Hospital

GREATER EL MONTE COMMUNITY HOSPITAL

South El Monte, CA · CCN 050738 · Rates published

9,564 distinct procedures filed

79 distinct payers

2,085,974 rate rows

2026-05-09 last MRF observed

Data quality

1,993,929 of 2,085,974 rate rows are consumer-grade (95.6%)

92,045 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	63,671
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	23,539
exceeds 10× this hospital's gross charge — excluded from medians	3,731
template filing: same amount across many unrelated codes — excluded	743
placeholder amount (≤ $0.02) — excluded from medians	361

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

Source MRF file	https://www.ahmchealth.com/docs/PricingTransparency-Greater_El_Monte_Community_Hosp-2026.csv
Found on page	https://www.ahmchealth.com/gemch/getpage.php?name=Price_Transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	c0d5133827a72822… · 397,525,895 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	36	$363,669.16	$2,431,051.85	$587,402.53	nat. median $386,529 1.5× median
7 OTHER	Lung Transplant	37	$243,068.21	$1,838,420.12	$381,712.22	nat. median $169,933 outlier · 2.2×
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	44	$1,700.00	$719,603.23	$293,570.43	nat. median $239,422 1.2× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	$69,301.77	$331,859.58	$276,549.65	nat. median $203,379 1.4× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	36	$158,253.75	$421,737.68	$247,328.72	nat. median $146,562 1.7× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	$69,752.21	$292,674.11	$243,895.09	nat. median $210,669 1.2× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	37	$156,447.09	$548,334.50	$230,660.29	nat. median $181,005 1.3× median
583-3 OTHER	Neonate With Ecmo	14	$66,300.00	$265,200.00	$221,000.00	nat. median $259,487 0.9× median
583-4 OTHER	Neonate With Ecmo	14	$66,300.00	$265,200.00	$221,000.00	nat. median $309,400 0.7× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	$66,300.00	$265,200.00	$221,000.00	nat. median $267,493 0.8× median
002-4 OTHER	Heart And/or Lung Transplant	14	$53,585.46	$258,336.47	$214,341.83	nat. median $216,800 1.0× median
161-4 OTHER	Implantable Heart Assist Systems	14	$60,672.49	$255,645.07	$213,037.56	nat. median $202,242 1.1× median
583-2 OTHER	Neonate With Ecmo	14	$54,271.95	$247,208.20	$206,006.83	nat. median $191,347 1.1× median
583-1 OTHER	Neonate With Ecmo	14	$48,599.36	$226,769.39	$188,974.49	nat. median $171,226 1.1× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	14	$44,866.66	$207,621.43	$173,017.86	nat. median $151,691 1.1× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	37	$103,281.67	$806,829.58	$167,188.75	nat. median $134,983 1.2× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	$49,500.00	$198,000.00	$165,000.00	nat. median $169,856 1.0× median
161-3 OTHER	Implantable Heart Assist Systems	14	$46,452.12	$195,286.96	$162,739.13	nat. median $152,491 1.1× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	14	$40,084.54	$179,802.71	$149,835.59	nat. median $172,311 0.9× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	$40,654.87	$166,800.00	$139,000.00	nat. median $150,954 0.9× median
14 OTHER	Allogeneic Bone Marrow Transplant	36	$33,049.73	$232,920.34	$135,497.82	nat. median $100,915 1.3× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	$39,600.00	$158,400.00	$132,000.00	nat. median $165,000 0.8× median
002-3 OTHER	Heart And/or Lung Transplant	14	$39,187.04	$157,837.02	$131,530.85	nat. median $133,471 1.0× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	$39,000.00	$156,000.00	$130,000.00	nat. median $153,523 0.8× median
161-2 OTHER	Implantable Heart Assist Systems	14	$32,997.52	$155,352.49	$129,460.41	nat. median $109,992 1.2× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	$32,303.95	$256,156.80	$129,215.78	nat. median $171,094 0.8× median
863-4 OTHER	Neonatal Aftercare	14	$36,635.04	$152,356.73	$126,963.94	nat. median $108,047 1.2× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	44	$1,700.00	$639,953.88	$125,339.63	nat. median $111,558 1.1× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	$36,300.00	$145,200.00	$121,000.00	nat. median $151,250 0.8× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	$36,000.00	$144,000.00	$120,000.00	nat. median $108,000 1.1× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	$36,000.00	$144,000.00	$120,000.00	nat. median $156,696 0.8× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	14	$36,000.00	$144,000.00	$120,000.00	nat. median $124,561 1.0× median
