Hospital

ORANGE COUNTY GLOBAL MEDICAL CENTER

Santa Ana, CA · CCN 050746 · Rates published

15,646 distinct procedures filed

96 distinct payers

1,395,192 rate rows

2026-05-27 last MRF observed

Data quality

1,346,504 of 1,395,192 rate rows are consumer-grade (96.5%)

48,688 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	25,833
per-diem day rate — not a per-procedure price	21,960
exceeds 10× this hospital's gross charge — excluded from medians	676
template filing: same amount across many unrelated codes — excluded	147
placeholder amount (≤ $0.02) — excluded from medians	72

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

Source MRF file	https://orangecountyglobalmedicalcenter.com/csv/v2/550883862_orange-county-global-medical-center_standardcharges.csv
Found on page	https://orangecountyglobalmedicalcenter.com/pricing-transparency/
Discovered via	CMS hospital list
Last fetch	success · 2026-06-22

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	59	$423,643.69	$2,860,061.00	$529,554.61	nat. median $424,868 1.2× median
007 OTHER	Lung Transplant	57	$157,292.59	$2,162,847.20	$352,432.11	nat. median $141,082 outlier · 2.5×
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	$246,029.61	$344,441.45	$285,394.34	nat. median $203,379 1.4× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	59	$3,600.00	$846,592.03	$284,703.58	nat. median $263,894 1.1× median
583-4 OTHER	Neonate With Ecmo	14	$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	14	$221,000.00	$309,400.00	$256,360.00	nat. median $267,493 1.0× median
583-3 OTHER	Neonate With Ecmo	14	$221,000.00	$309,400.00	$256,360.00	nat. median $259,487 1.0× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	$218,779.15	$306,290.81	$253,783.82	nat. median $210,669 1.2× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	$213,464.00	$298,849.60	$247,618.24	nat. median $171,094 1.4× median
161-4 OTHER	Implantable Heart Assist Systems	14	$202,241.64	$283,138.30	$234,600.30	nat. median $202,242 1.2× median
002-4 OTHER	Heart And/or Lung Transplant	14	$198,684.72	$278,158.61	$230,474.28	nat. median $216,800 1.1× median
583-2 OTHER	Neonate With Ecmo	14	$189,486.59	$265,281.23	$219,804.45	nat. median $191,347 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	59	$173,730.49	$494,046.08	$217,163.11	nat. median $146,562 1.5× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	60	$172,715.97	$2,117,774.85	$215,894.96	nat. median $218,232 1.0× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	14	$175,822.97	$246,152.16	$203,954.65	nat. median $86,371 outlier · 2.4×
583-1 OTHER	Neonate With Ecmo	14	$173,038.96	$242,254.54	$200,725.20	nat. median $171,226 1.2× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	$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	14	$161,334.88	$225,868.83	$187,148.46	nat. median $151,691 1.2× median
161-3 OTHER	Implantable Heart Assist Systems	14	$157,953.69	$221,135.17	$183,226.28	nat. median $152,491 1.2× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	14	$149,835.59	$209,769.83	$173,809.28	nat. median $172,311 1.0× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	$139,000.00	$194,600.00	$161,240.00	nat. median $150,954 1.1× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	$132,000.00	$184,800.00	$153,120.00	nat. median $165,000 0.9× median
002-3 OTHER	Heart And/or Lung Transplant	14	$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	14	$130,000.00	$182,000.00	$150,800.00	nat. median $153,523 1.0× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	59	$118,012.05	$1,033,168.20	$147,515.06	nat. median $150,232 1.0× median
863-4 OTHER	Neonatal Aftercare	14	$126,963.94	$177,749.52	$147,278.17	nat. median $108,047 1.4× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	$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	14	$120,000.00	$168,000.00	$139,200.00	nat. median $156,696 0.9× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	$120,000.00	$168,000.00	$139,200.00	nat. median $108,000 1.3× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	14	$120,000.00	$168,000.00	$139,200.00	nat. median $124,561 1.1× median
510-4 OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	14	$137,644.70	$137,644.70	$137,644.70	nat. median $35,828 outlier · 3.8×
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	$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	14	$110,000.00	$154,000.00	$127,600.00	nat. median $110,000 1.2× median
161-2 OTHER	Implantable Heart Assist Systems	14	$109,991.74	$153,988.44	$127,590.42	nat. median $109,992 1.2× median
161-1 OTHER	Implantable Heart Assist Systems	14	$109,991.74	$153,988.44	$127,590.42	nat. median $101,352 1.3× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	$106,925.93	$149,696.30	$124,034.08	nat. median $106,926 1.2× median
014 OTHER	Allogeneic Bone Marrow Transplant	59	$33,049.73	$325,179.62	$122,709.29	nat. median $105,808 1.2× median
754-3 OTHER	Depression Except Major Depressive Disorder	14	$118,394.95	$118,394.95	$118,394.95	nat. median $7,054 outlier · 16.8×
002-2 OTHER	Heart And/or Lung Transplant	14	$101,523.66	$142,133.12	$117,767.45	nat. median $106,681 1.1× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	$100,000.00	$140,000.00	$116,000.00	nat. median $100,015 1.2× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	$100,000.00	$140,000.00	$116,000.00	nat. median $125,000 0.9× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	59	$3,600.00	$752,886.92	$115,765.37	nat. median $117,167 1.0× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	$99,000.00	$138,600.00	$114,840.00	nat. median $112,711 1.0× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	59	$88,906.45	$294,502.61	$111,133.06	nat. median $90,581 1.2× median
633-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	14	$95,464.13	$133,649.78	$110,738.40	nat. median $74,597 1.5× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	$95,000.00	$133,000.00	$110,200.00	nat. median $95,000 1.2× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	14	$93,000.00	$130,200.00	$107,880.00	nat. median $93,000 1.2× median
842-4 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	14	$92,524.47	$129,534.26	$107,328.39	nat. median $83,517 1.3× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	$92,000.00	$128,800.00	$106,720.00	nat. median $99,067 1.1× median
004-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	$91,000.00	$127,400.00	$105,560.00	nat. median $91,000 1.2× median

