Hospital

ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO

Chicago, IL · CCN 143300 · Rates published

15,005 distinct procedures filed

54 distinct payers

1,154,122 rate rows

2026-04-01 last MRF observed

Data quality

1,069,521 of 1,154,122 rate rows are consumer-grade (92.7%)

84,601 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	33,469
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	28,400
exceeds 10× this hospital's gross charge — excluded from medians	17,902
template filing: same amount across many unrelated codes — excluded	4,076
placeholder amount (≤ $0.02) — excluded from medians	743
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	11

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

Source MRF file	https://www.luriechildrens.org/globalassets/media/pages/patients--visitors/billing--financial-assistance/36-2170833_ann_and_robert_h_lurie_childrens_hospital_of_chicago_standardcharges.csv
Found on page	https://www.luriechildrens.org/en/patients-visitors/billing-financial-assistance/understanding-hospital-charges/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-09-21
Content fingerprint	c0cc808b7eb4780e… · 433,852,395 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3392 HCPCS	H Gene Therapy Casgevy	8	$1,615,000.00	$4,750,000.00	$4,265,500.00	nat. median $2,332,000 1.8× median
J3393 HCPCS	H Gene Therapy Zynteglo	21	$1,105,000.00	$4,875,000.00	$3,900,000.00	nat. median $2,968,000 1.3× median
588 - 4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	46	$151,905.03	$4,497,876.65	$3,550,955.25	—
002 - 4 OTHER	Heart And/or Lung Transplant	12	$140,160.21	$4,930,476.20	$3,489,260.08	—
583 - 3 OTHER	Neonate With Ecmo	12	$146,673.05	$4,887,145.25	$3,458,595.10	—
J3394 HCPCS	H Gene Therapy Lyfgenia	47	$752,930.00	$4,207,550.00	$3,394,828.50	nat. median $3,248,446 1.0× median
004 - 4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	$91,014.29	$4,662,359.00	$3,299,515.60	—
001 - 4 OTHER	Liver Transplant And/or Intestinal Transplant	46	$89,599.08	$3,061,805.11	$2,417,214.56	—
005 - 4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	46	$59,980.29	$2,922,552.69	$2,307,278.44	—
Q2042 HCPCS	H Kymriah Per Dose	47	$493,000.00	$2,755,000.00	$2,222,850.00	nat. median $621,313 outlier · 3.6×
011 - 4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	46	$95,546.44	$2,695,058.80	$2,127,678.00	—
609 - 4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	46	$95,059.15	$2,648,023.59	$2,090,544.94	—
007 - 4 OTHER	Allogeneic Bone Marrow Transplant	46	$91,886.79	$2,536,069.41	$2,002,160.06	—
002 - 3 OTHER	Heart And/or Lung Transplant	46	$86,673.03	$2,407,120.69	$1,900,358.44	—
009 - 4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	46	$89,105.33	$2,385,127.71	$1,882,995.56	—
160 - 4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	46	$61,456.98	$2,206,023.50	$1,741,597.50	—
161 - 3 OTHER	Implantable Heart Assist Systems	46	$111,268.19	$2,096,376.64	$1,655,034.19	—
440 - 4 OTHER	Kidney Transplant	46	$52,643.90	$2,078,552.74	$1,640,962.69	—
630 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	46	$110,258.30	$1,876,810.86	$1,481,692.78	—
162 - 4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	46	$57,922.19	$1,847,839.77	$1,458,820.88	—
011 - 3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	46	$47,030.51	$1,775,469.72	$1,401,686.63	—
611 - 3 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	46	$26,997.87	$1,718,168.81	$1,356,449.06	—
593 - 4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	46	$99,070.99	$1,695,434.01	$1,338,500.53	—
121 - 4 OTHER	Other Respiratory And Chest Procedures	46	$26,645.30	$1,685,886.74	$1,330,963.22	—
631 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	46	$91,260.97	$1,675,935.14	$1,323,106.69	—
004 - 3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	46	$62,283.56	$1,637,791.57	$1,292,993.34	—
950 - 4 OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	46	$33,057.19	$1,637,051.16	$1,292,408.81	—
180 - 4 OTHER	Other Circulatory System Procedures	46	$22,626.62	$1,632,645.42	$1,288,930.59	—
583 - 1 OTHER	Neonate With Ecmo	46	$93,467.47	$1,603,398.72	$1,265,841.09	—
220 - 4 OTHER	Major Stomach Esophageal And Duodenal Procedures	46	$33,613.18	$1,596,055.93	$1,260,044.16	—
602 - 4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	46	$71,014.28	$1,472,705.68	$1,162,662.38	—
401 - 4 OTHER	Adrenal Procedures	46	$29,505.32	$1,345,510.41	$1,062,245.06	—
092 - 4 OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	46	$29,710.63	$1,344,968.79	$1,061,817.47	—
001 - 3 OTHER	Liver Transplant And/or Intestinal Transplant	46	$51,799.87	$1,324,847.44	$1,045,932.19	—
022 - 4 OTHER	Ventricular Shunt Procedures	46	$27,118.55	$1,307,188.48	$1,031,990.91	—
097 - 4 OTHER	Tonsil And Adenoid Procedures	46	$16,251.55	$1,286,747.93	$1,015,853.63	—
009 - 3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	46	$41,067.97	$1,259,068.49	$994,001.44	—
182 - 4 OTHER	Other Peripheral Vascular And Related Procedures	46	$26,712.85	$1,258,093.91	$993,232.03	—
230 - 4 OTHER	Major Small Bowel Procedures	46	$30,126.96	$1,256,691.71	$992,125.03	—
710 - 4 OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	46	$27,266.56	$1,250,001.09	$986,842.97	—
611 - 4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	46	$41,450.14	$1,195,341.18	$943,690.41	—
167 - 4 OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	46	$44,335.20	$1,173,909.18	$926,770.41	—
260 - 4 OTHER	Major Pancreas Liver And Shunt Procedures	46	$35,035.97	$1,143,360.39	$902,652.94	—
222 - 4 OTHER	Other Stomach Esophageal And Duodenal Procedures	46	$24,690.80	$1,064,381.43	$840,301.13	—
200 - 4 OTHER	Cardiac Structural And Valvular Disorders	46	$8,747.42	$1,006,779.84	$794,826.19	—
001 - 2 OTHER	Liver Transplant And/or Intestinal Transplant	46	$43,414.50	$1,005,156.05	$793,544.25	—
178 - 3 OTHER	External Heart Assist Systems	46	$36,220.06	$979,579.79	$773,352.47	—
005 - 3 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	46	$44,168.60	$882,661.74	$696,838.22	—
163 - 4 OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	46	$49,288.24	$863,381.49	$681,616.97	—
043 - 4 OTHER	Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies	46	$18,672.47	$839,442.80	$662,718.00	—

Other procedures at this hospital

Browse this hospital's 15,005 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

