Hospital

COASTAL COMMUNITIES HOSPITAL

Santa Ana, CA · CCN 050747 · Rates published

12,192 distinct procedures filed

80 distinct payers

1,030,032 rate rows

2026-05-27 last MRF observed

Data quality

993,777 of 1,030,032 rate rows are consumer-grade (96.5%)

36,255 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	23,304
per-diem day rate — not a per-procedure price	11,986
exceeds 10× this hospital's gross charge — excluded from medians	637
template filing: same amount across many unrelated codes — excluded	263
placeholder amount (≤ $0.02) — excluded from medians	65

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

Source MRF file	https://www.southcoastglobalmedicalcenter.com/csv/550883863_south-coast-global-medical-center_standardcharges.csv
Found on page	https://www.southcoastglobalmedicalcenter.com/pricing-transparency/
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	3f0773908d26cd19… · 364,384,202 bytes · first seen 2026-05-18

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	48	$666,243.99	$2,860,061.00	$707,976.85	nat. median $424,868 1.7× median
007 OTHER	Lung Transplant	46	$277,926.32	$2,162,847.20	$485,250.04	nat. median $141,082 outlier · 3.4×
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	12	$250,852.18	$351,193.05	$290,988.53	nat. median $203,379 1.4× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	48	$4,700.00	$846,592.03	$289,068.64	nat. median $263,894 1.1× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	12	$223,027.91	$312,239.07	$258,712.38	nat. median $210,669 1.2× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	12	$221,000.00	$309,400.00	$256,360.00	nat. median $267,493 1.0× median
583-3 OTHER	Neonate With Ecmo	12	$221,000.00	$309,400.00	$256,360.00	nat. median $259,487 1.0× median
583-4 OTHER	Neonate With Ecmo	12	$221,000.00	$309,400.00	$256,360.00	nat. median $309,400 0.8× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	$213,464.00	$298,849.60	$247,618.24	nat. median $171,094 1.4× median
161-4 OTHER	Implantable Heart Assist Systems	12	$202,241.64	$283,138.30	$234,600.30	nat. median $202,242 1.2× median
002-4 OTHER	Heart And/or Lung Transplant	12	$201,307.05	$281,829.87	$233,516.18	nat. median $216,800 1.1× median
583-2 OTHER	Neonate With Ecmo	12	$192,097.00	$268,935.80	$222,832.52	nat. median $191,347 1.2× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	48	$199,130.22	$528,895.34	$220,648.87	nat. median $146,562 1.5× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	48	$197,961.58	$645,099.41	$219,364.22	nat. median $218,232 1.0× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	12	$178,296.80	$249,615.52	$206,824.29	nat. median $86,371 outlier · 2.4×
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	48	$191,916.25	$949,211.27	$206,491.59	nat. median $150,232 1.4× median
583-1 OTHER	Neonate With Ecmo	12	$175,649.37	$245,909.12	$203,753.27	nat. median $171,226 1.2× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	12	$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	12	$163,599.62	$229,039.47	$189,775.55	nat. median $151,691 1.3× median
161-3 OTHER	Implantable Heart Assist Systems	12	$160,337.63	$224,472.68	$185,991.65	nat. median $152,491 1.2× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	12	$149,835.59	$209,769.83	$173,809.28	nat. median $172,311 1.0× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	$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	48	$4,700.00	$752,886.92	$155,973.38	nat. median $117,167 1.3× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	12	$132,000.00	$184,800.00	$153,120.00	nat. median $165,000 0.9× median
002-3 OTHER	Heart And/or Lung Transplant	12	$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	12	$130,000.00	$182,000.00	$150,800.00	nat. median $153,523 1.0× median
863-4 OTHER	Neonatal Aftercare	12	$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	48	$133,277.31	$740,885.64	$142,594.00	nat. median $64,729 outlier · 2.2×
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	12	$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	12	$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	12	$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	12	$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…	12	$137,644.70	$137,644.70	$137,644.70	nat. median $35,828 outlier · 3.8×
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	$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	12	$110,000.00	$154,000.00	$127,600.00	nat. median $110,000 1.2× median
161-2 OTHER	Implantable Heart Assist Systems	12	$109,991.74	$153,988.44	$127,590.42	nat. median $109,992 1.2× median
161-1 OTHER	Implantable Heart Assist Systems	12	$109,991.74	$153,988.44	$127,590.42	nat. median $101,352 1.3× median
014 OTHER	Allogeneic Bone Marrow Transplant	48	$33,049.73	$299,541.97	$124,965.36	nat. median $105,808 1.2× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	12	$106,925.93	$149,696.30	$124,034.08	nat. median $106,926 1.2× median
754-3 OTHER	Depression Except Major Depressive Disorder	12	$118,394.95	$118,394.95	$118,394.95	nat. median $7,054 outlier · 16.8×
002-2 OTHER	Heart And/or Lung Transplant	12	$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…	12	$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…	12	$100,000.00	$140,000.00	$116,000.00	nat. median $125,000 0.9× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	12	$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	48	$101,419.72	$271,432.49	$113,238.42	nat. median $90,581 1.3× median
633-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	12	$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	12	$95,000.00	$133,000.00	$110,200.00	nat. median $95,000 1.2× median
006 OTHER	Liver Transplant Without Mcc	46	$101,837.02	$613,006.45	$110,007.40	nat. median $50,611 outlier · 2.2×
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	12	$93,000.00	$130,200.00	$107,880.00	nat. median $93,000 1.2× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	46	$102,087.06	$473,562.45	$107,460.06	nat. median $104,489 1.0× median