Other procedures at this hospital

Browse this hospital's 15,646 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	67	59	—	—	$423,643.69	$2,860,061.00	$529,554.61	2026-05-27
007	OTHER	Lung Transplant	65	57	—	—	$157,292.59	$2,162,847.20	$352,432.11	2026-05-27
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	14	—	—	$246,029.61	$344,441.45	$285,394.34	2026-05-27
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	68	59	—	—	$3,600.00	$846,592.03	$284,703.58	2026-05-27
583-3	OTHER	Neonate With Ecmo	14	14	—	—	$221,000.00	$309,400.00	$256,360.00	2026-05-27
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	14	—	—	$221,000.00	$309,400.00	$256,360.00	2026-05-27
583-4	OTHER	Neonate With Ecmo	14	14	—	—	$221,000.00	$309,400.00	$256,360.00	2026-05-27
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	14	—	—	$218,779.15	$306,290.81	$253,783.82	2026-05-27
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	14	—	—	$213,464.00	$298,849.60	$247,618.24	2026-05-27
161-4	OTHER	Implantable Heart Assist Systems	14	14	—	—	$202,241.64	$283,138.30	$234,600.30	2026-05-27
002-4	OTHER	Heart And/or Lung Transplant	14	14	—	—	$198,684.72	$278,158.61	$230,474.28	2026-05-27
583-2	OTHER	Neonate With Ecmo	14	14	—	—	$189,486.59	$265,281.23	$219,804.45	2026-05-27
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	69	59	—	—	$173,730.49	$494,046.08	$217,163.11	2026-05-27
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	71	60	—	—	$172,715.97	$2,117,774.85	$215,894.96	2026-05-27
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	14	14	—	—	$175,822.97	$246,152.16	$203,954.65	2026-05-27
583-1	OTHER	Neonate With Ecmo	14	14	—	—	$173,038.96	$242,254.54	$200,725.20	2026-05-27
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	14	—	—	$165,000.00	$231,000.00	$191,400.00	2026-05-27
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	14	14	—	—	$161,334.88	$225,868.83	$187,148.46	2026-05-27
161-3	OTHER	Implantable Heart Assist Systems	14	14	—	—	$157,953.69	$221,135.17	$183,226.28	2026-05-27
007-4	OTHER	Allogeneic Bone Marrow Transplant	14	14	—	—	$149,835.59	$209,769.83	$173,809.28	2026-05-27
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	14	—	—	$139,000.00	$194,600.00	$161,240.00	2026-05-27
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	14	—	—	$132,000.00	$184,800.00	$153,120.00	2026-05-27
002-3	OTHER	Heart And/or Lung Transplant	14	14	—	—	$131,530.85	$184,143.19	$152,575.78	2026-05-27
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	14	—	—	$130,000.00	$182,000.00	$150,800.00	2026-05-27
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	69	59	—	—	$118,012.05	$1,033,168.20	$147,515.06	2026-05-27
863-4	OTHER	Neonatal Aftercare	14	14	—	—	$126,963.94	$177,749.52	$147,278.17	2026-05-27
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	14	—	—	$121,000.00	$169,400.00	$140,360.00	2026-05-27
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	14	—	—	$120,000.00	$168,000.00	$139,200.00	2026-05-27
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	14	14	—	—	$120,000.00	$168,000.00	$139,200.00	2026-05-27
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	14	—	—	$120,000.00	$168,000.00	$139,200.00	2026-05-27
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	14	14	—	—	$137,644.70	$137,644.70	$137,644.70	2026-05-27
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	14	—	—	$110,110.47	$154,154.66	$127,728.14	2026-05-27
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	14	—	—	$110,000.00	$154,000.00	$127,600.00	2026-05-27
161-1	OTHER	Implantable Heart Assist Systems	14	14	—	—	$109,991.74	$153,988.44	$127,590.42	2026-05-27
161-2	OTHER	Implantable Heart Assist Systems	14	14	—	—	$109,991.74	$153,988.44	$127,590.42	2026-05-27
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	14	—	—	$106,925.93	$149,696.30	$124,034.08	2026-05-27
014	OTHER	Allogeneic Bone Marrow Transplant	67	59	—	—	$33,049.73	$325,179.62	$122,709.29	2026-05-27
754-3	OTHER	Depression Except Major Depressive Disorder	14	14	—	—	$118,394.95	$118,394.95	$118,394.95	2026-05-27
002-2	OTHER	Heart And/or Lung Transplant	14	14	—	—	$101,523.66	$142,133.12	$117,767.45	2026-05-27
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$100,000.00	$140,000.00	$116,000.00	2026-05-27
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$100,000.00	$140,000.00	$116,000.00	2026-05-27
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	68	59	—	—	$3,600.00	$752,886.92	$115,765.37	2026-05-27
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	14	—	—	$99,000.00	$138,600.00	$114,840.00	2026-05-27