001 - 2	OTHER	Liver Transplant And/or Intestinal Transplant	60	46	$1,058,059.00	$740,641.30 30% off	$43,414.50	$1,005,156.05	$793,544.25	2026-04-01
001 - 3	OTHER	Liver Transplant And/or Intestinal Transplant	60	46	$1,394,576.25	$976,203.37 30% off	$51,799.87	$1,324,847.44	$1,045,932.19	2026-04-01
001 - 4	OTHER	Liver Transplant And/or Intestinal Transplant	60	46	$3,222,952.75	$2,256,066.92 30% off	$89,599.08	$3,061,805.11	$2,417,214.56	2026-04-01
002 - 3	OTHER	Heart And/or Lung Transplant	60	46	$2,533,811.25	$1,773,667.88 30% off	$86,673.03	$2,407,120.69	$1,900,358.44	2026-04-01
002 - 4	OTHER	Heart And/or Lung Transplant	18	12	—	—	$140,160.21	$4,930,476.20	$3,489,260.08	2026-04-01
004 - 3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	60	46	$1,723,991.13	$1,206,793.79 30% off	$62,283.56	$1,637,791.57	$1,292,993.34	2026-04-01
004 - 4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	12	—	—	$91,014.29	$4,662,359.00	$3,299,515.60	2026-04-01
005 - 3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	60	46	$929,117.63	$650,382.34 30% off	$44,168.60	$882,661.74	$696,838.22	2026-04-01
005 - 4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	60	46	$3,076,371.25	$2,153,459.88 30% off	$59,980.29	$2,922,552.69	$2,307,278.44	2026-04-01
007 - 3	OTHER	Allogeneic Bone Marrow Transplant	60	46	$795,555.31	$556,888.72 30% off	$54,151.33	$755,777.55	$596,666.48	2026-04-01
007 - 4	OTHER	Allogeneic Bone Marrow Transplant	60	46	$2,669,546.75	$1,868,682.72 30% off	$91,886.79	$2,536,069.41	$2,002,160.06	2026-04-01
008 - 3	OTHER	Autologous Bone Marrow Transplant	60	46	$583,011.81	$408,108.27 30% off	$29,268.88	$553,861.22	$437,258.86	2026-04-01
008 - 4	OTHER	Autologous Bone Marrow Transplant	60	46	$716,776.25	$501,743.37 30% off	$46,481.74	$680,937.44	$537,582.19	2026-04-01
009 - 3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	60	46	$1,325,335.25	$927,734.67 30% off	$41,067.97	$1,259,068.49	$994,001.44	2026-04-01
009 - 4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	60	46	$2,510,660.75	$1,757,462.52 30% off	$89,105.33	$2,385,127.71	$1,882,995.56	2026-04-01
011 - 3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	60	46	$1,868,915.50	$1,308,240.85 30% off	$47,030.51	$1,775,469.72	$1,401,686.63	2026-04-01
011 - 4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	60	46	$2,836,904.00	$1,985,832.80 30% off	$95,546.44	$2,695,058.80	$2,127,678.00	2026-04-01
020 - 2	OTHER	Open Craniotomy For Trauma	60	46	$190,037.80	$133,026.46 30% off	$15,305.42	$180,535.91	$142,528.35	2026-04-01
020 - 3	OTHER	Open Craniotomy For Trauma	60	46	$387,743.56	$271,420.49 30% off	$20,941.96	$368,356.38	$290,807.67	2026-04-01
021 - 1	OTHER	Open Craniotomy Except Trauma	60	46	$233,279.00	$163,295.30 30% off	$11,943.31	$221,615.05	$174,959.25	2026-04-01
021 - 2	OTHER	Open Craniotomy Except Trauma	60	46	$275,239.34	$192,667.54 30% off	$15,202.95	$261,477.38	$206,429.51	2026-04-01
021 - 3	OTHER	Open Craniotomy Except Trauma	60	46	$411,781.59	$288,247.12 30% off	$22,745.41	$391,192.51	$308,836.20	2026-04-01
021 - 4	OTHER	Open Craniotomy Except Trauma	60	46	$843,155.13	$590,208.59 30% off	$35,487.22	$800,997.37	$632,366.34	2026-04-01
022 - 4	OTHER	Ventricular Shunt Procedures	60	46	$1,375,987.88	$963,191.51 30% off	$27,118.55	$1,307,188.48	$1,031,990.91	2026-04-01
023 - 3	OTHER	Spinal Procedures	60	46	$199,270.05	$139,489.03 30% off	$22,109.35	$189,306.54	$149,452.54	2026-04-01
023 - 4	OTHER	Spinal Procedures	60	46	$519,143.44	$363,400.41 30% off	$35,980.20	$493,186.27	$389,357.58	2026-04-01
024 - 1	OTHER	Open Extracranial Vascular Procedures	60	46	$200,258.27	$140,180.79 30% off	$6,396.71	$190,245.35	$150,193.70	2026-04-01
026 - 3	OTHER	Other Nervous System And Related Procedures	60	46	$270,396.75	$189,277.72 30% off	$14,613.19	$256,876.91	$202,797.56	2026-04-01
027 - 3	OTHER	Other Open Craniotomy	60	46	$233,337.44	$163,336.21 30% off	$18,971.53	$221,670.57	$175,003.08	2026-04-01
029 - 1	OTHER	Other Percutaneous Intracranial Procedures	60	46	$397,363.94	$278,154.76 30% off	$11,364.17	$377,495.74	$298,022.95	2026-04-01
029 - 2	OTHER	Other Percutaneous Intracranial Procedures	60	46	$261,906.31	$183,334.42 30% off	$11,932.30	$248,811.00	$196,429.73	2026-04-01
029 - 3	OTHER	Other Percutaneous Intracranial Procedures	60	46	$337,717.25	$236,402.07 30% off	$15,353.62	$320,831.39	$253,287.94	2026-04-01
029 - 4	OTHER	Other Percutaneous Intracranial Procedures	60	46	$447,368.97	$313,158.28 30% off	$25,359.50	$425,000.52	$335,526.73	2026-04-01
030 - 2	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	60	46	$323,770.72	$226,639.50 30% off	$15,307.32	$307,582.18	$242,828.04	2026-04-01
030 - 3	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	60	46	$278,280.78	$194,796.55 30% off	$20,971.94	$264,366.74	$208,710.59	2026-04-01
030 - 4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	60	46	$288,056.28	$201,639.40 30% off	$27,688.20	$273,653.47	$216,042.21	2026-04-01
041 - 4	OTHER	Nervous System Malignancy	60	46	$307,196.81	$215,037.77 30% off	$9,387.28	$291,836.97	$230,397.61	2026-04-01
043 - 4	OTHER	Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies	60	46	$883,624.00	$618,536.80 30% off	$18,672.47	$839,442.80	$662,718.00	2026-04-01
044 - 2	OTHER	Intracranial Hemorrhage	60	46	$187,515.19	$131,260.63 30% off	$6,248.70	$178,139.43	$140,636.39	2026-04-01
044 - 4	OTHER	Intracranial Hemorrhage	60	46	$243,766.02	$170,636.21 30% off	$9,117.06	$231,577.71	$182,824.51	2026-04-01
045 - 3	OTHER	Cva And Precerebral Occlusion With Infarction	60	46	$209,651.50	$146,756.05 30% off	$7,867.33	$199,168.92	$157,238.63	2026-04-01
045 - 4	OTHER	Cva And Precerebral Occlusion With Infarction	60	46	$265,998.50	$186,198.95 30% off	$11,827.55	$252,698.57	$199,498.88	2026-04-01
046 - 3	OTHER	Nonspecific Cva And Precerebral Occlusion Without Infarction	60	46	$266,957.06	$186,869.94 30% off	$6,074.88	$253,609.21	$200,217.80	2026-04-01
047 - 4	OTHER	Transient Ischemia	60	46	$654,421.56	$458,095.09 30% off	$9,271.15	$621,700.48	$490,816.17	2026-04-01
