Hospital

JOHNSON MEMORIAL HOSPITAL

Stafford Springs, CT · CCN 070008 · Rates published

4,026 distinct procedures filed

38 distinct payers

230,872 rate rows

2025-01-01 last MRF observed · ⚠ 21 mo old

Data quality

187,912 of 230,872 rate rows are consumer-grade (81.4%)

42,960 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	35,310
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	6,724
per-diem day rate — not a per-procedure price	598
exceeds 10× this hospital's gross charge — excluded from medians	276
percent-of-charges filed in the dollar field — excluded from medians	50
placeholder amount (≤ $0.02) — excluded from medians	2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/johnsonmemorialhospital
Found on page	https://www.trinityhealthofne.org/for-patients/billing-and-financial-resources/price-estimates-lists
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-12
Content fingerprint	cadfeca148073d42… · 1,472,144 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
'2-4 OTHER	Heart And/or Lung Transplant	1	$755,342.89	$755,342.89	$755,342.89	nat. median $412,192 1.8× median
'4-Feb OTHER	Heart And/or Lung Transplant	1	$656,819.90	$656,819.90	$656,819.90	—
'583-4 OTHER	Neonate With Ecmo	1	$397,188.76	$674,970.70	$586,931.04	—
'583-3 OTHER	Neonate With Ecmo	1	$257,311.03	$550,940.82	$479,078.97	—
'588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$259,120.35	$542,209.28	$471,486.33	—
'161-4 OTHER	Implantable Heart Assist Systems	1	$196,658.78	$479,370.76	$416,844.14	—
'7-4 OTHER	Allogeneic Bone Marrow Transplant	1	$366,321.28	$366,321.28	$366,321.28	nat. median $242,682 1.5× median
'583-2 OTHER	Neonate With Ecmo	1	$197,567.91	$407,735.17	$354,552.32	—
'609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	$170,372.70	$374,622.54	$325,758.73	—
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	16	$303,555.98	$772,775.63	$324,002.75	nat. median $168,055 1.9× median
'161-3 OTHER	Implantable Heart Assist Systems	1	$133,064.15	$367,245.69	$319,344.08	—
'4-Jul OTHER	Allogeneic Bone Marrow Transplant	1	$318,540.24	$318,540.24	$318,540.24	—
'2-3 OTHER	Heart And/or Lung Transplant	1	$318,160.83	$318,160.83	$318,160.83	nat. median $224,528 1.4× median
'4-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$311,399.14	$311,399.14	$311,399.14	nat. median $231,740 1.3× median
'1-4 OTHER	Liver Transplant And/or Intestinal Transplant	1	$307,488.01	$307,488.01	$307,488.01	nat. median $229,434 1.3× median
'588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$168,524.87	$349,312.01	$303,749.57	—
'588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$147,877.22	$342,044.41	$297,429.92	—
'630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	$189,019.36	$340,324.99	$295,934.77	—
'6-4 OTHER	Pancreas Transplant	1	$291,947.72	$291,947.72	$291,947.72	nat. median $149,866 1.9× median
'9-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	$287,471.86	$287,471.86	$287,471.86	nat. median $301,544 1.0× median
'583-1 OTHER	Neonate With Ecmo	1	$143,605.63	$326,599.92	$283,999.93	—
'3-Feb OTHER	Heart And/or Lung Transplant	1	$276,661.59	$276,661.59	$276,661.59	—
'11-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$271,696.26	$271,696.26	$271,696.26	—
'4-Apr OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$270,781.86	$270,781.86	$270,781.86	—
'4-Jan OTHER	Liver Transplant And/or Intestinal Transplant	1	$267,380.88	$267,380.88	$267,380.88	—
'841-4 OTHER	Extensive Third Degree Burns With Skin Graft	1	$186,429.89	$306,242.57	$266,297.89	—
'603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	$141,182.76	$306,017.35	$266,102.04	—
'160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	1	$114,737.25	$296,736.20	$258,031.48	—
'161-2 OTHER	Implantable Heart Assist Systems	1	$106,813.00	$294,867.20	$256,406.26	—
'4-Jun OTHER	Pancreas Transplant	1	$253,867.58	$253,867.58	$253,867.58	—
'4-Sep OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	$249,975.53	$249,975.53	$249,975.53	—
'161-1 OTHER	Implantable Heart Assist Systems	1	$101,767.53	$280,123.59	$243,585.73	—
'591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$164,609.77	$278,800.83	$242,435.50	—
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	17	$223,430.03	$568,393.14	$239,637.39	nat. median $186,516 1.3× median
'4-Nov OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$236,257.62	$236,257.62	$236,257.62	—
'8-4 OTHER	Autologous Bone Marrow Transplant	1	$235,054.05	$235,054.05	$235,054.05	nat. median $107,938 outlier · 2.2×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	$217,345.81	$552,873.73	$231,985.68	nat. median $131,925 1.8× median
