Hospital

CORAL GABLES HOSPITAL

Coral Gables, FL · CCN 100183 · Rates published

6,938 distinct procedures filed

88 distinct payers

396,125 rate rows

2026-05-08 last MRF observed

Data quality

375,324 of 396,125 rate rows are consumer-grade (94.7%)

20,801 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	12,515
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	7,460
placeholder amount (≤ $0.02) — excluded from medians	380
template filing: same amount across many unrelated codes — excluded	362
exceeds 10× this hospital's gross charge — excluded from medians	84

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

Source MRF file	https://coralgableshospital.org/pricetransparency/995038459_CoralGablesHospital_standardcharges.csv
Found on page	https://coralgableshospital.org/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	8cf375d8216bb44e… · 129,097,607 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	53	$91,982.96	$2,002,042.70	$314,174.13	nat. median $386,529 0.8× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	47	$105,243.82	$592,614.42	$224,023.88	nat. median $239,422 0.9× 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	$77,592.92	$1,513,993.04	$190,308.46	nat. median $169,933 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	56	$115,082.04	$415,979.30	$188,913.73	nat. median $146,562 1.3× 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
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	56	$113,878.69	$451,569.59	$179,943.65	nat. median $181,005 1.0× median
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
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
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	56	$75,924.27	$664,447.89	$119,277.32	nat. median $134,983 0.9× 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
14 OTHER	Allogeneic Bone Marrow Transplant	53	$27,217.43	$229,740.06	$106,627.40	nat. median $100,915 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
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
215 OTHER	Other Heart Assist System Implant	56	$56,819.97	$234,590.02	$93,363.45	nat. median $92,359 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
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	48	$57,107.45	$331,493.71	$90,432.76	nat. median $94,894 1.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	47	$59,057.19	$527,020.84	$90,357.74	nat. median $111,558 0.8× 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
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	56	$46,893.44	$215,855.60	$89,131.18	nat. median $90,581 1.0× 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	$51,851.13	$212,666.05	$83,588.18	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
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×
231 OTHER	Coronary Bypass With Ptca With Mcc	61	$45,652.86	$218,792.21	$75,583.00	nat. median $74,989 1.0× 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×
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	57	$21,919.00	$273,655.62	$71,539.73	nat. median $65,342 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
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	61	$42,190.93	$150,793.39	$70,336.00	nat. median $68,249 1.0× 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
583-1 OTHER	Neonate With Ecmo	9	$69,493.60	$72,968.28	$69,493.60	nat. median $171,226 outlier · 0.4×
612-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	$69,359.04	$72,826.99	$69,359.04	nat. median $76,321 0.9× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	59	$41,367.51	$227,851.88	$68,442.16	nat. median $76,493 0.9× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	61	$41,775.51	$211,702.44	$68,237.00	nat. median $72,612 0.9× median
591-2 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	$68,150.11	$71,557.62	$68,150.11	nat. median $80,000 0.9× median

Other procedures at this hospital

Browse this hospital's 6,938 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

