Hospital

AHMC SETON MEDICAL CENTER

Daly City, CA · CCN 050289 · Rates published

9,100 distinct procedures filed

58 distinct payers

494,515 rate rows

2026-05-06 last MRF observed

Data quality

466,036 of 494,515 rate rows are consumer-grade (94.2%)

28,479 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	20,082
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	6,970
exceeds 10× this hospital's gross charge — excluded from medians	977
template filing: same amount across many unrelated codes — excluded	404
placeholder amount (≤ $0.02) — excluded from medians	46

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

Source MRF file	https://www.ahmchealth.com/docs/PricingTransparency-Seton_Medical_Center-2367-20250211205037.csv
Found on page	https://www.ahmchealth.com/smc/getpage.php?name=Price_Transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	33b4eb115dd32716… · 276,132,165 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
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	29	$202,673.24	$2,860,061.00	$462,198.02	nat. median $424,868 1.1× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	27	$223,204.97	$717,444.56	$312,520.48	nat. median $263,894 1.2× median
007 OTHER	Lung Transplant	27	$193,182.64	$672,163.58	$292,798.10	nat. median $141,082 outlier · 2.1×
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	$23,008.91	$604,460.32	$263,309.57	nat. median $146,562 1.8× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	$259,594.55	$259,594.55	$259,594.55	nat. median $210,669 1.2× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	$256,025.31	$256,025.31	$256,025.31	nat. median $203,379 1.3× median
161-4 OTHER	Implantable Heart Assist Systems	9	$247,898.96	$247,898.96	$247,898.96	nat. median $202,242 1.2× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	29	$17,684.81	$546,228.49	$237,946.38	nat. median $218,232 1.1× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$221,000.00	$221,000.00	$221,000.00	nat. median $267,493 0.8× median
583-4 OTHER	Neonate With Ecmo	9	$221,000.00	$221,000.00	$221,000.00	nat. median $309,400 0.7× median
583-3 OTHER	Neonate With Ecmo	9	$221,000.00	$221,000.00	$221,000.00	nat. median $259,487 0.9× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	$219,846.35	$219,846.35	$219,846.35	nat. median $0
583-2 OTHER	Neonate With Ecmo	9	$201,501.78	$201,501.78	$201,501.78	nat. median $191,347 1.1× median
002-4 OTHER	Heart And/or Lung Transplant	9	$198,669.88	$198,669.88	$198,669.88	nat. median $216,800 0.9× median
583-1 OTHER	Neonate With Ecmo	9	$178,399.18	$178,399.18	$178,399.18	nat. median $171,226 1.0× median
161-3 OTHER	Implantable Heart Assist Systems	9	$170,338.90	$170,338.90	$170,338.90	nat. median $152,491 1.1× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	$165,000.00	$165,000.00	$165,000.00	nat. median $169,856 1.0× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	9	$164,242.21	$164,242.21	$164,242.21	nat. median $151,691 1.1× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	29	$11,433.09	$360,655.31	$157,118.95	nat. median $150,232 1.0× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	9	$154,364.51	$154,364.51	$154,364.51	nat. median $172,311 0.9× median
161-2 OTHER	Implantable Heart Assist Systems	9	$149,066.24	$149,066.24	$149,066.24	nat. median $109,992 1.4× median
014 OTHER	Allogeneic Bone Marrow Transplant	28	$104,073.88	$334,523.18	$145,736.95	nat. median $105,808 1.4× median
863-4 OTHER	Neonatal Aftercare	9	$141,734.50	$141,734.50	$141,734.50	nat. median $108,047 1.3× median
002-3 OTHER	Heart And/or Lung Transplant	9	$140,000.00	$140,000.00	$140,000.00	nat. median $133,471 1.0× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	$139,000.00	$139,000.00	$139,000.00	nat. median $150,954 0.9× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$132,000.00	$132,000.00	$132,000.00	nat. median $165,000 0.8× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	$131,563.25	$131,563.25	$131,563.25	nat. median $171,094 0.8× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$130,000.00	$130,000.00	$130,000.00	nat. median $153,523 0.8× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	27	$87,610.68	$281,605.77	$122,688.48	nat. median $117,167 1.0× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	29	$21,703.61	$278,408.52	$121,295.90	nat. median $90,581 1.3× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$121,000.00	$121,000.00	$121,000.00	nat. median $151,250 0.8× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	$120,000.00	$120,000.00	$120,000.00	nat. median $108,000 1.1× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	$120,000.00	$120,000.00	$120,000.00	nat. median $156,696 0.8× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	9	$120,000.00	$120,000.00	$120,000.00	nat. median $124,561 1.0× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	9	$118,684.89	$118,684.89	$118,684.89	nat. median $106,926 1.1× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	27	$84,682.70	$272,194.40	$118,589.30	nat. median $104,489 1.1× median
161-1 OTHER	Implantable Heart Assist Systems	9	$117,988.01	$117,988.01	$117,988.01	nat. median $101,352 1.2× median
215 OTHER	Other Heart Assist System Implant	35	$14,676.00	$270,806.71	$117,984.89	nat. median $92,359 1.3× median
002-2 OTHER	Heart And/or Lung Transplant	9	$114,865.77	$114,865.77	$114,865.77	nat. median $106,681 1.1× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	$110,000.00	$110,000.00	$110,000.00	nat. median $110,000 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	36	$14,676.00	$246,822.23	$107,538.31	nat. median $90,130 1.2× median
633-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	9	$104,416.09	$104,416.09	$104,416.09	nat. median $74,597 1.4× median
842-4 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	9	$102,041.22	$102,041.22	$102,041.22	nat. median $83,517 1.2× median
162-4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	$101,497.03	$101,497.03	$101,497.03	nat. median $80,850 1.3× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	$100,000.00	$100,000.00	$100,000.00	nat. median $100,015 1.0× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	$100,000.00	$100,000.00	$100,000.00	nat. median $125,000 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$99,000.00	$99,000.00	$99,000.00	nat. median $112,711 0.9× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	36	$17,250.00	$226,751.69	$98,796.48	nat. median $65,342 1.5× median
609-3 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	$97,247.45	$97,247.45	$97,247.45	nat. median $83,785 1.2× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	$95,000.00	$95,000.00	$95,000.00	nat. median $95,000 1.0× median

