Hospital

EAST GEORGIA REGIONAL MEDICAL CENTER

Statesboro, GA · CCN 110075 · Rates published

7,003 distinct procedures filed

38 distinct payers

196,912 rate rows

2026-05-06 last MRF observed

Data quality

183,204 of 196,912 rate rows are consumer-grade (93.0%)

13,708 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	7,726
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4,187
exceeds 10× this hospital's gross charge — excluded from medians	1,143
placeholder amount (≤ $0.02) — excluded from medians	538
template filing: same amount across many unrelated codes — excluded	114

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

Source MRF file	https://www.eastgeorgiaregional.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/582190713_east-georgia-regional-medical-center_standardcharges.csv
Found on page	https://www.eastgeorgiaregional.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-17
Content fingerprint	5b24eca57af40772… · 118,378,437 bytes · first seen 2026-05-05

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
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	3	$10,216.38	$394,693.29	$394,693.29	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	20	$3,116.42	$799,831.82	$382,478.77	nat. median $386,529 1.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$3,116.42	$433,305.54	$206,412.31	nat. median $239,422 0.9× median
7 OTHER	Lung Transplant	17	$3,116.42	$465,503.53	$200,235.99	nat. median $169,933 1.2× median
633 OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	3	$3,384.25	$167,547.78	$167,547.78	nat. median $4,769 outlier · 35.1×
636 OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	3	$6,994.43	$153,856.08	$153,856.08	nat. median $53 outlier · 2929.5×
161-4 OTHER	Implantable Heart Assist Systems	5	$148,173.20	$157,628.99	$148,173.20	nat. median $202,242 0.7× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	23	$3,116.42	$395,453.96	$140,246.61	nat. median $146,562 1.0× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	23	$3,116.42	$393,133.16	$139,432.81	nat. median $181,005 0.8× median
634 OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	3	$6,874.55	$139,120.67	$139,120.67	nat. median $414 outlier · 336.0×
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	24	$3,116.42	$256,555.63	$110,916.04	nat. median $134,983 0.8× median
613 OTHER	Neonate, Birth Weight <750 Grams, Died	3	$13,416.20	$109,852.50	$109,852.50	nat. median $42,666 outlier · 2.6×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$90,925.21	$96,727.67	$90,925.21	nat. median $210,669 outlier · 0.4×
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	17	$3,116.42	$175,212.29	$82,217.37	nat. median $111,558 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	17	$3,116.42	$185,820.77	$81,606.90	nat. median $100,915 0.8× median
632 OTHER	Neonate, Birth Weight 750-999 Grams, Died	2	$79,172.82	$79,172.82	$79,172.82	nat. median $8,778 outlier · 9.0×
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	18	$3,116.42	$159,420.95	$75,699.22	nat. median $94,894 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	23	$3,116.42	$137,796.27	$72,333.87	nat. median $64,729 1.1× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	23	$2,643.15	$201,410.08	$72,203.99	nat. median $90,581 0.8× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	$70,619.01	$74,149.96	$70,619.01	nat. median $106,926 0.7× median
215 OTHER	Other Heart Assist System Implant	23	$3,116.42	$184,423.55	$68,203.47	nat. median $92,359 0.7× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$67,075.24	$70,429.00	$67,075.24	nat. median $203,379 outlier · 0.3×
950-4 OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	5	$65,572.34	$68,850.95	$65,572.34	nat. median $47,465 1.4× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	23	$3,116.42	$181,197.02	$65,116.16	nat. median $90,130 0.7× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	19	$3,116.42	$170,295.90	$59,131.81	nat. median $65,342 0.9× median
583-4 OTHER	Neonate With Ecmo	5	$56,374.09	$59,971.65	$56,374.09	nat. median $309,400 outlier · 0.2×
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$56,374.09	$59,971.65	$56,374.09	nat. median $267,493 outlier · 0.2×
583-3 OTHER	Neonate With Ecmo	5	$56,374.09	$59,971.65	$56,374.09	nat. median $259,487 outlier · 0.2×
231 OTHER	Coronary Bypass With Ptca With Mcc	24	$3,116.42	$156,138.61	$56,329.29	nat. median $74,989 0.8× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	23	$3,116.42	$155,647.77	$56,157.19	nat. median $76,493 0.7× median
583-2 OTHER	Neonate With Ecmo	5	$55,863.92	$59,428.92	$55,863.92	nat. median $191,347 outlier · 0.3×
583-1 OTHER	Neonate With Ecmo	5	$55,863.92	$59,428.92	$55,863.92	nat. median $171,226 outlier · 0.3×
634-4 OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	5	$55,823.11	$59,385.50	$55,823.11	nat. median $45,699 1.2× median
8 OTHER	Simultaneous Pancreas And Kidney Transplant	17	$3,116.42	$95,909.71	$53,594.35	nat. median $57,589 0.9× median
6 OTHER	Liver Transplant Without Mcc	18	$3,116.42	$98,441.46	$53,489.22	nat. median $52,924 1.0× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	24	$3,116.42	$145,745.91	$52,685.03	nat. median $74,209 0.7× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	23	$3,116.42	$142,217.47	$51,447.76	nat. median $72,612 0.7× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	24	$3,116.42	$119,183.51	$51,317.78	nat. median $66,849 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	24	$3,116.42	$141,604.39	$51,232.78	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	23	$3,116.42	$141,135.79	$51,068.47	nat. median $68,309 0.7× median
161-3 OTHER	Implantable Heart Assist Systems	5	$51,017.28	$54,272.99	$51,017.28	nat. median $152,491 outlier · 0.3×
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$50,304.03	$52,819.23	$50,304.03	nat. median $171,094 outlier · 0.3×
10 OTHER	Pancreas Transplant	17	$3,116.42	$110,950.67	$49,374.86	nat. median $62,879 0.8× median
635 OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	2	$49,052.92	$49,052.92	$49,052.92	nat. median $677 outlier · 72.4×
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	18	$3,116.42	$110,315.19	$48,508.91	nat. median $61,133 0.8× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	5	$48,466.42	$51,559.34	$48,466.42	nat. median $151,691 outlier · 0.3×
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	23	$3,116.42	$127,392.46	$48,289.84	nat. median $67,670 0.7× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	23	$3,116.42	$132,852.75	$48,163.96	nat. median $46,003 1.0× median
178-4 OTHER	External Heart Assist Systems	5	$48,138.71	$50,545.65	$48,138.71	nat. median $67,533 0.7× median
163-4 OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	$48,000.20	$51,063.38	$48,000.20	nat. median $70,285 0.7× median