Other procedures at this hospital

Browse this hospital's 12,192 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

8285410	OTHER	Imp Maci Wprotective Spacer 10mm X 10mm	60	37	$157,026.00	$157,026.00	$950.00	$157,026.00	$84,236.60	2026-05-27
48003324901	OTHER	Insrtn Rplcmnt Perm Defib Sngle Or Dual	48	33	$121,563.00	$121,563.00	$950.00	$121,563.00	$73,898.15	2026-05-27
48003323101	OTHER	Insrtn Imp Defib Pls Gnrtr W-existng Mltpl Leads	48	33	$121,563.00	$121,563.00	$950.00	$121,563.00	$73,898.15	2026-05-27
48003327001	OTHER	Insrtn Perm Impl Defib Sys W-elctrd	48	33	$121,563.00	$121,563.00	$950.00	$121,563.00	$73,898.15	2026-05-27
48003326401	OTHER	Rmvl Implntbl Difib Pls Gnrtr Mltpl Lead Sys	48	33	$121,563.00	$121,563.00	$950.00	$121,563.00	$73,898.15	2026-05-27
44700278011	OTHER	IM Stryker Surpass Streamline M00-long 40-50mm	68	43	$98,117.00	$98,117.00	$950.00	$98,117.00	$46,605.57	2026-05-27
44700278009	OTHER	IM Stryker Surpass Evolve Fds-long 40mm	68	43	$98,117.00	$98,117.00	$950.00	$98,117.00	$46,605.57	2026-05-27
8240012	OTHER	Cardioverterdfib Other	69	43	$94,044.00	$94,044.00	$950.00	$94,044.00	$42,319.80	2026-05-27
8286756	OTHER	Imp Nail Precice Femur Str 10.7mmx275	68	43	$91,833.00	$91,833.00	$950.00	$91,833.00	$43,620.68	2026-05-27
44700278008	OTHER	IM Stryker Surpass Evolve Fds-short 12-30mm	68	43	$90,218.00	$90,218.00	$950.00	$90,218.00	$42,853.55	2026-05-27
44700278005	OTHER	IM Stryker Surpass Evolve Fd	68	43	$90,218.00	$90,218.00	$950.00	$90,218.00	$42,853.55	2026-05-27
44700278010	OTHER	IM Stryker Surpass Streamline M00-short 15-30mm	68	43	$90,218.00	$90,218.00	$950.00	$90,218.00	$42,853.55	2026-05-27
36000408T01	OTHER	Insertionreplacement Ccm System	51	34	$85,340.00	$85,340.00	$950.00	$85,340.00	$55,471.00	2026-05-27
48003323001	OTHER	Insrtn Implntbl Defibpls Gnrtr W-exstng Dual Lds	48	33	$85,340.00	$85,340.00	$950.00	$85,340.00	$51,878.18	2026-05-27
48003326301	OTHER	Rmvl Implntbl Difib Pls Gnrtr Dual Lead Sys	48	33	$85,340.00	$85,340.00	$950.00	$85,340.00	$51,878.18	2026-05-27
48003324001	OTHER	Insrt Imp Defib Pls Gnrtr W-exstng Sngl Lead	48	33	$85,340.00	$85,340.00	$950.00	$85,340.00	$51,878.18	2026-05-27
48003326201	OTHER	Rmvl Implntbl Difib Pls Gnrtr Sngl Lead Sys	48	33	$85,340.00	$85,340.00	$950.00	$85,340.00	$51,878.18	2026-05-27
48003322901	OTHER	Remvrplc Perm Pcmkrpls Gnrtr W-mltpl Lead Sys	48	33	$68,925.00	$68,925.00	$950.00	$68,925.00	$41,899.51	2026-05-27
45006121000	OTHER	Pierce Skull Implant Device	100	64	$52,500.00	$52,500.00	$336.41	$200,025.00	$51,187.50	2026-05-27
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	60	48	—	—	$666,243.99	$2,860,061.00	$707,976.85	2026-05-27
007	OTHER	Lung Transplant	58	46	—	—	$277,926.32	$2,162,847.20	$485,250.04	2026-05-27
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	12	—	—	$250,852.18	$351,193.05	$290,988.53	2026-05-27
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	60	48	—	—	$4,700.00	$846,592.03	$289,068.64	2026-05-27
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	12	—	—	$223,027.91	$312,239.07	$258,712.38	2026-05-27
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	12	—	—	$221,000.00	$309,400.00	$256,360.00	2026-05-27
583-4	OTHER	Neonate With Ecmo	14	12	—	—	$221,000.00	$309,400.00	$256,360.00	2026-05-27
583-3	OTHER	Neonate With Ecmo	14	12	—	—	$221,000.00	$309,400.00	$256,360.00	2026-05-27
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	12	—	—	$213,464.00	$298,849.60	$247,618.24	2026-05-27
161-4	OTHER	Implantable Heart Assist Systems	14	12	—	—	$202,241.64	$283,138.30	$234,600.30	2026-05-27
002-4	OTHER	Heart And/or Lung Transplant	14	12	—	—	$201,307.05	$281,829.87	$233,516.18	2026-05-27
583-2	OTHER	Neonate With Ecmo	14	12	—	—	$192,097.00	$268,935.80	$222,832.52	2026-05-27
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	60	48	—	—	$199,130.22	$528,895.34	$220,648.87	2026-05-27
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	60	48	—	—	$197,961.58	$645,099.41	$219,364.22	2026-05-27
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	14	12	—	—	$178,296.80	$249,615.52	$206,824.29	2026-05-27
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	60	48	—	—	$191,916.25	$949,211.27	$206,491.59	2026-05-27
583-1	OTHER	Neonate With Ecmo	14	12	—	—	$175,649.37	$245,909.12	$203,753.27	2026-05-27
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	12	—	—	$165,000.00	$231,000.00	$191,400.00	2026-05-27