Other procedures at this hospital

Browse this hospital's 9,100 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

630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$259,594.55	$259,594.55	$259,594.55	2026-05-06
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$256,025.31	$256,025.31	$256,025.31	2026-05-06
161-4	OTHER	Implantable Heart Assist Systems	9	9	—	—	$247,898.96	$247,898.96	$247,898.96	2026-05-06
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	32	27	—	—	$223,204.97	$717,444.56	$312,520.48	2026-05-06
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$221,000.00	$221,000.00	$221,000.00	2026-05-06
583-3	OTHER	Neonate With Ecmo	9	9	—	—	$221,000.00	$221,000.00	$221,000.00	2026-05-06
583-4	OTHER	Neonate With Ecmo	9	9	—	—	$221,000.00	$221,000.00	$221,000.00	2026-05-06
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	1	—	—	$219,846.35	$219,846.35	$219,846.35	2026-05-06
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	34	29	—	—	$202,673.24	$2,860,061.00	$462,198.02	2026-05-06
583-2	OTHER	Neonate With Ecmo	9	9	—	—	$201,501.78	$201,501.78	$201,501.78	2026-05-06
002-4	OTHER	Heart And/or Lung Transplant	9	9	—	—	$198,669.88	$198,669.88	$198,669.88	2026-05-06
007	OTHER	Lung Transplant	32	27	—	—	$193,182.64	$672,163.58	$292,798.10	2026-05-06
583-1	OTHER	Neonate With Ecmo	9	9	—	—	$178,399.18	$178,399.18	$178,399.18	2026-05-06
161-3	OTHER	Implantable Heart Assist Systems	9	9	—	—	$170,338.90	$170,338.90	$170,338.90	2026-05-06
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$165,000.00	$165,000.00	$165,000.00	2026-05-06
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	9	9	—	—	$164,242.21	$164,242.21	$164,242.21	2026-05-06
007-4	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$154,364.51	$154,364.51	$154,364.51	2026-05-06
161-2	OTHER	Implantable Heart Assist Systems	9	9	—	—	$149,066.24	$149,066.24	$149,066.24	2026-05-06
863-4	OTHER	Neonatal Aftercare	9	9	—	—	$141,734.50	$141,734.50	$141,734.50	2026-05-06
002-3	OTHER	Heart And/or Lung Transplant	9	9	—	—	$140,000.00	$140,000.00	$140,000.00	2026-05-06
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	9	—	—	$139,000.00	$139,000.00	$139,000.00	2026-05-06
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$132,000.00	$132,000.00	$132,000.00	2026-05-06
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$131,563.25	$131,563.25	$131,563.25	2026-05-06
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$130,000.00	$130,000.00	$130,000.00	2026-05-06
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$121,000.00	$121,000.00	$121,000.00	2026-05-06
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$120,000.00	$120,000.00	$120,000.00	2026-05-06
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	9	—	—	$120,000.00	$120,000.00	$120,000.00	2026-05-06
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	9	9	—	—	$120,000.00	$120,000.00	$120,000.00	2026-05-06
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	9	9	—	—	$118,684.89	$118,684.89	$118,684.89	2026-05-06
161-1	OTHER	Implantable Heart Assist Systems	9	9	—	—	$117,988.01	$117,988.01	$117,988.01	2026-05-06
002-2	OTHER	Heart And/or Lung Transplant	9	9	—	—	$114,865.77	$114,865.77	$114,865.77	2026-05-06
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	9	—	—	$110,000.00	$110,000.00	$110,000.00	2026-05-06
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	9	9	—	—	$104,416.09	$104,416.09	$104,416.09	2026-05-06
014	OTHER	Allogeneic Bone Marrow Transplant	33	28	—	—	$104,073.88	$334,523.18	$145,736.95	2026-05-06
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	9	9	—	—	$102,041.22	$102,041.22	$102,041.22	2026-05-06
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	9	—	—	$101,497.03	$101,497.03	$101,497.03	2026-05-06
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$100,000.00	$100,000.00	$100,000.00	2026-05-06
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$100,000.00	$100,000.00	$100,000.00	2026-05-06
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$99,000.00	$99,000.00	$99,000.00	2026-05-06
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$97,247.45	$97,247.45	$97,247.45	2026-05-06
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$95,000.00	$95,000.00	$95,000.00	2026-05-06
007-3	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$93,579.98	$93,579.98	$93,579.98	2026-05-06