048 - 2	OTHER	Peripheral Cranial And Autonomic Nerve Disorders	60	46	$212,408.06	$148,685.64 30% off	$4,264.60	$201,787.66	$159,306.05	2026-04-01
049 - 4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	60	46	$392,772.88	$274,941.01 30% off	$20,986.74	$373,134.23	$294,579.66	2026-04-01
050 - 3	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	60	46	$244,239.19	$170,967.43 30% off	$10,834.75	$232,027.23	$183,179.39	2026-04-01
050 - 4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	60	46	$653,666.81	$457,566.77 30% off	$22,193.60	$620,983.47	$490,250.11	2026-04-01
052 - 4	OTHER	Alteration In Consciousness	60	46	$243,341.17	$170,338.82 30% off	$10,502.29	$231,174.11	$182,505.88	2026-04-01
056 - 4	OTHER	Brain Contusion Or Laceration And Complicated Skull Fracture Coma < 1 Hour Or No…	60	46	$457,586.41	$320,310.48 30% off	$11,402.12	$434,707.09	$343,189.80	2026-04-01
058 - 4	OTHER	Other Disorders Of Nervous System	60	46	$492,610.25	$344,827.17 30% off	$11,523.56	$467,979.74	$369,457.69	2026-04-01
059 - 4	OTHER	Anoxic And Other Severe Brain Damage	60	46	$437,467.66	$306,227.36 30% off	$10,123.92	$415,594.27	$328,100.74	2026-04-01
073 - 4	OTHER	Orbit And Eye Procedures	60	46	$782,785.31	$547,949.72 30% off	$21,120.33	$743,646.05	$587,088.98	2026-04-01
089 - 2	OTHER	Major Cranial Or Facial Bone Procedures	60	46	$272,892.13	$191,024.49 30% off	$12,692.47	$259,247.52	$204,669.09	2026-04-01
089 - 3	OTHER	Major Cranial Or Facial Bone Procedures	60	46	$289,045.53	$202,331.87 30% off	$23,186.03	$274,593.25	$216,784.15	2026-04-01
089 - 4	OTHER	Major Cranial Or Facial Bone Procedures	60	46	$212,732.86	$148,913.00 30% off	$33,386.23	$202,096.22	$159,549.64	2026-04-01
091 - 3	OTHER	Other Major Head And Neck Procedures	60	46	$608,112.31	$425,678.62 30% off	$23,971.24	$577,706.70	$456,084.23	2026-04-01
091 - 4	OTHER	Other Major Head And Neck Procedures	60	46	$815,606.50	$570,924.55 30% off	$37,556.33	$774,826.17	$611,704.88	2026-04-01
092 - 2	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	60	46	$314,723.63	$220,306.54 30% off	$9,853.70	$298,987.44	$236,042.72	2026-04-01
092 - 3	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	60	46	$222,532.84	$155,772.99 30% off	$15,447.74	$211,406.20	$166,899.63	2026-04-01
092 - 4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	60	46	$1,415,756.63	$991,029.64 30% off	$29,710.63	$1,344,968.79	$1,061,817.47	2026-04-01
097 - 4	OTHER	Tonsil And Adenoid Procedures	60	46	$1,354,471.50	$948,130.05 30% off	$16,251.55	$1,286,747.93	$1,015,853.63	2026-04-01
098 - 4	OTHER	Other Ear Nose Mouth Throat Craniofacial And Neck Procedures	60	46	$602,075.25	$421,452.67 30% off	$20,166.24	$571,971.49	$451,556.44	2026-04-01
113 - 4	OTHER	Infections Of Upper Respiratory Tract	60	46	$299,322.59	$209,525.82 30% off	$7,041.50	$284,356.46	$224,491.95	2026-04-01
115 - 4	OTHER	Other Ear Nose Mouth Throat And Cranial Or Facial Diagnoses	60	46	$500,783.53	$350,548.47 30% off	$10,546.69	$475,744.35	$375,587.65	2026-04-01
120 - 2	OTHER	Major Respiratory And Chest Procedures	60	46	$278,972.25	$195,280.57 30% off	$13,756.24	$265,023.64	$209,229.19	2026-04-01
120 - 3	OTHER	Major Respiratory And Chest Procedures	60	46	$595,054.00	$416,537.80 30% off	$18,682.34	$565,301.30	$446,290.50	2026-04-01
120 - 4	OTHER	Major Respiratory And Chest Procedures	60	46	$781,207.13	$546,844.99 30% off	$32,588.49	$742,146.77	$585,905.34	2026-04-01
121 - 3	OTHER	Other Respiratory And Chest Procedures	60	46	$220,263.08	$154,184.15 30% off	$16,045.09	$209,249.92	$165,197.31	2026-04-01
121 - 4	OTHER	Other Respiratory And Chest Procedures	60	46	$1,774,617.63	$1,242,232.34 30% off	$26,645.30	$1,685,886.74	$1,330,963.22	2026-04-01
130 - 3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	60	46	$320,139.94	$224,097.96 30% off	$23,875.23	$304,132.94	$240,104.95	2026-04-01
130 - 4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	60	46	$695,853.88	$487,097.71 30% off	$30,926.22	$661,061.18	$521,890.41	2026-04-01
131 - 1	OTHER	Cystic Fibrosis - Pulmonary Disease	60	46	$199,958.56	$139,970.99 30% off	$6,472.23	$189,960.63	$149,968.92	2026-04-01
131 - 2	OTHER	Cystic Fibrosis - Pulmonary Disease	60	46	$203,031.69	$142,122.18 30% off	$9,106.44	$192,880.10	$152,273.77	2026-04-01
131 - 3	OTHER	Cystic Fibrosis - Pulmonary Disease	60	46	$203,975.13	$142,782.59 30% off	$12,130.03	$193,776.37	$152,981.34	2026-04-01
131 - 4	OTHER	Cystic Fibrosis - Pulmonary Disease	60	46	$472,237.06	$330,565.94 30% off	$15,745.66	$448,625.21	$354,177.80	2026-04-01
132 - 4	OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	60	46	$233,764.13	$163,634.89 30% off	$8,221.41	$222,075.92	$175,323.09	2026-04-01
135 - 4	OTHER	Major Chest And Respiratory Trauma	60	46	$254,153.03	$177,907.12 30% off	$11,915.22	$241,445.38	$190,614.77	2026-04-01
136 - 4	OTHER	Respiratory Malignancy	60	46	$222,269.31	$155,588.52 30% off	$10,263.58	$211,155.85	$166,701.98	2026-04-01
143 - 4	OTHER	Other Respiratory Diagnoses Except Signs Symptoms And Miscellaneous Diagnoses	60	46	$272,707.38	$190,895.16 30% off	$9,554.64	$259,072.01	$204,530.53	2026-04-01
145 - 4	OTHER	Acute Bronchitis And Related Symptoms	60	46	$219,270.98	$153,489.69 30% off	$7,140.18	$208,307.44	$164,453.24	2026-04-01
160 - 1	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	60	46	$319,979.38	$223,985.56 30% off	$17,358.97	$303,980.41	$239,984.53	2026-04-01
160 - 2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	60	46	$331,870.22	$232,309.15 30% off	$21,381.44	$315,276.71	$248,902.66	2026-04-01
160 - 3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	60	46	$585,181.13	$409,626.79 30% off	$32,990.39	$555,922.07	$438,885.84	2026-04-01
160 - 4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	60	46	$2,322,130.00	$1,625,491.00 30% off	$61,456.98	$2,206,023.50	$1,741,597.50	2026-04-01
161 - 3	OTHER	Implantable Heart Assist Systems	60	46	$2,206,712.25	$1,544,698.57 30% off	$111,268.19	$2,096,376.64	$1,655,034.19	2026-04-01
