|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
1
|
1
|
—
|
—
|
$1,958,775.63
|
$1,958,775.63
|
$1,958,775.63
|
2026-05-08
|
|
633
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…
|
1
|
1
|
—
|
—
|
$831,502.63
|
$831,502.63
|
$831,502.63
|
2026-05-08
|
|
636
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…
|
1
|
1
|
—
|
—
|
$763,553.77
|
$763,553.77
|
$763,553.77
|
2026-05-08
|
|
634
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…
|
1
|
1
|
—
|
—
|
$690,425.17
|
$690,425.17
|
$690,425.17
|
2026-05-08
|
|
613
|
OTHER
|
Neonate, Birth Weight <750 Grams, Died
|
1
|
1
|
—
|
—
|
$545,173.70
|
$545,173.70
|
$545,173.70
|
2026-05-08
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
21
|
16
|
—
|
—
|
$214,032.72
|
$3,109,557.48
|
$520,067.76
|
2026-05-08
|
|
632
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Died
|
1
|
1
|
—
|
—
|
$392,917.20
|
$392,917.20
|
$392,917.20
|
2026-05-08
|
|
7
|
OTHER
|
Lung Transplant
|
20
|
15
|
—
|
—
|
$180,548.91
|
$1,730,277.76
|
$354,655.99
|
2026-05-08
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
21
|
16
|
—
|
—
|
$200,364.84
|
$656,436.02
|
$288,578.43
|
2026-05-08
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
20
|
15
|
—
|
—
|
$244,889.05
|
$1,444,364.36
|
$286,942.39
|
2026-05-08
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
21
|
16
|
—
|
—
|
$201,547.45
|
$682,125.86
|
$267,781.36
|
2026-05-08
|
|
608
|
OTHER
|
Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period
|
1
|
1
|
—
|
—
|
$250,107.03
|
$250,107.03
|
$250,107.03
|
2026-05-08
|
|
635
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Died
|
1
|
1
|
—
|
—
|
$243,438.80
|
$243,438.80
|
$243,438.80
|
2026-05-08
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
14
|
—
|
—
|
$221,000.00
|
$265,200.00
|
$243,100.00
|
2026-05-08
|
|
583-4
|
OTHER
|
Neonate With Ecmo
|
18
|
14
|
—
|
—
|
$221,000.00
|
$265,200.00
|
$243,100.00
|
2026-05-08
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
18
|
14
|
—
|
—
|
$221,000.00
|
$265,200.00
|
$243,100.00
|
2026-05-08
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
18
|
14
|
—
|
—
|
$220,000.00
|
$264,000.00
|
$242,000.00
|
2026-05-08
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
18
|
14
|
—
|
—
|
$213,563.38
|
$256,276.06
|
$234,919.72
|
2026-05-08
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
18
|
14
|
—
|
—
|
$208,531.70
|
$250,238.04
|
$229,384.87
|
2026-05-08
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
14
|
—
|
—
|
$208,101.09
|
$249,721.31
|
$228,911.20
|
2026-05-08
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
18
|
14
|
—
|
—
|
$200,446.98
|
$240,536.38
|
$220,491.68
|
2026-05-08
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
18
|
14
|
—
|
—
|
$191,699.07
|
$230,038.88
|
$210,868.98
|
2026-05-08
|
|
318
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$206,653.39
|
$206,653.39
|
$206,653.39
|
2026-05-08
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
21
|
16
|
—
|
—
|
$143,019.75
|
$806,040.57
|
$206,451.75
|
2026-05-08
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
18
|
14
|
—
|
—
|
$185,494.38
|
$222,593.26
|
$204,043.82
|
2026-05-08
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
14
|
—
|
—
|
$181,784.88
|
$218,141.86
|
$199,963.37
|
2026-05-08
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
18
|
14
|
—
|
—
|
$165,000.00
|
$198,000.00
|
$181,500.00
|
2026-05-08
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
18
|
14
|
—
|
—
|
$164,524.16
|
$197,428.99
|
$180,976.58
|
2026-05-08
|
|
362
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
1
|
1
|
—
|
—
|
$180,668.28
|
$180,668.28
|
$180,668.28
|
2026-05-08
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
18
|
14
|
—
|
—
|
$163,285.41
|
$195,942.49
|
$179,613.95
|
2026-05-08
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
20
|
15
|
—
|
—
|
$97,348.47
|
$521,499.80
|
$169,750.77
|
2026-05-08
|
|
647
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
1
|
1
|
—
|
—
|
$161,896.92
|
$161,896.92
|
$161,896.92
|
2026-05-08
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
18
|
14
|
—
|
—
|
$140,000.00
|
$168,000.00
|
$154,000.00
|
2026-05-08
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
18
|
14
|
—
|
—
|
$139,430.68
|
$167,316.82
|
$153,373.75
|
2026-05-08
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
14
|
—
|
—
|
$139,000.00
|
$166,800.00
|
$152,900.00
|
2026-05-08
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
14
|
—
|
—
|
$137,388.86
|
$164,866.63
|
$151,127.75
|
2026-05-08
|
|
317
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
1
|
1
|
—
|
—
|
$150,945.46
|
$150,945.46
|
