Hospital

WHITTIER HOSPITAL MEDICAL CENTER

Whittier, CA · CCN 050735 · Rates published

9,872 distinct procedures filed

104 distinct payers

1,709,344 rate rows

2026-05-27 last MRF observed

Data quality

1,581,435 of 1,709,344 rate rows are consumer-grade (92.5%)

127,909 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	21,013
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 · 2026-05-17
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 $386,529 1.0× 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 $239,422 1.2× median
7 OTHER	Lung Transplant	40	$12,277.00	$867,984.18	$245,532.29	nat. median $169,933 1.4× median
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 $146,562 1.6× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	20	$202,428.39	$281,150.54	$224,920.43	nat. median $210,669 1.1× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	20	$200,154.92	$277,992.94	$222,394.35	nat. median $203,379 1.1× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	20	$198,900.00	$276,250.00	$221,000.00	nat. median $267,493 0.8× median
583-4 OTHER	Neonate With Ecmo	20	$198,900.00	$276,250.00	$221,000.00	nat. median $309,400 0.7× median
583-3 OTHER	Neonate With Ecmo	20	$198,900.00	$276,250.00	$221,000.00	nat. median $259,487 0.9× median
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 $181,005 1.2× median
161-4 OTHER	Implantable Heart Assist Systems	20	$191,733.80	$266,296.95	$213,037.56	nat. median $202,242 1.1× median
583-2 OTHER	Neonate With Ecmo	20	$158,620.63	$220,306.43	$176,245.14	nat. median $191,347 0.9× median
002-4 OTHER	Heart And/or Lung Transplant	20	$156,541.99	$217,419.43	$173,935.54	nat. median $216,800 0.8× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	20	$148,500.00	$206,250.00	$165,000.00	nat. median $169,856 1.0× median
583-1 OTHER	Neonate With Ecmo	20	$141,602.84	$196,670.61	$157,336.49	nat. median $171,226 0.9× median
161-3 OTHER	Implantable Heart Assist Systems	20	$135,525.11	$188,229.31	$150,583.45	nat. median $152,491 1.0× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	20	$130,960.29	$181,889.29	$145,511.43	nat. median $151,691 1.0× median
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 $134,983 1.1× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	20	$120,253.63	$167,018.94	$133,615.15	nat. median $172,311 0.8× median
14 OTHER	Allogeneic Bone Marrow Transplant	41	$4,833.31	$466,898.22	$133,399.49	nat. median $100,915 1.3× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	20	$119,301.88	$165,697.06	$132,557.65	nat. median $150,954 0.9× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	20	$118,800.00	$165,000.00	$132,000.00	nat. median $165,000 0.8× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	20	$117,000.00	$162,500.00	$130,000.00	nat. median $153,523 0.8× median
161-2 OTHER	Implantable Heart Assist Systems	20	$116,514.37	$161,825.51	$129,460.41	nat. median $109,992 1.2× median
002-3 OTHER	Heart And/or Lung Transplant	20	$116,487.84	$161,788.66	$129,430.93	nat. median $133,471 1.0× median
863-4 OTHER	Neonatal Aftercare	20	$109,905.13	$158,704.92	$126,963.94	nat. median $108,047 1.2× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	20	$108,900.00	$151,250.00	$121,000.00	nat. median $151,250 0.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	20	$108,000.00	$150,000.00	$120,000.00	nat. median $156,696 0.8× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	20	$108,000.00	$150,000.00	$120,000.00	nat. median $124,561 1.0× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	20	$108,000.00	$150,000.00	$120,000.00	nat. median $108,000 1.1× median
161-1 OTHER	Implantable Heart Assist Systems	20	$106,189.21	$147,485.01	$117,988.01	nat. median $101,352 1.2× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	42	$2,375.00	$393,086.01	$111,203.95	nat. median $111,558 1.0× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	20	$99,000.00	$137,500.00	$110,000.00	nat. median $110,000 1.0× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	42	$8,882.89	$388,626.28	$109,942.48	nat. median $90,581 1.2× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	40	$7,645.04	$379,958.60	$108,559.60	nat. median $94,894 1.1× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	20	$96,911.84	$134,599.78	$107,679.82	nat. median $171,094 0.6× median
215 OTHER	Other Heart Assist System Implant	46	$2,375.00	$378,022.96	$105,879.95	nat. median $92,359 1.1× median
860-2 OTHER	Rehabilitation	2	$103,566.20	$103,566.20	$103,566.20	nat. median $13,570 outlier · 7.6×
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	nat. median $125,000 0.8× median
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	nat. median $100,015 1.0× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	20	$89,100.00	$123,750.00	$99,000.00	nat. median $112,711 0.9× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	20	$87,425.42	$121,424.19	$97,139.35	nat. median $106,926 0.9× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	47	$4,558.00	$344,568.00	$96,512.56	nat. median $90,130 1.1× median
860-4 OTHER	Rehabilitation	2	$96,303.14	$96,303.14	$96,303.14	nat. median $22,154 outlier · 4.3×
633-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	20	$76,914.77	$119,330.16	$95,464.13	nat. median $74,597 1.3× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	20	$85,500.00	$118,750.00	$95,000.00	nat. median $95,000 1.0× median
002-2 OTHER	Heart And/or Lung Transplant	20	$84,612.19	$117,516.92	$94,013.54	nat. median $106,681 0.9× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	20	$83,700.00	$116,250.00	$93,000.00	nat. median $93,000 1.0× median
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	nat. median $99,067 0.9× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	20	$81,900.00	$113,750.00	$91,000.00	nat. median $99,157 0.9× median

