Hospital

Vibra Hospital Of Sacramento

Folsom, CA · CCN 052033 · Rates published

5,364 distinct procedures filed

71 distinct payers

245,711 rate rows

2026-07-30 last MRF observed

Data quality

240,845 of 245,711 rate rows are consumer-grade (98.0%)

4,866 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
template filing: same amount across many unrelated codes — excluded	4,781
per-diem day rate — not a per-procedure price	65
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	20

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

Source MRF file	https://vhsacramento.com/wp-content/uploads/sites/34/2026/03/462632244_vibra-hospital-of-sacramento_standardcharges.csv
Found on page	https://vhsacramento.com/about-us/price-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-09-21
Content fingerprint	9705cb379f61f586… · 10,303,409 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	23	$250,728.33	$250,728.33	$250,728.33	nat. median $10,971 outlier · 22.9×
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	29	$176,648.76	$206,222.04	$206,222.04	nat. median $7,428 outlier · 27.8×
164 OTHER	Major Chest Procedures With Cc	23	$170,193.48	$170,193.48	$170,193.48	nat. median $102 outlier · 1675.6×
165 OTHER	Major Chest Procedures Without Cc/mcc	23	$170,193.48	$170,193.48	$170,193.48	nat. median $11,098 outlier · 15.3×
163 OTHER	Major Chest Procedures With Mcc	23	$170,193.48	$170,193.48	$170,193.48	nat. median $18,226 outlier · 9.3×
166 OTHER	Other Respiratory System O.r. Procedures With Mcc	29	$112,096.20	$168,018.42	$168,018.42	nat. median $27,663 outlier · 6.1×
11 OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	23	$168,018.42	$168,018.42	$168,018.42	nat. median $10,484 outlier · 16.0×
140 OTHER	Major Head And Neck Procedures With Mcc	23	$168,018.42	$168,018.42	$168,018.42	nat. median $91 outlier · 1849.6×
981 OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	23	$167,996.88	$167,996.88	$167,996.88	nat. median $25,568 outlier · 6.6×
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	29	$133,975.75	$148,744.32	$148,744.32	nat. median $93 outlier · 1605.4×
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	29	$118,061.53	$237,913.65	$139,591.82	nat. median $32,441 outlier · 4.3×
12 OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	23	$113,225.43	$113,225.43	$113,225.43	nat. median $8,318 outlier · 13.6×
167 OTHER	Other Respiratory System O.r. Procedures With Cc	23	$113,225.43	$113,225.43	$113,225.43	nat. median $8,999 outlier · 12.6×
168 OTHER	Other Respiratory System O.r. Procedures Without Cc/mcc	23	$113,225.43	$113,225.43	$113,225.43	nat. median $7,440 outlier · 15.2×
173 OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	23	$113,225.43	$113,225.43	$113,225.43	nat. median $16,753 outlier · 6.8×
853 OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	23	$108,839.41	$108,839.41	$108,839.41	nat. median $20,955 outlier · 5.2×
40 OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	23	$105,451.19	$105,451.19	$105,451.19	nat. median $8,135 outlier · 13.0×
799 OTHER	Splenic Procedures With Mcc	23	$100,196.58	$100,196.58	$100,196.58	nat. median $24,103 outlier · 4.2×
356 OTHER	Other Digestive System O.r. Procedures With Mcc	23	$100,196.58	$100,196.58	$100,196.58	nat. median $18,528 outlier · 5.4×
68875010201 OTHER	Gattex	24	$47,397.50	$257,780.39	$99,999.99	—
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	23	$99,816.12	$99,816.12	$99,816.12	nat. median $33,877 outlier · 2.9×
