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

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Hospital

Vibra Hospital Of Denver

Thornton, CO · CCN 062014 · Rates published

5,620 distinct procedures filed
60 distinct payers
273,352 rate rows
2026-07-31 last MRF observed
Data quality

264,033 of 273,352 rate rows are consumer-grade (96.6%)

9,319 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 9,164
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 98
placeholder amount (≤ $0.02) — excluded from medians 33
percent-of-charges filed in the dollar field — excluded from medians 15
per-diem day rate — not a per-procedure price 8
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://vhdenver.com/wp-content/uploads/sites/27/2026/03/030501948_vibra-hospital-of-denver_standardcharges.csv
Found on page https://vhdenver.com/about-us/price-transparency/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint 60a74fef210e169a… · 12,996,594 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $169,421.95 $169,421.95 $169,421.95 nat. median
$206,020
0.8× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $139,348.20 $139,348.20 $139,348.20 nat. median
$141,447
1.0× median
165
OTHER 		Major Chest Procedures Without Cc/mcc 22 $115,003.01 $115,003.01 $115,003.01 nat. median
$18,295
outlier · 6.3×
164
OTHER 		Major Chest Procedures With Cc 22 $115,003.01 $115,003.01 $115,003.01 nat. median
$19,550
outlier · 5.9×
163
OTHER 		Major Chest Procedures With Mcc 22 $115,003.01 $115,003.01 $115,003.01 nat. median
$47,193
outlier · 2.4×
140
OTHER 		Major Head And Neck Procedures With Mcc 22 $113,533.27 $113,533.27 $113,533.27 nat. median
$30,208
outlier · 3.8×
11
OTHER 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 $113,533.27 $113,533.27 $113,533.27 nat. median
$55,593
outlier · 2.0×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 23 $111,262.62 $114,236.30 $113,533.27 nat. median
$38,932
outlier · 2.9×
981
OTHER 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 $113,518.72 $113,518.72 $113,518.72 nat. median
$450
outlier · 252.5×
870
OTHER 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $100,509.40 $100,509.40 $100,509.40 nat. median
$4,272
outlier · 23.5×
68875010201
OTHER 		Gattex 31 $42.30 $252,971.68 $99,999.99 nat. median
$100,000
1.0× median
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 23 $72,790.46 $316,640.86 $94,324.88 nat. median
$64,908
1.5× median
173
OTHER 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 $76,508.60 $76,508.60 $76,508.60 nat. median
$24,561
outlier · 3.1×
12
OTHER 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 $76,508.60 $76,508.60 $76,508.60 nat. median
$44,119
1.7× median
168
OTHER 		Other Respiratory System O.r. Procedures Without Cc/mcc 22 $76,508.60 $76,508.60 $76,508.60 nat. median
$12,305
outlier · 6.2×
167
OTHER 		Other Respiratory System O.r. Procedures With Cc 22 $76,508.60 $76,508.60 $76,508.60 nat. median
$17,601
outlier · 4.3×
853
OTHER 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 $73,544.88 $73,544.88 $73,544.88 nat. median
$26,497
outlier · 2.8×
40
OTHER 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 $71,255.40 $71,255.40 $71,255.40 nat. median
$39,896
1.8× median
356
OTHER 		Other Digestive System O.r. Procedures With Mcc 23 $66,350.66 $67,704.75 $67,704.75 nat. median
$42,823
1.6× median
799
OTHER 		Splenic Procedures With Mcc 22 $67,704.75 $67,704.75 $67,704.75 nat. median
$37,953
1.8× median
573
OTHER 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 $67,447.67 $67,447.67 $67,447.67 nat. median
$50,637
1.3× median
582
OTHER 		Mastectomy For Malignancy With Cc/mcc 22 $65,798.46 $65,798.46 $65,798.46 nat. median
$18,437
outlier · 3.6×
579
OTHER 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 $65,798.46 $65,798.46 $65,798.46 nat. median
$29,654
outlier · 2.2×
856
OTHER 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 $8,948.15 $65,366.76 $65,366.76 nat. median
$25,682
outlier · 2.5×
205
OTHER 		Other Respiratory System Diagnoses With Mcc 22 $63,610.84 $63,610.84 $63,610.84 nat. median
$15,953
outlier · 4.0×
619
OTHER 		O.r. Procedures For Obesity With Mcc 22 $63,426.52 $63,426.52 $63,426.52 nat. median
$25,482
outlier · 2.5×
622
OTHER 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 $63,426.52 $63,426.52 $63,426.52 nat. median
$35,323
1.8× median
551
OTHER 		Medical Back Problems With Mcc 22 $63,344.06 $63,344.06 $63,344.06 nat. median
$15,030
outlier · 4.2×
64
