Hospital

Lac Harbor-ucla Medical Center

Torrance, CA · CCN 059818 · Rates published

15,900 distinct procedures filed

4 distinct payers

206,914 rate rows

2026-05-14 last MRF observed

Data quality

202,311 of 206,914 rate rows are consumer-grade (97.8%)

4,603 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
template filing: same amount across many unrelated codes — excluded	4,227
placeholder amount (≤ $0.02) — excluded from medians	322
per-diem day rate — not a per-procedure price	54

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

Source MRF file	https://file.lacounty.gov/SDSInter/dhs/1157353_956000927_Harbor-UCLAMedicalCenter_standardcharges.csv
Found on page	https://dhs.lacounty.gov/patient-information/get-coverage/hospital-price-transparency/
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-19
Content fingerprint	e9f909ae391e6226… · 43,908,459 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
J1411 OTHER	"inj, Hemgenix, Per Tx Dose"	3	$4,325,397.49	$4,974,207.11	$4,325,397.49	nat. median $3,685,267 1.2× median
J1413 OTHER	"inj Delandistrogene Mox Rokl"	3	$3,892,532.14	$4,476,411.96	$3,892,532.14	nat. median $3,327,860 1.2× median
J3394 OTHER	"inj, Lovotibeglogene Autotem"	3	$3,812,700.74	$4,384,605.85	$3,812,700.74	nat. median $3,286,000 1.2× median
J3393 OTHER	"inj, Betibeglogene Autotemce"	3	$3,457,415.04	$3,976,027.30	$3,457,415.04	nat. median $2,968,000 1.2× median
J3399 OTHER	"inj Onase Abepar-xioi Treat"	3	$2,881,563.32	$3,313,797.82	$2,881,563.32	nat. median $2,472,216 1.2× median
J3392 OTHER	"inj, Exagamglogene Autotem"	3	$2,737,068.40	$4,926,723.12	$2,737,068.40	nat. median $2,332,000 1.2× median
583-4 OTHER	"neonate With Ecmo"	1	$1,481,277.73	$1,925,661.05	$1,866,409.94	nat. median $309,400 outlier · 6.0×
588-4 OTHER	"neonate Birth Weight < 1500 Grams With Major Procedure"	1	$1,475,871.22	$1,918,632.59	$1,859,597.74	nat. median $267,493 outlier · 7.0×
591-4 OTHER	"neonate Birth Weight 500-749 Grams Without Major Procedure"	1	$1,176,711.00	$1,529,724.30	$1,482,655.86	nat. median $156,696 outlier · 9.5×
588-3 OTHER	"neonate Birth Weight < 1500 Grams With Major Procedure"	1	$1,125,614.18	$1,463,298.43	$1,418,273.87	nat. median $165,000 outlier · 8.6×
593-4 OTHER	"neonate Birth Weight 750-999 Grams Without Major Procedure"	1	$1,076,213.52	$1,399,077.58	$1,356,029.04	nat. median $151,250 outlier · 9.0×
588-2 OTHER	"neonate Birth Weight < 1500 Grams With Major Procedure"	1	$1,047,166.78	$1,361,316.81	$1,319,430.14	nat. median $153,523 outlier · 8.6×
609-4 OTHER	"neonate Birth Weight 1500-2499 Grams With Major Procedure"	1	$1,042,290.32	$1,354,977.42	$1,313,285.80	nat. median $169,856 outlier · 7.7×
588-1 OTHER	"neonate Birth Weight < 1500 Grams With Major Procedure"	1	$994,797.84	$1,293,237.19	$1,253,445.28	nat. median $75,325 outlier · 16.6×
591-3 OTHER	"neonate Birth Weight 500-749 Grams Without Major Procedure"	1	$977,200.18	$1,270,360.23	$1,231,272.23	nat. median $99,157 outlier · 12.4×
589-1 OTHER	"neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$932,463.96	$1,212,203.15	$1,174,904.59	nat. median $86,371 outlier · 13.6×
583-3 OTHER	"neonate With Ecmo"	1	$898,964.80	$1,168,654.24	$1,132,695.65	nat. median $259,487 outlier · 4.4×
593-3 OTHER	"neonate Birth Weight 750-999 Grams Without Major Procedure"	1	$880,731.08	$1,144,950.40	$1,109,721.16	nat. median $112,711 outlier · 9.8×
631-4 OTHER	"neonate Birth Weight > 2499 Grams With Other Major Procedure"	1	$878,928.91	$1,142,607.58	$1,107,450.43	nat. median $203,379 outlier · 5.4×
591-2 OTHER	"neonate Birth Weight 500-749 Grams Without Major Procedure"	1	$868,115.89	$1,128,550.66	$1,093,826.02	nat. median $80,000 outlier · 13.7×
602-4 OTHER	"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe…	1	$850,624.24	$1,105,811.51	$1,071,786.54	nat. median $125,000 outlier · 8.6×
589-2 OTHER	"neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$791,258.64	$1,028,636.23	$996,985.89	nat. median $49,980 outlier · 19.9×
603-4 OTHER	"neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition"	1	$741,221.92	$963,588.50	$933,939.62	nat. median $107,050 outlier · 8.7×
593-2 OTHER	"neonate Birth Weight 750-999 Grams Without Major Procedure"	1	$738,147.63	$959,591.92	$930,066.01	nat. median $89,334 outlier · 10.4×
607-4 OTHER	"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe…	1	$699,347.97	$909,152.36	$881,178.44	nat. median $100,015 outlier · 8.8×
602-3 OTHER	"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe…	1	$695,955.65	$904,742.35	$876,904.12	nat. median $99,067 outlier · 8.9×
608-4 OTHER	"neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition"	1	$654,187.71	$850,444.02	$824,276.51	nat. median $67,929 outlier · 12.1×
593-1 OTHER	"neonate Birth Weight 750-999 Grams Without Major Procedure"	1	$590,793.73	$768,031.85	$744,400.10	nat. median $2,705 outlier · 275.2×
863-4 OTHER	"neonatal Aftercare"	1	$564,927.29	$734,405.48	$711,808.39	nat. median $108,047 outlier · 6.6×
607-3 OTHER	"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe…	1	$561,959.01	$730,546.71	$708,068.35	nat. median $77,124 outlier · 9.2×
602-2 OTHER	"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe…	1	$561,322.95	$729,719.84	$707,266.92	nat. median $80,000 outlier · 8.8×
611-4 OTHER	"neonate Birth Weight 1500-1999 Grams With Major Anomaly"	1	$560,580.88	$728,755.14	$706,331.91	nat. median $93,000 outlier · 7.6×
603-3 OTHER	"neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition"	1	$554,856.34	$721,313.24	$699,118.99	nat. median $68,561 outlier · 10.2×
18 OTHER	"chimeric Antigen Receptor (car) T-cell And Other Immunotherapies"	3	$659,516.87	$1,187,130.37	$659,516.87	nat. median $386,529 1.7× median
004-4 OTHER	"tracheostomy With Mv >96 Hours With Extensive Procedure"	1	$494,960.69	$643,448.90	$623,650.47	nat. median $110,000 outlier · 5.7×
630-4 OTHER	"neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure"	1	$484,677.72	$630,081.04	$610,693.93	nat. median $210,669 outlier · 2.9×
608-3 OTHER	"neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition"	1	$483,511.61	$628,565.09	$609,224.63	nat. median $58,190 outlier · 10.5×
612-4 OTHER	"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe…	1	$477,045.00	$620,158.50	$601,076.70	nat. median $76,321 outlier · 7.9×
614-4 OTHER	"neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Conditio…	1	$465,277.89	$604,861.26	$586,250.14	nat. median $42,149 outlier · 13.9×
740-4 OTHER	"mental Illness Diagnosis With O.r. Procedure"	1	$443,651.85	$576,747.41	$559,001.33	nat. median $47,516 outlier · 11.8×
161-4 OTHER	"implantable Heart Assist Systems"	1	$433,474.89	$563,517.36	$546,178.36	nat. median $202,242 outlier · 2.7×
602-1 OTHER	"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe…	1	$432,202.77	$561,863.60	$544,575.49	nat. median $27,022 outlier · 20.2×
607-2 OTHER	"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe…	1	$428,386.41	$556,902.33	$539,766.88	nat. median $58,129 outlier · 9.3×
583-1 OTHER	"neonate With Ecmo"	1	$426,266.21	$554,146.07	$537,095.42	nat. median $171,226 outlier · 3.1×
583-2 OTHER	"neonate With Ecmo"	1	$426,266.21	$554,146.07	$537,095.42	nat. median $191,347 outlier · 2.8×
005-4 OTHER	"tracheostomy With Mv >96 Hours Without Extensive Procedure"	1	$420,117.63	$546,152.92	$529,348.21	nat. median $88,000 outlier · 6.0×
603-2 OTHER	"neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition"	1	$406,336.33	$528,237.23	$511,983.78	nat. median $41,561 outlier · 12.3×
609-3 OTHER	"neonate Birth Weight 1500-2499 Grams With Major Procedure"	1	$398,067.55	$517,487.82	$501,565.11	nat. median $83,785 outlier · 6.0×
612-3 OTHER	"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe…	1	$388,420.64	$504,946.83	$489,410.01	nat. median $50,119 outlier · 9.8×
621-4 OTHER	"neonate Birth Weight 2000-2499 Grams With Major Anomaly"	1	$380,893.93	$495,162.11	$479,926.35	nat. median $80,035 outlier · 6.0×

