Hospital

ANAHEIM GLOBAL MEDICAL CENTER

Anaheim, CA · CCN 050744 · Rates published

12,724 distinct procedures filed

85 distinct payers

1,150,417 rate rows

2026-05-11 last MRF observed

Data quality

1,108,539 of 1,150,417 rate rows are consumer-grade (96.4%)

41,878 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	26,625
per-diem day rate — not a per-procedure price	13,510
template filing: same amount across many unrelated codes — excluded	963
exceeds 10× this hospital's gross charge — excluded from medians	721
placeholder amount (≤ $0.02) — excluded from medians	59

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

Source MRF file	https://anaheimglobalmedicalcenter.com/csv/550883859_anaheim-global-medical-center_standardcharges.csv
Found on page	https://www.anaheimglobalmedicalcenter.com/pricing-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	6935c8c2d29ba611… · 394,844,097 bytes · first seen 2026-05-11

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	52	$572,240.79	$1,444,908.00	$715,300.99	nat. median $424,868 1.7× median
007 OTHER	Lung Transplant	50	$287,153.13	$989,968.71	$490,083.52	nat. median $141,082 outlier · 3.5×
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	53	$4,700.00	$733,080.14	$294,527.98	nat. median $263,894 1.1× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	13	$248,757.18	$348,260.05	$288,558.33	nat. median $203,379 1.4× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	13	$221,182.19	$309,655.07	$256,571.34	nat. median $210,669 1.2× median
583-4 OTHER	Neonate With Ecmo	13	$221,000.00	$309,400.00	$256,360.00	nat. median $309,400 0.8× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	13	$221,000.00	$309,400.00	$256,360.00	nat. median $267,493 1.0× median
583-3 OTHER	Neonate With Ecmo	13	$221,000.00	$309,400.00	$256,360.00	nat. median $259,487 1.0× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	$213,464.00	$298,849.60	$247,618.24	nat. median $171,094 1.4× median
161-4 OTHER	Implantable Heart Assist Systems	13	$202,241.64	$283,138.30	$234,600.30	nat. median $202,242 1.2× median
002-4 OTHER	Heart And/or Lung Transplant	13	$200,167.87	$280,235.02	$232,194.73	nat. median $216,800 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	52	$180,109.58	$560,365.94	$225,136.98	nat. median $146,562 1.5× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	52	$179,067.26	$575,253.59	$223,834.08	nat. median $218,232 1.0× median
583-2 OTHER	Neonate With Ecmo	13	$190,963.00	$267,348.20	$221,517.08	nat. median $191,347 1.2× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	52	$167,492.00	$422,917.30	$209,365.00	nat. median $150,232 1.4× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	13	$177,222.13	$248,110.98	$205,577.67	nat. median $86,371 outlier · 2.4×
583-1 OTHER	Neonate With Ecmo	13	$174,515.37	$244,321.52	$202,437.83	nat. median $171,226 1.2× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	13	$165,000.00	$231,000.00	$191,400.00	nat. median $169,856 1.1× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	13	$162,615.78	$227,662.09	$188,634.30	nat. median $151,691 1.2× median
161-3 OTHER	Implantable Heart Assist Systems	13	$159,302.01	$223,022.81	$184,790.33	nat. median $152,491 1.2× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	13	$149,835.59	$209,769.83	$173,809.28	nat. median $172,311 1.0× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	13	$139,000.00	$194,600.00	$161,240.00	nat. median $150,954 1.1× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	53	$4,700.00	$319,991.07	$158,411.42	nat. median $117,167 1.4× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	13	$132,000.00	$184,800.00	$153,120.00	nat. median $165,000 0.9× median
002-3 OTHER	Heart And/or Lung Transplant	13	$131,530.85	$184,143.19	$152,575.78	nat. median $133,471 1.1× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	13	$130,000.00	$182,000.00	$150,800.00	nat. median $153,523 1.0× median
863-4 OTHER	Neonatal Aftercare	13	$126,963.94	$177,749.52	$147,278.17	nat. median $108,047 1.4× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	52	$115,824.83	$292,457.70	$144,781.04	nat. median $64,729 outlier · 2.2×
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	13	$121,000.00	$169,400.00	$140,360.00	nat. median $151,250 0.9× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	13	$120,000.00	$168,000.00	$139,200.00	nat. median $156,696 0.9× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	13	$120,000.00	$168,000.00	$139,200.00	nat. median $124,561 1.1× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	13	$120,000.00	$168,000.00	$139,200.00	nat. median $108,000 1.3× median
510-4 OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	13	$137,644.70	$137,644.70	$137,644.70	nat. median $35,828 outlier · 3.8×
014 OTHER	Allogeneic Bone Marrow Transplant	52	$33,049.73	$318,828.98	$128,095.21	nat. median $105,808 1.2× median
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	13	$110,110.47	$154,154.66	$127,728.14	nat. median $87,912 1.5× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	13	$110,000.00	$154,000.00	$127,600.00	nat. median $110,000 1.2× median
161-1 OTHER	Implantable Heart Assist Systems	13	$109,991.74	$153,988.44	$127,590.42	nat. median $101,352 1.3× median
161-2 OTHER	Implantable Heart Assist Systems	13	$109,991.74	$153,988.44	$127,590.42	nat. median $109,992 1.2× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	13	$106,925.93	$149,696.30	$124,034.08	nat. median $106,926 1.2× median
754-3 OTHER	Depression Except Major Depressive Disorder	13	$118,394.95	$118,394.95	$118,394.95	nat. median $7,054 outlier · 16.8×
002-2 OTHER	Heart And/or Lung Transplant	13	$101,523.66	$142,133.12	$117,767.45	nat. median $106,681 1.1× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	52	$92,961.45	$289,226.31	$116,201.81	nat. median $90,581 1.3× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	13	$100,000.00	$140,000.00	$116,000.00	nat. median $125,000 0.9× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	13	$100,000.00	$140,000.00	$116,000.00	nat. median $100,015 1.2× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	13	$99,000.00	$138,600.00	$114,840.00	nat. median $112,711 1.0× median
006 OTHER	Liver Transplant Without Mcc	50	$89,534.27	$226,074.03	$111,917.84	nat. median $50,611 outlier · 2.2×
633-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	13	$95,464.13	$133,649.78	$110,738.40	nat. median $74,597 1.5× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	50	$88,273.14	$274,639.79	$110,341.42	nat. median $104,489 1.1× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	13	$95,000.00	$133,000.00	$110,200.00	nat. median $95,000 1.2× median
008 OTHER	Simultaneous Pancreas And Kidney Transplant	50	$87,219.91	$220,230.28	$109,024.89	nat. median $59,265 1.8× median

