Hospital

HIALEAH HOSPITAL

Hialeah, FL · CCN 100053 · Rates published

6,948 distinct procedures filed

90 distinct payers

773,484 rate rows

2026-05-24 last MRF observed

Data quality

726,936 of 773,484 rate rows are consumer-grade (94.0%)

46,548 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	26,262
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	16,420
template filing: same amount across many unrelated codes — excluded	2,320
placeholder amount (≤ $0.02) — excluded from medians	1,022
exceeds 10× this hospital's gross charge — excluded from medians	524

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

Source MRF file	https://hialeahhosp.org/pricetransparency/995053647_HialeahHospital_standardcharges.csv
Found on page	https://hialeahhosp.org/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	dd67b282e7ef3a62… · 127,447,240 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	53	$98,661.96	$2,002,042.70	$336,093.27	nat. median $386,529 0.9× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	47	$112,885.71	$592,614.42	$229,018.79	nat. median $239,422 1.0× median
583-4 OTHER	Neonate With Ecmo	9	$221,000.00	$232,050.00	$221,000.00	nat. median $309,400 0.7× median
583-3 OTHER	Neonate With Ecmo	9	$221,000.00	$232,050.00	$221,000.00	nat. median $259,487 0.9× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$221,000.00	$232,050.00	$221,000.00	nat. median $267,493 0.8× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	$211,296.47	$221,861.29	$211,296.47	nat. median $210,669 1.0× median
7 OTHER	Lung Transplant	48	$83,227.04	$1,513,993.04	$206,517.40	nat. median $169,933 1.2× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	56	$123,438.30	$438,539.68	$197,041.94	nat. median $146,562 1.3× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	56	$118,846.11	$451,569.59	$192,082.14	nat. median $181,005 1.1× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	$186,976.63	$196,325.46	$186,976.63	nat. median $203,379 0.9× median
02HA0QZ OTHER	Lvad	3	$142,954.00	$174,334.00	$174,334.00	nat. median $25,848 outlier · 6.7×
02HA3QZ OTHER	Lvad	3	$142,954.00	$174,334.00	$174,334.00	nat. median $25,848 outlier · 6.7×
02HA4QZ OTHER	Lvad	3	$142,954.00	$174,334.00	$174,334.00	nat. median $25,848 outlier · 6.7×
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	$165,000.00	$173,250.00	$165,000.00	nat. median $169,856 1.0× median
583-2 OTHER	Neonate With Ecmo	9	$145,322.76	$152,588.90	$145,322.76	nat. median $191,347 0.8× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$132,000.00	$138,600.00	$132,000.00	nat. median $165,000 0.8× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	$131,545.36	$138,122.63	$131,545.36	nat. median $171,094 0.8× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	56	$78,962.74	$664,447.89	$127,099.24	nat. median $134,983 0.9× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$121,000.00	$127,050.00	$121,000.00	nat. median $151,250 0.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	$120,000.00	$126,000.00	$120,000.00	nat. median $156,696 0.8× median
14 OTHER	Allogeneic Bone Marrow Transplant	53	$27,217.43	$242,199.87	$111,694.61	nat. median $100,915 1.1× median
