Hospital

PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE

Naples, FL · CCN 100286 · Rates published

7,164 distinct procedures filed

44 distinct payers

749,936 rate rows

2026-05-09 last MRF observed

Data quality

663,444 of 749,936 rate rows are consumer-grade (88.5%)

86,492 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	72,931
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	10,675
exceeds 10× this hospital's gross charge — excluded from medians	1,777
placeholder amount (≤ $0.02) — excluded from medians	647
template filing: same amount across many unrelated codes — excluded	462

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

Source MRF file	https://www.physiciansregional.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/204401957_physicians-regional-healthcare-system-collier_standardcharges.csv
Found on page	https://www.physiciansregional.com/pricing-information
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	298730e4c513109e… · 168,066,083 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	$152,398.61	$1,295,227.52	$316,865.02	nat. median $386,529 0.8× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$283,453.30	$334,176.53	$308,814.92	nat. median $0
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	23	$9,862.89	$636,647.60	$291,361.87	nat. median $181,005 1.6× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	15	$221,000.00	$256,360.00	$229,840.00	nat. median $267,493 0.9× median
583-4 OTHER	Neonate With Ecmo	15	$221,000.00	$256,360.00	$229,840.00	nat. median $309,400 0.7× median
583-3 OTHER	Neonate With Ecmo	15	$221,000.00	$256,360.00	$229,840.00	nat. median $259,487 0.9× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	$204,995.11	$237,794.33	$213,194.91	nat. median $171,094 1.2× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	21	$8,243.10	$840,562.71	$208,647.69	nat. median $239,422 0.9× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	15	$197,455.24	$229,048.08	$205,353.45	nat. median $203,379 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	23	$12,028.52	$640,405.79	$205,236.46	nat. median $146,562 1.4× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	15	$179,071.67	$207,723.14	$186,234.54	nat. median $210,669 0.9× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	23	$6,469.04	$415,483.33	$174,871.79	nat. median $134,983 1.3× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	15	$165,000.00	$191,400.00	$171,600.00	nat. median $169,856 1.0× median
215 OTHER	Other Heart Assist System Implant	23	$71,777.91	$321,435.45	$152,100.66	nat. median $92,359 1.6× median
7 OTHER	Lung Transplant	17	$20,528.70	$593,507.59	$149,552.29	nat. median $169,933 0.9× median
583-2 OTHER	Neonate With Ecmo	15	$138,429.14	$160,577.80	$143,966.30	nat. median $191,347 0.8× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	15	$132,000.00	$153,120.00	$137,280.00	nat. median $165,000 0.8× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	23	$6,861.36	$326,184.37	$136,981.88	nat. median $90,581 1.5× median
14 OTHER	Allogeneic Bone Marrow Transplant	17	$6,236.38	$360,490.65	$136,123.45	nat. median $100,915 1.3× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	17	$8,293.51	$316,448.85	$127,567.46	nat. median $94,894 1.3× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	15	$121,000.00	$140,360.00	$125,840.00	nat. median $151,250 0.8× median
002-4 OTHER	Heart And/or Lung Transplant	15	$119,164.66	$138,231.01	$125,122.89	nat. median $216,800 0.6× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	$120,000.00	$139,200.00	$124,800.00	nat. median $156,696 0.8× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	15	$110,647.94	$128,351.61	$115,073.86	nat. median $153,523 0.7× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	$15,723.54	$356,225.73	$113,101.85	nat. median $111,558 1.0× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	23	$44,326.45	$248,143.23	$111,458.29	nat. median $58,866 1.9× median
231 OTHER	Coronary Bypass With Ptca With Mcc	23	$13,750.60	$252,874.90	$107,130.52	nat. median $74,989 1.4× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	23	$11,624.27	$293,452.75	$106,346.92	nat. median $90,130 1.2× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	23	$9,578.41	$236,045.66	$104,971.63	nat. median $74,209 1.4× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	15	$100,000.00	$116,000.00	$104,000.00	nat. median $125,000 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	15	$99,000.00	$114,840.00	$102,960.00	nat. median $112,711 0.9× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	15	$98,924.77	$114,752.73	$102,881.76	nat. median $100,015 1.0× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	23	$11,837.24	$213,898.69	$102,286.46	nat. median $29,655 outlier · 3.4×
955 OTHER	Craniotomy For Multiple Significant Trauma	23	$48,682.33	$201,922.31	$99,280.84	nat. median $62,467 1.6× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	15	$95,000.00	$110,200.00	$98,800.00	nat. median $95,000 1.0× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	23	$12,978.39	$201,867.50	$97,897.61	nat. median $60,727 1.6× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	$91,000.00	$105,560.00	$94,640.00	nat. median $99,157 1.0× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	23	$13,976.41	$203,354.92	$94,480.61	nat. median $56,351 1.7× median
161-4 OTHER	Implantable Heart Assist Systems	15	$88,926.10	$103,154.28	$92,483.15	nat. median $202,242 outlier · 0.5×
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	15	$88,854.73	$103,071.49	$92,408.92	nat. median $99,067 0.9× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	23	$14,232.91	$230,331.97	$92,153.48	nat. median $72,612 1.3× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	15	$87,176.41	$101,124.64	$90,663.46	nat. median $150,954 0.6× median
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	15	$87,000.00	$100,920.00	$90,480.00	nat. median $87,000 1.0× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	23	$14,413.06	$229,339.18	$90,060.00	nat. median $68,249 1.3× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	23	$5,286.08	$206,325.32	$89,059.00	nat. median $67,670 1.3× median
21 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	23	$8,108.50	$199,256.92	$87,807.91	nat. median $55,888 1.6× median
461 OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	23	$14,461.52	$185,900.00	$86,221.95	nat. median $53,999 1.6× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	15	$82,276.96	$95,441.27	$85,568.04	nat. median $93,000 0.9× median
583-1 OTHER	Neonate With Ecmo	15	$81,748.00	$94,827.68	$85,017.92	nat. median $171,226 outlier · 0.5×
863-4 OTHER	Neonatal Aftercare	15	$80,469.81	$93,344.98	$83,688.60	nat. median $108,047 0.8× median