Other procedures at this hospital

Browse this hospital's 15,900 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

Q2053	OTHER	"brexucabtagene Car Pos T"	14	4	—	—	$140,398.83	$1,033,734.28	$209,194.26	2026-05-14
Q2042	OTHER	"tisagenlecleucel Car-pos T"	14	4	—	—	$138,364.88	$1,250,116.27	$206,163.67	2026-05-14
Q2056	OTHER	"ciltacabtagene Car-pos T"	14	4	—	—	$132,244.34	$1,195,488.68	$197,044.07	2026-05-14
Q2057	OTHER	"afamitresgene Autoleucel"	14	4	—	—	$130,351.10	$1,628,058.04	$194,223.14	2026-05-14
Q2055	OTHER	"idecabtagene Vicleucel Car"	14	4	—	—	$126,136.95	$1,177,423.31	$187,944.05	2026-05-14
Q2058	OTHER	"obecbtge Autol Up To 400 Mil"	14	4	—	—	$125,510.00	$587,847.65	$187,009.90	2026-05-14
Q2054	OTHER	"lisocabtagene Mara Car Pos T"	14	4	—	—	$123,464.13	$1,188,451.93	$183,961.55	2026-05-14
Q2041	OTHER	"axicabtagene Ciloleucel Car+"	14	4	—	—	$120,212.46	$1,126,534.05	$179,116.57	2026-05-14
18	OTHER	"chimeric Antigen Receptor (car) T-cell And Other Immunotherapies"	7	3	—	—	$659,516.87	$1,187,130.37	$659,516.87	2026-05-14
3	OTHER	"ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mout…	7	3	—	—	$363,170.30	$653,706.54	$363,170.30	2026-05-14
4	OTHER	"tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Ne…	7	3	—	—	$248,609.46	$447,497.03	$248,609.46	2026-05-14
209	OTHER	"complex Aortic Arch Procedures"	7	3	—	—	$188,449.11	$339,208.40	$188,449.11	2026-05-14
426	OTHER	"multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wi…	7	3	—	—	$181,376.59	$326,477.86	$181,376.59	2026-05-14
850	OTHER	"acute Leukemia With Other Procedures"	7	3	—	—	$165,932.15	$298,677.87	$165,932.15	2026-05-14
429	OTHER	"combined Anterior And Posterior Cervical Spinal Fusion With Mcc"	7	3	—	—	$156,067.28	$280,921.10	$156,067.28	2026-05-14
231	OTHER	"coronary Bypass With Ptca With Mcc"	7	3	—	—	$147,596.28	$265,673.30	$147,596.28	2026-05-14
J3392	OTHER	"inj, Exagamglogene Autotem"	6	3	—	—	$2,737,068.40	$4,926,723.12	$2,737,068.40	2026-05-14
J3403	OTHER	"revakinagene, Per Implant"	6	3	—	—	$302,227.75	$544,009.95	$302,227.75	2026-05-14
J3402	OTHER	"inj. Remestemcel-l-rknd/ Td"	6	3	—	—	$241,359.67	$434,447.41	$241,359.67	2026-05-14
J1411	OTHER	"inj, Hemgenix, Per Tx Dose"	5	3	—	—	$4,325,397.49	$4,974,207.11	$4,325,397.49	2026-05-14
J1413	OTHER	"inj Delandistrogene Mox Rokl"	5	3	—	—	$3,892,532.14	$4,476,411.96	$3,892,532.14	2026-05-14
J3394	OTHER	"inj, Lovotibeglogene Autotem"	5	3	—	—	$3,812,700.74	$4,384,605.85	$3,812,700.74	2026-05-14
J3393	OTHER	"inj, Betibeglogene Autotemce"	5	3	—	—	$3,457,415.04	$3,976,027.30	$3,457,415.04	2026-05-14
J3399	OTHER	"inj Onase Abepar-xioi Treat"	5	3	—	—	$2,881,563.32	$3,313,797.82	$2,881,563.32	2026-05-14
583-4	OTHER	"neonate With Ecmo"	5	1	—	—	$1,481,277.73	$1,925,661.05	$1,866,409.94	2026-05-14
588-4	OTHER	"neonate Birth Weight < 1500 Grams With Major Procedure"	5	1	—	—	$1,475,871.22	$1,918,632.59	$1,859,597.74	2026-05-14
591-4	OTHER	"neonate Birth Weight 500-749 Grams Without Major Procedure"	5	1	—	—	$1,176,711.00	$1,529,724.30	$1,482,655.86	2026-05-14
588-3	OTHER	"neonate Birth Weight < 1500 Grams With Major Procedure"	5	1	—	—	$1,125,614.18	$1,463,298.43	$1,418,273.87	2026-05-14
593-4	OTHER	"neonate Birth Weight 750-999 Grams Without Major Procedure"	5	1	—	—	$1,076,213.52	$1,399,077.58	$1,356,029.04	2026-05-14
588-2	OTHER	"neonate Birth Weight < 1500 Grams With Major Procedure"	5	1	—	—	$1,047,166.78	$1,361,316.81	$1,319,430.14	2026-05-14
609-4	OTHER	"neonate Birth Weight 1500-2499 Grams With Major Procedure"	5	1	—	—	$1,042,290.32	$1,354,977.42	$1,313,285.80	2026-05-14
588-1	OTHER	"neonate Birth Weight < 1500 Grams With Major Procedure"	5	1	—	—	$994,797.84	$1,293,237.19	$1,253,445.28	2026-05-14
591-3	OTHER	"neonate Birth Weight 500-749 Grams Without Major Procedure"	5	1	—	—	$977,200.18	$1,270,360.23	$1,231,272.23	2026-05-14
589-1	OTHER	"neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	1	—	—	$932,463.96	$1,212,203.15	$1,174,904.59	2026-05-14
583-3	OTHER	"neonate With Ecmo"	5	1	—	—	$898,964.80	$1,168,654.24	$1,132,695.65	2026-05-14
593-3	OTHER	"neonate Birth Weight 750-999 Grams Without Major Procedure"	5	1	—	—	$880,731.08	$1,144,950.40	$1,109,721.16	2026-05-14
631-4	OTHER	"neonate Birth Weight > 2499 Grams With Other Major Procedure"	5	1	—	—	$878,928.91	$1,142,607.58	$1,107,450.43	2026-05-14
591-2	OTHER	"neonate Birth Weight 500-749 Grams Without Major Procedure"	5	1	—	—	$868,115.89	$1,128,550.66	$1,093,826.02	2026-05-14
602-4	OTHER	"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$850,624.24	$1,105,811.51	$1,071,786.54	2026-05-14
589-2	OTHER	"neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	1	—	—	$791,258.64	$1,028,636.23	$996,985.89	2026-05-14
603-4	OTHER	"neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition"	5	1	—	—	$741,221.92	$963,588.50	$933,939.62	2026-05-14
593-2	OTHER	"neonate Birth Weight 750-999 Grams Without Major Procedure"	5	1	—	—	$738,147.63	$959,591.92	$930,066.01	2026-05-14