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	67	59	—	—	$88,906.45	$294,502.61	$111,133.06	2026-05-27
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	14	14	—	—	$95,464.13	$133,649.78	$110,738.40	2026-05-27
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	14	—	—	$95,000.00	$133,000.00	$110,200.00	2026-05-27
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	14	14	—	—	$93,000.00	$130,200.00	$107,880.00	2026-05-27
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	14	14	—	—	$92,524.47	$129,534.26	$107,328.39	2026-05-27
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$92,000.00	$128,800.00	$106,720.00	2026-05-27
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	14	—	—	$91,000.00	$127,400.00	$105,560.00	2026-05-27
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	14	—	—	$91,000.00	$127,400.00	$105,560.00	2026-05-27
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	65	57	—	—	$84,343.17	$473,562.45	$105,428.96	2026-05-27
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	14	14	—	—	$90,000.00	$126,000.00	$104,400.00	2026-05-27
860-2	OTHER	Rehabilitation	14	14	—	—	$103,566.20	$103,566.20	$103,566.20	2026-05-27
007-3	OTHER	Allogeneic Bone Marrow Transplant	14	14	—	—	$89,273.14	$124,982.40	$103,556.85	2026-05-27
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$89,000.00	$124,600.00	$103,240.00	2026-05-27
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	14	—	—	$88,000.00	$123,200.00	$102,080.00	2026-05-27
215	OTHER	Other Heart Assist System Implant	74	62	—	—	$9,838.00	$335,128.60	$101,851.23	2026-05-27
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	14	14	—	—	$87,000.00	$121,800.00	$100,920.00	2026-05-27
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	74	62	—	—	$6,253.00	$303,808.65	$100,088.20	2026-05-27
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$86,000.00	$120,400.00	$99,760.00	2026-05-27
006-4	OTHER	Pancreas Transplant	14	14	—	—	$85,000.00	$119,000.00	$98,600.00	2026-05-27
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	67	59	—	—	$74,349.06	$740,885.64	$97,108.97	2026-05-27
860-4	OTHER	Rehabilitation	14	14	—	—	$96,303.14	$96,303.14	$96,303.14	2026-05-27
8285410	OTHER	Imp Maci Wprotective Spacer 10mm X 10mm	72	47	$157,026.00	$157,026.00	$950.00	$157,026.00	$94,215.60	2026-05-27
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	14	—	—	$80,771.14	$113,079.60	$93,694.52	2026-05-27
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	14	—	—	$80,681.03	$112,953.44	$93,589.99	2026-05-27
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	14	—	—	$80,000.00	$112,000.00	$92,800.00	2026-05-27
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$80,000.00	$112,000.00	$92,800.00	2026-05-27
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	14	—	—	$80,000.00	$112,000.00	$92,800.00	2026-05-27
006-3	OTHER	Pancreas Transplant	14	14	—	—	$79,144.95	$110,802.93	$91,808.14	2026-05-27
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	14	—	—	$79,000.00	$110,600.00	$91,640.00	2026-05-27
48003323101	OTHER	Insrtn Imp Defib Pls Gnrtr W-existng Mltpl Leads	57	39	$121,563.00	$121,563.00	$950.00	$121,563.00	$91,172.25	2026-05-27
48003324901	OTHER	Insrtn Rplcmnt Perm Defib Sngle Or Dual	57	39	$121,563.00	$121,563.00	$950.00	$121,563.00	$91,172.25	2026-05-27
48003326401	OTHER	Rmvl Implntbl Difib Pls Gnrtr Mltpl Lead Sys	57	39	$121,563.00	$121,563.00	$950.00	$121,563.00	$91,172.25	2026-05-27
48003327001	OTHER	Insrtn Perm Impl Defib Sys W-elctrd	57	39	$121,563.00	$121,563.00	$950.00	$121,563.00	$91,172.25	2026-05-27
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	67	59	—	—	$72,610.26	$273,655.62	$90,762.83	2026-05-27
440-4	OTHER	Kidney Transplant	14	14	—	—	$76,896.47	$107,655.06	$89,199.90	2026-05-27
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	14	14	—	—	$76,155.46	$106,617.64	$88,340.33	2026-05-27
007-1	OTHER	Allogeneic Bone Marrow Transplant	14	14	—	—	$74,667.08	$104,533.91	$86,613.82	2026-05-27
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	14	—	—	$74,623.62	$104,473.07	$86,563.39	2026-05-27
231	OTHER	Coronary Bypass With Ptca With Mcc	76	63	—	—	$6,211.00	$312,560.30	$86,395.70	2026-05-27
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	67	59	—	—	$68,901.99	$325,502.69	$86,127.49	2026-05-27
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	14	—	—	$71,005.50	$99,407.70	$82,366.38	2026-05-27
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	14	14	—	—	$70,000.00	$98,000.00	$81,200.00	2026-05-27