Other procedures at this hospital

Browse this hospital's 12,724 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	64	52	—	—	$572,240.79	$1,444,908.00	$715,300.99	2026-05-11
007	OTHER	Lung Transplant	62	50	—	—	$287,153.13	$989,968.71	$490,083.52	2026-05-11
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	65	53	—	—	$4,700.00	$733,080.14	$294,527.98	2026-05-11
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	13	—	—	$248,757.18	$348,260.05	$288,558.33	2026-05-11
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	13	—	—	$221,182.19	$309,655.07	$256,571.34	2026-05-11
583-4	OTHER	Neonate With Ecmo	14	13	—	—	$221,000.00	$309,400.00	$256,360.00	2026-05-11
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	13	—	—	$221,000.00	$309,400.00	$256,360.00	2026-05-11
583-3	OTHER	Neonate With Ecmo	14	13	—	—	$221,000.00	$309,400.00	$256,360.00	2026-05-11
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	13	—	—	$213,464.00	$298,849.60	$247,618.24	2026-05-11
161-4	OTHER	Implantable Heart Assist Systems	14	13	—	—	$202,241.64	$283,138.30	$234,600.30	2026-05-11
002-4	OTHER	Heart And/or Lung Transplant	14	13	—	—	$200,167.87	$280,235.02	$232,194.73	2026-05-11
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	64	52	—	—	$180,109.58	$560,365.94	$225,136.98	2026-05-11
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	64	52	—	—	$179,067.26	$575,253.59	$223,834.08	2026-05-11
583-2	OTHER	Neonate With Ecmo	14	13	—	—	$190,963.00	$267,348.20	$221,517.08	2026-05-11
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	65	52	—	—	$167,492.00	$422,917.30	$209,365.00	2026-05-11
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	14	13	—	—	$177,222.13	$248,110.98	$205,577.67	2026-05-11
583-1	OTHER	Neonate With Ecmo	14	13	—	—	$174,515.37	$244,321.52	$202,437.83	2026-05-11
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	13	—	—	$165,000.00	$231,000.00	$191,400.00	2026-05-11
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	14	13	—	—	$162,615.78	$227,662.09	$188,634.30	2026-05-11
161-3	OTHER	Implantable Heart Assist Systems	14	13	—	—	$159,302.01	$223,022.81	$184,790.33	2026-05-11
007-4	OTHER	Allogeneic Bone Marrow Transplant	14	13	—	—	$149,835.59	$209,769.83	$173,809.28	2026-05-11
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	13	—	—	$139,000.00	$194,600.00	$161,240.00	2026-05-11
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	65	53	—	—	$4,700.00	$319,991.07	$158,411.42	2026-05-11
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	13	—	—	$132,000.00	$184,800.00	$153,120.00	2026-05-11
002-3	OTHER	Heart And/or Lung Transplant	14	13	—	—	$131,530.85	$184,143.19	$152,575.78	2026-05-11
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	13	—	—	$130,000.00	$182,000.00	$150,800.00	2026-05-11
863-4	OTHER	Neonatal Aftercare	14	13	—	—	$126,963.94	$177,749.52	$147,278.17	2026-05-11
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	64	52	—	—	$115,824.83	$292,457.70	$144,781.04	2026-05-11
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	13	—	—	$121,000.00	$169,400.00	$140,360.00	2026-05-11
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	13	—	—	$120,000.00	$168,000.00	$139,200.00	2026-05-11
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	13	—	—	$120,000.00	$168,000.00	$139,200.00	2026-05-11
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	14	13	—	—	$120,000.00	$168,000.00	$139,200.00	2026-05-11
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	14	13	—	—	$137,644.70	$137,644.70	$137,644.70	2026-05-11
014	OTHER	Allogeneic Bone Marrow Transplant	64	52	—	—	$33,049.73	$318,828.98	$128,095.21	2026-05-11
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	13	—	—	$110,110.47	$154,154.66	$127,728.14	2026-05-11
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	13	—	—	$110,000.00	$154,000.00	$127,600.00	2026-05-11
161-2	OTHER	Implantable Heart Assist Systems	14	13	—	—	$109,991.74	$153,988.44	$127,590.42	2026-05-11
161-1	OTHER	Implantable Heart Assist Systems	14	13	—	—	$109,991.74	$153,988.44	$127,590.42	2026-05-11
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	13	—	—	$106,925.93	$149,696.30	$124,034.08	2026-05-11
754-3	OTHER	Depression Except Major Depressive Disorder	14	13	—	—	$118,394.95	$118,394.95	$118,394.95	2026-05-11
002-2	OTHER	Heart And/or Lung Transplant	14	13	—	—	$101,523.66	$142,133.12	$117,767.45	2026-05-11
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	64	52	—	—	$92,961.45	$289,226.31	$116,201.81	2026-05-11
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$100,000.00	$140,000.00	$116,000.00	2026-05-11