161-1 OTHER	Implantable Heart Assist Systems	14	$32,997.52	$141,585.61	$117,988.01	nat. median $101,352 1.2× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	36	$79,718.53	$208,061.51	$117,220.51	nat. median $90,581 1.3× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	37	$76,716.70	$402,528.09	$113,706.74	nat. median $94,894 1.2× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	$33,000.00	$132,000.00	$110,000.00	nat. median $110,000 1.0× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	36	$63,489.08	$629,752.79	$109,223.59	nat. median $64,729 1.7× median
215 OTHER	Other Heart Assist System Implant	45	$1,700.00	$284,859.31	$108,589.58	nat. median $92,359 1.2× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	$29,141.81	$128,311.12	$106,925.93	nat. median $106,926 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	44	$2,600.00	$258,237.35	$101,981.77	nat. median $90,130 1.1× median
002-2 OTHER	Heart And/or Lung Transplant	14	$28,204.06	$121,828.39	$101,523.66	nat. median $106,681 1.0× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	$30,000.00	$120,000.00	$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…	14	$30,000.00	$120,000.00	$100,000.00	nat. median $125,000 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	$29,700.00	$118,800.00	$99,000.00	nat. median $112,711 0.9× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	36	$64,919.20	$232,607.28	$95,465.50	nat. median $65,342 1.5× median
633-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	14	$25,638.26	$114,556.96	$95,464.13	nat. median $74,597 1.3× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	$28,500.00	$114,000.00	$95,000.00	nat. median $95,000 1.0× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	14	$27,900.00	$111,600.00	$93,000.00	nat. median $93,000 1.0× median
842-4 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	14	$25,055.13	$111,029.36	$92,524.47	nat. median $83,517 1.1× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	$27,600.00	$110,400.00	$92,000.00	nat. median $99,067 0.9× median

Other procedures at this hospital

Browse this hospital's 9,564 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	92	36	—	—	$363,669.16	$2,431,051.85	$587,402.53	2026-05-09
7	OTHER	Lung Transplant	94	37	—	—	$243,068.21	$1,838,420.12	$381,712.22	2026-05-09
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	108	44	—	—	$1,700.00	$719,603.23	$293,570.43	2026-05-09
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	30	14	—	—	$69,301.77	$331,859.58	$276,549.65	2026-05-09
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	92	36	—	—	$158,253.75	$421,737.68	$247,328.72	2026-05-09
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	30	14	—	—	$69,752.21	$292,674.11	$243,895.09	2026-05-09
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	94	37	—	—	$156,447.09	$548,334.50	$230,660.29	2026-05-09
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	30	14	—	—	$66,300.00	$265,200.00	$221,000.00	2026-05-09
583-4	OTHER	Neonate With Ecmo	30	14	—	—	$66,300.00	$265,200.00	$221,000.00	2026-05-09
583-3	OTHER	Neonate With Ecmo	30	14	—	—	$66,300.00	$265,200.00	$221,000.00	2026-05-09
002-4	OTHER	Heart And/or Lung Transplant	30	14	—	—	$53,585.46	$258,336.47	$214,341.83	2026-05-09
161-4	OTHER	Implantable Heart Assist Systems	30	14	—	—	$60,672.49	$255,645.07	$213,037.56	2026-05-09
583-2	OTHER	Neonate With Ecmo	30	14	—	—	$54,271.95	$247,208.20	$206,006.83	2026-05-09
583-1	OTHER	Neonate With Ecmo	30	14	—	—	$48,599.36	$226,769.39	$188,974.49	2026-05-09
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	30	14	—	—	$44,866.66	$207,621.43	$173,017.86	2026-05-09
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	94	37	—	—	$103,281.67	$806,829.58	$167,188.75	2026-05-09
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	30	14	—	—	$49,500.00	$198,000.00	$165,000.00	2026-05-09
161-3	OTHER	Implantable Heart Assist Systems	30	14	—	—	$46,452.12	$195,286.96	$162,739.13	2026-05-09
007-4	OTHER	Allogeneic Bone Marrow Transplant	30	14	—	—	$40,084.54	$179,802.71	$149,835.59	2026-05-09
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	30	14	—	—	$40,654.87	$166,800.00	$139,000.00	2026-05-09
14	OTHER	Allogeneic Bone Marrow Transplant	92	36	—	—	$33,049.73	$232,920.34	$135,497.82	2026-05-09
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	30	14	—	—	$39,600.00	$158,400.00	$132,000.00	2026-05-09
002-3	OTHER	Heart And/or Lung Transplant	30	14	—	—	$39,187.04	$157,837.02	$131,530.85	2026-05-09
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	30	14	—	—	$39,000.00	$156,000.00	$130,000.00	2026-05-09
161-2	OTHER	Implantable Heart Assist Systems	30	14	—	—	$32,997.52	$155,352.49	$129,460.41	2026-05-09
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	30	14	—	—	$32,303.95	$256,156.80	$129,215.78	2026-05-09
863-4	OTHER	Neonatal Aftercare	30	14	—	—	$36,635.04	$152,356.73	$126,963.94	2026-05-09
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	108	44	—	—	$1,700.00	$639,953.88	$125,339.63	2026-05-09