607-4	OTHER	"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$699,347.97	$909,152.36	$881,178.44	2026-05-14
602-3	OTHER	"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$695,955.65	$904,742.35	$876,904.12	2026-05-14
608-4	OTHER	"neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition"	5	1	—	—	$654,187.71	$850,444.02	$824,276.51	2026-05-14
593-1	OTHER	"neonate Birth Weight 750-999 Grams Without Major Procedure"	5	1	—	—	$590,793.73	$768,031.85	$744,400.10	2026-05-14
863-4	OTHER	"neonatal Aftercare"	5	1	—	—	$564,927.29	$734,405.48	$711,808.39	2026-05-14
607-3	OTHER	"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$561,959.01	$730,546.71	$708,068.35	2026-05-14
602-2	OTHER	"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$561,322.95	$729,719.84	$707,266.92	2026-05-14
611-4	OTHER	"neonate Birth Weight 1500-1999 Grams With Major Anomaly"	5	1	—	—	$560,580.88	$728,755.14	$706,331.91	2026-05-14
603-3	OTHER	"neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition"	5	1	—	—	$554,856.34	$721,313.24	$699,118.99	2026-05-14
004-4	OTHER	"tracheostomy With Mv >96 Hours With Extensive Procedure"	5	1	—	—	$494,960.69	$643,448.90	$623,650.47	2026-05-14
630-4	OTHER	"neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure"	5	1	—	—	$484,677.72	$630,081.04	$610,693.93	2026-05-14
608-3	OTHER	"neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition"	5	1	—	—	$483,511.61	$628,565.09	$609,224.63	2026-05-14
612-4	OTHER	"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$477,045.00	$620,158.50	$601,076.70	2026-05-14
614-4	OTHER	"neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Conditio…	5	1	—	—	$465,277.89	$604,861.26	$586,250.14	2026-05-14
740-4	OTHER	"mental Illness Diagnosis With O.r. Procedure"	5	1	—	—	$443,651.85	$576,747.41	$559,001.33	2026-05-14
161-4	OTHER	"implantable Heart Assist Systems"	5	1	—	—	$433,474.89	$563,517.36	$546,178.36	2026-05-14
602-1	OTHER	"neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$432,202.77	$561,863.60	$544,575.49	2026-05-14
607-2	OTHER	"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$428,386.41	$556,902.33	$539,766.88	2026-05-14
583-2	OTHER	"neonate With Ecmo"	5	1	—	—	$426,266.21	$554,146.07	$537,095.42	2026-05-14
583-1	OTHER	"neonate With Ecmo"	5	1	—	—	$426,266.21	$554,146.07	$537,095.42	2026-05-14
005-4	OTHER	"tracheostomy With Mv >96 Hours Without Extensive Procedure"	5	1	—	—	$420,117.63	$546,152.92	$529,348.21	2026-05-14
603-2	OTHER	"neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition"	5	1	—	—	$406,336.33	$528,237.23	$511,983.78	2026-05-14
609-3	OTHER	"neonate Birth Weight 1500-2499 Grams With Major Procedure"	5	1	—	—	$398,067.55	$517,487.82	$501,565.11	2026-05-14
612-3	OTHER	"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$388,420.64	$504,946.83	$489,410.01	2026-05-14
621-4	OTHER	"neonate Birth Weight 2000-2499 Grams With Major Anomaly"	5	1	—	—	$380,893.93	$495,162.11	$479,926.35	2026-05-14
009-4	OTHER	"extracorporeal Membrane Oxygenation (ecmo)"	5	1	—	—	$368,702.78	$479,313.61	$464,565.50	2026-05-14
611-3	OTHER	"neonate Birth Weight 1500-1999 Grams With Major Anomaly"	5	1	—	—	$363,932.33	$473,112.03	$458,554.74	2026-05-14
613-4	OTHER	"neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection"	5	1	—	—	$354,073.40	$460,295.42	$446,132.48	2026-05-14
613-3	OTHER	"neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection"	5	1	—	—	$354,073.40	$460,295.42	$446,132.48	2026-05-14
004-3	OTHER	"tracheostomy With Mv >96 Hours With Extensive Procedure"	5	1	—	—	$349,726.99	$454,645.09	$440,656.01	2026-05-14
863-3	OTHER	"neonatal Aftercare"	5	1	—	—	$349,302.95	$454,093.84	$440,121.72	2026-05-14
623-4	OTHER	"neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection"	5	1	—	—	$347,182.75	$451,337.58	$437,450.27	2026-05-14
614-3	OTHER	"neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Conditio…	5	1	—	—	$334,991.60	$435,489.08	$422,089.42	2026-05-14
759-4	OTHER	"eating Disorders"	5	1	—	—	$322,376.41	$419,089.33	$406,194.28	2026-05-14
631-3	OTHER	"neonate Birth Weight > 2499 Grams With Other Major Procedure"	5	1	—	—	$322,376.41	$419,089.33	$406,194.28	2026-05-14
633-4	OTHER	"neonate Birth Weight > 2499 Grams With Major Anomaly"	5	1	—	—	$321,634.34	$418,124.64	$405,259.27	2026-05-14
011-4	OTHER	"chimeric Antigen Receptor (car) T-cell And Other Immunotherapies"	5	1	—	—	$321,528.33	$417,986.83	$405,125.70	2026-05-14
160-4	OTHER	"major Cardiothoracic Repair Of Heart Anomaly"	5	1	—	—	$319,726.16	$415,644.01	$402,854.96	2026-05-14
005-3	OTHER	"tracheostomy With Mv >96 Hours Without Extensive Procedure"	5	1	—	—	$318,136.01	$413,576.81	$400,851.37	2026-05-14
608-2	OTHER	"neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition"	5	1	—	—	$316,439.85	$411,371.81	$398,714.21	2026-05-14
161-3	OTHER	"implantable Heart Assist Systems"	5	1	—	—	$315,909.80	$410,682.74	$398,046.35	2026-05-14
607-1	OTHER	"neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$313,683.59	$407,788.67	$395,241.32	2026-05-14
761-4	OTHER	"schizoaffective Disorders"	5	1	—	—	$287,923.16	$374,300.11	$362,783.18	2026-05-14