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	9	9	—	—	$93,000.00	$93,000.00	$93,000.00	2026-05-06
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$92,000.00	$92,000.00	$92,000.00	2026-05-06
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$91,000.00	$91,000.00	$91,000.00	2026-05-06
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	9	—	—	$91,000.00	$91,000.00	$91,000.00	2026-05-06
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	9	9	—	—	$90,051.91	$90,051.91	$90,051.91	2026-05-06
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	9	9	—	—	$90,000.00	$90,000.00	$90,000.00	2026-05-06
440-4	OTHER	Kidney Transplant	9	9	—	—	$90,000.00	$90,000.00	$90,000.00	2026-05-06
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$89,000.00	$89,000.00	$89,000.00	2026-05-06
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	9	—	—	$88,000.00	$88,000.00	$88,000.00	2026-05-06
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	32	27	—	—	$87,610.68	$281,605.77	$122,688.48	2026-05-06
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$86,000.00	$86,000.00	$86,000.00	2026-05-06
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	9	9	—	—	$85,874.48	$85,874.48	$85,874.48	2026-05-06
006-4	OTHER	Pancreas Transplant	9	9	—	—	$85,000.00	$85,000.00	$85,000.00	2026-05-06
006-3	OTHER	Pancreas Transplant	9	9	—	—	$85,000.00	$85,000.00	$85,000.00	2026-05-06
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	32	27	—	—	$84,682.70	$272,194.40	$118,589.30	2026-05-06
232-4	OTHER	Gastric Fundoplication	9	9	—	—	$84,079.27	$84,079.27	$84,079.27	2026-05-06
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$83,930.07	$83,930.07	$83,930.07	2026-05-06
178-4	OTHER	External Heart Assist Systems	9	9	—	—	$82,511.51	$82,511.51	$82,511.51	2026-05-06
006-2	OTHER	Pancreas Transplant	9	9	—	—	$82,005.23	$82,005.23	$82,005.23	2026-05-06
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$80,000.00	$80,000.00	$80,000.00	2026-05-06
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$80,000.00	$80,000.00	$80,000.00	2026-05-06
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$80,000.00	$80,000.00	$80,000.00	2026-05-06
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$80,000.00	$80,000.00	$80,000.00	2026-05-06
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	9	9	—	—	$79,542.31	$79,542.31	$79,542.31	2026-05-06
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	9	9	—	—	$79,394.34	$79,394.34	$79,394.34	2026-05-06
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	9	9	—	—	$79,242.70	$79,242.70	$79,242.70	2026-05-06
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$79,000.00	$79,000.00	$79,000.00	2026-05-06
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	9	—	—	$77,000.00	$77,000.00	$77,000.00	2026-05-06
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	9	—	—	$76,083.95	$76,083.95	$76,083.95	2026-05-06
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	9	9	—	—	$75,132.53	$75,132.53	$75,132.53	2026-05-06
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	9	9	—	—	$74,881.84	$74,881.84	$74,881.84	2026-05-06
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$73,964.66	$73,964.66	$73,964.66	2026-05-06
183-4	OTHER	Percutaneous Structural Cardiac Procedures	9	9	—	—	$73,766.55	$73,766.55	$73,766.55	2026-05-06
007-2	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$73,712.74	$73,712.74	$73,712.74	2026-05-06
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	9	9	—	—	$73,510.96	$73,510.96	$73,510.96	2026-05-06
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$73,190.57	$73,190.57	$73,190.57	2026-05-06
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$73,000.00	$73,000.00	$73,000.00	2026-05-06
007-1	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$72,668.39	$72,668.39	$72,668.39	2026-05-06
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$71,211.91	$71,211.91	$71,211.91	2026-05-06
179-4	OTHER	Defibrillator Implants	9	9	—	—	$70,687.29	$70,687.29	$70,687.29	2026-05-06
910-4	OTHER	Craniotomy For Multiple Significant Trauma	9	9	—	—	$70,582.12	$70,582.12	$70,582.12	2026-05-06
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	9	—	—	$70,485.51	$70,485.51	$70,485.51	2026-05-06
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	9	9	—	—	$70,018.36	$70,018.36	$70,018.36	2026-05-06
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$70,000.00	$70,000.00	$70,000.00	2026-05-06