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	30	14	—	—	$36,300.00	$145,200.00	$121,000.00	2026-05-09
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	30	14	—	—	$36,000.00	$144,000.00	$120,000.00	2026-05-09
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	30	14	—	—	$36,000.00	$144,000.00	$120,000.00	2026-05-09
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	30	14	—	—	$36,000.00	$144,000.00	$120,000.00	2026-05-09
161-1	OTHER	Implantable Heart Assist Systems	30	14	—	—	$32,997.52	$141,585.61	$117,988.01	2026-05-09
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	92	36	—	—	$79,718.53	$208,061.51	$117,220.51	2026-05-09
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	94	37	—	—	$76,716.70	$402,528.09	$113,706.74	2026-05-09
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	30	14	—	—	$33,000.00	$132,000.00	$110,000.00	2026-05-09
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	92	36	—	—	$63,489.08	$629,752.79	$109,223.59	2026-05-09
215	OTHER	Other Heart Assist System Implant	112	45	—	—	$1,700.00	$284,859.31	$108,589.58	2026-05-09
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	30	14	—	—	$29,141.81	$128,311.12	$106,925.93	2026-05-09
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	113	44	—	—	$2,600.00	$258,237.35	$101,981.77	2026-05-09
002-2	OTHER	Heart And/or Lung Transplant	30	14	—	—	$28,204.06	$121,828.39	$101,523.66	2026-05-09
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$30,000.00	$120,000.00	$100,000.00	2026-05-09
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$30,000.00	$120,000.00	$100,000.00	2026-05-09
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	30	14	—	—	$29,700.00	$118,800.00	$99,000.00	2026-05-09
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	92	36	—	—	$64,919.20	$232,607.28	$95,465.50	2026-05-09
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	30	14	—	—	$25,638.26	$114,556.96	$95,464.13	2026-05-09
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	30	14	—	—	$28,500.00	$114,000.00	$95,000.00	2026-05-09
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	30	14	—	—	$27,900.00	$111,600.00	$93,000.00	2026-05-09
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	30	14	—	—	$25,055.13	$111,029.36	$92,524.47	2026-05-09
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$27,600.00	$110,400.00	$92,000.00	2026-05-09
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	92	36	—	—	$62,063.46	$276,677.29	$91,267.56	2026-05-09
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	30	14	—	—	$27,300.00	$109,200.00	$91,000.00	2026-05-09
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	30	14	—	—	$26,761.86	$109,200.00	$91,000.00	2026-05-09
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	30	14	—	—	$27,000.00	$108,000.00	$90,000.00	2026-05-09
007-3	OTHER	Allogeneic Bone Marrow Transplant	30	14	—	—	$22,977.56	$107,127.77	$89,273.14	2026-05-09
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$26,700.00	$106,800.00	$89,000.00	2026-05-09
231	OTHER	Coronary Bypass With Ptca With Mcc	113	44	—	—	$4,200.00	$265,676.26	$88,710.97	2026-05-09
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	30	14	—	—	$26,400.00	$105,600.00	$88,000.00	2026-05-09
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	92	36	—	—	$58,683.28	$329,106.17	$86,300.88	2026-05-09
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$24,034.21	$103,200.00	$86,000.00	2026-05-09
006-4	OTHER	Pancreas Transplant	30	14	—	—	$25,500.00	$102,000.00	$85,000.00	2026-05-09
10	OTHER	Pancreas Transplant	92	36	—	—	$53,564.32	$309,322.10	$83,500.66	2026-05-09
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	30	14	—	—	$24,231.34	$99,686.04	$83,071.70	2026-05-09
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	30	14	—	—	$20,608.13	$229,774.57	$82,432.52	2026-05-09
6	OTHER	Liver Transplant Without Mcc	94	37	—	—	$46,810.29	$521,055.49	$82,385.10	2026-05-09
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	92	36	—	—	$13,913.56	$140,929.45	$82,211.36	2026-05-09
006-3	OTHER	Pancreas Transplant	30	14	—	—	$23,743.48	$98,051.36	$81,709.47	2026-05-09
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	113	44	—	—	$2,600.00	$183,106.26	$81,474.09	2026-05-09
8	OTHER	Simultaneous Pancreas And Kidney Transplant	96	38	—	—	$42,000.00	$503,149.34	$81,213.90	2026-05-09
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	92	36	—	—	$54,745.71	$152,545.88	$81,207.15	2026-05-09
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	107	41	—	—	$10,500.00	$257,067.25	$81,051.01	2026-05-09
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	30	14	—	—	$23,878.07	$96,817.24	$80,681.03	2026-05-09
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$24,000.00	$96,000.00	$80,000.00	2026-05-09
