Hospital

WHITTIER HOSPITAL MEDICAL CENTER

Whittier, CA · CCN 050735 · Rates published

9,872 distinct procedures filed

104 distinct payers

1,717,002 rate rows

2026-05-27 last MRF observed

Data quality

1,587,312 of 1,717,002 rate rows are consumer-grade (92.4%)

129,690 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	82,243
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	22,794
template filing: same amount across many unrelated codes — excluded	12,396
exceeds 10× this hospital's gross charge — excluded from medians	11,991
placeholder amount (≤ $0.02) — excluded from medians	266

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

Source MRF file	https://www.ahmchealth.com/docs/2026_PricingTransparency-Whittier_Hosp-3256-20260317233544.csv
Found on page	https://www.ahmchealth.com/whmc/getpage.php?name=Price_Transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-11
Content fingerprint	ed23a837286d8853… · 498,263,308 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
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	42	$31,612.47	$1,360,916.62	$384,961.74	nat. median $292,587 1.3× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	42	$2,375.00	$1,001,018.10	$283,161.88	nat. median $14,313 outlier · 19.8×
7 OTHER	Lung Transplant	40	$12,277.00	$867,984.18	$245,532.29	nat. median $31,763 outlier · 7.7×
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	42	$10,040.73	$843,421.42	$238,584.53	nat. median $2 outlier · 148189.2×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	20	$202,428.39	$281,150.54	$224,920.43	—
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	20	$200,154.92	$277,992.94	$222,394.35	—
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	20	$198,900.00	$276,250.00	$221,000.00	—
583-4 OTHER	Neonate With Ecmo	20	$198,900.00	$276,250.00	$221,000.00	—
583-3 OTHER	Neonate With Ecmo	20	$198,900.00	$276,250.00	$221,000.00	—
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	45	$9,036.12	$767,562.85	$217,770.41	nat. median $10,971 outlier · 19.8×
161-4 OTHER	Implantable Heart Assist Systems	20	$191,733.80	$266,296.95	$213,037.56	—
583-2 OTHER	Neonate With Ecmo	20	$158,620.63	$220,306.43	$176,245.14	—
002-4 OTHER	Heart And/or Lung Transplant	20	$156,541.99	$217,419.43	$173,935.54	—
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	20	$148,500.00	$206,250.00	$165,000.00	—
583-1 OTHER	Neonate With Ecmo	20	$141,602.84	$196,670.61	$157,336.49	—
161-3 OTHER	Implantable Heart Assist Systems	20	$135,525.11	$188,229.31	$150,583.45	—
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	20	$130,960.29	$181,889.29	$145,511.43	—
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	45	$6,225.71	$503,348.72	$143,446.95	nat. median $7,428 outlier · 19.3×
007-4 OTHER	Allogeneic Bone Marrow Transplant	20	$120,253.63	$167,018.94	$133,615.15	—
14 OTHER	Allogeneic Bone Marrow Transplant	41	$4,833.31	$466,898.22	$133,399.49	nat. median $6,714 outlier · 19.9×
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	20	$119,301.88	$165,697.06	$132,557.65	—
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	20	$118,800.00	$165,000.00	$132,000.00	—
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	20	$117,000.00	$162,500.00	$130,000.00	—
161-2 OTHER	Implantable Heart Assist Systems	20	$116,514.37	$161,825.51	$129,460.41	—
002-3 OTHER	Heart And/or Lung Transplant	20	$116,487.84	$161,788.66	$129,430.93	—
863-4 OTHER	Neonatal Aftercare	20	$109,905.13	$158,704.92	$126,963.94	—
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	20	$108,900.00	$151,250.00	$121,000.00	—
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	20	$108,000.00	$150,000.00	$120,000.00	—
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	20	$108,000.00	$150,000.00	$120,000.00	—
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	20	$108,000.00	$150,000.00	$120,000.00	—
161-1 OTHER	Implantable Heart Assist Systems	20	$106,189.21	$147,485.01	$117,988.01	—
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	42	$2,375.00	$393,086.01	$111,203.95	nat. median $15,517 outlier · 7.2×
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	20	$99,000.00	$137,500.00	$110,000.00	—
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	42	$8,882.89	$388,626.28	$109,942.48	nat. median $106 outlier · 1038.9×
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	40	$7,645.04	$379,958.60	$108,559.60	nat. median $8,605 outlier · 12.6×
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	20	$96,911.84	$134,599.78	$107,679.82	—
215 OTHER	Other Heart Assist System Implant	46	$2,375.00	$378,022.96	$105,879.95	nat. median $229 outlier · 462.9×
860-2 OTHER	Rehabilitation	2	$103,566.20	$103,566.20	$103,566.20	—