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	14	12	—	—	$163,599.62	$229,039.47	$189,775.55	2026-05-27
161-3	OTHER	Implantable Heart Assist Systems	14	12	—	—	$160,337.63	$224,472.68	$185,991.65	2026-05-27
007-4	OTHER	Allogeneic Bone Marrow Transplant	14	12	—	—	$149,835.59	$209,769.83	$173,809.28	2026-05-27
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	12	—	—	$139,000.00	$194,600.00	$161,240.00	2026-05-27
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	60	48	—	—	$4,700.00	$752,886.92	$155,973.38	2026-05-27
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	12	—	—	$132,000.00	$184,800.00	$153,120.00	2026-05-27
002-3	OTHER	Heart And/or Lung Transplant	14	12	—	—	$131,530.85	$184,143.19	$152,575.78	2026-05-27
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	12	—	—	$130,000.00	$182,000.00	$150,800.00	2026-05-27
863-4	OTHER	Neonatal Aftercare	14	12	—	—	$126,963.94	$177,749.52	$147,278.17	2026-05-27
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	60	48	—	—	$133,277.31	$740,885.64	$142,594.00	2026-05-27
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	12	—	—	$121,000.00	$169,400.00	$140,360.00	2026-05-27
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	12	—	—	$120,000.00	$168,000.00	$139,200.00	2026-05-27
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	14	12	—	—	$120,000.00	$168,000.00	$139,200.00	2026-05-27
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	12	—	—	$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	12	—	—	$137,644.70	$137,644.70	$137,644.70	2026-05-27
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	12	—	—	$110,110.47	$154,154.66	$127,728.14	2026-05-27
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	12	—	—	$110,000.00	$154,000.00	$127,600.00	2026-05-27
161-1	OTHER	Implantable Heart Assist Systems	14	12	—	—	$109,991.74	$153,988.44	$127,590.42	2026-05-27
161-2	OTHER	Implantable Heart Assist Systems	14	12	—	—	$109,991.74	$153,988.44	$127,590.42	2026-05-27
014	OTHER	Allogeneic Bone Marrow Transplant	60	48	—	—	$33,049.73	$299,541.97	$124,965.36	2026-05-27
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	12	—	—	$106,925.93	$149,696.30	$124,034.08	2026-05-27
754-3	OTHER	Depression Except Major Depressive Disorder	14	12	—	—	$118,394.95	$118,394.95	$118,394.95	2026-05-27
002-2	OTHER	Heart And/or Lung Transplant	14	12	—	—	$101,523.66	$142,133.12	$117,767.45	2026-05-27
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	12	—	—	$100,000.00	$140,000.00	$116,000.00	2026-05-27
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	12	—	—	$100,000.00	$140,000.00	$116,000.00	2026-05-27
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	12	—	—	$99,000.00	$138,600.00	$114,840.00	2026-05-27
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	60	48	—	—	$101,419.72	$271,432.49	$113,238.42	2026-05-27
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	14	12	—	—	$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	12	—	—	$95,000.00	$133,000.00	$110,200.00	2026-05-27
006	OTHER	Liver Transplant Without Mcc	58	46	—	—	$101,837.02	$613,006.45	$110,007.40	2026-05-27
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	14	12	—	—	$93,000.00	$130,200.00	$107,880.00	2026-05-27
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	58	46	—	—	$102,087.06	$473,562.45	$107,460.06	2026-05-27
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	14	12	—	—	$92,524.47	$129,534.26	$107,328.39	2026-05-27
008	OTHER	Simultaneous Pancreas And Kidney Transplant	58	46	—	—	$101,750.94	$591,940.40	$107,106.25	2026-05-27
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	12	—	—	$92,000.00	$128,800.00	$106,720.00	2026-05-27
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	12	—	—	$91,000.00	$127,400.00	$105,560.00	2026-05-27
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	12	—	—	$91,000.00	$127,400.00	$105,560.00	2026-05-27
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	14	12	—	—	$90,000.00	$126,000.00	$104,400.00	2026-05-27
215	OTHER	Other Heart Assist System Implant	63	50	—	—	$1,900.00	$335,128.60	$103,835.76	2026-05-27
860-2	OTHER	Rehabilitation	14	12	—	—	$103,566.20	$103,566.20	$103,566.20	2026-05-27
007-3	OTHER	Allogeneic Bone Marrow Transplant	14	12	—	—	$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	12	—	—	$89,000.00	$124,600.00	$103,240.00	2026-05-27
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	12	—	—	$88,000.00	$123,200.00	$102,080.00	2026-05-27