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	30	14	—	—	$21,815.52	$96,000.00	$80,000.00	2026-05-09
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	30	14	—	—	$24,000.00	$96,000.00	$80,000.00	2026-05-09
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	30	14	—	—	$23,700.00	$94,800.00	$79,000.00	2026-05-09
440-4	OTHER	Kidney Transplant	30	14	—	—	$23,068.94	$93,964.09	$78,303.41	2026-05-09
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	93	36	—	—	$47,486.22	$474,283.21	$77,369.20	2026-05-09
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	30	14	—	—	$22,111.28	$91,386.55	$76,155.46	2026-05-09
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	104	41	—	—	$10,500.00	$459,641.04	$75,478.33	2026-05-09
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	92	36	—	—	$51,048.98	$174,546.66	$75,076.27	2026-05-09
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	92	36	—	—	$49,027.67	$137,240.12	$74,993.74	2026-05-09
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	30	14	—	—	$18,681.60	$132,132.56	$74,726.39	2026-05-09
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	30	14	—	—	$19,686.90	$89,548.34	$74,623.62	2026-05-09
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	108	44	—	—	$1,700.00	$136,430.76	$74,556.36	2026-05-09
955	OTHER	Craniotomy For Multiple Significant Trauma	92	36	—	—	$50,115.51	$172,870.59	$73,704.08	2026-05-09
459	OTHER	Spinal Fusion Except Cervical With Mcc	92	36	—	—	$48,688.37	$150,427.80	$71,606.18	2026-05-09
007-1	OTHER	Allogeneic Bone Marrow Transplant	30	14	—	—	$17,842.94	$89,600.50	$71,371.78	2026-05-09
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	30	14	—	—	$21,085.56	$85,206.60	$71,005.50	2026-05-09
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	30	14	—	—	$21,000.00	$84,000.00	$70,000.00	2026-05-09
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	107	41	—	—	$10,500.00	$125,809.66	$68,816.73	2026-05-09
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	107	41	—	—	$10,500.00	$137,723.84	$68,816.73	2026-05-09
570	OTHER	Skin Debridement With Mcc	92	36	—	—	$30,592.57	$477,503.56	$68,679.12	2026-05-09
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	92	36	—	—	$45,236.28	$125,352.36	$68,569.60	2026-05-09
178-4	OTHER	External Heart Assist Systems	30	14	—	—	$19,868.61	$81,039.26	$67,532.72	2026-05-09
006-2	OTHER	Pancreas Transplant	30	14	—	—	$20,077.55	$80,542.02	$67,118.35	2026-05-09
007-2	OTHER	Allogeneic Bone Marrow Transplant	30	14	—	—	$18,099.38	$79,735.21	$66,446.01	2026-05-09
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	92	36	—	—	$44,931.20	$117,027.30	$66,083.14	2026-05-09
28	OTHER	Spinal Procedures With Mcc	92	36	—	—	$44,663.24	$114,960.87	$65,394.30	2026-05-09
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	92	36	—	—	$44,345.78	$150,404.95	$65,222.57	2026-05-09
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	30	14	—	—	$19,457.20	$78,129.79	$65,108.16	2026-05-09
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	30	14	—	—	$19,097.70	$78,123.05	$65,102.54	2026-05-09
276	OTHER	Non-maligant Breast Disorders	92	36	—	—	$44,929.81	$114,928.34	$64,999.82	2026-05-09
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	30	14	—	—	$16,208.72	$77,977.72	$64,834.87	2026-05-09
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	104	41	—	—	$10,500.00	$159,276.07	$64,467.84	2026-05-09
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	92	36	—	—	$41,358.13	$317,884.20	$64,399.63	2026-05-09
232	OTHER	Coronary Bypass With Ptca Without Mcc	113	44	—	—	$2,700.00	$165,110.47	$64,108.37	2026-05-09
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	92	36	—	—	$4,356.29	$113,721.00	$63,519.68	2026-05-09
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	92	36	—	—	$42,186.86	$114,096.02	$63,280.29	2026-05-09
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	92	36	—	—	$42,790.48	$135,696.83	$62,936.28	2026-05-09
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	92	36	—	—	$16,063.41	$107,304.64	$62,733.93	2026-05-09
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$17,086.48	$75,109.54	$62,591.28	2026-05-09
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	30	14	—	—	$18,161.23	$74,416.48	$62,013.73	2026-05-09
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	30	14	—	—	$18,600.00	$74,400.00	$62,000.00	2026-05-09
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	107	41	—	—	$10,500.00	$112,287.89	$61,773.15	2026-05-09
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	92	36	—	—	$41,937.10	$243,876.52	$61,681.82	2026-05-09
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	30	14	—	—	$18,433.97	$73,791.95	$61,493.29	2026-05-09
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	30	14	—	—	$17,423.47	$73,762.61	$61,468.84	2026-05-09
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	30	14	—	—	$16,327.98	$73,545.73	$61,288.11	2026-05-09