Other procedures at this hospital

Browse this hospital's 7,003 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

681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	3	3	—	—	$10,216.38	$394,693.29	$394,693.29	2026-05-06
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	20	—	—	$3,116.42	$799,831.82	$382,478.77	2026-05-06
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	18	—	—	$3,116.42	$433,305.54	$206,412.31	2026-05-06
7	OTHER	Lung Transplant	19	17	—	—	$3,116.42	$465,503.53	$200,235.99	2026-05-06
633	OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	3	3	—	—	$3,384.25	$167,547.78	$167,547.78	2026-05-06
636	OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	3	3	—	—	$6,994.43	$153,856.08	$153,856.08	2026-05-06
161-4	OTHER	Implantable Heart Assist Systems	5	5	—	—	$148,173.20	$157,628.99	$148,173.20	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	25	23	—	—	$3,116.42	$395,453.96	$140,246.61	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	25	23	—	—	$3,116.42	$393,133.16	$139,432.81	2026-05-06
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	3	3	—	—	$6,874.55	$139,120.67	$139,120.67	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	26	24	—	—	$3,116.42	$256,555.63	$110,916.04	2026-05-06
613	OTHER	Neonate, Birth Weight <750 Grams, Died	3	3	—	—	$13,416.20	$109,852.50	$109,852.50	2026-05-06
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$90,925.21	$96,727.67	$90,925.21	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	19	17	—	—	$3,116.42	$175,212.29	$82,217.37	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	19	17	—	—	$3,116.42	$185,820.77	$81,606.90	2026-05-06
632	OTHER	Neonate, Birth Weight 750-999 Grams, Died	2	2	—	—	$79,172.82	$79,172.82	$79,172.82	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	20	18	—	—	$3,116.42	$159,420.95	$75,699.22	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	25	23	—	—	$3,116.42	$137,796.27	$72,333.87	2026-05-06
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	25	23	—	—	$2,643.15	$201,410.08	$72,203.99	2026-05-06
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$70,619.01	$74,149.96	$70,619.01	2026-05-06
215	OTHER	Other Heart Assist System Implant	25	23	—	—	$3,116.42	$184,423.55	$68,203.47	2026-05-06
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$67,075.24	$70,429.00	$67,075.24	2026-05-06
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	5	5	—	—	$65,572.34	$68,850.95	$65,572.34	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	23	—	—	$3,116.42	$181,197.02	$65,116.16	2026-05-06
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	21	19	—	—	$3,116.42	$170,295.90	$59,131.81	2026-05-06
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$56,374.09	$59,971.65	$56,374.09	2026-05-06
583-3	OTHER	Neonate With Ecmo	5	5	—	—	$56,374.09	$59,971.65	$56,374.09	2026-05-06
583-4	OTHER	Neonate With Ecmo	5	5	—	—	$56,374.09	$59,971.65	$56,374.09	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	26	24	—	—	$3,116.42	$156,138.61	$56,329.29	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	23	—	—	$3,116.42	$155,647.77	$56,157.19	2026-05-06
583-2	OTHER	Neonate With Ecmo	5	5	—	—	$55,863.92	$59,428.92	$55,863.92	2026-05-06
583-1	OTHER	Neonate With Ecmo	5	5	—	—	$55,863.92	$59,428.92	$55,863.92	2026-05-06
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	5	5	—	—	$55,823.11	$59,385.50	$55,823.11	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	19	17	—	—	$3,116.42	$95,909.71	$53,594.35	2026-05-06
6	OTHER	Liver Transplant Without Mcc	20	18	—	—	$3,116.42	$98,441.46	$53,489.22	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	26	24	—	—	$3,116.42	$145,745.91	$52,685.03	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	23	—	—	$3,116.42	$142,217.47	$51,447.76	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	26	24	—	—	$3,116.42	$119,183.51	$51,317.78	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	26	24	—	—	$3,116.42	$141,604.39	$51,232.78	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	25	23	—	—	$3,116.42	$141,135.79	$51,068.47	2026-05-06
161-3	OTHER	Implantable Heart Assist Systems	5	5	—	—	$51,017.28	$54,272.99	$51,017.28	2026-05-06
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$50,304.03	$52,819.23	$50,304.03	2026-05-06
10	OTHER	Pancreas Transplant	19	17	—	—	$3,116.42	$110,950.67	$49,374.86	2026-05-06
