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Hospital

GRAHAM HOSPITAL ASSOCIATION

Canton, IL · CCN 140001 · Rates published

7,880 distinct procedures filed
26 distinct payers
175,715 rate rows
2026-07-31 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.grahamhealthsystem.org/docs/default-source/machine-readable-file-standard-charges-(chargemaster-pricing)/370673506_graham_hospital_standardcharges.csv?Status=Master&sfvrsn=16ef60cd_2%22%3E370673506_Graham_hospital_standardcharges%3C/a%3E
Found on page https://www.grahamhealthsystem.org/patient-visitor-resources/billing-financial-assistance/price-estimations
Discovered viaCMS hospital list
Last fetch success · 2026-10-13
Content fingerprint 53e0c0fed68e40aa… · 34,089,681 bytes · first seen 2026-05-29

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
207
OTHER 		Respiratory System Diagnosis W Ventilator Support >96 Hours 10 $19,922.00 $163,342.67 $50,596.60 nat. median
$32,441
1.6× median
466
OTHER 		Revision Of Hip Or Knee Replacement W Mcc 10 $15,142.00 $224,690.72 $44,981.71 nat. median
$37,382
1.2× median
853
OTHER 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 10 $18,499.00 $171,826.47 $44,977.30 nat. median
$20,955
outlier · 2.1×
329
OTHER 		Major Small & Large Bowel Procedures W Mcc 10 $18,499.00 $332,749.60 $43,288.86 nat. median
$22,435
1.9× median
981
OTHER 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 10 $17,076.00 $192,567.49 $39,714.39 nat. median
$25,568
1.6× median
356
OTHER 		Other Digestive System O.r. Procedures W Mcc 10 $14,230.00 $304,063.30 $35,967.02 nat. median
$18,528
1.9× median
335
OTHER 		Peritoneal Adhesiolysis W Mcc 10 $17,076.00 $168,782.94 $35,683.85 nat. median
$13,776
outlier · 2.6×
467
OTHER 		Revision Of Hip Or Knee Replacement W Cc 10 $15,142.00 $188,471.89 $30,981.99 nat. median
$18,903
1.6× median
485
OTHER 		Knee Procedures W Pdx Of Infection W Mcc 10 $14,230.00 $115,298.66 $28,925.69 nat. median
$18,036
1.6× median
829
OTHER 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms W Ot 10 $12,807.00 $162,490.70 $27,698.62 nat. median
$12,988
outlier · 2.1×
469
OTHER 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 10 $8,538.00 $149,375.14 $27,698.62 nat. median
$16,915
1.6× median
480
OTHER 		Hip & Femur Procedures Except Major Joint W Mcc 10 $12,228.00 $112,395.85 $26,627.69 nat. median
$32,110
0.8× median
344
OTHER 		Minor Small & Large Bowel Procedures W Mcc 10 $12,807.00 $76,340.19 $26,421.28 nat. median
$11,573
outlier · 2.3×
464
OTHER 		Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc 10 $9,961.00 $72,420.38 $26,047.24 nat. median
$18,068
1.4× median
338
OTHER 		Appendectomy W Complicated Principal Diag W Mcc 10 $11,384.00 $103,665.71 $25,671.45 —
793
OTHER 		Full Term Neonate W Major Problems 10 $5,984.23 $34,741.59 $25,522.24 nat. median
$22,245
1.1× median
468
OTHER 		Revision Of Hip Or Knee Replacement Without Cc/mcc 10 $15,142.00 $152,667.38 $24,806.94 nat. median
$14,567
1.7× median
240
OTHER 		Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 10 $11,384.00 $106,904.62 $24,347.34 nat. median
$17,769
1.4× median
659
OTHER 		Kidney & Ureter Procedures For Non-neoplasm W Mcc 10 $11,384.00 $99,654.39 $23,639.85 nat. median
$9,368
outlier · 2.5×
347
OTHER 		Anal & Stomal Procedures W Mcc 10 $11,384.00 $170,433.90 $23,257.00 nat. median
$9,286
outlier · 2.5×
327
OTHER 		Stomach, Esophageal & Duodenal Proc W Cc 10 $9,961.00 $156,098.89 $22,696.84 nat. median
$13,282
1.7× median
330
OTHER 		Major Small & Large Bowel Procedures W Cc 10 $9,961.00 $153,783.36 $22,290.17 nat. median
$11,286
2.0× median
208
OTHER 		Respiratory System Diagnosis W Ventilator Support <=96 Hours 10 $9,961.00 $54,756.68 $21,913.49 nat. median
$10,764
outlier · 2.0×
982
OTHER 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 10 $8,538.00 $225,571.61 $21,506.82 nat. median
$13,058
1.6× median
417
OTHER 		Laparoscopic Cholecystectomy Without C.d.e. W Mcc 10 $9,961.00 $78,618.90 $21,265.99 nat. median
$11,074
1.9× median
095
OTHER 		Bacterial & Tuberculous Infections Of Nervous System W Cc 10 $9,961.00 $31,816.52 $21,234.23 nat. median
$10,894
1.9× median
483
OTHER 		Major Joint/limb Reattachment Procedure Of Upper Extremities 10 $2,846.00 $145,839.90 $21,101.91 nat. median
$11,989
1.8× median
041
OTHER 		Periph/cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim 10 $7,115.00 $68,908.36 $20,920.19 nat. median
$24,747
0.8× median
629
OTHER 		Other Endocrine, Nutrit & Metab O.r. Proc W Cc 10 $9,961.00 $56,448.73 $20,490.58 nat. median
$10,179
outlier · 2.0×
493
OTHER 		Lower Extrem & Humer Proc Except Hip, Foot, Femur W Cc 10 $7,115.00 $121,459.72 $20,307.09 nat. median
$14,753
1.4× median
056
OTHER 		Degenerative Nervous System Disorders W Mcc 10 $11,384.00 $75,498.34 $19,340.26 nat. median
$12,823
1.5× median
37227
CPT 		Fem/popl Revasc Stnt & Ather 13 $6,326.16 $26,951.14 $19,250.82 nat. median
$19,510
1.0× median
854
OTHER 		Infectious & Parasitic Diseases W O.r. Procedure W Cc 10 $9,961.00 $91,291.46 $19,065.03 nat. median
$1,903
outlier · 10.0×
808