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	20	$90,000.00	$125,000.00	$100,000.00	—
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	20	$90,000.00	$125,000.00	$100,000.00	—
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	20	$89,100.00	$123,750.00	$99,000.00	—
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	20	$87,425.42	$121,424.19	$97,139.35	—
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	47	$4,558.00	$344,568.00	$96,512.56	nat. median $283 outlier · 341.4×
860-4 OTHER	Rehabilitation	2	$96,303.14	$96,303.14	$96,303.14	—
633-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	20	$76,914.77	$119,330.16	$95,464.13	—
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	20	$85,500.00	$118,750.00	$95,000.00	—
002-2 OTHER	Heart And/or Lung Transplant	20	$84,612.19	$117,516.92	$94,013.54	—
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	20	$83,700.00	$116,250.00	$93,000.00	—
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	20	$82,800.00	$115,000.00	$92,000.00	—
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	20	$81,900.00	$113,750.00	$91,000.00	—

Other procedures at this hospital

Browse this hospital's 9,872 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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	58	42	—	—	$31,612.47	$1,360,916.62	$384,961.74	2026-05-27
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	58	42	—	—	$2,375.00	$1,001,018.10	$283,161.88	2026-05-27
7	OTHER	Lung Transplant	56	40	—	—	$12,277.00	$867,984.18	$245,532.29	2026-05-27
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	58	42	—	—	$10,040.73	$843,421.42	$238,584.53	2026-05-27
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	23	20	—	—	$202,428.39	$281,150.54	$224,920.43	2026-05-27
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	23	20	—	—	$200,154.92	$277,992.94	$222,394.35	2026-05-27
583-4	OTHER	Neonate With Ecmo	23	20	—	—	$198,900.00	$276,250.00	$221,000.00	2026-05-27
583-3	OTHER	Neonate With Ecmo	23	20	—	—	$198,900.00	$276,250.00	$221,000.00	2026-05-27
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	23	20	—	—	$198,900.00	$276,250.00	$221,000.00	2026-05-27
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	118	45	—	—	$9,036.12	$767,562.85	$217,770.41	2026-05-27
161-4	OTHER	Implantable Heart Assist Systems	23	20	—	—	$191,733.80	$266,296.95	$213,037.56	2026-05-27
583-2	OTHER	Neonate With Ecmo	23	20	—	—	$158,620.63	$220,306.43	$176,245.14	2026-05-27
002-4	OTHER	Heart And/or Lung Transplant	23	20	—	—	$156,541.99	$217,419.43	$173,935.54	2026-05-27
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	23	20	—	—	$148,500.00	$206,250.00	$165,000.00	2026-05-27
583-1	OTHER	Neonate With Ecmo	23	20	—	—	$141,602.84	$196,670.61	$157,336.49	2026-05-27
161-3	OTHER	Implantable Heart Assist Systems	23	20	—	—	$135,525.11	$188,229.31	$150,583.45	2026-05-27
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	23	20	—	—	$130,960.29	$181,889.29	$145,511.43	2026-05-27
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	118	45	—	—	$6,225.71	$503,348.72	$143,446.95	2026-05-27
007-4	OTHER	Allogeneic Bone Marrow Transplant	23	20	—	—	$120,253.63	$167,018.94	$133,615.15	2026-05-27
14	OTHER	Allogeneic Bone Marrow Transplant	57	41	—	—	$4,833.31	$466,898.22	$133,399.49	2026-05-27
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	23	20	—	—	$119,301.88	$165,697.06	$132,557.65	2026-05-27
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	23	20	—	—	$118,800.00	$165,000.00	$132,000.00	2026-05-27
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	23	20	—	—	$117,000.00	$162,500.00	$130,000.00	2026-05-27
161-2	OTHER	Implantable Heart Assist Systems	23	20	—	—	$116,514.37	$161,825.51	$129,460.41	2026-05-27
002-3	OTHER	Heart And/or Lung Transplant	23	20	—	—	$116,487.84	$161,788.66	$129,430.93	2026-05-27
863-4	OTHER	Neonatal Aftercare	46	20	—	—	$109,905.13	$158,704.92	$126,963.94	2026-05-27
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	23	20	—	—	$108,900.00	$151,250.00	$121,000.00	2026-05-27
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	23	20	—	—	$108,000.00	$150,000.00	$120,000.00	2026-05-27
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	23	20	—	—	$108,000.00	$150,000.00	$120,000.00	2026-05-27
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	23	20	—	—	$108,000.00	$150,000.00	$120,000.00	2026-05-27
161-1	OTHER	Implantable Heart Assist Systems	23	20	—	—	$106,189.21	$147,485.01	$117,988.01	2026-05-27
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	58	42	—	—	$2,375.00	$393,086.01	$111,203.95	2026-05-27
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	46	20	—	—	$99,000.00	$137,500.00	$110,000.00	2026-05-27