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	68	60	—	—	$64,573.53	$387,183.73	$80,716.91	2026-05-27
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	77	64	—	—	$9,500.00	$302,432.06	$78,788.87	2026-05-27
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	77	64	—	—	$6,253.00	$296,128.08	$78,453.88	2026-05-27
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	72	61	—	—	$62,558.24	$318,429.23	$78,197.80	2026-05-27
006-2	OTHER	Pancreas Transplant	14	14	—	—	$66,925.17	$93,695.24	$77,633.20	2026-05-27
007-2	OTHER	Allogeneic Bone Marrow Transplant	14	14	—	—	$66,446.01	$93,024.41	$77,077.37	2026-05-27
178-4	OTHER	External Heart Assist Systems	14	14	—	—	$66,228.69	$92,720.17	$76,825.28	2026-05-27
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	14	—	—	$65,108.16	$91,151.42	$75,525.46	2026-05-27
860-1	OTHER	Rehabilitation	14	14	—	—	$74,940.00	$74,940.00	$74,940.00	2026-05-27
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	14	—	—	$63,659.01	$89,122.61	$73,844.45	2026-05-27
010	OTHER	Pancreas Transplant	65	57	—	—	$58,961.70	$363,908.35	$73,702.12	2026-05-27
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	69	60	—	—	$48,627.25	$238,146.91	$73,671.76	2026-05-27
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	67	59	—	—	$13,913.56	$194,208.34	$73,286.17	2026-05-27
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	73	63	—	—	$6,800.00	$194,095.69	$73,243.66	2026-05-27
006	OTHER	Liver Transplant Without Mcc	65	57	—	—	$56,320.81	$613,006.45	$72,466.45	2026-05-27
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	14	—	—	$62,013.73	$86,819.22	$71,935.93	2026-05-27
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	14	14	—	—	$62,000.00	$86,800.00	$71,920.00	2026-05-27
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	14	—	—	$61,468.84	$86,056.38	$71,303.86	2026-05-27
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	14	14	—	—	$61,446.58	$86,025.21	$71,278.04	2026-05-27
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	70	59	—	—	$27,420.00	$205,349.01	$71,031.24	2026-05-27
008	OTHER	Simultaneous Pancreas And Kidney Transplant	65	57	—	—	$56,598.76	$591,940.40	$70,748.45	2026-05-27
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	70	59	—	—	$33,247.00	$540,754.16	$70,688.14	2026-05-27
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	14	14	—	—	$60,412.98	$84,578.17	$70,079.06	2026-05-27
955	OTHER	Craniotomy For Multiple Significant Trauma	68	59	—	—	$55,361.93	$346,221.85	$69,202.41	2026-05-27
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	14	—	—	$59,643.74	$83,501.24	$69,186.74	2026-05-27
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$59,012.59	$82,617.63	$68,454.61	2026-05-27
459	OTHER	Spinal Fusion Except Cervical With Mcc	67	59	—	—	$54,561.97	$191,307.89	$68,202.46	2026-05-27
183-4	OTHER	Percutaneous Structural Cardiac Procedures	14	14	—	—	$58,768.76	$82,276.26	$68,171.76	2026-05-27
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	74	62	—	—	$9,500.00	$179,207.76	$67,625.57	2026-05-27
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	76	63	—	—	$9,500.00	$179,207.76	$67,625.57	2026-05-27
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	67	59	—	—	$50,719.95	$178,566.75	$67,383.68	2026-05-27
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	14	—	—	$57,853.90	$80,995.46	$67,110.52	2026-05-27
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	69	59	—	—	$53,479.08	$557,980.25	$66,848.85	2026-05-27
910-4	OTHER	Craniotomy For Multiple Significant Trauma	14	14	—	—	$56,988.86	$79,784.40	$66,107.07	2026-05-27
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$56,954.93	$79,736.90	$66,067.72	2026-05-27
510-1	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	14	14	—	—	$64,646.12	$64,646.12	$64,646.12	2026-05-27
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	14	14	—	—	$55,499.16	$77,698.82	$64,379.03	2026-05-27
48003323001	OTHER	Insrtn Implntbl Defibpls Gnrtr W-exstng Dual Lds	57	39	$85,340.00	$85,340.00	$950.00	$85,340.00	$64,005.00	2026-05-27
48003326301	OTHER	Rmvl Implntbl Difib Pls Gnrtr Dual Lead Sys	57	39	$85,340.00	$85,340.00	$950.00	$85,340.00	$64,005.00	2026-05-27
48003326201	OTHER	Rmvl Implntbl Difib Pls Gnrtr Sngl Lead Sys	57	39	$85,340.00	$85,340.00	$950.00	$85,340.00	$64,005.00	2026-05-27
48003324001	OTHER	Insrt Imp Defib Pls Gnrtr W-exstng Sngl Lead	57	39	$85,340.00	$85,340.00	$950.00	$85,340.00	$64,005.00	2026-05-27
36000408T01	OTHER	Insertionreplacement Ccm System	61	40	$85,340.00	$85,340.00	$950.00	$85,340.00	$64,005.00	2026-05-27
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	14	14	—	—	$55,046.75	$77,065.45	$63,854.23	2026-05-27