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$100,000.00	$140,000.00	$116,000.00	2026-05-11
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	13	—	—	$99,000.00	$138,600.00	$114,840.00	2026-05-11
006	OTHER	Liver Transplant Without Mcc	62	50	—	—	$89,534.27	$226,074.03	$111,917.84	2026-05-11
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	14	13	—	—	$95,464.13	$133,649.78	$110,738.40	2026-05-11
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	62	50	—	—	$88,273.14	$274,639.79	$110,341.42	2026-05-11
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	13	—	—	$95,000.00	$133,000.00	$110,200.00	2026-05-11
008	OTHER	Simultaneous Pancreas And Kidney Transplant	62	50	—	—	$87,219.91	$220,230.28	$109,024.89	2026-05-11
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	14	13	—	—	$93,000.00	$130,200.00	$107,880.00	2026-05-11
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	14	13	—	—	$92,524.47	$129,534.26	$107,328.39	2026-05-11
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$92,000.00	$128,800.00	$106,720.00	2026-05-11
215	OTHER	Other Heart Assist System Implant	71	55	—	—	$15,100.00	$265,490.85	$106,665.67	2026-05-11
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	13	—	—	$91,000.00	$127,400.00	$105,560.00	2026-05-11
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	13	—	—	$91,000.00	$127,400.00	$105,560.00	2026-05-11
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	71	55	—	—	$10,600.00	$260,982.42	$104,854.33	2026-05-11
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	14	13	—	—	$90,000.00	$126,000.00	$104,400.00	2026-05-11
860-2	OTHER	Rehabilitation	14	13	—	—	$103,566.20	$103,566.20	$103,566.20	2026-05-11
007-3	OTHER	Allogeneic Bone Marrow Transplant	14	13	—	—	$89,273.14	$124,982.40	$103,556.85	2026-05-11
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$89,000.00	$124,600.00	$103,240.00	2026-05-11
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	64	52	—	—	$82,274.91	$207,744.15	$102,843.64	2026-05-11
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	13	—	—	$88,000.00	$123,200.00	$102,080.00	2026-05-11
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	14	13	—	—	$87,000.00	$121,800.00	$100,920.00	2026-05-11
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$86,000.00	$120,400.00	$99,760.00	2026-05-11
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	67	53	—	—	$9,500.00	$201,503.63	$99,754.27	2026-05-11
006-4	OTHER	Pancreas Transplant	14	13	—	—	$85,000.00	$119,000.00	$98,600.00	2026-05-11
570	OTHER	Skin Debridement With Mcc	64	52	—	—	$70,258.56	$194,850.07	$96,460.43	2026-05-11
860-4	OTHER	Rehabilitation	14	13	—	—	$96,303.14	$96,303.14	$96,303.14	2026-05-11
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	64	52	—	—	$76,218.77	$244,852.80	$95,273.46	2026-05-11
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	13	—	—	$80,771.14	$113,079.60	$93,694.52	2026-05-11
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	13	—	—	$80,681.03	$112,953.44	$93,589.99	2026-05-11
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	13	—	—	$80,000.00	$112,000.00	$92,800.00	2026-05-11
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	13	—	—	$80,000.00	$112,000.00	$92,800.00	2026-05-11
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$80,000.00	$112,000.00	$92,800.00	2026-05-11
006-3	OTHER	Pancreas Transplant	14	13	—	—	$79,144.95	$110,802.93	$91,808.14	2026-05-11
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	13	—	—	$79,000.00	$110,600.00	$91,640.00	2026-05-11
231	OTHER	Coronary Bypass With Ptca With Mcc	71	55	—	—	$12,400.00	$225,967.98	$90,786.65	2026-05-11
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	64	52	—	—	$72,408.90	$232,613.57	$90,511.12	2026-05-11
440-4	OTHER	Kidney Transplant	14	13	—	—	$76,896.47	$107,655.06	$89,199.90	2026-05-11
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	14	13	—	—	$76,155.46	$106,617.64	$88,340.33	2026-05-11
007-1	OTHER	Allogeneic Bone Marrow Transplant	14	13	—	—	$74,667.08	$104,533.91	$86,613.82	2026-05-11
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	13	—	—	$74,623.62	$104,473.07	$86,563.39	2026-05-11
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	64	52	—	—	$67,961.82	$218,327.33	$84,952.27	2026-05-11
8285410	OTHER	Imp Maci Wprotective Spacer 10mm X 10mm	66	42	$157,026.00	$157,026.00	$950.00	$157,026.00	$84,244.45	2026-05-11
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	71	55	—	—	$9,500.00	$206,515.87	$82,971.42	2026-05-11
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	71	55	—	—	$10,600.00	$205,659.20	$82,627.24	2026-05-11