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	58	42	—	—	$8,882.89	$388,626.28	$109,942.48	2026-05-27
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	56	40	—	—	$7,645.04	$379,958.60	$108,559.60	2026-05-27
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	20	—	—	$96,911.84	$134,599.78	$107,679.82	2026-05-27
215	OTHER	Other Heart Assist System Implant	64	46	—	—	$2,375.00	$378,022.96	$105,879.95	2026-05-27
860-2	OTHER	Rehabilitation	3	2	—	—	$103,566.20	$103,566.20	$103,566.20	2026-05-27
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$90,000.00	$125,000.00	$100,000.00	2026-05-27
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$90,000.00	$125,000.00	$100,000.00	2026-05-27
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	23	20	—	—	$89,100.00	$123,750.00	$99,000.00	2026-05-27
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	23	20	—	—	$87,425.42	$121,424.19	$97,139.35	2026-05-27
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	66	47	—	—	$4,558.00	$344,568.00	$96,512.56	2026-05-27
860-4	OTHER	Rehabilitation	3	2	—	—	$96,303.14	$96,303.14	$96,303.14	2026-05-27
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	46	20	—	—	$76,914.77	$119,330.16	$95,464.13	2026-05-27
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	23	20	—	—	$85,500.00	$118,750.00	$95,000.00	2026-05-27
002-2	OTHER	Heart And/or Lung Transplant	23	20	—	—	$84,612.19	$117,516.92	$94,013.54	2026-05-27
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	23	20	—	—	$83,700.00	$116,250.00	$93,000.00	2026-05-27
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$82,800.00	$115,000.00	$92,000.00	2026-05-27
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	23	20	—	—	$81,900.00	$113,750.00	$91,000.00	2026-05-27
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	57	41	—	—	$63,314.50	$316,572.48	$90,449.28	2026-05-27
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	23	20	—	—	$81,000.00	$112,500.00	$90,000.00	2026-05-27
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	23	20	—	—	$80,285.59	$111,507.76	$89,206.21	2026-05-27
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$80,100.00	$111,250.00	$89,000.00	2026-05-27
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	46	20	—	—	$79,200.00	$110,000.00	$88,000.00	2026-05-27
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	58	42	—	—	$8,562.06	$302,668.70	$85,628.76	2026-05-27
006-4	OTHER	Pancreas Transplant	23	20	—	—	$76,500.00	$106,250.00	$85,000.00	2026-05-27
231	OTHER	Coronary Bypass With Ptca With Mcc	67	47	—	—	$3,360.00	$302,835.26	$84,827.39	2026-05-27
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	23	20	—	—	$75,165.39	$104,396.38	$83,517.10	2026-05-27
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	23	20	—	—	$74,764.53	$103,839.63	$83,071.70	2026-05-27
006-3	OTHER	Pancreas Transplant	23	20	—	—	$73,538.52	$102,136.84	$81,709.47	2026-05-27
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	58	42	—	—	$8,667.70	$288,201.17	$81,536.52	2026-05-27
10	OTHER	Pancreas Transplant	56	40	—	—	$8,664.98	$285,077.94	$81,450.84	2026-05-27
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	58	42	—	—	$7,296.21	$283,457.90	$80,194.85	2026-05-27
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$72,102.64	$100,142.55	$80,114.04	2026-05-27
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	23	20	—	—	$72,000.00	$100,000.00	$80,000.00	2026-05-27
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$72,000.00	$100,000.00	$80,000.00	2026-05-27
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	23	20	—	—	$71,634.21	$99,491.96	$79,593.57	2026-05-27
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	23	20	—	—	$71,100.00	$98,750.00	$79,000.00	2026-05-27
440-4	OTHER	Kidney Transplant	23	20	—	—	$70,473.07	$97,879.26	$78,303.41	2026-05-27
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	65	47	—	—	$4,558.00	$279,526.38	$78,300.91	2026-05-27
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	66	47	—	—	$4,558.00	$276,729.32	$77,517.73	2026-05-27
007-3	OTHER	Allogeneic Bone Marrow Transplant	23	20	—	—	$68,932.68	$95,739.84	$76,591.87	2026-05-27
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	58	42	—	—	$7,785.44	$267,040.55	$75,551.08	2026-05-27
860-1	OTHER	Rehabilitation	3	2	—	—	$74,940.00	$74,940.00	$74,940.00	2026-05-27
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	46	20	—	—	$59,060.71	$93,279.52	$74,623.62	2026-05-27
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	23	20	—	—	$66,333.84	$92,130.34	$73,704.27	2026-05-27
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	118	45	—	—	$5,467.45	$261,593.33	$73,280.85	2026-05-27