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

403-4	OTHER	Procedures For Obesity	23	20	—	—	$32,917.40	$45,718.61	$36,574.89	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
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
271	OTHER	Other Major Cardiovascular Procedures With Cc	130	49	—	—	$4,558.00	$131,382.47	$36,821.81	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
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
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	23	20	—	—	$33,229.98	$46,152.75	$36,922.20	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
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
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
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
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
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
335	OTHER	Peritoneal Adhesiolysis With Mcc	118	45	—	—	$4,298.23	$131,908.17	$37,394.58	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
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
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
460	OTHER	Spinal Fusion Except Cervical Without Mcc	116	44	—	—	$26,420.82	$135,040.64	$37,846.10	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
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	23	20	—	—	$34,154.21	$47,436.40	$37,949.12	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
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
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	23	20	—	—	$34,378.51	$47,747.94	$38,198.35	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
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
759-4	OTHER	Eating Disorders	23	20	—	—	$30,803.55	$44,462.40	$38,504.44	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
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
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
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
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
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
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	46	20	—	—	$30,180.73	$49,139.19	$39,311.35	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
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
904	OTHER	Skin Grafts For Injuries With Cc/mcc	58	42	—	—	$5,686.03	$139,307.70	$39,420.94	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
121-4	OTHER	Other Respiratory And Chest Procedures	46	20	—	—	$34,235.61	$49,416.94	$39,533.55	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
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
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
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
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
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
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
907	OTHER	Other O.r. Procedures For Injuries With Mcc	122	46	—	—	$5,444.00	$143,654.00	$40,256.64	2026-05-27
183-3	OTHER	Percutaneous Structural Cardiac Procedures	23	20	—	—	$36,294.53	$50,409.08	$40,327.26	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
440-1	OTHER	Kidney Transplant	46	20	—	—	$34,716.32	$50,456.79	$40,365.43	2026-05-27
179-3	OTHER	Defibrillator Implants	23	20	—	—	$36,342.28	$50,475.39	$40,380.31	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
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
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
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	23	20	—	—	$36,676.48	$50,939.55	$40,751.64	2026-05-27
230-4	OTHER	Major Small Bowel Procedures	46	20	—	—	$35,137.22	$50,943.31	$40,754.65	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
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
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
695-4	OTHER	Chemotherapy For Acute Leukemia	23	20	—	—	$37,220.57	$51,695.24	$41,356.19	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
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
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
791	OTHER	Prematurity With Major Problems	118	45	—	—	$3,144.05	$149,482.52	$41,889.82	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
178-1	OTHER	External Heart Assist Systems	23	20	—	—	$37,789.88	$52,485.95	$41,988.76	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
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
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
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
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
31	OTHER	Ventricular Shunt Procedures With Mcc	58	42	—	—	$6,162.80	$150,988.70	$42,724.99	2026-05-27
401-4	OTHER	Adrenal Procedures	23	20	—	—	$38,473.60	$53,435.55	$42,748.44	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
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