579 OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	23	$97,375.45	$97,375.45	$97,375.45	nat. median $13,351 outlier · 7.3×
582 OTHER	Mastectomy For Malignancy With Cc/mcc	23	$97,375.45	$97,375.45	$97,375.45	nat. median $17,513 outlier · 5.6×
856 OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	23	$96,736.57	$96,736.57	$96,736.57	nat. median $24,348 outlier · 4.0×
205 OTHER	Other Respiratory System Diagnoses With Mcc	29	$83,211.81	$94,137.98	$94,137.98	nat. median $2,374 outlier · 39.7×
619 OTHER	O.r. Procedures For Obesity With Mcc	23	$93,865.20	$93,865.20	$93,865.20	nat. median $18,245 outlier · 5.1×
622 OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	23	$93,865.20	$93,865.20	$93,865.20	nat. median $21,747 outlier · 4.3×
551 OTHER	Medical Back Problems With Mcc	23	$93,743.16	$93,743.16	$93,743.16	nat. median $6,659 outlier · 14.1×
64 OTHER	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	23	$93,377.06	$93,377.06	$93,377.06	nat. median $6,605 outlier · 14.1×
61 OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	23	$93,377.06	$93,377.06	$93,377.06	nat. median $7,938 outlier · 11.8×
901 OTHER	Wound Debridements For Injuries With Mcc	23	$92,106.48	$92,106.48	$92,106.48	nat. median $1,591 outlier · 57.9×
245 OTHER	Aicd Generator Procedures	23	$91,209.18	$91,209.18	$91,209.18	nat. median $24,518 outlier · 3.7×
263 OTHER	Vein Ligation And Stripping	23	$91,209.18	$91,209.18	$91,209.18	nat. median $21,883 outlier · 4.2×
264 OTHER	Other Circulatory System O.r. Procedures	23	$91,209.18	$91,209.18	$91,209.18	nat. median $19,567 outlier · 4.7×
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	23	$90,613.37	$90,613.37	$90,613.37	nat. median $48,306 1.9× median
254 OTHER	Other Vascular Procedures Without Cc/mcc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $10,647 outlier · 8.5×
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	23	$90,613.37	$90,613.37	$90,613.37	nat. median $37,527 outlier · 2.4×
220 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	23	$90,613.37	$90,613.37	$90,613.37	nat. median $227 outlier · 399.5×
255 OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $14,865 outlier · 6.1×
252 OTHER	Other Vascular Procedures With Mcc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $37,388 outlier · 2.4×
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $10,565 outlier · 8.6×
253 OTHER	Other Vascular Procedures With Cc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $14,392 outlier · 6.3×
250 OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $13,904 outlier · 6.5×
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	23	$90,613.37	$90,613.37	$90,613.37	nat. median $275 outlier · 329.7×
25 OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $12,011 outlier · 7.5×
251 OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $10,721 outlier · 8.5×
256 OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Cc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $8,872 outlier · 10.2×
221 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	23	$90,613.37	$90,613.37	$90,613.37	nat. median $20,766 outlier · 4.4×
257 OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc	23	$90,613.37	$90,613.37	$90,613.37	nat. median $5,629 outlier · 16.1×
24 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	23	$90,613.37	$90,613.37	$90,613.37	nat. median $15,943 outlier · 5.7×