Other procedures at this hospital

Browse this hospital's 7,164 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

001-3	OTHER	Liver Transplant And/or Intestinal Transplant	42	15	—	—	$34,436.53	$39,946.37	$36,158.36	2026-05-09
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	42	15	—	—	$66,329.56	$76,942.29	$69,646.04	2026-05-09
002-1	OTHER	Heart And/or Lung Transplant	42	15	—	—	$43,443.38	$50,394.32	$45,615.55	2026-05-09
002-2	OTHER	Heart And/or Lung Transplant	42	15	—	—	$49,153.16	$57,017.67	$51,610.82	2026-05-09
002-3	OTHER	Heart And/or Lung Transplant	42	15	—	—	$64,911.19	$75,296.98	$68,156.75	2026-05-09
002-4	OTHER	Heart And/or Lung Transplant	42	15	—	—	$119,164.66	$138,231.01	$125,122.89	2026-05-09
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	42	15	—	—	$29,522.73	$34,246.37	$30,703.64	2026-05-09
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	42	15	—	—	$46,198.91	$53,590.74	$48,046.87	2026-05-09
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	42	15	—	—	$66,996.16	$77,715.55	$69,676.01	2026-05-09
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	42	15	—	—	$33,871.27	$39,290.67	$35,226.12	2026-05-09
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	42	15	—	—	$46,671.82	$54,139.31	$48,538.69	2026-05-09
006-2	OTHER	Pancreas Transplant	42	15	—	—	$28,786.05	$33,391.82	$30,225.35	2026-05-09
006-3	OTHER	Pancreas Transplant	42	15	—	—	$33,389.74	$38,732.10	$35,059.23	2026-05-09
006-4	OTHER	Pancreas Transplant	42	15	—	—	$43,326.23	$50,258.43	$45,492.54	2026-05-09
007-1	OTHER	Allogeneic Bone Marrow Transplant	42	15	—	—	$27,738.54	$32,176.71	$28,848.08	2026-05-09
007-2	OTHER	Allogeneic Bone Marrow Transplant	42	15	—	—	$31,423.35	$36,451.09	$32,680.28	2026-05-09
007-3	OTHER	Allogeneic Bone Marrow Transplant	42	15	—	—	$44,622.06	$51,761.59	$46,406.94	2026-05-09
007-4	OTHER	Allogeneic Bone Marrow Transplant	42	15	—	—	$70,159.56	$81,385.09	$72,965.95	2026-05-09
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	42	15	—	—	$31,204.86	$36,197.64	$32,453.06	2026-05-09
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	42	15	—	—	$29,405.22	$34,110.06	$30,581.43	2026-05-09
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	42	15	—	—	$58,588.00	$67,962.08	$60,931.52	2026-05-09
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	42	15	—	—	$87,176.41	$101,124.64	$90,663.46	2026-05-09
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	42	15	—	—	$34,745.58	$40,304.87	$36,135.40	2026-05-09
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	42	15	—	—	$50,000.00	$58,000.00	$52,000.00	2026-05-09
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	42	15	—	—	$204,995.11	$237,794.33	$213,194.91	2026-05-09
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	42	15	—	—	$50,021.00	$58,024.36	$52,021.84	2026-05-09
095-4	OTHER	Cleft Lip And Palate Repair	42	15	—	—	$29,105.24	$33,762.08	$30,269.45	2026-05-09
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	71	21	—	—	$8,243.10	$840,562.71	$208,647.69	2026-05-09
10	OTHER	Pancreas Transplant	66	17	—	—	$23,941.20	$215,257.35	$75,164.32	2026-05-09
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	90	23	—	—	$9,652.55	$163,620.93	$47,487.64	2026-05-09
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	90	23	—	—	$7,774.52	$126,486.29	$47,481.11	2026-05-09
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	90	23	—	—	$8,582.73	$90,128.54	$43,311.21	2026-05-09
14	OTHER	Allogeneic Bone Marrow Transplant	66	17	—	—	$6,236.38	$360,490.65	$136,123.45	2026-05-09
140	OTHER	Major Head And Neck Procedures With Mcc	90	23	—	—	$3,598.89	$127,964.97	$41,790.87	2026-05-09
141	OTHER	Major Head And Neck Procedures With Cc	90	23	—	—	$3,384.01	$79,316.42	$35,497.51	2026-05-09
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	66	17	—	—	$5,269.76	$311,340.83	$73,721.73	2026-05-09
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	42	15	—	—	$51,048.39	$59,216.13	$53,090.32	2026-05-09
161-1	OTHER	Implantable Heart Assist Systems	42	15	—	—	$51,234.90	$59,432.48	$53,284.30	2026-05-09
161-2	OTHER	Implantable Heart Assist Systems	42	15	—	—	$51,234.90	$59,432.48	$53,284.30	2026-05-09
161-3	OTHER	Implantable Heart Assist Systems	42	15	—	—	$69,631.31	$80,772.32	$72,416.57	2026-05-09
161-4	OTHER	Implantable Heart Assist Systems	42	15	—	—	$88,926.10	$103,154.28	$92,483.15	2026-05-09
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	42	15	—	—	$34,306.45	$39,795.48	$35,678.71	2026-05-09
163	OTHER	Major Chest Procedures With Mcc	90	23	—	—	$10,954.92	$134,458.46	$43,294.30	2026-05-09