$150,945.46
|
2026-05-08
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
20
|
15
|
—
|
—
|
$50,000.00
|
$602,309.54
|
$150,521.89
|
2026-05-08
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
15
|
—
|
—
|
$31,105.63
|
$369,533.90
|
$149,070.81
|
2026-05-08
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
14
|
—
|
—
|
$132,000.00
|
$158,400.00
|
$145,200.00
|
2026-05-08
|
|
213
|
OTHER
|
Splenic Procedures Age 0-17
|
1
|
1
|
—
|
—
|
$143,508.14
|
$143,508.14
|
$143,508.14
|
2026-05-08
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
14
|
—
|
—
|
$130,000.00
|
$156,000.00
|
$143,000.00
|
2026-05-08
|
|
162
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age 0-17
|
1
|
1
|
—
|
—
|
$136,630.60
|
$136,630.60
|
$136,630.60
|
2026-05-08
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
21
|
16
|
—
|
—
|
$94,012.01
|
$720,710.30
|
$136,265.41
|
2026-05-08
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
20
|
15
|
—
|
—
|
$75,224.34
|
$490,405.16
|
$135,441.55
|
2026-05-08
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
16
|
—
|
—
|
$92,367.86
|
$309,608.10
|
$133,910.75
|
2026-05-08
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
14
|
—
|
—
|
$121,000.00
|
$145,200.00
|
$133,100.00
|
2026-05-08
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
18
|
14
|
—
|
—
|
$120,145.83
|
$144,175.00
|
$132,160.41
|
2026-05-08
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
18
|
14
|
—
|
—
|
$120,000.00
|
$144,000.00
|
$132,000.00
|
2026-05-08
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
14
|
—
|
—
|
$120,000.00
|
$144,000.00
|
$132,000.00
|
2026-05-08
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
18
|
14
|
—
|
—
|
$119,708.48
|
$143,650.18
|
$131,679.33
|
2026-05-08
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
18
|
14
|
—
|
—
|
$117,988.01
|
$141,585.61
|
$129,786.81
|
2026-05-08
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
18
|
14
|
—
|
—
|
$115,264.16
|
$138,316.99
|
$126,790.58
|
2026-05-08
|
|
648
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
1
|
1
|
—
|
—
|
$123,640.70
|
$123,640.70
|
$123,640.70
|
2026-05-08
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
14
|
—
|
—
|
$110,000.00
|
$132,000.00
|
$121,000.00
|
2026-05-08
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
21
|
16
|
—
|
—
|
$17,052.61
|
$352,783.51
|
$119,094.44
|
2026-05-08
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
21
|
16
|
—
|
—
|
$79,598.77
|
$250,048.24
|
$115,623.52
|
2026-05-08
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
18
|
14
|
—
|
—
|
$104,638.74
|
$125,566.49
|
$115,102.61
|
2026-05-08
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
18
|
14
|
—
|
—
|
$103,849.99
|
$124,619.99
|
$114,234.99
|
2026-05-08
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$100,000.00
|
$120,000.00
|
$110,000.00
|
2026-05-08
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$100,000.00
|
$120,000.00
|
$110,000.00
|
2026-05-08
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
14
|
—
|
—
|
$99,000.00
|
$118,800.00
|
$108,900.00
|
2026-05-08
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
21
|
16
|
—
|
—
|
$74,302.93
|
$309,746.98
|
$108,039.08
|
2026-05-08
|
|
396
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
1
|
1
|
—
|
—
|
$106,096.29
|
$106,096.29
|
$106,096.29
|
2026-05-08
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
16
|
—
|
—
|
$72,504.94
|
$270,662.70
|
$105,464.10
|
2026-05-08
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$85,517.47
|
$592,708.51
|
$105,231.53
|
2026-05-08
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
21
|
16
|
—
|
—
|
$72,192.52
|
$294,643.73
|
$105,016.66
|
2026-05-08
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
14
|
—
|
—
|
$95,000.00
|
$114,000.00
|
$104,500.00
|
2026-05-08
|
|
402
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures Age >17 Without Cc/mcc
|
1
|
1
|
—
|
—
|
$102,420.10
|
$102,420.10
|
$102,420.10
|
2026-05-08
|
|
691
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
1
|
1
|
—
|
—
|
$100,734.74
|
$100,734.74
|
$100,734.74
|
2026-05-08
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
14
|
—
|
—
|
$91,000.00
|
$109,200.00
|
$100,100.00
|
2026-05-08
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
14
|
—
|
—
|
$91,000.00
|
$109,200.00
|
$100,100.00
|
2026-05-08
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$90,201.02
|
$108,241.22
|
$99,221.12
|
2026-05-08
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
21
|
16
|
—
|
—
|
$67,333.68
|
$230,450.59
|
$98,058.09
|
2026-05-08
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
20
|
15
|
—
|
—
|
$56,001.10