609-2	OTHER	"neonate Birth Weight 1500-2499 Grams With Major Procedure"	5	1	—	—	$281,668.57	$366,169.14	$354,902.40	2026-05-14
428-4	OTHER	"genetic Disorders"	5	1	—	—	$280,290.44	$364,377.57	$353,165.95	2026-05-14
612-2	OTHER	"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$277,958.22	$361,345.69	$350,227.36	2026-05-14
625-4	OTHER	"neonate Birth Weight 2000-2499 Grams With Other Significant Condition"	5	1	—	—	$275,626.00	$358,313.80	$347,288.76	2026-05-14
758-4	OTHER	"disorders Of Impulse Control & Development"	5	1	—	—	$270,855.55	$352,112.22	$341,277.99	2026-05-14
630-3	OTHER	"neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure"	5	1	—	—	$263,752.88	$342,878.74	$332,328.63	2026-05-14
757-4	OTHER	"organic Mental Health Conditions And Disturbances"	5	1	—	—	$257,180.26	$334,334.34	$324,047.13	2026-05-14
622-4	OTHER	"neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$255,802.13	$332,542.77	$322,310.68	2026-05-14
621-3	OTHER	"neonate Birth Weight 2000-2499 Grams With Major Anomaly"	5	1	—	—	$253,999.96	$330,199.95	$320,039.95	2026-05-14
625-3	OTHER	"neonate Birth Weight 2000-2499 Grams With Other Significant Condition"	5	1	—	—	$248,381.43	$322,895.86	$312,960.60	2026-05-14
623-3	OTHER	"neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection"	5	1	—	—	$247,003.30	$321,104.29	$311,224.16	2026-05-14
695-4	OTHER	"chemotherapy For Acute Leukemia"	5	1	—	—	$242,550.88	$315,316.14	$305,614.11	2026-05-14
622-3	OTHER	"neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$241,490.78	$313,938.01	$304,278.38	2026-05-14
361-4	OTHER	"skin Graft For Skin And Subcutaneous Tissue Diagnoses"	5	1	—	—	$239,052.55	$310,768.32	$301,206.21	2026-05-14
611-2	OTHER	"neonate Birth Weight 1500-1999 Grams With Major Anomaly"	5	1	—	—	$235,024.17	$305,531.42	$296,130.45	2026-05-14
613-2	OTHER	"neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection"	5	1	—	—	$233,009.98	$302,912.97	$293,592.57	2026-05-14
005-2	OTHER	"tracheostomy With Mv >96 Hours Without Extensive Procedure"	5	1	—	—	$230,783.77	$300,018.90	$290,787.55	2026-05-14
690-4	OTHER	"acute Leukemia"	5	1	—	—	$230,465.74	$299,605.46	$290,386.83	2026-05-14
751-4	OTHER	"depressive Disorders"	5	1	—	—	$225,589.28	$293,266.06	$284,242.49	2026-05-14
091-4	OTHER	"other Major Head And Neck Procedures"	5	1	—	—	$224,847.21	$292,301.37	$283,307.48	2026-05-14
680-4	OTHER	"major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms"	5	1	—	—	$223,257.06	$290,234.18	$281,303.90	2026-05-14
681-4	OTHER	"other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms"	5	1	—	—	$220,606.81	$286,788.85	$277,964.58	2026-05-14
312-4	OTHER	"skin Graft For Musculoskeletal And Connective Tissue Diagnoses"	5	1	—	—	$220,394.79	$286,513.23	$277,697.44	2026-05-14
009-3	OTHER	"extracorporeal Membrane Oxygenation (ecmo)"	5	1	—	—	$217,426.51	$282,654.46	$273,957.40	2026-05-14
004-2	OTHER	"tracheostomy With Mv >96 Hours With Extensive Procedure"	5	1	—	—	$214,034.19	$278,244.45	$269,683.08	2026-05-14
753-4	OTHER	"bipolar Disorders"	5	1	—	—	$212,550.05	$276,315.07	$267,813.06	2026-05-14
162-4	OTHER	"cardiac Valve Procedures With Ami Or Complex Principal Diagnosis"	5	1	—	—	$210,853.89	$274,110.06	$265,675.90	2026-05-14
261-4	OTHER	"major Biliary Tract Procedures"	5	1	—	—	$210,641.87	$273,834.43	$265,408.76	2026-05-14
405-4	OTHER	"other Procedures For Endocrine, Nutritional And Metabolic Disorders"	5	1	—	—	$206,931.52	$269,010.98	$260,733.72	2026-05-14
740-3	OTHER	"mental Illness Diagnosis With O.r. Procedure"	5	1	—	—	$206,401.47	$268,321.91	$260,065.85	2026-05-14
634-4	OTHER	"neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other M…	5	1	—	—	$204,599.30	$265,979.09	$257,795.12	2026-05-14
614-2	OTHER	"neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Conditio…	5	1	—	—	$202,691.12	$263,498.46	$255,390.81	2026-05-14
130-4	OTHER	"respiratory System Diagnosis With Ventilator Support > 96 Hours"	5	1	—	—	$202,373.09	$263,085.02	$254,990.09	2026-05-14
447-4	OTHER	"other Kidney, Urinary Tract And Related Non-percutaneous Procedures"	5	1	—	—	$199,404.81	$259,226.25	$251,250.06	2026-05-14
761-3	OTHER	"schizoaffective Disorders"	5	1	—	—	$198,238.70	$257,710.31	$249,780.76	2026-05-14
950-4	OTHER	"extensive O.r. Procedure Unrelated To Principal Diagnosis"	5	1	—	—	$197,072.59	$256,194.37	$248,311.46	2026-05-14
220-4	OTHER	"major Stomach, Esophageal And Duodenal Procedures"	5	1	—	—	$194,422.34	$252,749.04	$244,972.15	2026-05-14
023-4	OTHER	"spinal Procedures"	5	1	—	—	$192,832.19	$250,681.85	$242,968.56	2026-05-14
863-2	OTHER	"neonatal Aftercare"	5	1	—	—	$192,302.14	$249,992.78	$242,300.70	2026-05-14
608-1	OTHER	"neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition"	5	1	—	—	$192,090.12	$249,717.16	$242,033.55	2026-05-14
612-1	OTHER	"neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$190,499.97	$247,649.96	$240,029.96	2026-05-14
401-4	OTHER	"adrenal Procedures"	5	1	—	—	$190,393.96	$247,512.15	$239,896.39	2026-05-14