635	OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	2	2	—	—	$49,052.92	$49,052.92	$49,052.92	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	20	18	—	—	$3,116.42	$110,315.19	$48,508.91	2026-05-06
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$48,466.42	$51,559.34	$48,466.42	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	25	23	—	—	$3,116.42	$127,392.46	$48,289.84	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	25	23	—	—	$3,116.42	$132,852.75	$48,163.96	2026-05-06
178-4	OTHER	External Heart Assist Systems	5	5	—	—	$48,138.71	$50,545.65	$48,138.71	2026-05-06
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$48,000.20	$51,063.38	$48,000.20	2026-05-06
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	25	23	—	—	$3,116.42	$132,069.27	$47,889.23	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	25	23	—	—	$3,116.42	$130,383.51	$46,644.13	2026-05-06
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$46,623.69	$48,954.87	$46,623.69	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	25	23	—	—	$3,116.42	$128,020.36	$46,469.46	2026-05-06
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$45,935.10	$48,231.85	$45,935.10	2026-05-06
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	5	5	—	—	$45,833.67	$48,758.58	$45,833.67	2026-05-06
570	OTHER	Skin Debridement With Mcc	26	24	—	—	$3,116.42	$87,689.90	$45,174.56	2026-05-06
161-2	OTHER	Implantable Heart Assist Systems	5	5	—	—	$45,113.24	$47,992.18	$45,113.24	2026-05-06
459	OTHER	Spinal Fusion Except Cervical With Mcc	21	19	—	—	$3,116.42	$110,130.85	$44,654.15	2026-05-06
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	5	5	—	—	$44,351.15	$46,568.71	$44,351.15	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	23	—	—	$3,116.42	$121,787.71	$44,283.95	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	23	—	—	$3,116.42	$121,787.71	$44,283.95	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	25	23	—	—	$3,116.42	$121,345.03	$44,128.70	2026-05-06
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$43,732.76	$45,919.40	$43,732.76	2026-05-06
440-3	OTHER	Kidney Transplant	5	5	—	—	$43,058.85	$45,211.79	$43,058.85	2026-05-06
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	5	5	—	—	$42,794.01	$44,933.71	$42,794.01	2026-05-06
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	5	5	—	—	$42,788.17	$45,518.74	$42,788.17	2026-05-06
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	5	5	—	—	$42,751.09	$45,479.29	$42,751.09	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	25	23	—	—	$3,116.42	$130,178.24	$42,616.17	2026-05-06
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$42,504.71	$45,217.18	$42,504.71	2026-05-06
091-4	OTHER	Other Major Head And Neck Procedures	5	5	—	—	$42,266.87	$44,380.22	$42,266.87	2026-05-06
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$42,089.26	$44,775.22	$42,089.26	2026-05-06
28	OTHER	Spinal Procedures With Mcc	25	23	—	—	$3,116.42	$111,285.73	$41,813.53	2026-05-06
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	21	19	—	—	$3,116.42	$78,836.95	$41,302.81	2026-05-06
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$41,150.77	$43,776.84	$41,150.77	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	19	17	—	—	$3,116.42	$91,685.02	$41,080.90	2026-05-06
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	5	5	—	—	$41,065.19	$43,118.45	$41,065.19	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	26	24	—	—	$3,116.42	$112,291.48	$40,954.05	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	25	23	—	—	$3,116.42	$108,627.83	$40,854.47	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	26	24	—	—	$3,116.42	$91,472.75	$40,708.51	2026-05-06
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$32,031.28	$49,287.98	$40,659.63	2026-05-06
276	OTHER	Non-maligant Breast Disorders	25	23	—	—	$3,116.42	$111,254.25	$40,590.31	2026-05-06
183-3	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$40,316.62	$42,332.45	$40,316.62	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	23	—	—	$3,116.42	$110,448.54	$40,307.81	2026-05-06
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$40,204.30	$42,214.51	$40,204.30	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	25	23	—	—	$1,763.29	$110,085.51	$40,180.50	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	26	24	—	—	$3,116.42	$106,136.61	$39,854.60	2026-05-06