002-4 OTHER	Heart And/or Lung Transplant	9	$111,047.26	$116,599.62	$111,047.26	nat. median $216,800 0.5× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$108,772.56	$114,211.19	$108,772.56	nat. median $153,523 0.7× median
215 OTHER	Other Heart Assist System Implant	56	$59,652.48	$234,590.02	$100,267.97	nat. median $92,359 1.1× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	$100,000.00	$105,000.00	$100,000.00	nat. median $125,000 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$99,000.00	$103,950.00	$99,000.00	nat. median $112,711 0.9× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	$97,101.66	$101,956.74	$97,101.66	nat. median $100,015 1.0× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	48	$59,950.74	$331,493.71	$96,003.04	nat. median $94,894 1.0× median
161-4 OTHER	Implantable Heart Assist Systems	9	$95,167.09	$99,925.44	$95,167.09	nat. median $202,242 outlier · 0.5×
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	$95,000.00	$99,750.00	$95,000.00	nat. median $95,000 1.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	47	$61,973.42	$527,020.84	$94,821.36	nat. median $111,558 0.8× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	56	$41,831.92	$201,384.64	$93,979.68	nat. median $90,581 1.0× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	$92,119.45	$96,725.42	$92,119.45	nat. median $108,000 0.9× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	$91,000.00	$95,550.00	$91,000.00	nat. median $99,157 0.9× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	9	$90,217.23	$94,728.09	$90,217.23	nat. median $151,691 0.6× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	$89,874.13	$94,367.84	$89,874.13	nat. median $99,067 0.9× median
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	9	$87,000.00	$91,350.00	$87,000.00	nat. median $87,000 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	61	$54,497.74	$212,666.05	$83,379.00	nat. median $90,130 0.9× median
863-4 OTHER	Neonatal Aftercare	9	$80,871.28	$84,914.84	$80,871.28	nat. median $108,047 0.7× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	$80,000.00	$84,000.00	$80,000.00	nat. median $107,050 0.7× median
231 OTHER	Coronary Bypass With Ptca With Mcc	61	$48,067.56	$218,792.21	$79,985.14	nat. median $74,989 1.1× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	9	$78,699.03	$82,633.98	$78,699.03	nat. median $93,000 0.8× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	9	$75,611.37	$79,391.94	$75,611.37	nat. median $172,311 outlier · 0.4×
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	57	$18,976.00	$273,655.62	$75,276.28	nat. median $65,342 1.2× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	$75,232.49	$78,994.11	$75,232.49	nat. median $150,954 outlier · 0.5×
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	56	$26,400.00	$271,028.61	$72,920.29	nat. median $74,209 1.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	59	$37,951.00	$227,851.88	$72,062.81	nat. median $76,493 0.9× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	61	$44,476.10	$150,793.39	$72,051.72	nat. median $68,249 1.1× median
609-3 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	$71,110.29	$74,665.80	$71,110.29	nat. median $83,785 0.8× median
603-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	$69,711.95	$73,197.55	$69,711.95	nat. median $68,561 1.0× median