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	13	—	—	$71,005.50	$99,407.70	$82,366.38	2026-05-11
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	64	52	—	—	$65,891.34	$211,675.91	$82,364.17	2026-05-11
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	14	13	—	—	$70,000.00	$98,000.00	$81,200.00	2026-05-11
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	64	52	—	—	$62,859.22	$158,719.52	$78,574.02	2026-05-11
010	OTHER	Pancreas Transplant	62	50	—	—	$62,196.24	$193,508.06	$77,745.30	2026-05-11
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	64	52	—	—	$49,560.14	$193,430.44	$77,714.12	2026-05-11
006-2	OTHER	Pancreas Transplant	14	13	—	—	$66,925.17	$93,695.24	$77,633.20	2026-05-11
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	64	52	—	—	$13,913.56	$192,444.38	$77,317.95	2026-05-11
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	67	54	—	—	$5,800.00	$192,335.64	$77,274.26	2026-05-11
007-2	OTHER	Allogeneic Bone Marrow Transplant	14	13	—	—	$66,446.01	$93,024.41	$77,077.37	2026-05-11
178-4	OTHER	External Heart Assist Systems	14	13	—	—	$66,228.69	$92,720.17	$76,825.28	2026-05-11
163	OTHER	Major Chest Procedures With Mcc	64	52	—	—	$60,775.07	$153,457.05	$75,968.84	2026-05-11
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	13	—	—	$65,108.16	$91,151.42	$75,525.46	2026-05-11
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	64	52	—	—	$60,001.00	$186,678.11	$75,001.25	2026-05-11
860-1	OTHER	Rehabilitation	14	13	—	—	$74,940.00	$74,940.00	$74,940.00	2026-05-11
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	13	—	—	$63,659.01	$89,122.61	$73,844.45	2026-05-11
955	OTHER	Craniotomy For Multiple Significant Trauma	64	52	—	—	$58,497.82	$187,924.26	$73,122.28	2026-05-11
48003323101	OTHER	Insrtn Imp Defib Pls Gnrtr W-existng Mltpl Leads	53	37	$121,563.00	$121,563.00	$950.00	$121,563.00	$72,937.80	2026-05-11
48003326401	OTHER	Rmvl Implntbl Difib Pls Gnrtr Mltpl Lead Sys	53	37	$121,563.00	$121,563.00	$950.00	$121,563.00	$72,937.80	2026-05-11
48003327001	OTHER	Insrtn Perm Impl Defib Sys W-elctrd	53	37	$121,563.00	$121,563.00	$950.00	$121,563.00	$72,937.80	2026-05-11
48003324901	OTHER	Insrtn Rplcmnt Perm Defib Sngle Or Dual	53	37	$121,563.00	$121,563.00	$950.00	$121,563.00	$72,937.80	2026-05-11
459	OTHER	Spinal Fusion Except Cervical With Mcc	64	52	—	—	$57,675.97	$185,284.04	$72,094.96	2026-05-11
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	13	—	—	$62,013.73	$86,819.22	$71,935.93	2026-05-11
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	14	13	—	—	$62,000.00	$86,800.00	$71,920.00	2026-05-11
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	71	55	—	—	$9,500.00	$177,969.13	$71,502.26	2026-05-11
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	71	55	—	—	$9,500.00	$177,969.13	$71,502.26	2026-05-11
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	13	—	—	$61,468.84	$86,056.38	$71,303.86	2026-05-11
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	14	13	—	—	$61,446.58	$86,025.21	$71,278.04	2026-05-11
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	64	52	—	—	$50,719.95	$177,350.55	$71,253.74	2026-05-11
653	OTHER	Major Bladder Procedures With Mcc	64	52	—	—	$56,864.30	$143,582.34	$71,080.37	2026-05-11
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	14	13	—	—	$60,412.98	$84,578.17	$70,079.06	2026-05-11
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	13	—	—	$59,643.74	$83,501.24	$69,186.74	2026-05-11
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	14	13	—	—	$59,376.24	$83,126.74	$68,876.44	2026-05-11
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$59,012.59	$82,617.63	$68,454.61	2026-05-11
183-4	OTHER	Percutaneous Structural Cardiac Procedures	14	13	—	—	$58,768.76	$82,276.26	$68,171.76	2026-05-11
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	13	—	—	$57,853.90	$80,995.46	$67,110.52	2026-05-11
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	67	53	—	—	$9,500.00	$166,402.95	$66,855.34	2026-05-11
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	64	52	—	—	$53,383.60	$171,494.82	$66,729.50	2026-05-11
232	OTHER	Coronary Bypass With Ptca Without Mcc	71	55	—	—	$11,300.00	$164,699.95	$66,171.13	2026-05-11
910-4	OTHER	Craniotomy For Multiple Significant Trauma	14	13	—	—	$56,988.86	$79,784.40	$66,107.07	2026-05-11
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$56,954.93	$79,736.90	$66,067.72	2026-05-11
028	OTHER	Spinal Procedures With Mcc	64	52	—	—	$52,485.22	$168,608.75	$65,606.52	2026-05-11
276	OTHER	Non-maligant Breast Disorders	64	52	—	—	$52,471.08	$163,250.64	$65,588.85	2026-05-11
