Hospital

GRAHAM HOSPITAL ASSOCIATION

Canton, IL · CCN 140001 · Rates published

7,881 distinct procedures filed

26 distinct payers

175,866 rate rows

2026-07-31 last MRF observed

Data quality

175,717 of 175,866 rate rows are consumer-grade (99.9%)

149 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
exceeds 10× this hospital's gross charge — excluded from medians	94
placeholder amount (≤ $0.02) — excluded from medians	43
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	12

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

Source MRF file	https://www.grahamhealthsystem.org/docs/default-source/financial-assistance/370673506_graham_hospital_standardcharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-08-14
Content fingerprint	5aebaf65566c4d01… · 12,137,553 bytes · first seen 2026-05-15

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 $64,908 0.8× median
466 OTHER	Revision Of Hip Or Knee Replacement W Mcc	10	$15,142.00	$224,690.72	$44,981.71	nat. median $45,865 1.0× median
853 OTHER	Infectious & Parasitic Diseases W O.r. Procedure W Mcc	10	$18,499.00	$171,826.47	$44,977.30	nat. median $26,497 1.7× median
329 OTHER	Major Small & Large Bowel Procedures W Mcc	10	$18,499.00	$332,749.60	$43,288.86	nat. median $40,137 1.1× 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 $450 outlier · 88.3×
356 OTHER	Other Digestive System O.r. Procedures W Mcc	10	$14,230.00	$304,063.30	$35,967.02	nat. median $42,823 0.8× median
335 OTHER	Peritoneal Adhesiolysis W Mcc	10	$17,076.00	$168,782.94	$35,683.85	nat. median $1,095 outlier · 32.6×
467 OTHER	Revision Of Hip Or Knee Replacement W Cc	10	$15,142.00	$188,471.89	$30,981.99	nat. median $31,288 1.0× median
485 OTHER	Knee Procedures W Pdx Of Infection W Mcc	10	$14,230.00	$115,298.66	$28,925.69	nat. median $31,705 0.9× median
829 OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms W Ot	10	$12,807.00	$162,490.70	$27,698.62	nat. median $21,518 1.3× median
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 $25,851 1.1× median
480 OTHER	Hip & Femur Procedures Except Major Joint W Mcc	10	$12,228.00	$112,395.85	$26,627.69	nat. median $1,155 outlier · 23.1×
344 OTHER	Minor Small & Large Bowel Procedures W Mcc	10	$12,807.00	$76,340.19	$26,421.28	nat. median $20,126 1.3× median
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 $23,981 1.1× median
338 OTHER	Appendectomy W Complicated Principal Diag W Mcc	10	$11,384.00	$103,665.71	$25,671.45	nat. median $17,152 1.5× median
793 OTHER	Full Term Neonate W Major Problems	10	$5,984.23	$34,741.59	$25,522.24	nat. median $28,479 0.9× median
468 OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	10	$15,142.00	$152,667.38	$24,806.94	nat. median $25,043 1.0× 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 $28,518 0.9× median
659 OTHER	Kidney & Ureter Procedures For Non-neoplasm W Mcc	10	$11,384.00	$99,654.39	$23,639.85	nat. median $24,303 1.0× median
347 OTHER	Anal & Stomal Procedures W Mcc	10	$11,384.00	$170,433.90	$23,257.00	nat. median $22,972 1.0× median
327 OTHER	Stomach, Esophageal & Duodenal Proc W Cc	10	$9,961.00	$156,098.89	$22,696.84	nat. median $23,515 1.0× median
330 OTHER	Major Small & Large Bowel Procedures W Cc	10	$9,961.00	$153,783.36	$22,290.17	nat. median $22,094 1.0× median
208 OTHER	Respiratory System Diagnosis W Ventilator Support <=96 Hours	10	$9,961.00	$54,756.68	$21,913.49	nat. median $25,092 0.9× median
982 OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc	10	$8,538.00	$225,571.61	$21,506.82	nat. median $375 outlier · 57.3×
417 OTHER	Laparoscopic Cholecystectomy Without C.d.e. W Mcc	10	$9,961.00	$78,618.90	$21,265.99	nat. median $22,157 1.0× median
095 OTHER	Bacterial & Tuberculous Infections Of Nervous System W Cc	10	$9,961.00	$31,816.52	$21,234.23	nat. median $19,461 1.1× median
483 OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	10	$2,846.00	$145,839.90	$21,101.91	nat. median $2,748 outlier · 7.7×
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 $18,121 1.2× median
629 OTHER	Other Endocrine, Nutrit & Metab O.r. Proc W Cc	10	$9,961.00	$56,448.73	$20,490.58	nat. median $21,032 1.0× median
493 OTHER	Lower Extrem & Humer Proc Except Hip, Foot, Femur W Cc	10	$7,115.00	$121,459.72	$20,307.09	nat. median $23,032 0.9× median
056 OTHER	Degenerative Nervous System Disorders W Mcc	10	$11,384.00	$75,498.34	$19,340.26	nat. median $17,902 1.1× median
37227 CPT	Fem/popl Revasc Stnt & Ather	13	$6,326.16	$26,951.14	$19,250.82	nat. median $18,306 1.1× median
854 OTHER	Infectious & Parasitic Diseases W O.r. Procedure W Cc	10	$9,961.00	$91,291.46	$19,065.03	nat. median $10,882 1.8× median
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 $96 outlier · 195.1×
481 OTHER	Hip & Femur Procedures Except Major Joint W Cc	10	$11,994.00	$92,770.73	$18,417.53	nat. median $6,748 outlier · 2.7×
415 OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. W Cc	10	$8,538.00	$124,981.75	$18,099.08	nat. median $19,264 0.9× 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 $18,547 1.0× median
420 OTHER	Hepatobiliary Diagnostic Procedures W Mcc	10	$39.00	$63,240.46	$18,052.62	nat. median $110 outlier · 163.7×
314 OTHER	Other Circulatory System Diagnoses W Mcc	10	$9,961.00	$45,133.51	$17,903.24	nat. median $19,084 0.9× median
374 OTHER	Digestive Malignancy W Mcc	10	$9,961.00	$45,204.22	$17,620.94	nat. median $18,919 0.9× 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 $3,062 outlier · 5.7×
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 $17,482 1.0× median
935 OTHER	Non-extensive Burns	10	$7,115.00	$33,720.91	$17,045.78	nat. median $17,996 0.9× median
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 $17,946 0.9× median
177 OTHER	Respiratory Infections & Inflammations W Mcc	10	$9,961.00	$65,217.12	$16,683.22	nat. median $15,866 1.1× median
380 OTHER	Complicated Peptic Ulcer W Mcc	10	$8,538.00	$40,530.55	$16,651.46	nat. median $17,194 1.0× median
539 OTHER	Osteomyelitis W Mcc	10	$11,384.00	$70,462.98	$16,630.29	nat. median $16,691 1.0× median
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 $17,995 0.9× median
064 OTHER	Intracranial Hemorrhage Or Cerebral Infarction W Mcc	10	$8,538.00	$57,102.00	$16,538.54	nat. median $15,577 1.1× 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 $10,044 1.6× median

Other procedures at this hospital

Browse this hospital's 7,881 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

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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