|
$369,533.90
|
$96,849.35
|
2026-05-08
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
14
|
—
|
—
|
$88,000.00
|
$105,600.00
|
$96,800.00
|
2026-05-08
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
20
|
15
|
—
|
—
|
$50,000.00
|
$473,552.32
|
$96,550.77
|
2026-05-08
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
16
|
—
|
—
|
$79,348.66
|
$260,402.15
|
$96,256.96
|
2026-05-08
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
18
|
14
|
—
|
—
|
$87,000.00
|
$104,400.00
|
$95,700.00
|
2026-05-08
|
|
104
|
OTHER
|
Craniotomy, Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17
|
1
|
1
|
—
|
—
|
$95,528.87
|
$95,528.87
|
$95,528.87
|
2026-05-08
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
21
|
16
|
—
|
—
|
$71,953.73
|
$317,473.36
|
$94,101.85
|
2026-05-08
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
18
|
14
|
—
|
—
|
$85,000.00
|
$102,000.00
|
$93,500.00
|
2026-05-08
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
21
|
16
|
—
|
—
|
$63,564.95
|
$841,183.96
|
$92,660.71
|
2026-05-08
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
18
|
14
|
—
|
—
|
$83,523.58
|
$100,228.30
|
$91,875.94
|
2026-05-08
|
|
106
|
OTHER
|
Concussion Age 0-17
|
1
|
1
|
—
|
—
|
$90,839.30
|
$90,839.30
|
$90,839.30
|
2026-05-08
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
14
|
14
|
—
|
—
|
$83,671.40
|
$224,768.07
|
$90,733.68
|
2026-05-08
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
16
|
—
|
—
|
$62,094.47
|
$278,357.00
|
$90,554.76
|
2026-05-08
|
|
677
|
OTHER
|
Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With…
|
1
|
1
|
—
|
—
|
$90,288.52
|
$90,288.52
|
$90,288.52
|
2026-05-08
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
18
|
14
|
—
|
—
|
$81,689.05
|
$98,026.86
|
$89,857.96
|
2026-05-08
|
|
10
|
OTHER
|
Pancreas Transplant
|
20
|
15
|
—
|
—
|
$50,000.00
|
$291,126.68
|
$89,345.49
|
2026-05-08
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
18
|
14
|
—
|
—
|
$80,753.67
|
$96,904.40
|
$88,829.04
|
2026-05-08
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
18
|
14
|
—
|
—
|
$80,448.62
|
$96,538.34
|
$88,493.48
|
2026-05-08
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
18
|
14
|
—
|
—
|
$80,060.14
|
$96,072.17
|
$88,066.15
|
2026-05-08
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
18
|
14
|
—
|
—
|
$80,000.00
|
$96,000.00
|
$88,000.00
|
2026-05-08
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
14
|
—
|
—
|
$80,000.00
|
$96,000.00
|
$88,000.00
|
2026-05-08
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
14
|
—
|
—
|
$79,000.00
|
$94,800.00
|
$86,900.00
|
2026-05-08
|
|
440-4
|
OTHER
|
Kidney Transplant
|
18
|
14
|
—
|
—
|
$78,775.05
|
$94,530.06
|
$86,652.56
|
2026-05-08
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
18
|
14
|
—
|
—
|
$78,298.93
|
$93,958.72
|
$86,128.82
|
2026-05-08
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
14
|
—
|
—
|
$77,000.00
|
$92,400.00
|
$84,700.00
|
2026-05-08
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
21
|
16
|
—
|
—
|
$57,876.49
|
$839,859.61
|
$84,513.99
|
2026-05-08
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
21
|
16
|
—
|
—
|
$21,692.70
|
$432,603.33
|
$82,354.98
|
2026-05-08
|
|
105
|
OTHER
|
Traumatic Stupor And Coma <1 Hour Age 0-17
|
1
|
1
|
—
|
—
|
$82,233.20
|
$82,233.20
|
$82,233.20
|
2026-05-08
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
18
|
14
|
—
|
—
|
$74,394.93
|
$89,273.92
|
$81,834.42
|
2026-05-08
|
|
631
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$81,149.40
|
$81,149.40
|
$81,149.40
|
2026-05-08
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
18
|
14
|
—
|
—
|
$73,687.76
|
$88,425.31
|
$81,056.54
|
2026-05-08
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
21
|
16
|
—
|
—
|
$55,424.41
|
$166,979.89
|
$81,002.24
|
2026-05-08
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
18
|
14
|
—
|
—
|
$73,175.41
|
$87,810.49
|
$80,492.95
|
2026-05-08
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
18
|
14
|
—
|
—
|
$72,293.11
|
$86,751.73
|
$79,522.42
|
2026-05-08
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$72,075.70
|
$86,490.84
|
$79,283.27
|
2026-05-08
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
21
|
16
|
—
|
—
|
$54,119.10
|
$289,647.20
|
$79,132.85
|
2026-05-08
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
18
|
14
|
—
|
—
|
$70,395.39
|
$84,474.47
|
$77,434.93
|
2026-05-08
|
|
004-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
14
|
—
|
—
|
$69,230.80
|
$83,076.96
|
$76,153.88
|
2026-05-08
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$68,852.43
|
$82,622.92
|
$75,737.67
|
2026-05-08