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	64	52	—	—	$52,109.22	$167,400.87	$65,136.53	2026-05-11
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	64	52	—	—	$4,356.29	$161,617.50	$64,932.70	2026-05-11
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	64	52	—	—	$51,831.37	$161,260.35	$64,789.21	2026-05-11
510-1	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	14	13	—	—	$64,646.12	$64,646.12	$64,646.12	2026-05-11
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	71	55	—	—	$9,500.00	$159,679.01	$64,153.88	2026-05-11
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	64	52	—	—	$51,291.50	$159,580.69	$64,114.38	2026-05-11
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	14	13	—	—	$55,046.75	$77,065.45	$63,854.23	2026-05-11
179-4	OTHER	Defibrillator Implants	14	13	—	—	$54,992.69	$76,989.77	$63,791.52	2026-05-11
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	14	13	—	—	$54,746.74	$76,645.44	$63,506.22	2026-05-11
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	14	13	—	—	$54,718.12	$76,605.37	$63,473.01	2026-05-11
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	14	13	—	—	$54,426.59	$76,197.23	$63,134.85	2026-05-11
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	14	13	—	—	$54,074.64	$75,704.50	$62,726.58	2026-05-11
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	64	52	—	—	$50,172.66	$161,179.68	$62,715.83	2026-05-11
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	14	13	—	—	$54,029.06	$75,640.68	$62,673.71	2026-05-11
091-4	OTHER	Other Major Head And Neck Procedures	14	13	—	—	$53,845.66	$75,383.92	$62,460.96	2026-05-11
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	64	52	—	—	$49,916.45	$155,302.55	$62,395.56	2026-05-11
178-3	OTHER	External Heart Assist Systems	14	13	—	—	$53,704.67	$75,186.54	$62,297.42	2026-05-11
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	14	13	—	—	$52,992.28	$74,189.19	$61,471.04	2026-05-11
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$52,715.59	$73,801.83	$61,150.08	2026-05-11
278	OTHER	Cellulitis Age >17 Without Cc	64	52	—	—	$12,266.30	$151,852.62	$61,009.49	2026-05-11
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	14	13	—	—	$52,238.55	$73,133.97	$60,596.72	2026-05-11
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	64	52	—	—	$48,448.23	$150,734.56	$60,560.29	2026-05-11
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	14	13	—	—	$52,004.27	$72,805.98	$60,324.95	2026-05-11
471	OTHER	Cervical Spinal Fusion With Mcc	66	54	—	—	$3,700.00	$137,086.02	$60,235.50	2026-05-11
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	64	52	—	—	$33,843.26	$149,877.89	$60,216.11	2026-05-11
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	64	52	—	—	$48,011.50	$149,375.80	$60,014.38	2026-05-11
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	71	55	—	—	$10,600.00	$149,173.94	$59,933.28	2026-05-11
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	13	—	—	$51,663.97	$72,329.56	$59,930.21	2026-05-11
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	64	52	—	—	$47,875.09	$148,951.36	$59,843.86	2026-05-11
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	64	52	—	—	$16,063.41	$148,387.16	$59,617.18	2026-05-11
440-3	OTHER	Kidney Transplant	14	13	—	—	$51,187.99	$71,663.19	$59,378.07	2026-05-11
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	65	52	—	—	$46,264.72	$136,872.71	$58,643.47	2026-05-11
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	71	55	—	—	$9,500.00	$145,812.01	$58,582.57	2026-05-11
754-2	OTHER	Depression Except Major Depressive Disorder	15	14	—	—	$30,711.72	$58,323.45	$58,323.45	2026-05-11
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	64	52	—	—	$46,541.63	$149,515.00	$58,177.04	2026-05-11
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	13	—	—	$50,021.00	$70,029.40	$58,024.36	2026-05-11
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	14	13	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-11
002-1	OTHER	Heart And/or Lung Transplant	14	13	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-11
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	13	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-11
006-1	OTHER	Pancreas Transplant	14	13	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-11
588-1	OTHER	Female Reproductive System Reconstructive Procedures	14	13	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-11
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	13	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-11