161 - 4	OTHER	Implantable Heart Assist Systems	7	7	—	—	$145,239.25	$159,763.02	$145,239.25	2026-04-01
162 - 2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	60	46	$778,974.00	$545,281.80 30% off	$31,441.60	$740,025.30	$584,230.50	2026-04-01
162 - 4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	60	46	$1,945,094.50	$1,361,566.15 30% off	$57,922.19	$1,847,839.77	$1,458,820.88	2026-04-01
163 - 1	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	60	46	$404,944.91	$283,461.43 30% off	$23,467.63	$384,697.66	$303,708.68	2026-04-01
163 - 2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	60	46	$478,890.28	$335,223.20 30% off	$25,967.87	$454,945.77	$359,167.71	2026-04-01
163 - 3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	60	46	$591,405.06	$413,983.54 30% off	$32,812.40	$561,834.81	$443,553.80	2026-04-01
163 - 4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	60	46	$908,822.63	$636,175.84 30% off	$49,288.24	$863,381.49	$681,616.97	2026-04-01
167 - 1	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	60	46	$218,368.44	$152,857.91 30% off	$17,596.93	$207,450.02	$163,776.33	2026-04-01
167 - 2	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	60	46	$273,924.31	$191,747.02 30% off	$18,291.06	$260,228.10	$205,443.23	2026-04-01
167 - 3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	60	46	$298,779.16	$209,145.41 30% off	$27,614.20	$283,840.20	$224,084.37	2026-04-01
167 - 4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	60	46	$1,235,693.88	$864,985.71 30% off	$44,335.20	$1,173,909.18	$926,770.41	2026-04-01
169 - 2	OTHER	Major Abdominal Vascular Procedures	60	46	$406,969.09	$284,878.37 30% off	$17,888.39	$386,620.64	$305,226.82	2026-04-01
169 - 3	OTHER	Major Abdominal Vascular Procedures	60	46	$444,073.00	$310,851.10 30% off	$23,375.03	$421,869.35	$333,054.75	2026-04-01
171 - 2	OTHER	Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock	60	46	$204,323.80	$143,026.66 30% off	$11,249.93	$194,107.61	$153,242.85	2026-04-01
171 - 3	OTHER	Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock	60	46	$298,317.66	$208,822.36 30% off	$14,398.38	$283,401.77	$223,738.24	2026-04-01
175 - 3	OTHER	Percutaneous Cardiac Intervention Without Ami	60	46	$190,226.45	$133,158.52 30% off	$17,143.79	$180,715.13	$142,669.84	2026-04-01
176 - 2	OTHER	Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices	60	46	$189,141.59	$132,399.12 30% off	$12,037.80	$179,684.51	$141,856.20	2026-04-01
177 - 2	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	60	46	$191,140.73	$133,798.51 30% off	$10,494.70	$181,583.70	$143,355.55	2026-04-01
178 - 3	OTHER	External Heart Assist Systems	60	46	$1,031,136.63	$721,795.64 30% off	$36,220.06	$979,579.79	$773,352.47	2026-04-01
179 - 2	OTHER	Defibrillator Implants	60	46	$292,240.63	$204,568.44 30% off	$23,697.23	$277,628.59	$219,180.47	2026-04-01
179 - 3	OTHER	Defibrillator Implants	60	46	$515,309.53	$360,716.67 30% off	$29,084.81	$489,544.05	$386,482.15	2026-04-01
179 - 4	OTHER	Defibrillator Implants	60	46	$378,960.72	$265,272.50 30% off	$39,888.44	$360,012.68	$284,220.54	2026-04-01
180 - 1	OTHER	Other Circulatory System Procedures	60	46	$261,120.63	$182,784.44 30% off	$7,126.51	$248,064.59	$195,840.47	2026-04-01
180 - 4	OTHER	Other Circulatory System Procedures	60	46	$1,718,574.13	$1,203,001.89 30% off	$22,626.62	$1,632,645.42	$1,288,930.59	2026-04-01
182 - 3	OTHER	Other Peripheral Vascular And Related Procedures	60	46	$271,692.19	$190,184.53 30% off	$14,913.38	$258,107.58	$203,769.14	2026-04-01
182 - 4	OTHER	Other Peripheral Vascular And Related Procedures	60	46	$1,324,309.38	$927,016.56 30% off	$26,712.85	$1,258,093.91	$993,232.03	2026-04-01
183 - 2	OTHER	Percutaneous Structural Cardiac Procedures	60	46	$292,385.53	$204,669.87 30% off	$25,205.42	$277,766.25	$219,289.15	2026-04-01
191 - 2	OTHER	Cardiac Catheterization For Coronary Artery Disease	60	46	$307,665.63	$215,365.94 30% off	$6,630.11	$292,282.34	$230,749.22	2026-04-01
192 - 3	OTHER	Cardiac Catheterization For Other Non-coronary Conditions	60	46	$229,937.14	$160,956.00 30% off	$10,587.68	$218,440.28	$172,452.86	2026-04-01
192 - 4	OTHER	Cardiac Catheterization For Other Non-coronary Conditions	60	46	$260,833.63	$182,583.54 30% off	$16,452.69	$247,791.94	$195,625.22	2026-04-01
193 - 4	OTHER	Acute And Subacute Endocarditis	60	46	$635,016.19	$444,511.33 30% off	$13,967.63	$603,265.38	$476,262.14	2026-04-01
194 - 3	OTHER	Heart Failure	60	46	$240,617.44	$168,432.21 30% off	$5,729.52	$228,586.57	$180,463.08	2026-04-01
194 - 4	OTHER	Heart Failure	60	46	$519,848.44	$363,893.91 30% off	$8,685.18	$493,856.02	$389,886.33	2026-04-01
196 - 4	OTHER	Cardiac Arrest And Shock	60	46	$185,694.88	$129,986.41 30% off	$9,390.31	$176,410.13	$139,271.16	2026-04-01
197 - 4	OTHER	Peripheral And Other Vascular Disorders	60	46	$544,531.25	$381,171.88 30% off	$9,756.93	$517,304.69	$408,398.44	2026-04-01
200 - 4	OTHER	Cardiac Structural And Valvular Disorders	60	46	$1,059,768.25	$741,837.77 30% off	$8,747.42	$1,006,779.84	$794,826.19	2026-04-01
201 - 4	OTHER	Cardiac Arrhythmia And Conduction Disorders	60	46	$333,553.28	$233,487.30 30% off	$8,665.06	$316,875.62	$250,164.96	2026-04-01
204 - 3	OTHER	Syncope And Collapse	60	46	$248,146.13	$173,702.29 30% off	$5,083.59	$235,738.82	$186,109.59	2026-04-01
205 - 4	OTHER	Cardiomyopathy	60	46	$467,982.63	$327,587.84 30% off	$9,992.98	$444,583.49	$350,986.97	2026-04-01
206 - 4	OTHER	Malfunction Reaction Complication Of Cardiac Or Vascular Device Or Procedure	60	46	$653,895.13	$457,726.59 30% off	$11,696.24	$621,200.37	$490,421.34	2026-04-01
207 - 4	OTHER	Other Circulatory System Diagnoses	60	46	$309,044.53	$216,331.17 30% off	$9,511.00	$293,592.30	$231,783.40	2026-04-01
220 - 4	OTHER	Major Stomach Esophageal And Duodenal Procedures	60	46	$1,680,058.88	$1,176,041.21 30% off	$33,613.18	$1,596,055.93	$1,260,044.16	2026-04-01
222 - 4	OTHER	Other Stomach Esophageal And Duodenal Procedures	60	46	$1,120,401.50	$784,281.05 30% off	$24,690.80	$1,064,381.43	$840,301.13	2026-04-01