179-4	OTHER	Defibrillator Implants	14	14	—	—	$54,992.69	$76,989.77	$63,791.52	2026-05-27
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	14	14	—	—	$54,746.74	$76,645.44	$63,506.22	2026-05-27
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	14	14	—	—	$54,718.12	$76,605.37	$63,473.01	2026-05-27
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	14	14	—	—	$54,426.59	$76,197.23	$63,134.85	2026-05-27
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	70	59	—	—	$33,247.00	$187,383.61	$63,102.57	2026-05-27
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	67	59	—	—	$50,384.09	$176,659.20	$62,980.11	2026-05-27
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	14	14	—	—	$54,074.64	$75,704.50	$62,726.58	2026-05-27
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	14	14	—	—	$54,029.06	$75,640.68	$62,673.71	2026-05-27
091-4	OTHER	Other Major Head And Neck Procedures	14	14	—	—	$53,845.66	$75,383.92	$62,460.96	2026-05-27
232	OTHER	Coronary Bypass With Ptca Without Mcc	76	63	—	—	$6,253.00	$194,247.61	$62,436.61	2026-05-27
178-3	OTHER	External Heart Assist Systems	14	14	—	—	$53,704.67	$75,186.54	$62,297.42	2026-05-27
028	OTHER	Spinal Procedures With Mcc	68	60	—	—	$49,509.65	$173,593.20	$61,887.06	2026-05-27
276	OTHER	Non-maligant Breast Disorders	70	61	—	—	$38,719.00	$163,955.10	$61,869.85	2026-05-27
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	14	14	—	—	$52,992.28	$74,189.19	$61,471.04	2026-05-27
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	67	59	—	—	$49,143.68	$172,310.03	$61,429.60	2026-05-27
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	65	58	—	—	$4,356.29	$139,301.01	$61,231.21	2026-05-27
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$52,715.59	$73,801.83	$61,150.08	2026-05-27
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	67	59	—	—	$48,873.23	$176,947.00	$61,091.54	2026-05-27
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	14	14	—	—	$52,238.55	$73,133.97	$60,596.72	2026-05-27
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	77	64	—	—	$9,500.00	$160,253.93	$60,473.18	2026-05-27
570	OTHER	Skin Debridement With Mcc	67	59	—	—	$35,722.48	$561,768.89	$60,465.72	2026-05-27
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	67	59	—	—	$48,347.78	$160,152.00	$60,434.72	2026-05-27
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	14	14	—	—	$52,004.27	$72,805.98	$60,324.95	2026-05-27
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	14	—	—	$51,663.97	$72,329.56	$59,930.21	2026-05-27
440-3	OTHER	Kidney Transplant	14	14	—	—	$51,187.99	$71,663.19	$59,378.07	2026-05-27
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	71	62	—	—	$24,585.33	$286,913.55	$59,073.46	2026-05-27
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	69	60	—	—	$47,009.39	$192,872.37	$58,761.74	2026-05-27
754-2	OTHER	Depression Except Major Depressive Disorder	15	15	—	—	$30,711.72	$58,323.45	$58,323.45	2026-05-27
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	14	—	—	$50,021.00	$70,029.40	$58,024.36	2026-05-27
002-1	OTHER	Heart And/or Lung Transplant	14	14	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	14	14	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	14	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	14	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
588-1	OTHER	Female Reproductive System Reconstructive Procedures	14	14	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
006-1	OTHER	Pancreas Transplant	14	14	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	14	—	—	$49,972.05	$69,960.87	$57,967.58	2026-05-27
169-4	OTHER	Major Abdominal Vascular Procedures	14	14	—	—	$49,701.73	$69,582.42	$57,654.01	2026-05-27
021-4	OTHER	Open Craniotomy Except Trauma	14	14	—	—	$49,641.30	$69,497.82	$57,583.91	2026-05-27
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	14	—	—	$49,524.69	$69,334.57	$57,448.64	2026-05-27
278	OTHER	Cellulitis Age >17 Without Cc	67	59	—	—	$12,266.30	$152,143.45	$57,412.62	2026-05-27
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	14	—	—	$49,432.46	$69,205.44	$57,341.65	2026-05-27
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	67	59	—	—	$45,580.33	$373,981.41	$56,975.41	2026-05-27
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	14	—	—	$49,059.31	$68,683.03	$56,908.80	2026-05-27
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	14	14	—	—	$48,931.04	$68,503.46	$56,760.01	2026-05-27
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	14	—	—	$48,887.57	$68,442.60	$56,709.58	2026-05-27