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	42	15	—	—	$30,019.36	$34,822.46	$31,220.14	2026-05-09
164	OTHER	Major Chest Procedures With Cc	90	23	—	—	$10,349.19	$82,169.85	$38,724.68	2026-05-09
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	42	15	—	—	$26,969.52	$31,284.64	$28,048.31	2026-05-09
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	90	23	—	—	$27,048.17	$307,370.19	$40,586.04	2026-05-09
167	OTHER	Other Respiratory System O.r. Procedures With Cc	90	23	—	—	$8,517.76	$70,819.61	$30,256.82	2026-05-09
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	66	17	—	—	$9,263.83	$311,340.83	$67,608.01	2026-05-09
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	90	23	—	—	$13,020.03	$89,306.67	$36,240.06	2026-05-09
178-4	OTHER	External Heart Assist Systems	42	15	—	—	$28,546.00	$33,113.36	$29,687.84	2026-05-09
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	83	23	—	—	$152,398.61	$1,295,227.52	$316,865.02	2026-05-09
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	71	19	—	—	$11,843.93	$214,024.56	$71,830.68	2026-05-09
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	70	20	—	—	$15,723.54	$356,225.73	$113,101.85	2026-05-09
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	90	23	—	—	$9,578.41	$236,045.66	$104,971.63	2026-05-09
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	90	23	—	—	$7,024.25	$193,032.33	$48,403.63	2026-05-09
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	90	23	—	—	$8,108.50	$199,256.92	$87,807.91	2026-05-09
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	90	23	—	—	$6,861.36	$326,184.37	$136,981.88	2026-05-09
213	OTHER	Splenic Procedures Age 0-17	6	2	—	—	$39,846.90	$46,977.40	$43,412.15	2026-05-09
215	OTHER	Other Heart Assist System Implant	90	23	—	—	$71,777.91	$321,435.45	$152,100.66	2026-05-09
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	90	23	—	—	$11,624.27	$293,452.75	$106,346.92	2026-05-09
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	90	23	—	—	$12,978.39	$201,867.50	$97,897.61	2026-05-09
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	90	23	—	—	$21,214.73	$201,867.50	$81,656.97	2026-05-09
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	90	23	—	—	$14,232.91	$230,331.97	$92,153.48	2026-05-09
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	90	23	—	—	$22,998.72	$199,256.92	$53,309.28	2026-05-09
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	90	23	—	—	$16,317.76	$174,925.52	$82,140.51	2026-05-09
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	90	23	—	—	$21,373.20	$174,925.52	$79,982.65	2026-05-09
228	OTHER	Other Cardiothoracic Procedures With Mcc	90	23	—	—	$12,469.42	$148,423.36	$69,496.00	2026-05-09
229	OTHER	Other Cardiothoracic Procedures Without Mcc	90	23	—	—	$17,036.96	$131,917.16	$52,841.20	2026-05-09
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	90	23	—	—	$8,813.60	$171,905.08	$64,808.94	2026-05-09
231	OTHER	Coronary Bypass With Ptca With Mcc	90	23	—	—	$13,750.60	$252,874.90	$107,130.52	2026-05-09
232	OTHER	Coronary Bypass With Ptca Without Mcc	90	23	—	—	$13,976.41	$203,354.92	$94,480.61	2026-05-09
232-4	OTHER	Gastric Fundoplication	42	15	—	—	$33,765.46	$39,167.93	$35,116.07	2026-05-09
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	90	23	—	—	$14,413.06	$229,339.18	$90,060.00	2026-05-09
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	90	23	—	—	$14,420.67	$163,878.86	$68,616.45	2026-05-09
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	90	23	—	—	$15,251.59	$176,053.14	$74,114.73	2026-05-09
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	92	24	—	—	$14,091.19	$125,670.49	$52,563.55	2026-05-09
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	90	23	—	—	$15,066.47	$147,652.54	$37,385.38	2026-05-09
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	90	23	—	—	$15,159.66	$123,020.21	$58,958.08	2026-05-09
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	90	23	—	—	$6,952.43	$85,530.50	$36,846.56	2026-05-09
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	90	23	—	—	$11,441.32	$95,797.20	$45,077.98	2026-05-09
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	90	23	—	—	$12,707.30	$85,566.92	$35,751.46	2026-05-09
245	OTHER	Aicd Generator Procedures	90	23	—	—	$14,720.33	$136,875.97	$45,084.18	2026-05-09
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	90	23	—	—	$11,356.92	$136,405.09	$55,405.77	2026-05-09
250	OTHER	Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc	90	23	—	—	$14,767.64	$68,740.00	$32,917.47	2026-05-09
252	OTHER	Other Vascular Procedures With Mcc	90	23	—	—	$8,294.21	$104,660.21	$45,005.29	2026-05-09
