Hospital

PAGOSA SPRINGS MEDICAL CENTER

Pagosa Springs, CO · CCN 061328 · Rates published

4,834 distinct procedures filed

19 distinct payers

101,452 rate rows

2026-05-08 last MRF observed

Data quality

97,852 of 101,452 rate rows are consumer-grade (96.5%)

3,600 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
per-diem day rate — not a per-procedure price	3,100
template filing: same amount across many unrelated codes — excluded	362
exceeds 10× this hospital's gross charge — excluded from medians	123
percent-of-charges filed in the dollar field — excluded from medians	15

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

Source MRF file	https://pagosaspringsmedicalcenter.pg.revenuemasters.com/cdm-files/840866061_pagosa-springs-medical-center_standardcharges.csv
Found on page	https://pagosaspringsmedicalcenter.pg.revenuemasters.com/disclaimer?
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	66c6aa1085233b50… · 22,497,034 bytes · first seen 2026-05-08

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
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	$109,145.89	$279,046.61	$255,004.39	nat. median $386,529 0.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	$109,903.47	$205,244.80	$198,570.74	nat. median $239,422 0.8× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	$89,188.29	$161,479.95	$142,772.74	nat. median $181,005 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	3	$76,849.19	$199,640.79	$133,919.42	nat. median $146,562 0.9× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	$56,756.21	$111,337.80	$96,877.14	nat. median $134,983 0.7× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	$57,317.60	$95,052.72	$92,736.81	nat. median $111,558 0.8× median
7 OTHER	Lung Transplant	3	$46,554.47	$92,905.71	$86,122.50	nat. median $169,933 0.5× median
14 OTHER	Allogeneic Bone Marrow Transplant	3	$57,823.73	$86,804.86	$78,966.62	nat. median $100,915 0.8× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	$50,753.76	$80,476.39	$78,390.90	nat. median $94,894 0.8× median
215 OTHER	Other Heart Assist System Implant	3	$37,545.38	$77,366.90	$72,689.08	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$42,272.14	$73,507.94	$68,729.10	nat. median $90,130 0.8× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	$47,550.05	$65,634.78	$64,018.48	nat. median $74,209 0.9× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	$22,239.69	$63,844.28	$59,609.11	nat. median $76,493 0.8× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	$32,229.16	$58,404.63	$57,345.16	nat. median $72,612 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	$53,289.15	$53,289.15	$53,289.15	nat. median $29,655 1.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	$25,469.42	$54,778.96	$52,281.08	nat. median $68,309 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	3	$37,137.20	$52,053.07	$51,131.82	nat. median $64,729 0.8× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	$27,724.32	$60,542.77	$50,334.60	nat. median $61,133 0.8× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	3	$18,121.39	$51,917.50	$48,826.24	nat. median $67,670 0.7× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	3	$24,412.43	$52,752.15	$47,909.80	nat. median $54,564 0.9× median
234 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	6	$25,605.97	$56,178.12	$47,773.51	nat. median $50,947 0.9× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	1	$47,036.05	$47,036.05	$47,036.05	nat. median $3,947 outlier · 11.9×
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	3	$33,802.51	$47,307.96	$46,567.94	nat. median $58,866 0.8× median
21 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	3	$34,828.21	$47,897.81	$46,514.96	nat. median $55,888 0.8× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	3	$31,206.39	$52,321.19	$46,322.42	nat. median $66,849 0.7× median
955 OTHER	Craniotomy For Multiple Significant Trauma	3	$23,454.86	$47,522.48	$46,127.17	nat. median $62,467 0.7× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$30,811.37	$48,210.78	$44,790.78	nat. median $60,727 0.7× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	3	$17,510.59	$52,409.81	$43,679.62	nat. median $46,003 0.9× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	3	$30,361.09	$46,784.60	$42,925.44	nat. median $50,271 0.9× median
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	$17,670.24	$46,014.32	$42,589.62	nat. median $52,731 0.8× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	3	$19,633.92	$45,444.76	$42,478.86	nat. median $42,432 1.0× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	3	$26,469.10	$44,539.66	$42,259.45	nat. median $56,120 0.8× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$23,023.59	$43,146.81	$41,897.53	nat. median $56,507 0.7× median
28 OTHER	Spinal Procedures With Mcc	3	$16,809.44	$45,641.68	$41,465.76	nat. median $52,701 0.8× median
904 OTHER	Skin Grafts For Injuries With Cc/mcc	6	$12,041.16	$57,562.14	$41,310.40	nat. median $29,273 1.4× median
23 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	$24,383.20	$42,935.49	$40,435.03	nat. median $56,822 0.7× median
576 OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	3	$26,750.08	$43,043.80	$39,853.70	nat. median $43,664 0.9× median
8 OTHER	Simultaneous Pancreas And Kidney Transplant	3	$24,923.53	$39,852.12	$39,445.21	nat. median $57,589 0.7× median
653 OTHER	Major Bladder Procedures With Mcc	3	$19,340.66	$41,002.61	$39,202.52	nat. median $54,646 0.7× median
405 OTHER	Pancreas, Liver And Shunt Procedures With Mcc	3	$13,703.10	$41,696.38	$39,098.10	nat. median $49,246 0.8× median
834 OTHER	Acute Leukemia With Mcc	3	$28,548.28	$42,406.83	$39,014.15	nat. median $47,300 0.8× median
220 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	$23,535.56	$39,722.60	$38,344.63	nat. median $50,021 0.8× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	3	$21,029.49	$45,797.71	$37,515.67	nat. median $45,878 0.8× median
466 OTHER	Revision Of Hip Or Knee Replacement With Mcc	3	$26,519.39	$39,283.31	$37,004.18	nat. median $45,566 0.8× median
799 OTHER	Splenic Procedures With Mcc	3	$12,084.44	$37,526.14	$36,740.32	nat. median $43,209 0.9× median
11 OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	3	$22,536.47	$39,053.82	$36,440.49	nat. median $49,519 0.7× median
267 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	3	$22,389.10	$36,962.63	$36,408.03	nat. median $45,097 0.8× median
277 OTHER	Cardiac Defibrillator Implant Without Mcc	1	$36,221.90	$36,221.90	$36,221.90	nat. median $44,716 0.8× median
326 OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	3	$15,538.43	$38,468.35	$36,113.13	nat. median $45,545 0.8× median
270 OTHER	Other Major Cardiovascular Procedures With Mcc	3	$29,336.56	$38,300.96	$36,069.39	nat. median $101 outlier · 355.6×