793	OTHER	Full Term Neonate With Major Problems	118	45	—	—	$9,135.33	$153,464.71	$43,004.84	2026-05-27
440-2	OTHER	Kidney Transplant	23	20	—	—	$38,717.71	$53,774.60	$43,019.68	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
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	118	45	—	—	$4,147.07	$154,616.95	$43,327.46	2026-05-27
181-4	OTHER	Lower Extremity Arterial Procedures	23	20	—	—	$39,008.67	$54,178.71	$43,342.97	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
261-4	OTHER	Major Biliary Tract Procedures	23	20	—	—	$39,362.70	$54,670.41	$43,736.33	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
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
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
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
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	60	43	—	—	$2,427.00	$158,156.91	$44,317.46	2026-05-27
027-4	OTHER	Other Open Craniotomy	23	20	—	—	$40,122.98	$55,726.36	$44,581.09	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
570	OTHER	Skin Debridement With Mcc	118	45	—	—	$3,947.29	$160,867.45	$45,077.61	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
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
356	OTHER	Other Digestive System O.r. Procedures With Mcc	118	45	—	—	$5,701.34	$161,501.23	$45,255.07	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
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	23	20	—	—	$41,294.03	$57,352.83	$45,882.26	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
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
178-2	OTHER	External Heart Assist Systems	23	20	—	—	$41,336.37	$57,411.63	$45,929.30	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
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
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	61	44	—	—	$5,444.00	$165,761.12	$46,446.63	2026-05-27
441-4	OTHER	Major Bladder Procedures	23	20	—	—	$41,863.35	$58,143.54	$46,514.83	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
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
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
163	OTHER	Major Chest Procedures With Mcc	118	45	—	—	$6,967.58	$165,828.42	$47,058.77	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
020-4	OTHER	Open Craniotomy For Trauma	23	20	—	—	$42,510.12	$59,041.84	$47,233.47	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
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
329	OTHER	Major Small And Large Bowel Procedures With Mcc	118	45	—	—	$4,917.12	$168,835.52	$47,308.67	2026-05-27
277	OTHER	Cellulitis Age >17 W Cc	58	42	—	—	$14,488.50	$167,342.17	$47,350.69	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
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
089-4	OTHER	Major Cranial Or Facial Bone Procedures	23	20	—	—	$42,675.88	$59,272.05	$47,417.64	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
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
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	23	20	—	—	$43,265.01	$60,090.29	$48,072.23	2026-05-27
690-4	OTHER	Acute Leukemia	46	20	—	—	$40,570.77	$60,101.54	$48,081.23	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
483-4	OTHER	Penis, Testes And Scrotal Procedures	23	20	—	—	$43,409.13	$60,290.46	$48,232.37	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
799	OTHER	Splenectomy With Mcc	58	42	—	—	$6,785.32	$170,990.09	$48,382.52	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
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
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
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
471	OTHER	Cervical Spinal Fusion With Mcc	63	45	—	—	$3,360.00	$174,623.79	$48,928.18	2026-05-27
440-3	OTHER	Kidney Transplant	23	20	—	—	$44,037.00	$61,162.50	$48,930.00	2026-05-27
245	OTHER	Aicd Generator Procedures	133	48	—	—	$2,520.00	$175,669.62	$49,221.01	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
6	OTHER	Liver Transplant Without Mcc	57	41	—	—	$1,000.01	$174,336.71	$49,810.49	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
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
023-4	OTHER	Spinal Procedures	23	20	—	—	$45,011.67	$62,516.21	$50,012.97	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
228	OTHER	Other Cardiothoracic Procedures With Mcc	63	45	—	—	$4,558.00	$179,090.66	$50,178.90	2026-05-27
021-4	OTHER	Open Craniotomy Except Trauma	23	20	—	—	$45,256.70	$62,856.53	$50,285.22	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
278	OTHER	Cellulitis Age >17 Without Cc	58	42	—	—	$8,026.77	$179,799.66	$50,874.38	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
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
169-4	OTHER	Major Abdominal Vascular Procedures	23	20	—	—	$46,230.47	$64,208.99	$51,367.19	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
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
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