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	67	59	—	—	$33,843.26	$150,097.09	$56,640.41	2026-05-27
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	69	60	—	—	$10,032.00	$164,551.45	$56,444.06	2026-05-27
232-4	OTHER	Gastric Fundoplication	14	14	—	—	$48,638.45	$68,093.83	$56,420.60	2026-05-27
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	78	64	—	—	$6,253.00	$161,737.52	$56,365.13	2026-05-27
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	14	—	—	$48,537.74	$67,952.84	$56,303.78	2026-05-27
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	67	59	—	—	$45,022.46	$225,144.85	$56,278.07	2026-05-27
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	67	59	—	—	$16,063.41	$148,552.22	$56,057.44	2026-05-27
483-4	OTHER	Penis, Testes And Scrotal Procedures	14	14	—	—	$47,990.73	$67,187.02	$55,669.25	2026-05-27
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	14	14	—	—	$47,938.78	$67,114.29	$55,608.99	2026-05-27
023-4	OTHER	Spinal Procedures	14	14	—	—	$47,896.38	$67,054.93	$55,559.81	2026-05-27
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	77	64	—	—	$9,500.00	$145,883.63	$55,050.43	2026-05-27
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	14	14	—	—	$47,159.61	$66,023.45	$54,705.15	2026-05-27
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	68	60	—	—	$43,724.57	$369,444.80	$54,655.71	2026-05-27
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	14	—	—	$46,998.47	$65,797.86	$54,518.23	2026-05-27
270	OTHER	Other Major Cardiovascular Procedures With Mcc	73	60	—	—	$3,300.00	$144,368.30	$54,478.60	2026-05-27
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	14	14	—	—	$46,961.37	$65,745.92	$54,475.18	2026-05-27
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	14	—	—	$46,931.69	$65,704.37	$54,440.76	2026-05-27
44700278009	OTHER	IM Stryker Surpass Evolve Fds-long 40mm	79	55	$98,117.00	$98,117.00	$950.00	$98,117.00	$53,768.12	2026-05-27
44700278011	OTHER	IM Stryker Surpass Streamline M00-long 40-50mm	79	55	$98,117.00	$98,117.00	$950.00	$98,117.00	$53,768.12	2026-05-27
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	67	59	—	—	$43,008.82	$142,466.70	$53,761.02	2026-05-27
653	OTHER	Major Bladder Procedures With Mcc	68	60	—	—	$42,935.96	$432,627.77	$53,669.95	2026-05-27
089-4	OTHER	Major Cranial Or Facial Bone Procedures	14	14	—	—	$45,836.60	$64,171.24	$53,170.46	2026-05-27
480-2	OTHER	Major Male Pelvic Procedures	15	15	—	—	$28,133.19	$53,166.39	$53,166.39	2026-05-27
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	14	14	—	—	$45,647.91	$63,907.07	$52,951.57	2026-05-27
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	14	14	—	—	$45,534.48	$63,748.27	$52,820.00	2026-05-27
401-4	OTHER	Adrenal Procedures	14	14	—	—	$45,294.89	$63,412.85	$52,542.07	2026-05-27
45006121000	OTHER	Pierce Skull Implant Device	112	79	$52,500.00	$52,500.00	$336.41	$200,025.00	$52,500.00	2026-05-27
690-4	OTHER	Acute Leukemia	14	14	—	—	$45,078.63	$63,110.08	$52,291.21	2026-05-27
120-4	OTHER	Major Respiratory And Chest Procedures	14	14	—	—	$44,991.70	$62,988.38	$52,190.37	2026-05-27
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	77	64	—	—	$9,500.00	$138,036.03	$52,089.07	2026-05-27
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	14	—	—	$44,744.70	$62,642.58	$51,903.85	2026-05-27
48003322901	OTHER	Remvrplc Perm Pcmkrpls Gnrtr W-mltpl Lead Sys	57	39	$68,925.00	$68,925.00	$950.00	$68,925.00	$51,693.75	2026-05-27
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	67	59	—	—	$41,243.76	$381,082.36	$51,554.70	2026-05-27
228	OTHER	Other Cardiothoracic Procedures With Mcc	76	63	—	—	$9,500.00	$135,547.09	$51,149.84	2026-05-27
480-1	OTHER	Major Male Pelvic Procedures	15	15	—	—	$27,102.83	$51,105.65	$51,105.65	2026-05-27
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	69	60	—	—	$40,848.62	$691,104.58	$51,060.78	2026-05-27
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	67	59	—	—	$40,711.80	$195,923.00	$50,889.75	2026-05-27
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	67	59	—	—	$10,820.87	$134,308.01	$50,682.27	2026-05-27
8286756	OTHER	Imp Nail Precice Femur Str 10.7mmx275	79	55	$91,833.00	$91,833.00	$950.00	$91,833.00	$50,324.48	2026-05-27
471	OTHER	Cervical Spinal Fusion With Mcc	69	60	—	—	$3,400.00	$389,336.94	$49,948.51	2026-05-27
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	67	59	—	—	$39,761.24	$468,312.38	$49,701.55	2026-05-27
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	15	15	—	—	$32,543.30	$61,986.60	$49,589.28	2026-05-27
440-2	OTHER	Kidney Transplant	15	15	—	—	$32,477.99	$61,855.99	$49,484.79	2026-05-27
