Price Transparencybeta Hospital negotiated rates

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

CHILDREN'S HOSP OF LOS ANGELES

Los Angeles, CA · CCN 053302 · Rates published

10,897 distinct procedures filed
140 distinct payers
2,545,574 rate rows
2026-05-14 last MRF observed
Data quality

2,454,158 of 2,545,574 rate rows are consumer-grade (96.4%)

91,416 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
per-diem day rate — not a per-procedure price 71,071
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,464
exceeds 10× this hospital's gross charge — excluded from medians 5,226
placeholder amount (≤ $0.02) — excluded from medians 1,139
template filing: same amount across many unrelated codes — excluded 516
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chla.org/standard-charges/1/951690977_childrens-hospital-of-los-angeles_standardcharges.csv
Found on page https://www.chla.org/help-paying-your-bill/cost-estimator
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint beeab5439dcaa82d… · 1,499,350,184 bytes · first seen 2026-05-14

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
771026670
OTHER 		Lovotibeglogene (lyfgenia) Inf 138 $1,000.00 $3,245,381.39 $445,456.80 nat. median
$445,457
1.0× median
631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 $289,775.72 $715,770.62 $404,587.75 nat. median
$203,379
2.0× median
630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 18 $256,001.50 $608,214.88 $356,448.67 nat. median
$210,669
1.7× median
583-3
OTHER 		Neonate With Ecmo 18 $221,000.00 $949,386.44 $351,390.00 nat. median
$259,487
1.4× median
583-4
OTHER 		Neonate With Ecmo 18 $221,000.00 $1,886,901.25 $351,390.00 nat. median
$309,400
1.1× median
588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $221,000.00 $1,192,591.83 $351,390.00 nat. median
$267,493
1.3× median
161-4
OTHER 		Implantable Heart Assist Systems 19 $202,241.64 $672,453.45 $321,564.21 nat. median
$202,242
1.6× median
002-4
OTHER 		Heart And/or Lung Transplant 18 $199,548.72 $808,745.63 $317,282.46 nat. median
$216,800
1.5× median
583-2
OTHER 		Neonate With Ecmo 18 $219,000.00 $595,761.15 $313,558.50 nat. median
$191,347
1.6× median
011-3
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $213,464.00 $536,195.51 $282,208.16 nat. median
$171,094
1.6× median
589-1
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 18 $207,541.00 $527,832.59 $277,806.63 nat. median
$86,371
outlier · 3.2×
583-1
OTHER 		Neonate With Ecmo 18 $209,426.04 $502,673.34 $272,253.85 nat. median
$171,226
1.6× median
609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 $165,000.00 $838,638.22 $262,350.00 nat. median
$169,856
1.5× median
841-4
OTHER 		Extensive Third Degree Burns With Skin Graft 18 $162,081.07 $575,284.89 $257,708.90 nat. median
$151,691
1.7× median
007-4
OTHER 		Allogeneic Bone Marrow Transplant 18 $149,835.59 $498,203.85 $238,238.59 nat. median
$172,311
1.4× median
161-3
OTHER 		Implantable Heart Assist Systems 19 $158,739.15 $417,426.78 $228,903.51 nat. median
$152,491
1.5× median
009-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 19 $139,000.00 $2,839,858.11 $221,010.00 nat. median
$150,954
1.5× median
588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $132,000.00 $643,338.33 $209,880.00 nat. median
$165,000
1.3× median
588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $130,000.00 $620,463.17 $206,700.00 nat. median
$153,523
1.3× median
863-4
OTHER 		Neonatal Aftercare 18 $152,102.00 $316,616.57 $197,732.60 nat. median
$108,047
1.8× median
771025139
OTHER 		Tisagenlecleucel (kymriah-lymph) 139 $1.82 $816,290.00 $195,909.60 nat. median
$195,910
1.0× median
593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 18 $121,000.00 $724,332.94 $192,390.00 nat. median
$151,250
1.3× median
771026505
OTHER 		Etranacogene(hemgenix) Inj 138 $1,000.00 $3,691,450.00 $192,016.80 nat. median
$192,017
1.0× median
001-4
OTHER 		Liver Transplant And/or Intestinal Transplant 18 $120,000.00 $458,520.28 $190,800.00 nat. median
$124,561
1.5× median
591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 18 $120,000.00 $820,576.98 $190,800.00 nat. median
$156,696
1.2× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $185,209.52 $185,209.52 $185,209.52 nat. median
$0
002-3
OTHER 		Heart And/or Lung Transplant 18 $131,530.85 $337,376.83 $177,566.75 nat. median
$133,471
1.3× median
004-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 18 $110,000.00 $494,407.11 $174,900.00 nat. median
$110,000
1.6× median