OTHER 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 22 $63,096.68 $63,096.68 $63,096.68 nat. median
$21,243
outlier · 3.0×
61
OTHER 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 $63,096.68 $63,096.68 $63,096.68 nat. median
$29,208
outlier · 2.2×
901
OTHER 		Wound Debridements For Injuries With Mcc 22 $62,238.12 $62,238.12 $62,238.12 nat. median
$8
outlier · 7721.9×
245
OTHER 		Aicd Generator Procedures 22 $61,631.79 $61,631.79 $61,631.79 nat. median
$45,113
1.4× median
263
OTHER 		Vein Ligation And Stripping 22 $61,631.79 $61,631.79 $61,631.79 nat. median
$24,673
outlier · 2.5×
264
OTHER 		Other Circulatory System O.r. Procedures 22 $61,631.79 $61,631.79 $61,631.79 nat. median
$31,414
2.0× median
254
OTHER 		Other Vascular Procedures Without Cc/mcc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$16,770
outlier · 3.7×
253
OTHER 		Other Vascular Procedures With Cc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$23,608
outlier · 2.6×
255
OTHER 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$16,771
outlier · 3.7×
251
OTHER 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$11,996
outlier · 5.1×
217
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$59,346
1.0× median
252
OTHER 		Other Vascular Procedures With Mcc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$24,294
outlier · 2.5×
256
OTHER 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$15,353
outlier · 4.0×
242
OTHER 		Permanent Cardiac Pacemaker Implant With Mcc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$31,706
1.9× median
25
OTHER 		Craniotomy And Endovascular Intracranial Procedures With Mcc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$47,752
1.3× median
240
OTHER 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$28,518
outlier · 2.1×
220
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$42,050
1.5× median
241
OTHER 		Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$13,599
outlier · 4.5×
257
OTHER 		Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$8,712
outlier · 7.0×
258
OTHER 		Cardiac Pacemaker Device Replacement With Mcc 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$186
outlier · 328.6×
24
OTHER 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$27,882
outlier · 2.2×
212
OTHER 		Concomitant Aortic And Mitral Valve Procedures 22 $61,229.19 $61,229.19 $61,229.19 nat. median
$80,994
0.8× median

Other procedures at this hospital

Browse this hospital's 5,620 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 22 $169,421.95 $169,421.95 $169,421.95 $169,421.95 $169,421.95 2026-05-09
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 22 $139,348.20 $139,348.20 $139,348.20 $139,348.20 $139,348.20 2026-05-09
163 OTHER Major Chest Procedures With Mcc 24 22 $115,003.01 $115,003.01 $115,003.01 $115,003.01 $115,003.01 2026-05-09
165 OTHER Major Chest Procedures Without Cc/mcc 24 22 $115,003.01 $115,003.01 $115,003.01 $115,003.01 $115,003.01 2026-05-09
164 OTHER Major Chest Procedures With Cc 24 22 $115,003.01 $115,003.01 $115,003.01 $115,003.01 $115,003.01 2026-05-09
166 OTHER Other Respiratory System O.r. Procedures With Mcc 35 23 $113,533.27 $113,533.27 $111,262.62 $114,236.30 $113,533.27 2026-05-09
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 22 $113,533.27 $113,533.27 $113,533.27 $113,533.27 $113,533.27 2026-05-09
140 OTHER Major Head And Neck Procedures With Mcc 24 22 $113,533.27 $113,533.27 $113,533.27 $113,533.27 $113,533.27 2026-05-09
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 22 $113,518.72 $113,518.72 $113,518.72 $113,518.72 $113,518.72 2026-05-09
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 24 22 $100,509.40 $100,509.40 $100,509.40 $100,509.40 $100,509.40 2026-05-09
68875010201 OTHER Gattex 50 31 $99,999.99 $99,999.99 $42.30 $252,971.68 $99,999.99 2026-05-09
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 39 23 $94,324.88 $94,324.88 $72,790.46 $316,640.86 $94,324.88 2026-05-09
167 OTHER Other Respiratory System O.r. Procedures With Cc 24 22 $76,508.60 $76,508.60 $76,508.60 $76,508.60 $76,508.60 2026-05-09
168 OTHER Other Respiratory System O.r. Procedures Without Cc/mcc 24 22 $76,508.60 $76,508.60 $76,508.60 $76,508.60 $76,508.60 2026-05-09
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 22 $76,508.60 $76,508.60 $76,508.60 $76,508.60 $76,508.60 2026-05-09
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 22 $76,508.60 $76,508.60 $76,508.60 $76,508.60 $76,508.60 2026-05-09
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 22 $73,544.88 $73,544.88 $73,544.88 $73,544.88 $73,544.88 2026-05-09