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	92	36	—	—	$39,722.84	$109,052.39	$60,945.27	2026-05-09
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	30	14	—	—	$17,053.84	$72,495.58	$60,412.98	2026-05-09
183-4	OTHER	Percutaneous Structural Cardiac Procedures	30	14	—	—	$17,630.63	$72,450.35	$60,375.29	2026-05-09
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	30	14	—	—	$15,088.87	$118,658.02	$60,355.48	2026-05-09
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	30	14	—	—	$15,601.28	$72,199.32	$60,166.10	2026-05-09
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	30	14	—	—	$16,424.02	$71,884.64	$59,903.87	2026-05-09
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$17,485.32	$70,815.11	$59,012.59	2026-05-09
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	30	14	—	—	$14,717.79	$82,498.58	$58,871.17	2026-05-09
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	92	36	—	—	$33,843.26	$105,041.97	$58,733.81	2026-05-09
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	94	37	—	—	$12,500.00	$133,794.75	$58,626.24	2026-05-09
653	OTHER	Major Bladder Procedures With Mcc	92	36	—	—	$38,945.99	$367,733.60	$58,552.70	2026-05-09
278	OTHER	Cellulitis Age >17 Without Cc	92	36	—	—	$12,266.30	$106,501.87	$58,382.78	2026-05-09
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	92	36	—	—	$39,685.72	$191,373.12	$58,372.27	2026-05-09
232-4	OTHER	Gastric Fundoplication	30	14	—	—	$14,591.53	$82,579.06	$58,366.14	2026-05-09
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	92	36	—	—	$39,665.36	$314,028.08	$58,344.54	2026-05-09
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	92	36	—	—	$36,855.46	$398,065.52	$57,915.73	2026-05-09
179-4	OTHER	Defibrillator Implants	30	14	—	—	$16,497.81	$69,426.02	$57,855.02	2026-05-09
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	30	14	—	—	$16,879.38	$69,424.68	$57,853.90	2026-05-09
910-4	OTHER	Craniotomy For Multiple Significant Trauma	30	14	—	—	$17,096.66	$69,322.74	$57,768.95	2026-05-09
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	30	14	—	—	$14,829.74	$69,227.84	$57,689.87	2026-05-09
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	113	44	—	—	$2,600.00	$128,644.47	$57,312.62	2026-05-09
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	30	14	—	—	$16,514.02	$68,769.04	$57,307.53	2026-05-09
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	30	14	—	—	$15,897.68	$67,847.81	$56,539.84	2026-05-09
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	92	36	—	—	$10,820.87	$95,916.22	$56,137.10	2026-05-09
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	107	41	—	—	$10,500.00	$102,036.07	$55,969.46	2026-05-09
091-4	OTHER	Other Major Head And Neck Procedures	30	14	—	—	$16,153.70	$67,068.31	$55,890.26	2026-05-09
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	92	36	—	—	$37,491.85	$99,598.44	$55,732.09	2026-05-09
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	30	14	—	—	$16,222.39	$66,520.62	$55,433.85	2026-05-09
270	OTHER	Other Major Cardiovascular Procedures With Mcc	108	44	—	—	$2,000.00	$100,955.01	$55,385.26	2026-05-09
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	92	36	—	—	$37,378.26	$323,920.01	$54,980.32	2026-05-09
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	30	14	—	—	$15,444.39	$65,661.74	$54,718.12	2026-05-09
163	OTHER	Major Chest Procedures With Mcc	92	36	—	—	$33,957.48	$391,003.68	$54,619.53	2026-05-09
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	92	36	—	—	$36,917.17	$166,534.55	$54,304.70	2026-05-09
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	92	36	—	—	$36,812.50	$94,493.57	$54,148.65	2026-05-09
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	30	14	—	—	$14,147.88	$64,750.22	$53,958.52	2026-05-09
178-3	OTHER	External Heart Assist Systems	30	14	—	—	$15,524.26	$64,445.60	$53,704.67	2026-05-09
228	OTHER	Other Cardiothoracic Procedures With Mcc	101	39	—	—	$10,500.00	$94,661.95	$53,009.97	2026-05-09
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	107	41	—	—	$10,500.00	$110,380.47	$52,944.04	2026-05-09
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$14,643.27	$63,258.71	$52,715.59	2026-05-09
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	30	14	—	—	$15,463.00	$62,686.26	$52,238.55	2026-05-09
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	30	14	—	—	$13,567.70	$61,996.76	$51,663.97	2026-05-09
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	92	36	—	—	$35,115.82	$127,461.39	$51,656.71	2026-05-09
169-4	OTHER	Major Abdominal Vascular Procedures	30	14	—	—	$14,910.52	$61,640.63	$51,367.19	2026-05-09
440-3	OTHER	Kidney Transplant	30	14	—	—	$14,679.00	$61,425.59	$51,187.99	2026-05-09
471	OTHER	Cervical Spinal Fusion With Mcc	112	45	—	—	$2,000.00	$330,936.40	$51,091.40	2026-05-09