OTHER 		Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul W Mcc 10 $9,961.00 $45,521.83 $18,786.27 nat. median
$79
outlier · 236.7×
481
OTHER 		Hip & Femur Procedures Except Major Joint W Cc 10 $11,994.00 $92,770.73 $18,417.53 nat. median
$15,839
1.2× median
415
OTHER 		Cholecystectomy Except By Laparoscope Without C.d.e. W Cc 10 $8,538.00 $124,981.75 $18,099.08 nat. median
$15,821
1.1× median
617
OTHER 		Amputat Of Lower Limb For Endocrine, Nutrit, & Metabol Dis W Cc 10 $9,961.00 $58,215.52 $18,095.54 nat. median
$8,772
outlier · 2.1×
420
OTHER 		Hepatobiliary Diagnostic Procedures W Mcc 10 $39.00 $63,240.46 $18,052.62 nat. median
$15,750
1.1× median
314
OTHER 		Other Circulatory System Diagnoses W Mcc 10 $9,961.00 $45,133.51 $17,903.24 nat. median
$9,440
1.9× median
374
OTHER 		Digestive Malignancy W Mcc 10 $9,961.00 $45,204.22 $17,620.94 nat. median
$12,528
1.4× median
470
OTHER 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 10 $12,536.17 $108,149.57 $17,364.24 nat. median
$118
outlier · 147.6×
623
OTHER 		Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc 10 $9,961.00 $60,145.17 $17,224.86 nat. median
$9,475
1.8× median
935
OTHER 		Non-extensive Burns 10 $7,115.00 $33,720.91 $17,045.78 nat. median
$0
465
OTHER 		Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis Without Cc/mc 10 $5,692.00 $119,492.09 $16,894.94 nat. median
$11,752
1.4× median
177
OTHER 		Respiratory Infections & Inflammations W Mcc 10 $9,961.00 $65,217.12 $16,683.22 nat. median
$13,701
1.2× median
380
OTHER 		Complicated Peptic Ulcer W Mcc 10 $8,538.00 $40,530.55 $16,651.46 nat. median
$8,607
1.9× median
539
OTHER 		Osteomyelitis W Mcc 10 $11,384.00 $70,462.98 $16,630.29 nat. median
$353
outlier · 47.2×
511
OTHER 		Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc W Cc 10 $5,692.00 $76,640.47 $16,621.47 nat. median
$12,390
1.3× median
064
OTHER 		Intracranial Hemorrhage Or Cerebral Infarction W Mcc 10 $8,538.00 $57,102.00 $16,538.54 nat. median
$11,033
1.5× median
871
OTHER 		Septicemia Or Severe Sepsis Without Mv >96 Hours W Mcc 10 $8,538.00 $66,355.60 $16,463.56 nat. median
$12
outlier · 1412.0×

Other procedures at this hospital

Browse this hospital's 7,880 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
207 OTHER Respiratory System Diagnosis W Ventilator Support >96 Hours 10 10 $181,491.86 — $19,922.00 $163,342.67 $50,596.60 2026-07-31
466 OTHER Revision Of Hip Or Knee Replacement W Mcc 10 10 $249,656.35 — $15,142.00 $224,690.72 $44,981.71 2026-07-31
853 OTHER Infectious & Parasitic Diseases W O.r. Procedure W Mcc 10 10 $190,918.30 — $18,499.00 $171,826.47 $44,977.30 2026-07-31
329 OTHER Major Small & Large Bowel Procedures W Mcc 10 10 $369,721.77 — $18,499.00 $332,749.60 $43,288.86 2026-07-31
981 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 10 10 $213,963.88 — $17,076.00 $192,567.49 $39,714.39 2026-07-31
356 OTHER Other Digestive System O.r. Procedures W Mcc 10 10 $337,848.11 — $14,230.00 $304,063.30 $35,967.02 2026-07-31
335 OTHER Peritoneal Adhesiolysis W Mcc 10 10 $187,536.60 — $17,076.00 $168,782.94 $35,683.85 2026-07-31
467 OTHER Revision Of Hip Or Knee Replacement W Cc 10 10 $209,413.21 — $15,142.00 $188,471.89 $30,981.99 2026-07-31
485 OTHER Knee Procedures W Pdx Of Infection W Mcc 10 10 $128,109.62 — $14,230.00 $115,298.66 $28,925.69 2026-07-31
829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms W Ot 10 10 $180,545.22 — $12,807.00 $162,490.70 $27,698.62 2026-07-31
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 10 10 $165,972.37 — $8,538.00 $149,375.14 $27,698.62 2026-07-31
480 OTHER Hip & Femur Procedures Except Major Joint W Mcc 10 10 $124,884.28 — $12,228.00 $112,395.85 $26,627.69 2026-07-31
344 OTHER Minor Small & Large Bowel Procedures W Mcc 10 10 $84,822.43 — $12,807.00 $76,340.19 $26,421.28 2026-07-31
464 OTHER Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc 10 10 $80,467.09 — $9,961.00 $72,420.38 $26,047.24 2026-07-31
338 OTHER Appendectomy W Complicated Principal Diag W Mcc 10 10 $115,184.12 — $11,384.00 $103,665.71 $25,671.45 2026-07-31
793 OTHER Full Term Neonate W Major Problems 10 10 $8,086.80 — $5,984.23 $34,741.59 $25,522.24 2026-07-31
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 10 10 $169,630.42 — $15,142.00 $152,667.38 $24,806.94 2026-07-31
240 OTHER Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 10 10 $118,782.92 — $11,384.00 $106,904.62 $24,347.34 2026-07-31
659 OTHER Kidney & Ureter Procedures For Non-neoplasm W Mcc 10 10 $110,727.10 — $11,384.00 $99,654.39 $23,639.85 2026-07-31
347 OTHER Anal & Stomal Procedures W Mcc 10 10 $189,371.00 — $11,384.00 $170,433.90 $23,257.00 2026-07-31
327 OTHER Stomach, Esophageal & Duodenal Proc W Cc 10 10 $173,443.22 — $9,961.00 $156,098.89 $22,696.84 2026-07-31
330 OTHER Major Small & Large Bowel Procedures W Cc 10 10 $170,870.39 — $9,961.00 $153,783.36 $22,290.17 2026-07-31
208 OTHER Respiratory System Diagnosis W Ventilator Support <=96 Hours 10 10 $60,840.76 — $9,961.00 $54,756.68 $21,913.49 2026-07-31
982 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 10 10 $250,635.13 — $8,538.00 $225,571.61 $21,506.82 2026-07-31
