Hospital

INTENSIVE SPECIALTY HOSPITAL

Shreveport, LA · CCN 192010 · Rates published

1,138 distinct procedures filed

21 distinct payers

12,361 rate rows

2026-05-14 last MRF observed

Data quality

12,167 of 12,361 rate rows are consumer-grade (98.4%)

194 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	194

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

Source MRF file	https://intensivespecialty.com/wp-content/uploads/2026/04/83-4071258_ShreveportCampus_IntensiveSpecialtyHospital_Standardcharges.csv
Found on page	https://intensivespecialty.com/price-transparency/
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-06-18
Content fingerprint	8bae2eebd737e262… · 1,946,545 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
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	8	$153,323.91	$153,323.91	$153,323.91	nat. median $181,005 0.8× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	8	$126,107.69	$126,107.69	$126,107.69	nat. median $134,983 0.9× median
163 OTHER	Major Chest Procedures With Mcc	8	$104,075.72	$104,075.72	$104,075.72	nat. median $47,944 outlier · 2.2×
164 OTHER	Room & Board Isolation	9	$2,100.00	$104,075.72	$104,075.72	nat. median $24,242 outlier · 4.3×
165 OTHER	Major Chest Procedures Without Cc/mcc	8	$104,075.72	$104,075.72	$104,075.72	nat. median $19,105 outlier · 5.4×
166 OTHER	Other Respiratory System O.r. Procedures With Mcc	8	$102,745.64	$102,745.64	$102,745.64	nat. median $38,129 outlier · 2.7×
11 OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	8	$102,745.64	$102,745.64	$102,745.64	nat. median $49,519 outlier · 2.1×
140 OTHER	Major Head And Neck Procedures With Mcc	8	$102,745.64	$102,745.64	$102,745.64	nat. median $37,242 outlier · 2.8×
981 OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	8	$102,732.47	$102,732.47	$102,732.47	nat. median $33,955 outlier · 3.0×
987 OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	8	$93,632.59	$93,632.59	$93,632.59	nat. median $28,388 outlier · 3.3×
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	8	$90,959.25	$90,959.25	$90,959.25	nat. median $54,564 1.7× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	8	$85,362.37	$85,362.37	$85,362.37	nat. median $66,849 1.3× median
B0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	8	$70,859.64	$75,168.74	$73,014.19	nat. median $86,320 0.8× median
167 OTHER	Other Respiratory System O.r. Procedures With Cc	8	$69,238.95	$69,238.95	$69,238.95	nat. median $18,396 outlier · 3.8×
12 OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	8	$69,238.95	$69,238.95	$69,238.95	nat. median $39,504 1.8× median
168 OTHER	Other Respiratory System O.r. Procedures Without Cc/mcc	8	$69,238.95	$69,238.95	$69,238.95	nat. median $12,971 outlier · 5.3×
173 OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	8	$69,238.95	$69,238.95	$69,238.95	nat. median $25,789 outlier · 2.7×
853 OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	8	$66,556.84	$66,556.84	$66,556.84	nat. median $39,509 1.7× median
B1904 OTHER	Guillain-barr� M <38.50	8	$61,314.59	$71,157.98	$66,236.29	nat. median $80,609 0.8× median
40 OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	8	$64,484.89	$64,484.89	$64,484.89	nat. median $35,347 1.8× median
799 OTHER	Splenic Procedures With Mcc	8	$61,271.62	$61,271.62	$61,271.62	nat. median $43,209 1.4× median
356 OTHER	Other Digestive System O.r. Procedures With Mcc	8	$61,271.62	$61,271.62	$61,271.62	nat. median $43,743 1.4× median