'002-4 OTHER	Heart And/or Lung Transplant	1	$229,474.50	$229,474.50	$229,474.50	—
'2-2 OTHER	Heart And/or Lung Transplant	1	$226,381.34	$226,381.34	$226,381.34	nat. median $170,020 1.3× median
'593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$152,635.17	$245,446.18	$213,431.46	—
'4-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$207,123.21	$207,123.21	$207,123.21	nat. median $159,802 1.3× median
'4-Aug OTHER	Autologous Bone Marrow Transplant	1	$204,394.83	$204,394.83	$204,394.83	—
'011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$201,777.70	$201,777.70	$201,777.70	—
'5-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	$200,948.10	$200,948.10	$200,948.10	nat. median $161,438 1.2× median
'2-Feb OTHER	Heart And/or Lung Transplant	1	$196,853.34	$196,853.34	$196,853.34	—
'588-1 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$126,752.16	$225,147.66	$195,780.57	—
'6-3 OTHER	Pancreas Transplant	1	$194,201.54	$194,201.54	$194,201.54	nat. median $115,496 1.7× median
'2-1 OTHER	Heart And/or Lung Transplant	1	$194,070.44	$194,070.44	$194,070.44	nat. median $150,272 1.3× median
'607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	$86,863.99	$222,608.03	$193,572.20	—
'1-3 OTHER	Liver Transplant And/or Intestinal Transplant	1	$193,085.52	$193,085.52	$193,085.52	nat. median $119,117 1.6× median

Other procedures at this hospital

Browse this hospital's 4,026 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	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	50	16	—	—	$303,555.98	$772,775.63	$324,002.75	2025-01-01
'2-4	OTHER	Heart And/or Lung Transplant	2	1	—	—	$755,342.89	$755,342.89	$755,342.89	2025-01-01
'583-4	OTHER	Neonate With Ecmo	6	1	—	—	$397,188.76	$674,970.70	$586,931.04	2025-01-01
'4-Feb	OTHER	Heart And/or Lung Transplant	2	1	—	—	$656,819.90	$656,819.90	$656,819.90	2025-01-01
A9542	HCPCS	Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries	82	26	$97,800.00	$53,790.00 45% off	$223.00	$605,157.06	$81,174.00	2025-01-01
A9604	HCPCS	Samarium Sm-153 Lexidronam Therapeutic Per 150 Millicuries	112	37	$95,760.00	$52,668.00 45% off	$223.00	$592,534.15	$65,586.02	2025-01-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	52	17	—	—	$223,430.03	$568,393.14	$239,637.39	2025-01-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	50	16	—	—	$217,345.81	$552,873.73	$231,985.68	2025-01-01
'583-3	OTHER	Neonate With Ecmo	6	1	—	—	$257,311.03	$550,940.82	$479,078.97	2025-01-01
'588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	1	—	—	$259,120.35	$542,209.28	$471,486.33	2025-01-01
'161-4	OTHER	Implantable Heart Assist Systems	6	1	—	—	$196,658.78	$479,370.76	$416,844.14	2025-01-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	50	16	—	—	$175,914.95	$447,193.29	$187,764.14	2025-01-01
'583-2	OTHER	Neonate With Ecmo	6	1	—	—	$197,567.91	$407,735.17	$354,552.32	2025-01-01
'609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	1	—	—	$170,372.70	$374,622.54	$325,758.73	2025-01-01
'161-3	OTHER	Implantable Heart Assist Systems	6	1	—	—	$133,064.15	$367,245.69	$319,344.08	2025-01-01
'7-4	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$366,321.28	$366,321.28	$366,321.28	2025-01-01
'588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	1	—	—	$168,524.87	$349,312.01	$303,749.57	2025-01-01
'588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	1	—	—	$147,877.22	$342,044.41	$297,429.92	2025-01-01
'630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	1	—	—	$189,019.36	$340,324.99	$295,934.77	2025-01-01
'583-1	OTHER	Neonate With Ecmo	6	1	—	—	$143,605.63	$326,599.92	$283,999.93	2025-01-01
'4-Jul	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$318,540.24	$318,540.24	$318,540.24	2025-01-01
'2-3	OTHER	Heart And/or Lung Transplant	2	1	—	—	$318,160.83	$318,160.83	$318,160.83	2025-01-01
'4-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$311,399.14	$311,399.14	$311,399.14	2025-01-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	50	16	—	—	$121,476.07	$308,332.50	$129,658.40	2025-01-01
'1-4	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$307,488.01	$307,488.01	$307,488.01	2025-01-01
'841-4	OTHER	Extensive Third Degree Burns With Skin Graft	6	1	—	—	$186,429.89	$306,242.57	$266,297.89	2025-01-01
'603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	1	—	—	$141,182.76	$306,017.35	$266,102.04	2025-01-01
'160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	1	—	—	$114,737.25	$296,736.20	$258,031.48	2025-01-01
'161-2	OTHER	Implantable Heart Assist Systems	6	1	—	—	$106,813.00	$294,867.20	$256,406.26	2025-01-01
'6-4	OTHER	Pancreas Transplant	2	1	—	—	$291,947.72	$291,947.72	$291,947.72	2025-01-01
'9-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$287,471.86	$287,471.86	$287,471.86	2025-01-01
