,451.08	$164,295.75	2026-05-24
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	18	6	—	—	$147,760.06	$183,401.99	$159,479.99	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	23	23	—	—	$8,326.02	$238,569.39	$156,343.76	2026-05-06
161-3	OTHER	Implantable Heart Assist Systems	18	6	—	—	$152,950.43	$179,401.35	$156,001.17	2026-05-24
007-4	OTHER	Allogeneic Bone Marrow Transplant	18	6	—	—	$133,615.15	$172,310.93	$149,835.59	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	22	22	—	—	$7,802.92	$221,209.38	$140,484.43	2026-05-06
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	6	—	—	$134,202.70	$159,850.00	$139,000.00	2026-05-24
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	6	—	—	$132,000.00	$151,800.00	$132,000.00	2026-05-24
002-3	OTHER	Heart And/or Lung Transplant	18	6	—	—	$130,623.46	$151,260.48	$131,530.85	2026-05-24
014	OTHER	Allogeneic Bone Marrow Transplant	44	22	—	—	$9,301.33	$222,504.83	$131,231.78	2026-05-24
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	6	—	—	$130,000.00	$149,500.00	$130,000.00	2026-05-24
863-4	OTHER	Neonatal Aftercare	18	6	—	—	$122,116.81	$146,008.53	$126,963.94	2026-05-24
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	46	23	—	—	$3,800.00	$209,802.07	$123,760.49	2026-05-24
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	6	—	—	$121,000.00	$139,150.00	$121,000.00	2026-05-24
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	18	6	—	—	$120,000.00	$138,000.00	$120,000.00	2026-05-24
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	6	—	—	$120,000.00	$138,000.00	$120,000.00	2026-05-24
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	6	—	—	$120,000.00	$138,000.00	$120,000.00	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	69	23	—	—	$9,124.84	$201,328.00	$118,562.17	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	23	23	—	—	$3,800.00	$186,055.42	$118,207.79	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	21	21	—	—	$11,584.74	$179,803.32	$114,245.92	2026-05-06
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	42	21	—	—	$12,006.03	$190,893.26	$112,639.05	2026-05-24
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	6	—	—	$62,271.99	$126,627.04	$110,110.47	2026-05-24
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	6	—	—	$110,000.00	$126,500.00	$110,000.00	2026-05-24
161-1	OTHER	Implantable Heart Assist Systems	18	6	—	—	$109,991.74	$126,490.50	$109,991.74	2026-05-24
161-2	OTHER	Implantable Heart Assist Systems	18	6	—	—	$109,991.74	$129,460.41	$109,991.74	2026-05-24
215	OTHER	Other Heart Assist System Implant	75	25	—	—	$4,850.00	$184,348.40	$108,789.62	2026-05-24
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	18	6	—	—	$97,139.35	$122,964.82	$106,925.93	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	81	27	—	—	$16,263.72	$181,123.18	$104,789.55	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	69	23	—	—	$8,703.77	$142,366.40	$104,104.56	2026-05-24
002-2	OTHER	Heart And/or Lung Transplant	18	6	—	—	$94,013.54	$116,752.21	$101,523.66	2026-05-24
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$100,000.00	$115,000.00	$100,000.00	2026-05-24
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$100,000.00	$115,000.00	$100,000.00	2026-05-24
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	6	—	—	$99,000.00	$113,850.00	$99,000.00	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	69	23	—	—	$32,627.10	$164,063.96	$96,684.54	2026-05-24
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	18	6	—	—	$85,460.85	$109,783.75	$95,464.13	2026-05-24
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	6	—	—	$95,000.00	$109,250.00	$95,000.00	2026-05-24
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	18	6	—	—	$93,000.00	$106,950.00	$93,000.00	2026-05-24
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	18	6	—	—	$83,517.10	$106,403.14	$92,524.47	2026-05-24
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$92,000.00	$105,800.00	$92,000.00	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	69	23	—	—	$16,787.01	$155,584.35	$91,706.18	2026-05-24