633-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Anomaly 19 $29,700.00 $250,594.92 $171,282.85 nat. median
$74,597
outlier · 2.3×
160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 18 $106,925.93 $355,528.71 $170,012.23 nat. median
$106,926
1.6× median
609-3
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 $112,953.66 $225,907.32 $169,430.49 nat. median
$83,785
outlier · 2.0×
161-2
OTHER 		Implantable Heart Assist Systems 19 $109,991.74 $282,129.61 $164,987.61 nat. median
$109,992
1.5× median
009-3
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 18 $110,110.47 $282,433.75 $161,320.91 nat. median
$87,912
1.8× median
30233Y2
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$212,688
0.8× median
30240X4
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$301,078
0.5× median
30233G4
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$265,174
0.6× median
30240U4
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$160,948
1.0× median
30230G4
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$265,174
0.6× median
30240X2
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$222,600
0.7× median
30230U2
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$203,400
0.8× median
30230G2
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$212,688
0.8× median
30233U2
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$203,400
0.8× median
30243G2
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$212,079
0.8× median
30243Y4
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$265,174
0.6× median
30230Y2
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$212,688
0.8× median
30233U4
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$160,948
1.0× median
30240G2
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$212,688
0.8× median
30240G4
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$265,174
0.6× median
30230U4
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$160,948
1.0× median
30240U2
OTHER 		Allogeneic Related 1 $160,948.00 $160,948.00 $160,948.00 nat. median
$203,400
0.8× median

Other procedures at this hospital

Browse this hospital's 10,897 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
771026670 OTHER Lovotibeglogene (lyfgenia) Inf 322 138 $928,035.00 $928,035.00 $1,000.00 $3,245,381.39 $445,456.80 2026-05-14
631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 19 18 — — $289,775.72 $715,770.62 $404,587.75 2026-05-14
630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 18 — — $256,001.50 $608,214.88 $356,448.67 2026-05-14
588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 19 18 — — $221,000.00 $1,192,591.83 $351,390.00 2026-05-14
583-4 OTHER Neonate With Ecmo 19 18 — — $221,000.00 $1,886,901.25 $351,390.00 2026-05-14
583-3 OTHER Neonate With Ecmo 19 18 — — $221,000.00 $949,386.44 $351,390.00 2026-05-14
161-4 OTHER Implantable Heart Assist Systems 20 19 — — $202,241.64 $672,453.45 $321,564.21 2026-05-14
002-4 OTHER Heart And/or Lung Transplant 19 18 — — $199,548.72 $808,745.63 $317,282.46 2026-05-14
583-2 OTHER Neonate With Ecmo 19 18 — — $219,000.00 $595,761.15 $313,558.50 2026-05-14
011-3 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 18 — — $213,464.00 $536,195.51 $282,208.16 2026-05-14
589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 19 18 — — $207,541.00 $527,832.59 $277,806.63 2026-05-14
583-1 OTHER Neonate With Ecmo 19 18 — — $209,426.04 $502,673.34 $272,253.85 2026-05-14
609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 18 — — $165,000.00 $838,638.22 $262,350.00 2026-05-14
841-4 OTHER Extensive Third Degree Burns With Skin Graft 19 18 — — $162,081.07 $575,284.89 $257,708.90 2026-05-14
007-4 OTHER Allogeneic Bone Marrow Transplant 19 18 — — $149,835.59 $498,203.85 $238,238.59 2026-05-14
161-3 OTHER Implantable Heart Assist Systems 20 19 — — $158,739.15 $417,426.78 $228,903.51 2026-05-14
009-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 20 19 — — $139,000.00 $2,839,858.11 $221,010.00 2026-05-14
588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 19 18 — — $132,000.00 $643,338.33 $209,880.00 2026-05-14
588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 19 18 — — $130,000.00 $620,463.17 $206,700.00 2026-05-14
863-4 OTHER Neonatal Aftercare 19 18 — — $152,102.00 $316,616.57 $197,732.60 2026-05-14
771025139 OTHER Tisagenlecleucel (kymriah-lymph) 333 139 $408,145.00 $408,145.00 $1.82 $816,290.00 $195,909.60 2026-05-14
593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 19 18 — — $121,000.00 $724,332.94 $192,390.00 2026-05-14