'161-1	OTHER	Implantable Heart Assist Systems	6	1	—	—	$101,767.53	$280,123.59	$243,585.73	2025-01-01
'591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	1	—	—	$164,609.77	$278,800.83	$242,435.50	2025-01-01
'3-Feb	OTHER	Heart And/or Lung Transplant	2	1	—	—	$276,661.59	$276,661.59	$276,661.59	2025-01-01
'11-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$271,696.26	$271,696.26	$271,696.26	2025-01-01
'4-Apr	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$270,781.86	$270,781.86	$270,781.86	2025-01-01
'4-Jan	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$267,380.88	$267,380.88	$267,380.88	2025-01-01
7	MS_DRG	Lung Transplant	48	15	—	—	$101,464.53	$257,287.74	$108,824.65	2025-01-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	52	17	—	—	$101,281.15	$256,820.00	$108,627.97	2025-01-01
'4-Jun	OTHER	Pancreas Transplant	2	1	—	—	$253,867.58	$253,867.58	$253,867.58	2025-01-01
'4-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$249,975.53	$249,975.53	$249,975.53	2025-01-01
'593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	1	—	—	$152,635.17	$245,446.18	$213,431.46	2025-01-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	48	15	—	—	$94,840.89	$240,392.38	$101,720.54	2025-01-01
'4-Nov	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$236,257.62	$236,257.62	$236,257.62	2025-01-01
'8-4	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$235,054.05	$235,054.05	$235,054.05	2025-01-01
'002-4	OTHER	Heart And/or Lung Transplant	2	1	—	—	$229,474.50	$229,474.50	$229,474.50	2025-01-01
'2-2	OTHER	Heart And/or Lung Transplant	2	1	—	—	$226,381.34	$226,381.34	$226,381.34	2025-01-01
212	MS_DRG	Concomitant Aortic And Mitral Valve?procedures	50	16	—	—	$89,165.35	$225,915.43	$95,171.31	2025-01-01
'588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	1	—	—	$126,752.16	$225,147.66	$195,780.57	2025-01-01
'607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$86,863.99	$222,608.03	$193,572.20	2025-01-01
215	MS_DRG	Other Heart Assist System Implant	52	17	—	—	$84,594.18	$221,940.00	$90,730.54	2025-01-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	48	15	—	—	$85,705.92	$217,091.25	$91,922.93	2025-01-01
'631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	1	—	—	$167,263.73	$213,587.41	$185,728.18	2025-01-01
'4-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$207,123.21	$207,123.21	$207,123.21	2025-01-01
'602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$113,343.54	$204,672.66	$177,976.23	2025-01-01
'4-Aug	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$204,394.83	$204,394.83	$204,394.83	2025-01-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	52	17	—	—	$80,404.54	$203,568.67	$86,236.99	2025-01-01
'011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$201,777.70	$201,777.70	$201,777.70	2025-01-01
'609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	1	—	—	$63,613.44	$201,566.62	$175,275.32	2025-01-01
'5-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$200,948.10	$200,948.10	$200,948.10	2025-01-01
'2-Feb	OTHER	Heart And/or Lung Transplant	2	1	—	—	$196,853.34	$196,853.34	$196,853.34	2025-01-01
'6-3	OTHER	Pancreas Transplant	2	1	—	—	$194,201.54	$194,201.54	$194,201.54	2025-01-01
'2-1	OTHER	Heart And/or Lung Transplant	2	1	—	—	$194,070.44	$194,070.44	$194,070.44	2025-01-01
'1-3	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$193,085.52	$193,085.52	$193,085.52	2025-01-01
'593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	1	—	—	$105,858.19	$191,192.97	$166,254.76	2025-01-01
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	54	17	—	—	$35,045.00	$185,867.87	$78,413.57	2025-01-01
'7-3	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$184,933.83	$184,933.83	$184,933.83	2025-01-01
'3-Apr	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$180,107.14	$180,107.14	$180,107.14	2025-01-01
'303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	1	—	—	$82,407.00	$179,871.40	$156,409.91	2025-01-01
'11-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$178,825.95	$178,825.95	$178,825.95	2025-01-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	50	16	—	—	$70,101.92	$177,289.09	$74,823.81	2025-01-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	54	17	—	—	$35,045.00	$176,806.67	$74,621.94	2025-01-01
'602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$80,398.84	$176,116.58	$153,144.85	2025-01-01
'591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	1	—	—	$122,179.61	$175,940.10	$152,991.39	2025-01-01
'4-May	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$174,737.48	$174,737.48	$174,737.48	2025-01-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	52	17	—	—	$67,329.12	$170,216.32	$72,213.10	2025-01-01