270	OTHER	Other Major Cardiovascular Procedures With Mcc	67	53	—	—	$9,500.00	$144,349.73	$57,995.07	2026-05-11
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	13	—	—	$49,972.05	$69,960.87	$57,967.58	2026-05-11
169-4	OTHER	Major Abdominal Vascular Procedures	14	13	—	—	$49,701.73	$69,582.42	$57,654.01	2026-05-11
021-4	OTHER	Open Craniotomy Except Trauma	14	13	—	—	$49,641.30	$69,497.82	$57,583.91	2026-05-11
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	13	—	—	$49,524.69	$69,334.57	$57,448.64	2026-05-11
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	13	—	—	$49,432.46	$69,205.44	$57,341.65	2026-05-11
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	64	52	—	—	$45,806.27	$142,514.76	$57,257.84	2026-05-11
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	13	—	—	$49,059.31	$68,683.03	$56,908.80	2026-05-11
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	14	13	—	—	$48,931.04	$68,503.46	$56,760.01	2026-05-11
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	13	—	—	$48,887.57	$68,442.60	$56,709.58	2026-05-11
232-4	OTHER	Gastric Fundoplication	14	13	—	—	$48,638.45	$68,093.83	$56,420.60	2026-05-11
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	13	—	—	$48,537.74	$67,952.84	$56,303.78	2026-05-11
483-4	OTHER	Penis, Testes And Scrotal Procedures	14	13	—	—	$47,990.73	$67,187.02	$55,669.25	2026-05-11
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	14	13	—	—	$47,938.78	$67,114.29	$55,608.99	2026-05-11
023-4	OTHER	Spinal Procedures	14	13	—	—	$47,896.38	$67,054.93	$55,559.81	2026-05-11
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	71	55	—	—	$9,500.00	$138,239.23	$55,540.07	2026-05-11
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	14	13	—	—	$47,159.61	$66,023.45	$54,705.15	2026-05-11
228	OTHER	Other Cardiothoracic Procedures With Mcc	71	55	—	—	$9,500.00	$135,837.47	$54,575.12	2026-05-11
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	13	—	—	$46,998.47	$65,797.86	$54,518.23	2026-05-11
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	65	52	—	—	$32,045.00	$135,609.73	$54,483.62	2026-05-11
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	14	13	—	—	$46,961.37	$65,745.92	$54,475.18	2026-05-11
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	13	—	—	$46,931.69	$65,704.37	$54,440.76	2026-05-11
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	64	52	—	—	$43,446.31	$135,172.33	$54,307.89	2026-05-11
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	64	52	—	—	$10,820.87	$134,641.78	$54,094.73	2026-05-11
36000408T01	OTHER	Insertionreplacement Ccm System	56	37	$85,340.00	$85,340.00	$950.00	$85,340.00	$54,011.68	2026-05-11
089-4	OTHER	Major Cranial Or Facial Bone Procedures	14	13	—	—	$45,836.60	$64,171.24	$53,170.46	2026-05-11
480-2	OTHER	Major Male Pelvic Procedures	15	14	—	—	$28,133.19	$53,166.39	$53,166.39	2026-05-11
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	14	13	—	—	$45,647.91	$63,907.07	$52,951.57	2026-05-11
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	14	13	—	—	$45,534.48	$63,748.27	$52,820.00	2026-05-11
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	68	54	—	—	$5,800.00	$131,008.08	$52,634.83	2026-05-11
401-4	OTHER	Adrenal Procedures	14	13	—	—	$45,294.89	$63,412.85	$52,542.07	2026-05-11
690-4	OTHER	Acute Leukemia	14	13	—	—	$45,078.63	$63,110.08	$52,291.21	2026-05-11
120-4	OTHER	Major Respiratory And Chest Procedures	14	13	—	—	$44,991.70	$62,988.38	$52,190.37	2026-05-11
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	64	52	—	—	$41,613.74	$129,470.74	$52,017.17	2026-05-11
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	66	54	—	—	$1,900.00	$129,222.31	$51,917.36	2026-05-11
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	13	—	—	$44,744.70	$62,642.58	$51,903.85	2026-05-11
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	64	52	—	—	$41,417.42	$128,859.94	$51,771.77	2026-05-11
8275942	OTHER	Imp Icd ProMRI Hf-t Qp Df4 Is4	75	48	$114,570.00	$114,570.00	$950.00	$114,570.00	$51,556.50	2026-05-11
48003324001	OTHER	Insrt Imp Defib Pls Gnrtr W-exstng Sngl Lead	53	37	$85,340.00	$85,340.00	$950.00	$85,340.00	$51,204.00	2026-05-11
48003326201	OTHER	Rmvl Implntbl Difib Pls Gnrtr Sngl Lead Sys	53	37	$85,340.00	$85,340.00	$950.00	$85,340.00	$51,204.00	2026-05-11
48003323001	OTHER	Insrtn Implntbl Defibpls Gnrtr W-exstng Dual Lds	53	37	$85,340.00	$85,340.00	$950.00	$85,340.00	$51,204.00	2026-05-11
48003326301	OTHER	Rmvl Implntbl Difib Pls Gnrtr Dual Lead Sys	53	37	$85,340.00	$85,340.00	$950.00	$85,340.00	$51,204.00	2026-05-11
277	OTHER	Cellulitis Age >17 W Cc	64	52	—	—	$40,924.14	$127,325.22	$51,155.17	2026-05-11