303-4	OTHER	"dorsal And Lumbar Fusion Procedure For Curvature Of Back"	5	1	—	—	$189,015.83	$245,720.58	$238,159.95	2026-05-14
484-4	OTHER	"other Male Reproductive System And Related Procedures"	5	1	—	—	$188,485.78	$245,031.51	$237,492.08	2026-05-14
230-4	OTHER	"major Small Bowel Procedures"	5	1	—	—	$185,835.53	$241,586.19	$234,152.77	2026-05-14
711-4	OTHER	"post-operative, Post-trauma, Other Device Infections With O.r. Procedure"	5	1	—	—	$180,110.99	$297,183.13	$234,144.29	2026-05-14
026-4	OTHER	"other Nervous System And Related Procedures"	5	1	—	—	$185,729.52	$241,448.38	$234,019.20	2026-05-14
441-4	OTHER	"major Bladder Procedures"	5	1	—	—	$184,245.38	$239,518.99	$232,149.18	2026-05-14
021-4	OTHER	"open Craniotomy Except Trauma"	5	1	—	—	$178,520.84	$294,559.39	$232,077.09	2026-05-14
043-4	OTHER	"multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies"	5	1	—	—	$183,079.27	$238,003.05	$230,679.88	2026-05-14
520-4	OTHER	"other GYN Procedures For Malignancy"	5	1	—	—	$181,383.11	$235,798.04	$228,542.72	2026-05-14
428-3	OTHER	"genetic Disorders"	5	1	—	—	$181,171.09	$235,522.42	$228,275.57	2026-05-14
022-4	OTHER	"ventricular Shunt Procedures"	5	1	—	—	$179,368.92	$233,179.60	$226,004.84	2026-05-14
049-4	OTHER	"bacterial And Tuberculous Infections Of Nervous System"	5	1	—	—	$178,944.88	$232,628.34	$225,470.55	2026-05-14
121-4	OTHER	"other Respiratory And Chest Procedures"	5	1	—	—	$178,838.87	$232,490.53	$225,336.98	2026-05-14
636-4	OTHER	"neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection"	5	1	—	—	$178,838.87	$232,490.53	$225,336.98	2026-05-14
161-2	OTHER	"implantable Heart Assist Systems"	5	1	—	—	$178,202.81	$231,663.65	$224,535.54	2026-05-14
092-4	OTHER	"facial Bone Procedures Except Major Cranial Or Facial Bone Procedures"	5	1	—	—	$177,990.79	$231,388.03	$224,268.40	2026-05-14
651-4	OTHER	"other Procedures Of Blood And Blood-forming Organs"	5	1	—	—	$177,566.75	$230,836.78	$223,734.11	2026-05-14
951-4	OTHER	"moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis"	5	1	—	—	$177,460.74	$230,698.96	$223,600.53	2026-05-14
305-4	OTHER	"amputation Of Lower Limb Except Toes"	5	1	—	—	$177,036.70	$230,147.71	$223,066.24	2026-05-14
636-3	OTHER	"neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection"	5	1	—	—	$176,930.69	$230,009.90	$222,932.67	2026-05-14
004-1	OTHER	"tracheostomy With Mv >96 Hours With Extensive Procedure"	5	1	—	—	$176,718.67	$229,734.27	$222,665.52	2026-05-14
633-3	OTHER	"neonate Birth Weight > 2499 Grams With Major Anomaly"	5	1	—	—	$176,718.67	$229,734.27	$222,665.52	2026-05-14
910-4	OTHER	"craniotomy For Multiple Significant Trauma"	5	1	—	—	$171,206.15	$282,490.15	$222,568.00	2026-05-14
260-4	OTHER	"major Pancreas, Liver And Shunt Procedures"	5	1	—	—	$176,082.61	$228,907.39	$221,864.09	2026-05-14
089-4	OTHER	"major Cranial Or Facial Bone Procedures"	5	1	—	—	$175,552.56	$228,218.33	$221,196.23	2026-05-14
759-3	OTHER	"eating Disorders"	5	1	—	—	$175,446.55	$228,080.52	$221,062.65	2026-05-14
163-4	OTHER	"cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis"	5	1	—	—	$174,386.45	$226,702.39	$219,726.93	2026-05-14
631-2	OTHER	"neonate Birth Weight > 2499 Grams With Other Major Procedure"	5	1	—	—	$173,750.39	$225,875.51	$218,925.49	2026-05-14
165-4	OTHER	"coronary Bypass With Ami Or Complex Principal Diagnosis"	5	1	—	—	$173,432.36	$225,462.07	$218,524.77	2026-05-14
304-4	OTHER	"dorsal And Lumbar Fusion Procedure Except For Curvature Of Back"	5	1	—	—	$173,114.33	$225,048.63	$218,124.06	2026-05-14
440-4	OTHER	"kidney Transplant"	5	1	—	—	$172,796.30	$224,635.19	$217,723.34	2026-05-14
952-4	OTHER	"non-extensive O.r. Procedure Unrelated To Principal Diagnosis"	5	1	—	—	$172,372.26	$224,083.94	$217,189.05	2026-05-14
912-4	OTHER	"musculoskeletal And Other Procedures For Multiple Significant Trauma"	5	1	—	—	$165,269.59	$272,694.82	$214,850.47	2026-05-14
485-4	OTHER	"prostatectomy Procedures"	5	1	—	—	$170,252.06	$221,327.68	$214,517.60	2026-05-14
622-2	OTHER	"neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Othe…	5	1	—	—	$169,934.03	$220,914.24	$214,116.88	2026-05-14
232-4	OTHER	"gastric Fundoplication"	5	1	—	—	$169,616.00	$220,500.80	$213,716.16	2026-05-14
073-4	OTHER	"orbit And Eye Procedures"	5	1	—	—	$169,085.95	$219,811.74	$213,048.30	2026-05-14
690-3	OTHER	"acute Leukemia"	5	1	—	—	$168,979.94	$219,673.92	$212,914.72	2026-05-14
120-4	OTHER	"major Respiratory And Chest Procedures"	5	1	—	—	$168,979.94	$219,673.92	$212,914.72	2026-05-14
098-4	OTHER	"other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures"	5	1	—	—	$168,767.92	$219,398.30	$212,647.58	2026-05-14
792-4	OTHER	"extensive O.r. Procedures For Other Complications Of Treatment"	5	1	—	—	$167,919.84	$218,295.79	$211,579.00	2026-05-14
710-4	OTHER	"infectious And Parasitic Diseases Including HIV With O.r. Procedure"	5	1	—	—	$167,813.83	$218,157.98	$211,445.43	2026-05-14
512-4	OTHER	"uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy"	5	1	—	—	$166,859.74	$216,917.66	$210,243.27	2026-05-14