001-2	OTHER	Liver Transplant And/or Intestinal Transplant	9	9	—	—	$25,269.81	$26,533.30	$25,269.81	2026-05-08
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	9	9	—	—	$31,456.60	$33,029.43	$31,456.60	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	9	9	—	—	$67,242.62	$70,604.75	$67,242.62	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	9	9	—	—	$41,730.88	$43,817.42	$41,730.88	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	9	9	—	—	$45,376.96	$47,645.81	$45,376.96	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	9	9	—	—	$62,352.43	$65,470.05	$62,352.43	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	9	9	—	—	$111,047.26	$116,599.62	$111,047.26	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	9	—	—	$25,840.64	$27,132.67	$25,840.64	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	9	—	—	$41,876.47	$43,970.29	$41,876.47	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	9	—	—	$66,782.14	$70,121.25	$66,782.14	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	9	—	—	$30,089.90	$31,594.40	$30,089.90	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	9	—	—	$43,560.21	$45,738.22	$43,560.21	2026-05-08
006-2	OTHER	Pancreas Transplant	9	9	—	—	$27,515.76	$28,891.55	$27,515.76	2026-05-08
006-3	OTHER	Pancreas Transplant	9	9	—	—	$34,364.33	$36,082.55	$34,364.33	2026-05-08
006-4	OTHER	Pancreas Transplant	9	9	—	—	$48,372.76	$50,791.40	$48,372.76	2026-05-08
007-1	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$28,151.66	$29,559.24	$28,151.66	2026-05-08
007-2	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$29,633.02	$31,114.67	$29,633.02	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$36,953.93	$38,801.63	$36,953.93	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$75,611.37	$79,391.94	$75,611.37	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	9	9	—	—	$37,476.23	$39,350.04	$37,476.23	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	9	—	—	$32,422.49	$34,043.61	$32,422.49	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	9	—	—	$75,232.49	$78,994.11	$75,232.49	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$48,895.78	$51,340.57	$48,895.78	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$131,545.36	$138,122.63	$131,545.36	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$50,021.00	$52,522.05	$50,021.00	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	9	9	—	—	$24,880.87	$26,124.91	$24,880.87	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	9	9	—	—	$25,293.90	$26,558.60	$25,293.90	2026-05-08
095-4	OTHER	Cleft Lip And Palate Repair	9	9	—	—	$1,200.00	$28,672.89	$27,307.51	2026-05-08
097-4	OTHER	Tonsil And Adenoid Procedures	9	9	—	—	$1,200.00	$25,203.64	$24,003.47	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	47	47	—	—	$105,243.82	$592,614.42	$224,023.88	2026-05-08
10	OTHER	Pancreas Transplant	48	48	—	—	$43,015.48	$254,735.84	$65,006.98	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	56	56	—	—	$26,627.70	$157,601.39	$44,169.50	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	56	56	—	—	$22,642.55	$119,080.20	$35,081.60	2026-05-08
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	56	56	—	—	$14,988.43	$90,405.97	$23,967.38	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	53	53	—	—	$27,217.43	$229,740.06	$106,627.40	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	56	56	—	—	$23,303.35	$129,234.29	$34,955.03	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	56	56	—	—	$9,472.16	$84,795.15	$27,631.30	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	50	50	—	—	$32,816.12	$226,104.57	$50,073.32	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	9	9	—	—	$55,523.63	$58,299.81	$55,523.63	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	9	9	—	—	$49,247.34	$51,709.71	$49,247.34	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	9	9	—	—	$51,688.84	$54,273.28	$51,688.84	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	9	9	—	—	$64,392.40	$67,612.02	$64,392.40	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	9	9	—	—	$95,167.09	$99,925.44	$95,167.09	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	9	—	—	$24,215.49	$25,426.26	$24,215.49	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	9	—	—	$37,904.72	$39,799.96	$37,904.72	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	56	56	—	—	$24,276.37	$322,003.03	$37,956.22	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	9	9	—	—	$31,574.50	$33,153.22	$31,574.50	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	9	9	—	—	$29,487.44	$30,961.81	$29,487.44	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	56	56	—	—	$20,923.04	$67,515.01	$31,962.50	2026-05-08
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	9	9	—	—	$25,822.67	$27,113.80	$25,822.67	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	9	9	—	—	$31,789.10	$33,378.56	$31,789.10	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	53	53	—	—	$13,228.69	$226,104.57	$50,192.83	2026-05-08