'630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	1	—	—	$90,256.90	$169,398.59	$147,303.12	2025-01-01
'3-Jun	OTHER	Pancreas Transplant	2	1	—	—	$168,870.90	$168,870.90	$168,870.90	2025-01-01
'1-Feb	OTHER	Heart And/or Lung Transplant	2	1	—	—	$168,756.90	$168,756.90	$168,756.90	2025-01-01
'3-Jan	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$167,900.45	$167,900.45	$167,900.45	2025-01-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	50	16	—	—	$66,328.38	$167,663.66	$70,796.09	2025-01-01
'842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	1	—	—	$95,477.03	$167,443.86	$145,603.36	2025-01-01
'7-2	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$167,381.67	$167,381.67	$167,381.67	2025-01-01
'6-2	OTHER	Pancreas Transplant	2	1	—	—	$166,998.46	$166,998.46	$166,998.46	2025-01-01
'589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	1	—	—	$101,222.94	$164,188.24	$142,772.38	2025-01-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	52	17	—	—	$64,733.94	$163,596.61	$69,429.66	2025-01-01
'1-2	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$162,416.72	$162,416.72	$162,416.72	2025-01-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	52	17	—	—	$64,007.02	$161,742.42	$68,650.02	2025-01-01
'863-4	OTHER	Neonatal Aftercare	6	1	—	—	$72,344.71	$161,344.39	$140,299.47	2025-01-01
'3-Jul	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$160,812.03	$160,812.03	$160,812.03	2025-01-01
'440-4	OTHER	Kidney Transplant	6	1	—	—	$73,200.11	$157,641.68	$137,079.72	2025-01-01
'007-4	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$156,247.52	$156,247.52	$156,247.52	2025-01-01
'4-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$156,199.59	$156,199.59	$156,199.59	2025-01-01
'3-Nov	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$155,500.83	$155,500.83	$155,500.83	2025-01-01
'009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$155,464.68	$155,464.68	$155,464.68	2025-01-01
'91-4	OTHER	Other Major Head And Neck Procedures	2	1	—	—	$153,214.57	$153,214.57	$153,214.57	2025-01-01
'7-1	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$153,029.68	$153,029.68	$153,029.68	2025-01-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	50	16	—	—	$60,070.66	$151,701.69	$64,116.87	2025-01-01
'602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$64,295.07	$150,883.35	$131,202.91	2025-01-01
'841-3	OTHER	Extensive Third Degree Burns With Skin Graft	6	1	—	—	$59,661.61	$148,372.30	$129,019.39	2025-01-01
'593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	1	—	—	$86,702.77	$147,989.08	$128,686.16	2025-01-01
'611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	1	—	—	$70,401.94	$147,915.13	$128,621.85	2025-01-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	50	16	—	—	$58,453.19	$147,575.91	$62,390.45	2025-01-01
'613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	1	—	—	$70,732.45	$146,555.40	$127,439.48	2025-01-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	50	16	—	—	$57,870.18	$146,088.78	$61,768.17	2025-01-01
'603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	1	—	—	$62,362.15	$145,970.50	$126,930.87	2025-01-01
'2-Jul	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$145,549.28	$145,549.28	$145,549.28	2025-01-01
'2-Jun	OTHER	Pancreas Transplant	2	1	—	—	$145,216.05	$145,216.05	$145,216.05	2025-01-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	50	16	—	—	$57,498.49	$145,140.71	$61,371.45	2025-01-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	50	16	—	—	$57,402.29	$144,895.30	$61,268.77	2025-01-01
'220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	6	1	—	—	$47,335.01	$144,397.30	$125,562.87	2025-01-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	50	16	—	—	$57,111.19	$144,152.79	$60,958.06	2025-01-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	52	17	—	—	$56,964.00	$143,777.33	$61,096.10	2025-01-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	56	17	—	—	$24,930.00	$143,018.04	$59,602.40	2025-01-01
'178-4	OTHER	External Heart Assist Systems	6	1	—	—	$62,526.96	$142,165.25	$123,621.96	2025-01-01
'2-Jan	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$141,231.93	$141,231.93	$141,231.93	2025-01-01
'1-1	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$140,494.58	$140,494.58	$140,494.58	2025-01-01
'001-4	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$138,954.26	$138,954.26	$138,954.26	2025-01-01
'004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$138,002.14	$138,002.14	$138,002.14	2025-01-01
'9-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$137,114.58	$137,114.58	$137,114.58	2025-01-01