771026505 OTHER Etranacogene(hemgenix) Inj 321 138 $400,035.00 $400,035.00 $1,000.00 $3,691,450.00 $192,016.80 2026-05-14
591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 19 18 — — $120,000.00 $820,576.98 $190,800.00 2026-05-14
001-4 OTHER Liver Transplant And/or Intestinal Transplant 19 18 — — $120,000.00 $458,520.28 $190,800.00 2026-05-14
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $185,209.52 $185,209.52 $185,209.52 2026-05-14
002-3 OTHER Heart And/or Lung Transplant 19 18 — — $131,530.85 $337,376.83 $177,566.75 2026-05-14
004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 19 18 — — $110,000.00 $494,407.11 $174,900.00 2026-05-14
633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 20 19 — — $29,700.00 $250,594.92 $171,282.85 2026-05-14
160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 19 18 — — $106,925.93 $355,528.71 $170,012.23 2026-05-14
609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 18 — — $112,953.66 $225,907.32 $169,430.49 2026-05-14
161-2 OTHER Implantable Heart Assist Systems 20 19 — — $109,991.74 $282,129.61 $164,987.61 2026-05-14
009-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 19 18 — — $110,110.47 $282,433.75 $161,320.91 2026-05-14
30233Y4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30230Y2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30230G4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30243U2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30240Y4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30240X4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30233X2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30240U4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30230U4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30243Y4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30233Y2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30243G2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30243X4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30243Y2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30243G4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30233U4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30243U4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30233U2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30240X2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30233G2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30233G4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30240Y2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30233X4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30240G4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30230X2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30230Y4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30230X4 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30230U2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30240G2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30243X2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30240U2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
30230G2 OTHER Allogeneic Related 1 1 — — $160,948.00 $160,948.00 $160,948.00 2026-05-14
602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $100,000.00 $529,043.12 $159,000.00 2026-05-14
607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $100,000.00 $393,798.32 $159,000.00 2026-05-14
593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 19 18 — — $99,000.00 $431,207.87 $157,410.00 2026-05-14
161-1 OTHER Implantable Heart Assist Systems 20 19 — — $109,991.74 $282,129.61 $156,738.44 2026-05-14
303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 18 — — $120,000.00 $246,202.50 $156,000.00 2026-05-14
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 12 12 — — $6,506.64 $507,955.22 $154,000.00 2026-05-14
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 11 — — $6,506.64 $451,732.15 $154,000.00 2026-05-14
611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 19 18 — — $93,000.00 $331,849.89 $147,870.00 2026-05-14
842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 19 18 — — $92,524.47 $307,643.35 $147,113.91 2026-05-14
602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $92,000.00 $307,313.03 $146,280.00 2026-05-14
630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 18 — — $95,000.00 $275,269.28 $144,878.57 2026-05-14
591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 19 18 — — $91,000.00 $519,574.41 $144,690.00 2026-05-14