Other procedures at this hospital

Browse this hospital's 4,834 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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$109,145.89	$279,046.61	$255,004.39	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	3	—	—	$109,903.47	$205,244.80	$198,570.74	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	3	—	—	$89,188.29	$161,479.95	$142,772.74	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	3	3	—	—	$76,849.19	$199,640.79	$133,919.42	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	3	—	—	$56,756.21	$111,337.80	$96,877.14	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	3	—	—	$57,317.60	$95,052.72	$92,736.81	2026-05-08
7	OTHER	Lung Transplant	3	3	—	—	$46,554.47	$92,905.71	$86,122.50	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$57,823.73	$86,804.86	$78,966.62	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	3	—	—	$50,753.76	$80,476.39	$78,390.90	2026-05-08
215	OTHER	Other Heart Assist System Implant	3	3	—	—	$37,545.38	$77,366.90	$72,689.08	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	3	—	—	$42,272.14	$73,507.94	$68,729.10	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	3	—	—	$47,550.05	$65,634.78	$64,018.48	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	3	—	—	$22,239.69	$63,844.28	$59,609.11	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	3	—	—	$32,229.16	$58,404.63	$57,345.16	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	1	—	—	$53,289.15	$53,289.15	$53,289.15	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	3	—	—	$25,469.42	$54,778.96	$52,281.08	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	3	3	—	—	$37,137.20	$52,053.07	$51,131.82	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	3	—	—	$27,724.32	$60,542.77	$50,334.60	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	3	3	—	—	$18,121.39	$51,917.50	$48,826.24	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	3	3	—	—	$24,412.43	$52,752.15	$47,909.80	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	6	6	—	—	$25,605.97	$56,178.12	$47,773.51	2026-05-08
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	1	1	—	—	$47,036.05	$47,036.05	$47,036.05	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	3	3	—	—	$33,802.51	$47,307.96	$46,567.94	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	3	3	—	—	$34,828.21	$47,897.81	$46,514.96	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	3	3	—	—	$31,206.39	$52,321.19	$46,322.42	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	3	3	—	—	$23,454.86	$47,522.48	$46,127.17	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	3	—	—	$30,811.37	$48,210.78	$44,790.78	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	3	3	—	—	$17,510.59	$52,409.81	$43,679.62	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	3	3	—	—	$30,361.09	$46,784.60	$42,925.44	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	3	—	—	$17,670.24	$46,014.32	$42,589.62	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	3	3	—	—	$19,633.92	$45,444.76	$42,478.86	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	3	3	—	—	$26,469.10	$44,539.66	$42,259.45	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	3	—	—	$23,023.59	$43,146.81	$41,897.53	2026-05-08
28	OTHER	Spinal Procedures With Mcc	3	3	—	—	$16,809.44	$45,641.68	$41,465.76	2026-05-08
904	OTHER	Skin Grafts For Injuries With Cc/mcc	6	6	—	—	$12,041.16	$57,562.14	$41,310.40	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	3	—	—	$24,383.20	$42,935.49	$40,435.03	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	3	3	—	—	$26,750.08	$43,043.80	$39,853.70	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	3	3	—	—	$24,923.53	$39,852.12	$39,445.21	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	3	3	—	—	$19,340.66	$41,002.61	$39,202.52	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	3	3	—	—	$13,703.10	$41,696.38	$39,098.10	2026-05-08
834	OTHER	Acute Leukemia With Mcc	3	3	—	—	$28,548.28	$42,406.83	$39,014.15	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	3	—	—	$23,535.56	$39,722.60	$38,344.63	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	3	3	—	—	$21,029.49	$45,797.71	$37,515.67	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	3	3	—	—	$26,519.39	$39,283.31	$37,004.18	2026-05-08