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	63	50	—	—	$10,600.00	$303,808.65	$102,049.76	2026-05-27
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	61	48	—	—	$75,470.31	$557,980.25	$100,944.12	2026-05-27
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	14	12	—	—	$87,000.00	$121,800.00	$100,920.00	2026-05-27
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	12	—	—	$86,000.00	$120,400.00	$99,760.00	2026-05-27
006-4	OTHER	Pancreas Transplant	14	12	—	—	$85,000.00	$119,000.00	$98,600.00	2026-05-27
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	63	50	—	—	$9,500.00	$540,754.16	$97,863.47	2026-05-27
860-4	OTHER	Rehabilitation	14	12	—	—	$96,303.14	$96,303.14	$96,303.14	2026-05-27
570	OTHER	Skin Debridement With Mcc	60	48	—	—	$65,914.66	$561,768.89	$94,709.69	2026-05-27
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	12	—	—	$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	12	—	—	$80,681.03	$112,953.44	$93,589.99	2026-05-27
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	12	—	—	$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	12	—	—	$80,000.00	$112,000.00	$92,800.00	2026-05-27
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	12	—	—	$80,000.00	$112,000.00	$92,800.00	2026-05-27
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	60	48	—	—	$82,647.83	$273,655.62	$92,603.01	2026-05-27
006-3	OTHER	Pancreas Transplant	14	12	—	—	$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	12	—	—	$79,000.00	$110,600.00	$91,640.00	2026-05-27
440-4	OTHER	Kidney Transplant	14	12	—	—	$76,896.47	$107,655.06	$89,199.90	2026-05-27
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	14	12	—	—	$76,155.46	$106,617.64	$88,340.33	2026-05-27
231	OTHER	Coronary Bypass With Ptca With Mcc	63	50	—	—	$12,400.00	$312,560.30	$88,179.00	2026-05-27
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	48	—	—	$78,376.19	$325,502.69	$87,907.31	2026-05-27
007-1	OTHER	Allogeneic Bone Marrow Transplant	14	12	—	—	$74,667.08	$104,533.91	$86,613.82	2026-05-27
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	12	—	—	$74,623.62	$104,473.07	$86,563.39	2026-05-27
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	60	48	—	—	$73,390.13	$387,183.73	$82,426.27	2026-05-27
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	12	—	—	$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	12	—	—	$70,000.00	$98,000.00	$81,200.00	2026-05-27
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	63	50	—	—	$9,500.00	$302,432.06	$80,473.14	2026-05-27
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	63	50	—	—	$10,600.00	$215,419.13	$80,133.78	2026-05-27
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	60	48	—	—	$71,068.70	$191,458.89	$79,874.38	2026-05-27
006-2	OTHER	Pancreas Transplant	14	12	—	—	$66,925.17	$93,695.24	$77,633.20	2026-05-27
007-2	OTHER	Allogeneic Bone Marrow Transplant	14	12	—	—	$66,446.01	$93,024.41	$77,077.37	2026-05-27
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	60	48	—	—	$70,695.87	$468,312.38	$76,894.64	2026-05-27
178-4	OTHER	External Heart Assist Systems	14	12	—	—	$66,228.69	$92,720.17	$76,825.28	2026-05-27
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	12	—	—	$65,108.16	$91,151.42	$75,525.46	2026-05-27
010	OTHER	Pancreas Transplant	58	46	—	—	$71,554.17	$363,908.35	$75,320.18	2026-05-27
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	60	48	—	—	$49,560.14	$180,468.74	$75,289.42	2026-05-27
860-1	OTHER	Rehabilitation	14	12	—	—	$74,940.00	$74,940.00	$74,940.00	2026-05-27
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	60	48	—	—	$13,913.56	$179,532.45	$74,898.81	2026-05-27
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	61	49	—	—	$1,900.00	$179,429.18	$74,855.73	2026-05-27
163	OTHER	Major Chest Procedures With Mcc	60	48	—	—	$68,417.27	$460,004.33	$74,317.44	2026-05-27
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	12	—	—	$63,659.01	$89,122.61	$73,844.45	2026-05-27
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	62	49	—	—	$64,464.46	$539,701.81	$72,614.53	2026-05-27
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	14	12	—	—	$62,354.17	$87,295.84	$72,330.83	2026-05-27
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	12	—	—	$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	12	—	—	$62,000.00	$86,800.00	$71,920.00	2026-05-27
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	12	—	—	$61,468.84	$86,056.38	$71,303.86	2026-05-27
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	14	12	—	—	$61,446.58	$86,025.21	$71,278.04	2026-05-27
