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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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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 — reasonRows
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 viaCMS hospital list
Last fetch not_modified · 2026-10-22
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
$202,158
1.2× median
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
$141,447
1.5× median
164
OTHER 		Major Chest Procedures With Cc 23 $170,193.48 $170,193.48 $170,193.48 nat. median
$19,063
outlier · 8.9×
163
OTHER 		Major Chest Procedures With Mcc 23 $170,193.48 $170,193.48 $170,193.48 nat. median
$47,193
outlier · 3.6×
165
OTHER 		Major Chest Procedures Without Cc/mcc 23 $170,193.48 $170,193.48 $170,193.48 nat. median
$18,156
outlier · 9.4×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 29 $112,096.20 $168,018.42 $168,018.42 nat. median
$39,358
outlier · 4.3×
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
$55,593
outlier · 3.0×
140
OTHER 		Major Head And Neck Procedures With Mcc 23 $168,018.42 $168,018.42 $168,018.42 nat. median
$28,461
outlier · 5.9×
981
OTHER 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 $167,996.88 $167,996.88 $167,996.88 nat. median
$425
outlier · 395.2×
870
OTHER 		Septicemia Or Severe Sepsis With Mv >96 Hours 29 $133,975.75 $148,744.32 $148,744.32 nat. median
$184
outlier · 809.1×
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 29 $118,061.53 $237,913.65 $139,591.82 nat. median
$65,029
outlier · 2.1×
168
OTHER 		Other Respiratory System O.r. Procedures Without Cc/mcc 23 $113,225.43 $113,225.43 $113,225.43 nat. median
$12,246
outlier · 9.2×
173
OTHER 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 $113,225.43 $113,225.43 $113,225.43 nat. median
$24,561
outlier · 4.6×
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
$43,469
outlier · 2.6×
167
OTHER 		Other Respiratory System O.r. Procedures With Cc 23 $113,225.43 $113,225.43 $113,225.43 nat. median
$17,580
outlier · 6.4×
853
OTHER 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 $108,839.41 $108,839.41 $108,839.41 nat. median
$2,839
outlier · 38.3×
40
OTHER 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 $105,451.19 $105,451.19 $105,451.19 nat. median
$39,896
outlier · 2.6×
356
OTHER 		Other Digestive System O.r. Procedures With Mcc 23 $100,196.58 $100,196.58 $100,196.58 nat. median
$43,056
outlier · 2.3×
799
OTHER 		Splenic Procedures With Mcc 23 $100,196.58 $100,196.58 $100,196.58 nat. median
$37,560
outlier · 2.7×
68875010201
OTHER 		Gattex 24 $47,397.50 $257,780.39 $99,999.99 nat. median
$100,000
1.0× median
573
OTHER 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 $99,816.12 $99,816.12 $99,816.12 nat. median
$49,631
outlier · 2.0×
579
OTHER 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 $97,375.45 $97,375.45 $97,375.45 nat. median
$29,361
outlier · 3.3×
582
OTHER 		Mastectomy For Malignancy With Cc/mcc 23 $97,375.45 $97,375.45 $97,375.45 nat. median
$18,439
outlier · 5.3×
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
$25,440
outlier · 3.8×
205
OTHER 		Other Respiratory System Diagnoses With Mcc 29 $83,211.81 $94,137.98 $94,137.98 nat. median
$14,556
outlier · 6.5×
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
$35,524
outlier · 2.6×
619
OTHER 		O.r. Procedures For Obesity With Mcc 23 $93,865.20 $93,865.20 $93,865.20 nat. median
$25,393
outlier · 3.7×
551
OTHER 		Medical Back Problems With Mcc 23 $93,743.16 $93,743.16 $93,743.16 nat. median
$14,846
outlier · 6.3×
64
OTHER 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 23 $93,377.06 $93,377.06 $93,377.06 nat. median
$21,279
outlier · 4.4×
61
OTHER 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 $93,377.06 $93,377.06 $93,377.06 nat. median
$29,208
outlier · 3.2×
901
OTHER 		Wound Debridements For Injuries With Mcc 23 $92,106.48 $92,106.48 $92,106.48 nat. median
$8
outlier · 11823.7×
245
OTHER 		Aicd Generator Procedures 23 $91,209.18 $91,209.18 $91,209.18 nat. median
$45,320
outlier · 2.0×
264
OTHER 		Other Circulatory System O.r. Procedures 23 $91,209.18 $91,209.18 $91,209.18 nat. median
$30,517
outlier · 3.0×
263
OTHER 		Vein Ligation And Stripping 23 $91,209.18 $91,209.18 $91,209.18 nat. median
$24,532
outlier · 3.7×
217
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$58,265
1.6× median
970
OTHER 		HIV With Extensive O.r. Procedures Without Mcc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$25,657
outlier · 3.5×
562
OTHER 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$11,763
outlier · 7.7×
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$232
outlier · 390.6×
274
OTHER 		Percutaneous And Other Intracardiac Procedures Without Mcc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$419
outlier · 216.3×
749
OTHER 		Other Female Reproductive System O.r. Procedures With Cc/mcc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$214
outlier · 423.6×
236
OTHER 		Coronary Bypass Without Cardiac Catheterization Without Mcc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$39,764
outlier · 2.3×
35
OTHER 		Carotid Artery Stent Procedures With Cc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$24,373
outlier · 3.7×
740
OTHER 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$558
outlier · 162.5×
857
OTHER 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$19,025
outlier · 4.8×
499
OTHER 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$14,322
outlier · 6.3×
821
OTHER 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$196
outlier · 462.8×
271
OTHER 		Other Major Cardiovascular Procedures With Cc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$83
outlier · 1088.4×
234
OTHER 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$48,723
1.9× median
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
$27,395
outlier · 3.3×
202
OTHER 		Bronchitis And Asthma With Cc/mcc 23 $90,613.37 $90,613.37 $90,613.37 nat. median
$8,217
outlier · 11.0×

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.

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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
             
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
68875010201 OTHER Gattex 45 24 $99,999.99 $99,999.99 $47,397.50 $257,780.39 $99,999.99 2026-05-09
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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