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	9	—	—	$70,000.00	$70,000.00	$70,000.00	2026-05-06
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$69,454.61	$69,454.61	$69,454.61	2026-05-06
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	9	9	—	—	$69,080.40	$69,080.40	$69,080.40	2026-05-06
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	9	—	—	$68,744.10	$68,744.10	$68,744.10	2026-05-06
091-4	OTHER	Other Major Head And Neck Procedures	9	9	—	—	$68,286.74	$68,286.74	$68,286.74	2026-05-06
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	9	9	—	—	$67,729.09	$67,729.09	$67,729.09	2026-05-06
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	9	9	—	—	$65,926.54	$65,926.54	$65,926.54	2026-05-06
010	OTHER	Pancreas Transplant	32	27	—	—	$63,520.37	$204,172.63	$88,962.04	2026-05-06
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$63,365.79	$63,365.79	$63,365.79	2026-05-06
178-3	OTHER	External Heart Assist Systems	9	9	—	—	$63,225.15	$63,225.15	$63,225.15	2026-05-06
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	9	9	—	—	$62,975.68	$62,975.68	$62,975.68	2026-05-06
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	9	9	—	—	$62,899.86	$62,899.86	$62,899.86	2026-05-06
169-4	OTHER	Major Abdominal Vascular Procedures	9	9	—	—	$62,760.45	$62,760.45	$62,760.45	2026-05-06
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	9	9	—	—	$62,000.00	$62,000.00	$62,000.00	2026-05-06
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	9	9	—	—	$61,451.95	$61,451.95	$61,451.95	2026-05-06
021-4	OTHER	Open Craniotomy Except Trauma	9	9	—	—	$61,438.50	$61,438.50	$61,438.50	2026-05-06
023-4	OTHER	Spinal Procedures	9	9	—	—	$61,105.87	$61,105.87	$61,105.87	2026-05-06
120-4	OTHER	Major Respiratory And Chest Procedures	9	9	—	—	$60,263.29	$60,263.29	$60,263.29	2026-05-06
440-3	OTHER	Kidney Transplant	9	9	—	—	$59,782.69	$59,782.69	$59,782.69	2026-05-06
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$59,637.16	$59,637.16	$59,637.16	2026-05-06
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	9	9	—	—	$59,196.92	$59,196.92	$59,196.92	2026-05-06
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	9	9	—	—	$59,178.58	$59,178.58	$59,178.58	2026-05-06
483-4	OTHER	Penis, Testes And Scrotal Procedures	9	9	—	—	$58,930.33	$58,930.33	$58,930.33	2026-05-06
690-4	OTHER	Acute Leukemia	9	9	—	—	$58,745.67	$58,745.67	$58,745.67	2026-05-06
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	9	9	—	—	$58,734.66	$58,734.66	$58,734.66	2026-05-06
089-4	OTHER	Major Cranial Or Facial Bone Procedures	9	9	—	—	$57,934.89	$57,934.89	$57,934.89	2026-05-06
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	9	9	—	—	$57,756.34	$57,756.34	$57,756.34	2026-05-06
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	9	9	—	—	$57,718.43	$57,718.43	$57,718.43	2026-05-06
020-4	OTHER	Open Craniotomy For Trauma	9	9	—	—	$57,709.87	$57,709.87	$57,709.87	2026-05-06
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	9	9	—	—	$57,667.07	$57,667.07	$57,667.07	2026-05-06
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	9	9	—	—	$57,088.64	$57,088.64	$57,088.64	2026-05-06
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	9	9	—	—	$56,998.15	$56,998.15	$56,998.15	2026-05-06
441-4	OTHER	Major Bladder Procedures	9	9	—	—	$56,831.83	$56,831.83	$56,831.83	2026-05-06
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	9	9	—	—	$56,568.91	$56,568.91	$56,568.91	2026-05-06
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	9	9	—	—	$56,208.15	$56,208.15	$56,208.15	2026-05-06
178-2	OTHER	External Heart Assist Systems	9	9	—	—	$56,116.44	$56,116.44	$56,116.44	2026-05-06
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	9	—	—	$56,112.77	$56,112.77	$56,112.77	2026-05-06
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$56,068.74	$56,068.74	$56,068.74	2026-05-06
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	9	9	—	—	$56,058.96	$56,058.96	$56,058.96	2026-05-06
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	1	1	—	—	$55,262.31	$55,262.31	$55,262.31	2026-05-06
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$55,256.74	$55,256.74	$55,256.74	2026-05-06
027-4	OTHER	Other Open Craniotomy	9	9	—	—	$54,469.19	$54,469.19	$54,469.19	2026-05-06
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	9	—	—	$53,717.11	$53,717.11	$53,717.11	2026-05-06