253	OTHER	Other Vascular Procedures With Cc	90	23	—	—	$13,486.55	$85,428.94	$40,050.36	2026-05-09
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	90	23	—	—	$8,697.30	$94,276.50	$27,951.70	2026-05-09
259	OTHER	Cardiac Pacemaker Device Replacement Without Mcc	90	23	—	—	$14,628.07	$60,684.06	$27,947.85	2026-05-09
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	92	24	—	—	$17,273.41	$155,173.40	$51,480.34	2026-05-09
264	OTHER	Other Circulatory System O.r. Procedures	90	23	—	—	$5,878.17	$100,230.15	$32,826.96	2026-05-09
265	OTHER	Aicd Lead Procedures	90	23	—	—	$11,484.27	$108,556.31	$45,077.98	2026-05-09
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	90	23	—	—	$44,326.45	$248,143.23	$111,458.29	2026-05-09
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	90	23	—	—	$3,314.04	$186,319.91	$79,874.98	2026-05-09
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	90	23	—	—	$5,286.08	$206,325.32	$89,059.00	2026-05-09
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	90	23	—	—	$4,442.77	$126,702.21	$37,053.04	2026-05-09
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	90	23	—	—	$18,268.45	$98,269.36	$42,328.31	2026-05-09
270	OTHER	Other Major Cardiovascular Procedures With Mcc	90	23	—	—	$4,104.19	$158,288.16	$49,986.65	2026-05-09
271	OTHER	Other Major Cardiovascular Procedures With Cc	90	23	—	—	$3,624.57	$106,699.73	$48,146.94	2026-05-09
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	90	23	—	—	$12,757.31	$76,607.46	$35,689.34	2026-05-09
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	90	23	—	—	$14,516.52	$123,771.89	$36,215.00	2026-05-09
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	90	23	—	—	$22,948.74	$98,763.54	$30,051.42	2026-05-09
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	90	23	—	—	$11,837.24	$213,898.69	$102,286.46	2026-05-09
276	OTHER	Non-maligant Breast Disorders	90	23	—	—	$20,386.50	$180,192.21	$64,075.35	2026-05-09
277	OTHER	Cellulitis Age >17 W Cc	90	23	—	—	$10,680.95	$138,558.61	$68,120.92	2026-05-09
278	OTHER	Cellulitis Age >17 Without Cc	90	23	—	—	$12,453.90	$166,983.20	$58,329.83	2026-05-09
279	OTHER	Cellulitis Age 0-17	90	23	—	—	$17,635.63	$108,202.40	$40,185.76	2026-05-09
28	OTHER	Spinal Procedures With Mcc	90	23	—	—	$8,426.61	$180,243.21	$45,639.23	2026-05-09
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	91	23	—	—	$9,591.29	$234,956.48	$44,422.61	2026-05-09
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	90	23	—	—	$9,862.89	$636,647.60	$291,361.87	2026-05-09
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	42	15	—	—	$78,865.22	$91,483.66	$82,019.83	2026-05-09
31	OTHER	Ventricular Shunt Procedures With Mcc	90	23	—	—	$6,400.38	$134,419.46	$34,035.68	2026-05-09
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	6	2	—	—	$32,663.44	$38,508.48	$35,585.96	2026-05-09
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	6	2	—	—	$46,941.45	$55,341.50	$51,141.47	2026-05-09
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	90	23	—	—	$8,622.73	$133,891.61	$33,735.76	2026-05-09
32	OTHER	Ventricular Shunt Procedures With Cc	90	23	—	—	$11,223.85	$63,950.39	$31,431.36	2026-05-09
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	90	23	—	—	$15,509.78	$81,640.34	$36,762.71	2026-05-09
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	90	23	—	—	$8,877.84	$129,827.53	$50,900.71	2026-05-09
324	OTHER	Urinary Stones Without Cc	91	24	—	—	$18,175.53	$94,543.50	$40,099.85	2026-05-09
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	90	23	—	—	$17,050.10	$96,325.09	$38,442.83	2026-05-09
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	91	24	—	—	$7,882.74	$149,623.09	$39,077.70	2026-05-09
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	90	23	—	—	$11,108.48	$74,167.01	$36,177.51	2026-05-09
329	OTHER	Major Small And Large Bowel Procedures With Mcc	91	24	—	—	$6,438.30	$137,898.74	$42,749.05	2026-05-09
330	OTHER	Major Small And Large Bowel Procedures With Cc	93	24	—	—	$8,634.34	$81,135.00	$39,714.87	2026-05-09
331	OTHER	Major Small And Large Bowel Procedures Without Cc/mcc	92	24	—	—	$11,580.32	$58,142.01	$28,460.01	2026-05-09
332	OTHER	Rectal Resection With Mcc	90	23	—	—	$8,056.61	$108,631.31	$44,705.80	2026-05-09
333	OTHER	Rectal Resection With Cc	90	23	—	—	$11,158.39	$84,860.46	$38,042.44	2026-05-09
335	OTHER	Peritoneal Adhesiolysis With Mcc	90	23	—	—	$5,947.30	$107,137.66	$34,061.40	2026-05-09
336	OTHER	Peritoneal Adhesiolysis With Cc	90	23	—	—	$6,743.07	$64,646.39	$31,373.13	2026-05-09