417 OTHER Laparoscopic Cholecystectomy Without C.d.e. W Mcc 10 10 $87,354.34 — $9,961.00 $78,618.90 $21,265.99 2026-07-31
095 OTHER Bacterial & Tuberculous Infections Of Nervous System W Cc 10 10 $35,351.69 — $9,961.00 $31,816.52 $21,234.23 2026-07-31
483 OTHER Major Joint/limb Reattachment Procedure Of Upper Extremities 10 10 $162,044.33 — $2,846.00 $145,839.90 $21,101.91 2026-07-31
041 OTHER Periph/cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim 10 10 $76,564.84 — $7,115.00 $68,908.36 $20,920.19 2026-07-31
629 OTHER Other Endocrine, Nutrit & Metab O.r. Proc W Cc 10 10 $62,720.81 — $9,961.00 $56,448.73 $20,490.58 2026-07-31
493 OTHER Lower Extrem & Humer Proc Except Hip, Foot, Femur W Cc 10 10 $134,955.24 — $7,115.00 $121,459.72 $20,307.09 2026-07-31
056 OTHER Degenerative Nervous System Disorders W Mcc 10 10 $83,887.04 — $11,384.00 $75,498.34 $19,340.26 2026-07-31
37227 CPT Fem/popl Revasc Stnt & Ather 15 13 $29,616.64 — $6,326.16 $26,951.14 $19,250.82 2026-05-13
854 OTHER Infectious & Parasitic Diseases W O.r. Procedure W Cc 10 10 $101,434.96 — $9,961.00 $91,291.46 $19,065.03 2026-07-31
808 OTHER Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul W Mcc 10 10 $50,579.81 — $9,961.00 $45,521.83 $18,786.27 2026-07-31
481 OTHER Hip & Femur Procedures Except Major Joint W Cc 10 10 $103,078.59 — $11,994.00 $92,770.73 $18,417.53 2026-07-31
415 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. W Cc 10 10 $138,868.61 — $8,538.00 $124,981.75 $18,099.08 2026-07-31
617 OTHER Amputat Of Lower Limb For Endocrine, Nutrit, & Metabol Dis W Cc 10 10 $64,683.92 — $9,961.00 $58,215.52 $18,095.54 2026-07-31
420 OTHER Hepatobiliary Diagnostic Procedures W Mcc 18 10 $70,267.18 — $39.00 $63,240.46 $18,052.62 2026-07-31
314 OTHER Other Circulatory System Diagnoses W Mcc 10 10 $50,148.35 — $9,961.00 $45,133.51 $17,903.24 2026-07-31
374 OTHER Digestive Malignancy W Mcc 10 10 $50,226.91 — $9,961.00 $45,204.22 $17,620.94 2026-07-31
470 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 10 10 $120,166.19 — $12,536.17 $108,149.57 $17,364.24 2026-07-31
623 OTHER Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc 10 10 $66,827.97 — $9,961.00 $60,145.17 $17,224.86 2026-07-31
935 OTHER Non-extensive Burns 10 10 $37,467.67 — $7,115.00 $33,720.91 $17,045.78 2026-07-31
465 OTHER Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis Without Cc/mc 10 10 $132,768.99 — $5,692.00 $119,492.09 $16,894.94 2026-07-31
177 OTHER Respiratory Infections & Inflammations W Mcc 10 10 $72,463.47 — $9,961.00 $65,217.12 $16,683.22 2026-07-31
380 OTHER Complicated Peptic Ulcer W Mcc 10 10 $45,033.95 — $8,538.00 $40,530.55 $16,651.46 2026-07-31
539 OTHER Osteomyelitis W Mcc 10 10 $78,292.20 — $11,384.00 $70,462.98 $16,630.29 2026-07-31
511 OTHER Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc W Cc 10 10 $85,156.08 — $5,692.00 $76,640.47 $16,621.47 2026-07-31
064 OTHER Intracranial Hemorrhage Or Cerebral Infarction W Mcc 10 10 $63,446.66 — $8,538.00 $57,102.00 $16,538.54 2026-07-31
871 OTHER Septicemia Or Severe Sepsis Without Mv >96 Hours W Mcc 10 10 $73,728.45 — $8,538.00 $66,355.60 $16,463.56 2026-07-31
862 OTHER Postoperative & Post-traumatic Infections W Mcc 10 10 $35,969.91 — $9,961.00 $32,372.92 $16,325.07 2026-07-31
919 OTHER Complications Of Treatment W Mcc 10 10 $52,012.35 — $8,538.00 $46,811.11 $16,101.89 2026-07-31
432 OTHER Cirrhosis & Alcoholic Hepatitis W Mcc 10 10 $99,975.58 — $8,538.00 $89,978.02 $16,085.12 2026-07-31
100 OTHER Seizures W Mcc 10 10 $57,917.99 — $8,538.00 $52,126.19 $16,056.90 2026-07-31
441 OTHER Disorders Of Liver Except Malig, Cirr, Alc Hepa W Mcc 10 10 $20,375.88 — $8,538.00 $18,338.29 $16,025.33 2026-07-31
494 OTHER Lower Extrem & Humer Proc Except Hip, Foot, Femur Without Cc/mcc 10 10 $101,284.02 — $4,269.00 $91,155.62 $15,979.26 2026-07-31
283 OTHER Acute Myocardial Infarction, Expired W Mcc 10 10 $57,098.49 — $7,115.00 $51,388.65 $15,876.05 2026-07-31
199 OTHER Pneumothorax W Mcc 10 10 $75,682.84 — $9,961.00 $68,114.56 $15,826.65 2026-07-31
377 OTHER G.i. Hemorrhage W Mcc 10 10 $70,237.80 — $8,538.00 $63,214.02 $15,613.17 2026-07-31
575 OTHER Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 10 10 $52,568.05 — $7,115.00 $47,311.25 $15,499.38 2026-07-31
814 OTHER Reticuloendothelial & Immunity Disorders W Mcc 10 10 $149,485.80 — $8,538.00 $134,537.22 $15,429.69 2026-07-31
371 OTHER Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 10 10 $60,275.43 — $9,961.00 $54,247.89 $15,221.50 2026-07-31
180 OTHER Respiratory Neoplasms W Mcc 10 10 $56,133.81 — $8,538.00 $50,520.43 $15,216.20 2026-07-31
354 OTHER Hernia Procedures Except Inguinal & Femoral W Cc 10 10 $186,160.06 — $7,115.00 $167,544.05 $15,191.51 2026-07-31
896 OTHER Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc 10 10 $69,260.15 — $9,961.00 $62,334.13 $15,170.33 2026-07-31
256 OTHER Upper Limb & Toe Amputation For Circ System Disorders W Cc 10 10 $58,473.30 — $8,538.00 $52,625.97 $15,142.10 2026-07-31
339 OTHER Appendectomy W Complicated Principal Diag W Cc 10 10 $131,092.56 — $7,115.00 $117,983.30 $15,138.58 2026-07-31