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	9	—	—	$53,710.99	$53,710.99	$53,710.99	2026-05-06
261-4	OTHER	Major Biliary Tract Procedures	9	9	—	—	$53,437.06	$53,437.06	$53,437.06	2026-05-06
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	9	—	—	$53,186.37	$53,186.37	$53,186.37	2026-05-06
181-4	OTHER	Lower Extremity Arterial Procedures	9	9	—	—	$52,956.46	$52,956.46	$52,956.46	2026-05-06
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	9	9	—	—	$52,850.07	$62,344.93	$52,850.07	2026-05-06
440-2	OTHER	Kidney Transplant	9	9	—	—	$52,561.46	$52,561.46	$52,561.46	2026-05-06
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	9	9	—	—	$52,404.93	$52,404.93	$52,404.93	2026-05-06
401-4	OTHER	Adrenal Procedures	9	9	—	—	$52,230.06	$52,230.06	$52,230.06	2026-05-06
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	9	9	—	—	$52,197.04	$52,197.04	$52,197.04	2026-05-06
860-2	OTHER	Rehabilitation	1	1	—	—	$51,783.10	$51,783.10	$51,783.10	2026-05-06
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	9	9	—	—	$51,404.60	$51,404.60	$51,404.60	2026-05-06
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	9	—	—	$51,360.58	$51,360.58	$51,360.58	2026-05-06
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$51,331.23	$51,331.23	$51,331.23	2026-05-06
178-1	OTHER	External Heart Assist Systems	9	9	—	—	$51,301.88	$51,301.88	$51,301.88	2026-05-06
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	9	—	—	$51,147.79	$51,147.79	$51,147.79	2026-05-06
695-4	OTHER	Chemotherapy For Acute Leukemia	9	9	—	—	$50,529.01	$50,529.01	$50,529.01	2026-05-06
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	9	9	—	—	$50,272.20	$50,272.20	$50,272.20	2026-05-06
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$50,123.00	$50,123.00	$50,123.00	2026-05-06
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$50,021.00	$50,021.00	$50,021.00	2026-05-06
002-1	OTHER	Heart And/or Lung Transplant	9	9	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-06
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-06
588-1	OTHER	Female Reproductive System Reconstructive Procedures	9	9	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-06
006-1	OTHER	Pancreas Transplant	9	9	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-06
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	9	9	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-06
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$49,944.46	$49,944.46	$49,944.46	2026-05-06
230-4	OTHER	Major Small Bowel Procedures	9	9	—	—	$49,794.04	$49,794.04	$49,794.04	2026-05-06
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	9	9	—	—	$49,790.37	$49,790.37	$49,790.37	2026-05-06
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	9	9	—	—	$49,477.31	$49,477.31	$49,477.31	2026-05-06
179-3	OTHER	Defibrillator Implants	9	9	—	—	$49,336.68	$49,336.68	$49,336.68	2026-05-06
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	9	9	—	—	$49,286.54	$49,286.54	$49,286.54	2026-05-06
183-3	OTHER	Percutaneous Structural Cardiac Procedures	9	9	—	—	$49,271.86	$49,271.86	$49,271.86	2026-05-06
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	9	9	—	—	$49,132.45	$49,132.45	$49,132.45	2026-05-06
639-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	9	9	—	—	$48,862.19	$48,862.19	$48,862.19	2026-05-06
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	9	9	—	—	$48,720.34	$48,720.34	$48,720.34	2026-05-06
121-4	OTHER	Other Respiratory And Chest Procedures	9	9	—	—	$48,302.10	$48,302.10	$48,302.10	2026-05-06
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	33	28	—	—	$48,203.68	$154,940.40	$67,518.67	2026-05-06
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	32	27	—	—	$48,203.68	$154,940.40	$67,518.67	2026-05-06
860-4	OTHER	Rehabilitation	1	1	—	—	$48,151.57	$48,151.57	$48,151.57	2026-05-06
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	9	9	—	—	$48,030.62	$48,030.62	$48,030.62	2026-05-06
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	9	9	—	—	$47,613.61	$47,613.61	$47,613.61	2026-05-06
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	9	9	—	—	$47,488.88	$47,488.88	$47,488.88	2026-05-06
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	9	9	—	—	$47,485.21	$47,485.21	$47,485.21	2026-05-06
440-1	OTHER	Kidney Transplant	9	9	—	—	$47,129.34	$47,129.34	$47,129.34	2026-05-06
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	9	9	—	—	$47,082.87	$47,082.87	$47,082.87	2026-05-06