910-4	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$39,755.13	$42,292.13	$39,755.13	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	25	23	—	—	$3,116.42	$108,698.21	$39,694.04	2026-05-06
178-3	OTHER	External Heart Assist Systems	5	5	—	—	$39,300.01	$41,265.01	$39,300.01	2026-05-06
863-4	OTHER	Neonatal Aftercare	5	5	—	—	$38,799.15	$41,275.15	$38,799.15	2026-05-06
608	OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	3	3	—	—	$28,110.49	$38,766.59	$38,766.59	2026-05-06
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$38,633.75	$40,565.44	$38,633.75	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	26	24	—	—	$3,116.42	$105,566.14	$38,595.76	2026-05-06
007-1	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$38,403.44	$40,323.61	$38,403.44	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	26	24	—	—	$3,116.42	$101,324.60	$38,121.77	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	26	24	—	—	$3,116.42	$101,020.85	$38,012.38	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	25	23	—	—	$3,116.42	$88,985.25	$37,915.65	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	19	17	—	—	$3,116.42	$83,994.22	$37,769.96	2026-05-06
278	OTHER	Cellulitis Age >17 Without Cc	25	23	—	—	$3,116.42	$103,097.16	$37,729.99	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	26	24	—	—	$3,116.42	$102,297.01	$37,449.42	2026-05-06
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	25	23	—	—	$3,116.42	$101,683.93	$37,234.43	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	26	24	—	—	$3,116.42	$101,180.13	$37,057.77	2026-05-06
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$36,912.18	$39,267.76	$36,912.18	2026-05-06
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	5	5	—	—	$36,433.33	$38,255.00	$36,433.33	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	24	—	—	$3,116.42	$98,774.12	$36,214.09	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	26	24	—	—	$3,116.42	$98,051.76	$36,191.94	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	27	25	—	—	$3,116.42	$110,442.90	$36,106.91	2026-05-06
270	OTHER	Other Major Cardiovascular Procedures With Mcc	25	23	—	—	$548.62	$97,727.63	$35,847.13	2026-05-06
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	5	5	—	—	$35,837.28	$37,629.14	$35,837.28	2026-05-06
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$35,457.01	$37,719.73	$35,457.01	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	26	24	—	—	$3,116.42	$96,414.42	$35,386.65	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	25	23	—	—	$3,116.42	$96,247.72	$35,328.19	2026-05-06
1411002	OTHER	Aicd Ohr Thn Sgl/du2	23	18	$99,999.99	$27,000.00 73% off	$5,817.76	$84,999.99	$35,000.00	2026-05-06
1410069	OTHER	Pmkr Dual Rate-rs L5	23	18	$99,999.25	$26,999.80 73% off	$5,817.72	$84,999.36	$34,999.74	2026-05-06
1410077	OTHER	Lead Aicd End Dul L7	23	18	$99,999.25	$26,999.80 73% off	$5,817.72	$84,999.36	$34,999.74	2026-05-06
1413007	OTHER	Aicd Single Chamber3	23	18	$99,999.00	$26,999.73 73% off	$5,817.70	$84,999.15	$34,999.65	2026-05-06
1411003	OTHER	Aicd Ohr Thn Sgl/du3	23	18	$99,999.00	$26,999.73 73% off	$5,817.70	$84,999.15	$34,999.65	2026-05-06
1410038	OTHER	Aicd Dual Chamber L4	23	18	$99,999.00	$26,999.73 73% off	$5,817.70	$84,999.15	$34,999.65	2026-05-06
1410039	OTHER	Aicd Dual Chamber L5	23	18	$99,999.00	$26,999.73 73% off	$5,817.70	$84,999.15	$34,999.65	2026-05-06
1413006	OTHER	Aicd Single Chamber2	23	18	$99,999.00	$26,999.73 73% off	$5,817.70	$84,999.15	$34,999.65	2026-05-06
1411004	OTHER	Aicd Ohr Thn Sgl/du4	23	18	$99,999.00	$26,999.73 73% off	$5,817.70	$84,999.15	$34,999.65	2026-05-06
1410068	OTHER	Pmkr Dual Rate-rs L4	23	18	$99,999.00	$26,999.73 73% off	$5,817.70	$84,999.15	$34,999.65	2026-05-06
179-4	OTHER	Defibrillator Implants	5	5	—	—	$34,682.20	$36,895.47	$34,682.20	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	26	24	—	—	$3,116.42	$91,635.74	$34,632.78	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	25	23	—	—	$3,116.42	$91,159.73	$34,551.57	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	23	—	—	$3,116.42	$93,354.58	$34,313.71	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	26	24	—	—	$3,116.42	$92,376.62	$33,970.77	2026-05-06