799	OTHER	Splenic Procedures With Mcc	3	3	—	—	$12,084.44	$37,526.14	$36,740.32	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	3	3	—	—	$22,536.47	$39,053.82	$36,440.49	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	3	3	—	—	$22,389.10	$36,962.63	$36,408.03	2026-05-08
277	OTHER	Cardiac Defibrillator Implant Without Mcc	1	1	—	—	$36,221.90	$36,221.90	$36,221.90	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	3	3	—	—	$15,538.43	$38,468.35	$36,113.13	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	3	3	—	—	$29,336.56	$38,300.96	$36,069.39	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	3	3	—	—	$9,043.88	$37,971.42	$36,026.49	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	6	6	—	—	$8,509.69	$46,691.12	$35,713.90	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	3	3	—	—	$26,233.14	$38,163.11	$34,769.16	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	3	3	—	—	$19,590.94	$37,864.70	$34,576.56	2026-05-08
245	OTHER	Aicd Generator Procedures	3	3	—	—	$14,722.66	$34,400.18	$34,320.82	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	3	3	—	—	$23,485.85	$35,700.81	$34,172.30	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	3	3	—	—	$32,762.71	$40,743.24	$34,064.07	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	3	—	—	$13,937.01	$34,317.79	$33,956.42	2026-05-08
6	OTHER	Liver Transplant Without Mcc	3	3	—	—	$24,114.20	$36,634.68	$33,929.61	2026-05-08
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	1	1	—	—	$33,783.07	$33,783.07	$33,783.07	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	3	3	—	—	$13,673.28	$36,276.10	$33,240.77	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	3	3	—	—	$19,745.91	$36,406.70	$32,806.46	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	3	3	—	—	$13,641.70	$34,210.24	$32,617.38	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	6	6	—	—	$28,585.41	$59,074.17	$32,553.07	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	3	3	—	—	$23,962.16	$33,446.78	$32,033.23	2026-05-08
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	1	1	—	—	$31,356.36	$31,356.36	$31,356.36	2026-05-08
244	OTHER	Permanent Cardiac Pacemaker Implant Without Cc/mcc	6	6	—	—	$9,938.30	$48,638.35	$31,247.49	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	3	3	—	—	$15,950.40	$33,540.70	$31,131.60	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	3	3	—	—	$30,383.06	$33,037.03	$31,111.07	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	3	3	—	—	$25,718.54	$46,784.60	$30,831.06	2026-05-08
204	OTHER	Respiratory Signs And Symptoms	6	6	—	—	$2,408.70	$54,942.31	$30,587.47	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	3	3	—	—	$7,456.50	$31,497.24	$30,169.30	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	3	3	—	—	$2,424.78	$31,881.24	$29,800.32	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	3	3	—	—	$17,284.58	$32,406.87	$29,789.74	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	3	3	—	—	$28,311.72	$35,536.08	$29,515.88	2026-05-08
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	3	3	—	—	$12,299.93	$30,090.99	$29,441.65	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	3	3	—	—	$19,047.39	$30,635.32	$29,422.88	2026-05-08
10	OTHER	Pancreas Transplant	3	3	—	—	$18,866.69	$36,458.21	$29,255.67	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	3	3	—	—	$12,978.86	$31,179.13	$29,073.66	2026-05-08
894	OTHER	Alcohol, Drug Abuse Or Dependence, Left Ama	6	6	—	—	$1,329.79	$53,670.51	$29,010.89	2026-05-08
791	OTHER	Prematurity With Major Problems	3	3	—	—	$9,646.50	$31,035.98	$29,010.87	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	3	3	—	—	$22,959.26	$30,608.05	$28,773.11	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	3	3	—	—	$7,313.53	$29,322.70	$28,615.33	2026-05-08
914	OTHER	Traumatic Injury Without Mcc	6	6	—	—	$2,401.10	$49,934.15	$28,404.54	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	3	3	—	—	$21,691.46	$29,549.20	$28,215.77	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	3	—	—	$22,230.92	$28,696.37	$27,858.78	2026-05-08
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	3	3	—	—	$26,332.53	$30,749.22	$27,716.14	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	3	3	—	—	$12,715.41	$30,333.11	$27,581.52	2026-05-08
332	OTHER	Rectal Resection With Mcc	3	3	—	—	$12,946.98	$28,645.42	$27,475.44	2026-05-08
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	3	3	—	—	$9,537.44	$27,545.88	$27,431.25	2026-05-08