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	9	9	—	—	$46,800.38	$46,800.38	$46,800.38	2026-05-06
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$46,733.12	$46,733.12	$46,733.12	2026-05-06
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	9	9	—	—	$46,670.76	$46,670.76	$46,670.76	2026-05-06
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	9	—	—	$46,640.18	$46,640.18	$46,640.18	2026-05-06
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	9	9	—	—	$46,366.25	$46,366.25	$46,366.25	2026-05-06
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	9	9	—	—	$45,873.42	$45,873.42	$45,873.42	2026-05-06
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	9	9	—	—	$45,704.66	$45,704.66	$45,704.66	2026-05-06
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	9	9	—	—	$45,639.85	$45,639.85	$45,639.85	2026-05-06
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	9	9	—	—	$45,619.06	$45,619.06	$45,619.06	2026-05-06
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	9	9	—	—	$45,493.10	$45,493.10	$45,493.10	2026-05-06
182-4	OTHER	Other Peripheral Vascular And Related Procedures	9	9	—	—	$45,298.66	$45,298.66	$45,298.66	2026-05-06
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	9	9	—	—	$45,111.56	$45,111.56	$45,111.56	2026-05-06
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	9	9	—	—	$45,110.34	$45,110.34	$45,110.34	2026-05-06
403-4	OTHER	Procedures For Obesity	9	9	—	—	$44,687.21	$44,687.21	$44,687.21	2026-05-06
026-4	OTHER	Other Nervous System And Related Procedures	9	9	—	—	$44,569.81	$44,569.81	$44,569.81	2026-05-06
097-4	OTHER	Tonsil And Adenoid Procedures	9	9	—	—	$44,542.91	$44,542.91	$44,542.91	2026-05-06
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	9	—	—	$44,421.84	$44,421.84	$44,421.84	2026-05-06
231-4	OTHER	Major Large Bowel Procedures	9	9	—	—	$44,306.89	$44,306.89	$44,306.89	2026-05-06
910-3	OTHER	Craniotomy For Multiple Significant Trauma	9	9	—	—	$44,008.50	$44,008.50	$44,008.50	2026-05-06
650-4	OTHER	Splenectomy	9	9	—	—	$43,878.87	$43,878.87	$43,878.87	2026-05-06
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	9	9	—	—	$43,723.57	$43,723.57	$43,723.57	2026-05-06
514-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$43,701.55	$43,701.55	$43,701.55	2026-05-06
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	9	9	—	—	$43,543.80	$43,543.80	$43,543.80	2026-05-06
008	OTHER	Simultaneous Pancreas And Kidney Transplant	32	27	—	—	$43,500.58	$139,823.30	$60,934.34	2026-05-06
006	OTHER	Liver Transplant Without Mcc	32	27	—	—	$38,820.43	$124,779.96	$54,382.12	2026-05-06
276	OTHER	Non-maligant Breast Disorders	36	31	—	—	$36,264.29	$158,968.78	$69,273.25	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	34	29	—	—	$30,922.11	$261,403.24	$43,749.46	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	33	29	—	—	$27,480.98	$107,530.49	$46,869.02	2026-05-06
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	34	29	—	—	$26,344.85	$109,789.92	$47,853.13	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	34	29	—	—	$23,008.91	$604,460.32	$263,309.57	2026-05-06
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	34	29	—	—	$21,703.61	$278,408.52	$121,295.90	2026-05-06
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	39	32	—	—	$19,893.13	$206,411.74	$89,937.30	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	36	31	—	—	$18,784.33	$131,016.89	$57,098.66	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	39	32	—	—	$18,423.92	$157,502.29	$68,634.52	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	34	29	—	—	$17,792.70	$105,987.78	$46,197.09	2026-05-06
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	34	29	—	—	$17,684.81	$546,228.49	$237,946.38	2026-05-06
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	45	36	—	—	$17,250.00	$226,751.69	$98,796.48	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	36	—	—	$17,250.00	$216,783.74	$94,454.88	2026-05-06
459	OTHER	Spinal Fusion Except Cervical With Mcc	45	36	—	—	$17,250.00	$170,098.15	$74,120.72	2026-05-06
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	45	36	—	—	$17,250.00	$156,983.78	$68,408.68	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	36	—	—	$17,250.00	$147,404.72	$64,236.47	2026-05-06
471	OTHER	Cervical Spinal Fusion With Mcc	45	36	—	—	$17,250.00	$124,985.81	$54,471.79	2026-05-06