841 OTHER Lymphoma And Non-acute Leukemia With Cc 10 10 — — $1,806.75 $143,000.00 $143,000.00 2026-05-14
30263G1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30230Y1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30233Y1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30250G1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30253Y1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30263Y1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30233G1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30260Y1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30243Y1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
848 OTHER Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/mcc 10 10 — — $6,506.64 $143,000.00 $143,000.00 2026-05-14
30240G1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30243Y3 OTHER Allogeneic Unrelated 7 7 — — $122,568.00 $143,000.00 $143,000.00 2026-05-14
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 10 — — $6,506.64 $143,000.00 $143,000.00 2026-05-14
30230G1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $6,506.64 $1,716,036.60 $143,000.00 2026-05-14
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 10 — — $6,506.64 $143,000.00 $143,000.00 2026-05-14
30243G1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30240Y1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30260G1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30253G1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
30250Y1 OTHER Allogeneic Unrelated 6 6 — — $143,000.00 $143,000.00 $143,000.00 2026-05-14
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $6,506.64 $317,185.87 $140,483.57 2026-05-14
005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 18 — — $88,000.00 $351,693.69 $139,920.00 2026-05-14
589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 19 18 — — $87,000.00 $527,832.59 $138,330.00 2026-05-14
002-2 OTHER Heart And/or Lung Transplant 19 18 — — $101,523.66 $260,408.58 $138,000.00 2026-05-14
006-4 OTHER Pancreas Transplant 19 18 — — $85,000.00 $309,206.36 $135,150.00 2026-05-14
004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 19 18 — — $91,000.00 $252,821.13 $133,063.75 2026-05-14
007-3 OTHER Allogeneic Bone Marrow Transplant 19 18 — — $89,273.14 $228,985.20 $132,000.00 2026-05-14
612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $89,000.00 $243,193.30 $127,996.47 2026-05-14
591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 19 18 — — $80,000.00 $421,888.21 $127,200.00 2026-05-14
162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 19 — — $80,771.14 $268,564.04 $126,406.83 2026-05-14
593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 19 18 — — $79,000.00 $335,272.00 $125,610.00 2026-05-14
603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 20 19 — — $80,000.00 $382,635.67 $125,200.00 2026-05-14
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 11 — — $6,506.64 $124,105.50 $124,105.50 2026-05-14
30240U3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30240Y3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30243U3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30230U3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30243X3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30233G3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30243G3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30240G3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30240X3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30233X3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30230Y3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30233Y3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30230X3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30233U3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
30230G3 OTHER Allogeneic Unrelated 1 1 — — $122,568.00 $122,568.00 $122,568.00 2026-05-14
440-4 OTHER Kidney Transplant 19 18 — — $76,896.47 $255,681.28 $122,265.39 2026-05-14
607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $86,000.00 $230,461.61 $121,295.58 2026-05-14
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 12 12 — — $6,506.64 $683,962.79 $121,000.00 2026-05-14
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 9 9 — — $6,506.64 $121,000.00 $121,000.00 2026-05-14
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $6,506.64 $150,636.00 $120,508.80 2026-05-14
631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 19 18 — — $86,820.07 $173,640.14 $120,175.80 2026-05-14