792 OTHER Prematurity Without Major Problems 10 10 $11,003.46 — $8,142.56 $20,406.70 $14,991.39 2026-07-31
37229 CPT Tib/per Revasc W/ather 15 13 $23,025.52 — $5,026.31 $20,953.22 $14,966.59 2026-05-13
37225 CPT Fem/popl Revas W/ather 15 13 $22,993.26 — $4,941.17 $20,923.87 $14,945.62 2026-05-13
331 OTHER Major Small & Large Bowel Procedures Without Cc/mcc 10 10 $142,832.30 — $5,692.00 $128,549.07 $14,901.27 2026-07-31
505 OTHER Foot Procedures Without Cc/mcc 10 10 $25,099.74 — $4,269.00 $22,589.77 $14,833.35 2026-07-31
501 OTHER Soft Tissue Procedures W Cc 10 10 $78,013.82 — $7,115.00 $70,212.44 $14,802.48 2026-07-31
571 OTHER Skin Debridement W Cc 10 10 $58,508.31 — $8,538.00 $52,657.48 $14,752.19 2026-07-31
418 OTHER Laparoscopic Cholecystectomy Without C.d.e. W Cc 10 10 $88,686.89 — $5,692.00 $79,818.20 $14,722.20 2026-07-31
482 OTHER Hip & Femur Procedures Except Major Joint Without Cc/mcc 10 10 $79,780.22 — $5,692.00 $71,802.20 $14,514.01 2026-07-31
438 OTHER Disorders Of Pancreas Except Malignancy W Mcc 10 10 $56,415.98 — $8,538.00 $50,774.38 $14,452.26 2026-07-31
983 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis Without Cc/mcc 10 10 $54,445.68 — $4,269.00 $49,001.11 $14,441.67 2026-07-31
205 OTHER Other Respiratory System Diagnoses W Mcc 10 10 $90,632.76 — $8,538.00 $81,569.48 $14,416.10 2026-07-31
280 OTHER Acute Myocardial Infarction, Discharged Alive W Mcc 10 10 $80,975.68 — $7,115.00 $72,878.11 $14,386.99 2026-07-31
578 OTHER Skin Graft Exc For Skin Ulcer Or Cellulitis Without Cc/mcc 10 10 $85,246.32 — $5,692.00 $76,721.69 $14,356.11 2026-07-31
444 OTHER Disorders Of The Biliary Tract W Mcc 10 10 $46,443.04 — $8,538.00 $41,798.74 $14,344.64 2026-07-31
643 OTHER Endocrine Disorders W Mcc 10 10 $78,825.59 — $8,538.00 $70,943.03 $14,339.35 2026-07-31
393 OTHER Other Digestive System Diagnoses W Mcc 10 10 $66,501.04 — $8,538.00 $59,850.93 $14,330.53 2026-07-31
698 OTHER Other Kidney & Urinary Tract Diagnoses W Mcc 10 10 $67,630.58 — $8,538.00 $60,867.52 $14,278.48 2026-07-31
342 OTHER Appendectomy Without Complicated Principal Diag W Cc 10 10 $104,187.71 — $5,692.00 $93,768.94 $14,205.26 2026-07-31
385 OTHER Inflammatory Bowel Disease W Mcc 10 10 $145,243.18 — $9,961.00 $130,718.86 $14,205.26 2026-07-31
813 OTHER Coagulation Disorders 10 10 $49,500.46 — $7,115.00 $44,550.42 $13,983.85 2026-07-31
328 OTHER Stomach, Esophageal & Duodenal Proc Without Cc/mcc 10 10 $98,093.80 — $4,269.00 $88,284.42 $13,893.86 2026-07-31
388 OTHER G.i. Obstruction W Mcc 10 10 $64,278.64 — $8,538.00 $57,850.78 $13,453.67 2026-07-31
512 OTHER Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc Without Cc/mcc 10 10 $79,031.49 — $4,269.00 $71,128.34 $13,353.99 2026-07-31
786 OTHER Cesarean Section Without Sterilization W Mcc 10 10 $54,193.91 — $5,089.00 $48,774.52 $13,350.08 2026-07-31
564 OTHER Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc 10 10 $91,016.90 — $8,538.00 $81,915.21 $13,338.10 2026-07-31
183 OTHER Major Chest Trauma W Mcc 10 10 $50,181.10 — $7,115.00 $45,162.99 $13,313.40 2026-07-31
964 OTHER Other Multiple Significant Trauma W Cc 10 10 $28,261.56 — $7,115.00 $25,435.40 $13,174.91 2026-07-31
682 OTHER Renal Failure W Mcc 10 10 $56,138.35 — $8,538.00 $50,524.52 $13,038.18 2026-07-31
37226 CPT Fem/popl Revasc W/stent 15 13 $19,943.78 — $4,597.25 $20,427.11 $12,963.46 2026-05-13
604 OTHER Trauma To The Skin, Subcut Tiss & Breast W Mcc 10 10 $129,830.92 — $7,115.00 $116,847.83 $12,919.09 2026-07-31
299 OTHER Peripheral Vascular Disorders W Mcc 10 10 $54,851.35 — $7,115.00 $49,366.22 $12,788.53 2026-07-31
175 OTHER Pulmonary Embolism W Mcc Or Acute Cor Pulmonale 10 10 $69,871.43 — $7,115.00 $62,884.29 $12,741.78 2026-07-31
769 OTHER Postpartum & Post Abortion Diagnoses W O.r. Procedure 10 10 $32,703.56 — $5,692.00 $29,433.20 $12,729.42 2026-07-31
884 OTHER Organic Disturbances & Intellectual Disability 10 10 $55,062.66 — $9,158.20 $49,556.40 $12,685.32 2026-07-31
602 OTHER Cellulitis W Mcc 10 10 $62,093.64 — $8,538.00 $55,884.28 $12,612.98 2026-07-31
517 OTHER Other Musculoskelet Sys & Conn Tiss O.r. Proc Without Cc/mcc 10 10 $74,338.35 — $4,269.00 $66,904.52 $12,485.07 2026-07-31
348 OTHER Anal & Stomal Procedures W Cc 10 10 $30,249.68 — $5,692.00 $27,224.71 $12,432.14 2026-07-31
637 OTHER Diabetes W Mcc 10 10 $56,696.77 — $7,115.00 $51,027.10 $12,223.95 2026-07-31
355 OTHER Hernia Procedures Except Inguinal & Femoral Without Cc/mcc 10 10 $96,554.01 — $4,269.00 $86,898.61 $12,106.63 2026-07-31
358 OTHER Other Digestive System O.r. Procedures Without Cc/mcc 10 10 $30,777.24 — $5,692.00 $27,699.52 $12,099.57 2026-07-31
562 OTHER Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc 10 10 $96,031.70 — $7,115.00 $86,428.53 $11,883.44 2026-07-31
291 OTHER Heart Failure & Shock W Mcc 10 10 $54,504.77 — $7,115.00 $49,054.29 $11,871.98 2026-07-31
811 OTHER Red Blood Cell Disorders W Mcc 10 10 $77,366.18 — $7,115.00 $69,629.56 $11,823.46 2026-07-31
193 OTHER Simple Pneumonia & Pleurisy W Mcc 10 10 $72,711.61 — $7,115.00 $65,440.45 $11,763.47 2026-07-31
137 OTHER Mouth Procedures W Cc/mcc 10 10 $44,047.62 — $7,115.00 $39,642.86 $11,761.70 2026-07-31