44700278005	OTHER	IM Stryker Surpass Evolve Fd	79	55	$90,218.00	$90,218.00	$950.00	$90,218.00	$49,439.46	2026-05-27
44700278010	OTHER	IM Stryker Surpass Streamline M00-short 15-30mm	79	55	$90,218.00	$90,218.00	$950.00	$90,218.00	$49,439.46	2026-05-27
44700278008	OTHER	IM Stryker Surpass Evolve Fds-short 12-30mm	79	55	$90,218.00	$90,218.00	$950.00	$90,218.00	$49,439.46	2026-05-27
8281511	OTHER	Imp Icd System Dx Df4 ProMRI	80	55	$94,045.00	$94,045.00	$950.00	$94,045.00	$49,279.58	2026-05-27
8240012	OTHER	Cardioverterdfib Other	80	55	$94,044.00	$94,044.00	$950.00	$94,044.00	$49,279.06	2026-05-27
020-4	OTHER	Open Craniotomy For Trauma	15	15	—	—	$32,338.49	$61,576.97	$49,261.58	2026-05-27
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	71	60	—	—	$3,300.00	$166,713.80	$49,261.29	2026-05-27
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	15	—	—	$32,034.98	$60,969.96	$48,775.97	2026-05-27
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	15	15	—	—	$31,982.29	$60,864.58	$48,691.66	2026-05-27
441-4	OTHER	Major Bladder Procedures	15	15	—	—	$31,968.19	$60,836.38	$48,669.11	2026-05-27
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	67	59	—	—	$38,928.10	$236,647.50	$48,660.12	2026-05-27
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	70	60	—	—	$2,200.00	$147,810.05	$48,562.96	2026-05-27
178-2	OTHER	External Heart Assist Systems	15	15	—	—	$31,855.40	$60,610.79	$48,488.63	2026-05-27
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	67	59	—	—	$38,737.02	$149,954.58	$48,421.27	2026-05-27
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	15	15	—	—	$31,534.82	$59,969.64	$47,975.72	2026-05-27
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	15	15	—	—	$31,443.55	$59,787.10	$47,829.68	2026-05-27
277	OTHER	Cellulitis Age >17 W Cc	70	61	—	—	$38,256.89	$232,912.00	$47,821.11	2026-05-27
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	67	59	—	—	$38,152.42	$146,158.35	$47,690.53	2026-05-27
329	OTHER	Major Small And Large Bowel Procedures With Mcc	68	59	—	—	$38,078.74	$162,067.99	$47,598.43	2026-05-27
8280252	OTHER	Impella Blood Pump 2.5	79	55	$86,822.00	$86,822.00	$950.00	$86,822.00	$47,578.46	2026-05-27
8280254	OTHER	Impella Blood Pump Cp	79	55	$86,822.00	$86,822.00	$950.00	$86,822.00	$47,578.46	2026-05-27
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	67	59	—	—	$37,984.02	$170,430.30	$47,480.03	2026-05-27
8254090	OTHER	Imp Sub Q Aicd System	80	55	$90,295.00	$90,295.00	$950.00	$90,295.00	$47,314.58	2026-05-27
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	15	15	—	—	$31,096.26	$59,092.52	$47,274.01	2026-05-27
245	OTHER	Aicd Generator Procedures	76	63	—	—	$3,600.00	$125,221.28	$47,253.31	2026-05-27
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	67	59	—	—	$37,691.73	$124,853.85	$47,114.66	2026-05-27
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	70	60	—	—	$37,675.54	$204,327.67	$47,094.43	2026-05-27
799	OTHER	Splenectomy With Mcc	67	59	—	—	$37,531.42	$124,322.81	$46,914.27	2026-05-27
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	15	15	—	—	$30,692.58	$58,285.15	$46,628.12	2026-05-27
261-4	OTHER	Major Biliary Tract Procedures	15	15	—	—	$30,668.08	$58,236.16	$46,588.93	2026-05-27
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	15	15	—	—	$30,659.18	$58,218.36	$46,574.68	2026-05-27
163	OTHER	Major Chest Procedures With Mcc	68	59	—	—	$37,150.06	$460,004.33	$46,437.58	2026-05-27
031	OTHER	Ventricular Shunt Procedures With Mcc	67	59	—	—	$37,139.54	$130,220.52	$46,424.43	2026-05-27
183-3	OTHER	Percutaneous Structural Cardiac Procedures	15	15	—	—	$30,536.00	$57,972.00	$46,377.60	2026-05-27
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	70	60	—	—	$3,400.00	$124,093.30	$46,246.29	2026-05-27
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	15	15	—	—	$30,205.78	$57,311.55	$45,849.24	2026-05-27
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	15	15	—	—	$30,083.33	$57,066.67	$45,653.34	2026-05-27
356	OTHER	Other Digestive System O.r. Procedures With Mcc	67	59	—	—	$36,429.46	$330,339.55	$45,536.82	2026-05-27
179-3	OTHER	Defibrillator Implants	15	15	—	—	$29,968.31	$56,836.63	$45,469.30	2026-05-27
440-1	OTHER	Kidney Transplant	15	15	—	—	$29,805.80	$56,511.60	$45,209.28	2026-05-27
8133748	OTHER	Implant Ipg Kit	81	56	$90,121.00	$90,121.00	$950.00	$90,121.00	$45,060.50	2026-05-27
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	15	15	—	—	$29,599.51	$56,099.01	$44,879.21	2026-05-27
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	67	59	—	—	$35,899.94	$118,918.56	$44,874.93	2026-05-27