621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 19 18 — — $90,000.00 $227,208.69 $119,583.52 2026-05-14
602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $80,000.00 $224,662.75 $118,243.55 2026-05-14
163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 20 19 — — $71,005.50 $236,093.28 $112,898.75 2026-05-14
007-1 OTHER Allogeneic Bone Marrow Transplant 19 18 — — $74,667.08 $149,334.16 $112,000.62 2026-05-14
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 17 — — $6,506.64 $312,264.59 $111,747.42 2026-05-14
771025435 OTHER Zolgensma(onasemnogene Abepar)inj 320 137 $232,553.00 $232,553.00 $1,000.00 $2,100,000.00 $111,625.44 2026-05-14
623-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 19 18 — — $71,854.64 $143,709.28 $107,781.96 2026-05-14
006-3 OTHER Pancreas Transplant 19 18 — — $79,144.95 $203,006.18 $106,845.36 2026-05-14
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $106,632.82 $106,632.82 $106,632.82 2026-05-14
634-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 19 18 — — $70,973.70 $141,947.40 $106,460.55 2026-05-14
178-4 OTHER External Heart Assist Systems 19 18 — — $66,228.69 $220,211.39 $105,303.62 2026-05-14
008-4 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 19 18 — — $65,108.16 $216,485.14 $103,521.97 2026-05-14
001-3 OTHER Liver Transplant And/or Intestinal Transplant 19 18 — — $76,155.46 $195,338.16 $102,809.56 2026-05-14
625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 19 18 — — $68,255.59 $136,511.20 $102,383.40 2026-05-14
608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 19 18 — — $70,000.00 $192,840.56 $101,495.03 2026-05-14
165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 20 19 — — $63,659.01 $211,667.20 $101,217.83 2026-05-14
005-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 18 — — $74,623.62 $191,410.49 $100,742.36 2026-05-14
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 18 — — $6,506.64 $145,087.99 $99,707.50 2026-05-14
007-2 OTHER Allogeneic Bone Marrow Transplant 19 18 — — $66,446.01 $170,434.72 $99,669.01 2026-05-14
613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 19 18 — — $62,000.00 $211,808.19 $98,580.00 2026-05-14
609-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 18 — — $72,329.56 $144,659.12 $97,811.25 2026-05-14
607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $75,000.00 $156,975.90 $97,500.00 2026-05-14
603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 20 19 — — $68,683.88 $137,367.76 $96,157.43 2026-05-14
622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $73,000.00 $146,000.00 $94,900.00 2026-05-14
228 OTHER Other Cardiothoracic Procedures With Mcc 13 13 — — $6,506.64 $136,670.29 $94,294.50 2026-05-14
183-4 OTHER Percutaneous Structural Cardiac Procedures 19 18 — — $58,768.76 $195,406.64 $93,442.33 2026-05-14
612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $70,000.00 $140,225.89 $91,000.00 2026-05-14
608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 19 18 — — $70,000.00 $160,700.13 $91,000.00 2026-05-14
213 OTHER Splenic Procedures Age 0-17 1 1 — — $90,814.88 $90,814.88 $90,814.88 2026-05-14
910-4 OTHER Craniotomy For Multiple Significant Trauma 19 18 — — $56,988.86 $189,488.95 $90,612.29 2026-05-14
006-2 OTHER Pancreas Transplant 19 18 — — $66,925.17 $171,663.37 $90,349.14 2026-05-14
166-4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 19 18 — — $55,046.75 $183,031.46 $87,524.33 2026-05-14
179-4 OTHER Defibrillator Implants 19 18 — — $54,992.69 $182,850.18 $87,438.38 2026-05-14
602-1 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $67,000.00 $134,000.00 $87,100.00 2026-05-14
911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 19 18 — — $54,718.12 $181,937.75 $87,001.81 2026-05-14
001-2 OTHER Liver Transplant And/or Intestinal Transplant 19 18 — — $61,446.58 $157,610.37 $87,000.00 2026-05-14
162-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 19 — — $57,853.90 $148,395.45 $86,780.85 2026-05-14
841-3 OTHER Extensive Third Degree Burns With Skin Graft 19 18 — — $57,757.75 $134,201.45 $86,636.62 2026-05-14
304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 19 18 — — $54,426.59 $180,968.93 $86,538.28 2026-05-14
167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 20 19 — — $54,029.06 $179,647.62 $85,906.21 2026-05-14
091-4 OTHER Other Major Head And Neck Procedures 19 18 — — $53,845.66 $179,037.32 $85,614.60 2026-05-14
630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 18 — — $57,066.24 $114,132.48 $85,599.36 2026-05-14