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	3	3	—	—	$6,568.23	$27,530.73	$27,389.86	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	3	3	—	—	$13,579.42	$28,171.49	$27,272.51	2026-05-08
974	OTHER	HIV With Major Related Condition With Mcc	6	6	—	—	$8,568.46	$32,246.06	$27,167.82	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	3	3	—	—	$23,515.68	$29,373.49	$26,838.63	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	3	3	—	—	$18,949.44	$29,163.69	$26,727.16	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	3	3	—	—	$15,266.80	$29,975.62	$26,558.55	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	3	3	—	—	$9,234.81	$27,658.73	$26,298.92	2026-05-08
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	3	3	—	—	$13,808.36	$27,124.01	$26,205.09	2026-05-08
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	3	3	—	—	$25,018.44	$31,159.60	$26,193.92	2026-05-08
335	OTHER	Peritoneal Adhesiolysis With Mcc	3	3	—	—	$13,397.26	$27,077.05	$25,989.21	2026-05-08
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	3	3	—	—	$13,958.94	$28,191.94	$25,888.32	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	3	3	—	—	$10,211.69	$30,733.78	$25,862.22	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	3	3	—	—	$12,727.11	$30,405.82	$25,714.06	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	3	3	—	—	$18,121.98	$26,405.24	$25,580.72	2026-05-08
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	3	3	—	—	$13,053.71	$28,975.09	$25,546.86	2026-05-08
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	3	3	—	—	$13,953.97	$27,438.33	$25,211.04	2026-05-08
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	6	6	—	—	$11,557.26	$25,795.53	$25,054.24	2026-05-08
504	OTHER	Foot Procedures With Cc	6	6	—	—	$4,186.13	$36,693.84	$24,887.45	2026-05-08
494	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	6	6	—	—	$4,339.35	$35,371.23	$24,764.28	2026-05-08
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	3	3	—	—	$10,145.02	$25,109.32	$24,682.62	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	3	3	—	—	$8,707.34	$28,008.65	$24,650.17	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	3	3	—	—	$12,909.85	$26,177.26	$24,578.21	2026-05-08
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	3	3	—	—	$23,701.27	$25,410.65	$24,545.82	2026-05-08
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	1	1	—	—	$24,241.34	$24,241.34	$24,241.34	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	3	3	—	—	$16,336.65	$25,965.19	$24,111.17	2026-05-08
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	3	3	—	—	$10,799.97	$25,516.81	$24,006.75	2026-05-08
265	OTHER	Aicd Lead Procedures	3	3	—	—	$11,029.79	$26,767.27	$23,860.72	2026-05-08
37	OTHER	Extracranial Procedures With Mcc	3	3	—	—	$9,712.87	$25,566.79	$23,796.52	2026-05-08
252	OTHER	Other Vascular Procedures With Mcc	3	3	—	—	$11,247.33	$25,401.68	$23,586.98	2026-05-08
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	3	3	—	—	$8,864.36	$25,575.13	$23,411.31	2026-05-08
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	3	3	—	—	$13,625.91	$23,764.18	$23,318.89	2026-05-08
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	1	1	—	—	$23,290.05	$23,290.05	$23,290.05	2026-05-08
229	OTHER	Other Cardiothoracic Procedures Without Mcc	3	3	—	—	$16,220.28	$24,082.29	$23,287.85	2026-05-08
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	3	3	—	—	$12,908.68	$24,242.86	$23,007.77	2026-05-08
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	3	3	—	—	$13,194.93	$24,948.76	$22,935.81	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	3	3	—	—	$17,558.84	$25,219.91	$22,797.53	2026-05-08
652	OTHER	Kidney Transplant	3	3	—	—	$21,765.38	$39,140.07	$22,755.33	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	6	6	—	—	$15,945.53	$45,054.70	$22,687.24	2026-05-08
500	OTHER	Soft Tissue Procedures With Mcc	3	3	—	—	$7,026.98	$24,560.97	$22,607.75	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	3	3	—	—	$7,674.63	$28,262.38	$22,549.90	2026-05-08
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	1	1	—	—	$22,484.18	$22,484.18	$22,484.18	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	3	3	—	—	$5,678.19	$25,188.09	$22,382.69	2026-05-08
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	3	3	—	—	$7,371.13	$23,886.88	$22,326.96	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	3	3	—	—	$7,831.35	$25,313.82	$22,235.24	2026-05-08