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
21
|
16
|
—
|
—
|
$51,667.02
|
$304,038.68
|
$75,621.11
|
2026-05-08
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
21
|
16
|
—
|
—
|
$51,593.41
|
$189,085.87
|
$75,515.68
|
2026-05-08
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
21
|
16
|
—
|
—
|
$38,469.24
|
$139,132.44
|
$74,859.05
|
2026-05-08
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
21
|
16
|
—
|
—
|
$13,095.12
|
$191,283.36
|
$74,461.58
|
2026-05-08
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
18
|
14
|
—
|
—
|
$67,503.29
|
$81,003.95
|
$74,253.62
|
2026-05-08
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
21
|
16
|
—
|
—
|
$60,246.21
|
$446,384.20
|
$74,126.25
|
2026-05-08
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
16
|
—
|
—
|
$50,367.37
|
$226,957.19
|
$73,759.82
|
2026-05-08
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
18
|
14
|
—
|
—
|
$66,940.38
|
$80,328.46
|
$73,634.42
|
2026-05-08
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
16
|
—
|
—
|
$41,980.71
|
$239,598.79
|
$73,325.16
|
2026-05-08
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
21
|
16
|
—
|
—
|
$49,999.27
|
$295,555.84
|
$73,232.65
|
2026-05-08
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$65,794.33
|
$78,953.20
|
$72,373.76
|
2026-05-08
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
18
|
14
|
—
|
—
|
$65,621.58
|
$78,745.90
|
$72,183.74
|
2026-05-08
|
|
007-1
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
18
|
14
|
—
|
—
|
$65,046.87
|
$78,056.24
|
$71,551.56
|
2026-05-08
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
18
|
14
|
—
|
—
|
$64,523.56
|
$77,428.27
|
$70,975.92
|
2026-05-08
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
21
|
16
|
—
|
—
|
$47,945.56
|
$311,469.55
|
$70,291.43
|
2026-05-08
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
16
|
—
|
—
|
$47,605.71
|
$207,621.06
|
$69,804.71
|
2026-05-08
|
|
165-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
18
|
14
|
—
|
—
|
$63,243.52
|
$75,892.22
|
$69,567.87
|
2026-05-08
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
21
|
16
|
—
|
—
|
$30,698.87
|
$239,666.09
|
$68,703.93
|
2026-05-08
|
|
001-2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
18
|
14
|
—
|
—
|
$62,407.58
|
$74,889.10
|
$68,648.34
|
2026-05-08
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
21
|
16
|
—
|
—
|
$46,729.83
|
$323,023.27
|
$68,550.33
|
2026-05-08
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
18
|
14
|
—
|
—
|
$62,000.00
|
$74,400.00
|
$68,200.00
|
2026-05-08
|
|
167-4
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
18
|
14
|
—
|
—
|
$61,966.85
|
$74,360.22
|
$68,163.54
|
2026-05-08
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
14
|
14
|
—
|
—
|
$62,632.46
|
$209,717.05
|
$67,909.47
|
2026-05-08
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
21
|
16
|
—
|
—
|
$45,858.60
|
$449,415.11
|
$67,849.23
|
2026-05-08
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
21
|
16
|
—
|
—
|
$50,000.00
|
$241,364.23
|
$67,607.73
|
2026-05-08
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
21
|
16
|
—
|
—
|
$56,253.83
|
$163,458.84
|
$66,983.24
|
2026-05-08
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
16
|
—
|
—
|
$56,316.34
|
$175,743.06
|
$66,498.16
|
2026-05-08
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
18
|
14
|
—
|
—
|
$60,247.77
|
$72,297.32
|
$66,272.55
|
2026-05-08
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
18
|
14
|
—
|
—
|
$60,069.97
|
$72,083.96
|
$66,076.97
|
2026-05-08
|
|
009-2
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
14
|
—
|
—
|
$59,643.74
|
$71,572.49
|
$65,608.11
|
2026-05-08
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
21
|
16
|
—
|
—
|
$44,408.00
|
$189,318.00
|
$65,225.12
|
2026-05-08
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
21
|
16
|
—
|
—
|
$45,858.60
|
$195,180.57
|
$65,123.33
|
2026-05-08
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
21
|
16
|
—
|
—
|
$44,317.40
|
$130,348.61
|
$65,095.36
|
2026-05-08
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
18
|
14
|
—
|
—
|
$58,914.65
|
$70,697.58
|
$64,806.12
|
2026-05-08
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
18
|
14
|
—
|
—
|
$58,848.07
|
$70,617.68
|
$64,732.88
|
2026-05-08
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
18
|
14
|
—
|
—
|
$58,388.81
|
$70,066.57
|
$64,227.69
|
2026-05-08
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$55,388.54
|
$328,140.93
|
$64,209.25
|
2026-05-08
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
21
|
16
|
—
|
—
|
$43,625.57
|
$186,329.60
|
$64,104.56
|
2026-05-08