480-1	OTHER	Major Male Pelvic Procedures	15	14	—	—	$27,102.83	$51,105.65	$51,105.65	2026-05-11
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	64	52	—	—	$40,816.82	$131,124.04	$51,021.03	2026-05-11
329	OTHER	Major Small And Large Bowel Procedures With Mcc	64	52	—	—	$40,741.11	$126,755.79	$50,926.39	2026-05-11
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	64	52	—	—	$40,643.79	$126,453.00	$50,804.74	2026-05-11
245	OTHER	Aicd Generator Procedures	72	55	—	—	$3,600.00	$125,873.27	$50,571.82	2026-05-11
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	64	52	—	—	$40,343.50	$125,518.71	$50,429.37	2026-05-11
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	64	52	—	—	$40,326.86	$129,550.05	$50,408.58	2026-05-11
799	OTHER	Splenectomy With Mcc	64	52	—	—	$40,178.79	$125,006.27	$50,223.49	2026-05-11
45006121000	OTHER	Pierce Skull Implant Device	107	71	$52,500.00	$52,500.00	$280.34	$200,025.00	$49,875.00	2026-05-11
031	OTHER	Ventricular Shunt Procedures With Mcc	64	52	—	—	$39,776.18	$127,780.98	$49,720.23	2026-05-11
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	15	14	—	—	$32,543.30	$61,986.60	$49,589.28	2026-05-11
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	67	53	—	—	$2,600.00	$123,298.10	$49,537.20	2026-05-11
440-2	OTHER	Kidney Transplant	15	14	—	—	$32,477.99	$61,855.99	$49,484.79	2026-05-11
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	64	52	—	—	$39,529.90	$99,812.98	$49,412.37	2026-05-11
020-4	OTHER	Open Craniotomy For Trauma	15	14	—	—	$32,338.49	$61,576.97	$49,261.58	2026-05-11
356	OTHER	Other Digestive System O.r. Procedures With Mcc	64	52	—	—	$39,046.65	$121,483.88	$48,808.31	2026-05-11
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	14	—	—	$32,034.98	$60,969.96	$48,775.97	2026-05-11
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	15	14	—	—	$31,982.29	$60,864.58	$48,691.66	2026-05-11
441-4	OTHER	Major Bladder Procedures	15	14	—	—	$31,968.19	$60,836.38	$48,669.11	2026-05-11
178-2	OTHER	External Heart Assist Systems	15	14	—	—	$31,855.40	$60,610.79	$48,488.63	2026-05-11
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	64	52	—	—	$38,502.62	$119,791.26	$48,128.27	2026-05-11
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	15	14	—	—	$31,534.82	$59,969.64	$47,975.72	2026-05-11
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	15	14	—	—	$31,443.55	$59,787.10	$47,829.68	2026-05-11
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	64	52	—	—	$38,215.62	$118,898.36	$47,769.53	2026-05-11
140	OTHER	Major Head And Neck Procedures With Mcc	64	52	—	—	$37,986.03	$118,184.04	$47,482.54	2026-05-11
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	15	14	—	—	$31,096.26	$59,092.52	$47,274.01	2026-05-11
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	67	53	—	—	$9,500.00	$117,094.46	$47,044.78	2026-05-11
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	64	52	—	—	$37,575.94	$116,908.13	$46,969.92	2026-05-11
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	64	52	—	—	$37,558.46	$120,656.56	$46,948.08	2026-05-11
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	64	52	—	—	$37,456.14	$116,535.43	$46,820.18	2026-05-11
901	OTHER	Wound Debridements For Injuries With Mcc	64	52	—	—	$37,414.55	$116,406.03	$46,768.19	2026-05-11
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	71	55	—	—	$9,500.00	$116,204.15	$46,687.08	2026-05-11
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	15	14	—	—	$30,692.58	$58,285.15	$46,628.12	2026-05-11
261-4	OTHER	Major Biliary Tract Procedures	15	14	—	—	$30,668.08	$58,236.16	$46,588.93	2026-05-11
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	15	14	—	—	$30,659.18	$58,218.36	$46,574.68	2026-05-11
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	64	52	—	—	$37,214.90	$119,552.89	$46,518.63	2026-05-11
793	OTHER	Full Term Neonate With Major Problems	64	52	—	—	$7,257.47	$115,707.21	$46,487.43	2026-05-11
183-3	OTHER	Percutaneous Structural Cardiac Procedures	15	14	—	—	$30,536.00	$57,972.00	$46,377.60	2026-05-11
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	64	52	—	—	$37,051.86	$115,277.59	$46,314.82	2026-05-11
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	66	52	—	—	$36,823.10	$114,565.86	$46,028.87	2026-05-11
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	15	14	—	—	$30,205.78	$57,311.55	$45,849.24	2026-05-11
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	15	14	—	—	$30,083.33	$57,066.67	$45,653.34	2026-05-11
179-3	OTHER	Defibrillator Implants	15	14	—	—	$29,968.31	$56,836.63	$45,469.30	2026-05-11