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$33,671.40	$35,820.17	$33,671.40	2026-05-06
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$33,610.29	$35,755.16	$33,610.29	2026-05-06
027-4	OTHER	Other Open Craniotomy	5	5	—	—	$33,456.89	$35,129.73	$33,456.89	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	25	23	—	—	$3,116.42	$90,780.03	$33,410.91	2026-05-06
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$33,161.23	$35,277.44	$33,161.23	2026-05-06
471	OTHER	Cervical Spinal Fusion With Mcc	25	23	—	—	$3,116.42	$89,437.18	$32,940.04	2026-05-06
231-4	OTHER	Major Large Bowel Procedures	5	5	—	—	$32,884.45	$34,528.67	$32,884.45	2026-05-06
647	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	2	2	—	—	$32,622.23	$32,622.23	$32,622.23	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	25	23	—	—	$2,343.89	$88,179.54	$32,499.05	2026-05-06
021-3	OTHER	Open Craniotomy Except Trauma	5	5	—	—	$32,370.08	$33,988.58	$32,370.08	2026-05-06
020-4	OTHER	Open Craniotomy For Trauma	5	5	—	—	$32,336.26	$33,953.07	$32,336.26	2026-05-06
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	21	19	—	—	$3,116.42	$90,954.35	$32,267.04	2026-05-06
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	5	5	—	—	$32,211.81	$33,822.40	$32,211.81	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	21	19	—	—	$3,116.42	$72,693.05	$32,113.25	2026-05-06
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$22,243.76	$41,976.59	$32,110.17	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	25	23	—	—	$3,116.42	$86,901.52	$32,050.89	2026-05-06
023-4	OTHER	Spinal Procedures	5	5	—	—	$31,984.62	$33,583.85	$31,984.62	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	25	23	—	—	$3,116.42	$86,642.21	$31,959.96	2026-05-06
1061577	OTHER	Ep-ablate Sprvnt Art	40	35	$99,999.25	$26,999.80 73% off	$781.85	$129,513.53	$31,958.17	2026-05-06
1061579	OTHER	Ep-atr Fib Pulm Vn I	40	35	$99,999.75	$26,999.93 73% off	$885.90	$129,513.53	$31,958.17	2026-05-06
799	OTHER	Splenectomy With Mcc	25	23	—	—	$3,116.42	$83,884.29	$31,926.40	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	26	24	—	—	$3,116.42	$111,878.85	$31,819.21	2026-05-06
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$31,744.03	$33,331.23	$31,744.03	2026-05-06
277	OTHER	Cellulitis Age >17 W Cc	25	23	—	—	$3,116.42	$85,543.86	$31,574.83	2026-05-06
261-4	OTHER	Major Biliary Tract Procedures	5	5	—	—	$31,565.53	$33,579.91	$31,565.53	2026-05-06
030-3	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	5	5	—	—	$31,534.07	$33,110.78	$31,534.07	2026-05-06
179-2	OTHER	Defibrillator Implants	5	5	—	—	$31,438.35	$33,010.26	$31,438.35	2026-05-06
120-4	OTHER	Major Respiratory And Chest Procedures	5	5	—	—	$31,426.94	$33,281.65	$31,426.94	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	25	23	—	—	$3,116.42	$84,919.67	$31,355.96	2026-05-06
245	OTHER	Aicd Generator Procedures	26	24	—	—	$3,116.42	$84,504.77	$31,210.47	2026-05-06
121-4	OTHER	Other Respiratory And Chest Procedures	5	5	—	—	$31,197.12	$32,756.97	$31,197.12	2026-05-06
1410730	OTHER	Lead Neurostimulat 7	24	19	$99,999.99	$27,000.00 73% off	$5,817.76	$84,999.99	$31,153.74	2026-05-06
1414579	OTHER	Genratr Neurostm 6	24	19	$99,999.99	$27,000.00 73% off	$5,817.76	$84,999.99	$31,153.74	2026-05-06
1414577	OTHER	Genratr Neurostm 4	24	19	$99,999.95	$26,999.99 73% off	$5,817.76	$84,999.96	$31,153.72	2026-05-06
1414708	OTHER	Joint Device Implt 9	24	19	$99,999.75	$26,999.93 73% off	$5,817.75	$84,999.79	$31,153.66	2026-05-06
1414578	OTHER	Genratr Neurostm 5	24	19	$99,999.75	$26,999.93 73% off	$5,817.75	$84,999.79	$31,153.66	2026-05-06
1414763	OTHER	Mesh Implantable 14	24	19	$99,999.50	$26,999.87 73% off	$5,817.73	$84,999.57	$31,153.58	2026-05-06
1413125	OTHER	Genrate Neuro Rech 4	24	19	$99,999.50	$26,999.87 73% off	$5,817.73	$84,999.57	$31,153.58	2026-05-06
1414576	OTHER	Genratr Neurostm 3	24	19	$99,999.50	$26,999.87 73% off	$5,817.73	$84,999.57	$31,153.58	2026-05-06
1411701	OTHER	Impella Device L2	24	19	$99,999.50	$26,999.87 73% off	$5,817.73	$84,999.57	$31,153.58	2026-05-06
1411702	OTHER	Impella Device L3	24	19	$99,999.00	$26,999.73 73% off	$5,817.70	$84,999.15	$31,153.43	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	25	23	—	—	$3,116.42	$84,251.02	$31,121.48	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	25	23	—	—	$3,116.42	$84,213.98	$31,108.50	2026-05-06