223 - 3	OTHER	Other Small And Large Bowel Procedures	60	46	$229,747.84	$160,823.49 30% off	$13,447.32	$218,260.45	$172,310.88	2026-04-01
224 - 3	OTHER	Peritoneal Adhesiolysis	60	46	$243,704.38	$170,593.06 30% off	$13,452.25	$231,519.16	$182,778.28	2026-04-01
224 - 4	OTHER	Peritoneal Adhesiolysis	60	46	$345,566.78	$241,896.75 30% off	$23,046.75	$328,288.44	$259,175.09	2026-04-01
227 - 4	OTHER	Hernia Procedures Except Inguinal Femoral And Umbilical	60	46	$422,074.53	$295,452.17 30% off	$23,228.91	$400,970.80	$316,555.90	2026-04-01
229 - 3	OTHER	Other Digestive System And Abdominal Procedures	60	46	$326,290.94	$228,403.66 30% off	$14,301.61	$309,976.39	$244,718.20	2026-04-01
229 - 4	OTHER	Other Digestive System And Abdominal Procedures	60	46	$680,362.63	$476,253.84 30% off	$24,679.04	$646,344.49	$510,271.97	2026-04-01
230 - 3	OTHER	Major Small Bowel Procedures	60	46	$293,313.94	$205,319.76 30% off	$16,374.51	$278,648.24	$219,985.45	2026-04-01
230 - 4	OTHER	Major Small Bowel Procedures	60	46	$1,322,833.38	$925,983.36 30% off	$30,126.96	$1,256,691.71	$992,125.03	2026-04-01
231 - 3	OTHER	Major Large Bowel Procedures	60	46	$222,035.92	$155,425.15 30% off	$16,167.30	$210,934.13	$166,526.94	2026-04-01
231 - 4	OTHER	Major Large Bowel Procedures	60	46	$326,650.78	$228,655.55 30% off	$26,507.91	$310,318.24	$244,988.09	2026-04-01
233 - 3	OTHER	Appendectomy With Complex Principal Diagnosis	60	46	$184,681.89	$129,277.32 30% off	$11,688.27	$175,447.80	$138,511.42	2026-04-01
234 - 3	OTHER	Appendectomy Without Complex Principal Diagnosis	60	46	$375,921.47	$263,145.03 30% off	$9,617.64	$357,125.40	$281,941.10	2026-04-01
242 - 4	OTHER	Major Esophageal Disorders	60	46	$426,110.59	$298,277.42 30% off	$12,796.83	$404,805.06	$319,582.95	2026-04-01
243 - 4	OTHER	Other Esophageal Disorders	60	46	$559,425.81	$391,598.07 30% off	$10,689.39	$531,454.52	$419,569.36	2026-04-01
245 - 4	OTHER	Inflammatory Bowel Disease	60	46	$358,920.63	$251,244.44 30% off	$10,894.71	$340,974.59	$269,190.47	2026-04-01
246 - 3	OTHER	Gastrointestinal Vascular Insufficiency	60	46	$325,703.56	$227,992.49 30% off	$6,458.57	$309,418.38	$244,277.67	2026-04-01
247 - 4	OTHER	Intestinal Obstruction	60	46	$718,507.81	$502,955.47 30% off	$10,328.09	$682,582.42	$538,880.86	2026-04-01
248 - 4	OTHER	Major Gastrointestinal And Peritoneal Infections	60	46	$218,481.33	$152,936.93 30% off	$11,193.77	$207,557.26	$163,861.00	2026-04-01
249 - 4	OTHER	Other Gastroenteritis Nausea And Vomiting	60	46	$328,858.91	$230,201.23 30% off	$8,988.03	$312,415.96	$246,644.18	2026-04-01
252 - 4	OTHER	Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure	60	46	$228,741.88	$160,119.31 30% off	$11,580.87	$217,304.78	$171,556.41	2026-04-01
254 - 4	OTHER	Other Digestive System Diagnoses	60	46	$307,472.00	$215,230.40 30% off	$10,502.29	$292,098.40	$230,604.00	2026-04-01
260 - 2	OTHER	Major Pancreas Liver And Shunt Procedures	60	46	$298,652.28	$209,056.60 30% off	$13,539.54	$283,719.67	$223,989.21	2026-04-01
260 - 3	OTHER	Major Pancreas Liver And Shunt Procedures	60	46	$423,380.69	$296,366.48 30% off	$18,556.72	$402,211.65	$317,535.52	2026-04-01
260 - 4	OTHER	Major Pancreas Liver And Shunt Procedures	60	46	$1,203,537.25	$842,476.07 30% off	$35,035.97	$1,143,360.39	$902,652.94	2026-04-01
261 - 2	OTHER	Major Biliary Tract Procedures	60	46	$206,175.80	$144,323.06 30% off	$11,669.30	$195,867.01	$154,631.85	2026-04-01
261 - 3	OTHER	Major Biliary Tract Procedures	60	46	$244,380.06	$171,066.04 30% off	$16,168.06	$232,161.06	$183,285.05	2026-04-01
264 - 4	OTHER	Other Hepatobiliary Pancreas And Abdominal Procedures	60	46	$606,063.44	$424,244.41 30% off	$27,354.23	$575,760.27	$454,547.58	2026-04-01
279 - 4	OTHER	Hepatic Coma And Other Major Acute Liver Disorders	60	46	$510,350.59	$357,245.42 30% off	$11,925.47	$484,833.06	$382,762.95	2026-04-01
281 - 4	OTHER	Malignancy Of Hepatobiliary System And Pancreas	60	46	$777,962.06	$544,573.44 30% off	$9,643.45	$739,063.96	$583,471.55	2026-04-01
282 - 4	OTHER	Disorders Of Pancreas Except Malignancy	60	46	$664,076.44	$464,853.51 30% off	$14,085.28	$630,872.62	$498,057.33	2026-04-01
283 - 3	OTHER	Other Disorders Of The Liver	60	46	$233,587.44	$163,511.21 30% off	$5,647.93	$221,908.07	$175,190.58	2026-04-01
303 - 1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	60	46	$334,235.31	$233,964.72 30% off	$25,362.54	$317,523.55	$250,676.48	2026-04-01
303 - 2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	60	46	$387,968.75	$271,578.13 30% off	$30,462.83	$368,570.31	$290,976.56	2026-04-01
303 - 3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	60	46	$571,381.25	$399,966.88 30% off	$41,928.33	$542,812.19	$428,535.94	2026-04-01
303 - 4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	60	46	$644,214.44	$450,950.11 30% off	$55,375.27	$612,003.72	$483,160.83	2026-04-01
304 - 1	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	60	46	$324,296.75	$227,007.72 30% off	$17,141.89	$308,081.91	$243,222.56	2026-04-01
304 - 2	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	60	46	$418,786.72	$293,150.70 30% off	$20,363.96	$397,847.38	$314,090.04	2026-04-01
304 - 3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	60	46	$818,359.50	$572,851.65 30% off	$28,723.90	$777,441.52	$613,769.63	2026-04-01
309 - 3	OTHER	Other Significant Hip And Femur Surgery	60	46	$236,007.38	$165,205.16 30% off	$15,728.20	$224,207.01	$177,005.53	2026-04-01
310 - 1	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	60	46	$184,703.50	$129,292.45 30% off	$6,769.01	$175,468.32	$138,527.63	2026-04-01
310 - 2	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	60	46	$225,530.52	$157,871.36 30% off	$9,125.79	$214,253.99	$169,147.89	2026-04-01
312 - 2	OTHER	Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses	60	46	$324,251.78	$226,976.25 30% off	$11,021.47	$308,039.19	$243,188.84	2026-04-01
315 - 3	OTHER	Shoulder Upper Arm And Forearm Procedures Except Joint Replacement	60	46	$234,844.95	$164,391.47 30% off	$13,988.51	$223,102.71	$176,133.71	2026-04-01