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	23	20	—	—	$65,446.55	$90,897.99	$72,718.39	2026-05-27
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	119	46	—	—	$5,558.98	$252,764.00	$71,154.91	2026-05-27
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	63	45	—	—	$2,375.00	$252,959.52	$70,862.19	2026-05-27
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	23	20	—	—	$63,256.68	$87,856.50	$70,285.20	2026-05-27
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	23	20	—	—	$63,000.00	$87,500.00	$70,000.00	2026-05-27
955	OTHER	Craniotomy For Multiple Significant Trauma	58	42	—	—	$7,938.23	$244,497.40	$69,174.60	2026-05-27
232-4	OTHER	Gastric Fundoplication	23	20	—	—	$61,934.29	$86,019.85	$68,815.88	2026-05-27
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	23	20	—	—	$61,873.94	$85,936.03	$68,748.82	2026-05-27
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	23	20	—	—	$61,824.39	$85,867.21	$68,693.77	2026-05-27
459	OTHER	Spinal Fusion Except Cervical With Mcc	57	41	—	—	$47,509.80	$237,549.02	$67,871.15	2026-05-27
178-4	OTHER	External Heart Assist Systems	23	20	—	—	$60,779.45	$84,415.90	$67,532.72	2026-05-27
006-2	OTHER	Pancreas Transplant	23	20	—	—	$60,406.52	$83,897.94	$67,118.35	2026-05-27
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	65	47	—	—	$4,558.00	$238,800.45	$66,897.65	2026-05-27
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	118	45	—	—	$5,171.79	$235,021.15	$66,198.88	2026-05-27
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	46	20	—	—	$37,811.50	$108,750.00	$65,407.99	2026-05-27
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	23	20	—	—	$58,592.29	$81,378.18	$65,102.54	2026-05-27
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	23	20	—	—	$58,483.29	$81,226.79	$64,981.43	2026-05-27
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	23	20	—	—	$58,371.59	$81,071.65	$64,857.32	2026-05-27
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	66	47	—	—	$4,558.00	$231,366.34	$64,816.10	2026-05-27
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	58	42	—	—	$5,058.71	$226,630.14	$64,120.71	2026-05-27
276	OTHER	Non-maligant Breast Disorders	58	42	—	—	$10,231.57	$222,025.12	$62,818.15	2026-05-27
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	116	44	—	—	$43,851.28	$223,556.97	$62,644.69	2026-05-27
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$56,332.15	$78,239.10	$62,591.28	2026-05-27
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	58	42	—	—	$5,212.32	$220,741.82	$62,455.16	2026-05-27
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	23	20	—	—	$56,044.79	$77,839.99	$62,271.99	2026-05-27
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	58	42	—	—	$8,852.30	$219,979.62	$62,239.57	2026-05-27
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	23	20	—	—	$55,800.00	$77,500.00	$62,000.00	2026-05-27
28	OTHER	Spinal Procedures With Mcc	58	42	—	—	$6,354.28	$217,951.83	$61,665.99	2026-05-27
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	23	20	—	—	$55,343.96	$76,866.61	$61,493.29	2026-05-27
232	OTHER	Coronary Bypass With Ptca Without Mcc	67	47	—	—	$3,360.00	$218,987.02	$61,349.89	2026-05-27
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	23	20	—	—	$55,159.30	$76,610.14	$61,288.11	2026-05-27
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	58	42	—	—	$3,793.27	$216,406.15	$61,228.79	2026-05-27
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	58	42	—	—	$3,793.27	$216,406.15	$61,228.79	2026-05-27
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	23	20	—	—	$54,483.69	$75,671.79	$60,537.43	2026-05-27
183-4	OTHER	Percutaneous Structural Cardiac Procedures	23	20	—	—	$54,337.76	$75,469.11	$60,375.29	2026-05-27
007-2	OTHER	Allogeneic Bone Marrow Transplant	23	20	—	—	$54,298.13	$75,414.06	$60,331.25	2026-05-27
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	58	42	—	—	$3,402.66	$213,176.60	$60,315.29	2026-05-27
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	64	46	—	—	$23,000.00	$214,807.35	$60,179.58	2026-05-27
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	23	20	—	—	$54,149.49	$75,207.63	$60,166.10	2026-05-27
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	118	45	—	—	$5,375.39	$214,501.56	$60,095.16	2026-05-27
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	23	20	—	—	$53,913.48	$74,879.84	$59,903.87	2026-05-27
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	65	46	—	—	$23,000.00	$213,336.10	$59,767.63	2026-05-27
007-1	OTHER	Allogeneic Bone Marrow Transplant	23	20	—	—	$53,528.83	$74,345.60	$59,476.48	2026-05-27
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	65	47	—	—	$4,558.00	$211,028.30	$59,121.44	2026-05-27
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	118	45	—	—	$5,276.15	$208,549.77	$58,428.66	2026-05-27