34	OTHER	Carotid Artery Stent Procedures With Mcc	90	23	—	—	$11,535.18	$116,129.63	$29,401.96	2026-05-09
356	OTHER	Other Digestive System O.r. Procedures With Mcc	90	23	—	—	$7,735.02	$131,789.13	$40,146.39	2026-05-09
357	OTHER	Other Digestive System O.r. Procedures With Cc	90	23	—	—	$8,644.07	$76,195.32	$35,798.54	2026-05-09
397	OTHER	Coagulation Disorders	90	23	—	—	$12,475.24	$71,865.55	$32,661.07	2026-05-09
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	90	23	—	—	$6,469.04	$415,483.33	$174,871.79	2026-05-09
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	90	23	—	—	$7,669.82	$115,844.70	$28,626.72	2026-05-09
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	90	23	—	—	$7,993.92	$164,112.79	$64,843.84	2026-05-09
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	90	23	—	—	$11,039.30	$123,086.44	$48,658.52	2026-05-09
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	92	24	—	—	$10,337.09	$111,589.95	$41,741.13	2026-05-09
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	90	23	—	—	$5,412.59	$106,978.72	$40,873.58	2026-05-09
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	90	23	—	—	$7,148.41	$77,586.15	$35,046.00	2026-05-09
411	OTHER	Cholecystectomy With C.d.e. With Mcc	90	23	—	—	$15,451.16	$99,111.44	$33,040.70	2026-05-09
412	OTHER	Cholecystectomy With C.d.e. With Cc	90	23	—	—	$12,910.37	$63,095.51	$31,010.96	2026-05-09
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	90	23	—	—	$23,037.89	$106,888.72	$32,129.06	2026-05-09
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	90	23	—	—	$7,798.50	$102,224.76	$35,339.24	2026-05-09
421	OTHER	Hepatobiliary Diagnostic Procedures With Cc	90	23	—	—	$6,666.06	$72,525.05	$29,151.17	2026-05-09
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	90	23	—	—	$21,280.78	$124,596.72	$39,439.75	2026-05-09
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	87	21	—	—	$11,488.92	$74,854.15	$32,270.58	2026-05-09
440-4	OTHER	Kidney Transplant	42	15	—	—	$33,592.77	$38,967.61	$35,272.41	2026-05-09
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	54	21	—	—	$25,266.77	$265,816.95	$65,675.44	2026-05-09
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	54	21	—	—	$29,994.05	$183,482.53	$45,335.78	2026-05-09
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	54	21	—	—	$33,320.74	$138,171.72	$34,814.46	2026-05-09
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	90	23	—	—	$14,702.79	$252,080.09	$73,774.51	2026-05-09
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	90	23	—	—	$17,160.32	$178,887.51	$66,117.21	2026-05-09
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	90	23	—	—	$23,510.22	$140,019.34	$65,041.16	2026-05-09
459	OTHER	Spinal Fusion Except Cervical With Mcc	54	21	—	—	$17,400.91	$198,959.05	$49,159.06	2026-05-09
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	90	23	—	—	$14,461.52	$185,900.00	$86,221.95	2026-05-09
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	90	23	—	—	$19,259.30	$102,080.36	$44,600.64	2026-05-09
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	90	23	—	—	$6,835.45	$170,981.34	$43,079.77	2026-05-09
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	90	23	—	—	$8,725.07	$93,454.77	$33,578.42	2026-05-09
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	90	23	—	—	$11,895.48	$156,161.60	$54,536.50	2026-05-09
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	90	23	—	—	$21,971.98	$105,808.89	$36,225.79	2026-05-09
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	90	23	—	—	$19,895.32	$82,456.22	$38,680.00	2026-05-09
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	90	23	—	—	$21,956.55	$91,010.30	$28,604.00	2026-05-09
471	OTHER	Cervical Spinal Fusion With Mcc	90	23	—	—	$11,147.53	$144,863.15	$63,158.00	2026-05-09
472	OTHER	Cervical Spinal Fusion With Cc	90	23	—	—	$21,327.04	$88,397.86	$33,799.40	2026-05-09
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	90	23	—	—	$7,028.46	$128,792.77	$32,609.00	2026-05-09
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	90	23	—	—	$5,740.92	$68,290.41	$28,712.55	2026-05-09
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	90	23	—	—	$7,210.24	$87,384.12	$29,540.92	2026-05-09
481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	90	23	—	—	$9,296.37	$62,855.59	$29,536.85	2026-05-09
483-4	OTHER	Penis, Testes And Scrotal Procedures	42	15	—	—	$34,710.96	$40,264.71	$36,099.40	2026-05-09
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	90	23	—	—	$13,115.21	$96,825.99	$37,304.51	2026-05-09
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	90	23	—	—	$6,699.75	$70,811.34	$32,752.17	2026-05-09