680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 19 18 — — $52,992.28 $176,199.33 $84,257.73 2026-05-14
912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 19 18 — — $52,238.55 $173,693.67 $83,059.29 2026-05-14
004-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 19 18 — — $61,468.84 $157,666.76 $82,982.51 2026-05-14
603-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 20 19 — — $59,092.09 $118,184.18 $82,728.93 2026-05-14
009-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 19 18 — — $59,643.74 $154,985.88 $81,571.52 2026-05-14
613-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 19 18 — — $62,000.00 $130,158.97 $80,600.00 2026-05-14
178-3 OTHER External Heart Assist Systems 19 18 — — $53,704.67 $137,752.47 $80,557.01 2026-05-14
011-4 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 18 — — $50,021.00 $890,541.88 $79,533.39 2026-05-14
011-1 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 18 — — $50,000.00 $191,414.52 $79,500.00 2026-05-14
011-2 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 18 — — $50,000.00 $453,104.13 $79,500.00 2026-05-14
588-1 OTHER Female Reproductive System Reconstructive Procedures 19 18 — — $50,000.00 $412,677.32 $79,500.00 2026-05-14
002-1 OTHER Heart And/or Lung Transplant 19 18 — — $50,000.00 $199,622.34 $79,500.00 2026-05-14
169-4 OTHER Major Abdominal Vascular Procedures 19 18 — — $49,701.73 $165,258.25 $79,025.75 2026-05-14
021-4 OTHER Open Craniotomy Except Trauma 19 18 — — $49,641.30 $165,056.83 $78,929.67 2026-05-14
440-3 OTHER Kidney Transplant 19 18 — — $51,187.99 $131,296.99 $76,781.99 2026-05-14
130-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 19 18 — — $47,938.78 $159,396.95 $76,222.66 2026-05-14
023-4 OTHER Spinal Procedures 20 19 — — $47,896.38 $159,255.96 $76,155.24 2026-05-14
614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 19 18 — — $58,285.36 $116,570.72 $75,770.97 2026-05-14
260-4 OTHER Major Pancreas, Liver And Shunt Procedures 19 18 — — $46,961.37 $156,146.05 $74,668.58 2026-05-14
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $74,552.22 $74,552.22 $74,552.22 2026-05-14
303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 18 — — $49,432.46 $126,795.27 $74,148.69 2026-05-14
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 11 — — $6,506.64 $73,977.00 $73,976.99 2026-05-14
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 13 — — $6,506.64 $84,256.50 $73,034.88 2026-05-14
232-4 OTHER Gastric Fundoplication 19 18 — — $48,638.45 $97,276.90 $72,957.67 2026-05-14
006-1 OTHER Pancreas Transplant 19 18 — — $50,000.00 $138,523.90 $72,907.32 2026-05-14
089-4 OTHER Major Cranial Or Facial Bone Procedures 19 18 — — $45,836.60 $152,407.71 $72,880.19 2026-05-14
163-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 20 19 — — $48,537.74 $124,499.10 $72,806.61 2026-05-14
220-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 19 18 — — $45,647.91 $151,779.29 $72,580.18 2026-05-14
401-4 OTHER Adrenal Procedures 20 19 — — $45,294.89 $150,605.01 $72,018.88 2026-05-14
483-4 OTHER Penis, Testes And Scrotal Procedures 19 18 — — $47,990.73 $95,981.46 $71,986.10 2026-05-14
690-4 OTHER Acute Leukemia 19 18 — — $45,078.63 $149,885.95 $71,675.02 2026-05-14
609-1 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 18 — — $55,130.20 $110,617.30 $71,669.26 2026-05-14
120-4 OTHER Major Respiratory And Chest Procedures 19 18 — — $44,991.70 $149,597.92 $71,536.80 2026-05-14
950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 19 18 — — $44,744.70 $148,776.13 $71,144.07 2026-05-14
850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 19 18 — — $47,159.60 $94,319.22 $70,739.42 2026-05-14
607-1 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $51,640.65 $103,281.30 $70,508.69 2026-05-14
160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 19 18 — — $46,998.47 $120,551.29 $70,497.71 2026-05-14
165-3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 20 19 — — $46,931.69 $120,380.08 $70,397.54 2026-05-14
020-4 OTHER Open Craniotomy For Trauma 19 18 — — $43,983.55 $146,246.31 $69,933.84 2026-05-14
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 13 — — $6,506.64 $79,588.50 $69,552.30 2026-05-14
312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 19 18 — — $43,474.70 $144,554.39 $69,124.77 2026-05-14
441-4 OTHER Major Bladder Procedures 19 18 — — $43,454.56 $144,485.91 $69,092.75 2026-05-14
740-4 OTHER Mental Illness Diagnosis With O.r. Procedure 19 18 — — $45,534.47 $91,068.96 $68,301.72 2026-05-14