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$52,455.97	$72,855.51	$58,284.41	2026-05-27
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	58	42	—	—	$11,765.43	$205,894.95	$58,255.62	2026-05-27
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	23	20	—	—	$52,270.40	$72,597.77	$58,078.22	2026-05-27
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	58	42	—	—	$8,010.92	$204,679.02	$57,911.68	2026-05-27
179-4	OTHER	Defibrillator Implants	23	20	—	—	$52,069.52	$72,318.77	$57,855.02	2026-05-27
910-4	OTHER	Craniotomy For Multiple Significant Trauma	23	20	—	—	$51,992.06	$72,211.19	$57,768.95	2026-05-27
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	23	20	—	—	$51,920.88	$72,112.34	$57,689.87	2026-05-27
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	23	20	—	—	$51,576.78	$71,634.41	$57,307.53	2026-05-27
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	23	20	—	—	$51,161.51	$71,057.65	$56,846.12	2026-05-27
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	118	45	—	—	$5,982.23	$201,003.00	$56,678.82	2026-05-27
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	23	20	—	—	$50,885.86	$70,674.80	$56,539.84	2026-05-27
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	23	20	—	—	$50,638.13	$70,330.74	$56,264.59	2026-05-27
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	58	42	—	—	$10,899.77	$198,375.87	$56,128.79	2026-05-27
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	126	48	—	—	$6,550.60	$200,304.47	$56,119.97	2026-05-27
653	OTHER	Major Bladder Procedures With Mcc	60	43	—	—	$5,659.20	$200,052.69	$56,048.27	2026-05-27
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	118	45	—	—	$4,730.59	$199,713.99	$55,954.64	2026-05-27
091-4	OTHER	Other Major Head And Neck Procedures	46	20	—	—	$48,461.09	$69,862.82	$55,890.26	2026-05-27
8	OTHER	Simultaneous Pancreas And Kidney Transplant	57	41	—	—	$6,489.04	$195,320.05	$55,805.73	2026-05-27
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	23	20	—	—	$49,890.46	$69,292.31	$55,433.85	2026-05-27
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	58	42	—	—	$5,887.43	$193,696.37	$54,805.16	2026-05-27
270	OTHER	Other Major Cardiovascular Procedures With Mcc	131	49	—	—	$3,850.00	$193,312.21	$54,162.14	2026-05-27
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	23	20	—	—	$48,562.67	$67,448.15	$53,958.52	2026-05-27
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	65	47	—	—	$4,558.00	$191,033.99	$53,523.04	2026-05-27
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	118	45	—	—	$7,365.65	$190,759.38	$53,447.35	2026-05-27
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	66	47	—	—	$4,558.00	$190,200.92	$53,289.78	2026-05-27
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	118	45	—	—	$5,793.12	$182,910.18	$52,138.09	2026-05-27
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	23	20	—	—	$46,676.37	$64,828.29	$51,862.63	2026-05-27
178-3	OTHER	External Heart Assist Systems	23	20	—	—	$46,572.78	$64,684.41	$51,747.53	2026-05-27
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	118	45	—	—	$4,576.25	$180,990.74	$51,584.18	2026-05-27
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	23	20	—	—	$46,389.01	$64,429.19	$51,543.35	2026-05-27
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	23	20	—	—	$46,333.16	$64,351.61	$51,481.29	2026-05-27
169-4	OTHER	Major Abdominal Vascular Procedures	23	20	—	—	$46,230.47	$64,208.99	$51,367.19	2026-05-27
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	119	46	—	—	$5,349.07	$535,267.19	$51,351.07	2026-05-27
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	58	42	—	—	$4,943.35	$179,937.91	$50,913.48	2026-05-27
278	OTHER	Cellulitis Age >17 Without Cc	58	42	—	—	$8,026.77	$179,799.66	$50,874.38	2026-05-27
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	23	20	—	—	$45,266.61	$62,870.29	$50,296.23	2026-05-27
021-4	OTHER	Open Craniotomy Except Trauma	23	20	—	—	$45,256.70	$62,856.53	$50,285.22	2026-05-27
228	OTHER	Other Cardiothoracic Procedures With Mcc	63	45	—	—	$4,558.00	$179,090.66	$50,178.90	2026-05-27
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	20	—	—	$45,018.90	$62,526.25	$50,021.00	2026-05-27
023-4	OTHER	Spinal Procedures	23	20	—	—	$45,011.67	$62,516.21	$50,012.97	2026-05-27
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	23	20	—	—	$45,000.00	$62,500.00	$50,000.00	2026-05-27
588-1	OTHER	Female Reproductive System Reconstructive Procedures	23	20	—	—	$45,000.00	$62,500.00	$50,000.00	2026-05-27
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	20	—	—	$45,000.00	$62,500.00	$50,000.00	2026-05-27
006-1	OTHER	Pancreas Transplant	23	20	—	—	$45,000.00	$62,500.00	$50,000.00	2026-05-27