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	56	56	—	—	$5,179.25	$61,626.08	$25,971.33	2026-05-08
178-4	OTHER	External Heart Assist Systems	9	9	—	—	$30,258.13	$31,771.04	$30,258.13	2026-05-08
179-4	OTHER	Defibrillator Implants	9	9	—	—	$24,521.76	$25,747.85	$24,521.76	2026-05-08
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	53	53	—	—	$91,982.96	$2,002,042.70	$314,174.13	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	9	9	—	—	$26,369.06	$27,687.51	$26,369.06	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	53	53	—	—	$11,458.23	$139,005.21	$65,124.19	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	47	47	—	—	$59,057.19	$527,020.84	$90,357.74	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	56	56	—	—	$26,400.00	$271,028.61	$68,007.27	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	56	56	—	—	$25,891.48	$390,586.18	$52,630.55	2026-05-08
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	56	56	—	—	$15,166.39	$63,644.20	$24,273.08	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	56	56	—	—	$30,138.19	$258,611.36	$49,990.54	2026-05-08
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	56	56	—	—	$46,893.44	$215,855.60	$89,131.18	2026-05-08
215	OTHER	Other Heart Assist System Implant	56	56	—	—	$56,819.97	$234,590.02	$93,363.45	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	61	61	—	—	$51,851.13	$212,666.05	$83,588.18	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	61	61	—	—	$35,038.07	$146,601.92	$61,250.04	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	61	61	—	—	$32,360.14	$146,601.92	$56,518.35	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	61	61	—	—	$41,775.51	$211,702.44	$68,237.00	2026-05-08
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	56	56	—	—	$19,623.97	$250,322.55	$31,929.98	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	61	61	—	—	$28,924.04	$127,035.89	$50,554.94	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	61	61	—	—	$25,216.75	$127,035.89	$44,069.88	2026-05-08
223-4	OTHER	Other Small And Large Bowel Procedures	9	9	—	—	$25,727.95	$27,014.35	$25,727.95	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	61	61	—	—	$27,273.89	$132,254.00	$47,341.35	2026-05-08
229	OTHER	Other Cardiothoracic Procedures Without Mcc	61	61	—	—	$17,390.97	$132,254.00	$30,380.48	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	56	56	—	—	$31,074.36	$200,839.49	$48,469.38	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	61	61	—	—	$45,652.86	$218,792.21	$75,583.00	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	61	61	—	—	$33,199.43	$147,682.13	$58,033.76	2026-05-08
232-4	OTHER	Gastric Fundoplication	9	9	—	—	$53,508.13	$56,183.54	$53,508.13	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	61	61	—	—	$42,190.93	$150,793.39	$70,336.00	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	61	61	—	—	$29,047.75	$132,254.00	$50,541.90	2026-05-08
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	9	9	—	—	$26,672.28	$28,005.89	$26,672.28	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	61	61	—	—	$32,017.37	$104,692.00	$55,899.90	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	61	61	—	—	$22,686.78	$104,692.00	$39,064.95	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	56	56	—	—	$20,663.78	$137,146.10	$41,334.16	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	56	56	—	—	$21,052.44	$89,340.77	$34,383.69	2026-05-08
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	56	56	—	—	$16,368.98	$51,228.67	$25,120.61	2026-05-08
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	61	61	—	—	$10,962.00	$115,773.48	$28,342.89	2026-05-08
245	OTHER	Aicd Generator Procedures	58	58	—	—	$12,998.00	$85,690.04	$40,148.68	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	56	56	—	—	$24,583.33	$78,421.78	$38,163.11	2026-05-08
252	OTHER	Other Vascular Procedures With Mcc	56	56	—	—	$19,097.44	$86,263.66	$29,452.78	2026-05-08
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	56	56	—	—	$17,139.82	$76,378.26	$27,662.88	2026-05-08
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	61	61	—	—	$10,589.93	$78,553.90	$27,642.03	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	56	56	—	—	$18,407.03	$61,286.58	$29,157.16	2026-05-08
265	OTHER	Aicd Lead Procedures	58	58	—	—	$12,998.00	$68,155.78	$30,225.22	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	56	56	—	—	$32,578.65	$180,208.67	$54,182.57	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	56	56	—	—	$25,806.99	$135,310.82	$42,550.70	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	61	61	—	—	$27,001.11	$378,527.91	$54,213.28	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	61	61	—	—	$20,014.80	$146,312.79	$34,913.37	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	61	61	—	—	$27,001.11	$132,254.00	$42,916.28	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	61	61	—	—	$19,171.16	$132,254.00	$32,721.80	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	59	59	—	—	$13,851.13	$82,087.18	$32,436.38	2026-05-08