Other procedures at this hospital

Browse this hospital's 5,364 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

3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	28	23	$250,728.33	$250,728.33	$250,728.33	$250,728.33	$250,728.33	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	43	29	$206,222.04	$206,222.04	$176,648.76	$206,222.04	$206,222.04	2026-05-09
164	OTHER	Major Chest Procedures With Cc	28	23	$170,193.48	$170,193.48	$170,193.48	$170,193.48	$170,193.48	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	28	23	$170,193.48	$170,193.48	$170,193.48	$170,193.48	$170,193.48	2026-05-08
165	OTHER	Major Chest Procedures Without Cc/mcc	28	23	$170,193.48	$170,193.48	$170,193.48	$170,193.48	$170,193.48	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	43	29	$168,018.42	$168,018.42	$112,096.20	$168,018.42	$168,018.42	2026-05-09
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	28	23	$168,018.42	$168,018.42	$168,018.42	$168,018.42	$168,018.42	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	28	23	$168,018.42	$168,018.42	$168,018.42	$168,018.42	$168,018.42	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	28	23	$167,996.88	$167,996.88	$167,996.88	$167,996.88	$167,996.88	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	43	29	$148,744.32	$148,744.32	$133,975.75	$148,744.32	$148,744.32	2026-05-09
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	46	29	$139,591.82	$139,591.82	$118,061.53	$237,913.65	$139,591.82	2026-05-09
168	OTHER	Other Respiratory System O.r. Procedures Without Cc/mcc	28	23	$113,225.43	$113,225.43	$113,225.43	$113,225.43	$113,225.43	2026-05-08
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	28	23	$113,225.43	$113,225.43	$113,225.43	$113,225.43	$113,225.43	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	28	23	$113,225.43	$113,225.43	$113,225.43	$113,225.43	$113,225.43	2026-05-08
167	OTHER	Other Respiratory System O.r. Procedures With Cc	28	23	$113,225.43	$113,225.43	$113,225.43	$113,225.43	$113,225.43	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	28	23	$108,839.41	$108,839.41	$108,839.41	$108,839.41	$108,839.41	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	28	23	$105,451.19	$105,451.19	$105,451.19	$105,451.19	$105,451.19	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	28	23	$100,196.58	$100,196.58	$100,196.58	$100,196.58	$100,196.58	2026-05-08
799	OTHER	Splenic Procedures With Mcc	28	23	$100,196.58	$100,196.58	$100,196.58	$100,196.58	$100,196.58	2026-05-08
68875010201	OTHER	Gattex	45	24	$99,999.99	$99,999.99	$47,397.50	$257,780.39	$99,999.99	2026-05-09
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	28	23	$99,816.12	$99,816.12	$99,816.12	$99,816.12	$99,816.12	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	28	23	$97,375.45	$97,375.45	$97,375.45	$97,375.45	$97,375.45	2026-05-08
582	OTHER	Mastectomy For Malignancy With Cc/mcc	28	23	$97,375.45	$97,375.45	$97,375.45	$97,375.45	$97,375.45	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	28	23	$96,736.57	$96,736.57	$96,736.57	$96,736.57	$96,736.57	2026-05-08
205	OTHER	Other Respiratory System Diagnoses With Mcc	43	29	$94,137.98	$94,137.98	$83,211.81	$94,137.98	$94,137.98	2026-05-09
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	28	23	$93,865.20	$93,865.20	$93,865.20	$93,865.20	$93,865.20	2026-05-08
619	OTHER	O.r. Procedures For Obesity With Mcc	28	23	$93,865.20	$93,865.20	$93,865.20	$93,865.20	$93,865.20	2026-05-08
551	OTHER	Medical Back Problems With Mcc	28	23	$93,743.16	$93,743.16	$93,743.16	$93,743.16	$93,743.16	2026-05-08
64	OTHER	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	28	23	$93,377.06	$93,377.06	$93,377.06	$93,377.06	$93,377.06	2026-05-08
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	28	23	$93,377.06	$93,377.06	$93,377.06	$93,377.06	$93,377.06	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	28	23	$92,106.48	$92,106.48	$92,106.48	$92,106.48	$92,106.48	2026-05-08
245	OTHER	Aicd Generator Procedures	28	23	$91,209.18	$91,209.18	$91,209.18	$91,209.18	$91,209.18	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	28	23	$91,209.18	$91,209.18	$91,209.18	$91,209.18	$91,209.18	2026-05-08
263	OTHER	Vein Ligation And Stripping	28	23	$91,209.18	$91,209.18	$91,209.18	$91,209.18	$91,209.18	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
562	OTHER	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
35	OTHER	Carotid Artery Stent Procedures With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
740	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
499	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
202	OTHER	Bronchitis And Asthma With Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
744	OTHER	D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
39	OTHER	Extracranial Procedures Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
254	OTHER	Other Vascular Procedures Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
54	OTHER	Nervous System Neoplasms With Mcc	43	29	$90,613.37	$90,613.37	$67,196.96	$90,613.37	$90,613.37	2026-05-09
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
693	OTHER	Urinary Stones With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
963	OTHER	Other Multiple Significant Trauma With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