002-1	OTHER	Heart And/or Lung Transplant	23	20	—	—	$45,000.00	$62,500.00	$50,000.00	2026-05-27
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	46	20	—	—	$39,178.03	$62,465.06	$49,972.05	2026-05-27
6	OTHER	Liver Transplant Without Mcc	57	41	—	—	$1,000.01	$174,336.71	$49,810.49	2026-05-27
120-4	OTHER	Major Respiratory And Chest Procedures	23	20	—	—	$44,391.01	$61,654.19	$49,323.35	2026-05-27
245	OTHER	Aicd Generator Procedures	133	48	—	—	$2,520.00	$175,669.62	$49,221.01	2026-05-27
440-3	OTHER	Kidney Transplant	23	20	—	—	$44,037.00	$61,162.50	$48,930.00	2026-05-27
471	OTHER	Cervical Spinal Fusion With Mcc	63	45	—	—	$3,360.00	$174,623.79	$48,928.18	2026-05-27
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$43,929.80	$61,013.61	$48,810.89	2026-05-27
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	58	42	—	—	$5,451.55	$171,723.93	$48,590.10	2026-05-27
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	23	20	—	—	$43,605.51	$60,563.21	$48,450.57	2026-05-27
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	46	20	—	—	$41,083.12	$60,544.44	$48,435.55	2026-05-27
799	OTHER	Splenectomy With Mcc	58	42	—	—	$6,785.32	$170,990.09	$48,382.52	2026-05-27
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	126	48	—	—	$2,375.00	$172,266.92	$48,269.46	2026-05-27
483-4	OTHER	Penis, Testes And Scrotal Procedures	23	20	—	—	$43,409.13	$60,290.46	$48,232.37	2026-05-27
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	118	45	—	—	$4,580.15	$168,414.33	$48,091.61	2026-05-27
690-4	OTHER	Acute Leukemia	46	20	—	—	$40,570.77	$60,101.54	$48,081.23	2026-05-27
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	23	20	—	—	$43,265.01	$60,090.29	$48,072.23	2026-05-27
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	46	20	—	—	$41,403.93	$59,923.47	$47,938.78	2026-05-27
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	23	20	—	—	$42,764.62	$54,069.88	$47,516.24	2026-05-27
089-4	OTHER	Major Cranial Or Facial Bone Procedures	23	20	—	—	$42,675.88	$59,272.05	$47,417.64	2026-05-27
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	64	46	—	—	$23,000.00	$169,214.01	$47,413.44	2026-05-27
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	116	44	—	—	$33,140.17	$169,163.22	$47,400.42	2026-05-27
277	OTHER	Cellulitis Age >17 W Cc	58	42	—	—	$14,488.50	$167,342.17	$47,350.69	2026-05-27
329	OTHER	Major Small And Large Bowel Procedures With Mcc	118	45	—	—	$4,917.12	$168,835.52	$47,308.67	2026-05-27
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	23	20	—	—	$42,544.36	$59,089.39	$47,271.51	2026-05-27
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	46	20	—	—	$40,270.23	$59,050.60	$47,240.48	2026-05-27
020-4	OTHER	Open Craniotomy For Trauma	23	20	—	—	$42,510.12	$59,041.84	$47,233.47	2026-05-27
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	23	20	—	—	$42,478.60	$58,998.05	$47,198.44	2026-05-27
163	OTHER	Major Chest Procedures With Mcc	118	45	—	—	$6,967.58	$165,828.42	$47,058.77	2026-05-27
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	118	45	—	—	$5,042.50	$167,114.50	$46,826.78	2026-05-27
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	23	20	—	—	$42,052.51	$58,406.26	$46,725.01	2026-05-27
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	46	20	—	—	$36,843.14	$58,313.69	$46,650.95	2026-05-27
441-4	OTHER	Major Bladder Procedures	23	20	—	—	$41,863.35	$58,143.54	$46,514.83	2026-05-27
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	61	44	—	—	$5,444.00	$165,761.12	$46,446.63	2026-05-27
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	65	46	—	—	$15,229.49	$165,239.97	$46,300.71	2026-05-27
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	23	20	—	—	$41,669.67	$57,874.54	$46,299.63	2026-05-27
178-2	OTHER	External Heart Assist Systems	23	20	—	—	$41,336.37	$57,411.63	$45,929.30	2026-05-27
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	23	20	—	—	$41,333.67	$57,407.88	$45,926.30	2026-05-27
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	23	20	—	—	$41,301.23	$57,362.83	$45,890.26	2026-05-27
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	23	20	—	—	$41,294.03	$57,352.83	$45,882.26	2026-05-27
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	58	42	—	—	$7,075.83	$160,975.22	$45,549.75	2026-05-27
356	OTHER	Other Digestive System O.r. Procedures With Mcc	118	45	—	—	$5,701.34	$161,501.23	$45,255.07	2026-05-27
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	118	45	—	—	$4,521.42	$161,414.82	$45,229.67	2026-05-27
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	23	20	—	—	$40,703.10	$56,532.09	$45,225.67	2026-05-27
570	OTHER	Skin Debridement With Mcc	118	45	—	—	$3,947.29	$160,867.45	$45,077.61	2026-05-27