168 OTHER Other Resp System O.r. Procedures Without Cc/mcc 10 10 $107,599.70 — $4,269.00 $96,839.73 $11,703.49 2026-07-31
383 OTHER Uncomplicated Peptic Ulcer W Mcc 10 10 $53,293.26 — $7,115.00 $47,963.93 $11,699.95 2026-07-31
502 OTHER Soft Tissue Procedures Without Cc/mcc 10 10 $62,714.24 — $4,269.00 $56,442.81 $11,650.56 2026-07-31
909 OTHER Other O.r. Procedures For Injuries Without Cc/mcc 10 10 $165,724.58 — $4,269.00 $149,152.12 $11,632.92 2026-07-31
083 OTHER Traumatic Stupor & Coma, Coma >1 Hr W Cc 10 10 $38,665.52 — $5,692.00 $34,798.97 $11,562.34 2026-07-31
419 OTHER Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 10 10 $61,362.99 — $4,269.00 $55,226.69 $11,527.93 2026-07-31
346 OTHER Minor Small & Large Bowel Procedures Without Cc/mcc 10 10 $124,723.45 — $5,692.00 $112,251.11 $11,315.33 2026-07-31
789 OTHER Neonates, Died Or Transferred To Another Acute Care Facility 10 10 $6,787.12 — $2,846.00 $15,017.34 $11,032.20 2026-07-31
178 OTHER Respiratory Infections & Inflammations W Cc 10 10 $58,150.74 — $7,115.00 $52,335.67 $10,967.77 2026-07-31
340 OTHER Appendectomy W Complicated Principal Diag Without Cc/mcc 10 10 $53,431.63 — $4,269.00 $48,088.47 $10,916.61 2026-07-31
391 OTHER Esophagitis, Gastroent & Misc Digest Disorders W Mcc 10 10 $53,587.57 — $7,115.00 $48,228.81 $10,894.56 2026-07-31
139 OTHER Salivary Gland Procedures 10 10 $50,034.96 — $4,269.00 $45,031.46 $10,888.38 2026-07-31
809 OTHER Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul W Cc 10 10 $48,980.49 — $7,115.00 $44,082.44 $10,726.06 2026-07-31
189 OTHER Pulmonary Edema & Respiratory Failure 10 10 $48,745.79 — $7,115.00 $43,871.21 $10,724.29 2026-07-31
640 OTHER Misc Disorders Of Nutrition, Metabolism, Fluids/electrolytes W Mcc 10 10 $59,078.63 — $7,115.00 $53,170.77 $10,711.06 2026-07-31
057 OTHER Degenerative Nervous System Disorders Without Mcc 10 10 $35,397.91 — $7,711.23 $31,858.12 $10,681.08 2026-07-31
134 OTHER Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 10 10 $46,057.25 — $2,846.00 $41,451.52 $10,666.08 2026-07-31
375 OTHER Digestive Malignancy W Cc 10 10 $39,708.87 — $7,115.00 $35,737.98 $10,650.20 2026-07-31
947 OTHER Signs & Symptoms W Mcc 10 10 $81,077.34 — $7,115.00 $72,969.61 $10,561.99 2026-07-31
308 OTHER Cardiac Arrhythmia & Conduction Disorders W Mcc 10 10 $42,625.09 — $7,115.00 $38,362.58 $10,477.30 2026-07-31
790 OTHER Litho Extracorporeal Cpt50590 10 10 $15,888.52 — $2,652.14 $14,299.67 $10,327.54 2026-07-31
476 OTHER Amputation For Musculoskeletal Sys & Conn Tissue Dis Without Cc/mcc 10 10 $38,577.92 — $5,692.00 $34,720.13 $10,274.40 2026-07-31
181 OTHER Respiratory Neoplasms W Cc 10 10 $46,261.50 — $5,692.00 $41,635.35 $10,162.36 2026-07-31
743 OTHER Uterine & Adnexa Proc For Non-malignancy Without Cc/mcc 10 10 $91,133.71 — $2,846.00 $82,020.34 $10,131.49 2026-07-31
190 OTHER Chronic Obstructive Pulmonary Disease W Mcc 10 10 $49,353.71 — $7,115.00 $44,418.34 $10,091.80 2026-07-31
779 OTHER Abortion Without D&c 10 10 $112,827.00 — $4,269.00 $101,544.30 $10,072.39 2026-07-31
436 OTHER Malignancy Of Hepatobiliary System Or Pancreas W Cc 10 10 $44,603.93 — $7,115.00 $40,143.54 $9,930.36 2026-07-31
689 OTHER Kidney & Urinary Tract Infections W Mcc 10 10 $56,466.11 — $7,115.00 $50,819.50 $9,867.73 2026-07-31
304 OTHER Hypertension W Mcc 10 10 $32,461.61 — $5,692.00 $29,215.45 $9,628.67 2026-07-31
381 OTHER Complicated Peptic Ulcer W Cc 10 10 $37,247.09 — $5,692.00 $33,522.38 $9,498.11 2026-07-31
445 OTHER Disorders Of The Biliary Tract W Cc 10 10 $34,539.25 — $5,692.00 $31,085.32 $9,478.70 2026-07-31
514 OTHER Hand Or Wrist Proc, Except Major Thumb Or Joint Proc Without Cc/mcc 10 10 $56,004.33 — $4,269.00 $50,403.90 $9,410.77 2026-07-31
369 OTHER Major Esophageal Disorders W Cc 10 10 $57,912.18 — $5,692.00 $52,120.97 $9,378.14 2026-07-31
543 OTHER Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc 10 10 $72,580.27 — $5,692.00 $65,322.25 $9,318.15 2026-07-31
560 OTHER Aftercare, Musculoskeletal System & Connective Tissue W Cc 10 10 $30,877.23 — $6,645.75 $27,789.51 $9,205.24 2026-07-31
872 OTHER Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 10 10 $42,374.25 — $5,692.00 $38,136.82 $9,168.18 2026-07-31
433 OTHER Cirrhosis & Alcoholic Hepatitis W Cc 10 10 $57,416.35 — $5,692.00 $51,674.71 $9,103.78 2026-07-31
644 OTHER Endocrine Disorders W Cc 10 10 $48,976.50 — $5,692.00 $44,078.85 $9,069.39 2026-07-31
187 OTHER Pleural Effusion W Cc 10 10 $138,812.66 — $5,692.00 $124,931.39 $9,067.62 2026-07-31
065 OTHER Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs 10 10 $45,706.63 — $5,692.00 $41,135.96 $9,065.85 2026-07-31
794 OTHER Neonate W Other Significant Problems 10 10 $7,894.77 — $4,269.00 $12,296.45 $9,033.35 2026-07-31
372 OTHER Major Gastrointestinal Disorders & Peritoneal Infections W Cc 10 10 $41,205.25 — $6,512.01 $37,084.72 $9,019.98 2026-07-31
197 OTHER Interstitial Lung Disease W Cc 10 10 $26,534.56 — $5,692.00 $23,881.10 $9,011.17 2026-07-31
815 OTHER Reticuloendothelial & Immunity Disorders W Cc 10 10 $64,262.18 — $5,692.00 $57,835.96 $8,934.42 2026-07-31