791	OTHER	Prematurity With Major Problems	64	52	—	—	$7,138.94	$112,844.78	$45,337.40	2026-05-11
440-1	OTHER	Kidney Transplant	15	14	—	—	$29,805.80	$56,511.60	$45,209.28	2026-05-11
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	15	14	—	—	$29,599.51	$56,099.01	$44,879.21	2026-05-11
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	15	14	—	—	$29,523.07	$55,946.14	$44,756.91	2026-05-11
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	64	52	—	—	$35,646.87	$110,906.34	$44,558.59	2026-05-11
178-1	OTHER	External Heart Assist Systems	15	14	—	—	$29,354.62	$55,609.25	$44,487.40	2026-05-11
44700278009	OTHER	IM Stryker Surpass Evolve Fds-long 40mm	73	48	$98,117.00	$98,117.00	$950.00	$98,117.00	$44,152.65	2026-05-11
44700278011	OTHER	IM Stryker Surpass Streamline M00-long 40-50mm	73	48	$98,117.00	$98,117.00	$950.00	$98,117.00	$44,152.65	2026-05-11
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	15	14	—	—	$28,977.65	$54,855.30	$43,884.24	2026-05-11
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	64	52	—	—	$35,046.27	$112,586.14	$43,807.84	2026-05-11
230-4	OTHER	Major Small Bowel Procedures	15	14	—	—	$28,878.95	$54,657.90	$43,726.32	2026-05-11
695-4	OTHER	Chemotherapy For Acute Leukemia	15	14	—	—	$28,867.82	$54,635.64	$43,708.52	2026-05-11
027-4	OTHER	Other Open Craniotomy	15	14	—	—	$28,847.79	$54,595.58	$43,676.46	2026-05-11
181-4	OTHER	Lower Extremity Arterial Procedures	15	14	—	—	$28,824.04	$54,548.09	$43,638.47	2026-05-11
510-2	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	15	14	—	—	$23,367.12	$43,634.24	$43,634.24	2026-05-11
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	64	52	—	—	$34,899.02	$108,579.58	$43,623.78	2026-05-11
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	15	14	—	—	$28,763.94	$54,427.87	$43,542.30	2026-05-11
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	15	14	—	—	$28,673.40	$54,246.81	$43,397.45	2026-05-11
034	OTHER	Carotid Artery Stent Procedures With Mcc	64	52	—	—	$34,703.54	$107,971.41	$43,379.43	2026-05-11
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	65	53	—	—	$3,600.00	$111,231.25	$43,280.64	2026-05-11
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	15	14	—	—	$28,546.51	$53,993.02	$43,194.41	2026-05-11
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	15	14	—	—	$28,516.82	$53,933.64	$43,146.91	2026-05-11
907	OTHER	Other O.r. Procedures For Injuries With Mcc	64	52	—	—	$34,442.34	$107,158.75	$43,052.93	2026-05-11
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	15	14	—	—	$28,385.48	$53,670.96	$42,936.77	2026-05-11
754-4	OTHER	Depression Except Major Depressive Disorder	15	14	—	—	$28,268.56	$53,437.13	$42,749.71	2026-05-11
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	15	14	—	—	$28,254.13	$53,408.26	$42,726.61	2026-05-11
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	66	54	—	—	$1,726.98	$107,821.29	$42,669.34	2026-05-11
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	15	14	—	—	$28,179.92	$53,259.85	$42,607.88	2026-05-11
121-4	OTHER	Other Respiratory And Chest Procedures	15	14	—	—	$28,177.70	$53,255.40	$42,604.32	2026-05-11
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	15	14	—	—	$28,021.12	$52,942.25	$42,353.80	2026-05-11
8240012	OTHER	Cardioverterdfib Other	74	48	$94,044.00	$94,044.00	$950.00	$94,044.00	$42,319.80	2026-05-11
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	64	52	—	—	$33,807.64	$105,184.01	$42,259.55	2026-05-11
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	64	52	—	—	$33,671.22	$104,759.57	$42,089.02	2026-05-11
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	64	52	—	—	$33,597.18	$104,529.24	$41,996.48	2026-05-11
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	64	52	—	—	$33,593.86	$104,518.90	$41,992.33	2026-05-11
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	15	14	—	—	$27,776.97	$52,453.95	$41,963.16	2026-05-11
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	64	52	—	—	$33,506.51	$104,247.13	$41,883.14	2026-05-11
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	64	52	—	—	$33,331.82	$103,703.62	$41,664.77	2026-05-11
8275938	OTHER	Imp Ice ProMRI Hf-t Qp Df-1 Is4	74	48	$91,996.00	$91,996.00	$950.00	$91,996.00	$41,398.20	2026-05-11
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	15	14	—	—	$27,413.37	$51,726.74	$41,381.39	2026-05-11
48003322901	OTHER	Remvrplc Perm Pcmkrpls Gnrtr W-mltpl Lead Sys	53	37	$68,925.00	$68,925.00	$950.00	$68,925.00	$41,355.00	2026-05-11
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	15	14	—	—	$27,380.72	$51,661.43	$41,329.14	2026-05-11

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