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	3	3	—	—	$13,850.76	$23,945.20	$21,996.08	2026-05-08
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	3	3	—	—	$11,458.72	$23,670.26	$21,919.89	2026-05-08
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	3	3	—	—	$8,365.54	$24,352.68	$21,850.04	2026-05-08
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	3	3	—	—	$18,210.93	$28,362.03	$21,788.66	2026-05-08
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	1	1	—	—	$21,772.98	$21,772.98	$21,772.98	2026-05-08
665	OTHER	Prostatectomy With Mcc	3	3	—	—	$5,700.71	$23,396.84	$21,590.42	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	6	6	—	—	$8,369.06	$61,464.52	$21,541.04	2026-05-08
662	OTHER	Minor Bladder Procedures With Mcc	3	3	—	—	$8,653.54	$22,697.01	$21,438.03	2026-05-08
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	3	3	—	—	$17,541.29	$22,366.78	$21,330.79	2026-05-08
913	OTHER	Traumatic Injury With Mcc	6	6	—	—	$3,223.88	$30,678.54	$20,998.94	2026-05-08
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	3	3	—	—	$12,171.86	$22,334.97	$20,925.13	2026-05-08
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	6	6	—	—	$8,201.51	$24,817.80	$20,864.89	2026-05-08
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	3	3	—	—	$10,776.29	$24,354.20	$20,733.23	2026-05-08
564	OTHER	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	6	6	—	—	$4,505.71	$29,626.94	$20,728.39	2026-05-08
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	3	3	—	—	$13,978.53	$21,228.41	$20,689.49	2026-05-08
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	3	3	—	—	$9,948.54	$21,869.17	$20,669.03	2026-05-08
570	OTHER	Skin Debridement With Mcc	3	3	—	—	$11,094.12	$22,132.74	$20,580.14	2026-05-08
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	6	6	—	—	$9,492.41	$24,387.99	$20,425.42	2026-05-08
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	3	3	—	—	$5,927.60	$20,605.82	$20,375.55	2026-05-08
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	6	6	—	—	$4,792.26	$24,836.86	$20,342.73	2026-05-08
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	3	3	—	—	$5,486.09	$22,125.17	$20,298.65	2026-05-08
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	6	6	—	—	$11,064.00	$23,297.57	$20,274.06	2026-05-08
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	3	3	—	—	$7,780.47	$22,148.65	$20,232.33	2026-05-08
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	4	4	—	—	$20,194.28	$81,577.28	$20,194.28	2026-05-08
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	3	3	—	—	$9,771.35	$20,514.94	$20,115.92	2026-05-08
654	OTHER	Major Bladder Procedures With Cc	3	3	—	—	$11,137.10	$20,733.83	$20,053.84	2026-05-08
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	1	1	—	—	$20,027.93	$20,027.93	$20,027.93	2026-05-08
263	OTHER	Vein Ligation And Stripping	6	6	—	—	$3,625.33	$21,398.06	$20,012.90	2026-05-08
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	3	3	—	—	$9,505.57	$20,341.49	$19,953.66	2026-05-08
668	OTHER	Transurethral Procedures With Mcc	3	3	—	—	$5,446.33	$21,343.53	$19,915.56	2026-05-08
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	3	3	—	—	$14,294.31	$20,219.55	$19,678.51	2026-05-08
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	6	6	—	—	$11,381.24	$22,504.98	$19,607.72	2026-05-08
619	OTHER	O.r. Procedures For Obesity With Mcc	3	3	—	—	$12,481.50	$20,400.94	$19,605.30	2026-05-08
963	OTHER	Other Multiple Significant Trauma With Mcc	3	3	—	—	$12,929.73	$20,709.59	$19,564.93	2026-05-08
903	OTHER	Wound Debridements For Injuries Without Cc/mcc	6	6	—	—	$3,464.52	$28,901.40	$19,152.26	2026-05-08
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	3	3	—	—	$9,963.45	$21,276.88	$19,148.68	2026-05-08
288	OTHER	Acute And Subacute Endocarditis With Mcc	3	3	—	—	$11,932.69	$19,639.38	$19,023.81	2026-05-08
253	OTHER	Other Vascular Procedures With Cc	3	3	—	—	$8,931.02	$19,322.03	$18,865.07	2026-05-08
800	OTHER	Splenic Procedures With Cc	3	3	—	—	$9,087.16	$21,341.26	$18,755.72	2026-05-08
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	6	6	—	—	$5,103.07	$19,267.60	$18,729.04	2026-05-08
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	3	3	—	—	$9,155.87	$20,755.79	$18,572.29	2026-05-08