253	OTHER	Other Vascular Procedures With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
42	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
737	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
32	OTHER	Ventricular Shunt Procedures With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
215	OTHER	Other Heart Assist System Implant	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
742	OTHER	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
738	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
746	OTHER	Vagina, Cervix And Vulva Procedures With Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
385	OTHER	Inflammatory Bowel Disease With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
745	OTHER	D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
747	OTHER	Vagina, Cervix And Vulva Procedures Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
256	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
251	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
252	OTHER	Other Vascular Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
741	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
850	OTHER	Acute Leukemia With Other Procedures	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
257	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
918	OTHER	Poisoning And Toxic Effects Of Drugs Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
784	OTHER	Cesarean Section With Sterilization With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
755	OTHER	Malignancy, Female Reproductive System With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
519	OTHER	Back And Neck Procedures Except Spinal Fusion With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
787	OTHER	Cesarean Section Without Sterilization With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
743	OTHER	Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
36	OTHER	Carotid Artery Stent Procedures Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
843	OTHER	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
229	OTHER	Other Cardiothoracic Procedures Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
643	OTHER	Endocrine Disorders With Mcc*	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
38	OTHER	Extracranial Procedures With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
754	OTHER	Malignancy, Female Reproductive System With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
33	OTHER	Ventricular Shunt Procedures Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
241	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
41	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
917	OTHER	Poisoning And Toxic Effects Of Drugs With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
783	OTHER	Cesarean Section With Sterilization With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
786	OTHER	Cesarean Section Without Sterilization With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
73	OTHER	Cranial And Peripheral Nerve Disorders With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
748	OTHER	Female Reproductive System Reconstructive Procedures	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
750	OTHER	Other Female Reproductive System O.r. Procedures Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
37	OTHER	Extracranial Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
735	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc	28	23	$90,613.37	$90,613.37	$90,613.37	$90,613.37	$90,613.37	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	28	23	$90,527.23	$90,527.23	$90,527.23	$90,527.23	$90,527.23	2026-05-08
828	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	28	23	$90,261.62	$90,261.62	$90,261.62	$90,261.62	$90,261.62	2026-05-08
822	OTHER	Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc	28	23	$90,261.62	$90,261.62	$90,261.62	$90,261.62	$90,261.62	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	28	23	$90,261.62	$90,261.62	$90,261.62	$90,261.62	$90,261.62	2026-05-08
908	OTHER	Other O.r. Procedures For Injuries With Cc*	28	23	$90,261.62	$90,261.62	$90,261.62	$90,261.62	$90,261.62	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	28	23	$90,261.62	$90,261.62	$90,261.62	$90,261.62	$90,261.62	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	28	23	$90,261.62	$90,261.62	$90,261.62	$90,261.62	$90,261.62	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	28	23	$90,261.62	$90,261.62	$90,261.62	$90,261.62	$90,261.62	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc*	28	23	$90,261.62	$90,261.62	$90,261.62	$90,261.62	$90,261.62	2026-05-08
500	OTHER	Soft Tissue Procedures With Mcc	28	23	$88,416.77	$88,416.77	$88,416.77	$88,416.77	$88,416.77	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	28	23	$86,069.42	$86,069.42	$86,069.42	$86,069.42	$86,069.42	2026-05-08
28	OTHER	Spinal Procedures With Mcc	28	23	$86,069.42	$86,069.42	$86,069.42	$86,069.42	$86,069.42	2026-05-08
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	28	23	$86,069.42	$86,069.42	$86,069.42	$86,069.42	$86,069.42	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc*	28	23	$85,933.03	$85,933.03	$85,933.03	$85,933.03	$85,933.03	2026-05-08