001-1 OTHER Liver Transplant And/or Intestinal Transplant 19 18 — — $50,000.00 $129,508.39 $68,162.31 2026-05-14
681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 19 18 — — $42,835.46 $142,427.40 $68,108.38 2026-05-14
005-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 18 — — $49,972.05 $128,179.02 $67,462.64 2026-05-14
612-2 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 19 18 — — $48,588.62 $97,177.24 $67,000.00 2026-05-14
162-2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 19 — — $44,276.14 $113,568.09 $66,414.21 2026-05-14
608-2 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 19 18 — — $51,018.37 $102,036.74 $66,323.88 2026-05-14
440-2 OTHER Kidney Transplant 19 18 — — $44,182.85 $113,328.40 $66,274.27 2026-05-14
261-4 OTHER Major Biliary Tract Procedures 19 18 — — $41,597.26 $138,310.40 $66,139.64 2026-05-14
009-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 19 18 — — $48,887.57 $125,397.43 $65,998.65 2026-05-14
004-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 19 18 — — $43,549.97 $111,704.96 $65,324.96 2026-05-14
361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 19 18 — — $40,936.82 $136,114.93 $65,089.54 2026-05-14
631-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 19 18 — — $46,006.22 $92,012.44 $65,000.00 2026-05-14
178-2 OTHER External Heart Assist Systems 19 18 — — $43,293.42 $111,048.34 $64,940.13 2026-05-14
008-3 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 19 18 — — $42,705.07 $109,537.69 $64,057.60 2026-05-14
321-4 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 20 19 — — $40,070.72 $133,234.64 $63,712.44 2026-05-14
092-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 19 18 — — $39,182.36 $130,281.84 $62,299.95 2026-05-14
183-3 OTHER Percutaneous Structural Cardiac Procedures 19 18 — — $41,408.57 $106,212.27 $62,112.85 2026-05-14
230-4 OTHER Major Small Bowel Procedures 19 18 — — $39,041.36 $129,812.53 $62,075.76 2026-05-14
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 15 14 — — $6,506.64 $316,420.11 $62,058.70 2026-05-14
695-4 OTHER Chemotherapy For Acute Leukemia 19 18 — — $39,025.46 $129,760.16 $62,050.48 2026-05-14
027-4 OTHER Other Open Craniotomy 19 18 — — $38,996.84 $129,665.50 $62,004.98 2026-05-14
181-4 OTHER Lower Extremity Arterial Procedures 19 18 — — $38,962.92 $129,552.70 $61,951.04 2026-05-14
792-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 19 18 — — $38,747.72 $128,835.65 $61,608.87 2026-05-14
229 OTHER Other Cardiothoracic Procedures Without Mcc 16 15 — — $6,506.64 $167,884.81 $61,573.50 2026-05-14
651-4 OTHER Other Procedures Of Blood And Blood-forming Organs 19 18 — — $38,524.03 $128,092.41 $61,253.21 2026-05-14
511-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 19 18 — — $38,336.40 $127,468.01 $60,954.88 2026-05-14
179-3 OTHER Defibrillator Implants 19 18 — — $40,597.59 $104,133.62 $60,896.38 2026-05-14
512-4 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 19 18 — — $38,148.76 $126,845.63 $60,656.53 2026-05-14
440-1 OTHER Kidney Transplant 19 18 — — $40,365.43 $103,537.42 $60,548.15 2026-05-14
121-4 OTHER Other Respiratory And Chest Procedures 19 18 — — $38,039.57 $126,481.06 $60,482.92 2026-05-14
166-3 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 19 18 — — $39,961.53 $102,502.13 $59,942.29 2026-05-14
636-4 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 19 18 — — $46,050.74 $92,101.48 $59,865.96 2026-05-14
178-1 OTHER External Heart Assist Systems 19 18 — — $39,720.89 $101,883.77 $59,581.33 2026-05-14
030-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 19 18 — — $37,467.11 $124,577.65 $59,572.70 2026-05-14
639-4 OTHER Neonate Birth Weight > 2499 Grams With Other Significant Condition 19 18 — — $39,926.55 $79,853.10 $59,000.00 2026-05-14
623-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 19 18 — — $45,334.12 $90,668.24 $58,934.36 2026-05-14
710-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 19 18 — — $36,901.02 $122,696.40 $58,672.62 2026-05-14
405-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 19 18 — — $36,731.40 $122,132.42 $58,402.93 2026-05-14
304-3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 19 18 — — $38,877.05 $99,720.53 $58,315.58 2026-05-14
754-4 OTHER Depression Except Major Depressive Disorder 17 16 — — $12,132.29 $597,400.00 $58,016.11 2026-05-14
170-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 19 18 — — $36,473.80 $121,276.39 $57,993.34 2026-05-14