911-4	OTHER	"extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma"	5	1	—	—	$161,347.22	$266,222.91	$209,751.39	2026-05-14
050-4	OTHER	"non-bacterial Infections Of Nervous System Except Viral Meningitis"	5	1	—	—	$166,117.67	$215,952.97	$209,308.26	2026-05-14
591-1	OTHER	"neonate Birth Weight 500-749 Grams Without Major Procedure"	5	1	—	—	$166,117.67	$215,952.97	$209,308.26	2026-05-14
040-4	OTHER	"spinal Disorders And Injuries"	5	1	—	—	$166,011.66	$215,815.16	$209,174.69	2026-05-14
444-4	OTHER	"renal Dialysis Access Device Procedures"	5	1	—	—	$165,799.64	$215,539.53	$208,907.55	2026-05-14
299-4	OTHER	"multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical"	5	1	—	—	$165,587.62	$215,263.91	$208,640.40	2026-05-14
130-3	OTHER	"respiratory System Diagnosis With Ventilator Support > 96 Hours"	5	1	—	—	$165,587.62	$215,263.91	$208,640.40	2026-05-14
321-4	OTHER	"spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures"	5	1	—	—	$165,375.60	$214,988.28	$208,373.26	2026-05-14
231-4	OTHER	"major Large Bowel Procedures"	5	1	—	—	$164,527.52	$213,885.78	$207,304.68	2026-05-14
511-4	OTHER	"uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy"	5	1	—	—	$163,997.47	$213,196.71	$206,636.81	2026-05-14
011-3	OTHER	"chimeric Antigen Receptor (car) T-cell And Other Immunotherapies"	5	1	—	—	$163,573.43	$212,645.46	$206,102.52	2026-05-14
167-4	OTHER	"other Cardiothoracic And Thoracic Circulatory Procedures"	5	1	—	—	$162,831.36	$211,680.77	$205,167.51	2026-05-14
264-4	OTHER	"other Hepatobiliary, Pancreas And Abdominal Procedures"	5	1	—	—	$162,725.35	$211,542.96	$205,033.94	2026-05-14
027-4	OTHER	"other Open Craniotomy"	5	1	—	—	$161,771.26	$210,302.64	$203,831.79	2026-05-14
310-4	OTHER	"vertebral And Intervertebral Spinal Procedures Including Disc Procedures"	5	1	—	—	$160,923.18	$209,200.13	$202,763.21	2026-05-14
224-4	OTHER	"peritoneal Adhesiolysis"	5	1	—	—	$160,287.12	$208,373.26	$201,961.77	2026-05-14
363-4	OTHER	"breast Procedures Except Mastectomy"	5	1	—	—	$159,545.05	$207,408.57	$201,026.76	2026-05-14
020-4	OTHER	"open Craniotomy For Trauma"	5	1	—	—	$154,244.55	$254,503.51	$200,517.92	2026-05-14
483-4	OTHER	"penis, Testes And Scrotal Procedures"	5	1	—	—	$157,954.90	$205,341.37	$199,023.17	2026-05-14
227-4	OTHER	"hernia Procedures Except Inguinal, Femoral And Umbilical"	5	1	—	—	$156,682.78	$203,687.61	$197,420.30	2026-05-14
317-4	OTHER	"tendon, Muscle And Other Soft Tissue Procedures"	5	1	—	—	$156,470.76	$203,411.99	$197,153.16	2026-05-14
180-4	OTHER	"other Circulatory System Procedures"	5	1	—	—	$156,258.74	$203,136.36	$196,886.01	2026-05-14
639-4	OTHER	"neonate Birth Weight > 2499 Grams With Other Significant Condition"	5	1	—	—	$155,622.68	$202,309.48	$196,084.58	2026-05-14
518-4	OTHER	"other Female Reproductive System And Related Procedures"	5	1	—	—	$155,304.65	$201,896.05	$195,683.86	2026-05-14
058-4	OTHER	"other Disorders Of Nervous System"	5	1	—	—	$154,986.62	$201,482.61	$195,283.14	2026-05-14
166-4	OTHER	"coronary Bypass Without Ami Or Complex Principal Diagnosis"	5	1	—	—	$154,880.61	$201,344.79	$195,149.57	2026-05-14
404-4	OTHER	"thyroid, Parathyroid And Thyroglossal Procedures"	5	1	—	—	$154,562.58	$200,931.35	$194,748.85	2026-05-14
691-4	OTHER	"lymphoma, Myeloma And Non-acute Leukemia"	5	1	—	—	$154,138.54	$200,380.10	$194,214.56	2026-05-14
181-4	OTHER	"lower Extremity Vascular Procedures"	5	1	—	—	$154,032.53	$200,242.29	$194,080.99	2026-05-14
890-4	OTHER	"hiv With Multiple Major HIV Related Conditions"	5	1	—	—	$153,714.50	$199,828.85	$193,680.27	2026-05-14
639-3	OTHER	"neonate Birth Weight > 2499 Grams With Other Significant Condition"	5	1	—	—	$153,608.49	$199,691.04	$193,546.70	2026-05-14
193-4	OTHER	"acute And Subacute Endocarditis"	5	1	—	—	$153,396.47	$199,415.41	$193,279.55	2026-05-14
223-4	OTHER	"other Small And Large Bowel Procedures"	5	1	—	—	$152,760.41	$198,588.53	$192,478.12	2026-05-14
222-4	OTHER	"other Stomach, Esophageal And Duodenal Procedures"	5	1	—	—	$152,336.37	$198,037.28	$191,943.83	2026-05-14
613-1	OTHER	"neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection"	5	1	—	—	$152,336.37	$198,037.28	$191,943.83	2026-05-14
364-4	OTHER	"other Skin, Subcutaneous Tissue And Related Procedures"	5	1	—	—	$151,276.27	$196,659.15	$190,608.10	2026-05-14
320-4	OTHER	"other Musculoskeletal System And Connective Tissue Procedures"	5	1	—	—	$151,170.26	$196,521.34	$190,474.53	2026-05-14
793-4	OTHER	"moderately Extensive O.r. Procedures For Other Complications Of Treatment"	5	1	—	—	$150,216.17	$195,281.02	$189,272.37	2026-05-14
029-4	OTHER	"other Percutaneous Intracranial Procedures"	5	1	—	—	$148,626.02	$193,213.83	$187,268.79	2026-05-14
448-4	OTHER	"other Kidney, Urinary Tract And Related Percutaneous Procedures"	5	1	—	—	$148,307.99	$192,800.39	$186,868.07	2026-05-14
423-4	OTHER	"inborn Errors Of Metabolism"	5	1	—	—	$148,201.98	$192,662.57	$186,734.49	2026-05-14
443-4	OTHER	"kidney And Urinary Tract Procedures For Non-malignancy"	5	1	—	—	$148,095.97	$192,524.76	$186,600.92	2026-05-14