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	3	3	—	—	$11,840.00	$20,064.28	$18,474.93	2026-05-08
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	3	3	—	—	$13,335.57	$20,478.58	$18,343.71	2026-05-08
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	3	3	—	—	$9,217.56	$18,476.77	$18,317.60	2026-05-08
164	OTHER	Major Chest Procedures With Cc	3	3	—	—	$12,440.27	$19,316.73	$18,220.95	2026-05-08
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	3	3	—	—	$10,408.17	$19,608.33	$18,180.03	2026-05-08
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	3	3	—	—	$14,563.02	$19,180.40	$18,122.18	2026-05-08
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	3	3	—	—	$11,194.11	$20,808.81	$18,100.31	2026-05-08
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	3	3	—	—	$3,689.36	$19,775.71	$18,082.67	2026-05-08
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	3	3	—	—	$12,684.13	$18,915.31	$18,069.97	2026-05-08
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	6	6	—	—	$11,404.34	$22,732.60	$18,048.73	2026-05-08
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	3	3	—	—	$10,679.80	$18,057.93	$18,038.22	2026-05-08
347	OTHER	Anal And Stomal Procedures With Mcc	3	3	—	—	$7,962.63	$19,306.88	$17,907.00	2026-05-08
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	3	3	—	—	$7,242.77	$19,065.27	$17,822.34	2026-05-08
545	OTHER	Connective Tissue Disorders With Mcc	3	3	—	—	$7,956.20	$18,883.50	$17,698.17	2026-05-08
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	3	3	—	—	$14,877.04	$18,426.78	$17,605.05	2026-05-08
792	OTHER	Prematurity Without Major Problems	3	3	—	—	$2,110.46	$18,726.72	$17,504.87	2026-05-08
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	3	3	—	—	$16,859.72	$23,021.83	$17,435.73	2026-05-08
330	OTHER	Major Small And Large Bowel Procedures With Cc	3	3	—	—	$11,430.07	$17,966.29	$17,322.85	2026-05-08
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	3	3	—	—	$3,090.55	$20,087.01	$17,289.69	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	6	6	—	—	$9,551.47	$26,699.86	$17,261.80	2026-05-08
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	3	3	—	—	$9,871.64	$17,550.47	$17,176.81	2026-05-08
514	OTHER	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc	6	6	—	—	$3,354.29	$26,453.08	$17,170.70	2026-05-08
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	3	3	—	—	$3,879.71	$22,080.74	$17,079.37	2026-05-08
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	3	3	—	—	$10,056.13	$17,804.96	$17,070.98	2026-05-08
397	OTHER	Appendix Procedures With Mcc	1	1	—	—	$17,015.75	$17,015.75	$17,015.75	2026-05-08
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	3	3	—	—	$5,967.07	$18,510.86	$16,995.50	2026-05-08
203	OTHER	Bronchitis And Asthma Without Cc/mcc	6	6	—	—	$2,547.88	$28,714.37	$16,988.77	2026-05-08
584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	6	6	—	—	$4,372.68	$18,887.90	$16,977.99	2026-05-08
835	OTHER	Acute Leukemia With Cc	3	3	—	—	$14,795.04	$19,900.58	$16,931.68	2026-05-08
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	3	3	—	—	$6,403.03	$17,555.02	$16,774.67	2026-05-08
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	3	3	—	—	$6,733.43	$18,042.78	$16,723.88	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	6	6	—	—	$8,295.66	$42,896.86	$16,664.85	2026-05-08
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	3	3	—	—	$3,347.85	$18,177.60	$16,628.64	2026-05-08
554	OTHER	Bone Diseases And Arthropathies Without Mcc	6	6	—	—	$4,887.87	$26,975.35	$16,599.83	2026-05-08
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	3	3	—	—	$8,252.68	$17,059.68	$16,578.54	2026-05-08
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	3	3	—	—	$7,831.93	$18,054.14	$16,571.49	2026-05-08
30	OTHER	Spinal Procedures Without Cc/mcc	3	3	—	—	$9,940.06	$17,564.11	$16,517.17	2026-05-08
849	OTHER	Radiotherapy	3	3	—	—	$3,936.73	$20,384.66	$16,500.94	2026-05-08
41	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	3	3	—	—	$8,279.29	$16,895.32	$16,495.30	2026-05-08
85	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	3	3	—	—	$6,496.01	$17,214.19	$16,478.36	2026-05-08
444	OTHER	Disorders Of The Biliary Tract With Mcc	6	6	—	—	$3,547.85	$20,220.40	$16,295.13	2026-05-08
902	OTHER	Wound Debridements For Injuries With Cc	6	6	—	—	$6,297.77	$18,192.00	$16,233.36	2026-05-08