665	OTHER	Prostatectomy With Mcc	28	23	$85,933.03	$85,933.03	$85,933.03	$85,933.03	$85,933.03	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	28	23	$85,933.03	$85,933.03	$85,933.03	$85,933.03	$85,933.03	2026-05-08
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	28	23	$85,093.15	$85,093.15	$85,093.15	$85,093.15	$85,093.15	2026-05-08
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	43	29	$84,762.94	$84,762.94	$14,929.08	$84,762.94	$84,762.94	2026-05-09
570	OTHER	Skin Debridement With Mcc*	28	23	$84,511.70	$84,511.70	$84,511.70	$84,511.70	$84,511.70	2026-05-08
974	OTHER	HIV With Major Related Condition With Mcc*	28	23	$81,805.43	$81,805.43	$81,805.43	$81,805.43	$81,805.43	2026-05-08
581	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	28	23	$80,025.18	$80,025.18	$80,025.18	$80,025.18	$80,025.18	2026-05-08
580	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	28	23	$80,025.18	$80,025.18	$80,025.18	$80,025.18	$80,025.18	2026-05-08
583	OTHER	Mastectomy For Malignancy Without Cc/mcc	28	23	$80,025.18	$80,025.18	$80,025.18	$80,025.18	$80,025.18	2026-05-08
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc*	28	23	$77,017.41	$77,017.41	$77,017.41	$77,017.41	$77,017.41	2026-05-08
919	OTHER	Complications Of Treatment With Mcc	43	29	$76,981.52	$76,981.52	$62,029.90	$76,981.52	$76,981.52	2026-05-09
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc*	44	29	$76,895.38	$76,895.38	$73,911.98	$89,247.64	$76,895.38	2026-05-09
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	28	23	$76,313.93	$76,313.93	$76,313.93	$76,313.93	$76,313.93	2026-05-08
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	28	23	$76,313.93	$76,313.93	$76,313.93	$76,313.93	$76,313.93	2026-05-08
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	28	23	$76,313.93	$76,313.93	$76,313.93	$76,313.93	$76,313.93	2026-05-08
53	OTHER	Spinal Disorders And Injuries Without Cc/mcc	28	23	$76,313.93	$76,313.93	$76,313.93	$76,313.93	$76,313.93	2026-05-08
52	OTHER	Spinal Disorders And Injuries With Cc/mcc	43	29	$76,313.93	$76,313.93	$20,401.99	$76,313.93	$76,313.93	2026-05-09
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	28	23	$76,313.93	$76,313.93	$76,313.93	$76,313.93	$76,313.93	2026-05-08
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	28	23	$76,313.93	$76,313.93	$76,313.93	$76,313.93	$76,313.93	2026-05-08
438	OTHER	Disorders Of Pancreas Except Malignancy With Mcc	28	23	$75,208.45	$75,208.45	$75,208.45	$75,208.45	$75,208.45	2026-05-08
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc*	28	23	$75,122.31	$75,122.31	$75,122.31	$75,122.31	$75,122.31	2026-05-08
675	OTHER	Other Kidney And Urinary Tract Procedures Without Cc/mcc*	28	23	$75,122.31	$75,122.31	$75,122.31	$75,122.31	$75,122.31	2026-05-08
666	OTHER	Prostatectomy With Cc	28	23	$75,122.31	$75,122.31	$75,122.31	$75,122.31	$75,122.31	2026-05-08
654	OTHER	Major Bladder Procedures With Cc	28	23	$75,122.31	$75,122.31	$75,122.31	$75,122.31	$75,122.31	2026-05-08
288	OTHER	Acute And Subacute Endocarditis With Mcc	43	29	$73,148.24	$73,148.24	$67,644.97	$73,148.24	$73,148.24	2026-05-09
393	OTHER	Other Digestive System Diagnoses With Mcc	43	29	$72,932.89	$72,932.89	$59,117.41	$72,932.89	$72,932.89	2026-05-09
388	OTHER	Gastrointestinal Obstruction With Mcc	28	23	$70,930.10	$70,930.10	$70,930.10	$70,930.10	$70,930.10	2026-05-08
189	OTHER	Pulmonary Edema And Respiratory Failure	48	29	$70,255.33	$70,255.33	$9,686.56	$70,255.33	$70,255.33	2026-05-09
640	OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	28	23	$70,233.79	$70,233.79	$70,233.79	$70,233.79	$70,233.79	2026-05-08
539	OTHER	Osteomyelitis With Mcc*	43	29	$69,580.56	$69,580.56	$38,318.49	$69,580.56	$69,580.56	2026-05-09
411	OTHER	Cholecystectomy With C.d.e. With Mcc	28	23	$68,747.86	$68,747.86	$68,747.86	$68,747.86	$68,747.86	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	28	23	$68,747.86	$68,747.86	$68,747.86	$68,747.86	$68,747.86	2026-05-08
380	OTHER	Complicated Peptic Ulcer With Mcc	28	23	$68,747.86	$68,747.86	$68,747.86	$68,747.86	$68,747.86	2026-05-08
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	28	23	$68,747.86	$68,747.86	$68,747.86	$68,747.86	$68,747.86	2026-05-08
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	28	23	$68,460.72	$68,460.72	$68,460.72	$68,460.72	$68,460.72	2026-05-08
623	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	28	23	$68,101.80	$68,101.80	$68,101.80	$68,101.80	$68,101.80	2026-05-08
620	OTHER	O.r. Procedures For Obesity With Cc	28	23	$68,101.80	$68,101.80	$68,101.80	$68,101.80	$68,101.80	2026-05-08
488	OTHER	Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
142	OTHER	Major Head And Neck Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
141	OTHER	Major Head And Neck Procedures With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
139	OTHER	Salivary Gland Procedures	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
138	OTHER	Mouth Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
137	OTHER	Mouth Procedures With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
904	OTHER	Skin Grafts For Injuries With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
672	OTHER	Urethral Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
136	OTHER	Sinus And Mastoid Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