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 22 $71,255.40 $71,255.40 $71,255.40 $71,255.40 $71,255.40 2026-05-09
356 OTHER Other Digestive System O.r. Procedures With Mcc 34 23 $67,704.75 $67,704.75 $66,350.66 $67,704.75 $67,704.75 2026-05-09
799 OTHER Splenic Procedures With Mcc 24 22 $67,704.75 $67,704.75 $67,704.75 $67,704.75 $67,704.75 2026-05-09
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 22 $67,447.67 $67,447.67 $67,447.67 $67,447.67 $67,447.67 2026-05-09
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 22 $65,798.46 $65,798.46 $65,798.46 $65,798.46 $65,798.46 2026-05-09
582 OTHER Mastectomy For Malignancy With Cc/mcc 24 22 $65,798.46 $65,798.46 $65,798.46 $65,798.46 $65,798.46 2026-05-09
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 23 $65,366.76 $65,366.76 $8,948.15 $65,366.76 $65,366.76 2026-05-09
205 OTHER Other Respiratory System Diagnoses With Mcc 24 22 $63,610.84 $63,610.84 $63,610.84 $63,610.84 $63,610.84 2026-05-09
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 22 $63,426.52 $63,426.52 $63,426.52 $63,426.52 $63,426.52 2026-05-09
619 OTHER O.r. Procedures For Obesity With Mcc 24 22 $63,426.52 $63,426.52 $63,426.52 $63,426.52 $63,426.52 2026-05-09
551 OTHER Medical Back Problems With Mcc 24 22 $63,344.06 $63,344.06 $63,344.06 $63,344.06 $63,344.06 2026-05-09
61 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 22 $63,096.68 $63,096.68 $63,096.68 $63,096.68 $63,096.68 2026-05-09
64 OTHER Intracranial Hemorrhage Or Cerebral Infarction With Mcc 24 22 $63,096.68 $63,096.68 $63,096.68 $63,096.68 $63,096.68 2026-05-09
901 OTHER Wound Debridements For Injuries With Mcc 24 22 $62,238.12 $62,238.12 $62,238.12 $62,238.12 $62,238.12 2026-05-09
245 OTHER Aicd Generator Procedures 24 22 $61,631.79 $61,631.79 $61,631.79 $61,631.79 $61,631.79 2026-05-09
263 OTHER Vein Ligation And Stripping 24 22 $61,631.79 $61,631.79 $61,631.79 $61,631.79 $61,631.79 2026-05-09
264 OTHER Other Circulatory System O.r. Procedures 24 22 $61,631.79 $61,631.79 $61,631.79 $61,631.79 $61,631.79 2026-05-09
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
519 OTHER Back And Neck Procedures Except Spinal Fusion With Cc 40 26 $61,229.19 $61,229.19 $1,798.74 $61,229.19 $61,229.19 2026-07-31
37 OTHER Extracranial Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
493 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 33 23 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
917 OTHER Poisoning And Toxic Effects Of Drugs With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
27 OTHER Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
963 OTHER Other Multiple Significant Trauma With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 26 $61,229.19 $61,229.19 $42.30 $61,229.19 $61,229.19 2026-07-31
254 OTHER Other Vascular Procedures Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
42 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
821 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
843 OTHER Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
251 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
232 OTHER Coronary Bypass With Ptca Without Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
817 OTHER Other Antepartum Diagnoses With O.r. Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
498 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
693 OTHER Urinary Stones With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
744 OTHER D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
26 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
241 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
38 OTHER Extracranial Procedures With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
272 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 28 26 $61,229.19 $61,229.19 $90.73 $61,229.19 $61,229.19 2026-07-31
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
740 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
746 OTHER Vagina, Cervix And Vulva Procedures With Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
754 OTHER Malignancy, Female Reproductive System With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
73 OTHER Cranial And Peripheral Nerve Disorders With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
41 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
212 OTHER Concomitant Aortic And Mitral Valve Procedures 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
742 OTHER Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