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	59	59	—	—	$13,851.13	$54,726.74	$26,202.54	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	56	56	—	—	$38,245.14	$141,004.47	$58,363.28	2026-05-08
276	OTHER	Non-maligant Breast Disorders	59	59	—	—	$22,149.95	$108,618.80	$51,225.11	2026-05-08
277	OTHER	Cellulitis Age >17 W Cc	56	56	—	—	$25,528.97	$163,038.40	$40,488.83	2026-05-08
278	OTHER	Cellulitis Age >17 Without Cc	56	56	—	—	$4,545.75	$89,390.88	$41,370.21	2026-05-08
279	OTHER	Cellulitis Age 0-17	56	56	—	—	$6,657.19	$64,143.22	$27,052.21	2026-05-08
28	OTHER	Spinal Procedures With Mcc	56	56	—	—	$24,909.05	$106,604.03	$49,568.53	2026-05-08
288	OTHER	Acute And Subacute Endocarditis With Mcc	56	56	—	—	$15,417.54	$131,406.51	$23,991.40	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	56	56	—	—	$18,709.40	$61,229.26	$28,836.65	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	56	56	—	—	$113,878.69	$451,569.59	$179,943.65	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	9	—	—	$27,175.71	$28,534.50	$27,175.71	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	9	—	—	$92,119.45	$96,725.42	$92,119.45	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	9	9	—	—	$27,960.06	$29,358.06	$27,960.06	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	56	56	—	—	$18,367.89	$86,274.88	$34,650.16	2026-05-08
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	9	9	—	—	$26,183.94	$27,493.14	$26,183.94	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	59	59	—	—	$13,851.13	$132,254.00	$36,247.11	2026-05-08
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	56	56	—	—	$12,288.44	$57,611.86	$24,433.28	2026-05-08
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	56	56	—	—	$16,745.84	$82,969.74	$35,790.44	2026-05-08
324	OTHER	Urinary Stones Without Cc	56	56	—	—	$6,634.17	$59,493.71	$26,978.18	2026-05-08
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	56	56	—	—	$16,105.19	$52,994.42	$24,556.28	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	56	56	—	—	$21,912.00	$266,757.65	$41,666.66	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	56	56	—	—	$23,970.64	$113,447.59	$37,819.58	2026-05-08
332	OTHER	Rectal Resection With Mcc	56	56	—	—	$19,299.10	$69,183.28	$29,772.97	2026-05-08
335	OTHER	Peritoneal Adhesiolysis With Mcc	56	56	—	—	$19,099.22	$64,120.85	$30,170.47	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	56	56	—	—	$14,548.21	$68,188.35	$32,265.78	2026-05-08
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	56	56	—	—	$8,150.55	$51,571.90	$24,717.75	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	56	56	—	—	$22,511.25	$231,237.69	$35,243.30	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	9	9	—	—	$25,369.74	$26,638.23	$25,369.74	2026-05-08
37	OTHER	Extracranial Procedures With Mcc	56	56	—	—	$13,597.57	$58,231.98	$27,781.35	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	56	56	—	—	$75,924.27	$664,447.89	$119,277.32	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	56	56	—	—	$11,304.95	$146,255.02	$31,344.88	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	56	56	—	—	$29,619.05	$110,183.91	$46,158.67	2026-05-08
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	56	56	—	—	$15,822.44	$91,061.23	$25,399.99	2026-05-08
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	56	56	—	—	$19,470.75	$61,395.30	$30,045.51	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	56	56	—	—	$13,904.94	$61,439.13	$29,225.87	2026-05-08
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	56	56	—	—	$15,283.23	$61,889.78	$29,922.10	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	56	56	—	—	$22,115.01	$90,593.65	$33,677.15	2026-05-08
440-4	OTHER	Kidney Transplant	9	9	—	—	$35,422.96	$37,194.11	$35,422.96	2026-05-08
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	57	57	—	—	$21,919.00	$273,655.62	$71,539.73	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	57	57	—	—	$18,636.09	$104,102.57	$49,859.17	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	57	57	—	—	$21,919.00	$146,158.35	$37,927.78	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	59	59	—	—	$41,367.51	$227,851.88	$68,442.16	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	59	59	—	—	$31,254.97	$101,686.03	$49,708.94	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	59	59	—	—	$23,770.90	$101,686.03	$41,021.00	2026-05-08
459	OTHER	Spinal Fusion Except Cervical With Mcc	57	57	—	—	$21,919.00	$176,973.88	$53,934.49	2026-05-08
460	OTHER	Spinal Fusion Except Cervical Without Mcc	57	57	—	—	$16,583.61	$79,728.89	$30,442.94	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	56	56	—	—	$30,158.76	$261,786.99	$50,020.27	2026-05-08