513-4	OTHER	"uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma"	5	1	—	—	$147,989.96	$192,386.95	$186,467.35	2026-05-14
300-4	OTHER	"single Level Combined Anterior And Posterior Spinal Fusion Except Cervical"	5	1	—	—	$147,989.96	$192,386.95	$186,467.35	2026-05-14
313-4	OTHER	"knee And Lower Leg Procedures Except Foot"	5	1	—	—	$147,671.93	$191,973.51	$186,066.63	2026-05-14
445-4	OTHER	"other Bladder Procedures"	5	1	—	—	$147,035.87	$191,146.63	$185,265.20	2026-05-14
625-2	OTHER	"neonate Birth Weight 2000-2499 Grams With Other Significant Condition"	5	1	—	—	$146,823.85	$190,871.01	$184,998.05	2026-05-14
309-4	OTHER	"other Significant Hip And Femur Surgery"	5	1	—	—	$146,293.80	$190,181.94	$184,330.19	2026-05-14
626-4	OTHER	"neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Prob…	5	1	—	—	$145,763.75	$189,492.88	$183,662.33	2026-05-14
623-2	OTHER	"neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection"	5	1	—	—	$145,551.73	$189,217.25	$183,395.18	2026-05-14
692-4	OTHER	"radiotherapy"	5	1	—	—	$145,233.70	$188,803.81	$182,994.46	2026-05-14
634-3	OTHER	"neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other M…	5	1	—	—	$145,021.68	$188,528.18	$182,727.32	2026-05-14
040-3	OTHER	"spinal Disorders And Injuries"	5	1	—	—	$144,809.66	$188,252.56	$182,460.17	2026-05-14
344-4	OTHER	"osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections"	5	1	—	—	$143,855.57	$187,012.24	$181,258.02	2026-05-14
179-4	OTHER	"defibrillator Implants"	5	1	—	—	$143,855.57	$187,012.24	$181,258.02	2026-05-14
162-3	OTHER	"cardiac Valve Procedures With Ami Or Complex Principal Diagnosis"	5	1	—	—	$143,537.54	$186,598.80	$180,857.30	2026-05-14
314-4	OTHER	"foot And Toe Procedures"	5	1	—	—	$143,325.52	$186,323.18	$180,590.16	2026-05-14
462-4	OTHER	"nephritis And Nephrosis"	5	1	—	—	$142,795.47	$185,634.11	$179,922.29	2026-05-14
621-2	OTHER	"neonate Birth Weight 2000-2499 Grams With Major Anomaly"	5	1	—	—	$142,265.42	$184,945.05	$179,254.43	2026-05-14
312-3	OTHER	"skin Graft For Musculoskeletal And Connective Tissue Diagnoses"	5	1	—	—	$141,311.33	$183,704.73	$178,052.28	2026-05-14
130-2	OTHER	"respiratory System Diagnosis With Ventilator Support > 96 Hours"	5	1	—	—	$141,099.31	$183,429.10	$177,785.13	2026-05-14
170-4	OTHER	"permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock"	5	1	—	—	$141,099.31	$183,429.10	$177,785.13	2026-05-14
183-4	OTHER	"percutaneous Structural Cardiac Procedures"	5	1	—	—	$140,039.21	$182,050.97	$176,449.40	2026-05-14
114-4	OTHER	"dental Diseases And Disorders"	5	1	—	—	$140,039.21	$182,050.97	$176,449.40	2026-05-14
794-4	OTHER	"non-extensive O.r. Procedures For Other Complications Of Treatment"	5	1	—	—	$139,297.14	$181,086.28	$175,514.40	2026-05-14
403-4	OTHER	"procedures For Obesity"	5	1	—	—	$139,191.13	$180,948.47	$175,380.82	2026-05-14
316-4	OTHER	"hand And Wrist Procedures"	5	1	—	—	$138,979.11	$180,672.84	$175,113.68	2026-05-14
042-4	OTHER	"degenerative Nervous System Disorders Except Multiple Sclerosis"	5	1	—	—	$138,873.10	$180,535.03	$174,980.11	2026-05-14
611-1	OTHER	"neonate Birth Weight 1500-1999 Grams With Major Anomaly"	5	1	—	—	$137,600.98	$178,881.27	$173,377.23	2026-05-14
361-3	OTHER	"skin Graft For Skin And Subcutaneous Tissue Diagnoses"	5	1	—	—	$136,964.92	$178,054.40	$172,575.80	2026-05-14
058-3	OTHER	"other Disorders Of Nervous System"	5	1	—	—	$136,964.92	$178,054.40	$172,575.80	2026-05-14
169-4	OTHER	"major Abdominal Vascular Procedures"	5	1	—	—	$136,540.88	$177,503.14	$172,041.51	2026-05-14
442-4	OTHER	"kidney And Urinary Tract Procedures For Malignancy"	5	1	—	—	$135,480.78	$176,125.01	$170,705.78	2026-05-14
740-2	OTHER	"mental Illness Diagnosis With O.r. Procedure"	5	1	—	—	$134,208.66	$174,471.26	$169,102.91	2026-05-14
446-4	OTHER	"urethral And Transurethral Procedures"	5	1	—	—	$133,996.64	$174,195.63	$168,835.77	2026-05-14
752-4	OTHER	"personality Disorders"	5	1	—	—	$133,784.62	$173,920.01	$168,568.62	2026-05-14
752-3	OTHER	"personality Disorders"	5	1	—	—	$133,784.62	$173,920.01	$168,568.62	2026-05-14
049-3	OTHER	"bacterial And Tuberculous Infections Of Nervous System"	5	1	—	—	$133,360.58	$173,368.75	$168,034.33	2026-05-14
048-4	OTHER	"peripheral, Cranial And Autonomic Nerve Disorders"	5	1	—	—	$133,254.57	$173,230.94	$167,900.76	2026-05-14
282-4	OTHER	"disorders Of Pancreas Except Malignancy"	5	1	—	—	$133,042.55	$172,955.32	$167,633.61	2026-05-14
229-4	OTHER	"other Digestive System And Abdominal Procedures"	5	1	—	—	$132,936.54	$172,817.50	$167,500.04	2026-05-14
315-4	OTHER	"shoulder, Upper Arm And Forearm Procedures Except Joint Replacement"	5	1	—	—	$132,936.54	$172,817.50	$167,500.04	2026-05-14
226-4	OTHER	"anal And Perineal Procedures"	5	1	—	—	$132,512.50	$172,266.25	$166,965.75	2026-05-14
421-4	OTHER	"malnutrition, Failure To Thrive And Other Nutritional Disorders"	5	1	—	—	$132,300.48	$171,990.62	$166,698.60	2026-05-14
775-4	OTHER	"alcohol Abuse And Dependence"	5	1	—	—	$132,194.47	$171,852.81	$166,565.03	2026-05-14