'5-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$136,973.40	$136,973.40	$136,973.40	2025-01-01
'589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	1	—	—	$98,236.68	$136,302.77	$118,524.15	2025-01-01
'2-Apr	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$135,825.73	$135,825.73	$135,825.73	2025-01-01
'11-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$135,620.39	$135,620.39	$135,620.39	2025-01-01
'167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	6	1	—	—	$65,690.56	$135,317.84	$117,667.69	2025-01-01
'680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	1	—	—	$59,546.07	$134,373.27	$116,846.32	2025-01-01
'6-1	OTHER	Pancreas Transplant	2	1	—	—	$133,621.96	$133,621.96	$133,621.96	2025-01-01
'091-4	OTHER	Other Major Head And Neck Procedures	4	1	—	—	$52,268.52	$133,230.06	$92,749.29	2025-01-01
'1-Jul	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$133,069.29	$133,069.29	$133,069.29	2025-01-01
'690-4	OTHER	Acute Leukemia	6	1	—	—	$53,749.11	$132,484.09	$115,203.56	2025-01-01
'608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	1	—	—	$54,881.27	$130,152.88	$113,176.42	2025-01-01
'621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	1	—	—	$59,597.12	$129,443.60	$112,559.65	2025-01-01
'002-3	OTHER	Heart And/or Lung Transplant	2	1	—	—	$128,848.99	$128,848.99	$128,848.99	2025-01-01
'633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	6	1	—	—	$58,997.01	$127,981.34	$111,288.12	2025-01-01
'312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	6	1	—	—	$54,108.28	$126,609.84	$110,095.51	2025-01-01
'740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	4	1	—	—	$109,636.59	$126,082.08	$117,859.33	2025-01-01
'162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	1	—	—	$78,328.88	$124,367.70	$108,145.83	2025-01-01
'440-3	OTHER	Kidney Transplant	6	1	—	—	$44,361.28	$122,656.70	$106,658.00	2025-01-01
'910-4	OTHER	Craniotomy For Multiple Significant Trauma	6	1	—	—	$55,158.94	$122,396.18	$106,431.46	2025-01-01
'1-Jan	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$122,169.20	$122,169.20	$122,169.20	2025-01-01
'303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	1	—	—	$56,157.64	$121,989.44	$106,077.77	2025-01-01
'183-4	OTHER	Percutaneous Structural Cardiac Procedures	6	1	—	—	$54,490.74	$119,614.52	$104,012.63	2025-01-01
'3-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$119,230.07	$119,230.07	$119,230.07	2025-01-01
'3-May	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$119,107.30	$119,107.30	$119,107.30	2025-01-01
'179-4	OTHER	Defibrillator Implants	6	1	—	—	$50,673.28	$118,547.24	$103,084.56	2025-01-01
'361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	1	—	—	$52,425.26	$118,130.42	$102,722.10	2025-01-01
'2-Nov	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$117,930.77	$117,930.77	$117,930.77	2025-01-01
'608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	1	—	—	$43,699.36	$117,859.81	$102,486.79	2025-01-01
'614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	1	—	—	$50,657.15	$117,774.10	$102,412.26	2025-01-01
'011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$117,676.93	$117,676.93	$117,676.93	2025-01-01
'440-2	OTHER	Kidney Transplant	6	1	—	—	$38,774.81	$116,590.84	$101,383.34	2025-01-01
'1-Jun	OTHER	Pancreas Transplant	2	1	—	—	$116,193.01	$116,193.01	$116,193.01	2025-01-01
'8-3	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$115,881.56	$115,881.56	$115,881.56	2025-01-01
'591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	1	—	—	$92,651.10	$115,136.99	$100,119.12	2025-01-01
'92-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	2	1	—	—	$113,689.85	$113,689.85	$113,689.85	2025-01-01
'163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	1	—	—	$65,247.19	$113,528.49	$98,720.43	2025-01-01
'510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	6	1	—	—	$41,082.13	$113,494.88	$98,691.20	2025-01-01
'9-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$112,883.09	$112,883.09	$112,883.09	2025-01-01
'651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	6	1	—	—	$40,735.49	$112,691.48	$97,992.59	2025-01-01
'440-1	OTHER	Kidney Transplant	6	1	—	—	$35,770.64	$112,678.04	$97,980.90	2025-01-01
'612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$62,046.86	$112,669.63	$97,973.59	2025-01-01
'5-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$112,553.66	$112,553.66	$112,553.66	2025-01-01
'759-4	OTHER	Eating Disorders	4	1	—	—	$96,535.45	$111,015.77	$103,775.61	2025-01-01
'631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	1	—	—	$50,225.43	$110,412.37	$96,010.76	2025-01-01
'160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	1	—	—	$46,469.76	$109,682.92	$95,376.45	2025-01-01