317 - 3	OTHER	Tendon Muscle And Other Soft Tissue Procedures	60	46	$254,908.34	$178,435.84 30% off	$11,529.64	$242,162.93	$191,181.26	2026-04-01
320 - 3	OTHER	Other Musculoskeletal System And Connective Tissue Procedures	60	46	$257,081.17	$179,956.82 30% off	$13,013.91	$244,227.11	$192,810.88	2026-04-01
320 - 4	OTHER	Other Musculoskeletal System And Connective Tissue Procedures	60	46	$323,158.84	$226,211.19 30% off	$22,202.71	$307,000.90	$242,369.13	2026-04-01
321 - 1	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	60	46	$262,798.75	$183,959.13 30% off	$10,684.46	$249,658.81	$197,099.06	2026-04-01
321 - 2	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	60	46	$232,537.06	$162,775.94 30% off	$12,960.40	$220,910.21	$174,402.80	2026-04-01
321 - 3	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	60	46	$209,951.20	$146,965.84 30% off	$17,840.19	$199,453.64	$157,463.40	2026-04-01
321 - 4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	60	46	$731,657.00	$512,159.90 30% off	$27,892.00	$695,074.15	$548,742.75	2026-04-01
323 - 3	OTHER	Non-elective Or Complex Hip Joint Replacement	60	46	$228,813.88	$160,169.71 30% off	$15,281.13	$217,373.18	$171,610.41	2026-04-01
325 - 1	OTHER	Non-elective Or Complex Knee Joint Replacement	60	46	$277,071.13	$193,949.79 30% off	$12,704.99	$263,217.57	$207,803.34	2026-04-01
325 - 2	OTHER	Non-elective Or Complex Knee Joint Replacement	60	46	$330,243.22	$231,170.25 30% off	$14,789.66	$313,731.06	$247,682.41	2026-04-01
346 - 4	OTHER	Connective Tissue Disorders	60	46	$596,922.38	$417,845.66 30% off	$15,548.31	$567,076.26	$447,691.78	2026-04-01
347 - 4	OTHER	Other Back And Neck Disorders Fractures And Injuries	60	46	$422,317.91	$295,622.53 30% off	$10,651.44	$401,202.01	$316,738.43	2026-04-01
351 - 4	OTHER	Other Musculoskeletal System And Connective Tissue Diagnoses	60	46	$665,585.31	$465,909.72 30% off	$9,988.43	$632,306.05	$499,188.98	2026-04-01
364 - 4	OTHER	Other Skin Subcutaneous Tissue And Related Procedures	60	46	$859,117.50	$601,382.25 30% off	$18,048.93	$816,161.63	$644,338.13	2026-04-01
385 - 4	OTHER	Other Skin Subcutaneous Tissue And Breast Disorders	60	46	$578,917.50	$405,242.25 30% off	$10,635.88	$549,971.63	$434,188.13	2026-04-01
401 - 1	OTHER	Adrenal Procedures	60	46	$191,497.69	$134,048.38 30% off	$7,946.64	$181,922.80	$143,623.27	2026-04-01
401 - 2	OTHER	Adrenal Procedures	60	46	$184,498.19	$129,148.73 30% off	$14,003.31	$175,273.28	$138,373.64	2026-04-01
401 - 4	OTHER	Adrenal Procedures	60	46	$1,416,326.75	$991,428.72 30% off	$29,505.32	$1,345,510.41	$1,062,245.06	2026-04-01
403 - 3	OTHER	Procedures For Obesity	60	46	$197,873.20	$138,511.24 30% off	$11,436.65	$187,979.54	$148,404.90	2026-04-01
405 - 4	OTHER	Other Procedures For Endocrine Nutritional And Metabolic Disorders	60	46	$844,984.25	$591,488.97 30% off	$27,057.83	$802,735.04	$633,738.19	2026-04-01
4174008	CDM	H Multivisceral Dd Acquistion	62	46	$179,196.00	$125,437.20 30% off	$30,463.32	$170,236.20	$141,833.64	2026-04-01
421 - 4	OTHER	Malnutrition Failure To Thrive And Other Nutritional Disorders	60	46	$452,471.75	$316,730.22 30% off	$10,590.72	$429,848.16	$339,353.81	2026-04-01
423 - 4	OTHER	Inborn Errors Of Metabolism	60	46	$494,980.19	$346,486.13 30% off	$13,863.65	$470,231.18	$371,235.14	2026-04-01
424 - 4	OTHER	Other Endocrine Disorders	60	46	$430,169.78	$301,118.85 30% off	$10,734.55	$408,661.29	$322,627.34	2026-04-01
425 - 4	OTHER	Other Non-hypovolemic Electrolyte Disorders	60	46	$187,559.66	$131,291.76 30% off	$8,647.23	$178,181.67	$140,669.74	2026-04-01
427 - 4	OTHER	Thyroid Disorders	60	46	$661,953.94	$463,367.76 30% off	$10,553.90	$628,856.24	$496,465.45	2026-04-01
440 - 2	OTHER	Kidney Transplant	60	46	$410,979.91	$287,685.93 30% off	$29,761.49	$390,430.91	$308,234.93	2026-04-01
440 - 3	OTHER	Kidney Transplant	60	46	$554,825.56	$388,377.89 30% off	$34,700.48	$527,084.28	$416,119.17	2026-04-01
440 - 4	OTHER	Kidney Transplant	60	46	$2,187,950.25	$1,531,565.17 30% off	$52,643.90	$2,078,552.74	$1,640,962.69	2026-04-01
441 - 1	OTHER	Major Bladder Procedures	60	46	$334,864.03	$234,404.82 30% off	$9,050.27	$318,120.83	$251,148.02	2026-04-01
441 - 2	OTHER	Major Bladder Procedures	60	46	$270,666.38	$189,466.46 30% off	$13,772.94	$257,133.06	$202,999.78	2026-04-01
441 - 3	OTHER	Major Bladder Procedures	60	46	$387,476.03	$271,233.22 30% off	$18,008.70	$368,102.23	$290,607.02	2026-04-01
441 - 4	OTHER	Major Bladder Procedures	60	46	$617,895.75	$432,527.02 30% off	$35,480.76	$587,000.96	$463,421.81	2026-04-01
442 - 2	OTHER	Kidney And Urinary Tract Procedures For Malignancy	60	46	$204,588.16	$143,211.71 30% off	$9,830.55	$194,358.75	$153,441.12	2026-04-01
442 - 3	OTHER	Kidney And Urinary Tract Procedures For Malignancy	60	46	$213,467.61	$149,427.33 30% off	$14,282.25	$202,794.23	$160,100.71	2026-04-01
443 - 3	OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	60	46	$231,654.98	$162,158.49 30% off	$12,133.06	$220,072.24	$173,741.24	2026-04-01
447 - 3	OTHER	Other Kidney Urinary Tract And Related Procedures	60	46	$187,543.55	$131,280.48 30% off	$12,853.38	$178,166.37	$140,657.66	2026-04-01
461 - 3	OTHER	Kidney And Urinary Tract Malignancy	60	46	$248,419.38	$173,893.56 30% off	$6,556.10	$235,998.41	$186,314.53	2026-04-01
462 - 4	OTHER	Nephritis And Nephrosis	60	46	$700,477.88	$490,334.51 30% off	$15,624.21	$665,453.98	$525,358.41	2026-04-01
463 - 4	OTHER	Kidney And Urinary Tract Infections	60	46	$299,663.06	$209,764.14 30% off	$7,519.31	$284,679.91	$224,747.30	2026-04-01
468 - 4	OTHER	Other Kidney And Urinary Tract Diagnoses Signs And Symptoms	60	46	$408,454.41	$285,918.08 30% off	$9,616.51	$388,031.69	$306,340.80	2026-04-01
583 - 1	OTHER	Neonate With Ecmo	60	46	$1,687,788.13	$1,181,451.69 30% off	$93,467.47	$1,603,398.72	$1,265,841.09	2026-04-01
583 - 2	OTHER	Neonate With Ecmo	60	46	$608,733.44	$426,113.41 30% off	$108,157.32	$578,296.77	$456,550.08	2026-04-01
583 - 3	OTHER	Neonate With Ecmo	18	12	—	—	$146,673.05	$4,887,145.25	$3,458,595.10	2026-04-01