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$30,865.45	$32,835.16	$30,865.45	2026-05-06
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$30,859.03	$32,828.32	$30,859.03	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	25	23	—	—	$3,116.42	$82,987.82	$30,678.53	2026-05-06
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$30,610.37	$32,563.79	$30,610.37	2026-05-06
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$30,610.37	$32,563.79	$30,610.37	2026-05-06
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$30,610.37	$32,563.79	$30,610.37	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	25	23	—	—	$3,116.42	$82,661.83	$30,564.23	2026-05-06
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$30,437.01	$32,379.38	$30,437.01	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	26	24	—	—	$3,116.42	$314,890.55	$30,346.62	2026-05-06
021-4	OTHER	Open Craniotomy Except Trauma	5	5	—	—	$30,245.02	$32,175.13	$30,245.02	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	25	23	—	—	$3,116.42	$81,363.44	$30,108.93	2026-05-06
161-1	OTHER	Implantable Heart Assist Systems	5	5	—	—	$30,097.14	$32,017.81	$30,097.14	2026-05-06
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	5	5	—	—	$29,897.63	$31,805.57	$29,897.63	2026-05-06
1415232	OTHER	Prsths Urnary Sphc 2	24	19	$95,960.00	$25,909.20 73% off	$5,582.72	$81,566.00	$29,885.58	2026-05-06
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	25	23	—	—	$3,116.42	$78,088.75	$29,835.23	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	25	23	—	—	$3,116.42	$77,822.04	$29,738.99	2026-05-06
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	26	24	—	—	$3,116.42	$80,152.10	$29,684.18	2026-05-06
315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	5	5	—	—	$29,649.54	$31,132.02	$29,649.54	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	25	23	—	—	$3,116.42	$79,513.09	$29,460.10	2026-05-06
181-4	OTHER	Lower Extremity Arterial Procedures	5	5	—	—	$29,365.56	$30,833.84	$29,365.56	2026-05-06
690-4	OTHER	Acute Leukemia	5	5	—	—	$29,334.94	$31,206.97	$29,334.94	2026-05-06
183-4	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$29,334.94	$31,206.97	$29,334.94	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	26	24	—	—	$3,116.42	$111,888.93	$29,334.25	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	26	24	—	—	$514.06	$79,001.89	$29,280.84	2026-05-06
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	5	5	—	—	$29,078.38	$30,532.30	$29,078.38	2026-05-06
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$29,053.49	$30,506.17	$29,053.49	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	25	23	—	—	$271.95	$78,222.11	$29,007.41	2026-05-06
022-4	OTHER	Ventricular Shunt Procedures	5	5	—	—	$29,005.63	$30,455.91	$29,005.63	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	25	23	—	—	$3,116.42	$78,049.86	$28,947.00	2026-05-06
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$28,863.29	$30,705.22	$28,863.29	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	25	23	—	—	$3,116.42	$77,729.43	$28,834.65	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	25	23	—	—	$3,116.42	$77,584.95	$28,783.98	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	23	—	—	$3,116.42	$77,284.90	$28,678.77	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	27	25	—	—	$3,116.42	$77,229.33	$28,659.29	2026-05-06
650-4	OTHER	Splenectomy	4	4	—	—	$28,458.71	$29,881.65	$28,458.71	2026-05-06
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$28,452.33	$29,874.95	$28,452.33	2026-05-06
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	5	5	—	—	$28,411.56	$30,224.67	$28,411.56	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	25	23	—	—	$3,116.42	$76,412.51	$28,372.86	2026-05-06
308-4	OTHER	Hip And Femur Fracture Repair	5	5	—	—	$28,140.90	$29,547.95	$28,140.90	2026-05-06
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$28,059.50	$29,850.14	$28,059.50	2026-05-06
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$28,059.50	$29,850.14	$28,059.50	2026-05-06
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$28,059.50	$29,850.14	$28,059.50	2026-05-06
362	OTHER	Cardiac Defibrillator Implant Without Mcc	3	3	—	—	$13,969.48	$28,003.58	$28,003.58	2026-05-06
791	OTHER	Prematurity With Major Problems	25	23	—	—	$3,116.42	$75,180.80	$27,940.96	2026-05-06