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	6	—	—	$91,000.00	$104,650.00	$91,000.00	2026-05-24
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	6	—	—	$89,206.21	$104,650.00	$91,000.00	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	84	28	—	—	$11,634.13	$156,074.98	$90,660.88	2026-05-24
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	18	6	—	—	$90,000.00	$103,500.00	$90,000.00	2026-05-24
007-3	OTHER	Allogeneic Bone Marrow Transplant	18	6	—	—	$76,591.87	$102,664.11	$89,273.14	2026-05-24
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$89,000.00	$102,350.00	$89,000.00	2026-05-24
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	6	—	—	$88,000.00	$101,200.00	$88,000.00	2026-05-24
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	6	—	—	$42,012.78	$100,050.00	$87,000.00	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	23	23	—	—	$15,861.19	$136,102.74	$86,553.39	2026-05-06
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	46	23	—	—	$13,517.25	$145,686.52	$86,050.20	2026-05-24
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$80,114.04	$98,900.00	$86,000.00	2026-05-24
10	OTHER	Pancreas Transplant	21	21	—	—	$15,419.21	$134,615.27	$85,610.78	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	23	23	—	—	$14,505.68	$133,843.68	$85,121.84	2026-05-06
006-4	OTHER	Pancreas Transplant	18	6	—	—	$85,000.00	$97,750.00	$85,000.00	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	81	27	—	—	$18,397.19	$142,159.52	$83,091.15	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	84	28	—	—	$15,551.27	$141,546.69	$82,877.42	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	69	23	—	—	$11,166.78	$141,078.27	$82,527.11	2026-05-24
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	6	—	—	$80,771.14	$92,886.81	$80,771.14	2026-05-24
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	6	—	—	$79,593.57	$92,783.18	$80,681.03	2026-05-24
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	6	—	—	$72,718.39	$92,000.00	$80,000.00	2026-05-24
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	6	—	—	$80,000.00	$92,000.00	$80,000.00	2026-05-24
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$80,000.00	$92,000.00	$80,000.00	2026-05-24
006	OTHER	Liver Transplant Without Mcc	42	21	—	—	$16,010.34	$109,043.69	$79,781.70	2026-05-24
006-3	OTHER	Pancreas Transplant	18	6	—	—	$79,144.95	$91,016.69	$79,144.95	2026-05-24
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	6	—	—	$79,000.00	$90,850.00	$79,000.00	2026-05-24
008	OTHER	Simultaneous Pancreas And Kidney Transplant	42	21	—	—	$15,141.78	$108,042.63	$78,870.52	2026-05-24
010	OTHER	Pancreas Transplant	42	21	—	—	$32,310.55	$132,854.15	$78,502.68	2026-05-24
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	46	23	—	—	$16,335.03	$132,093.21	$78,055.14	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	69	23	—	—	$7,349.23	$132,798.61	$76,935.33	2026-05-24
440-4	OTHER	Kidney Transplant	18	6	—	—	$76,896.47	$88,430.94	$76,896.47	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	72	24	—	—	$4,850.00	$132,015.45	$76,634.55	2026-05-24
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	18	6	—	—	$73,704.27	$87,578.78	$76,155.46	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	69	23	—	—	$10,238.56	$127,968.19	$75,492.81	2026-05-24
007-1	OTHER	Allogeneic Bone Marrow Transplant	18	6	—	—	$59,476.48	$85,867.14	$74,667.08	2026-05-24
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	6	—	—	$65,623.01	$85,817.16	$74,623.62	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	69	23	—	—	$9,098.62	$119,134.94	$73,858.84	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	81	27	—	—	$6,652.47	$127,340.55	$73,789.32	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	69	23	—	—	$29,454.65	$124,622.63	$73,528.63	2026-05-24
6	OTHER	Liver Transplant Without Mcc	21	21	—	—	$16,579.32	$89,632.54	$73,135.22	2026-05-06