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
21
|
16
|
—
|
—
|
$52,203.92
|
$346,102.22
|
$63,471.27
|
2026-05-08
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
22
|
17
|
—
|
—
|
$46,646.78
|
$369,224.57
|
$63,148.77
|
2026-05-08
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
21
|
16
|
—
|
—
|
$42,947.92
|
$187,528.57
|
$63,134.06
|
2026-05-08
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
18
|
14
|
—
|
—
|
$57,278.15
|
$68,733.78
|
$63,005.97
|
2026-05-08
|
|
625-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
18
|
14
|
—
|
—
|
$57,194.73
|
$68,633.68
|
$62,914.20
|
2026-05-08
|
|
911-4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
18
|
14
|
—
|
—
|
$57,135.74
|
$68,562.89
|
$62,849.31
|
2026-05-08
|
|
454
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
14
|
14
|
—
|
—
|
$57,762.29
|
$264,520.84
|
$62,626.04
|
2026-05-08
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
21
|
16
|
—
|
—
|
$56,742.94
|
$281,687.00
|
$62,129.31
|
2026-05-08
|
|
304-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
18
|
14
|
—
|
—
|
$56,461.59
|
$67,753.91
|
$62,107.75
|
2026-05-08
|
|
278
|
OTHER
|
Cellulitis Age >17 Without Cc
|
21
|
16
|
—
|
—
|
$11,544.75
|
$146,095.94
|
$62,072.07
|
2026-05-08
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
18
|
14
|
—
|
—
|
$56,380.69
|
$67,656.83
|
$62,018.76
|
2026-05-08
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
21
|
16
|
—
|
—
|
$51,512.23
|
$361,762.00
|
$61,959.28
|
2026-05-08
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
22
|
17
|
—
|
—
|
$4,100.04
|
$181,912.44
|
$61,747.74
|
2026-05-08
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
21
|
16
|
—
|
—
|
$42,779.91
|
$271,833.50
|
$61,632.98
|
2026-05-08
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
21
|
16
|
—
|
—
|
$50,000.00
|
$299,185.13
|
$61,590.33
|
2026-05-08
|
|
179-4
|
OTHER
|
Defibrillator Implants
|
18
|
14
|
—
|
—
|
$55,645.87
|
$66,775.04
|
$61,210.46
|
2026-05-08
|
|
303-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
18
|
14
|
—
|
—
|
$55,561.60
|
$66,673.92
|
$61,117.76
|
2026-05-08
|
|
160-3
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
18
|
14
|
—
|
—
|
$55,484.92
|
$66,581.90
|
$61,033.41
|
2026-05-08
|
|
091-4
|
OTHER
|
Other Major Head And Neck Procedures
|
18
|
14
|
—
|
—
|
$55,321.44
|
$66,385.73
|
$60,853.58
|
2026-05-08
|
|
850-4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
18
|
14
|
—
|
—
|
$54,471.17
|
$65,365.40
|
$59,918.29
|
2026-05-08
|
|
021-4
|
OTHER
|
Open Craniotomy Except Trauma
|
18
|
14
|
—
|
—
|
$54,394.48
|
$65,273.38
|
$59,833.93
|
2026-05-08
|
|
178-3
|
OTHER
|
External Heart Assist Systems
|
18
|
14
|
—
|
—
|
$54,013.59
|
$64,816.31
|
$59,414.95
|
2026-05-08
|
|
772
|
OTHER
|
Cesarean Section Without Sterilization With Cc
|
1
|
1
|
—
|
—
|
$59,220.00
|
$59,220.00
|
$59,220.00
|
2026-05-08
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
18
|
14
|
—
|
—
|
$53,805.45
|
$64,566.54
|
$59,186.00
|
2026-05-08
|
|
602-1
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$53,691.68
|
$64,430.02
|
$59,060.85
|
2026-05-08
|
|
754-4
|
OTHER
|
Depression Except Major Depressive Disorder
|
19
|
15
|
—
|
—
|
$53,610.00
|
$64,332.00
|
$58,971.00
|
2026-05-08
|
|
440-3
|
OTHER
|
Kidney Transplant
|
18
|
14
|
—
|
—
|
$53,557.70
|
$64,269.24
|
$58,913.47
|
2026-05-08
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
21
|
16
|
—
|
—
|
$3,539.50
|
$108,474.70
|
$58,839.22
|
2026-05-08
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
21
|
16
|
—
|
—
|
$43,096.10
|
$146,462.69
|
$58,823.38
|
2026-05-08
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
21
|
16
|
—
|
—
|
$39,826.66
|
$208,391.97
|
$58,663.95
|
2026-05-08
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
20
|
15
|
—
|
—
|
$15,118.50
|
$369,533.90
|
$58,641.18
|
2026-05-08
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
21
|
16
|
—
|
—
|
$39,806.83
|
$162,469.67
|
$58,512.19
|
2026-05-08
|
|
912-4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
18
|
14
|
—
|
—
|
$53,123.71
|
$63,748.45
|
$58,436.08
|
2026-05-08
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
21
|
16
|
—
|
—
|
$39,569.93
|
$158,397.92
|
$58,296.29
|
2026-05-08
|
|
005-2
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
14
|
—
|
—
|
$52,961.92
|
$63,554.30
|
$58,258.11
|
2026-05-08
|
|
764
|
OTHER
|
Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc
|
1
|
1
|
—
|
—
|
$58,172.70
|
$58,172.70
|
$58,172.70
|
2026-05-08
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
16
|
—
|
—
|
$39,417.03
|
$166,190.52
|
$58,077.30
|
2026-05-08
|
|
161
|
OTHER
|