'589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	1	—	—	$94,274.46	$108,415.63	$96,143.43	2025-01-01
'630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	1	—	—	$51,649.59	$108,029.06	$93,938.31	2025-01-01
'4-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$107,761.82	$107,761.82	$107,761.82	2025-01-01
'441-4	OTHER	Major Bladder Procedures	6	1	—	—	$43,227.33	$107,575.26	$93,543.70	2025-01-01
'21-4	OTHER	Open Craniotomy Except Trauma	2	1	—	—	$105,346.57	$105,346.57	$105,346.57	2025-01-01
J9600	HCPCS	Porfimer Per 75 Mg	114	37	$105,199.95	$57,859.97 45% off	$223.00	$105,199.95	$80,725.46	2025-01-01
'178-3	OTHER	External Heart Assist Systems	6	1	—	—	$46,056.84	$105,173.45	$91,455.17	2025-01-01
'120-4	OTHER	Major Respiratory And Chest Procedures	6	1	—	—	$49,323.46	$103,643.96	$90,125.18	2025-01-01
'695-4	OTHER	Chemotherapy For Acute Leukemia	6	1	—	—	$47,631.48	$101,790.08	$88,513.11	2025-01-01
'303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	1	—	—	$39,406.28	$101,695.96	$88,431.27	2025-01-01
'5-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$101,178.29	$101,178.29	$101,178.29	2025-01-01
'011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$101,041.12	$101,041.12	$101,041.12	2025-01-01
'3-Aug	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$100,766.57	$100,766.57	$100,766.57	2025-01-01
'304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	1	—	—	$57,777.96	$100,433.71	$87,333.66	2025-01-01
'89-4	OTHER	Major Cranial Or Facial Bone Procedures	2	1	—	—	$100,342.95	$100,342.95	$100,342.95	2025-01-01
'401-4	OTHER	Adrenal Procedures	6	1	—	—	$37,034.47	$100,208.49	$87,137.82	2025-01-01
'006-4	OTHER	Pancreas Transplant	2	1	—	—	$99,960.01	$99,960.01	$99,960.01	2025-01-01
'404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	6	1	—	—	$39,062.33	$99,773.17	$86,759.28	2025-01-01
'092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	4	1	—	—	$44,334.41	$98,860.74	$71,597.58	2025-01-01
'2-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$98,159.21	$98,159.21	$98,159.21	2025-01-01
'611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	1	—	—	$43,495.14	$98,139.47	$85,338.67	2025-01-01
'178-2	OTHER	External Heart Assist Systems	6	1	—	—	$44,274.40	$97,988.21	$85,207.14	2025-01-01
'2-May	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$97,872.75	$97,872.75	$97,872.75	2025-01-01
'423-4	OTHER	Inborn Errors Of Metabolism	6	1	—	—	$31,638.78	$97,465.49	$84,752.60	2025-01-01
'950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	1	—	—	$45,465.68	$97,230.19	$84,547.99	2025-01-01
'851-4	OTHER	Gender Related Procedures	2	1	—	—	$96,922.69	$96,922.69	$96,922.69	2025-01-01
'607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$60,130.96	$96,836.89	$84,205.99	2025-01-01
'8-2	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$96,510.82	$96,510.82	$96,510.82	2025-01-01
'176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	1	—	—	$42,096.96	$96,472.17	$83,888.84	2025-01-01
'511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	6	1	—	—	$39,144.73	$95,441.86	$82,992.92	2025-01-01
'002-2	OTHER	Heart And/or Lung Transplant	2	1	—	—	$93,769.83	$93,769.83	$93,769.83	2025-01-01
'1-Apr	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$93,705.93	$93,705.93	$93,705.93	2025-01-01
'26-4	OTHER	Other Nervous System And Related Procedures	2	1	—	—	$93,569.50	$93,569.50	$93,569.50	2025-01-01
'792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	6	1	—	—	$41,160.95	$93,438.40	$81,250.78	2025-01-01
'232-4	OTHER	Gastric Fundoplication	6	1	—	—	$47,867.05	$93,272.00	$81,106.09	2025-01-01
'614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	1	—	—	$34,775.51	$92,744.25	$80,647.17	2025-01-01
'9-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$92,641.71	$92,641.71	$92,641.71	2025-01-01
'681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	1	—	—	$54,258.76	$92,555.99	$80,483.47	2025-01-01
'169-4	OTHER	Major Abdominal Vascular Procedures	6	1	—	—	$47,025.99	$92,468.59	$80,407.47	2025-01-01
'260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	6	1	—	—	$48,927.56	$92,403.04	$80,350.47	2025-01-01
'27-4	OTHER	Other Open Craniotomy	2	1	—	—	$92,337.50	$92,337.50	$92,337.50	2025-01-01
'021-4	OTHER	Open Craniotomy Except Trauma	4	1	—	—	$51,414.91	$91,605.71	$71,510.31	2025-01-01
'750-4	OTHER	Schizophrenia	4	1	—	—	$79,384.40	$91,292.06	$85,338.23	2025-01-01
'911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	1	—	—	$51,730.20	$91,221.47	$79,323.02	2025-01-01
'512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	6	1	—	—	$34,625.93	$90,411.34	$78,618.56	2025-01-01
'005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$90,015.06	$90,015.06	$90,015.06	2025-01-01