434	OTHER	Cirrhosis And Alcoholic Hepatitis Without Cc/mcc	6	6	—	—	$2,285.90	$27,321.18	$16,195.99	2026-05-08
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	3	3	—	—	$8,036.31	$16,509.05	$16,115.74	2026-05-08
35	OTHER	Carotid Artery Stent Procedures With Cc	3	3	—	—	$9,793.28	$17,416.41	$16,112.21	2026-05-08
709	OTHER	Penis Procedures With Cc/mcc	3	3	—	—	$4,858.34	$17,016.66	$16,056.88	2026-05-08
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	3	3	—	—	$13,152.83	$17,255.84	$15,981.69	2026-05-08
488	OTHER	Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc	3	3	—	—	$6,248.35	$16,009.21	$15,955.39	2026-05-08
357	OTHER	Other Digestive System O.r. Procedures With Cc	3	3	—	—	$10,098.82	$16,638.56	$15,846.94	2026-05-08
113	OTHER	Orbital Procedures With Cc/mcc	3	3	—	—	$3,860.12	$18,990.29	$15,840.59	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	6	6	—	—	$9,918.93	$47,095.89	$15,836.92	2026-05-08
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	3	3	—	—	$7,367.03	$17,138.45	$15,830.01	2026-05-08
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	3	3	—	—	$8,706.76	$16,719.61	$15,755.23	2026-05-08
333	OTHER	Rectal Resection With Cc	3	3	—	—	$9,585.68	$15,754.52	$15,750.13	2026-05-08
56	OTHER	Degenerative Nervous System Disorders With Mcc	3	3	—	—	$4,220.05	$18,132.16	$15,738.29	2026-05-08
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	3	3	—	—	$8,927.22	$16,291.67	$15,702.31	2026-05-08
141	OTHER	Major Head And Neck Procedures With Cc	3	3	—	—	$4,739.33	$15,750.99	$15,691.06	2026-05-08
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	3	3	—	—	$7,270.25	$16,243.96	$15,670.57	2026-05-08
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	3	3	—	—	$6,605.65	$16,409.83	$15,544.28	2026-05-08
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	6	6	—	—	$13,330.31	$22,964.37	$15,454.31	2026-05-08
655	OTHER	Major Bladder Procedures Without Cc/mcc	3	3	—	—	$8,107.36	$15,964.48	$15,229.63	2026-05-08
595	OTHER	Major Skin Disorders With Mcc	3	3	—	—	$11,266.33	$16,473.45	$15,107.58	2026-05-08
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	3	3	—	—	$6,741.03	$16,587.82	$15,104.76	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	6	6	—	—	$14,695.18	$32,589.41	$15,071.08	2026-05-08
336	OTHER	Peritoneal Adhesiolysis With Cc	3	3	—	—	$9,939.76	$15,945.54	$15,005.99	2026-05-08
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	3	3	—	—	$5,961.23	$16,326.51	$14,963.66	2026-05-08
804	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc	6	6	—	—	$6,017.66	$20,709.50	$14,938.53	2026-05-08
867	OTHER	Other Infectious And Parasitic Diseases Diagnoses With Mcc	3	3	—	—	$6,556.53	$15,847.08	$14,910.04	2026-05-08
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	3	3	—	—	$5,994.27	$16,175.79	$14,879.00	2026-05-08
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	3	3	—	—	$10,586.82	$15,037.03	$14,824.59	2026-05-08
496	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	3	3	—	—	$6,708.28	$15,053.33	$14,813.38	2026-05-08
838	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…	3	3	—	—	$6,076.14	$15,691.03	$14,787.48	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	6	6	—	—	$5,349.05	$51,643.32	$14,745.81	2026-05-08
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	3	3	—	—	$7,886.02	$15,210.86	$14,716.73	2026-05-08
98	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	3	3	—	—	$6,997.75	$16,318.18	$14,704.03	2026-05-08
314	OTHER	Other Circulatory System Diagnoses With Mcc	3	3	—	—	$6,372.62	$15,856.17	$14,692.74	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	6	6	—	—	$7,324.64	$26,221.95	$14,572.10	2026-05-08
908	OTHER	Other O.r. Procedures For Injuries With Cc	3	3	—	—	$5,990.76	$15,179.05	$14,508.61	2026-05-08
854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	3	3	—	—	$10,376.59	$15,437.33	$14,502.26	2026-05-08
32	OTHER	Ventricular Shunt Procedures With Cc	3	3	—	—	$8,813.77	$16,312.88	$14,494.50	2026-05-08
575	OTHER	Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc	3	3	—	—	$8,309.99	$15,496.40	$14,459.93	2026-05-08
711	OTHER	Testes Procedures With Cc/mcc	3	3	—	—	$4,517.99	$16,078.84	$14,416.19	2026-05-08
80	OTHER	Nontraumatic Stupor And Coma With Mcc	3	3	—	—	$4,768.28	$16,728.69	$14,390.79	2026-05-08
503	OTHER	Foot Procedures With Mcc	6	6	—	—	$6,385.19	$20,312.71	$14,380.12	2026-05-08