517-4	OTHER	"dilation And Curettage For Non-obstetric Diagnoses"	5	1	—	—	$131,134.37	$170,474.68	$165,229.31	2026-05-14
381-4	OTHER	"major Skin Disorders"	5	1	—	—	$131,028.36	$170,336.87	$165,095.73	2026-05-14
346-4	OTHER	"connective Tissue Disorders"	5	1	—	—	$130,816.34	$170,061.24	$164,828.59	2026-05-14
024-4	OTHER	"open Extracranial Vascular Procedures"	5	1	—	—	$130,498.31	$169,647.80	$164,427.87	2026-05-14
695-3	OTHER	"chemotherapy For Acute Leukemia"	5	1	—	—	$129,544.22	$168,407.49	$163,225.72	2026-05-14
263-4	OTHER	"cholecystectomy"	5	1	—	—	$129,438.21	$168,269.67	$163,092.14	2026-05-14
343-4	OTHER	"musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mal…	5	1	—	—	$129,014.17	$167,718.42	$162,557.85	2026-05-14
182-4	OTHER	"other Peripheral Vascular And Related Procedures"	5	1	—	—	$128,696.14	$167,304.98	$162,157.14	2026-05-14
323-4	OTHER	"non-elective Or Complex Hip Joint Replacement"	5	1	—	—	$128,060.08	$166,478.10	$161,355.70	2026-05-14
753-3	OTHER	"bipolar Disorders"	5	1	—	—	$127,742.05	$166,064.67	$160,954.98	2026-05-14
192-4	OTHER	"cardiac Catheterization For Other Non-coronary Conditions"	5	1	—	—	$127,742.05	$166,064.67	$160,954.98	2026-05-14
228-4	OTHER	"inguinal, Femoral And Umbilical Hernia Procedures"	5	1	—	—	$127,742.05	$166,064.67	$160,954.98	2026-05-14
005-1	OTHER	"tracheostomy With Mv >96 Hours Without Extensive Procedure"	5	1	—	—	$127,212.00	$165,375.60	$160,287.12	2026-05-14
514-4	OTHER	"female Reproductive System Reconstructive Procedures"	5	1	—	—	$127,212.00	$165,375.60	$160,287.12	2026-05-14
091-3	OTHER	"other Major Head And Neck Procedures"	5	1	—	—	$127,105.99	$165,237.79	$160,153.55	2026-05-14
519-4	OTHER	"uterine And Adnexa Procedures For Leiomyoma"	5	1	—	—	$126,469.93	$164,410.91	$159,352.11	2026-05-14
724-4	OTHER	"other Infectious And Parasitic Diseases"	5	1	—	—	$125,727.86	$163,446.22	$158,417.10	2026-05-14
710-3	OTHER	"infectious And Parasitic Diseases Including HIV With O.r. Procedure"	5	1	—	—	$125,091.80	$162,619.34	$157,615.67	2026-05-14
021-3	OTHER	"open Craniotomy Except Trauma"	5	1	—	—	$120,851.40	$199,404.81	$157,106.82	2026-05-14
110-4	OTHER	"ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies"	5	1	—	—	$124,455.74	$161,792.46	$156,814.23	2026-05-14
171-4	OTHER	"permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock"	5	1	—	—	$123,713.67	$160,827.77	$155,879.22	2026-05-14
230-3	OTHER	"major Small Bowel Procedures"	5	1	—	—	$123,713.67	$160,827.77	$155,879.22	2026-05-14
721-4	OTHER	"post-operative, Post-traumatic, Other Device Infections"	5	1	—	—	$119,473.27	$197,130.90	$155,315.25	2026-05-14
758-3	OTHER	"disorders Of Impulse Control & Development"	5	1	—	—	$123,077.61	$160,000.89	$155,077.79	2026-05-14
233-4	OTHER	"appendectomy With Complex Principal Diagnosis"	5	1	—	—	$123,077.61	$160,000.89	$155,077.79	2026-05-14
165-3	OTHER	"coronary Bypass With Ami Or Complex Principal Diagnosis"	5	1	—	—	$122,759.58	$159,587.45	$154,677.07	2026-05-14
861-4	OTHER	"signs, Symptoms And Other Factors Influencing Health Status"	5	1	—	—	$122,335.54	$159,036.20	$154,142.78	2026-05-14
759-2	OTHER	"eating Disorders"	5	1	—	—	$122,229.53	$158,898.39	$154,009.21	2026-05-14
325-4	OTHER	"non-elective Or Complex Knee Joint Replacement"	5	1	—	—	$122,017.51	$158,622.76	$153,742.06	2026-05-14
630-2	OTHER	"neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure"	5	1	—	—	$121,487.46	$157,933.70	$153,074.20	2026-05-14
650-4	OTHER	"splenic Procedures"	5	1	—	—	$121,063.42	$157,382.45	$152,539.91	2026-05-14
380-4	OTHER	"skin Ulcers"	5	1	—	—	$120,745.39	$156,969.01	$152,139.19	2026-05-14
245-4	OTHER	"inflammatory Bowel Disease"	5	1	—	—	$120,745.39	$156,969.01	$152,139.19	2026-05-14
193-3	OTHER	"acute And Subacute Endocarditis"	5	1	—	—	$119,791.30	$155,728.69	$150,937.04	2026-05-14
482-4	OTHER	"transurethral Prostatectomy"	5	1	—	—	$119,473.27	$155,315.25	$150,536.32	2026-05-14
469-4	OTHER	"acute Kidney Injury"	5	1	—	—	$119,155.24	$154,901.81	$150,135.60	2026-05-14
711-3	OTHER	"post-operative, Post-trauma, Other Device Infections With O.r. Procedure"	5	1	—	—	$115,232.87	$190,134.24	$149,802.73	2026-05-14
051-4	OTHER	"viral Meningitis"	5	1	—	—	$118,731.20	$154,350.56	$149,601.31	2026-05-14
751-3	OTHER	"depressive Disorders"	5	1	—	—	$118,201.15	$153,661.50	$148,933.45	2026-05-14
011-2	OTHER	"chimeric Antigen Receptor (car) T-cell And Other Immunotherapies"	5	1	—	—	$118,095.14	$153,523.68	$148,799.88	2026-05-14
696-4	OTHER	"other Chemotherapy"	5	1	—	—	$117,989.13	$153,385.87	$148,666.30	2026-05-14
030-4	OTHER	"percutaneous Intracranial And Extracranial Vascular Procedures"	5	1	—	—	$117,671.10	$152,972.43	$148,265.59	2026-05-14
662-4	OTHER	"sickle Cell Anemia Crisis"	5	1	—	—	$117,565.09	$152,834.62	$148,132.01	2026-05-14
757-3	OTHER	"organic Mental Health Conditions And Disturbances"	5	1	—	—	$117,459.08	$152,696.80	$147,998.44	2026-05-14
194-4	OTHER	"heart Failure"	5	1	—	—	$117,353.07	$152,558.99	$147,864.87	2026-05-14

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