178-3	OTHER	External Heart Assist Systems	23	20	—	—	$46,572.78	$64,684.41	$51,747.53	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
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	118	45	—	—	$5,793.12	$182,910.18	$52,138.09	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
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	118	45	—	—	$7,365.65	$190,759.38	$53,447.35	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
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
270	OTHER	Other Major Cardiovascular Procedures With Mcc	131	49	—	—	$3,850.00	$193,312.21	$54,162.14	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
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
8	OTHER	Simultaneous Pancreas And Kidney Transplant	57	41	—	—	$6,489.04	$195,320.05	$55,805.73	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
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
653	OTHER	Major Bladder Procedures With Mcc	60	43	—	—	$5,659.20	$200,052.69	$56,048.27	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
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
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
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
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
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
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
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
910-4	OTHER	Craniotomy For Multiple Significant Trauma	23	20	—	—	$51,992.06	$72,211.19	$57,768.95	2026-05-27
179-4	OTHER	Defibrillator Implants	23	20	—	—	$52,069.52	$72,318.77	$57,855.02	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
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
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
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
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
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	65	47	—	—	$4,558.00	$211,028.30	$59,121.44	2026-05-27
007-1	OTHER	Allogeneic Bone Marrow Transplant	23	20	—	—	$53,528.83	$74,345.60	$59,476.48	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
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
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
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
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
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	58	42	—	—	$3,402.66	$213,176.60	$60,315.29	2026-05-27
007-2	OTHER	Allogeneic Bone Marrow Transplant	23	20	—	—	$54,298.13	$75,414.06	$60,331.25	2026-05-27
183-4	OTHER	Percutaneous Structural Cardiac Procedures	23	20	—	—	$54,337.76	$75,469.11	$60,375.29	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
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
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
232	OTHER	Coronary Bypass With Ptca Without Mcc	67	47	—	—	$3,360.00	$218,987.02	$61,349.89	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
28	OTHER	Spinal Procedures With Mcc	58	42	—	—	$6,354.28	$217,951.83	$61,665.99	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
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
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	23	20	—	—	$56,044.79	$77,839.99	$62,271.99	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
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
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	116	44	—	—	$43,851.28	$223,556.97	$62,644.69	2026-05-27
276	OTHER	Non-maligant Breast Disorders	58	42	—	—	$10,231.57	$222,025.12	$62,818.15	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
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
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
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	23	20	—	—	$58,483.29	$81,226.79	$64,981.43	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
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
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	118	45	—	—	$5,171.79	$235,021.15	$66,198.88	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
006-2	OTHER	Pancreas Transplant	23	20	—	—	$60,406.52	$83,897.94	$67,118.35	2026-05-27
178-4	OTHER	External Heart Assist Systems	23	20	—	—	$60,779.45	$84,415.90	$67,532.72	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
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
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
232-4	OTHER	Gastric Fundoplication	23	20	—	—	$61,934.29	$86,019.85	$68,815.88	2026-05-27
955	OTHER	Craniotomy For Multiple Significant Trauma	58	42	—	—	$7,938.23	$244,497.40	$69,174.60	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
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
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	63	45	—	—	$2,375.00	$252,959.52	$70,862.19	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
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
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