955	OTHER	Craniotomy For Multiple Significant Trauma	60	48	—	—	$62,779.11	$203,377.17	$70,761.87	2026-05-27
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	14	12	—	—	$60,412.98	$84,578.17	$70,079.06	2026-05-27
459	OTHER	Spinal Fusion Except Cervical With Mcc	60	48	—	—	$61,857.63	$176,973.88	$69,748.91	2026-05-27
653	OTHER	Major Bladder Procedures With Mcc	60	48	—	—	$62,880.56	$432,627.77	$69,442.37	2026-05-27
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	12	—	—	$59,643.74	$83,501.24	$69,186.74	2026-05-27
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	63	50	—	—	$9,500.00	$165,787.35	$69,164.52	2026-05-27
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	63	50	—	—	$9,500.00	$165,787.35	$69,164.52	2026-05-27
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	60	48	—	—	$50,719.95	$165,199.97	$68,919.47	2026-05-27
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	12	—	—	$59,012.59	$82,617.63	$68,454.61	2026-05-27
183-4	OTHER	Percutaneous Structural Cardiac Procedures	14	12	—	—	$58,768.76	$82,276.26	$68,171.76	2026-05-27
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	12	—	—	$57,853.90	$80,995.46	$67,110.52	2026-05-27
910-4	OTHER	Craniotomy For Multiple Significant Trauma	14	12	—	—	$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	12	—	—	$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	12	—	—	$64,646.12	$64,646.12	$64,646.12	2026-05-27
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	63	50	—	—	$9,500.00	$187,383.61	$64,582.63	2026-05-27
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	60	48	—	—	$57,045.04	$154,507.17	$64,458.56	2026-05-27
232	OTHER	Coronary Bypass With Ptca Without Mcc	63	50	—	—	$11,300.00	$194,247.61	$63,908.01	2026-05-27
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	14	12	—	—	$55,046.75	$77,065.45	$63,854.23	2026-05-27
179-4	OTHER	Defibrillator Implants	14	12	—	—	$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	12	—	—	$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	12	—	—	$54,718.12	$76,605.37	$63,473.01	2026-05-27
028	OTHER	Spinal Procedures With Mcc	60	48	—	—	$56,037.76	$151,853.04	$63,351.29	2026-05-27
276	OTHER	Non-maligant Breast Disorders	60	48	—	—	$56,021.90	$151,811.26	$63,333.86	2026-05-27
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	14	12	—	—	$54,426.59	$76,197.23	$63,134.85	2026-05-27
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	48	—	—	$55,616.20	$150,742.25	$62,887.88	2026-05-27
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	14	12	—	—	$54,074.64	$75,704.50	$62,726.58	2026-05-27
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	58	48	—	—	$4,356.29	$150,260.52	$62,686.91	2026-05-27
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	14	12	—	—	$54,029.06	$75,640.68	$62,673.71	2026-05-27
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	60	48	—	—	$55,304.67	$176,947.00	$62,545.43	2026-05-27
091-4	OTHER	Other Major Head And Neck Procedures	14	12	—	—	$53,845.66	$75,383.92	$62,460.96	2026-05-27
178-3	OTHER	External Heart Assist Systems	14	12	—	—	$53,704.67	$75,186.54	$62,297.42	2026-05-27
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	63	50	—	—	$9,500.00	$148,419.82	$61,918.99	2026-05-27
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	60	48	—	—	$54,699.37	$159,643.33	$61,880.03	2026-05-27
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	14	12	—	—	$52,992.28	$74,189.19	$61,471.04	2026-05-27
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	14	12	—	—	$52,715.59	$73,801.83	$61,150.08	2026-05-27
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	14	12	—	—	$52,238.55	$73,133.97	$60,596.72	2026-05-27
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	60	48	—	—	$53,444.93	$286,913.55	$60,501.07	2026-05-27
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	14	12	—	—	$52,004.27	$72,805.98	$60,324.95	2026-05-27
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	60	48	—	—	$53,157.66	$144,264.09	$60,185.27	2026-05-27
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	12	—	—	$51,663.97	$72,329.56	$59,930.21	2026-05-27
440-3	OTHER	Kidney Transplant	14	12	—	—	$51,187.99	$71,663.19	$59,378.07	2026-05-27
278	OTHER	Cellulitis Age >17 Without Cc	60	48	—	—	$12,266.30	$140,988.21	$58,818.61	2026-05-27
471	OTHER	Cervical Spinal Fusion With Mcc	61	49	—	—	$3,700.00	$389,336.94	$58,685.18	2026-05-27
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	60	48	—	—	$51,511.50	$373,981.41	$58,375.69	2026-05-27