905	OTHER	Skin Grafts For Injuries Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
197	OTHER	Interstitial Lung Disease With Cc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
374	OTHER	Digestive Malignancy With Mcc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
277	OTHER	Cardiac Defibrillator Implant Without Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
117	OTHER	Intraocular Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
671	OTHER	Urethral Procedures With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
903	OTHER	Wound Debridements For Injuries Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
922	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
116	OTHER	Intraocular Procedures With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
667	OTHER	Prostatectomy Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
668	OTHER	Transurethral Procedures With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
664	OTHER	Minor Bladder Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
663	OTHER	Minor Bladder Procedures With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
669	OTHER	Transurethral Procedures With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
578	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
670	OTHER	Transurethral Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
615	OTHER	Adrenal And Pituitary Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
660	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Cc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
198	OTHER	Interstitial Lung Disease Without Cc/mcc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
661	OTHER	Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
606	OTHER	Minor Skin Disorders With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
662	OTHER	Minor Bladder Procedures With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
115	OTHER	Extraocular Procedures Except Orbit	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
114	OTHER	Orbital Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
113	OTHER	Orbital Procedures With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
658	OTHER	Kidney And Ureter Procedures For Neoplasm Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
657	OTHER	Kidney And Ureter Procedures For Neoplasm With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
655	OTHER	Major Bladder Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
196	OTHER	Interstitial Lung Disease With Mcc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
902	OTHER	Wound Debridements For Injuries With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
283	OTHER	Acute Myocardial Infarction, Expired With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
709	OTHER	Penis Procedures With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
545	OTHER	Connective Tissue Disorders With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
575	OTHER	Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
435	OTHER	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
155	OTHER	Other Ear, Nose, Mouth And Throat Diagnoses With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
78	OTHER	Hypertensive Encephalopathy With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc*	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
386	OTHER	Inflammatory Bowel Disease With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
152	OTHER	Otitis Media And Uri With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
387	OTHER	Inflammatory Bowel Disease Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
145	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
144	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
717	OTHER	Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
77	OTHER	Hypertensive Encephalopathy With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
312	OTHER	Syncope And Collapse	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
711	OTHER	Testes Procedures With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
306	OTHER	Cardiac Congenital And Valvular Disorders With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
604	OTHER	Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
617	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
713	OTHER	Transurethral Prostatectomy With Cc/mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
501	OTHER	Soft Tissue Procedures With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
154	OTHER	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
818	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Cc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
941	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
304	OTHER	Hypertension With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
157	OTHER	Dental And Oral Diseases With Mcc	28	23	$67,800.31	$67,800.31	$67,800.31	$67,800.31	$67,800.31	2026-05-08
441	OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	43	29	$66,838.40	$66,838.40	$59,752.95	$66,838.40	$66,838.40	2026-05-09
757	OTHER	Infections, Female Reproductive System With Mcc	28	23	$66,780.97	$66,780.97	$66,780.97	$66,780.97	$66,780.97	2026-05-08

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