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	56	56	—	—	$16,114.14	$74,133.66	$25,901.05	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	56	56	—	—	$18,830.98	$94,706.54	$44,209.79	2026-05-08
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	56	56	—	—	$16,560.64	$51,829.34	$25,424.91	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	56	56	—	—	$20,241.45	$89,333.81	$41,789.87	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	56	56	—	—	$19,070.06	$60,060.88	$29,262.89	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	56	56	—	—	$16,014.94	$62,130.31	$27,369.08	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	59	59	—	—	$18,954.91	$272,535.86	$39,915.69	2026-05-08
472	OTHER	Cervical Spinal Fusion With Cc	59	59	—	—	$16,290.01	$50,981.14	$25,092.65	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	56	56	—	—	$16,102.18	$78,639.21	$36,972.93	2026-05-08
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	56	56	—	—	$12,690.14	$62,614.38	$28,714.07	2026-05-08
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	56	56	—	—	$16,520.63	$51,703.95	$24,780.95	2026-05-08
483-4	OTHER	Penis, Testes And Scrotal Procedures	9	9	—	—	$33,407.40	$35,077.77	$33,407.40	2026-05-08
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	56	56	—	—	$17,985.95	$163,722.78	$27,687.98	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	56	56	—	—	$11,248.69	$62,270.29	$29,600.23	2026-05-08
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	56	56	—	—	$14,826.23	$88,995.49	$29,358.56	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	48	48	—	—	$57,107.45	$331,493.71	$90,432.76	2026-05-08
500	OTHER	Soft Tissue Procedures With Mcc	56	56	—	—	$7,160.78	$123,857.64	$26,579.29	2026-05-08
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	56	56	—	—	$5,620.68	$50,335.91	$24,126.20	2026-05-08
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	61	61	—	—	$11,326.15	$54,225.23	$25,976.68	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	59	59	—	—	$12,420.00	$68,527.41	$30,287.82	2026-05-08
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	56	56	—	—	$16,014.94	$51,269.93	$24,573.22	2026-05-08
539-4	OTHER	Cesarean Section With Sterilization	9	9	—	—	$1,200.00	$26,115.47	$24,871.88	2026-05-08
547-4	OTHER	Antepartum With O.r. Procedure	9	9	—	—	$1,200.00	$26,421.39	$25,163.23	2026-05-08
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	9	9	—	—	$1,200.00	$33,736.69	$32,130.18	2026-05-08
570	OTHER	Skin Debridement With Mcc	56	56	—	—	$17,473.79	$393,238.22	$26,646.08	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	56	56	—	—	$19,708.25	$107,984.04	$49,712.08	2026-05-08
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	56	56	—	—	$19,279.09	$60,757.02	$28,918.64	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	56	56	—	—	$8,911.31	$94,606.59	$43,744.16	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	56	56	—	—	$9,240.61	$57,153.58	$27,295.63	2026-05-08
583-1	OTHER	Neonate With Ecmo	9	9	—	—	$69,493.60	$72,968.28	$69,493.60	2026-05-08
583-2	OTHER	Neonate With Ecmo	9	9	—	—	$145,322.76	$152,588.90	$145,322.76	2026-05-08
583-3	OTHER	Neonate With Ecmo	9	9	—	—	$221,000.00	$232,050.00	$221,000.00	2026-05-08
583-4	OTHER	Neonate With Ecmo	9	9	—	—	$221,000.00	$232,050.00	$221,000.00	2026-05-08
588-1	OTHER	Female Reproductive System Reconstructive Procedures	9	9	—	—	$50,000.00	$52,500.00	$50,000.00	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$108,772.56	$114,211.19	$108,772.56	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$132,000.00	$138,600.00	$132,000.00	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$221,000.00	$232,050.00	$221,000.00	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$48,983.85	$51,433.04	$48,983.85	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$33,354.00	$35,021.70	$33,354.00	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$87,000.00	$91,350.00	$87,000.00	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$68,150.11	$71,557.62	$68,150.11	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$91,000.00	$95,550.00	$91,000.00	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$120,000.00	$126,000.00	$120,000.00	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$63,775.17	$66,963.93	$63,775.17	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$99,000.00	$103,950.00	$99,000.00	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$121,000.00	$127,050.00	$121,000.00	2026-05-08
6	OTHER	Liver Transplant Without Mcc	48	48	—	—	$27,027.65	$429,104.52	$43,524.60	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$47,292.77	$49,657.41	$47,292.77	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$89,874.13	$94,367.84	$89,874.13	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$100,000.00	$105,000.00	$100,000.00	2026-05-08