271 OTHER Other Major Cardiovascular Procedures With Cc 40 26 $61,229.19 $61,229.19 $12.90 $61,229.19 $61,229.19 2026-07-31
39 OTHER Extracranial Procedures Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
344 OTHER Minor Small And Large Bowel Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
215 OTHER Other Heart Assist System Implant 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
35 OTHER Carotid Artery Stent Procedures With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
353 OTHER Hernia Procedures Except Inguinal And Femoral With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
202 OTHER Bronchitis And Asthma With Cc/mcc 36 26 $61,229.19 $61,229.19 $8,798.76 $61,229.19 $61,229.19 2026-07-31
747 OTHER Vagina, Cervix And Vulva Procedures Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
750 OTHER Other Female Reproductive System O.r. Procedures Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
741 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
755 OTHER Malignancy, Female Reproductive System With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
231 OTHER Coronary Bypass With Ptca With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
783 OTHER Cesarean Section With Sterilization With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
34 OTHER Carotid Artery Stent Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
229 OTHER Other Cardiothoracic Procedures Without Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
31 OTHER Ventricular Shunt Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
745 OTHER D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
787 OTHER Cesarean Section Without Sterilization With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
808 OTHER Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
33 OTHER Ventricular Shunt Procedures Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
329 OTHER Major Small And Large Bowel Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
385 OTHER Inflammatory Bowel Disease With Mcc 28 26 $61,229.19 $61,229.19 $815.40 $61,229.19 $61,229.19 2026-07-31
32 OTHER Ventricular Shunt Procedures With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
857 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
827 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
969 OTHER HIV With Extensive O.r. Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
738 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
253 OTHER Other Vascular Procedures With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
36 OTHER Carotid Artery Stent Procedures Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
499 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
257 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
252 OTHER Other Vascular Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
737 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
562 OTHER Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
735 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
784 OTHER Cesarean Section With Sterilization With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
749 OTHER Other Female Reproductive System O.r. Procedures With Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
743 OTHER Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
256 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
748 OTHER Female Reproductive System Reconstructive Procedures 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
850 OTHER Acute Leukemia With Other Procedures 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
824 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Cc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
918 OTHER Poisoning And Toxic Effects Of Drugs Without Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
228 OTHER Other Cardiothoracic Procedures With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 40 26 $61,229.19 $61,229.19 $408.98 $61,229.19 $61,229.19 2026-07-31
643 OTHER Endocrine Disorders With Mcc* 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
54 OTHER Nervous System Neoplasms With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
786 OTHER Cesarean Section Without Sterilization With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 24 22 $61,229.19 $61,229.19 $61,229.19 $61,229.19 $61,229.19 2026-05-09
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 23 $61,170.99 $61,170.99 $18,166.34 $62,333.04 $61,170.99 2026-05-09
828 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 22 $60,991.51 $60,991.51 $60,991.51 $60,991.51 $60,991.51 2026-05-09