459	OTHER	Spinal Fusion Except Cervical With Mcc	69	23	—	—	$22,487.20	$122,793.40	$72,454.70	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	21	21	—	—	$13,993.80	$91,866.94	$71,062.58	2026-05-06
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	18	6	—	—	$70,285.20	$81,656.32	$71,005.50	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	81	27	—	—	$23,000.00	$121,738.08	$70,560.07	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	81	27	—	—	$16,677.58	$121,738.08	$70,560.07	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	69	23	—	—	$8,845.96	$121,295.58	$70,305.01	2026-05-24
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	6	—	—	$70,000.00	$80,500.00	$70,000.00	2026-05-24
006-2	OTHER	Pancreas Transplant	18	6	—	—	$66,925.17	$76,963.95	$66,925.17	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	69	23	—	—	$38,779.41	$113,239.94	$66,845.88	2026-05-24
007-2	OTHER	Allogeneic Bone Marrow Transplant	18	6	—	—	$60,331.25	$76,412.91	$66,446.01	2026-05-24
178-4	OTHER	External Heart Assist Systems	18	6	—	—	$66,228.69	$76,162.99	$66,228.69	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	81	27	—	—	$23,000.00	$113,463.97	$65,790.89	2026-05-24
028	OTHER	Spinal Procedures With Mcc	46	23	—	—	$11,525.97	$111,240.38	$65,790.30	2026-05-24
276	OTHER	Non-maligant Breast Disorders	69	23	—	—	$27,240.95	$111,208.91	$65,771.80	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	84	28	—	—	$18,181.30	$112,245.72	$65,376.56	2026-05-24
28	OTHER	Spinal Procedures With Mcc	23	23	—	—	$11,777.82	$102,645.62	$65,351.99	2026-05-06
570	OTHER	Skin Debridement With Mcc	69	23	—	—	$4,600.85	$91,614.67	$65,282.09	2026-05-24
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	18	6	—	—	$64,857.32	$74,874.38	$65,108.16	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	69	23	—	—	$4,206.09	$110,040.65	$64,967.58	2026-05-24
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	46	23	—	—	$7,494.81	$109,785.15	$64,934.38	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	23	23	—	—	$6,010.51	$101,909.48	$64,885.52	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	23	23	—	—	$8,510.90	$101,909.48	$64,885.52	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	69	23	—	—	$10,282.34	$108,583.56	$64,112.13	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	69	23	—	—	$23,133.53	$110,403.53	$64,026.86	2026-05-24
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	18	6	—	—	$63,659.01	$73,207.86	$63,659.01	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	84	28	—	—	$17,473.45	$108,653.91	$63,140.42	2026-05-24
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	23	—	—	$12,238.96	$106,093.36	$62,763.02	2026-05-24
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	3	1	—	—	$46,856.93	$62,426.90	$62,426.90	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	69	23	—	—	$15,145.21	$103,611.38	$62,296.75	2026-05-24
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	6	—	—	$60,537.43	$71,315.79	$62,013.73	2026-05-24
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	6	—	—	$62,000.00	$71,300.00	$62,000.00	2026-05-24
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	6	—	—	$58,078.22	$70,689.17	$61,468.84	2026-05-24
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	18	6	—	—	$61,446.58	$70,663.57	$61,446.58	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	23	23	—	—	$11,492.47	$96,324.29	$61,346.25	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	69	23	—	—	$7,800.51	$105,523.12	$61,213.78	2026-05-24
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	6	—	—	$56,846.12	$69,474.93	$60,412.98	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	69	23	—	—	$8,256.07	$101,642.49	$60,037.04	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	69	23	—	—	$11,020.96	$101,283.31	$59,826.16	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	69	23	—	—	$17,392.33	$103,055.14	$59,791.25	2026-05-24
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	46	23	—	—	$13,414.18	$100,979.67	$59,755.34	2026-05-24
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	6	—	—	$36,357.69	$68,590.30	$59,643.74	2026-05-24