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	45	36	—	—	$17,250.00	$118,588.73	$51,685.50	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	36	—	—	$17,250.00	$111,279.26	$48,501.82	2026-05-06
277	OTHER	Cellulitis Age >17 W Cc	36	31	—	—	$16,407.11	$232,912.00	$52,198.04	2026-05-06
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	34	29	—	—	$16,368.90	$203,011.13	$88,456.15	2026-05-06
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	39	32	—	—	$16,317.80	$115,200.86	$50,209.89	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	34	29	—	—	$15,937.09	$111,505.48	$48,600.35	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	39	32	—	—	$15,122.80	$175,079.59	$76,290.41	2026-05-06
799	OTHER	Splenectomy With Mcc	34	29	—	—	$14,853.47	$122,380.72	$53,337.12	2026-05-06
904	OTHER	Skin Grafts For Injuries With Cc/mcc	34	29	—	—	$14,761.41	$99,666.97	$43,444.02	2026-05-06
215	OTHER	Other Heart Assist System Implant	43	35	—	—	$14,676.00	$270,806.71	$117,984.89	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	44	36	—	—	$14,676.00	$246,822.23	$107,538.31	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	44	36	—	—	$14,676.00	$200,192.58	$87,228.51	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	44	36	—	—	$14,676.00	$198,187.29	$86,355.10	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	44	36	—	—	$14,676.00	$165,665.72	$72,190.15	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	43	35	—	—	$14,676.00	$156,790.67	$68,324.57	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	43	35	—	—	$14,676.00	$153,794.16	$67,019.42	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	43	35	—	—	$14,676.00	$152,739.43	$66,560.03	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	44	36	—	—	$14,676.00	$151,084.89	$65,839.38	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	44	36	—	—	$14,676.00	$136,750.61	$59,596.01	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	44	36	—	—	$14,676.00	$136,153.35	$59,335.87	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	44	36	—	—	$14,676.00	$128,188.15	$55,866.58	2026-05-06
245	OTHER	Aicd Generator Procedures	41	34	—	—	$14,676.00	$125,735.54	$54,798.33	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	44	36	—	—	$14,676.00	$118,258.33	$51,541.59	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	44	36	—	—	$14,676.00	$106,046.24	$46,222.55	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	36	30	—	—	$14,613.00	$104,910.17	$45,727.73	2026-05-06
278	OTHER	Cellulitis Age >17 Without Cc	36	31	—	—	$14,430.94	$128,696.44	$56,087.97	2026-05-06
031	OTHER	Ventricular Shunt Procedures With Mcc	39	32	—	—	$14,375.44	$108,041.36	$47,091.53	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	34	29	—	—	$14,372.56	$101,817.11	$44,380.53	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	34	29	—	—	$14,285.16	$122,906.83	$53,566.27	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	43	35	—	—	$14,271.00	$100,917.40	$43,988.66	2026-05-06
034	OTHER	Carotid Artery Stent Procedures With Mcc	41	34	—	—	$14,271.00	$100,368.47	$43,749.57	2026-05-06
028	OTHER	Spinal Procedures With Mcc	45	36	—	—	$14,241.03	$156,048.50	$68,001.31	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	44	36	—	—	$14,223.01	$216,903.17	$94,506.90	2026-05-06
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	37	30	—	—	$14,098.31	$146,533.01	$63,856.78	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	34	29	—	—	$13,808.49	$101,611.26	$44,290.87	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	34	29	—	—	$13,751.52	$191,241.23	$83,329.70	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	34	29	—	—	$13,736.33	$118,680.23	$51,725.35	2026-05-06
5623297	OTHER	Aicd Single Chamber (26001-28000)	47	30	$134,750.00	$80,850.00 40% off	$13,663.65	$134,750.00	$51,622.72	2026-05-06
27023222	OTHER	Aicd Dual Chamber (26001-28000)	47	30	$134,750.00	$80,850.00 40% off	$13,663.65	$134,750.00	$51,622.72	2026-05-06
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	34	29	—	—	$13,587.19	$138,674.54	$60,433.99	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	34	29	—	—	$13,510.47	$139,508.19	$60,797.09	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	38	32	—	—	$13,188.34	$113,180.33	$49,329.84	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	34	29	—	—	$12,825.62	$102,711.74	$44,770.19	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	34	29	—	—	$12,819.71	$130,620.40	$56,925.96	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	34	29	—	—	$12,760.95	$178,337.86	$77,709.56	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	34	29	—	—	$12,726.97	$149,511.69	$65,154.17	2026-05-06