754-2	OTHER	Depression Except Major Depressive Disorder	15	13	—	—	$30,711.72	$58,323.45	$58,323.45	2026-05-27
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	60	48	—	—	$33,843.26	$139,113.08	$58,036.33	2026-05-27
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	12	—	—	$50,021.00	$70,029.40	$58,024.36	2026-05-27
002-1	OTHER	Heart And/or Lung Transplant	14	12	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	14	12	—	—	$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	12	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
588-1	OTHER	Female Reproductive System Reconstructive Procedures	14	12	—	—	$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	12	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
006-1	OTHER	Pancreas Transplant	14	12	—	—	$50,000.00	$70,000.00	$58,000.00	2026-05-27
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	12	—	—	$49,972.05	$69,960.87	$57,967.58	2026-05-27
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	60	48	—	—	$51,021.84	$157,405.59	$57,837.43	2026-05-27
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	63	50	—	—	$10,600.00	$151,346.44	$57,757.47	2026-05-27
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	60	48	—	—	$50,868.88	$225,144.85	$57,669.28	2026-05-27
169-4	OTHER	Major Abdominal Vascular Procedures	14	12	—	—	$49,701.73	$69,582.42	$57,654.01	2026-05-27
021-4	OTHER	Open Craniotomy Except Trauma	14	12	—	—	$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	12	—	—	$49,524.69	$69,334.57	$57,448.64	2026-05-27
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	60	48	—	—	$16,063.41	$137,697.53	$57,445.78	2026-05-27
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	12	—	—	$49,432.46	$69,205.44	$57,341.65	2026-05-27
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	60	48	—	—	$50,731.42	$381,082.36	$57,099.72	2026-05-27
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	12	—	—	$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	12	—	—	$48,931.04	$68,503.46	$56,760.01	2026-05-27
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	12	—	—	$48,887.57	$68,442.60	$56,709.58	2026-05-27
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	63	50	—	—	$9,500.00	$135,252.31	$56,425.66	2026-05-27
232-4	OTHER	Gastric Fundoplication	14	12	—	—	$48,638.45	$68,093.83	$56,420.60	2026-05-27
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	12	—	—	$48,537.74	$67,952.84	$56,303.78	2026-05-27
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	60	48	—	—	$49,373.81	$369,444.80	$56,025.79	2026-05-27
270	OTHER	Other Major Cardiovascular Procedures With Mcc	63	50	—	—	$9,500.00	$133,863.75	$55,846.37	2026-05-27
483-4	OTHER	Penis, Testes And Scrotal Procedures	14	12	—	—	$47,990.73	$67,187.02	$55,669.25	2026-05-27
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	14	12	—	—	$47,938.78	$67,114.29	$55,608.99	2026-05-27
023-4	OTHER	Spinal Procedures	14	12	—	—	$47,896.38	$67,054.93	$55,559.81	2026-05-27
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	60	48	—	—	$48,549.33	$132,121.37	$55,119.47	2026-05-27
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	14	12	—	—	$47,159.61	$66,023.45	$54,705.15	2026-05-27
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	12	—	—	$46,998.47	$65,797.86	$54,518.23	2026-05-27
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	14	12	—	—	$46,961.37	$65,745.92	$54,475.18	2026-05-27
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	12	—	—	$46,931.69	$65,704.37	$54,440.76	2026-05-27
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	63	50	—	—	$9,500.00	$129,859.38	$53,425.74	2026-05-27
089-4	OTHER	Major Cranial Or Facial Bone Procedures	14	12	—	—	$45,836.60	$64,171.24	$53,170.46	2026-05-27
480-2	OTHER	Major Male Pelvic Procedures	15	13	—	—	$28,133.19	$53,166.39	$53,166.39	2026-05-27
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	14	12	—	—	$45,647.91	$63,907.07	$52,951.57	2026-05-27
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	14	12	—	—	$45,534.48	$63,748.27	$52,820.00	2026-05-27
401-4	OTHER	Adrenal Procedures	14	12	—	—	$45,294.89	$63,412.85	$52,542.07	2026-05-27
228	OTHER	Other Cardiothoracic Procedures With Mcc	63	50	—	—	$9,500.00	$125,780.87	$52,474.29	2026-05-27
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	60	48	—	—	$46,060.96	$125,564.62	$52,384.07	2026-05-27
690-4	OTHER	Acute Leukemia	14	12	—	—	$45,078.63	$63,110.08	$52,291.21	2026-05-27