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	46	23	—	—	$12,762.10	$100,576.06	$59,517.95	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	23	23	—	—	$9,115.76	$93,322.34	$59,443.94	2026-05-06
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$58,284.41	$67,864.48	$59,012.59	2026-05-24
183-4	OTHER	Percutaneous Structural Cardiac Procedures	18	6	—	—	$58,768.76	$67,584.07	$58,768.76	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	84	28	—	—	$18,597.72	$101,138.90	$58,686.73	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	23	23	—	—	$11,033.34	$91,103.79	$58,038.08	2026-05-06
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	46	23	—	—	$11,229.90	$98,011.81	$58,009.75	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	69	23	—	—	$9,256.48	$96,208.50	$57,902.76	2026-05-24
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	6	—	—	$56,264.59	$66,531.99	$57,853.90	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	81	27	—	—	$21,452.92	$98,733.87	$57,300.47	2026-05-24
910-4	OTHER	Craniotomy For Multiple Significant Trauma	18	6	—	—	$56,988.86	$65,537.19	$56,988.86	2026-05-24
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$56,954.93	$65,498.17	$56,954.93	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	81	27	—	—	$4,322.89	$97,687.80	$56,697.53	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	69	23	—	—	$15,634.87	$96,375.13	$56,439.27	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	69	23	—	—	$9,576.66	$91,093.66	$55,329.31	2026-05-24
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	18	6	—	—	$55,046.75	$63,303.76	$55,046.75	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	69	23	—	—	$6,280.74	$88,948.98	$55,042.96	2026-05-24
179-4	OTHER	Defibrillator Implants	18	6	—	—	$54,992.69	$63,241.59	$54,992.69	2026-05-24
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	6	—	—	$54,746.74	$62,958.75	$54,746.74	2026-05-24
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	18	6	—	—	$51,481.29	$62,925.84	$54,718.12	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	71	24	—	—	$10,530.31	$92,338.98	$54,647.53	2026-05-24
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	18	6	—	—	$54,426.59	$62,590.58	$54,426.59	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	81	27	—	—	$21,745.18	$93,316.54	$54,177.95	2026-05-24
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	18	6	—	—	$54,074.64	$62,185.84	$54,074.64	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	71	24	—	—	$9,562.28	$91,435.47	$54,044.53	2026-05-24
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	18	6	—	—	$54,029.06	$64,981.43	$54,029.06	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	69	23	—	—	$7,185.45	$91,122.58	$53,957.78	2026-05-24
091-4	OTHER	Other Major Head And Neck Procedures	18	6	—	—	$53,845.66	$61,922.51	$53,845.66	2026-05-24
178-3	OTHER	External Heart Assist Systems	18	6	—	—	$51,747.53	$61,760.37	$53,704.67	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	78	26	—	—	$15,627.30	$91,598.40	$53,623.63	2026-05-24
213	OTHER	Splenic Procedures Age 0-17	3	1	—	—	$16,128.37	$53,166.47	$53,166.47	2026-05-24
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	18	6	—	—	$52,992.28	$60,941.12	$52,992.28	2026-05-24
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$48,810.89	$60,622.93	$52,715.59	2026-05-24
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	18	6	—	—	$50,296.23	$60,168.21	$52,320.18	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	75	25	—	—	$4,850.00	$89,400.73	$52,275.54	2026-05-24
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	18	6	—	—	$51,543.35	$60,074.33	$52,238.55	2026-05-24
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	18	6	—	—	$52,004.27	$60,166.10	$52,004.27	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	69	23	—	—	$11,386.13	$82,978.07	$51,759.23	2026-05-24
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	6	—	—	$45,225.67	$59,413.57	$51,663.97	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	69	23	—	—	$11,747.44	$86,606.90	$51,301.83	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	81	27	—	—	$4,408.91	$88,143.60	$51,196.27	2026-05-24