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$25,576.51	$26,855.34	$25,576.51	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$69,711.95	$73,197.55	$69,711.95	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$80,000.00	$84,000.00	$80,000.00	2026-05-08
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$32,666.46	$34,299.78	$32,666.46	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$67,217.52	$70,578.40	$67,217.52	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$97,101.66	$101,956.74	$97,101.66	2026-05-08
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$24,073.39	$25,277.06	$24,073.39	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$48,849.76	$51,292.25	$48,849.76	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$61,349.31	$64,416.78	$61,349.31	2026-05-08
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$25,815.83	$27,106.62	$25,815.83	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$71,110.29	$74,665.80	$71,110.29	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$165,000.00	$173,250.00	$165,000.00	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	9	9	—	—	$78,699.03	$82,633.98	$78,699.03	2026-05-08
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$43,210.73	$45,371.27	$43,210.73	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$69,359.04	$72,826.99	$69,359.04	2026-05-08
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	9	9	—	—	$47,988.67	$50,388.10	$47,988.67	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	9	9	—	—	$62,000.00	$65,100.00	$62,000.00	2026-05-08
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	9	9	—	—	$38,873.71	$40,817.40	$38,873.71	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	56	56	—	—	$21,385.72	$90,117.02	$33,086.05	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	9	9	—	—	$1,200.00	$69,952.39	$66,621.32	2026-05-08
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	56	56	—	—	$19,384.57	$65,615.97	$31,107.15	2026-05-08
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$41,444.54	$43,516.77	$41,444.54	2026-05-08
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$37,305.98	$39,171.28	$37,305.98	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$46,675.86	$49,009.65	$46,675.86	2026-05-08
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	56	56	—	—	$10,846.75	$50,484.43	$24,197.28	2026-05-08
625-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	9	9	—	—	$27,114.03	$28,469.73	$27,114.03	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	9	9	—	—	$55,399.71	$58,169.70	$55,399.71	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	56	56	—	—	$18,857.07	$69,187.85	$32,715.96	2026-05-08
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$37,991.03	$39,890.58	$37,991.03	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$95,000.00	$99,750.00	$95,000.00	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$211,296.47	$221,861.29	$211,296.47	2026-05-08
631-2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$23,991.43	$25,191.00	$23,991.43	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$56,144.55	$58,951.78	$56,144.55	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$186,976.63	$196,325.46	$186,976.63	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	9	9	—	—	$1,200.00	$69,247.90	$65,950.38	2026-05-08
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	9	9	—	—	$1,200.00	$41,180.11	$39,219.15	2026-05-08
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$1,200.00	$30,961.59	$29,487.23	2026-05-08
639-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	9	9	—	—	$1,200.00	$30,376.55	$28,930.05	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	50	50	—	—	$25,294.15	$165,653.25	$38,218.32	2026-05-08
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	50	50	—	—	$19,319.12	$153,403.08	$29,463.85	2026-05-08
652	OTHER	Kidney Transplant	48	48	—	—	$17,207.21	$123,997.31	$27,628.78	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	56	56	—	—	$27,277.49	$302,839.44	$45,580.87	2026-05-08
654	OTHER	Major Bladder Procedures With Cc	56	56	—	—	$15,894.58	$67,051.17	$25,523.90	2026-05-08
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	56	56	—	—	$18,189.71	$92,155.94	$28,011.51	2026-05-08
662	OTHER	Minor Bladder Procedures With Mcc	56	56	—	—	$9,365.35	$54,702.19	$25,942.06	2026-05-08
665	OTHER	Prostatectomy With Mcc	56	56	—	—	$10,267.07	$81,907.15	$28,671.44	2026-05-08
668	OTHER	Transurethral Procedures With Mcc	56	56	—	—	$5,923.15	$89,177.49	$24,585.85	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	56	56	—	—	$22,613.16	$122,287.28	$34,642.27	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	9	9	—	—	$28,815.59	$30,256.37	$28,815.59	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	9	9	—	—	$26,256.91	$27,569.76	$26,256.91	2026-05-08
690-4	OTHER	Acute Leukemia	9	9	—	—	$26,010.31	$27,310.83	$26,010.31	2026-05-08
7	OTHER	Lung Transplant	48	48	—	—	$77,592.92	$1,513,993.04	$190,308.46	2026-05-08
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	56	56	—	—	$17,205.28	$96,061.72	$32,651.99	2026-05-08