Other procedures at this hospital

Browse this hospital's 6,948 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

001-4	OTHER	Liver Transplant And/or Intestinal Transplant	18	9	—	—	$67,242.62	$70,604.75	$67,242.62	2026-05-24
002-1	OTHER	Heart And/or Lung Transplant	18	9	—	—	$41,730.88	$43,817.42	$41,730.88	2026-05-24
002-2	OTHER	Heart And/or Lung Transplant	18	9	—	—	$45,376.96	$47,645.81	$45,376.96	2026-05-24
002-3	OTHER	Heart And/or Lung Transplant	18	9	—	—	$62,352.43	$65,470.05	$62,352.43	2026-05-24
002-4	OTHER	Heart And/or Lung Transplant	18	9	—	—	$111,047.26	$116,599.62	$111,047.26	2026-05-24
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	9	—	—	$41,876.47	$43,970.29	$41,876.47	2026-05-24
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	9	—	—	$66,782.14	$70,121.25	$66,782.14	2026-05-24
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	9	—	—	$43,560.21	$45,738.22	$43,560.21	2026-05-24
006-4	OTHER	Pancreas Transplant	18	9	—	—	$48,372.76	$50,791.40	$48,372.76	2026-05-24
007-3	OTHER	Allogeneic Bone Marrow Transplant	18	9	—	—	$36,953.93	$38,801.63	$36,953.93	2026-05-24
007-4	OTHER	Allogeneic Bone Marrow Transplant	18	9	—	—	$75,611.37	$79,391.94	$75,611.37	2026-05-24
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	18	9	—	—	$37,476.23	$39,350.04	$37,476.23	2026-05-24
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	9	—	—	$75,232.49	$78,994.11	$75,232.49	2026-05-24
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	9	—	—	$48,895.78	$51,340.57	$48,895.78	2026-05-24
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	9	—	—	$131,545.36	$138,122.63	$131,545.36	2026-05-24
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	9	—	—	$50,021.00	$52,522.05	$50,021.00	2026-05-24
02HA0QZ	OTHER	Lvad	6	3	—	—	$142,954.00	$174,334.00	$174,334.00	2026-05-24
02HA3QZ	OTHER	Lvad	6	3	—	—	$142,954.00	$174,334.00	$174,334.00	2026-05-24
02HA4QZ	OTHER	Lvad	6	3	—	—	$142,954.00	$174,334.00	$174,334.00	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	94	47	—	—	$112,885.71	$592,614.42	$229,018.79	2026-05-24
10	OTHER	Pancreas Transplant	96	48	—	—	$44,127.80	$254,735.84	$67,997.23	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	112	56	—	—	$28,561.17	$157,601.39	$46,881.99	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	112	56	—	—	$24,196.30	$119,080.20	$37,493.04	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	106	53	—	—	$27,217.43	$242,199.87	$111,694.61	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	112	56	—	—	$24,881.83	$129,234.29	$37,322.74	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	100	50	—	—	$34,750.51	$188,986.46	$53,027.09	2026-05-24
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	18	9	—	—	$55,523.63	$58,299.81	$55,523.63	2026-05-24
161-1	OTHER	Implantable Heart Assist Systems	18	9	—	—	$49,247.34	$51,709.71	$49,247.34	2026-05-24
161-2	OTHER	Implantable Heart Assist Systems	18	9	—	—	$51,688.84	$54,273.28	$51,688.84	2026-05-24
161-3	OTHER	Implantable Heart Assist Systems	18	9	—	—	$64,392.40	$67,612.02	$64,392.40	2026-05-24
161-4	OTHER	Implantable Heart Assist Systems	18	9	—	—	$95,167.09	$99,925.44	$95,167.09	2026-05-24
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	9	—	—	$37,904.72	$39,799.96	$37,904.72	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	112	56	—	—	$26,039.11	$322,003.03	$40,436.23	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	106	53	—	—	$13,228.69	$188,986.46	$53,153.65	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	106	53	—	—	$98,661.96	$2,002,042.70	$336,093.27	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	106	53	—	—	$11,458.23	$146,544.07	$67,925.04	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	94	47	—	—	$61,973.42	$527,020.84	$94,821.36	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	112	56	—	—	$26,400.00	$271,028.61	$72,920.29	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	112	56	—	—	$27,771.50	$390,586.18	$55,659.59	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	112	56	—	—	$31,972.39	$258,611.36	$52,309.73	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	112	56	—	—	$41,831.92	$201,384.64	$93,979.68	2026-05-24
215	OTHER	Other Heart Assist System Implant	112	56	—	—	$59,652.48	$234,590.02	$100,267.97	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	122	61	—	—	$54,497.74	$212,666.05	$83,379.00	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	122	61	—	—	$37,055.59	$122,535.24	$63,970.55	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	122	61	—	—	$34,277.48	$122,535.24	$56,518.35	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	122	61	—	—	$44,045.13	$211,702.44	$68,237.00	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	122	61	—	—	$30,712.80	$106,181.24	$53,683.97	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	122	61	—	—	$26,866.81	$106,181.24	$46,956.29	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	122	61	—	—	$29,000.91	$110,309.00	$47,341.35	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	112	56	—	—	$32,943.60	$200,839.49	$51,118.90	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	122	61	—	—	$48,067.56	$218,792.21	$79,985.14	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	122	61	—	—	$35,148.16	$135,973.33	$61,442.62	2026-05-24
232-4	OTHER	Gastric Fundoplication	18	9	—	—	$53,508.13	$56,183.54	$53,508.13	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	122	61	—	—	$44,476.10	$150,793.39	$72,051.72	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	122	61	—	—	$30,841.16	$110,309.00	$50,541.90	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	122	61	—	—	$33,921.89	$108,775.32	$55,899.90	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	122	61	—	—	$24,242.19	$87,321.00	$39,064.95	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	112	56	—	—	$22,164.20	$137,146.10	$43,940.56	2026-05-24