'622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$37,074.77	$89,902.08	$78,175.72	2025-01-01
'165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	1	—	—	$60,934.40	$89,819.72	$78,104.10	2025-01-01
'612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$38,654.79	$89,589.46	$77,903.88	2025-01-01
'22-4	OTHER	Ventricular Shunt Procedures	2	1	—	—	$89,019.68	$89,019.68	$89,019.68	2025-01-01
'623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	1	—	—	$41,754.80	$88,772.61	$77,193.57	2025-01-01
'613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	1	—	—	$42,929.06	$88,586.04	$77,031.34	2025-01-01
'183-3	OTHER	Percutaneous Structural Cardiac Procedures	6	1	—	—	$36,493.46	$88,555.78	$77,005.03	2025-01-01
'362-4	OTHER	Mastectomy Procedures	6	1	—	—	$25,521.15	$88,493.60	$76,950.96	2025-01-01
'850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	6	1	—	—	$61,479.88	$88,490.25	$76,948.04	2025-01-01
'405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	6	1	—	—	$37,563.82	$88,088.54	$76,598.73	2025-01-01
'1-May	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$87,981.12	$87,981.12	$87,981.12	2025-01-01
'130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	1	—	—	$41,555.96	$87,468.34	$76,059.43	2025-01-01
'178-1	OTHER	External Heart Assist Systems	6	1	—	—	$37,561.14	$87,397.75	$75,998.04	2025-01-01
'514-4	OTHER	Female Reproductive System Reconstructive Procedures	6	1	—	—	$41,246.04	$87,335.55	$75,943.96	2025-01-01
'089-4	OTHER	Major Cranial Or Facial Bone Procedures	4	1	—	—	$42,810.83	$87,254.74	$65,032.79	2025-01-01
'004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$86,536.17	$86,536.17	$86,536.17	2025-01-01
'002-1	OTHER	Heart And/or Lung Transplant	2	1	—	—	$86,235.21	$86,235.21	$86,235.21	2025-01-01
'179-3	OTHER	Defibrillator Implants	6	1	—	—	$36,675.29	$85,885.07	$74,682.67	2025-01-01
'752-4	OTHER	Disorders Of Personality And Impulse Control	4	1	—	—	$74,326.05	$85,474.96	$79,900.51	2025-01-01
'20-4	OTHER	Open Craniotomy For Trauma	2	1	—	—	$85,385.88	$85,385.88	$85,385.88	2025-01-01
'912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	1	—	—	$48,375.81	$85,043.01	$73,950.44	2025-01-01
'230-4	OTHER	Major Small Bowel Procedures	6	1	—	—	$39,022.92	$84,696.76	$73,649.36	2025-01-01
'166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	1	—	—	$53,361.27	$84,105.15	$73,134.91	2025-01-01
'2-Aug	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$83,922.45	$83,922.45	$83,922.45	2025-01-01
'483-4	OTHER	Penis, Testes And Scrotal Procedures	6	1	—	—	$29,885.00	$83,426.12	$72,544.45	2025-01-01
'609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	1	—	—	$35,097.07	$83,263.08	$72,402.68	2025-01-01
'264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	6	1	—	—	$39,365.97	$83,217.70	$72,363.22	2025-01-01
'480-4	OTHER	Major Male Pelvic Procedures	6	1	—	—	$33,519.74	$83,037.87	$72,206.84	2025-01-01
'29-4	OTHER	Other Percutaneous Intracranial Procedures	2	1	—	—	$82,088.23	$82,088.23	$82,088.23	2025-01-01
'625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	6	1	—	—	$49,559.03	$81,780.65	$71,113.61	2025-01-01
'162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	1	—	—	$50,040.02	$81,595.77	$70,952.84	2025-01-01
'711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	6	1	—	—	$35,260.09	$81,513.41	$70,881.23	2025-01-01
'170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	6	1	—	—	$34,489.79	$81,503.33	$70,872.46	2025-01-01
'026-4	OTHER	Other Nervous System And Related Procedures	4	1	—	—	$39,108.91	$81,364.78	$60,236.85	2025-01-01
'484-4	OTHER	Other Male Reproductive System And Related Procedures	6	1	—	—	$30,794.13	$80,651.18	$70,131.46	2025-01-01
'1-Sep	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$80,558.01	$80,558.01	$80,558.01	2025-01-01
'609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	1	—	—	$33,342.40	$80,535.21	$70,030.62	2025-01-01
'027-4	OTHER	Other Open Craniotomy	4	1	—	—	$48,193.98	$80,293.48	$64,243.73	2025-01-01
'222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	6	1	—	—	$32,475.36	$79,204.05	$68,873.09	2025-01-01
'740-3	OTHER	Mental Illness Diagnosis With O.r. Procedure	4	1	—	—	$68,387.86	$78,646.04	$73,516.95	2025-01-01
'181-4	OTHER	Lower Extremity Arterial Procedures	6	1	—	—	$40,936.13	$78,274.59	$68,064.86	2025-01-01
'690-3	OTHER	Acute Leukemia	6	1	—	—	$31,126.44	$77,837.59	$67,684.86	2025-01-01
'008-4	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$77,443.03	$77,443.03	$77,443.03	2025-01-01
'309-4	OTHER	Other Significant Hip And Femur Surgery	6	1	—	—	$32,776.31	$76,893.01	$66,863.49	2025-01-01
'261-4	OTHER	Major Biliary Tract Procedures	6	1	—	—	$42,410.45	$76,580.39	$66,591.64	2025-01-01