C0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	8	$59,221.22	$63,014.10	$61,117.66	nat. median $71,021 0.9× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	8	$61,038.97	$61,038.97	$61,038.97	nat. median $54,881 1.1× median
579 OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	8	$59,546.46	$59,546.46	$59,546.46	nat. median $30,752 1.9× median
582 OTHER	Mastectomy For Malignancy With Cc/mcc	8	$59,546.46	$59,546.46	$59,546.46	nat. median $18,095 outlier · 3.3×
D0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	8	$57,518.36	$61,170.45	$59,344.40	nat. median $68,708 0.9× median
856 OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	8	$59,155.78	$59,155.78	$59,155.78	nat. median $32,385 1.8× median
B1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	8	$57,675.91	$60,186.61	$58,931.26	nat. median $68,402 0.9× median
205 OTHER	Other Respiratory System Diagnoses With Mcc	8	$57,566.70	$57,566.70	$57,566.70	nat. median $17,709 outlier · 3.3×
622 OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	8	$57,399.89	$57,399.89	$57,399.89	nat. median $31,621 1.8× median
619 OTHER	O.r. Procedures For Obesity With Mcc	8	$57,399.89	$57,399.89	$57,399.89	nat. median $26,261 outlier · 2.2×
551 OTHER	Medical Back Problems With Mcc	8	$57,325.27	$57,325.27	$57,325.27	nat. median $15,276 outlier · 3.8×
64 OTHER	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	8	$57,101.39	$57,101.39	$57,101.39	nat. median $19,110 outlier · 3.0×
61 OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	8	$57,101.39	$57,101.39	$57,101.39	nat. median $26,323 outlier · 2.2×
901 OTHER	Wound Debridements For Injuries With Mcc	8	$56,324.41	$56,324.41	$56,324.41	nat. median $29,541 1.9× median
245 OTHER	Aicd Generator Procedures	8	$55,775.70	$55,775.70	$55,775.70	nat. median $43,285 1.3× median
264 OTHER	Other Circulatory System O.r. Procedures	8	$55,775.70	$55,775.70	$55,775.70	nat. median $32,470 1.7× median
263 OTHER	Vein Ligation And Stripping	8	$55,775.70	$55,775.70	$55,775.70	nat. median $26,524 outlier · 2.1×
982 OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	8	$55,644.01	$55,644.01	$55,644.01	nat. median $17,204 outlier · 3.2×
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	$55,411.35	$55,411.35	$55,411.35	nat. median $56,507 1.0× median
254 OTHER	Other Vascular Procedures Without Cc/mcc	8	$55,411.35	$55,411.35	$55,411.35	nat. median $16,771 outlier · 3.3×
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	$55,411.35	$55,411.35	$55,411.35	nat. median $60,727 0.9× median
255 OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	8	$55,411.35	$55,411.35	$55,411.35	nat. median $21,899 outlier · 2.5×
251 OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	8	$55,411.35	$55,411.35	$55,411.35	nat. median $11,991 outlier · 4.6×
252 OTHER	Other Vascular Procedures With Mcc	8	$55,411.35	$55,411.35	$55,411.35	nat. median $25,377 outlier · 2.2×
220 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	8	$55,411.35	$55,411.35	$55,411.35	nat. median $50,021 1.1× median
215 OTHER	Other Heart Assist System Implant	8	$55,411.35	$55,411.35	$55,411.35	nat. median $92,359 0.6× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	$55,411.35	$55,411.35	$55,411.35	nat. median $90,130 0.6× median
250 OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	8	$55,411.35	$55,411.35	$55,411.35	nat. median $54 outlier · 1032.4×