403-4 OTHER Procedures For Obesity 19 18 — — $36,448.36 $121,191.80 $57,952.89 2026-05-14
165-2 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 20 19 — — $38,566.44 $98,922.91 $57,849.66 2026-05-14
510-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 11 11 — — $48,175.65 $137,644.70 $57,810.77 2026-05-14
175-4 OTHER Percutaneous Cardiac Intervention Without Ami 20 19 — — $36,057.18 $119,890.63 $57,330.92 2026-05-14
264-4 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 19 18 — — $35,933.15 $119,477.72 $57,133.71 2026-05-14
162-1 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 19 — — $38,042.75 $97,579.45 $57,064.13 2026-05-14
029-4 OTHER Other Percutaneous Intracranial Procedures 19 18 — — $35,821.84 $119,107.11 $56,956.73 2026-05-14
022-4 OTHER Ventricular Shunt Procedures 19 18 — — $35,795.34 $119,020.50 $56,914.59 2026-05-14
459 OTHER Spinal Fusion Except Cervical With Mcc 20 16 — — $6,506.64 $102,780.00 $56,793.00 2026-05-14
711-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 19 18 — — $35,675.55 $118,621.69 $56,724.12 2026-05-14
404-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 19 18 — — $35,181.54 $116,978.11 $55,938.65 2026-05-14
650-4 OTHER Splenectomy 19 18 — — $35,049.03 $116,539.02 $55,727.96 2026-05-14
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $55,424.09 $55,424.09 $55,424.09 2026-05-14
303-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 18 — — $36,947.67 $94,771.67 $55,421.50 2026-05-14
447-4 OTHER Other Kidney, Urinary Tract And Related Procedures 19 18 — — $34,825.35 $115,793.77 $55,372.31 2026-05-14
163-2 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 20 19 — — $36,891.48 $94,626.65 $55,337.22 2026-05-14
442-4 OTHER Kidney And Urinary Tract Procedures For Malignancy 19 18 — — $34,735.24 $115,495.67 $55,229.03 2026-05-14
160-2 OTHER Major Cardiothoracic Repair Of Heart Anomaly 19 18 — — $36,690.06 $94,111.01 $55,035.09 2026-05-14
231-4 OTHER Major Large Bowel Procedures 19 18 — — $34,163.84 $113,594.27 $54,320.51 2026-05-14
951-4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 19 18 — — $34,017.55 $113,108.85 $54,087.90 2026-05-14
625-3 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 19 18 — — $39,162.21 $78,324.42 $54,000.00 2026-05-14
176-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 20 19 — — $33,931.68 $112,822.84 $53,951.37 2026-05-14
130-3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 19 18 — — $35,849.40 $91,953.82 $53,774.10 2026-05-14
325-4 OTHER Non-elective Or Complex Knee Joint Replacement 19 18 — — $33,455.70 $111,239.69 $53,194.56 2026-05-14
589-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 19 18 — — $33,354.00 $527,832.59 $53,032.86 2026-05-14
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 18 — — $6,506.64 $103,189.25 $52,876.00 2026-05-14
165-1 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 20 19 — — $35,209.10 $90,312.25 $52,813.65 2026-05-14
026-4 OTHER Other Nervous System And Related Procedures 19 18 — — $32,788.89 $109,024.08 $52,134.34 2026-05-14
313-4 OTHER Knee And Lower Leg Procedures Except Foot 19 18 — — $32,735.89 $108,846.83 $52,050.07 2026-05-14
043-4 OTHER Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 19 18 — — $32,685.00 $108,677.64 $51,969.15 2026-05-14
008-2 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 19 18 — — $34,562.44 $88,652.56 $51,843.66 2026-05-14
174-4 OTHER Percutaneous Cardiac Intervention With Ami 19 18 — — $32,537.65 $108,188.19 $51,734.86 2026-05-14
229-4 OTHER Other Digestive System And Abdominal Procedures 19 18 — — $32,356.37 $107,585.94 $51,446.63 2026-05-14
091-3 OTHER Other Major Head And Neck Procedures 19 18 — — $34,200.95 $87,726.03 $51,301.42 2026-05-14
224-4 OTHER Peritoneal Adhesiolysis 19 18 — — $32,045.76 $106,552.67 $50,952.76 2026-05-14
183-2 OTHER Percutaneous Structural Cardiac Procedures 19 18 — — $33,870.20 $86,878.06 $50,805.30 2026-05-14
222-4 OTHER Other Stomach, Esophageal And Duodenal Procedures 19 18 — — $31,914.31 $106,115.59 $50,743.75 2026-05-14
021-3 OTHER Open Craniotomy Except Trauma 19 18 — — $33,823.55 $86,757.21 $50,735.33 2026-05-14
169-3 OTHER Major Abdominal Vascular Procedures 19 18 — — $33,780.09 $86,646.43 $50,670.13 2026-05-14
910-3 OTHER Craniotomy For Multiple Significant Trauma 19 18 — — $33,747.22 $86,561.83 $50,620.83 2026-05-14
227-4 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 19 18 — — $31,715.01 $105,452.92 $50,426.87 2026-05-14
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