5623296	OTHER	Aicd Single Chamber (24001-26000)	47	30	$125,100.00	$75,060.00 40% off	$12,685.14	$125,100.00	$47,925.81	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	34	29	—	—	$12,007.46	$128,645.62	$56,065.83	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	34	29	—	—	$11,820.67	$138,659.29	$60,427.34	2026-05-06
5623295	OTHER	Aicd Single Chamber (22001-24000)	47	30	$113,500.00	$68,100.00 40% off	$11,508.90	$113,500.00	$43,481.85	2026-05-06
2700181	OTHER	Generator Neurostimulator C1767 22-24k	48	30	$113,495.00	$68,097.00 40% off	$11,508.39	$113,495.00	$43,479.93	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	36	30	—	—	$11,453.01	$102,782.93	$44,801.19	2026-05-06
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	34	29	—	—	$11,433.09	$360,655.31	$157,118.95	2026-05-06
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	34	29	—	—	$11,404.52	$105,832.78	$46,129.57	2026-05-06
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	36	31	—	—	$11,392.76	$181,146.24	$78,932.77	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	34	29	—	—	$11,335.75	$165,902.11	$72,293.10	2026-05-06
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	39	32	—	—	$11,225.75	$148,181.97	$61,888.56	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	37	31	—	—	$11,200.00	$324,470.83	$62,412.17	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	34	29	—	—	$11,154.11	$116,199.68	$50,644.93	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	34	29	—	—	$11,051.17	$158,048.73	$68,872.52	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	34	29	—	—	$10,903.42	$162,270.23	$70,711.22	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	34	29	—	—	$10,882.37	$120,466.94	$52,503.56	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	34	29	—	—	$10,874.75	$118,240.56	$51,533.85	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	34	29	—	—	$10,772.02	$115,516.01	$50,347.16	2026-05-06
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	34	29	—	—	$10,666.20	$142,014.13	$61,888.56	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	36	30	—	—	$10,453.44	$122,357.86	$53,327.16	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	36	30	—	—	$10,422.09	$109,950.05	$47,922.88	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	34	29	—	—	$9,832.47	$128,795.56	$56,131.14	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	34	29	—	—	$9,781.48	$171,282.51	$74,636.57	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	34	29	—	—	$9,726.06	$138,804.14	$60,490.44	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	34	29	—	—	$8,814.70	$129,550.43	$56,459.93	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	34	29	—	—	$8,711.14	$108,015.91	$47,080.45	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	34	29	—	—	$8,346.39	$99,766.10	$43,487.20	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	43	35	—	—	$8,325.81	$107,281.44	$46,760.55	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	43	35	—	—	$7,942.00	$170,995.32	$74,511.48	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	43	35	—	—	$5,649.78	$121,107.42	$52,782.53	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	34	29	—	—	$5,389.78	$184,620.42	$47,518.81	2026-05-06
270	OTHER	Other Major Cardiovascular Procedures With Mcc	43	35	—	—	$5,098.34	$131,992.85	$57,523.74	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	34	29	—	—	$5,016.94	$114,138.52	$49,747.19	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	33	29	—	—	$4,999.11	$152,625.06	$66,510.21	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	35	29	—	—	$4,749.34	$236,647.50	$51,704.33	2026-05-06
791	OTHER	Prematurity With Major Problems	33	29	—	—	$3,238.38	$104,719.55	$45,644.70	2026-05-06
2856831	OTHER	Sipuleucel-t 50m/250 Ml Inj	77	56	$105,172.23	$63,103.34 40% off	$3,124.00	$105,172.23	$55,536.50	2026-05-06
5622502	OTHER	Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dua	89	58	$59,555.00	$35,733.00 40% off	$895.01	$113,103.77	$46,171.79	2026-05-06
5600108	OTHER	Rmvl Rplcmt Dfb Gen Mlt Ld 33264	89	58	$56,135.00	$33,681.00 40% off	$325.13	$92,291.35	$46,171.79	2026-05-06

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