Other procedures at this hospital

Browse this hospital's 1,138 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

3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	8	8	$153,323.91	—	$153,323.91	$153,323.91	$153,323.91	2026-05-14
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	8	8	$126,107.69	—	$126,107.69	$126,107.69	$126,107.69	2026-05-14
165	OTHER	Major Chest Procedures Without Cc/mcc	8	8	$104,075.72	—	$104,075.72	$104,075.72	$104,075.72	2026-05-14
164	OTHER	Room & Board Isolation	12	9	$104,075.72	—	$2,100.00	$104,075.72	$104,075.72	2026-05-14
163	OTHER	Major Chest Procedures With Mcc	8	8	$104,075.72	—	$104,075.72	$104,075.72	$104,075.72	2026-05-14
140	OTHER	Major Head And Neck Procedures With Mcc	8	8	$102,745.64	—	$102,745.64	$102,745.64	$102,745.64	2026-05-14
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	8	8	$102,745.64	—	$102,745.64	$102,745.64	$102,745.64	2026-05-14
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	8	8	$102,745.64	—	$102,745.64	$102,745.64	$102,745.64	2026-05-14
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	8	8	$102,732.47	—	$102,732.47	$102,732.47	$102,732.47	2026-05-14
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	8	8	$93,632.59	—	$93,632.59	$93,632.59	$93,632.59	2026-05-14
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	8	8	$90,959.25	—	$90,959.25	$90,959.25	$90,959.25	2026-05-14
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	8	8	$85,362.37	—	$85,362.37	$85,362.37	$85,362.37	2026-05-14
B0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	16	8	$73,014.19	—	$70,859.64	$75,168.74	$73,014.19	2026-05-14
168	OTHER	Other Respiratory System O.r. Procedures Without Cc/mcc	8	8	$69,238.95	—	$69,238.95	$69,238.95	$69,238.95	2026-05-14
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	8	8	$69,238.95	—	$69,238.95	$69,238.95	$69,238.95	2026-05-14
167	OTHER	Other Respiratory System O.r. Procedures With Cc	8	8	$69,238.95	—	$69,238.95	$69,238.95	$69,238.95	2026-05-14
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	8	8	$69,238.95	—	$69,238.95	$69,238.95	$69,238.95	2026-05-14
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	8	8	$66,556.84	—	$66,556.84	$66,556.84	$66,556.84	2026-05-14
B1904	OTHER	Guillain-barr� M <38.50	16	8	$66,236.29	—	$61,314.59	$71,157.98	$66,236.29	2026-05-14
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	8	8	$64,484.89	—	$64,484.89	$64,484.89	$64,484.89	2026-05-14
356	OTHER	Other Digestive System O.r. Procedures With Mcc	8	8	$61,271.62	—	$61,271.62	$61,271.62	$61,271.62	2026-05-14
799	OTHER	Splenic Procedures With Mcc	8	8	$61,271.62	—	$61,271.62	$61,271.62	$61,271.62	2026-05-14
C0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	16	8	$61,117.66	—	$59,221.22	$63,014.10	$61,117.66	2026-05-14
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	8	8	$61,038.97	—	$61,038.97	$61,038.97	$61,038.97	2026-05-14
582	OTHER	Mastectomy For Malignancy With Cc/mcc	8	8	$59,546.46	—	$59,546.46	$59,546.46	$59,546.46	2026-05-14
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	8	8	$59,546.46	—	$59,546.46	$59,546.46	$59,546.46	2026-05-14
D0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	16	8	$59,344.40	—	$57,518.36	$61,170.45	$59,344.40	2026-05-14
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	8	8	$59,155.78	—	$59,155.78	$59,155.78	$59,155.78	2026-05-14
B1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	16	8	$58,931.26	—	$57,675.91	$60,186.61	$58,931.26	2026-05-14
205	OTHER	Other Respiratory System Diagnoses With Mcc	8	8	$57,566.70	—	$57,566.70	$57,566.70	$57,566.70	2026-05-14
619	OTHER	O.r. Procedures For Obesity With Mcc	8	8	$57,399.89	—	$57,399.89	$57,399.89	$57,399.89	2026-05-14
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	8	8	$57,399.89	—	$57,399.89	$57,399.89	$57,399.89	2026-05-14
551	OTHER	Medical Back Problems With Mcc	8	8	$57,325.27	—	$57,325.27	$57,325.27	$57,325.27	2026-05-14
64	OTHER	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	8	8	$57,101.39	—	$57,101.39	$57,101.39	$57,101.39	2026-05-14
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	8	8	$57,101.39	—	$57,101.39	$57,101.39	$57,101.39	2026-05-14
901	OTHER	Wound Debridements For Injuries With Mcc	8	8	$56,324.41	—	$56,324.41	$56,324.41	$56,324.41	2026-05-14
264	OTHER	Other Circulatory System O.r. Procedures	8	8	$55,775.70	—	$55,775.70	$55,775.70	$55,775.70	2026-05-14
263	OTHER	Vein Ligation And Stripping	8	8	$55,775.70	—	$55,775.70	$55,775.70	$55,775.70	2026-05-14
245	OTHER	Aicd Generator Procedures	8	8	$55,775.70	—	$55,775.70	$55,775.70	$55,775.70	2026-05-14
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	8	8	$55,644.01	—	$55,644.01	$55,644.01	$55,644.01	2026-05-14
253	OTHER	Other Vascular Procedures With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
256	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
329	OTHER	Major Small And Large Bowel Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
963	OTHER	Other Multiple Significant Trauma With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
39	OTHER	Extracranial Procedures Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
232	OTHER	Coronary Bypass With Ptca Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
385	OTHER	Inflammatory Bowel Disease With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
254	OTHER	Other Vascular Procedures Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
744	OTHER	D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
252	OTHER	Other Vascular Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