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	92	36	—	—	$34,428.96	$144,865.75	$50,647.03	2026-05-09
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	30	14	—	—	$12,603.83	$104,400.00	$50,415.34	2026-05-09
277	OTHER	Cellulitis Age >17 W Cc	92	36	—	—	$34,268.40	$197,975.20	$50,408.82	2026-05-09
245	OTHER	Aicd Generator Procedures	107	41	—	—	$3,800.00	$87,295.48	$50,402.94	2026-05-09
021-4	OTHER	Open Craniotomy Except Trauma	30	14	—	—	$14,892.39	$60,342.26	$50,285.22	2026-05-09
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	100	39	—	—	$5,444.00	$201,150.37	$50,172.96	2026-05-09
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	110	44	—	—	$2,600.00	$141,706.73	$50,055.07	2026-05-09
799	OTHER	Splenectomy With Mcc	92	36	—	—	$34,016.11	$86,654.51	$50,040.13	2026-05-09
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	30	14	—	—	$15,006.30	$60,025.20	$50,021.00	2026-05-09
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	112	45	—	—	$1,700.00	$89,771.38	$50,015.85	2026-05-09
023-4	OTHER	Spinal Procedures	28	14	—	—	$14,368.91	$60,015.56	$50,012.97	2026-05-09
588-1	OTHER	Female Reproductive System Reconstructive Procedures	30	14	—	—	$15,000.00	$60,000.00	$50,000.00	2026-05-09
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	30	14	—	—	$15,000.00	$60,000.00	$50,000.00	2026-05-09
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	30	14	—	—	$15,000.00	$60,000.00	$50,000.00	2026-05-09
006-1	OTHER	Pancreas Transplant	30	14	—	—	$15,000.00	$60,000.00	$50,000.00	2026-05-09
002-1	OTHER	Heart And/or Lung Transplant	30	14	—	—	$15,000.00	$60,000.00	$50,000.00	2026-05-09
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	30	14	—	—	$13,059.34	$59,966.46	$49,972.05	2026-05-09
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	92	36	—	—	$33,931.28	$124,234.60	$49,913.26	2026-05-09
329	OTHER	Major Small And Large Bowel Procedures With Mcc	92	36	—	—	$33,831.52	$137,757.79	$49,766.60	2026-05-09
120-4	OTHER	Major Respiratory And Chest Procedures	30	14	—	—	$13,497.51	$59,188.02	$49,323.35	2026-05-09
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	30	14	—	—	$14,159.53	$58,717.25	$48,931.04	2026-05-09
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	30	14	—	—	$12,228.57	$62,235.16	$48,914.29	2026-05-09
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	92	36	—	—	$33,246.83	$87,033.35	$48,907.11	2026-05-09
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	92	36	—	—	$32,960.67	$86,995.08	$48,782.25	2026-05-09
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	30	14	—	—	$13,889.89	$58,245.29	$48,537.74	2026-05-09
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	30	14	—	—	$12,850.64	$58,140.68	$48,450.57	2026-05-09
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	30	14	—	—	$13,694.37	$58,122.66	$48,435.55	2026-05-09
483-4	OTHER	Penis, Testes And Scrotal Procedures	30	14	—	—	$14,397.22	$57,878.84	$48,232.37	2026-05-09
31	OTHER	Ventricular Shunt Procedures With Mcc	92	36	—	—	$30,909.52	$104,762.36	$48,083.78	2026-05-09
690-4	OTHER	Acute Leukemia	30	14	—	—	$13,523.59	$57,697.48	$48,081.23	2026-05-09
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	30	14	—	—	$14,088.41	$57,686.68	$48,072.23	2026-05-09
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	30	14	—	—	$13,801.31	$57,526.54	$47,938.78	2026-05-09
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	30	14	—	—	$14,254.87	$54,641.38	$47,516.24	2026-05-09
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	92	36	—	—	$32,273.10	$82,138.96	$47,477.91	2026-05-09
089-4	OTHER	Major Cranial Or Facial Bone Procedures	30	14	—	—	$13,750.98	$56,901.17	$47,417.64	2026-05-09
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	30	14	—	—	$13,042.41	$56,725.81	$47,271.51	2026-05-09
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	30	14	—	—	$13,423.41	$56,688.58	$47,240.48	2026-05-09
020-4	OTHER	Open Craniotomy For Trauma	30	14	—	—	$13,195.07	$56,680.16	$47,233.47	2026-05-09
356	OTHER	Other Digestive System O.r. Procedures With Mcc	92	36	—	—	$31,456.35	$280,788.62	$47,158.46	2026-05-09
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	30	14	—	—	$13,764.68	$56,398.16	$46,998.47	2026-05-09
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	106	43	—	—	$2,000.00	$105,479.31	$46,974.84	2026-05-09
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	30	14	—	—	$14,017.50	$56,318.03	$46,931.69	2026-05-09
901	OTHER	Wound Debridements For Injuries With Mcc	92	36	—	—	$31,561.87	$80,296.38	$46,651.87	2026-05-09
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	30	14	—	—	$12,281.05	$55,981.14	$46,650.95	2026-05-09
441-4	OTHER	Major Bladder Procedures	30	14	—	—	$13,036.37	$55,817.80	$46,514.83	2026-05-09
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	92	36	—	—	$31,410.48	$82,799.07	$46,468.43	2026-05-09