245	OTHER	Aicd Generator Procedures	116	58	—	—	$12,998.00	$90,337.38	$42,710.72	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	112	56	—	—	$26,209.70	$82,674.94	$41,147.51	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	112	56	—	—	$34,504.16	$150,624.99	$56,696.24	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	112	56	—	—	$27,479.14	$116,699.66	$44,524.74	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	122	61	—	—	$28,961.69	$378,527.91	$57,301.55	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	122	61	—	—	$21,468.10	$146,312.79	$37,370.94	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	122	61	—	—	$28,961.69	$110,309.00	$45,604.83	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	112	56	—	—	$40,382.67	$130,640.56	$61,651.18	2026-05-24
276	OTHER	Non-maligant Breast Disorders	118	59	—	—	$19,759.16	$114,509.68	$53,424.43	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	112	56	—	—	$27,190.72	$163,038.40	$43,775.60	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	112	56	—	—	$4,055.09	$92,491.00	$43,986.87	2026-05-24
28	OTHER	Spinal Procedures With Mcc	112	56	—	—	$26,717.72	$112,385.64	$52,483.00	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	112	56	—	—	$118,846.11	$451,569.59	$192,082.14	2026-05-24
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	9	—	—	$92,119.45	$96,725.42	$92,119.45	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	112	56	—	—	$19,701.61	$86,274.88	$37,006.46	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	118	59	—	—	$14,856.88	$110,309.00	$38,663.18	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	112	56	—	—	$14,938.36	$78,739.27	$37,844.38	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	112	56	—	—	$23,503.06	$266,757.65	$44,285.49	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	112	56	—	—	$25,711.17	$113,447.59	$40,294.48	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	112	56	—	—	$24,145.82	$231,237.69	$37,621.79	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	112	56	—	—	$78,962.74	$664,447.89	$127,099.24	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	112	56	—	—	$31,433.82	$110,183.91	$49,659.29	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	114	57	—	—	$18,976.00	$273,655.62	$75,276.28	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	114	57	—	—	$18,976.00	$110,214.83	$52,784.52	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	114	57	—	—	$18,976.00	$146,158.35	$40,406.72	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	118	59	—	—	$37,951.00	$227,851.88	$72,062.81	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	118	59	—	—	$33,130.96	$106,098.55	$50,433.42	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	118	59	—	—	$25,366.87	$84,992.90	$40,972.51	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	114	57	—	—	$18,976.00	$176,973.88	$57,012.33	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	112	56	—	—	$32,348.63	$261,786.99	$52,951.67	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	112	56	—	—	$20,198.33	$99,842.89	$46,923.76	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	112	56	—	—	$21,711.21	$94,178.78	$44,413.31	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	118	59	—	—	$18,976.00	$272,535.86	$41,660.06	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	112	56	—	—	$17,271.38	$82,904.16	$39,416.16	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	96	48	—	—	$59,950.74	$331,493.71	$96,003.04	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	112	56	—	—	$21,139.29	$113,840.49	$52,621.84	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	112	56	—	—	$8,911.31	$99,737.52	$46,430.63	2026-05-24
583-1	OTHER	Neonate With Ecmo	18	9	—	—	$69,493.60	$72,968.28	$69,493.60	2026-05-24
583-2	OTHER	Neonate With Ecmo	18	9	—	—	$145,322.76	$152,588.90	$145,322.76	2026-05-24
583-3	OTHER	Neonate With Ecmo	18	9	—	—	$221,000.00	$232,050.00	$221,000.00	2026-05-24
583-4	OTHER	Neonate With Ecmo	18	9	—	—	$221,000.00	$232,050.00	$221,000.00	2026-05-24
588-1	OTHER	Female Reproductive System Reconstructive Procedures	18	9	—	—	$50,000.00	$52,500.00	$50,000.00	2026-05-24
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	9	—	—	$108,772.56	$114,211.19	$108,772.56	2026-05-24
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	9	—	—	$132,000.00	$138,600.00	$132,000.00	2026-05-24
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	9	—	—	$221,000.00	$232,050.00	$221,000.00	2026-05-24
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	9	—	—	$48,983.85	$51,433.04	$48,983.85	2026-05-24
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	9	—	—	$87,000.00	$91,350.00	$87,000.00	2026-05-24
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	9	—	—	$68,150.11	$71,557.62	$68,150.11	2026-05-24
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	9	—	—	$91,000.00	$95,550.00	$91,000.00	2026-05-24
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	9	—	—	$120,000.00	$126,000.00	$120,000.00	2026-05-24
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	9	—	—	$63,775.17	$66,963.93	$63,775.17	2026-05-24
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	9	—	—	$99,000.00	$103,950.00	$99,000.00	2026-05-24
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	9	—	—	$121,000.00	$127,050.00	$121,000.00	2026-05-24
6	OTHER	Liver Transplant Without Mcc	96	48	—	—	$28,268.43	$429,104.52	$44,622.51	2026-05-24
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	9	—	—	$47,292.77	$49,657.41	$47,292.77	2026-05-24
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	9	—	—	$89,874.13	$94,367.84	$89,874.13	2026-05-24
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	9	—	—	$100,000.00	$105,000.00	$100,000.00	2026-05-24
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	9	—	—	$69,711.95	$73,197.55	$69,711.95	2026-05-24
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	9	—	—	$80,000.00	$84,000.00	$80,000.00	2026-05-24
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	9	—	—	$67,217.52	$70,578.40	$67,217.52	2026-05-24
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	9	—	—	$97,101.66	$101,956.74	$97,101.66	2026-05-24
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	9	—	—	$48,849.76	$51,292.25	$48,849.76	2026-05-24
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	9	—	—	$61,349.31	$64,416.78	$61,349.31	2026-05-24
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	9	—	—	$71,110.29	$74,665.80	$71,110.29	2026-05-24
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	9	—	—	$165,000.00	$173,250.00	$165,000.00	2026-05-24