583 - 4	OTHER	Neonate With Ecmo	11	10	—	—	$185,188.79	$4,928,197.50	$203,707.47	2026-04-01
588 - 2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	60	46	$251,817.48	$176,272.24 30% off	$93,172.47	$239,226.61	$188,863.11	2026-04-01
588 - 4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	60	46	$4,734,607.00	$3,314,224.90 30% off	$151,905.03	$4,497,876.65	$3,550,955.25	2026-04-01
591 - 4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	60	46	$524,908.56	$367,435.99 30% off	$95,669.41	$498,663.13	$393,681.42	2026-04-01
593 - 4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	60	46	$1,784,667.38	$1,249,267.16 30% off	$99,070.99	$1,695,434.01	$1,338,500.53	2026-04-01
602 - 4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	60	46	$1,550,216.50	$1,085,151.55 30% off	$71,014.28	$1,472,705.68	$1,162,662.38	2026-04-01
607 - 3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	60	46	$709,980.19	$496,986.13 30% off	$42,433.08	$674,481.18	$532,485.14	2026-04-01
607 - 4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	60	46	$824,810.69	$577,367.48 30% off	$54,545.27	$783,570.15	$618,608.02	2026-04-01
609 - 3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	60	46	$569,671.00	$398,769.70 30% off	$47,358.79	$541,187.45	$427,253.25	2026-04-01
609 - 4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	60	46	$2,787,393.25	$1,951,175.27 30% off	$95,059.15	$2,648,023.59	$2,090,544.94	2026-04-01
611 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	60	46	$1,808,598.75	$1,266,019.13 30% off	$26,997.87	$1,718,168.81	$1,356,449.06	2026-04-01
611 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	60	46	$1,258,253.88	$880,777.71 30% off	$41,450.14	$1,195,341.18	$943,690.41	2026-04-01
612 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	60	46	$789,972.13	$552,980.49 30% off	$27,875.68	$750,473.52	$592,479.09	2026-04-01
621 - 2	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	60	46	$202,191.31	$141,533.92 30% off	$8,026.72	$192,081.75	$151,643.48	2026-04-01
621 - 3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	60	46	$417,607.56	$292,325.29 30% off	$19,088.04	$396,727.18	$313,205.67	2026-04-01
621 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	60	46	$529,621.31	$370,734.92 30% off	$32,518.28	$503,140.25	$397,215.98	2026-04-01
622 - 2	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	60	46	$616,154.00	$431,307.80 30% off	$13,180.52	$585,346.30	$462,115.50	2026-04-01
622 - 3	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	60	46	$452,900.56	$317,030.39 30% off	$14,947.92	$430,255.53	$339,675.42	2026-04-01
622 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	60	46	$199,943.02	$139,960.11 30% off	$25,666.53	$189,945.86	$149,957.26	2026-04-01
625 - 3	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	60	46	$420,336.66	$294,235.66 30% off	$15,465.95	$399,319.82	$315,252.49	2026-04-01
630 - 2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	60	46	$285,465.19	$199,825.63 30% off	$33,800.66	$271,191.93	$214,098.89	2026-04-01
630 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	60	46	$674,320.25	$472,024.17 30% off	$53,274.28	$640,604.24	$505,740.19	2026-04-01
630 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	60	46	$1,975,590.38	$1,382,913.26 30% off	$110,258.30	$1,876,810.86	$1,481,692.78	2026-04-01
631 - 2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	60	46	$271,172.97	$189,821.08 30% off	$21,493.78	$257,614.32	$203,379.73	2026-04-01
631 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	60	46	$700,511.56	$490,358.09 30% off	$35,046.60	$665,485.98	$525,383.67	2026-04-01
631 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	60	46	$1,764,142.25	$1,234,899.57 30% off	$91,260.97	$1,675,935.14	$1,323,106.69	2026-04-01
633 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	60	46	$318,873.13	$223,211.19 30% off	$11,429.06	$302,929.47	$239,154.84	2026-04-01
633 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	60	46	$753,919.69	$527,743.78 30% off	$29,555.79	$716,223.70	$565,439.77	2026-04-01
634 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	60	46	$221,527.69	$155,069.38 30% off	$7,791.42	$210,451.30	$166,145.77	2026-04-01
634 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	60	46	$457,227.78	$320,059.45 30% off	$22,652.43	$434,366.39	$342,920.84	2026-04-01
639 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	60	46	$410,643.94	$287,450.76 30% off	$13,864.03	$390,111.74	$307,982.95	2026-04-01
660 - 4	OTHER	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	60	46	$393,580.47	$275,506.33 30% off	$14,724.38	$373,901.45	$295,185.35	2026-04-01
661 - 4	OTHER	Coagulation And Platelet Disorders	60	46	$314,092.53	$219,864.77 30% off	$13,909.19	$298,387.90	$235,569.40	2026-04-01
662 - 4	OTHER	Sickle Cell Anemia Crisis	60	46	$252,852.42	$176,996.70 30% off	$11,105.72	$240,209.80	$189,639.32	2026-04-01
663 - 4	OTHER	Other Anemia And Disorders Of Blood And Blood-forming Organs	60	46	$220,704.66	$154,493.26 30% off	$9,496.58	$209,669.42	$165,528.49	2026-04-01
680 - 4	OTHER	Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	60	46	$712,213.69	$498,549.58 30% off	$39,722.97	$676,603.00	$534,160.27	2026-04-01
681 - 3	OTHER	Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	60	46	$401,947.63	$281,363.34 30% off	$15,920.23	$381,850.24	$301,460.72	2026-04-01
681 - 4	OTHER	Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	60	46	$477,631.72	$334,342.20 30% off	$33,872.38	$453,750.13	$358,223.79	2026-04-01
690 - 2	OTHER	Acute Leukemia	60	46	$194,475.14	$136,132.60 30% off	$9,997.16	$184,751.38	$145,856.36	2026-04-01
690 - 3	OTHER	Acute Leukemia	60	46	$272,327.34	$190,629.14 30% off	$18,621.99	$258,710.98	$204,245.51	2026-04-01
690 - 4	OTHER	Acute Leukemia	60	46	$381,396.88	$266,977.81 30% off	$32,423.02	$362,327.03	$286,047.66	2026-04-01
691 - 3	OTHER	Lymphoma Myeloma And Non-acute Leukemia	60	46	$258,361.83	$180,853.28 30% off	$10,240.81	$245,443.74	$193,771.37	2026-04-01