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	92	36	—	—	$31,384.62	$91,101.82	$46,171.85	2026-05-09
178-2	OTHER	External Heart Assist Systems	30	14	—	—	$12,988.03	$55,115.16	$45,929.30	2026-05-09
140	OTHER	Major Head And Neck Procedures With Mcc	92	36	—	—	$31,190.58	$156,927.36	$45,884.42	2026-05-09
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	92	36	—	—	$29,328.46	$117,391.50	$45,574.25	2026-05-09
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	92	36	—	—	$30,902.24	$148,491.70	$45,460.56	2026-05-09
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	104	41	—	—	$10,500.00	$177,665.53	$45,369.04	2026-05-09
401-4	OTHER	Adrenal Procedures	30	14	—	—	$12,824.53	$54,353.87	$45,294.89	2026-05-09
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	92	36	—	—	$30,276.77	$144,597.38	$45,293.08	2026-05-09
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	92	36	—	—	$30,321.19	$80,627.40	$45,270.91	2026-05-09
793	OTHER	Full Term Neonate With Major Problems	92	36	—	—	$7,257.47	$79,779.78	$44,803.52	2026-05-09
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	107	41	—	—	$10,500.00	$84,729.25	$44,631.04	2026-05-09
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	96	37	—	—	$5,444.00	$110,006.58	$44,628.36	2026-05-09
027-4	OTHER	Other Open Craniotomy	30	14	—	—	$11,699.05	$53,497.31	$44,581.09	2026-05-09
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	30	14	—	—	$13,188.16	$53,131.37	$44,276.14	2026-05-09
440-2	OTHER	Kidney Transplant	30	14	—	—	$12,905.90	$53,019.42	$44,182.85	2026-05-09
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	94	37	—	—	$2,425.00	$99,677.29	$43,912.19	2026-05-09
261-4	OTHER	Major Biliary Tract Procedures	30	14	—	—	$12,479.18	$52,483.60	$43,736.33	2026-05-09
791	OTHER	Prematurity With Major Problems	92	36	—	—	$7,138.94	$77,663.59	$43,636.60	2026-05-09
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	30	14	—	—	$10,907.31	$71,572.49	$43,629.23	2026-05-09
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	30	14	—	—	$12,611.04	$52,259.96	$43,549.97	2026-05-09
181-4	OTHER	Lower Extremity Arterial Procedures	30	14	—	—	$11,688.88	$52,011.56	$43,342.97	2026-05-09
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	30	14	—	—	$12,489.67	$51,265.69	$42,721.41	2026-05-09
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	30	14	—	—	$11,660.38	$51,246.08	$42,705.07	2026-05-09
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	92	36	—	—	$29,009.09	$73,949.74	$42,677.64	2026-05-09
34	OTHER	Carotid Artery Stent Procedures With Mcc	92	36	—	—	$28,711.28	$80,645.42	$42,239.86	2026-05-09
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	30	14	—	—	$10,525.84	$55,068.31	$42,103.36	2026-05-09
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	92	36	—	—	$28,077.81	$74,849.03	$42,084.56	2026-05-09
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	15	14	—	—	$12,621.85	$50,487.40	$42,072.83	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	92	36	—	—	$26,498.48	$195,626.72	$42,024.12	2026-05-09
907	OTHER	Other O.r. Procedures For Injuries With Mcc	96	37	—	—	$5,444.00	$73,459.92	$42,004.31	2026-05-09
178-1	OTHER	External Heart Assist Systems	30	14	—	—	$11,916.27	$50,386.51	$41,988.76	2026-05-09
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	92	36	—	—	$27,028.60	$89,072.52	$41,975.17	2026-05-09
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	30	14	—	—	$11,084.30	$50,235.17	$41,862.64	2026-05-09
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	92	36	—	—	$28,092.11	$71,307.38	$41,609.03	2026-05-09
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	30	14	—	—	$12,307.17	$49,901.45	$41,584.54	2026-05-09
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	98	39	—	—	$4,250.00	$177,595.39	$41,549.63	2026-05-09
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	92	36	—	—	$28,228.53	$88,011.73	$41,530.21	2026-05-09
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	92	36	—	—	$26,967.29	$116,646.38	$41,524.77	2026-05-09
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	92	36	—	—	$28,172.62	$71,515.94	$41,450.21	2026-05-09
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	30	14	—	—	$10,361.72	$58,665.08	$41,446.87	2026-05-09
183-3	OTHER	Percutaneous Structural Cardiac Procedures	30	14	—	—	$12,098.18	$49,690.28	$41,408.57	2026-05-09
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	30	14	—	—	$10,343.70	$50,650.73	$41,374.80	2026-05-09
695-4	OTHER	Chemotherapy For Acute Leukemia	30	14	—	—	$11,707.64	$49,627.43	$41,356.19	2026-05-09
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	30	14	—	—	$11,624.32	$49,375.20	$41,146.00	2026-05-09
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	30	14	—	—	$10,932.60	$49,053.31	$40,877.76	2026-05-09