920 OTHER Complications Of Treatment W Cc 10 10 $49,955.70 — $5,692.00 $44,960.13 $8,887.67 2026-07-31
074 OTHER Cranial & Peripheral Nerve Disorders Without Mcc 10 10 $37,241.71 — $5,692.00 $33,517.54 $8,716.53 2026-07-31
378 OTHER G.i. Hemorrhage W Cc 10 10 $53,035.35 — $5,692.00 $47,731.81 $8,716.53 2026-07-31
386 OTHER Inflammatory Bowel Disease W Cc 10 10 $40,442.27 — $5,692.00 $36,398.04 $8,690.94 2026-07-31
565 OTHER Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc 10 10 $31,122.10 — $5,692.00 $28,009.89 $8,649.48 2026-07-31
315 OTHER Other Circulatory System Diagnoses W Cc 10 10 $47,850.93 — $5,692.00 $43,065.84 $8,560.38 2026-07-31
281 OTHER Acute Myocardial Infarction, Discharged Alive W Cc 10 10 $30,316.46 — $4,269.00 $27,284.81 $8,545.39 2026-07-31
758 OTHER Infections, Female Reproductive System W Cc 10 10 $45,025.09 — $5,692.00 $40,522.58 $8,516.28 2026-07-31
202 OTHER Bronchitis & Asthma W Cc/mcc 10 10 $43,017.77 — $5,692.00 $38,715.99 $8,362.78 2026-07-31
39503 CPT Repair Of Diaphragm Hernia 15 13 $12,779.48 — $3,555.31 $11,629.33 $8,306.66 2026-05-13
394 OTHER Other Digestive System Diagnoses W Cc 10 10 $43,840.91 — $5,692.00 $39,456.82 $8,275.45 2026-07-31
810 OTHER Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul Without Cc/mcc 10 10 $59,348.38 — $4,269.00 $53,413.54 $8,251.63 2026-07-31
442 OTHER Disorders Of Liver Except Malig, Cirr, Alc Hepa W Cc 10 10 $35,696.14 — $5,692.00 $32,126.52 $8,233.99 2026-07-31
787 OTHER Cesarean Section Without Sterilization W Cc 10 10 $41,612.49 — $5,089.00 $37,451.24 $8,140.86 2026-07-31
784 OTHER Cesarean Section W Sterilization W Cc 10 10 $42,265.71 — $5,089.00 $38,039.14 $8,138.52 2026-07-31
805 OTHER Vaginal Delivery Without Sterilization/d&c W Mcc 10 10 $34,081.32 — $3,655.00 $30,673.18 $8,103.49 2026-07-31
965 OTHER Other Multiple Significant Trauma Without Cc/mcc 10 10 $22,001.66 — $4,269.00 $19,801.49 $8,090.19 2026-07-31
552 OTHER Medical Back Problems Without Mcc 10 10 $45,604.99 — $5,692.00 $41,044.49 $8,044.33 2026-07-31
55873 CPT Cryoablate Prostate 15 13 $12,334.08 — $3,242.54 $12,928.33 $8,017.15 2026-05-13
292 OTHER Heart Failure & Shock W Cc 10 10 $35,023.58 — $5,692.00 $31,521.22 $7,987.86 2026-07-31
683 OTHER Renal Failure W Cc 10 10 $35,892.57 — $5,692.00 $32,303.31 $7,915.53 2026-07-31
191 OTHER Chronic Obstructive Pulmonary Disease W Cc 10 10 $40,030.55 — $5,685.98 $36,027.50 $7,875.84 2026-07-31
768 OTHER Vaginal Delivery W O.r. Proc Except Steril &/or D&c 10 10 $39,780.27 — $2,516.00 $35,802.24 $7,844.98 2026-07-31
194 OTHER Simple Pneumonia & Pleurisy W Cc 10 10 $42,839.00 — $5,659.24 $38,555.10 $7,838.78 2026-07-31
638 OTHER Diabetes W Cc 10 10 $34,612.49 — $5,630.58 $31,151.24 $7,799.09 2026-07-31
101 OTHER Seizures Without Mcc 10 10 $33,746.00 — $4,269.00 $30,371.40 $7,788.51 2026-07-31
307 OTHER Cardiac Congenital & Valvular Disorders Without Mcc 10 10 $57,740.26 — $4,269.00 $51,966.23 $7,782.33 2026-07-31
437 OTHER Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 10 10 $31,522.90 — $4,269.00 $28,370.61 $7,744.40 2026-07-31
605 OTHER Trauma To The Skin, Subcut Tiss & Breast Without Mcc 10 10 $45,668.90 — $4,269.00 $41,102.01 $7,724.99 2026-07-31
206 OTHER Other Respiratory System Diagnoses Without Mcc 10 10 $71,904.72 — $4,269.00 $64,714.25 $7,696.76 2026-07-31
812 OTHER Red Blood Cell Disorders Without Mcc 10 10 $47,580.03 — $4,269.00 $42,822.03 $7,680.88 2026-07-31
384 OTHER Uncomplicated Peptic Ulcer Without Mcc 10 10 $60,014.68 — $4,269.00 $54,013.22 $7,676.47 2026-07-31
158 OTHER Dental & Oral Diseases W Cc 10 10 $73,308.20 — $5,519.12 $65,977.38 $7,644.72 2026-07-31
179 OTHER Respiratory Infections & Inflammations Without Cc/mcc 10 10 $28,524.24 — $5,515.94 $25,671.82 $7,640.30 2026-07-31
923 OTHER Other Injury, Poisoning & Toxic Effect Diag Without Mcc 10 10 $39,659.03 — $5,512.12 $35,693.12 $7,635.01 2026-07-31
558 OTHER Tendonitis, Myositis & Bursitis Without Mcc 10 10 $29,200.69 — $5,486.01 $26,280.62 $7,598.84 2026-07-31
596 OTHER Major Skin Disorders Without Mcc 10 10 $8,784.26 — $5,692.00 $8,655.85 $7,598.39 2026-07-31
880 OTHER Acute Adjustment Reaction & Psychosocial Dysfunction 10 10 $48,299.89 — $5,457.35 $43,469.90 $7,559.14 2026-07-31
563 OTHER Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh Without Mcc 10 10 $37,060.54 — $5,438.88 $33,354.49 $7,533.56 2026-07-31
176 OTHER Pulmonary Embolism Without Mcc 10 10 $38,459.47 — $4,269.00 $34,613.53 $7,484.16 2026-07-31
090 OTHER Concussion Without Cc/mcc 10 10 $27,134.56 — $2,846.00 $24,421.10 $7,483.27 2026-07-31
864 OTHER Fever And Inflammatory Conditions 10 10 $31,124.32 — $4,269.00 $28,011.88 $7,475.34 2026-07-31
439 OTHER Disorders Of Pancreas Except Malignancy W Cc 10 10 $37,661.94 — $5,395.57 $33,895.75 $7,473.58 2026-07-31
603 OTHER Cellulitis Without Mcc 10 10 $36,401.76 — $5,372.01 $32,761.58 $7,440.93 2026-07-31
182 OTHER Respiratory Neoplasms Without Cc/mcc 10 10 $44,779.94 — $4,269.00 $40,301.95 $7,434.76 2026-07-31
389 OTHER G.i. Obstruction W Cc 10 10 $37,424.44 — $5,347.81 $33,681.99 $7,407.41 2026-07-31