691 - 4	OTHER	Lymphoma Myeloma And Non-acute Leukemia	60	46	$468,694.16	$328,085.91 30% off	$19,053.12	$445,259.45	$351,520.62	2026-04-01
695 - 4	OTHER	Chemotherapy For Acute Leukemia	60	46	$481,072.00	$336,750.40 30% off	$30,514.82	$457,018.40	$360,804.00	2026-04-01
710 - 3	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	60	46	$562,139.13	$393,497.39 30% off	$14,784.73	$534,032.17	$421,604.34	2026-04-01
710 - 4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	60	46	$1,315,790.63	$921,053.44 30% off	$27,266.56	$1,250,001.09	$986,842.97	2026-04-01
711 - 3	OTHER	Post-operative Post-trauma Other Device Infections With O.r. Procedure	60	46	$244,668.81	$171,268.17 30% off	$13,697.04	$232,435.37	$183,501.61	2026-04-01
711 - 4	OTHER	Post-operative Post-trauma Other Device Infections With O.r. Procedure	60	46	$398,357.19	$278,850.03 30% off	$25,720.80	$378,439.33	$298,767.89	2026-04-01
720 - 4	OTHER	Septicemia And Disseminated Infections	60	46	$308,770.38	$216,139.26 30% off	$11,492.06	$293,331.86	$231,577.78	2026-04-01
721 - 4	OTHER	Post-operative Post-traumatic Other Device Infections	60	46	$257,309.72	$180,116.80 30% off	$12,578.99	$244,444.23	$192,982.29	2026-04-01
724 - 4	OTHER	Other Infectious And Parasitic Diseases	60	46	$384,948.78	$269,464.15 30% off	$13,683.76	$365,701.34	$288,711.59	2026-04-01
757 - 3	OTHER	Organic Mental Health Disturbances	60	46	$246,228.59	$172,360.02 30% off	$5,633.89	$233,917.16	$184,671.45	2026-04-01
758 - 3	OTHER	Behavioral Disorders	60	46	$415,127.84	$290,589.49 30% off	$4,890.04	$394,371.45	$311,345.88	2026-04-01
773 - 3	OTHER	Opioid Abuse And Dependence	60	46	$444,076.00	$310,853.20 30% off	$4,612.23	$421,872.20	$333,057.00	2026-04-01
792 - 2	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	60	46	$271,508.47	$190,055.93 30% off	$10,571.36	$257,933.05	$203,631.35	2026-04-01
792 - 3	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	60	46	$385,774.41	$270,042.08 30% off	$15,750.59	$366,485.69	$289,330.80	2026-04-01
793 - 3	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	60	46	$246,533.58	$172,573.50 30% off	$11,931.54	$234,206.90	$184,900.18	2026-04-01
793 - 4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	60	46	$343,192.75	$240,234.92 30% off	$23,280.91	$326,033.11	$257,394.56	2026-04-01
794 - 2	OTHER	Non-extensive O.r. Procedures For Other Complications Of Treatment	60	46	$404,899.16	$283,429.41 30% off	$6,666.54	$384,654.20	$303,674.37	2026-04-01
812 - 4	OTHER	Poisoning Of Medicinal Agents	60	46	$248,935.78	$174,255.05 30% off	$8,010.40	$236,488.99	$186,701.84	2026-04-01
817 - 4	OTHER	Intentional Self-harm And Attempted Suicide	60	46	$194,114.86	$135,880.40 30% off	$8,716.30	$184,409.12	$145,586.14	2026-04-01
850 - 2	OTHER	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	60	46	$381,196.53	$266,837.57 30% off	$13,850.36	$362,136.70	$285,897.40	2026-04-01
850 - 3	OTHER	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	60	46	$267,220.25	$187,054.17 30% off	$16,979.08	$253,859.24	$200,415.19	2026-04-01
850 - 4	OTHER	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	60	46	$517,481.88	$362,237.31 30% off	$36,072.81	$491,607.78	$388,111.41	2026-04-01
861 - 4	OTHER	Signs Symptoms And Other Factors Influencing Health Status	60	46	$594,483.63	$416,138.54 30% off	$5,538.63	$564,759.44	$445,862.72	2026-04-01
863 - 3	OTHER	Neonatal Aftercare	60	46	$226,669.08	$158,668.35 30% off	$26,073.37	$215,335.62	$170,001.81	2026-04-01
863 - 4	OTHER	Neonatal Aftercare	60	46	$305,799.97	$214,059.98 30% off	$40,636.08	$290,509.97	$229,349.98	2026-04-01
910 - 4	OTHER	Craniotomy For Multiple Significant Trauma	60	46	$598,227.06	$418,758.94 30% off	$40,137.40	$568,315.71	$448,670.30	2026-04-01
911 - 4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	60	46	$349,376.66	$244,563.66 30% off	$37,919.52	$331,907.82	$262,032.49	2026-04-01
912 - 3	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	60	46	$236,965.66	$165,875.96 30% off	$20,749.55	$225,117.37	$177,724.24	2026-04-01
912 - 4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	60	46	$356,959.06	$249,871.34 30% off	$36,842.08	$339,111.11	$267,719.30	2026-04-01
930 - 4	OTHER	Multiple Significant Trauma Without O.r. Procedure	60	46	$604,866.13	$423,406.29 30% off	$17,030.69	$574,622.82	$453,649.59	2026-04-01
950 - 2	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	60	46	$311,305.00	$217,913.50 30% off	$11,966.46	$295,739.75	$233,478.75	2026-04-01
950 - 3	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	60	46	$452,179.59	$316,525.72 30% off	$18,118.76	$429,570.61	$339,134.70	2026-04-01
950 - 4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	60	46	$1,723,211.75	$1,206,248.22 30% off	$33,057.19	$1,637,051.16	$1,292,408.81	2026-04-01
951 - 3	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	60	46	$340,677.53	$238,474.27 30% off	$13,706.15	$323,643.65	$255,508.15	2026-04-01
951 - 4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	60	46	$663,186.63	$464,230.64 30% off	$24,569.74	$630,027.29	$497,389.97	2026-04-01
952 - 3	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	60	46	$539,388.75	$377,572.13 30% off	$12,009.72	$512,419.31	$404,541.56	2026-04-01
952 - 4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	60	46	$570,686.81	$399,480.77 30% off	$21,124.13	$542,152.47	$428,015.11	2026-04-01
J3392	HCPCS	H Gene Therapy Casgevy	10	8	—	—	$1,615,000.00	$4,750,000.00	$4,265,500.00	2026-04-01
J3393	HCPCS	H Gene Therapy Zynteglo	32	21	—	$4,550,000.00	$1,105,000.00	$4,875,000.00	$3,900,000.00	2026-04-01
J3394	HCPCS	H Gene Therapy Lyfgenia	64	47	$4,429,000.00	$3,100,300.00 30% off	$752,930.00	$4,207,550.00	$3,394,828.50	2026-04-01
J3399	HCPCS	Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspensionkit	122	47	$1,171,875.50	$820,312.85 30% off	$0.17	$2,018,750.00	$316,406.39	2026-04-01
Q2042	HCPCS	H Kymriah Per Dose	64	47	$2,900,000.00	$2,030,000.00 30% off	$493,000.00	$2,755,000.00	$2,222,850.00	2026-04-01

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