908 OTHER Other O.r. Procedures For Injuries With Cc* 24 22 $60,991.51 $60,991.51 $60,991.51 $60,991.51 $60,991.51 2026-05-09
822 OTHER Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 24 22 $60,991.51 $60,991.51 $60,991.51 $60,991.51 $60,991.51 2026-05-09
907 OTHER Other O.r. Procedures For Injuries With Mcc* 24 22 $60,991.51 $60,991.51 $60,991.51 $60,991.51 $60,991.51 2026-05-09
955 OTHER Craniotomy For Multiple Significant Trauma 24 22 $60,991.51 $60,991.51 $60,991.51 $60,991.51 $60,991.51 2026-05-09
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 22 $60,991.51 $60,991.51 $60,991.51 $60,991.51 $60,991.51 2026-05-09
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 24 22 $60,991.51 $60,991.51 $60,991.51 $60,991.51 $60,991.51 2026-05-09
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 22 $60,991.51 $60,991.51 $60,991.51 $60,991.51 $60,991.51 2026-05-09
500 OTHER Soft Tissue Procedures With Mcc 24 22 $59,744.91 $59,744.91 $59,744.91 $59,744.91 $59,744.91 2026-05-09
29 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 24 22 $58,158.76 $58,158.76 $58,158.76 $58,158.76 $58,158.76 2026-05-09
28 OTHER Spinal Procedures With Mcc 24 22 $58,158.76 $58,158.76 $58,158.76 $58,158.76 $58,158.76 2026-05-09
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 22 $58,158.76 $58,158.76 $58,158.76 $58,158.76 $58,158.76 2026-05-09
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc* 24 22 $58,066.60 $58,066.60 $58,066.60 $58,066.60 $58,066.60 2026-05-09
665 OTHER Prostatectomy With Mcc 24 22 $58,066.60 $58,066.60 $58,066.60 $58,066.60 $58,066.60 2026-05-09
653 OTHER Major Bladder Procedures With Mcc 24 22 $58,066.60 $58,066.60 $58,066.60 $58,066.60 $58,066.60 2026-05-09
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 22 $57,499.08 $57,499.08 $57,499.08 $57,499.08 $57,499.08 2026-05-09
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 35 23 $57,275.95 $57,275.95 $19,962.53 $58,856.46 $57,275.95 2026-05-09
570 OTHER Skin Debridement With Mcc* 24 22 $57,106.18 $57,106.18 $57,106.18 $57,106.18 $57,106.18 2026-05-09
974 OTHER HIV With Major Related Condition With Mcc* 24 22 $55,277.50 $55,277.50 $55,277.50 $55,277.50 $55,277.50 2026-05-09
581 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 24 22 $54,074.55 $54,074.55 $54,074.55 $54,074.55 $54,074.55 2026-05-09
583 OTHER Mastectomy For Malignancy Without Cc/mcc 24 22 $54,074.55 $54,074.55 $54,074.55 $54,074.55 $54,074.55 2026-05-09
580 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 24 22 $54,074.55 $54,074.55 $54,074.55 $54,074.55 $54,074.55 2026-05-09
82 OTHER Traumatic Stupor And Coma >1 Hour With Mcc* 24 22 $52,042.15 $52,042.15 $52,042.15 $52,042.15 $52,042.15 2026-05-09
919 OTHER Complications Of Treatment With Mcc 34 23 $52,017.89 $52,017.89 $13,905.70 $52,017.89 $52,017.89 2026-05-09
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc* 24 22 $51,959.69 $51,959.69 $51,959.69 $51,959.69 $51,959.69 2026-05-09
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 22 $51,566.79 $51,566.79 $51,566.79 $51,566.79 $51,566.79 2026-05-09
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 22 $51,566.79 $51,566.79 $51,566.79 $51,566.79 $51,566.79 2026-05-09
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 22 $51,566.79 $51,566.79 $51,566.79 $51,566.79 $51,566.79 2026-05-09
52 OTHER Spinal Disorders And Injuries With Cc/mcc 24 22 $51,566.79 $51,566.79 $51,566.79 $51,566.79 $51,566.79 2026-05-09
448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 24 22 $51,566.79 $51,566.79 $51,566.79 $51,566.79 $51,566.79 2026-05-09
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 22 $51,566.79 $51,566.79 $51,566.79 $51,566.79 $51,566.79 2026-05-09
53 OTHER Spinal Disorders And Injuries Without Cc/mcc 24 22 $51,566.79 $51,566.79 $51,566.79 $51,566.79 $51,566.79 2026-05-09
55292070255 OTHER Hemin For Injection 50 31 $51,333.70 $51,333.70 $42.30 $252,971.68 $51,333.70 2026-05-09
438 OTHER Disorders Of Pancreas Except Malignancy With Mcc 24 22 $50,819.79 $50,819.79 $50,819.79 $50,819.79 $50,819.79 2026-05-09
675 OTHER Other Kidney And Urinary Tract Procedures Without Cc/mcc* 24 22 $50,761.59 $50,761.59 $50,761.59 $50,761.59 $50,761.59 2026-05-09
674 OTHER Other Kidney And Urinary Tract Procedures With Cc* 24 22 $50,761.59 $50,761.59 $50,761.59 $50,761.59 $50,761.59 2026-05-09
666 OTHER Prostatectomy With Cc 24 22 $50,761.59 $50,761.59 $50,761.59 $50,761.59 $50,761.59 2026-05-09