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	60	48	—	—	$45,903.34	$195,923.00	$52,210.80	2026-05-27
120-4	OTHER	Major Respiratory And Chest Procedures	14	12	—	—	$44,991.70	$62,988.38	$52,190.37	2026-05-27
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	60	48	—	—	$10,820.87	$124,645.49	$52,000.62	2026-05-27
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	12	—	—	$44,744.70	$62,642.58	$51,903.85	2026-05-27
480-1	OTHER	Major Male Pelvic Procedures	15	13	—	—	$27,102.83	$51,105.65	$51,105.65	2026-05-27
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	63	50	—	—	$10,600.00	$166,713.80	$50,561.14	2026-05-27
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	60	48	—	—	$43,848.66	$236,647.50	$49,952.15	2026-05-27
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	61	49	—	—	$1,900.00	$119,499.39	$49,853.73	2026-05-27
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	60	48	—	—	$43,628.55	$149,954.58	$49,710.19	2026-05-27
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	15	13	—	—	$32,543.30	$61,986.60	$49,589.28	2026-05-27
440-2	OTHER	Kidney Transplant	15	13	—	—	$32,477.99	$61,855.99	$49,484.79	2026-05-27
020-4	OTHER	Open Craniotomy For Trauma	15	13	—	—	$32,338.49	$61,576.97	$49,261.58	2026-05-27
277	OTHER	Cellulitis Age >17 W Cc	60	48	—	—	$43,075.48	$232,912.00	$49,102.21	2026-05-27
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	60	48	—	—	$42,955.16	$146,158.35	$48,969.95	2026-05-27
329	OTHER	Major Small And Large Bowel Procedures With Mcc	60	48	—	—	$42,870.28	$162,067.99	$48,876.65	2026-05-27
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	13	—	—	$32,034.98	$60,969.96	$48,775.97	2026-05-27
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	60	48	—	—	$42,761.16	$170,430.30	$48,756.70	2026-05-27
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	15	13	—	—	$31,982.29	$60,864.58	$48,691.66	2026-05-27
441-4	OTHER	Major Bladder Procedures	15	13	—	—	$31,968.19	$60,836.38	$48,669.11	2026-05-27
245	OTHER	Aicd Generator Procedures	63	50	—	—	$2,100.00	$116,319.29	$48,527.03	2026-05-27
178-2	OTHER	External Heart Assist Systems	15	13	—	—	$31,855.40	$60,610.79	$48,488.63	2026-05-27
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	60	48	—	—	$42,424.47	$115,982.61	$48,386.57	2026-05-27
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	60	48	—	—	$42,405.82	$115,933.49	$48,366.08	2026-05-27
799	OTHER	Splenectomy With Mcc	60	48	—	—	$42,239.80	$115,496.02	$48,183.57	2026-05-27
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	60	48	—	—	$43,295.18	$357,603.65	$47,987.62	2026-05-27
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	15	13	—	—	$31,534.82	$59,969.64	$47,975.72	2026-05-27
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	15	13	—	—	$31,443.55	$59,787.10	$47,829.68	2026-05-27
031	OTHER	Ventricular Shunt Procedures With Mcc	60	48	—	—	$41,788.39	$123,249.83	$47,687.35	2026-05-27
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	63	50	—	—	$2,600.00	$124,093.30	$47,506.90	2026-05-27
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	15	13	—	—	$31,096.26	$59,092.52	$47,274.01	2026-05-27
356	OTHER	Other Digestive System O.r. Procedures With Mcc	60	48	—	—	$40,970.44	$330,339.55	$46,788.21	2026-05-27
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	15	13	—	—	$30,692.58	$58,285.15	$46,628.12	2026-05-27
261-4	OTHER	Major Biliary Tract Procedures	15	13	—	—	$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	13	—	—	$30,659.18	$58,218.36	$46,574.68	2026-05-27
183-3	OTHER	Percutaneous Structural Cardiac Procedures	15	13	—	—	$30,536.00	$57,972.00	$46,377.60	2026-05-27
754-4	OTHER	Depression Except Major Depressive Disorder	15	13	—	—	$30,433.94	$57,767.89	$46,214.31	2026-05-27
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	60	48	—	—	$40,360.47	$110,544.08	$46,117.68	2026-05-27
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	15	13	—	—	$30,205.78	$57,311.55	$45,849.24	2026-05-27
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	60	48	—	—	$40,038.69	$109,696.19	$45,763.95	2026-05-27
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	15	13	—	—	$30,083.33	$57,066.67	$45,653.34	2026-05-27
140	OTHER	Major Head And Neck Procedures With Mcc	60	48	—	—	$39,781.28	$184,620.42	$45,480.99	2026-05-27
179-3	OTHER	Defibrillator Implants	15	13	—	—	$29,968.31	$56,836.63	$45,469.30	2026-05-27
440-1	OTHER	Kidney Transplant	15	13	—	—	$29,805.80	$56,511.60	$45,209.28	2026-05-27