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$27,929.03	$29,325.48	$27,929.03	2026-05-06
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	5	5	—	—	$27,916.27	$29,312.08	$27,916.27	2026-05-06
163-1	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$27,654.94	$29,419.77	$27,654.94	2026-05-06
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	25	23	—	—	$3,116.42	$73,793.50	$27,454.50	2026-05-06
440-2	OTHER	Kidney Transplant	5	5	—	—	$27,430.62	$28,802.15	$27,430.62	2026-05-06
401-4	OTHER	Adrenal Procedures	5	5	—	—	$27,372.19	$29,118.96	$27,372.19	2026-05-06
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	5	5	—	—	$27,283.56	$29,024.68	$27,283.56	2026-05-06
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$27,117.27	$28,473.14	$27,117.27	2026-05-06
160-2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$27,058.56	$28,411.49	$27,058.56	2026-05-06
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	26	24	—	—	$3,116.42	$72,456.21	$26,985.56	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	25	23	—	—	$3,116.42	$72,128.37	$26,870.61	2026-05-06
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	25	23	—	—	$3,116.42	$69,698.29	$26,807.75	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	25	23	—	—	$3,116.42	$71,693.11	$26,717.99	2026-05-06
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	25	23	—	—	$2,152.92	$71,585.68	$26,680.29	2026-05-06
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	26	24	—	—	$3,116.42	$71,517.15	$26,656.28	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	25	23	—	—	$3,116.42	$71,111.51	$26,514.03	2026-05-06
232-4	OTHER	Gastric Fundoplication	5	5	—	—	$26,472.08	$27,795.68	$26,472.08	2026-05-06
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	21	19	—	—	$3,116.42	$57,299.08	$26,425.46	2026-05-06
181-3	OTHER	Lower Extremity Arterial Procedures	5	5	—	—	$26,403.79	$27,723.98	$26,403.79	2026-05-06
652	OTHER	Kidney Transplant	19	17	—	—	$3,116.42	$49,934.53	$26,363.24	2026-05-06
904	OTHER	Skin Grafts For Injuries With Cc/mcc	25	23	—	—	$3,116.42	$68,033.16	$26,206.91	2026-05-06
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	26	24	—	—	$3,116.42	$69,222.27	$26,169.39	2026-05-06
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	26	24	—	—	$3,116.42	$69,394.53	$25,911.96	2026-05-06
265	OTHER	Aicd Lead Procedures	25	23	—	—	$3,116.42	$67,016.30	$25,840.00	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	25	23	—	—	$3,116.42	$69,027.79	$25,783.37	2026-05-06
169-4	OTHER	Major Abdominal Vascular Procedures	5	5	—	—	$25,761.50	$27,405.49	$25,761.50	2026-05-06
910-3	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$25,741.85	$27,384.59	$25,741.85	2026-05-06
166-2	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$25,689.68	$26,974.16	$25,689.68	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	25	23	—	—	$3,116.42	$66,360.62	$25,603.43	2026-05-06
304-2	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$25,563.32	$26,841.49	$25,563.32	2026-05-06
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$25,508.64	$27,136.49	$25,508.64	2026-05-06
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$25,508.64	$27,136.49	$25,508.64	2026-05-06
089-4	OTHER	Major Cranial Or Facial Bone Procedures	5	5	—	—	$25,508.64	$27,136.49	$25,508.64	2026-05-06
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$25,508.64	$27,136.49	$25,508.64	2026-05-06
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	25	23	—	—	$3,116.42	$105,847.42	$25,468.44	2026-05-06
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	25	23	—	—	$3,116.42	$68,005.38	$25,424.86	2026-05-06
440-1	OTHER	Kidney Transplant	5	5	—	—	$25,406.97	$26,677.32	$25,406.97	2026-05-06
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	26	24	—	—	$3,116.42	$107,773.67	$25,373.69	2026-05-06
460	OTHER	Spinal Fusion Except Cervical Without Mcc	21	19	—	—	$3,116.42	$49,615.29	$25,335.87	2026-05-06
690-3	OTHER	Acute Leukemia	5	5	—	—	$25,253.55	$26,865.13	$25,253.55	2026-05-06
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$25,253.55	$26,865.13	$25,253.55	2026-05-06
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	5	5	—	—	$25,194.46	$26,454.18	$25,194.46	2026-05-06
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	25	23	—	—	$3,116.42	$65,186.33	$25,179.70	2026-05-06