654 OTHER Major Bladder Procedures With Cc 24 22 $50,761.59 $50,761.59 $50,761.59 $50,761.59 $50,761.59 2026-05-09
288 OTHER Acute And Subacute Endocarditis With Mcc 24 22 $49,427.67 $49,427.67 $49,427.67 $49,427.67 $49,427.67 2026-05-09
393 OTHER Other Digestive System Diagnoses With Mcc 24 22 $49,282.15 $49,282.15 $49,282.15 $49,282.15 $49,282.15 2026-05-09
388 OTHER Gastrointestinal Obstruction With Mcc 24 22 $47,928.83 $47,928.83 $47,928.83 $47,928.83 $47,928.83 2026-05-09
189 OTHER Pulmonary Edema And Respiratory Failure 38 23 $47,472.88 $47,472.88 $34,204.82 $127,418.24 $47,472.88 2026-05-09
640 OTHER Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 24 22 $47,458.32 $47,458.32 $47,458.32 $47,458.32 $47,458.32 2026-05-09
539 OTHER Osteomyelitis With Mcc* 24 22 $47,016.92 $47,016.92 $47,016.92 $47,016.92 $47,016.92 2026-05-09
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 22 $46,454.25 $46,454.25 $46,454.25 $46,454.25 $46,454.25 2026-05-09
380 OTHER Complicated Peptic Ulcer With Mcc 24 22 $46,454.25 $46,454.25 $46,454.25 $46,454.25 $46,454.25 2026-05-09
417 OTHER Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 22 $46,454.25 $46,454.25 $46,454.25 $46,454.25 $46,454.25 2026-05-09
411 OTHER Cholecystectomy With C.d.e. With Mcc 24 22 $46,454.25 $46,454.25 $46,454.25 $46,454.25 $46,454.25 2026-05-09
464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 22 $46,260.22 $46,260.22 $46,260.22 $46,260.22 $46,260.22 2026-05-09
623 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 26 $46,017.69 $46,017.69 $15.12 $46,017.69 $46,017.69 2026-07-31
620 OTHER O.r. Procedures For Obesity With Cc 24 22 $46,017.69 $46,017.69 $46,017.69 $46,017.69 $46,017.69 2026-05-09
606 OTHER Minor Skin Disorders With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
115 OTHER Extraocular Procedures Except Orbit 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
615 OTHER Adrenal And Pituitary Procedures Without Cc/mcc 28 26 $45,813.97 $45,813.97 $1,374.09 $45,813.97 $45,813.97 2026-07-31
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
707 OTHER Major Male Pelvic Procedures With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
614 OTHER Adrenal And Pituitary Procedures With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
709 OTHER Penis Procedures With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
136 OTHER Sinus And Mastoid Procedures Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
604 OTHER Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
922 OTHER Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
929 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
117 OTHER Intraocular Procedures Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
304 OTHER Hypertension With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
711 OTHER Testes Procedures With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
139 OTHER Salivary Gland Procedures 28 26 $45,813.97 $45,813.97 $2,423.68 $45,813.97 $45,813.97 2026-07-31
617 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
113 OTHER Orbital Procedures With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
312 OTHER Syncope And Collapse 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
157 OTHER Dental And Oral Diseases With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
818 OTHER Other Antepartum Diagnoses With O.r. Procedures With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
670 OTHER Transurethral Procedures Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
145 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
488 OTHER Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
713 OTHER Transurethral Prostatectomy With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
940 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
669 OTHER Transurethral Procedures With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
135 OTHER Sinus And Mastoid Procedures With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
671 OTHER Urethral Procedures With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
116 OTHER Intraocular Procedures With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
672 OTHER Urethral Procedures Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
141 OTHER Major Head And Neck Procedures With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
717 OTHER Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
197 OTHER Interstitial Lung Disease With Cc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 26 $45,813.97 $45,813.97 $78.36 $45,813.97 $45,813.97 2026-07-31