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	63	50	—	—	$9,500.00	$209,018.27	$45,049.35	2026-05-27
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	60	48	—	—	$39,321.47	$170,114.57	$44,975.53	2026-05-27
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	60	48	—	—	$39,301.88	$107,754.74	$44,954.00	2026-05-27
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	15	13	—	—	$29,599.51	$56,099.01	$44,879.21	2026-05-27
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	60	48	—	—	$39,187.17	$174,696.12	$44,827.90	2026-05-27
901	OTHER	Wound Debridements For Injuries With Mcc	60	48	—	—	$39,140.53	$107,329.58	$44,776.63	2026-05-27
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	15	13	—	—	$29,523.07	$55,946.14	$44,756.91	2026-05-27
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	63	50	—	—	$9,500.00	$107,137.89	$44,696.66	2026-05-27
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	48	—	—	$38,916.69	$107,178.61	$44,530.58	2026-05-27
793	OTHER	Full Term Neonate With Major Problems	58	48	—	—	$7,257.47	$106,666.07	$44,499.82	2026-05-27
178-1	OTHER	External Heart Assist Systems	15	13	—	—	$29,354.62	$55,609.25	$44,487.40	2026-05-27
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	60	48	—	—	$38,733.88	$129,419.50	$44,329.61	2026-05-27
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	62	49	—	—	$38,477.40	$117,267.40	$44,047.67	2026-05-27
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	15	13	—	—	$28,977.65	$54,855.30	$43,884.24	2026-05-27
230-4	OTHER	Major Small Bowel Procedures	15	13	—	—	$28,878.95	$54,657.90	$43,726.32	2026-05-27
695-4	OTHER	Chemotherapy For Acute Leukemia	15	13	—	—	$28,867.82	$54,635.64	$43,708.52	2026-05-27
027-4	OTHER	Other Open Craniotomy	15	13	—	—	$28,847.79	$54,595.58	$43,676.46	2026-05-27
181-4	OTHER	Lower Extremity Arterial Procedures	15	13	—	—	$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	13	—	—	$23,367.12	$43,634.24	$43,634.24	2026-05-27
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	15	13	—	—	$28,763.94	$54,427.87	$43,542.30	2026-05-27
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	15	13	—	—	$28,673.40	$54,246.81	$43,397.45	2026-05-27
791	OTHER	Prematurity With Major Problems	58	48	—	—	$7,138.94	$103,947.99	$43,365.87	2026-05-27
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	15	13	—	—	$28,546.51	$53,993.02	$43,194.41	2026-05-27
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	15	13	—	—	$28,516.82	$53,933.64	$43,146.91	2026-05-27
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	15	13	—	—	$28,385.48	$53,670.96	$42,936.77	2026-05-27
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	15	13	—	—	$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	13	—	—	$28,179.92	$53,259.85	$42,607.88	2026-05-27
121-4	OTHER	Other Respiratory And Chest Procedures	15	13	—	—	$28,177.70	$53,255.40	$42,604.32	2026-05-27
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	60	48	—	—	$37,158.61	$230,149.08	$42,597.96	2026-05-27
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	15	13	—	—	$28,021.12	$52,942.25	$42,353.80	2026-05-27
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	15	13	—	—	$27,776.97	$52,453.95	$41,963.16	2026-05-27
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	60	48	—	—	$36,485.22	$100,332.95	$41,857.72	2026-05-27
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	60	48	—	—	$36,320.12	$138,107.65	$41,676.23	2026-05-27
034	OTHER	Carotid Artery Stent Procedures With Mcc	60	48	—	—	$36,100.95	$99,320.44	$41,435.31	2026-05-27
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	15	13	—	—	$27,413.37	$51,726.74	$41,381.39	2026-05-27
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	61	49	—	—	$2,100.00	$208,935.75	$41,337.89	2026-05-27
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	15	13	—	—	$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	13	—	—	$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	13	—	—	$27,370.33	$51,640.65	$41,312.52	2026-05-27
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	15	13	—	—	$27,261.98	$51,423.96	$41,139.17	2026-05-27
907	OTHER	Other O.r. Procedures For Injuries With Mcc	60	48	—	—	$35,808.09	$98,548.75	$41,113.37	2026-05-27
160-2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	15	13	—	—	$27,233.04	$51,366.08	$41,092.87	2026-05-27
510-3	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	15	13	—	—	$22,031.19	$40,962.37	$40,962.37	2026-05-27

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