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	30	14	—	—	$10,196.36	$55,111.56	$40,785.44	2026-05-09
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	92	36	—	—	$26,324.00	$109,427.81	$40,769.58	2026-05-09
230-4	OTHER	Major Small Bowel Procedures	30	14	—	—	$11,712.41	$48,905.58	$40,754.65	2026-05-09
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	30	14	—	—	$11,344.77	$48,901.97	$40,751.64	2026-05-09
904	OTHER	Skin Grafts For Injuries With Cc/mcc	92	36	—	—	$27,695.51	$108,964.22	$40,748.86	2026-05-09
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	30	14	—	—	$10,179.50	$51,469.88	$40,718.02	2026-05-09
179-3	OTHER	Defibrillator Implants	30	14	—	—	$12,114.09	$48,717.11	$40,597.59	2026-05-09
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	30	14	—	—	$12,021.22	$48,594.49	$40,495.41	2026-05-09
440-1	OTHER	Kidney Transplant	30	14	—	—	$11,572.11	$48,438.52	$40,365.43	2026-05-09
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	30	14	—	—	$11,500.92	$48,407.12	$40,339.27	2026-05-09
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	92	36	—	—	$26,492.66	$83,211.85	$40,242.37	2026-05-09
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	30	14	—	—	$11,754.71	$48,255.79	$40,213.16	2026-05-09
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	30	14	—	—	$11,691.01	$47,953.84	$39,961.53	2026-05-09
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	96	38	—	—	$25,680.79	$186,275.16	$39,910.02	2026-05-09
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	30	14	—	—	$11,663.11	$47,851.03	$39,875.86	2026-05-09
460	OTHER	Spinal Fusion Except Cervical Without Mcc	92	36	—	—	$27,030.76	$69,989.07	$39,769.49	2026-05-09
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	92	36	—	—	$24,438.60	$102,965.54	$39,568.40	2026-05-09
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	92	36	—	—	$26,253.84	$70,251.20	$39,549.17	2026-05-09
121-4	OTHER	Other Respiratory And Chest Procedures	30	14	—	—	$11,411.87	$47,440.26	$39,533.55	2026-05-09
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	92	36	—	—	$26,854.29	$68,100.58	$39,512.26	2026-05-09
335	OTHER	Peritoneal Adhesiolysis With Mcc	92	36	—	—	$26,779.54	$77,861.03	$39,400.20	2026-05-09
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	30	14	—	—	$10,060.24	$47,173.62	$39,311.35	2026-05-09
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	30	14	—	—	$9,780.06	$52,758.64	$39,120.24	2026-05-09
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	92	36	—	—	$26,560.33	$89,068.16	$39,080.14	2026-05-09
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	92	36	—	—	$26,031.03	$108,065.95	$39,064.91	2026-05-09
332	OTHER	Rectal Resection With Mcc	92	36	—	—	$25,653.12	$84,008.26	$39,012.14	2026-05-09
265	OTHER	Aicd Lead Procedures	94	37	—	—	$4,350.00	$82,760.59	$38,985.77	2026-05-09
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	92	36	—	—	$26,497.03	$69,107.01	$38,984.91	2026-05-09
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	30	14	—	—	$11,569.93	$46,637.94	$38,864.95	2026-05-09
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	30	14	—	—	$11,240.13	$46,242.78	$38,535.65	2026-05-09
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	30	14	—	—	$11,170.34	$46,228.84	$38,524.03	2026-05-09
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	94	37	—	—	$2,600.00	$68,223.04	$38,430.80	2026-05-09
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	92	36	—	—	$25,908.69	$68,165.63	$38,399.14	2026-05-09
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	92	36	—	—	$23,507.31	$117,976.49	$38,347.27	2026-05-09
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	30	14	—	—	$10,942.14	$45,965.33	$38,304.44	2026-05-09
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	30	14	—	—	$10,411.67	$45,899.27	$38,249.39	2026-05-09
271	OTHER	Other Major Cardiovascular Procedures With Cc	103	41	—	—	$5,444.00	$110,167.35	$38,214.28	2026-05-09
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	30	14	—	—	$10,036.71	$45,838.02	$38,198.35	2026-05-09
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	30	14	—	—	$11,412.82	$45,808.00	$38,173.33	2026-05-09
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	30	14	—	—	$11,201.27	$45,778.51	$38,148.76	2026-05-09
279	OTHER	Cellulitis Age 0-17	92	36	—	—	$17,963.86	$69,003.69	$38,118.77	2026-05-09
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	92	36	—	—	$25,336.39	$67,476.82	$38,019.32	2026-05-09
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	30	14	—	—	$10,779.94	$45,538.94	$37,949.12	2026-05-09
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	92	36	—	—	$25,625.46	$66,420.64	$37,703.70	2026-05-09
252	OTHER	Other Vascular Procedures With Mcc	96	37	—	—	$5,444.00	$104,748.73	$37,615.22	2026-05-09

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