440-3	OTHER	Kidney Transplant	18	6	—	—	$48,930.00	$58,866.19	$51,187.99	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	75	25	—	—	$4,850.00	$86,866.11	$51,169.25	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	69	23	—	—	$13,548.77	$85,509.00	$50,565.12	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	72	24	—	—	$3,826.92	$87,043.84	$50,562.37	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	69	23	—	—	$46,679.47	$85,270.16	$50,424.88	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	69	23	—	—	$8,816.27	$85,101.68	$50,325.96	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	69	23	—	—	$6,893.97	$84,885.06	$50,289.10	2026-05-24
245	OTHER	Aicd Generator Procedures	78	26	—	—	$3,800.00	$84,470.34	$50,045.18	2026-05-24
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	6	—	—	$50,021.00	$57,524.15	$50,021.00	2026-05-24
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	18	6	—	—	$50,000.00	$57,500.00	$50,000.00	2026-05-24
002-1	OTHER	Heart And/or Lung Transplant	18	6	—	—	$50,000.00	$57,500.00	$50,000.00	2026-05-24
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	6	—	—	$50,000.00	$57,500.00	$50,000.00	2026-05-24
006-1	OTHER	Pancreas Transplant	18	6	—	—	$50,000.00	$57,500.00	$50,000.00	2026-05-24
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	6	—	—	$30,752.65	$57,500.00	$50,000.00	2026-05-24
588-1	OTHER	Female Reproductive System Reconstructive Procedures	18	6	—	—	$50,000.00	$57,500.00	$50,000.00	2026-05-24
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	6	—	—	$43,531.14	$57,467.86	$49,972.05	2026-05-24
1318042	OTHER	Generator Vagus Nrv Stimulator	90	27	$230,000.00	$230,000.00	$2,476.00	$230,000.00	$49,910.00	2026-05-24
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	46	23	—	—	$15,366.88	$84,179.66	$49,874.23	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	69	23	—	—	$9,207.43	$84,216.69	$49,806.41	2026-05-24
169-4	OTHER	Major Abdominal Vascular Procedures	18	6	—	—	$49,701.73	$57,156.99	$49,701.73	2026-05-24
799	OTHER	Splenectomy With Mcc	69	23	—	—	$12,228.70	$83,850.10	$49,680.39	2026-05-24
021-4	OTHER	Open Craniotomy Except Trauma	18	6	—	—	$49,641.30	$57,087.49	$49,641.30	2026-05-24
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	6	—	—	$12,763.48	$56,953.39	$49,524.69	2026-05-24
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	6	—	—	$49,432.46	$57,689.87	$49,432.46	2026-05-24
031	OTHER	Ventricular Shunt Procedures With Mcc	46	23	—	—	$8,731.55	$82,954.00	$49,153.33	2026-05-24
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	6	—	—	$49,059.31	$68,748.82	$49,059.31	2026-05-24
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	6	—	—	$47,198.44	$56,270.70	$48,931.04	2026-05-24
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	6	—	—	$34,539.06	$56,220.71	$48,887.57	2026-05-24
232-4	OTHER	Gastric Fundoplication	21	7	—	—	$21,000.00	$68,815.88	$48,638.45	2026-05-24
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	18	6	—	—	$46,299.63	$55,818.40	$48,537.74	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	23	23	—	—	$13,566.63	$75,509.83	$48,156.38	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	72	24	—	—	$4,850.00	$82,628.15	$48,017.17	2026-05-24
483-4	OTHER	Penis, Testes And Scrotal Procedures	18	6	—	—	$47,990.73	$55,189.34	$47,990.73	2026-05-24
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	18	6	—	—	$46,004.37	$55,129.60	$47,938.78	2026-05-24
023-4	OTHER	Spinal Procedures	18	6	—	—	$47,896.38	$55,080.84	$47,896.38	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	69	23	—	—	$8,619.42	$81,330.28	$47,313.56	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	69	23	—	—	$12,184.30	$80,119.44	$47,244.20	2026-05-24
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	18	6	—	—	$47,159.61	$54,233.55	$47,159.61	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	69	23	—	—	$8,700.12	$79,480.69	$47,110.47	2026-05-24