901	OTHER	Wound Debridements For Injuries With Mcc	118	45	—	—	$5,007.64	$159,493.39	$44,691.67	2026-05-27
027-4	OTHER	Other Open Craniotomy	23	20	—	—	$40,122.98	$55,726.36	$44,581.09	2026-05-27
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	60	43	—	—	$2,427.00	$158,156.91	$44,317.46	2026-05-27
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	58	42	—	—	$17,123.16	$155,820.73	$44,091.77	2026-05-27
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	23	20	—	—	$39,568.98	$54,956.91	$43,965.53	2026-05-27
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	23	20	—	—	$39,564.48	$54,950.66	$43,960.53	2026-05-27
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	118	45	—	—	$17,088.48	$155,505.18	$43,877.93	2026-05-27
261-4	OTHER	Major Biliary Tract Procedures	23	20	—	—	$39,362.70	$54,670.41	$43,736.33	2026-05-27
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	58	42	—	—	$9,529.68	$153,427.79	$43,414.90	2026-05-27
181-4	OTHER	Lower Extremity Arterial Procedures	23	20	—	—	$39,008.67	$54,178.71	$43,342.97	2026-05-27
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	118	45	—	—	$4,147.07	$154,616.95	$43,327.46	2026-05-27
140	OTHER	Major Head And Neck Procedures With Mcc	58	42	—	—	$6,218.66	$152,357.17	$43,112.07	2026-05-27
440-2	OTHER	Kidney Transplant	23	20	—	—	$38,717.71	$53,774.60	$43,019.68	2026-05-27
793	OTHER	Full Term Neonate With Major Problems	118	45	—	—	$9,135.33	$153,464.71	$43,004.84	2026-05-27
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	23	20	—	—	$38,602.41	$53,614.46	$42,891.57	2026-05-27
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	122	46	—	—	$5,171.82	$152,867.05	$42,837.49	2026-05-27
401-4	OTHER	Adrenal Procedures	23	20	—	—	$38,473.60	$53,435.55	$42,748.44	2026-05-27
31	OTHER	Ventricular Shunt Procedures With Mcc	58	42	—	—	$6,162.80	$150,988.70	$42,724.99	2026-05-27
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	23	20	—	—	$38,449.27	$53,401.76	$42,721.41	2026-05-27
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	46	20	—	—	$31,031.10	$52,761.18	$42,208.94	2026-05-27
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	23	20	—	—	$37,865.55	$52,591.04	$42,072.83	2026-05-27
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	23	20	—	—	$37,833.12	$52,546.00	$42,036.80	2026-05-27
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	65	47	—	—	$4,558.00	$149,928.76	$42,013.57	2026-05-27
178-1	OTHER	External Heart Assist Systems	23	20	—	—	$37,789.88	$52,485.95	$41,988.76	2026-05-27
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	58	42	—	—	$6,412.31	$148,124.31	$41,914.78	2026-05-27
791	OTHER	Prematurity With Major Problems	118	45	—	—	$3,144.05	$149,482.52	$41,889.82	2026-05-27
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	23	20	—	—	$37,676.38	$52,328.30	$41,862.64	2026-05-27
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	58	42	—	—	$4,971.70	$147,908.04	$41,853.60	2026-05-27
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	65	47	—	—	$4,558.00	$148,205.85	$41,531.16	2026-05-27
695-4	OTHER	Chemotherapy For Acute Leukemia	23	20	—	—	$37,220.57	$51,695.24	$41,356.19	2026-05-27
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	23	20	—	—	$37,031.40	$51,432.50	$41,146.00	2026-05-27
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	23	20	—	—	$36,921.50	$51,279.86	$41,023.89	2026-05-27
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	23	20	—	—	$36,789.98	$51,097.20	$40,877.76	2026-05-27
230-4	OTHER	Major Small Bowel Procedures	46	20	—	—	$35,137.22	$50,943.31	$40,754.65	2026-05-27
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	23	20	—	—	$36,676.48	$50,939.55	$40,751.64	2026-05-27
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	58	42	—	—	$6,408.69	$143,554.71	$40,622.24	2026-05-27
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	116	44	—	—	$5,472.44	$142,493.78	$40,496.04	2026-05-27
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	23	20	—	—	$36,445.87	$50,619.26	$40,495.41	2026-05-27
179-3	OTHER	Defibrillator Implants	23	20	—	—	$36,342.28	$50,475.39	$40,380.31	2026-05-27
440-1	OTHER	Kidney Transplant	46	20	—	—	$34,716.32	$50,456.79	$40,365.43	2026-05-27
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	23	20	—	—	$36,305.34	$50,424.09	$40,339.27	2026-05-27
183-3	OTHER	Percutaneous Structural Cardiac Procedures	23	20	—	—	$36,294.53	$50,409.08	$40,327.26	2026-05-27
907	OTHER	Other O.r. Procedures For Injuries With Mcc	122	46	—	—	$5,444.00	$143,654.00	$40,256.64	2026-05-27
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	46	20	—	—	$35,264.12	$50,266.45	$40,213.16	2026-05-27
639-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	23	20	—	—	$35,992.76	$49,989.95	$39,991.96	2026-05-27