Hip And Femur Procedures Except Major Joint Age 0-17
|
1
|
1
|
—
|
—
|
$57,655.50
|
$57,655.50
|
$57,655.50
|
2026-05-08
|
|
690-4
|
OTHER
|
Acute Leukemia
|
18
|
14
|
—
|
—
|
$52,191.70
|
$62,630.04
|
$57,410.87
|
2026-05-08
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
21
|
16
|
—
|
—
|
$43,817.32
|
$139,060.51
|
$56,659.65
|
2026-05-08
|
|
008-3
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
18
|
14
|
—
|
—
|
$51,504.07
|
$61,804.88
|
$56,654.48
|
2026-05-08
|
|
607-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$51,425.70
|
$61,710.84
|
$56,568.27
|
2026-05-08
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
21
|
16
|
—
|
—
|
$48,367.20
|
$107,307.00
|
$56,566.69
|
2026-05-08
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
21
|
16
|
—
|
—
|
$50,378.97
|
$368,003.46
|
$56,488.05
|
2026-05-08
|
|
428
|
OTHER
|
Appendix Procedures Without Cc/mcc
|
1
|
1
|
—
|
—
|
$56,240.52
|
$56,240.52
|
$56,240.52
|
2026-05-08
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
21
|
16
|
—
|
—
|
$48,823.76
|
$374,649.90
|
$56,026.42
|
2026-05-08
|
|
260-4
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
18
|
14
|
—
|
—
|
$50,751.55
|
$60,901.86
|
$55,826.71
|
2026-05-08
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
23
|
18
|
—
|
—
|
$43,417.93
|
$190,080.26
|
$55,776.63
|
2026-05-08
|
|
163-3
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
18
|
14
|
—
|
—
|
$50,607.46
|
$60,728.95
|
$55,668.21
|
2026-05-08
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$31,852.48
|
$123,983.10
|
$55,655.65
|
2026-05-08
|
|
169-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
18
|
14
|
—
|
—
|
$50,267.85
|
$60,321.42
|
$55,294.64
|
2026-05-08
|
|
011-4
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
14
|
—
|
—
|
$50,021.00
|
$60,025.20
|
$55,023.10
|
2026-05-08
|
|
009-1
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
14
|
—
|
—
|
$50,000.00
|
$60,000.00
|
$55,000.00
|
2026-05-08
|
|
588-1
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
18
|
14
|
—
|
—
|
$50,000.00
|
$60,000.00
|
$55,000.00
|
2026-05-08
|
|
001-1
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
18
|
14
|
—
|
—
|
$50,000.00
|
$60,000.00
|
$55,000.00
|
2026-05-08
|
|
011-2
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
14
|
—
|
—
|
$50,000.00
|
$60,000.00
|
$55,000.00
|
2026-05-08
|
|
011-1
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
14
|
—
|
—
|
$50,000.00
|
$60,000.00
|
$55,000.00
|
2026-05-08
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
18
|
14
|
—
|
—
|
$50,000.00
|
$60,000.00
|
$55,000.00
|
2026-05-08
|
|
023-4
|
OTHER
|
Spinal Procedures
|
18
|
14
|
—
|
—
|
$49,596.23
|
$59,515.48
|
$54,555.85
|
2026-05-08
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
21
|
16
|
—
|
—
|
$36,956.46
|
$146,014.06
|
$54,553.40
|
2026-05-08
|
|
740-4
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
19
|
15
|
—
|
—
|
$49,461.40
|
$59,353.68
|
$54,407.54
|
2026-05-08
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
18
|
14
|
—
|
—
|
$49,442.86
|
$59,331.43
|
$54,387.15
|
2026-05-08
|
|
1410018
|
OTHER
|
Oth Ster Supp Lvl 18
|
24
|
15
|
$99,999.00
|
$34,999.65
65% off
|
$3,000.00
|
$99,999.00
|
$54,149.46
|
2026-05-08
|
|
400
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures Age 0-17
|
1
|
1
|
—
|
—
|
$54,009.87
|
$54,009.87
|
$54,009.87
|
2026-05-08
|
|
120-4
|
OTHER
|
Major Respiratory And Chest Procedures
|
18
|
14
|
—
|
—
|
$48,928.83
|
$58,714.60
|
$53,821.71
|
2026-05-08
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
18
|
14
|
—
|
—
|
$48,848.77
|
$58,618.52
|
$53,733.65
|
2026-05-08
|
|
312-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
18
|
14
|
—
|
—
|
$48,756.92
|
$58,508.30
|
$53,632.61
|
2026-05-08
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$42,966.79
|
$109,028.24
|
$53,263.10
|
2026-05-08
|
|
130-4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
18
|
14
|
—
|
—
|
$48,353.27
|
$58,023.92
|
$53,188.60
|
2026-05-08
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
21
|
16
|
—
|
—
|
$15,121.90
|
$221,145.18
|
$53,090.57
|
2026-05-08
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
18
|
14
|
—
|
—
|
$48,194.01
|
$57,832.81
|
$53,013.41
|
2026-05-08
|
|
695-4
|
OTHER
|
Chemotherapy For Acute Leukemia
|
18
|
14
|
—
|
—
|
$48,036.42
|
$57,643.70
|
$52,840.06
|
2026-05-08
|
|
004-1
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
14
|
—
|
—
|
$47,897.38
|
$57,476.86
|
$52,687.12
|
2026-05-08
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
22
|
17
|
—
|
—
|
$39,690.74
|
$276,918.50
|
$52,617.97
|
2026-05-08
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