309-3	OTHER	Other Significant Hip And Femur Surgery	5	5	—	—	$25,154.25	$26,411.96	$25,154.25	2026-05-06
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	25	23	—	—	$3,116.42	$67,207.08	$25,144.93	2026-05-06
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	25	23	—	—	$3,116.42	$67,155.22	$25,126.74	2026-05-06
362-4	OTHER	Mastectomy Procedures	5	5	—	—	$25,115.96	$26,371.76	$25,115.96	2026-05-06
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	5	5	—	—	$25,103.83	$26,359.03	$25,103.83	2026-05-06
332	OTHER	Rectal Resection With Mcc	25	23	—	—	$3,116.42	$67,062.61	$25,094.26	2026-05-06
305-4	OTHER	Amputation Of Lower Limb Except Toes	5	5	—	—	$25,088.86	$26,689.92	$25,088.86	2026-05-06
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	26	24	—	—	$3,116.42	$66,897.76	$25,036.45	2026-05-06
279	OTHER	Cellulitis Age 0-17	26	24	—	—	$3,116.42	$66,797.74	$25,001.39	2026-05-06
178-2	OTHER	External Heart Assist Systems	5	5	—	—	$24,998.47	$26,593.76	$24,998.47	2026-05-06
178-1	OTHER	External Heart Assist Systems	5	5	—	—	$24,998.47	$26,593.76	$24,998.47	2026-05-06
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$24,998.47	$26,593.76	$24,998.47	2026-05-06
648	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	2	2	—	—	$24,913.60	$24,913.60	$24,913.60	2026-05-06
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	5	5	—	—	$24,853.03	$26,095.68	$24,853.03	2026-05-06
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	5	5	—	—	$24,815.38	$26,056.15	$24,815.38	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	25	23	—	—	$3,116.42	$66,206.89	$24,794.22	2026-05-06
335	OTHER	Peritoneal Adhesiolysis With Mcc	25	23	—	—	$3,116.42	$66,140.21	$24,770.83	2026-05-06
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$24,743.38	$26,322.40	$24,743.38	2026-05-06
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	5	5	—	—	$24,743.38	$26,322.40	$24,743.38	2026-05-06
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	25	23	—	—	$3,116.42	$66,042.04	$24,736.40	2026-05-06
271	OTHER	Other Major Cardiovascular Procedures With Cc	25	23	—	—	$3,116.42	$65,869.79	$24,676.00	2026-05-06
169-3	OTHER	Major Abdominal Vascular Procedures	5	5	—	—	$24,551.38	$26,118.15	$24,551.38	2026-05-06
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$24,488.29	$26,051.03	$24,488.29	2026-05-06
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	25	23	—	—	$3,116.42	$65,319.69	$24,483.10	2026-05-06
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	26	24	—	—	$3,116.42	$63,189.66	$24,389.23	2026-05-06
165-1	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$24,318.88	$25,534.83	$24,318.88	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	26	24	—	—	$3,116.42	$64,610.29	$24,234.34	2026-05-06
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$24,233.21	$25,779.67	$24,233.21	2026-05-06
179-3	OTHER	Defibrillator Implants	5	5	—	—	$24,233.21	$25,779.67	$24,233.21	2026-05-06
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$24,233.21	$25,779.67	$24,233.21	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	25	23	—	—	$3,116.42	$64,593.62	$24,228.50	2026-05-06
183-2	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$24,174.02	$25,382.72	$24,174.02	2026-05-06
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	25	23	—	—	$3,116.42	$64,297.27	$24,124.59	2026-05-06
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$24,060.42	$25,263.44	$24,060.42	2026-05-06
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	25	23	—	—	$3,116.42	$63,986.10	$24,015.47	2026-05-06
480-4	OTHER	Major Male Pelvic Procedures	5	5	—	—	$23,964.69	$25,162.93	$23,964.69	2026-05-06
403-4	OTHER	Procedures For Obesity	5	5	—	—	$23,930.87	$25,127.41	$23,930.87	2026-05-06
264	OTHER	Other Circulatory System O.r. Procedures	26	24	—	—	$3,116.42	$61,874.59	$23,915.67	2026-05-06
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	25	23	—	—	$3,116.42	$63,500.82	$23,845.29	2026-05-06
024-4	OTHER	Open Extracranial Vascular Procedures	5	5	—	—	$23,838.97	$25,030.92	$23,838.97	2026-05-06
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$23,825.57	$25,016.85	$23,825.57	2026-05-06
518-4	OTHER	Other Female Reproductive System And Related Procedures	5	5	—	—	$23,782.82	$24,971.96	$23,782.82	2026-05-06

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