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	15	15	—	—	$29,523.07	$55,946.14	$44,756.91	2026-05-27
36000238T01	OTHER	Transluminal Peripheral Atherectomy Iliac Ea Vessl	61	40	$59,436.00	$59,436.00	$950.00	$59,436.00	$44,577.00	2026-05-27
48003327401	OTHER	Trnscth Insrtn Rplcmnt Perm Ldls Pcmkr	57	39	$59,436.00	$59,436.00	$950.00	$59,436.00	$44,577.00	2026-05-27
48103327401	OTHER	Trnscth Insrtn Rplcmnt Perm Ldls Pcmkr	59	40	$59,436.00	$59,436.00	$950.00	$59,436.00	$44,577.00	2026-05-27
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	67	59	—	—	$35,620.60	$117,993.23	$44,525.75	2026-05-27
178-1	OTHER	External Heart Assist Systems	15	15	—	—	$29,354.62	$55,609.25	$44,487.40	2026-05-27
140	OTHER	Major Head And Neck Procedures With Mcc	67	59	—	—	$35,397.14	$184,620.42	$44,246.43	2026-05-27
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	15	15	—	—	$28,977.65	$54,855.30	$43,884.24	2026-05-27
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	70	59	—	—	$33,247.00	$209,018.27	$43,820.34	2026-05-27
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	67	59	—	—	$34,997.97	$170,114.57	$43,747.46	2026-05-27
230-4	OTHER	Major Small Bowel Procedures	15	15	—	—	$28,878.95	$54,657.90	$43,726.32	2026-05-27
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	69	60	—	—	$34,980.97	$246,330.20	$43,726.21	2026-05-27
695-4	OTHER	Chemotherapy For Acute Leukemia	15	15	—	—	$28,867.82	$54,635.64	$43,708.52	2026-05-27
027-4	OTHER	Other Open Craniotomy	15	15	—	—	$28,847.79	$54,595.58	$43,676.46	2026-05-27
181-4	OTHER	Lower Extremity Arterial Procedures	15	15	—	—	$28,824.04	$54,548.09	$43,638.47	2026-05-27
510-2	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	15	15	—	—	$23,367.12	$43,634.24	$43,634.24	2026-05-27
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	67	59	—	—	$34,881.38	$174,696.12	$43,601.72	2026-05-27
901	OTHER	Wound Debridements For Injuries With Mcc	68	59	—	—	$34,840.90	$115,410.47	$43,551.12	2026-05-27
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	15	15	—	—	$28,763.94	$54,427.87	$43,542.30	2026-05-27
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	77	64	—	—	$9,500.00	$115,201.27	$43,472.18	2026-05-27
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	15	15	—	—	$28,673.40	$54,246.81	$43,397.45	2026-05-27
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	67	59	—	—	$34,646.57	$121,479.54	$43,308.21	2026-05-27
793	OTHER	Full Term Neonate With Major Problems	67	59	—	—	$7,257.47	$98,457.13	$43,277.86	2026-05-27
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	15	15	—	—	$28,546.51	$53,993.02	$43,194.41	2026-05-27
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	15	15	—	—	$28,516.82	$53,933.64	$43,146.91	2026-05-27
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	67	59	—	—	$34,487.87	$129,419.50	$43,109.84	2026-05-27
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	15	15	—	—	$28,385.48	$53,670.96	$42,936.77	2026-05-27
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	69	59	—	—	$34,265.22	$117,267.40	$42,831.52	2026-05-27
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	15	15	—	—	$28,254.13	$53,408.26	$42,726.61	2026-05-27
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	15	15	—	—	$28,179.92	$53,259.85	$42,607.88	2026-05-27
121-4	OTHER	Other Respiratory And Chest Procedures	15	15	—	—	$28,177.70	$53,255.40	$42,604.32	2026-05-27
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	15	15	—	—	$28,021.12	$52,942.25	$42,353.80	2026-05-27
44700278007	OTHER	IM Stryker Surpass Evolve Fdcd	79	55	$77,175.00	$77,175.00	$950.00	$77,175.00	$42,291.90	2026-05-27
44700278006	OTHER	IM Stryker Surpass Evolve Fdc	79	55	$77,175.00	$77,175.00	$950.00	$77,175.00	$42,291.90	2026-05-27
791	OTHER	Prematurity With Major Problems	65	58	—	—	$7,138.94	$95,910.56	$42,158.49	2026-05-27
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	15	15	—	—	$27,776.97	$52,453.95	$41,963.16	2026-05-27
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	67	59	—	—	$33,120.35	$230,149.08	$41,400.44	2026-05-27
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	15	15	—	—	$27,413.37	$51,726.74	$41,381.39	2026-05-27
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	15	15	—	—	$27,380.72	$51,661.43	$41,329.14	2026-05-27
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	15	15	—	—	$27,374.03	$51,648.07	$41,318.46	2026-05-27
607-1	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	15	15	—	—	$27,370.33	$51,640.65	$41,312.52	2026-05-27

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