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	66	17	—	—	$8,293.51	$316,448.85	$127,567.46	2026-05-09
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	90	23	—	—	$26,330.84	$112,128.52	$44,526.99	2026-05-09
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	90	23	—	—	$8,177.77	$86,121.32	$28,604.00	2026-05-09
547-4	OTHER	Antepartum With O.r. Procedure	42	15	—	—	$28,489.95	$33,048.34	$29,629.55	2026-05-09
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	42	15	—	—	$29,263.53	$33,945.69	$30,434.07	2026-05-09
570	OTHER	Skin Debridement With Mcc	90	23	—	—	$3,309.40	$88,247.87	$35,142.71	2026-05-09
571	OTHER	Skin Debridement With Cc	90	23	—	—	$6,153.31	$66,707.81	$28,345.82	2026-05-09
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	90	23	—	—	$7,542.30	$196,532.56	$49,390.26	2026-05-09
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	90	23	—	—	$6,444.36	$104,153.30	$35,147.54	2026-05-09
575	OTHER	Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc	90	23	—	—	$7,371.53	$60,153.76	$27,974.87	2026-05-09
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	90	23	—	—	$7,660.32	$147,037.66	$35,801.21	2026-05-09
583-1	OTHER	Neonate With Ecmo	42	15	—	—	$81,748.00	$94,827.68	$85,017.92	2026-05-09
583-2	OTHER	Neonate With Ecmo	42	15	—	—	$138,429.14	$160,577.80	$143,966.30	2026-05-09
583-3	OTHER	Neonate With Ecmo	42	15	—	—	$221,000.00	$256,360.00	$229,840.00	2026-05-09
583-4	OTHER	Neonate With Ecmo	42	15	—	—	$221,000.00	$256,360.00	$229,840.00	2026-05-09
588-1	OTHER	Female Reproductive System Reconstructive Procedures	42	15	—	—	$50,000.00	$58,000.00	$52,000.00	2026-05-09
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	42	15	—	—	$110,647.94	$128,351.61	$115,073.86	2026-05-09
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	42	15	—	—	$132,000.00	$153,120.00	$137,280.00	2026-05-09
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	42	15	—	—	$221,000.00	$256,360.00	$229,840.00	2026-05-09
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	42	15	—	—	$59,458.71	$68,972.10	$61,837.06	2026-05-09
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	42	15	—	—	$33,354.00	$38,690.64	$34,688.16	2026-05-09
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	42	15	—	—	$87,000.00	$100,920.00	$90,480.00	2026-05-09
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	42	15	—	—	$80,000.00	$92,800.00	$83,200.00	2026-05-09
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	42	15	—	—	$91,000.00	$105,560.00	$94,640.00	2026-05-09
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	42	15	—	—	$120,000.00	$139,200.00	$124,800.00	2026-05-09
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	42	15	—	—	$65,770.67	$76,293.98	$68,401.49	2026-05-09
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	42	15	—	—	$99,000.00	$114,840.00	$102,960.00	2026-05-09
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	42	15	—	—	$121,000.00	$140,360.00	$125,840.00	2026-05-09
6	OTHER	Liver Transplant Without Mcc	66	17	—	—	$11,762.20	$316,448.85	$57,832.74	2026-05-09
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	42	15	—	—	$46,718.58	$54,193.55	$48,587.32	2026-05-09
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	42	15	—	—	$88,854.73	$103,071.49	$92,408.92	2026-05-09
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	42	15	—	—	$100,000.00	$116,000.00	$104,000.00	2026-05-09
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	42	15	—	—	$28,456.32	$33,009.33	$29,594.57	2026-05-09
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	42	15	—	—	$53,002.38	$61,482.76	$55,122.47	2026-05-09
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	42	15	—	—	$80,000.00	$92,800.00	$83,200.00	2026-05-09
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	42	15	—	—	$33,333.50	$38,666.86	$34,666.84	2026-05-09
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	42	15	—	—	$67,824.78	$78,676.74	$70,537.77	2026-05-09
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	42	15	—	—	$98,924.77	$114,752.73	$102,881.76	2026-05-09
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	42	15	—	—	$48,704.91	$56,497.70	$50,653.11	2026-05-09
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	42	15	—	—	$56,423.25	$65,450.97	$58,680.18	2026-05-09
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	42	15	—	—	$30,576.20	$35,468.39	$31,799.25	2026-05-09
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	42	15	—	—	$71,214.11	$82,608.37	$74,062.68	2026-05-09
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	42	15	—	—	$165,000.00	$191,400.00	$171,600.00	2026-05-09