21
|
16
|
—
|
—
|
$35,551.09
|
$378,552.81
|
$52,540.71
|
2026-05-08
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$41,495.35
|
$264,271.64
|
$52,380.83
|
2026-05-08
|
|
020-4
|
OTHER
|
Open Craniotomy For Trauma
|
18
|
14
|
—
|
—
|
$47,519.86
|
$57,023.83
|
$52,271.85
|
2026-05-08
|
|
089-4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
18
|
14
|
—
|
—
|
$47,491.21
|
$56,989.45
|
$52,240.33
|
2026-05-08
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
21
|
16
|
—
|
—
|
$35,308.52
|
$100,318.95
|
$52,193.31
|
2026-05-08
|
|
361-4
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
18
|
14
|
—
|
—
|
$47,438.12
|
$56,925.74
|
$52,181.93
|
2026-05-08
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
21
|
16
|
—
|
—
|
$47,107.36
|
$304,865.89
|
$52,062.38
|
2026-05-08
|
|
652
|
OTHER
|
Kidney Transplant
|
20
|
15
|
—
|
—
|
$30,515.75
|
$170,085.45
|
$51,914.99
|
2026-05-08
|
|
261-4
|
OTHER
|
Major Biliary Tract Procedures
|
18
|
14
|
—
|
—
|
$47,190.37
|
$56,628.44
|
$51,909.41
|
2026-05-08
|
|
950-4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
18
|
14
|
—
|
—
|
$47,183.63
|
$56,620.36
|
$51,901.99
|
2026-05-08
|
|
609-2
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
18
|
14
|
—
|
—
|
$47,171.83
|
$56,606.20
|
$51,889.01
|
2026-05-08
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
21
|
16
|
—
|
—
|
$35,011.23
|
$273,336.00
|
$51,767.54
|
2026-05-08
|
|
165-3
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
18
|
14
|
—
|
—
|
$46,997.39
|
$56,396.87
|
$51,697.13
|
2026-05-08
|
|
006-1
|
OTHER
|
Pancreas Transplant
|
18
|
14
|
—
|
—
|
$46,886.16
|
$56,263.39
|
$51,574.78
|
2026-05-08
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$39,232.04
|
$721,864.05
|
$51,458.84
|
2026-05-08
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
21
|
16
|
—
|
—
|
$46,487.26
|
$439,057.98
|
$51,377.00
|
2026-05-08
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
18
|
14
|
—
|
—
|
$46,092.35
|
$55,310.82
|
$50,701.58
|
2026-05-08
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
21
|
16
|
—
|
—
|
$34,208.02
|
$135,577.36
|
$50,617.24
|
2026-05-08
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
21
|
16
|
—
|
—
|
$34,184.42
|
$222,153.50
|
$50,583.44
|
2026-05-08
|
|
027-4
|
OTHER
|
Other Open Craniotomy
|
18
|
14
|
—
|
—
|
$45,779.71
|
$54,935.65
|
$50,357.68
|
2026-05-08
|
|
630-2
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
14
|
—
|
—
|
$45,667.64
|
$54,801.17
|
$50,234.40
|
2026-05-08
|
|
440-2
|
OTHER
|
Kidney Transplant
|
18
|
14
|
—
|
—
|
$45,642.35
|
$54,770.82
|
$50,206.58
|
2026-05-08
|
|
612-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$45,562.30
|
$54,674.76
|
$50,118.53
|
2026-05-08
|
|
210
|
OTHER
|
Urethral Stricture Age 0-17
|
1
|
1
|
—
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-05-08
|
|
361
|
OTHER
|
Cardiac Defibrillator Implant With Mcc
|
1
|
1
|
—
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-05-08
|
|
108
|
OTHER
|
Extraocular Procedures Except Orbit Age 0-17
|
1
|
1
|
—
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-05-08
|
|
363
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
1
|
1
|
—
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-05-08
|
|
646
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without…
|
1
|
1
|
—
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-05-08
|
|
359
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
1
|
1
|
—
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-05-08
|
|
427
|
OTHER
|
Appendix Procedures With Cc
|
1
|
1
|
—
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-05-08
|
|
426
|
OTHER
|
Appendix Procedures With Mcc
|
1
|
1
|
—
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-05-08
|
|
364
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
1
|
1
|
—
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-05-08
|
|
092-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
18
|
14
|
—
|
—
|
$45,271.57
|
$54,325.88
|
$49,798.73
|
2026-05-08
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
21
|
16
|
—
|
—
|
$33,600.19
|
$120,591.70
|
$49,746.73
|
2026-05-08
|
|
401-4
|
OTHER
|
Adrenal Procedures
|
18
|
14
|
—
|
—
|
$44,901.63
|
$53,881.96
|
$49,391.79
|
2026-05-08
|
|
613-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
18
|
14
|
—
|
—
|
$44,719.61
|
$53,663.53
|
$49,191.57
|
2026-05-08
|
|
208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
23
|
18
|
—
|
—
|
$25,977.81
|
$104,016.88
|
$48,997.52
|
2026-05-08
|
|
162-2
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
18
|
14
|
—
|
—
|
$44,489.56
|
$53,387.47
|
$48,938.52
|
2026-05-08
|
|
330
|
OTHER