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	18	6	—	—	$45,882.26	$54,048.24	$46,998.47	2026-05-24
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	18	6	—	—	$46,961.37	$54,005.58	$46,961.37	2026-05-24
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	18	6	—	—	$46,725.01	$53,971.44	$46,931.69	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	69	23	—	—	$4,558.27	$78,969.69	$46,725.90	2026-05-24
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	46	23	—	—	$10,642.03	$78,056.93	$46,273.07	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	69	23	—	—	$3,933.95	$77,697.75	$46,086.66	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	69	23	—	—	$7,182.67	$77,790.32	$46,033.50	2026-05-24
089-4	OTHER	Major Cranial Or Facial Bone Procedures	18	6	—	—	$45,836.60	$52,712.09	$45,836.60	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	69	23	—	—	$31,426.46	$77,253.40	$45,800.46	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	69	23	—	—	$23,070.30	$77,197.86	$45,685.66	2026-05-24
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	21	7	—	—	$21,000.00	$52,495.10	$45,647.91	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	69	23	—	—	$13,181.44	$78,018.05	$45,597.20	2026-05-24
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	18	6	—	—	$43,255.90	$52,364.65	$45,534.48	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	81	27	—	—	$5,908.39	$78,190.23	$45,459.16	2026-05-24
401-4	OTHER	Adrenal Procedures	18	6	—	—	$42,748.44	$52,089.12	$45,294.89	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	23	23	—	—	$12,063.72	$70,753.64	$45,142.43	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	84	28	—	—	$19,017.18	$77,553.34	$45,092.05	2026-05-24
690-4	OTHER	Acute Leukemia	18	6	—	—	$45,078.63	$51,840.42	$45,078.63	2026-05-24
120-4	OTHER	Major Respiratory And Chest Procedures	18	6	—	—	$44,991.70	$51,740.45	$44,991.70	2026-05-24
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	18	6	—	—	$44,744.70	$51,456.40	$44,744.70	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	72	24	—	—	$5,444.00	$76,890.52	$44,710.00	2026-05-24
791	OTHER	Prematurity With Major Problems	69	23	—	—	$2,740.79	$75,150.16	$44,483.46	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	69	23	—	—	$14,645.50	$76,381.37	$44,416.54	2026-05-24
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	6	—	—	$43,960.53	$50,917.56	$44,276.14	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	23	23	—	—	$9,360.73	$69,286.43	$44,212.68	2026-05-06
440-2	OTHER	Kidney Transplant	18	6	—	—	$43,019.68	$50,810.28	$44,182.85	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	69	23	—	—	$13,195.44	$73,054.91	$44,045.57	2026-05-24
020-4	OTHER	Open Craniotomy For Trauma	18	6	—	—	$43,983.55	$50,581.08	$43,983.55	2026-05-24
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	3	1	—	—	$24,820.27	$43,645.70	$43,645.70	2026-05-24
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	6	—	—	$42,036.80	$50,082.47	$43,549.97	2026-05-24
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	18	6	—	—	$43,474.70	$49,995.90	$43,474.70	2026-05-24
441-4	OTHER	Major Bladder Procedures	18	6	—	—	$43,454.56	$49,972.74	$43,454.56	2026-05-24
178-2	OTHER	External Heart Assist Systems	18	6	—	—	$43,293.42	$49,787.43	$43,293.42	2026-05-24
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	23	—	—	$20,398.75	$72,426.68	$42,961.58	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	69	23	—	—	$8,420.43	$73,763.43	$42,907.56	2026-05-24
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	18	6	—	—	$42,835.46	$49,260.78	$42,835.46	2026-05-24
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	18	6	—	—	$38,867.95	$49,110.83	$42,705.07	2026-05-24
034	OTHER	Carotid Artery Stent Procedures With Mcc	46	23	—	—	$15,608.09	$71,663.89	$42,512.94	2026-05-24
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	66	22	—	—	$4,836.10	$71,556.51	$42,449.76	2026-05-24
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	50	25	—	—	$3,800.00	$71,488.00	$42,409.46	2026-05-24