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	42	15	—	—	$82,276.96	$95,441.27	$85,568.04	2026-05-09
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	42	15	—	—	$44,882.27	$52,063.43	$46,677.56	2026-05-09
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	42	15	—	—	$64,812.32	$75,182.29	$67,404.82	2026-05-09
613	OTHER	Neonate, Birth Weight <750 Grams, Died	6	2	—	—	$39,616.98	$46,706.33	$43,161.65	2026-05-09
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	42	15	—	—	$44,052.16	$51,100.51	$45,814.24	2026-05-09
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	42	15	—	—	$62,000.00	$71,920.00	$64,480.00	2026-05-09
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	90	23	—	—	$12,575.56	$73,755.83	$34,215.47	2026-05-09
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	42	15	—	—	$36,736.42	$42,614.25	$38,205.88	2026-05-09
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	90	23	—	—	$6,230.80	$104,633.24	$47,566.88	2026-05-09
617	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	92	24	—	—	$5,005.29	$90,291.35	$35,172.30	2026-05-09
619	OTHER	O.r. Procedures For Obesity With Mcc	90	23	—	—	$20,693.13	$86,637.26	$30,067.88	2026-05-09
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	42	15	—	—	$63,560.52	$73,730.20	$66,102.95	2026-05-09
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	90	23	—	—	$25,758.10	$106,786.76	$37,601.74	2026-05-09
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	42	15	—	—	$42,030.02	$48,754.82	$43,711.22	2026-05-09
623	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	90	23	—	—	$5,193.34	$65,612.25	$28,980.43	2026-05-09
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	42	15	—	—	$34,148.97	$39,612.81	$35,514.93	2026-05-09
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	42	15	—	—	$45,404.40	$52,669.10	$47,220.57	2026-05-09
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	42	15	—	—	$56,341.07	$65,355.64	$58,594.71	2026-05-09
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	90	23	—	—	$5,325.63	$111,813.57	$33,629.57	2026-05-09
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	90	23	—	—	$9,722.48	$65,384.05	$32,136.38	2026-05-09
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	42	15	—	—	$29,601.20	$34,337.39	$30,785.25	2026-05-09
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	42	15	—	—	$95,000.00	$110,200.00	$98,800.00	2026-05-09
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	42	15	—	—	$179,071.67	$207,723.14	$186,234.54	2026-05-09
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	42	15	—	—	$58,035.32	$67,320.97	$60,356.74	2026-05-09
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	42	15	—	—	$197,455.24	$229,048.08	$205,353.45	2026-05-09
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	42	15	—	—	$64,642.15	$74,984.89	$67,227.83	2026-05-09
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	42	15	—	—	$39,210.14	$45,483.76	$40,778.54	2026-05-09
639-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	42	15	—	—	$27,300.58	$31,668.67	$28,392.60	2026-05-09
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	71	19	—	—	$2,958.54	$141,045.01	$47,904.98	2026-05-09
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	71	19	—	—	$3,954.68	$127,678.41	$38,115.22	2026-05-09
652	OTHER	Kidney Transplant	66	17	—	—	$14,380.05	$127,678.41	$40,532.73	2026-05-09
653	OTHER	Major Bladder Procedures With Mcc	90	23	—	—	$6,739.46	$155,891.72	$48,646.48	2026-05-09
654	OTHER	Major Bladder Procedures With Cc	90	23	—	—	$9,787.11	$92,327.94	$43,241.10	2026-05-09
655	OTHER	Major Bladder Procedures Without Cc/mcc	90	23	—	—	$10,586.82	$92,327.94	$35,511.57	2026-05-09
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	90	23	—	—	$9,898.29	$95,527.27	$40,133.60	2026-05-09
657	OTHER	Kidney And Ureter Procedures For Neoplasm With Cc	92	24	—	—	$13,260.66	$76,181.52	$34,414.44	2026-05-09
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	90	23	—	—	$6,842.63	$76,244.61	$29,544.12	2026-05-09
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	90	23	—	—	$5,968.03	$126,054.42	$40,328.14	2026-05-09
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	92	24	—	—	$7,139.26	$76,540.27	$34,493.34	2026-05-09
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	6	2	—	—	$283,453.30	$334,176.53	$308,814.92	2026-05-09
7	OTHER	Lung Transplant	66	17	—	—	$20,528.70	$593,507.59	$149,552.29	2026-05-09
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	90	23	—	—	$15,428.84	$65,918.57	$31,841.57	2026-05-09
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	90	23	—	—	$9,482.28	$107,245.60	$30,683.76	2026-05-09