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	18	9	—	—	$78,699.03	$82,633.98	$78,699.03	2026-05-24
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	9	—	—	$43,210.73	$45,371.27	$43,210.73	2026-05-24
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	9	—	—	$69,359.04	$72,826.99	$69,359.04	2026-05-24
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	9	—	—	$47,988.67	$50,388.10	$47,988.67	2026-05-24
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	9	—	—	$62,000.00	$65,100.00	$62,000.00	2026-05-24
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	18	9	—	—	$38,873.71	$40,817.40	$38,873.71	2026-05-24
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	18	9	—	—	$1,200.00	$69,952.39	$66,621.32	2026-05-24
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	18	9	—	—	$41,444.54	$43,516.77	$41,444.54	2026-05-24
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	9	—	—	$37,305.98	$39,171.28	$37,305.98	2026-05-24
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	9	—	—	$46,675.86	$49,009.65	$46,675.86	2026-05-24
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	18	9	—	—	$55,399.71	$58,169.70	$55,399.71	2026-05-24
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	9	—	—	$37,991.03	$39,890.58	$37,991.03	2026-05-24
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	9	—	—	$95,000.00	$99,750.00	$95,000.00	2026-05-24
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	9	—	—	$211,296.47	$221,861.29	$211,296.47	2026-05-24
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	9	—	—	$56,144.55	$58,951.78	$56,144.55	2026-05-24
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	9	—	—	$186,976.63	$196,325.46	$186,976.63	2026-05-24
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	18	9	—	—	$1,200.00	$69,247.90	$65,950.38	2026-05-24
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	18	9	—	—	$1,200.00	$41,180.11	$39,219.15	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	100	50	—	—	$26,947.10	$165,653.25	$40,736.95	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	112	56	—	—	$29,258.15	$302,839.44	$48,346.14	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	112	56	—	—	$24,255.13	$122,287.28	$36,998.27	2026-05-24
7	OTHER	Lung Transplant	96	48	—	—	$83,227.04	$1,513,993.04	$206,517.40	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	106	53	—	—	$3,587.53	$107,278.83	$51,379.34	2026-05-24
799	OTHER	Splenectomy With Mcc	112	56	—	—	$27,752.78	$87,897.23	$41,629.18	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	96	48	—	—	$31,501.56	$414,358.28	$49,625.78	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	112	56	—	—	$29,598.33	$111,750.33	$50,375.66	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	112	56	—	—	$16,901.46	$119,301.21	$41,012.23	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	112	56	—	—	$22,126.60	$104,968.21	$41,798.79	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	112	56	—	—	$20,353.99	$102,177.67	$47,501.84	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	112	56	—	—	$22,506.13	$327,818.67	$43,697.20	2026-05-24
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	18	9	—	—	$90,217.23	$94,728.09	$90,217.23	2026-05-24
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	18	9	—	—	$46,203.37	$48,513.54	$46,203.37	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	112	56	—	—	$29,099.24	$92,454.03	$43,648.87	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	112	56	—	—	$26,424.37	$83,401.44	$39,636.55	2026-05-24
863-4	OTHER	Neonatal Aftercare	18	9	—	—	$80,871.28	$84,914.84	$80,871.28	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	112	56	—	—	$14,151.16	$143,744.31	$59,668.63	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	112	56	—	—	$17,858.16	$81,902.22	$38,972.05	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	112	56	—	—	$123,438.30	$438,539.68	$197,041.94	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	112	56	—	—	$37,147.01	$123,466.15	$57,394.14	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	112	56	—	—	$15,631.69	$96,675.35	$37,760.15	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	112	56	—	—	$39,078.82	$142,364.02	$62,821.42	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	112	56	—	—	$42,552.28	$137,983.20	$63,828.42	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	112	56	—	—	$24,229.63	$83,089.99	$38,894.68	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	112	56	—	—	$36,325.83	$518,619.95	$54,488.74	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	112	56	—	—	$27,747.87	$87,880.60	$42,106.55	2026-05-24
D020DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D020HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D020JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D021DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D021HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D021JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D026DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D026HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D026JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D027DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D027HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D027JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D720DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D720HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D720JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D721DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D721HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D721JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D722DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D722HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D722JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D723DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D723HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D723JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D724DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D724HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D724JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D725DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D725HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D725JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D726DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D726HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D726JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D727DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D727HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D727JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D728DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D728HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D820DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D820HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D820JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D920DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D920JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D921DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D921HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D921JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D924DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D924HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D924JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D925DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D925HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D925JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D926DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D926HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D926JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D927DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D927HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D927JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D928DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D928HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D928JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D929DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D929HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D929JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D92BDZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D92BHZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D92BJZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D92CDZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D92CHZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D92CJZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D92DDZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D92DHZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
D92DJZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB20DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB20HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB20JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB21DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB21HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB21JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB22DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB22HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB22JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB25DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB25JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB26DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB26HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB26JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB27DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB27HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB28DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB28HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DB28JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD20DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD20HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD20JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD21DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD21HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD21JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD22DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD22HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD22JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD23DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD23HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD23JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD24DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD24HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD24JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD25DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD25HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD25JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD27DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD27HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DD27JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF20DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF20HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF20JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF21DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF21HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF21JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF22DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF22HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF22JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF23DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF23HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DF23JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DG20DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DG20HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DG20JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DG21DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DG21HZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DG21JZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24
DG22DZZ	OTHER	Stereotactic Radiosurgery	4	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-24

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