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	56	56	—	—	$11,057.91	$73,353.84	$32,993.96	2026-05-08
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	9	9	—	—	$26,149.43	$27,456.90	$26,149.43	2026-05-08
759-4	OTHER	Eating Disorders	9	9	—	—	$24,554.83	$25,782.57	$24,554.83	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	53	53	—	—	$3,587.53	$111,305.71	$48,504.67	2026-05-08
791	OTHER	Prematurity With Major Problems	54	54	—	—	$5,879.13	$70,167.94	$33,617.90	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	54	54	—	—	$4,167.00	$71,993.03	$33,670.18	2026-05-08
799	OTHER	Splenectomy With Mcc	56	56	—	—	$26,070.77	$83,375.42	$39,106.15	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	48	48	—	—	$29,772.86	$414,358.28	$46,574.15	2026-05-08
800	OTHER	Splenectomy With Cc	56	56	—	—	$16,377.41	$100,270.03	$25,861.94	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	56	56	—	—	$8,877.80	$161,104.36	$29,865.60	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	56	56	—	—	$27,594.64	$111,750.33	$47,537.18	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	56	56	—	—	$15,757.30	$119,301.21	$38,511.45	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	56	56	—	—	$20,628.72	$104,968.21	$39,269.65	2026-05-08
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	56	56	—	—	$8,560.65	$54,074.43	$25,908.76	2026-05-08
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	56	56	—	—	$18,976.11	$96,921.21	$45,207.29	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	56	56	—	—	$20,982.56	$327,818.67	$41,099.59	2026-05-08
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	56	56	—	—	$11,000.84	$55,919.12	$26,739.62	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	9	9	—	—	$28,871.31	$30,314.88	$28,871.31	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	9	9	—	—	$90,217.23	$94,728.09	$90,217.23	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	9	9	—	—	$46,203.37	$48,513.54	$46,203.37	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	9	9	—	—	$29,751.29	$31,238.85	$29,751.29	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	56	56	—	—	$27,138.89	$87,697.80	$41,052.99	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	56	56	—	—	$24,790.26	$79,110.91	$38,491.67	2026-05-08
863-4	OTHER	Neonatal Aftercare	9	9	—	—	$80,871.28	$84,914.84	$80,871.28	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	56	56	—	—	$13,193.18	$143,744.31	$56,494.99	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	54	54	—	—	$18,028.73	$68,905.54	$32,588.80	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	56	56	—	—	$16,649.24	$77,688.82	$36,544.87	2026-05-08
904	OTHER	Skin Grafts For Injuries With Cc/mcc	56	56	—	—	$13,456.53	$89,735.24	$32,047.80	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	56	56	—	—	$14,791.99	$69,854.18	$33,016.09	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	9	9	—	—	$26,692.58	$28,027.21	$26,692.58	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	9	9	—	—	$25,033.28	$26,284.94	$25,033.28	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	56	56	—	—	$115,082.04	$415,979.30	$188,913.73	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	56	56	—	—	$34,632.31	$117,114.51	$54,302.54	2026-05-08
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	56	56	—	—	$13,923.69	$113,407.27	$26,671.68	2026-05-08
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	56	56	—	—	$14,573.49	$96,675.35	$35,726.66	2026-05-08
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	56	56	—	—	$11,045.68	$97,157.11	$26,621.15	2026-05-08
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	56	56	—	—	$11,485.13	$73,350.25	$30,370.28	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	56	56	—	—	$36,988.31	$142,364.02	$58,094.04	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	56	56	—	—	$21,161.42	$72,480.25	$32,729.92	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	56	56	—	—	$40,336.51	$130,884.75	$60,504.76	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	56	56	—	—	$22,674.68	$99,409.37	$37,170.25	2026-05-08
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	56	56	—	—	$14,956.30	$137,958.60	$23,912.22	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	56	56	—	—	$35,452.98	$518,619.95	$53,331.78	2026-05-08
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	56	56	—	—	$11,485.13	$62,855.96	$29,864.03	2026-05-08
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	56	56	—	—	$15,005.80	$203,224.77	$23,997.22	2026-05-08
974	OTHER	HIV With Major Related Condition With Mcc	56	56	—	—	$16,758.62	$52,449.83	$25,137.93	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	56	56	—	—	$26,066.03	$83,359.64	$40,517.31	2026-05-08
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	56	56	—	—	$13,639.25	$61,419.84	$29,217.19	2026-05-08

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