|
Major Small And Large Bowel Procedures With Cc
|
24
|
19
|
—
|
—
|
$22,660.25
|
$151,764.15
|
$48,913.36
|
2026-05-08
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
21
|
16
|
—
|
—
|
$44,185.27
|
$181,905.91
|
$48,832.70
|
2026-05-08
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
21
|
16
|
—
|
—
|
$32,949.89
|
$107,167.81
|
$48,815.40
|
2026-05-08
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
21
|
16
|
—
|
—
|
$10,184.35
|
$91,542.06
|
$48,728.47
|
2026-05-08
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
18
|
14
|
—
|
—
|
$44,284.79
|
$53,141.75
|
$48,713.27
|
2026-05-08
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$35,312.31
|
$1,833,832.37
|
$48,685.28
|
2026-05-08
|
|
178-2
|
OTHER
|
External Heart Assist Systems
|
18
|
14
|
—
|
—
|
$43,978.89
|
$52,774.67
|
$48,376.78
|
2026-05-08
|
|
603-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
18
|
14
|
—
|
—
|
$43,901.37
|
$52,681.64
|
$48,291.51
|
2026-05-08
|
|
323
|
OTHER
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
21
|
16
|
—
|
—
|
$40,878.09
|
$135,601.56
|
$48,257.47
|
2026-05-08
|
|
183-3
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
18
|
14
|
—
|
—
|
$43,779.18
|
$52,535.02
|
$48,157.10
|
2026-05-08
|
|
22
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
21
|
16
|
—
|
—
|
$32,335.49
|
$286,082.92
|
$47,935.48
|
2026-05-08
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
21
|
16
|
—
|
—
|
$3,316.50
|
$147,696.34
|
$47,564.95
|
2026-05-08
|
|
29
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
21
|
16
|
—
|
—
|
$32,234.47
|
$250,807.31
|
$47,455.42
|
2026-05-08
|
|
455
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
14
|
14
|
—
|
—
|
$43,503.83
|
$326,261.51
|
$47,157.68
|
2026-05-08
|
|
511-4
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
18
|
14
|
—
|
—
|
$42,853.07
|
$51,423.68
|
$47,138.38
|
2026-05-08
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
21
|
16
|
—
|
—
|
$33,319.88
|
$87,836.85
|
$47,099.30
|
2026-05-08
|
|
440-1
|
OTHER
|
Kidney Transplant
|
18
|
14
|
—
|
—
|
$42,713.18
|
$51,255.82
|
$46,984.50
|
2026-05-08
|
|
622-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$42,666.83
|
$51,200.20
|
$46,933.51
|
2026-05-08
|
|
321-4
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
18
|
14
|
—
|
—
|
$42,532.85
|
$51,039.42
|
$46,786.14
|
2026-05-08
|
|
022-4
|
OTHER
|
Ventricular Shunt Procedures
|
18
|
14
|
—
|
—
|
$42,505.04
|
$51,006.05
|
$46,755.54
|
2026-05-08
|
|
792-4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
18
|
14
|
—
|
—
|
$42,378.64
|
$50,854.37
|
$46,616.50
|
2026-05-08
|
|
179-3
|
OTHER
|
Defibrillator Implants
|
18
|
14
|
—
|
—
|
$42,376.95
|
$50,852.34
|
$46,614.65
|
2026-05-08
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
21
|
16
|
—
|
—
|
$1,754.50
|
$167,214.62
|
$46,571.91
|
2026-05-08
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
21
|
16
|
—
|
—
|
$36,665.25
|
$136,344.24
|
$46,479.89
|
2026-05-08
|
|
842-3
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
18
|
14
|
—
|
—
|
$41,948.02
|
$50,337.62
|
$46,142.82
|
2026-05-08
|
|
651-4
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
18
|
14
|
—
|
—
|
$41,940.44
|
$50,328.53
|
$46,134.48
|
2026-05-08
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
21
|
16
|
—
|
—
|
$42,323.10
|
$98,599.86
|
$46,001.97
|
2026-05-08
|
|
304-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
18
|
14
|
—
|
—
|
$41,623.59
|
$49,948.31
|
$45,785.95
|
2026-05-08
|
|
160-2
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
18
|
14
|
—
|
—
|
$41,569.66
|
$49,883.59
|
$45,726.63
|
2026-05-08
|
|
030-4
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
18
|
14
|
—
|
—
|
$41,493.82
|
$49,792.58
|
$45,643.20
|
2026-05-08
|
|
170-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
18
|
14
|
—
|
—
|
$41,461.79
|
$49,754.15
|
$45,607.97
|
2026-05-08
|
|
181-4
|
OTHER
|
Lower Extremity Arterial Procedures
|
18
|
14
|
—
|
—
|
$41,369.94
|
$49,643.93
|
$45,506.93
|
2026-05-08
|
|
166-3
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
18
|
14
|
—
|
—
|
$41,364.04
|
$49,636.85
|
$45,500.44
|
2026-05-08
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
21
|
16
|
—
|
—
|
$30,493.10
|
$364,507.50
|
$45,296.92
|
2026-05-08
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
21
|
16
|
—
|
—
|
$6,719.00
|
$80,054.05
|
$45,264.38
|
2026-05-08
|
|
121-4
|
OTHER
|
Other Respiratory And Chest Procedures
|
18
|
14
|
—
|
—
|
$41,012.64
|
$49,215.17
|
$45,113.90
|
2026-05-08
|
|
512-4
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
18
|
14
|
—
|
—
|
$40,996.63
|
$49,195.96
|
$45,096.29
|
2026-05-08
|