737	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	90	23	—	—	$7,946.19	$61,838.80	$30,392.96	2026-05-09
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	90	23	—	—	$3,319.15	$178,299.59	$45,142.43	2026-05-09
791	OTHER	Prematurity With Major Problems	90	23	—	—	$2,162.62	$121,777.36	$30,834.68	2026-05-09
793	OTHER	Full Term Neonate With Major Problems	90	23	—	—	$7,368.47	$125,094.60	$30,169.63	2026-05-09
799	OTHER	Splenectomy With Mcc	90	23	—	—	$9,848.61	$135,871.22	$47,231.06	2026-05-09
8	OTHER	Simultaneous Pancreas And Kidney Transplant	66	17	—	—	$11,053.51	$168,134.93	$67,836.45	2026-05-09
800	OTHER	Splenectomy With Cc	90	23	—	—	$11,545.78	$89,653.88	$42,661.12	2026-05-09
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	90	23	—	—	$5,965.40	$119,530.83	$29,537.33	2026-05-09
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	90	23	—	—	$7,528.67	$175,939.14	$49,212.08	2026-05-09
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	90	23	—	—	$8,644.07	$93,401.42	$37,558.43	2026-05-09
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	90	23	—	—	$4,871.88	$137,547.80	$34,657.22	2026-05-09
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	90	23	—	—	$5,129.39	$67,987.46	$28,097.60	2026-05-09
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	90	23	—	—	$9,235.61	$140,337.19	$36,789.11	2026-05-09
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	90	23	—	—	$8,368.68	$69,823.40	$34,133.58	2026-05-09
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	90	23	—	—	$5,791.43	$164,694.70	$40,259.92	2026-05-09
835	OTHER	Acute Leukemia Without Major O.r. Procedures With Cc	90	23	—	—	$8,468.00	$97,996.09	$31,102.26	2026-05-09
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	90	23	—	—	$4,543.60	$144,131.30	$36,493.60	2026-05-09
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	42	15	—	—	$79,102.08	$91,758.41	$82,266.16	2026-05-09
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	42	15	—	—	$44,285.71	$51,371.42	$46,057.14	2026-05-09
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	90	23	—	—	$8,783.51	$148,159.46	$48,399.30	2026-05-09
854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	90	23	—	—	$6,736.79	$91,858.81	$33,523.38	2026-05-09
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	90	23	—	—	$6,977.93	$136,465.04	$48,392.64	2026-05-09
863-4	OTHER	Neonatal Aftercare	42	15	—	—	$80,469.81	$93,344.98	$83,688.60	2026-05-09
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	90	23	—	—	$7,615.72	$207,342.16	$49,988.32	2026-05-09
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	89	22	—	—	$3,376.49	$115,955.65	$32,152.30	2026-05-09
901	OTHER	Wound Debridements For Injuries With Mcc	90	23	—	—	$6,559.07	$125,904.47	$31,881.28	2026-05-09
902	OTHER	Wound Debridements For Injuries With Cc	90	23	—	—	$6,339.59	$57,456.82	$28,238.06	2026-05-09
907	OTHER	Other O.r. Procedures For Injuries With Mcc	90	23	—	—	$8,673.90	$115,187.84	$29,163.44	2026-05-09
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	90	23	—	—	$12,028.52	$640,405.79	$205,236.46	2026-05-09
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	90	23	—	—	$5,296.40	$215,167.39	$61,754.51	2026-05-09
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	90	23	—	—	$8,468.00	$116,834.49	$29,023.58	2026-05-09
955	OTHER	Craniotomy For Multiple Significant Trauma	90	23	—	—	$48,682.33	$201,922.31	$99,280.84	2026-05-09
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	90	23	—	—	$10,289.52	$112,899.34	$47,424.41	2026-05-09
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	90	23	—	—	$9,782.14	$228,580.31	$72,122.76	2026-05-09
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	90	23	—	—	$9,691.15	$136,884.44	$62,636.62	2026-05-09
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	90	23	—	—	$10,887.82	$136,884.44	$49,395.05	2026-05-09
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	90	23	—	—	$11,271.06	$183,632.44	$65,534.40	2026-05-09
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	90	23	—	—	$5,546.00	$124,397.25	$44,249.34	2026-05-09
974	OTHER	HIV With Major Related Condition With Mcc	90	23	—	—	$8,468.00	$86,595.24	$30,057.05	2026-05-09
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	92	24	—	—	$6,776.74	$140,757.07	$50,762.45	2026-05-09
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	90	23	—	—	$7,457.61	$99,903.04	$41,247.82	2026-05-09
983	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	90	23	—	—	$11,615.19	$99,903.04	$28,756.89	2026-05-09

See an error in this hospital's data? Submit a correction