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	121	45	—	—	$3,800.00	$142,360.58	$39,895.68	2026-05-27
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	118	45	—	—	$4,733.96	$142,306.82	$39,879.43	2026-05-27
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	23	20	—	—	$35,888.27	$49,844.82	$39,875.86	2026-05-27
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	118	45	—	—	$5,410.27	$142,019.71	$39,799.04	2026-05-27
34	OTHER	Carotid Artery Stent Procedures With Mcc	58	42	—	—	$8,528.04	$140,286.19	$39,697.71	2026-05-27
121-4	OTHER	Other Respiratory And Chest Procedures	46	20	—	—	$34,235.61	$49,416.94	$39,533.55	2026-05-27
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	59	43	—	—	$4,558.00	$141,051.89	$39,528.05	2026-05-27
904	OTHER	Skin Grafts For Injuries With Cc/mcc	58	42	—	—	$5,686.03	$139,307.70	$39,420.94	2026-05-27
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	118	45	—	—	$6,356.49	$138,824.84	$39,410.21	2026-05-27
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	118	45	—	—	$5,024.41	$138,924.84	$39,403.97	2026-05-27
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	46	20	—	—	$30,180.73	$49,139.19	$39,311.35	2026-05-27
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	118	45	—	—	$3,984.17	$139,445.92	$39,078.38	2026-05-27
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	23	20	—	—	$35,073.04	$48,712.55	$38,970.04	2026-05-27
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	23	20	—	—	$34,981.15	$48,584.94	$38,867.95	2026-05-27
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	23	20	—	—	$34,978.46	$48,581.19	$38,864.95	2026-05-27
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	58	42	—	—	$10,051.42	$137,201.92	$38,825.31	2026-05-27
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	23	20	—	—	$34,682.08	$48,169.56	$38,535.65	2026-05-27
759-4	OTHER	Eating Disorders	23	20	—	—	$30,803.55	$44,462.40	$38,504.44	2026-05-27
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	23	20	—	—	$34,474.00	$47,880.55	$38,304.44	2026-05-27
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	23	20	—	—	$34,424.45	$47,811.74	$38,249.39	2026-05-27
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	23	20	—	—	$34,378.51	$47,747.94	$38,198.35	2026-05-27
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	23	20	—	—	$34,356.00	$47,716.66	$38,173.33	2026-05-27
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	118	45	—	—	$5,555.04	$135,533.90	$37,984.21	2026-05-27
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	23	20	—	—	$34,154.21	$47,436.40	$37,949.12	2026-05-27
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	118	45	—	—	$4,288.43	$135,085.55	$37,857.47	2026-05-27
460	OTHER	Spinal Fusion Except Cervical Without Mcc	116	44	—	—	$26,420.82	$135,040.64	$37,846.10	2026-05-27
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	118	45	—	—	$5,213.13	$133,982.07	$37,549.70	2026-05-27
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	23	20	—	—	$33,791.18	$46,932.20	$37,545.76	2026-05-27
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	23	20	—	—	$33,666.88	$46,759.55	$37,407.64	2026-05-27
335	OTHER	Peritoneal Adhesiolysis With Mcc	118	45	—	—	$4,298.23	$131,908.17	$37,394.58	2026-05-27
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	118	45	—	—	$4,253.06	$133,380.84	$37,381.35	2026-05-27
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	46	20	—	—	$33,210.92	$46,693.24	$37,354.59	2026-05-27
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	23	20	—	—	$33,603.81	$46,671.96	$37,337.57	2026-05-27
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	23	20	—	—	$33,511.03	$46,543.10	$37,234.48	2026-05-27
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	118	45	—	—	$4,703.57	$131,777.94	$37,158.24	2026-05-27
182-4	OTHER	Other Peripheral Vascular And Related Procedures	23	20	—	—	$33,367.81	$46,344.17	$37,075.34	2026-05-27
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	23	20	—	—	$33,229.98	$46,152.75	$36,922.20	2026-05-27
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	23	20	—	—	$33,229.08	$46,151.50	$36,921.20	2026-05-27
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	118	45	—	—	$4,760.95	$131,609.27	$36,885.32	2026-05-27
271	OTHER	Other Major Cardiovascular Procedures With Cc	130	49	—	—	$4,558.00	$131,382.47	$36,821.81	2026-05-27
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	58	42	—	—	$4,933.81	$129,512.64	$36,650.33	2026-05-27
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	58	42	—	—	$6,851.02	$129,484.29	$36,642.32	2026-05-27
403-4	OTHER	Procedures For Obesity	23	20	—	—	$32,917.40	$45,718.61	$36,574.89	2026-05-27

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