578 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
114 OTHER Orbital Procedures Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
501 OTHER Soft Tissue Procedures With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
154 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
283 OTHER Acute Myocardial Infarction, Expired With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
387 OTHER Inflammatory Bowel Disease Without Cc/mcc 28 26 $45,813.97 $45,813.97 $242.78 $45,813.97 $45,813.97 2026-07-31
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
374 OTHER Digestive Malignancy With Mcc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
144 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
902 OTHER Wound Debridements For Injuries With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
662 OTHER Minor Bladder Procedures With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
664 OTHER Minor Bladder Procedures Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
663 OTHER Minor Bladder Procedures With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
575 OTHER Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
661 OTHER Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
903 OTHER Wound Debridements For Injuries Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
667 OTHER Prostatectomy Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
660 OTHER Kidney And Ureter Procedures For Non-neoplasm With Cc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
657 OTHER Kidney And Ureter Procedures For Neoplasm With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
658 OTHER Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
659 OTHER Kidney And Ureter Procedures For Non-neoplasm With Mcc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
904 OTHER Skin Grafts For Injuries With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
155 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
435 OTHER Malignancy Of Hepatobiliary System Or Pancreas With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
138 OTHER Mouth Procedures Without Cc/mcc 32 26 $45,813.97 $45,813.97 $5,865.80 $45,813.97 $45,813.97 2026-07-31
196 OTHER Interstitial Lung Disease With Mcc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
655 OTHER Major Bladder Procedures Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
905 OTHER Skin Grafts For Injuries Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
941 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
137 OTHER Mouth Procedures With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
668 OTHER Transurethral Procedures With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
386 OTHER Inflammatory Bowel Disease With Cc 28 26 $45,813.97 $45,813.97 $6,173.64 $45,813.97 $45,813.97 2026-07-31
934 OTHER Full Thickness Burn Without Skin Graft Or Inhalation Injury 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
545 OTHER Connective Tissue Disorders With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
152 OTHER Otitis Media And Uri With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
13 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
625 OTHER Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
854 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
142 OTHER Major Head And Neck Procedures Without Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
715 OTHER Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
198 OTHER Interstitial Lung Disease Without Cc/mcc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
77 OTHER Hypertensive Encephalopathy With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
78 OTHER Hypertensive Encephalopathy With Cc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
277 OTHER Cardiac Defibrillator Implant Without Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
577 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Cc* 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 22 $45,813.97 $45,813.97 $45,813.97 $45,813.97 $45,813.97 2026-05-09
441 OTHER Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 24 22 $45,163.99 $45,163.99 $45,163.99 $45,163.99 $45,163.99 2026-05-09
757 OTHER Infections, Female Reproductive System With Mcc 24 22 $45,125.18 $45,125.18 $45,125.18 $45,125.18 $45,125.18 2026-05-09
831 OTHER Other Antepartum Diagnoses Without O.r. Procedures With Mcc 24 22 $45,125.18 $45,125.18 $45,125.18 $45,125.18 $45,125.18 2026-05-09
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