516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	3	3	—	—	$7,478.73	$15,457.02	$14,348.46	2026-05-08
935	OTHER	Non-extensive Burns	3	3	—	—	$2,124.21	$15,459.29	$14,280.03	2026-05-08
737	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	3	3	—	—	$8,835.12	$14,949.56	$14,275.79	2026-05-08
553	OTHER	Bone Diseases And Arthropathies With Mcc	6	6	—	—	$9,354.22	$16,149.50	$14,222.96	2026-05-08
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	3	3	—	—	$8,668.46	$15,988.71	$14,210.18	2026-05-08
415	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Cc	3	3	—	—	$7,053.30	$14,964.71	$14,110.00	2026-05-08
519	OTHER	Back And Neck Procedures Except Spinal Fusion With Cc	3	3	—	—	$5,603.93	$14,910.18	$14,105.06	2026-05-08
539	OTHER	Osteomyelitis With Mcc	3	3	—	—	$7,671.12	$15,029.85	$14,081.07	2026-05-08
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	3	3	—	—	$7,875.21	$14,859.43	$14,076.84	2026-05-08
259	OTHER	Cardiac Pacemaker Device Replacement Without Mcc	3	3	—	—	$8,340.10	$14,137.63	$14,068.38	2026-05-08
374	OTHER	Digestive Malignancy With Mcc	3	3	—	—	$7,877.25	$15,897.83	$14,062.73	2026-05-08
465	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	3	3	—	—	$6,446.59	$14,169.44	$14,058.50	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	6	6	—	—	$5,413.28	$32,778.76	$13,948.56	2026-05-08
64	OTHER	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	3	3	—	—	$7,566.15	$15,170.72	$13,912.46	2026-05-08
322	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc	1	1	—	—	$13,810.43	$13,810.43	$13,810.43	2026-05-08
871	OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	3	3	—	—	$7,176.40	$15,016.21	$13,808.05	2026-05-08
923	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc	6	6	—	—	$2,590.57	$19,916.91	$13,788.62	2026-05-08
617	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	3	3	—	—	$7,612.35	$15,030.60	$13,714.92	2026-05-08
548	OTHER	Septic Arthritis With Mcc	3	3	—	—	$9,421.36	$14,767.79	$13,685.99	2026-05-08
843	OTHER	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	3	3	—	—	$10,396.77	$14,092.18	$13,668.36	2026-05-08
165	OTHER	Major Chest Procedures Without Cc/mcc	3	3	—	—	$9,185.99	$14,211.85	$13,594.28	2026-05-08
100	OTHER	Seizures With Mcc	3	3	—	—	$2,782.67	$15,015.46	$13,552.66	2026-05-08
283	OTHER	Acute Myocardial Infarction, Expired With Mcc	3	3	—	—	$9,226.33	$14,931.38	$13,535.72	2026-05-08
62	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	3	3	—	—	$10,055.55	$14,176.26	$13,525.85	2026-05-08
470	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	3	3	—	—	$11,852.87	$14,252.00	$13,488.45	2026-05-08
380	OTHER	Complicated Peptic Ulcer With Mcc	3	3	—	—	$6,196.31	$14,757.94	$13,433.43	2026-05-08
783	OTHER	Cesarean Section With Sterilization With Mcc	3	3	—	—	$4,897.81	$13,614.03	$13,419.61	2026-05-08
167	OTHER	Other Respiratory System O.r. Procedures With Cc	3	3	—	—	$6,976.40	$13,783.17	$13,412.26	2026-05-08
744	OTHER	D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc	3	3	—	—	$3,814.21	$14,257.30	$13,392.51	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	6	—	—	$8,726.18	$35,208.50	$13,388.26	2026-05-08
941	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…	3	3	—	—	$3,597.85	$14,057.34	$13,315.61	2026-05-08
116	OTHER	Intraocular Procedures With Cc/mcc	3	3	—	—	$4,207.48	$13,866.48	$13,309.26	2026-05-08
623	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	3	3	—	—	$6,894.53	$14,098.24	$13,295.85	2026-05-08
36	OTHER	Carotid Artery Stent Procedures Without Cc/mcc	3	3	—	—	$6,475.54	$13,695.31	$13,268.34	2026-05-08
814	OTHER	Reticuloendothelial And Immunity Disorders With Mcc	3	3	—	—	$6,131.98	$16,118.23	$13,257.05	2026-05-08
657	OTHER	Kidney And Ureter Procedures For Neoplasm With Cc	3	3	—	—	$8,326.65	$13,967.97	$13,249.29	2026-05-08
507	OTHER	Major Shoulder Or Elbow Joint Procedures With Cc/mcc	3	3	—	—	$5,320.02	$16,145.50	$13,085.61	2026-05-08
42	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc	3	3	—	—	$6,699.22	$13,177.25	$13,049.63	2026-05-08
983	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	6	6	—	—	$4,280.57	$13,701.17	$13,043.08	2026-05-08
671	OTHER	Urethral Procedures With Cc/mcc	3	3	—	—	$3,037.63	$12,965.93	$12,921.23	2026-05-08
862	OTHER	Postoperative And Post-traumatic Infections With Mcc	3	3	—	—	$5,780.53	$13,951.31	$12,904.30	2026-05-08

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