'007-3	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$76,363.71	$76,363.71	$76,363.71	2025-01-01
'621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	1	—	—	$29,374.45	$76,298.02	$66,346.10	2025-01-01
'317-4	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	6	1	—	—	$30,109.82	$76,091.29	$66,166.34	2025-01-01
'607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$44,410.55	$75,345.03	$65,517.42	2025-01-01
'650-4	OTHER	Splenectomy	6	1	—	—	$35,486.70	$75,294.61	$65,473.57	2025-01-01
'445-4	OTHER	Other Bladder Procedures	6	1	—	—	$27,316.13	$75,180.32	$65,374.19	2025-01-01
'23-4	OTHER	Spinal Procedures	2	1	—	—	$74,902.98	$74,902.98	$74,902.98	2025-01-01
'519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	6	1	—	—	$32,414.45	$74,733.23	$64,985.42	2025-01-01
'020-4	OTHER	Open Craniotomy For Trauma	4	1	—	—	$46,063.11	$74,248.59	$60,155.85	2025-01-01
'710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	6	1	—	—	$36,680.67	$73,911.34	$64,270.73	2025-01-01
'182-4	OTHER	Other Peripheral Vascular And Related Procedures	6	1	—	—	$37,370.35	$73,518.04	$63,928.73	2025-01-01
'910-3	OTHER	Craniotomy For Multiple Significant Trauma	6	1	—	—	$36,988.79	$72,928.10	$63,415.74	2025-01-01
'518-4	OTHER	Other Female Reproductive System And Related Procedures	6	1	—	—	$38,271.43	$72,862.55	$63,358.74	2025-01-01
'167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	6	1	—	—	$37,747.44	$72,785.24	$63,291.51	2025-01-01
'73-4	OTHER	Orbit And Eye Procedures	2	1	—	—	$72,686.07	$72,686.07	$72,686.07	2025-01-01
'183-2	OTHER	Percutaneous Structural Cardiac Procedures	6	1	—	—	$30,045.33	$71,781.83	$62,418.98	2025-01-01
'951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	1	—	—	$34,123.44	$71,470.88	$62,148.59	2025-01-01
'006-3	OTHER	Pancreas Transplant	2	1	—	—	$71,012.81	$71,012.81	$71,012.81	2025-01-01
'447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	6	1	—	—	$35,001.23	$70,924.64	$61,673.60	2025-01-01
'403-4	OTHER	Procedures For Obesity	6	1	—	—	$36,952.06	$70,741.43	$61,514.29	2025-01-01
'30-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	2	1	—	—	$70,580.08	$70,580.08	$70,580.08	2025-01-01
'634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	6	1	—	—	$35,084.53	$70,329.64	$61,156.21	2025-01-01
'91-3	OTHER	Other Major Head And Neck Procedures	2	1	—	—	$69,753.15	$69,753.15	$69,753.15	2025-01-01
'229-4	OTHER	Other Digestive System And Abdominal Procedures	6	1	—	—	$32,994.86	$69,413.63	$60,359.68	2025-01-01
'175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	6	1	—	—	$33,997.15	$69,380.02	$60,330.45	2025-01-01
'636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	6	1	—	—	$26,378.34	$69,267.41	$60,232.53	2025-01-01
'121-4	OTHER	Other Respiratory And Chest Procedures	6	1	—	—	$39,093.68	$69,011.94	$60,010.38	2025-01-01
'163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	1	—	—	$41,638.36	$68,919.49	$59,929.99	2025-01-01
'130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	1	—	—	$31,702.37	$68,497.62	$59,563.15	2025-01-01
'183-1	OTHER	Percutaneous Structural Cardiac Procedures	6	1	—	—	$28,651.62	$68,329.54	$59,416.99	2025-01-01
'623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	1	—	—	$33,372.85	$68,312.74	$59,402.38	2025-01-01
'98-4	OTHER	Other Ear, Nose, Mouth And Throat Procedures	2	1	—	—	$68,119.45	$68,119.45	$68,119.45	2025-01-01
'49-4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	2	1	—	—	$67,484.13	$67,484.13	$67,484.13	2025-01-01
'009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$67,000.08	$67,000.08	$67,000.08	2025-01-01
'50-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	2	1	—	—	$65,423.51	$65,423.51	$65,423.51	2025-01-01
'8-1	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$65,352.92	$65,352.92	$65,352.92	2025-01-01
'001-3	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$65,003.56	$65,003.56	$65,003.56	2025-01-01
'24-4	OTHER	Open Extracranial Vascular Procedures	2	1	—	—	$64,562.97	$64,562.97	$64,562.97	2025-01-01
'43-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	2	1	—	—	$64,531.03	$64,531.03	$64,531.03	2025-01-01
'11-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$63,273.83	$63,273.83	$63,273.83	2025-01-01
'005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$62,179.42	$62,179.42	$62,179.42	2025-01-01
'89-3	OTHER	Major Cranial Or Facial Bone Procedures	2	1	—	—	$61,517.43	$61,517.43	$61,517.43	2025-01-01
'97-4	OTHER	Tonsil And Adenoid Procedures	2	1	—	—	$61,246.83	$61,246.83	$61,246.83	2025-01-01
'007-2	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$61,235.36	$61,235.36	$61,235.36	2025-01-01

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