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	23	20	—	—	$66,333.84	$92,130.34	$73,704.27	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
860-1	OTHER	Rehabilitation	3	2	—	—	$74,940.00	$74,940.00	$74,940.00	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
007-3	OTHER	Allogeneic Bone Marrow Transplant	23	20	—	—	$68,932.68	$95,739.84	$76,591.87	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
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
440-4	OTHER	Kidney Transplant	23	20	—	—	$70,473.07	$97,879.26	$78,303.41	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
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
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
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
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	58	42	—	—	$7,296.21	$283,457.90	$80,194.85	2026-05-27
10	OTHER	Pancreas Transplant	56	40	—	—	$8,664.98	$285,077.94	$81,450.84	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
006-3	OTHER	Pancreas Transplant	23	20	—	—	$73,538.52	$102,136.84	$81,709.47	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
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
231	OTHER	Coronary Bypass With Ptca With Mcc	67	47	—	—	$3,360.00	$302,835.26	$84,827.39	2026-05-27
006-4	OTHER	Pancreas Transplant	23	20	—	—	$76,500.00	$106,250.00	$85,000.00	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
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
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
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
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
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	57	41	—	—	$63,314.50	$316,572.48	$90,449.28	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
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
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
002-2	OTHER	Heart And/or Lung Transplant	23	20	—	—	$84,612.19	$117,516.92	$94,013.54	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
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
860-4	OTHER	Rehabilitation	3	2	—	—	$96,303.14	$96,303.14	$96,303.14	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
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	23	20	—	—	$87,425.42	$121,424.19	$97,139.35	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
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
860-2	OTHER	Rehabilitation	3	2	—	—	$103,566.20	$103,566.20	$103,566.20	2026-05-27
215	OTHER	Other Heart Assist System Implant	64	46	—	—	$2,375.00	$378,022.96	$105,879.95	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
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	56	40	—	—	$7,645.04	$379,958.60	$108,559.60	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
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
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
161-1	OTHER	Implantable Heart Assist Systems	23	20	—	—	$106,189.21	$147,485.01	$117,988.01	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
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
863-4	OTHER	Neonatal Aftercare	46	20	—	—	$109,905.13	$158,704.92	$126,963.94	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
161-2	OTHER	Implantable Heart Assist Systems	23	20	—	—	$116,514.37	$161,825.51	$129,460.41	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
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
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	23	20	—	—	$119,301.88	$165,697.06	$132,557.65	2026-05-27
14	OTHER	Allogeneic Bone Marrow Transplant	57	41	—	—	$4,833.31	$466,898.22	$133,399.49	2026-05-27
007-4	OTHER	Allogeneic Bone Marrow Transplant	23	20	—	—	$120,253.63	$167,018.94	$133,615.15	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
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	23	20	—	—	$130,960.29	$181,889.29	$145,511.43	2026-05-27
161-3	OTHER	Implantable Heart Assist Systems	23	20	—	—	$135,525.11	$188,229.31	$150,583.45	2026-05-27
583-1	OTHER	Neonate With Ecmo	23	20	—	—	$141,602.84	$196,670.61	$157,336.49	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
002-4	OTHER	Heart And/or Lung Transplant	23	20	—	—	$156,541.99	$217,419.43	$173,935.54	2026-05-27
583-2	OTHER	Neonate With Ecmo	23	20	—	—	$158,620.63	$220,306.43	$176,245.14	2026-05-27
161-4	OTHER	Implantable Heart Assist Systems	23	20	—	—	$191,733.80	$266,296.95	$213,037.56	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
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
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
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
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
7	OTHER	Lung Transplant	56	40	—	—	$12,277.00	$867,984.18	$245,532.29	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
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

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