37183 CPT Remove Hepatic Shunt (tips) 15 13 $11,343.76 — $3,302.29 $14,510.64 $7,373.44 2026-05-13
47135 CPT Transplantation Of Liver 15 13 $11,335.34 — $3,303.40 $10,315.16 $7,367.97 2026-05-13
607 OTHER Minor Skin Disorders Without Mcc 10 10 $41,836.00 — $5,261.19 $37,652.40 $7,287.44 2026-07-31
897 OTHER Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 10 10 $25,393.17 — $5,233.81 $22,853.86 $7,249.51 2026-07-31
312 OTHER Syncope & Collapse 10 10 $38,941.50 — $4,269.00 $35,047.35 $7,203.64 2026-07-31
204 OTHER Respiratory Signs & Symptoms 10 10 $42,505.30 — $4,269.00 $38,254.77 $7,167.47 2026-07-31
728 OTHER Inflammation Of The Male Reproductive System Without Mcc 10 10 $38,881.97 — $5,110.89 $34,993.77 $7,079.26 2026-07-31
200 OTHER Pneumothorax W Cc 16 10 $55,230.91 — $906.45 $49,707.82 $7,063.87 2026-07-31
788 OTHER Cesarean Section Without Sterilization Without Cc/mcc 10 10 $41,002.99 — $5,089.00 $36,902.69 $7,056.19 2026-07-31
103 OTHER Headaches Without Mcc 10 10 $38,763.43 — $4,269.00 $34,887.09 $7,052.79 2026-07-31
556 OTHER Signs & Symptoms Of Musculoskeletal System & Conn Tissue Without Mcc 10 10 $39,913.77 — $4,269.00 $35,922.39 $6,984.86 2026-07-31
690 OTHER Kidney & Urinary Tract Infections Without Mcc 10 10 $37,008.23 — $5,036.38 $33,307.41 $6,976.05 2026-07-31
554 OTHER Bone Diseases & Arthropathies Without Mcc 10 10 $34,843.07 — $4,269.00 $31,358.76 $6,944.28 2026-07-31
43116 CPT Partial Removal Of Esophagus 15 13 $10,667.68 — $3,038.25 $9,707.59 $6,933.99 2026-05-13
918 OTHER Poisoning & Toxic Effects Of Drugs Without Mcc 10 10 $35,221.15 — $4,269.00 $31,699.04 $6,916.06 2026-07-31
069 OTHER Transient Ischemia Without Thrombolytic 10 10 $35,709.83 — $4,269.00 $32,138.85 $6,883.42 2026-07-31
948 OTHER Signs & Symptoms Without Mcc 10 10 $50,382.16 — $4,269.00 $45,343.95 $6,877.24 2026-07-31
534 OTHER Fractures Of Femur Without Mcc 10 10 $33,590.46 — $4,269.00 $30,231.41 $6,861.36 2026-07-31
33935 CPT Transplantation Heart/lung 15 13 $10,535.40 — $2,989.92 $9,587.21 $6,848.01 2026-05-13
21145 CPT Reconstruct Midface- Lefort 14 13 $10,500.00 — $918.21 $10,500.00 $6,825.00 2026-05-13
726 OTHER Benign Prostatic Hypertrophy Without Mcc 10 10 $65,911.14 — $4,269.00 $59,320.03 $6,745.80 2026-07-31
49605 CPT Repair Umbilical Lesion 15 13 $10,370.36 — $3,031.09 $9,437.03 $6,740.73 2026-05-13
32854 CPT Lung Transplant With Bypass 15 13 $10,367.66 — $2,953.57 $9,434.57 $6,738.98 2026-05-13
61698 CPT Brain Aneurysm Repr- Complx 15 13 $10,353.80 — $2,913.44 $9,421.96 $6,729.97 2026-05-13
798 OTHER Vaginal Delivery W Sterilization/d&c Without Cc/mcc 10 10 $49,873.73 — $3,219.00 $44,886.35 $6,718.26 2026-07-31
797 OTHER Vaginal Delivery W Sterilization/d&c W Cc 10 10 $50,147.31 — $3,219.00 $45,132.58 $6,718.26 2026-07-31
392 OTHER Esophagitis, Gastroent & Misc Digest Disorders Without Mcc 10 10 $43,480.94 — $4,269.00 $39,132.84 $6,717.57 2026-07-31
093 OTHER Other Disorders Of Nervous System Without Cc/mcc 10 10 $31,110.17 — $4,269.00 $27,999.15 $6,714.93 2026-07-31
33945 CPT Transplantation Of Heart 15 13 $10,327.74 — $2,957.93 $9,398.24 $6,713.03 2026-05-13
536 OTHER Fractures Of Hip & Pelvis Without Mcc 10 10 $35,940.74 — $4,269.00 $32,346.67 $6,691.10 2026-07-31
785 OTHER Cesarean Section W Sterilization Without Cc/mcc 10 10 $42,890.76 — $5,089.00 $38,601.68 $6,683.99 2026-07-31
641 OTHER Misc Disorders Of Nutrition, Metabolism, Fluids/electrolytes Without Mc 10 10 $29,507.12 — $4,269.00 $26,556.41 $6,674.35 2026-07-31
309 OTHER Cardiac Arrhythmia & Conduction Disorders W Cc 10 10 $41,879.81 — $4,269.00 $37,691.83 $6,671.70 2026-07-31
561 OTHER Aftercare, Musculoskeletal System & Connective Tissue Without Cc/mcc 10 10 $21,860.24 — $4,269.00 $19,674.22 $6,593.19 2026-07-31
61686 CPT Intracranial Vessel Surgery 15 13 $10,094.64 — $2,828.29 $9,186.12 $6,561.52 2026-05-13
700 OTHER Other Kidney & Urinary Tract Diagnoses Without Cc/mcc 10 10 $31,202.45 — $4,269.00 $28,082.20 $6,542.91 2026-07-31
079 OTHER Hypertensive Encephalopathy Without Cc/mcc 10 10 $36,708.88 — $4,269.00 $33,037.99 $6,537.61 2026-07-31
694 OTHER Urinary Stones Without Mcc 10 10 $24,294.93 — $4,269.00 $21,865.43 $6,531.43 2026-07-31
282 OTHER Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 10 10 $28,706.58 — $2,846.00 $25,835.92 $6,509.39 2026-07-31
305 OTHER Hypertension Without Mcc 10 10 $35,570.91 — $4,269.00 $32,013.82 $6,452.93 2026-07-31
50593 CPT Perc Cryo Ablate Renal Tum 15 13 $9,917.97 — $2,147.81 $9,025.35 $6,446.68 2026-05-13
149 OTHER Dysequilibrium 10 10 $43,783.54 — $2,846.00 $39,405.19 $6,444.10 2026-07-31
47142 CPT Partial Removal- Donor Liver 15 13 $9,911.88 — $2,875.60 $9,019.81 $6,442.72 2026-05-13
37228 CPT Tib/per Revasc W/tla 15 13 $9,776.88 — $2,357.43 $8,896.96 $6,354.97 2026-05-13
32853 CPT Lung Transplant Double 15 13 $9,763.98 — $2,787.47 $8,885.22 $6,346.59 2026-05-13
201 OTHER Pneumothorax Without Cc/mcc 10 10 $27,923.65 — $4,269.00 $25,131.29 $6,333.84 2026-07-31
066 OTHER Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 10 10 $45,767.23 — $2,846.00 $41,190.51 $6,325.02 2026-07-31