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	6	—	—	$34,479.00	$48,540.28	$42,208.94	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Mcc	72	24	—	—	$5,444.00	$71,082.54	$42,171.00	2026-05-24
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	6	6	—	—	$42,072.83	$42,072.83	$42,072.83	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	23	23	—	—	$14,104.09	$65,656.39	$41,912.38	2026-05-06
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	18	6	—	—	$41,632.25	$47,877.09	$41,632.25	2026-05-24
261-4	OTHER	Major Biliary Tract Procedures	18	6	—	—	$41,597.26	$47,836.85	$41,597.26	2026-05-24
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	6	—	—	$41,023.89	$47,822.22	$41,584.54	2026-05-24
183-3	OTHER	Percutaneous Structural Cardiac Procedures	18	6	—	—	$40,327.26	$47,619.86	$41,408.57	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	69	23	—	—	$13,954.56	$69,669.88	$41,266.00	2026-05-24
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	69	23	—	—	$7,270.79	$68,999.66	$41,079.72	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	69	23	—	—	$38,666.94	$273,195.63	$41,064.63	2026-05-24
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	23	23	—	—	$15,401.78	$64,187.49	$40,981.55	2026-05-06
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	18	6	—	—	$40,936.82	$47,077.34	$40,936.82	2026-05-24
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	6	—	—	$40,761.91	$51,862.63	$40,761.91	2026-05-24
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	25	25	—	—	$3,800.00	$63,687.73	$40,664.84	2026-05-06
179-3	OTHER	Defibrillator Implants	21	7	—	—	$3,000.00	$46,687.23	$40,597.59	2026-05-24
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	69	23	—	—	$10,571.20	$67,213.09	$40,556.25	2026-05-24
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	69	23	—	—	$11,480.39	$66,482.01	$40,463.24	2026-05-24
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	69	23	—	—	$7,403.40	$69,366.25	$40,373.03	2026-05-24
440-1	OTHER	Kidney Transplant	18	6	—	—	$38,573.69	$46,420.24	$40,365.43	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	69	23	—	—	$10,844.76	$68,005.43	$40,361.16	2026-05-24
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	69	23	—	—	$28,814.22	$69,194.06	$40,273.77	2026-05-24
460	OTHER	Spinal Fusion Except Cervical Without Mcc	69	23	—	—	$34,087.89	$67,724.01	$40,123.59	2026-05-24
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	18	6	—	—	$40,070.72	$46,081.33	$40,070.72	2026-05-24
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	18	6	—	—	$38,970.04	$45,955.76	$39,961.53	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	69	23	—	—	$5,034.17	$68,610.86	$39,937.62	2026-05-24
178-1	OTHER	External Heart Assist Systems	21	7	—	—	$3,000.00	$45,679.02	$39,720.89	2026-05-24
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	46	23	—	—	$8,592.35	$66,870.50	$39,693.63	2026-05-24
265	OTHER	Aicd Lead Procedures	69	23	—	—	$14,393.35	$66,988.99	$39,623.51	2026-05-24
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	69	23	—	—	$10,161.67	$67,977.66	$39,572.64	2026-05-24
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	69	23	—	—	$36,838.23	$65,896.64	$39,569.47	2026-05-24
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	69	23	—	—	$6,915.77	$65,256.24	$39,487.28	2026-05-24
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	23	23	—	—	$6,365.10	$61,604.26	$39,344.57	2026-05-06
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	18	6	—	—	$39,182.36	$45,059.71	$39,182.36	2026-05-24
335	OTHER	Peritoneal Adhesiolysis With Mcc	69	23	—	—	$7,754.50	$66,113.26	$39,177.92	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	69	23	—	—	$35,589.04	$65,959.59	$39,157.87	2026-05-24
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	69	23	—	—	$5,355.85	$67,179.69	$39,112.70	2026-05-24
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	69	23	—	—	$7,757.48	$67,127.85	$39,110.46	2026-05-24

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