832 OTHER Other Antepartum Diagnoses Without O.r. Procedure W Cc 10 10 $19,603.32 — $4,556.81 $17,642.99 $6,311.78 2026-07-31
313 OTHER Chest Pain 10 10 $36,604.57 — $2,846.00 $32,944.11 $6,310.02 2026-07-31
776 OTHER Postpartum & Post Abortion Diagnoses Without O.r. Procedure 10 10 $14,579.64 — $4,269.00 $13,121.67 $6,262.38 2026-07-31
192 OTHER Chronic Obstructive Pulmonary Disease Without Cc/mcc 10 10 $34,801.80 — $4,269.00 $31,321.62 $6,256.20 2026-07-31
153 OTHER Otitis Media & Uri Without Mcc 10 10 $50,769.90 — $4,269.00 $45,692.91 $6,231.50 2026-07-31
43108 CPT Removal Of Esophagus 15 13 $9,510.28 — $2,716.41 $8,654.35 $6,181.68 2026-05-13
387 OTHER Inflammatory Bowel Disease Without Cc/mcc 10 10 $59,953.90 — $4,269.00 $53,958.51 $6,181.23 2026-07-31
43123 CPT Partial Removal Of Esophagus 15 13 $9,488.36 — $2,751.10 $8,634.41 $6,167.43 2026-05-13
203 OTHER Bronchitis & Asthma Without Cc/mcc 10 10 $20,326.24 — $4,269.00 $18,293.62 $6,120.36 2026-07-31
311 OTHER Angina Pectoris 10 10 $12,285.14 — $2,846.00 $11,056.63 $6,042.73 2026-07-31
43113 CPT Removal Of Esophagus 15 13 $9,274.40 — $2,653.39 $8,439.70 $6,028.36 2026-05-13
195 OTHER Simple Pneumonia & Pleurisy Without Cc/mcc 10 10 $42,850.40 — $4,269.00 $38,565.36 $6,017.15 2026-07-31
61697 CPT Brain Aneurysm Repr Complx 15 13 $9,247.02 — $2,660.62 $8,420.11 $6,010.56 2026-05-13
696 OTHER Kidney & Urinary Tract Signs & Symptoms Without Mcc 10 10 $27,289.10 — $4,269.00 $24,560.19 $5,993.33 2026-07-31
303 OTHER Atherosclerosis Without Mcc 10 10 $52,936.72 — $2,846.00 $47,643.05 $5,960.69 2026-07-31
61682 CPT Intracranial Vessel Surgery 15 13 $9,106.60 — $2,617.85 $8,306.54 $5,919.29 2026-05-13
36566 CPT Insert Tunneled Cv Cath 15 13 $9,055.74 — $2,400.61 $10,611.83 $5,886.23 2026-05-13
47141 CPT Partial Removal- Donor Liver 15 13 $9,005.64 — $2,619.08 $8,195.13 $5,853.67 2026-05-13
33916 CPT Surgery Of Great Vessel 15 13 $8,998.06 — $2,540.89 $8,188.23 $5,848.74 2026-05-13
46748 CPT Repair Of Cloacal Anomaly 15 13 $8,914.66 — $2,594.24 $8,112.34 $5,794.53 2026-05-13
293 OTHER Heart Failure & Shock Without Cc/mcc 10 10 $26,568.09 — $4,173.42 $23,911.28 $5,780.73 2026-07-31
21141 CPT Reconstruct Midface- Lefort 14 13 $8,887.50 — $787.48 $8,887.50 $5,776.88 2026-05-13
156 OTHER Other Ear, Nose, Mouth & Throat Diagnoses Without Cc/mcc 10 10 $18,429.04 — $4,168.32 $16,586.14 $5,773.68 2026-07-31
395 OTHER Other Digestive System Diagnoses Without Cc/mcc 10 10 $35,441.19 — $4,167.68 $31,897.08 $5,772.79 2026-07-31
61576 CPT Skull Base/brainstem Surgery 15 13 $8,784.90 — $2,601.49 $8,284.86 $5,710.18 2026-05-13
47382 CPT Percut Ablate Liver Rf 15 13 $8,770.04 — $2,097.28 $7,980.74 $5,700.53 2026-05-13
379 OTHER G.i. Hemorrhage Without Cc/mcc 10 10 $35,402.80 — $2,846.00 $31,862.52 $5,696.04 2026-07-31
33305 CPT Repair Of Heart Wound 15 13 $8,708.16 — $2,487.04 $7,924.43 $5,660.30 2026-05-13
20808 CPT Replantation Hand- Complete 15 13 $8,707.90 — $2,379.00 $8,635.17 $5,660.14 2026-05-13
61702 CPT Inner Skull Vessel Surgery 15 13 $8,697.86 — $2,531.32 $8,017.24 $5,653.61 2026-05-13
21142 CPT Reconstruct Midface- Lefort 14 13 $8,625.00 — $808.49 $8,625.00 $5,606.25 2026-05-13
21193 CPT Reconst Lwr Jaw Without Graft 14 13 $8,550.00 — $729.46 $8,550.00 $5,557.50 2026-05-13
806 OTHER Vaginal Delivery Without Sterilization/d&c W Cc 10 10 $21,970.69 — $3,219.00 $19,773.62 $5,522.24 2026-07-31
440 OTHER Disorders Of Pancreas Except Malignancy Without Cc/mcc 10 10 $31,153.38 — $3,920.58 $28,038.04 $5,430.52 2026-07-31
684 OTHER Renal Failure Without Cc/mcc 10 10 $30,382.10 — $3,918.67 $27,343.89 $5,427.87 2026-07-31
639 OTHER Diabetes Without Cc/mcc 10 10 $27,712.70 — $3,905.29 $24,941.43 $5,409.34 2026-07-31
21143 CPT Reconstruct Midface- Lefort 14 13 $8,250.00 — $833.20 $8,250.00 $5,362.50 2026-05-13
46746 CPT Repair Of Cloacal Anomaly 15 13 $8,207.60 — $2,392.84 $7,468.92 $5,334.94 2026-05-13
20982 CPT Ablate- Bone Tumor(s) Perq 15 13 $8,100.18 — $1,987.58 $7,478.76 $5,265.12 2026-05-13
61520 CPT Removal Of Brain Lesion 15 13 $8,088.62 — $2,339.84 $7,439.46 $5,257.60 2026-05-13
43124 CPT Removal Of Esophagus 15 13 $8,060.84 — $2,322.95 $7,335.36 $5,239.55 2026-05-13
61692 CPT Intracranial Vessel Surgery 15 13 $8,019.12 — $2,298.18 $7,297.40 $5,212.43 2026-05-13
37221 CPT Iliac Revasc W/stent 15 13 $7,978.51 — $1,757.20 $7,737.44 $5,186.03 2026-05-13
951 OTHER Other Factors Influencing Health Status 10 10 $17,976.78 — $3,735.25 $16,179.10 $5,173.81 2026-07-31
26554 CPT Double Transfer- Toe-hand 15 13 $7,935.48 — $2,301.65 $8,375.55 $5,158.06 2026-05-13
390 OTHER G.i. Obstruction Without Cc/mcc 10 10 $32,485.36 — $3,691.30 $29,236.83 $5,112.94 2026-07-31
343 OTHER Appendectomy Without Complicated Principal Diag Without Cc/mcc 18 10 $85,448.29 — $4.48 $76,903.46 $5,090.10 2026-07-31
43118 CPT Partial Removal Of Esophagus 15 13 $7,729.76 — $2,214.59 $7,034.08 $5,024.34 2026-05-13
21215 CPT Lower Jaw Bone Graft 15 13 $7,712.68 — $2,317.23 $8,727.35 $5,013.24 2026-05-13
33877 CPT Thoracoabdominal Graft 15 13 $7,708.52 — $2,199.66 $7,014.75 $5,010.54 2026-05-13
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