33	OTHER	Ventricular Shunt Procedures Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
31	OTHER	Ventricular Shunt Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
215	OTHER	Other Heart Assist System Implant	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
748	OTHER	Female Reproductive System Reconstructive Procedures	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
750	OTHER	Other Female Reproductive System O.r. Procedures Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
229	OTHER	Other Cardiothoracic Procedures Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
918	OTHER	Poisoning And Toxic Effects Of Drugs Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
738	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
787	OTHER	Cesarean Section Without Sterilization With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
740	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
73	OTHER	Cranial And Peripheral Nerve Disorders With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
747	OTHER	Vagina, Cervix And Vulva Procedures Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
270	OTHER	Other Major Cardiovascular Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
746	OTHER	Vagina, Cervix And Vulva Procedures With Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
562	OTHER	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
643	OTHER	Endocrine Disorders With Mcc*	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
499	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
228	OTHER	Other Cardiothoracic Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
917	OTHER	Poisoning And Toxic Effects Of Drugs With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
519	OTHER	Back And Neck Procedures Except Spinal Fusion With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
42	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
231	OTHER	Coronary Bypass With Ptca With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
693	OTHER	Urinary Stones With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
241	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
38	OTHER	Extracranial Procedures With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
743	OTHER	Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
251	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
37	OTHER	Extracranial Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
35	OTHER	Carotid Artery Stent Procedures With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
755	OTHER	Malignancy, Female Reproductive System With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
735	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
202	OTHER	Room & Board ICU Medical	12	9	$55,411.35	—	$2,625.00	$55,411.35	$55,411.35	2026-05-14
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
36	OTHER	Carotid Artery Stent Procedures Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
745	OTHER	D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
41	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
784	OTHER	Cesarean Section With Sterilization With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
32	OTHER	Ventricular Shunt Procedures With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
741	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
754	OTHER	Malignancy, Female Reproductive System With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
54	OTHER	Nervous System Neoplasms With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
742	OTHER	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
843	OTHER	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
257	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
850	OTHER	Acute Leukemia With Other Procedures	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
783	OTHER	Cesarean Section With Sterilization With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
34	OTHER	Carotid Artery Stent Procedures With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
737	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
786	OTHER	Cesarean Section Without Sterilization With Mcc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
271	OTHER	Other Major Cardiovascular Procedures With Cc	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	8	8	$55,411.35	—	$55,411.35	$55,411.35	$55,411.35	2026-05-14
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	8	8	$55,358.68	—	$55,358.68	$55,358.68	$55,358.68	2026-05-14
828	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	8	8	$55,196.26	—	$55,196.26	$55,196.26	$55,196.26	2026-05-14
907	OTHER	Other O.r. Procedures For Injuries With Mcc*	8	8	$55,196.26	—	$55,196.26	$55,196.26	$55,196.26	2026-05-14
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	8	8	$55,196.26	—	$55,196.26	$55,196.26	$55,196.26	2026-05-14
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	8	8	$55,196.26	—	$55,196.26	$55,196.26	$55,196.26	2026-05-14
955	OTHER	Craniotomy For Multiple Significant Trauma	8	8	$55,196.26	—	$55,196.26	$55,196.26	$55,196.26	2026-05-14
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	8	8	$55,196.26	—	$55,196.26	$55,196.26	$55,196.26	2026-05-14
908	OTHER	Other O.r. Procedures For Injuries With Cc*	8	8	$55,196.26	—	$55,196.26	$55,196.26	$55,196.26	2026-05-14
822	OTHER	Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc	8	8	$55,196.26	—	$55,196.26	$55,196.26	$55,196.26	2026-05-14
A0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	16	8	$54,596.18	—	$53,609.83	$55,582.53	$54,596.18	2026-05-14
500	OTHER	Soft Tissue Procedures With Mcc	8	8	$54,068.10	—	$54,068.10	$54,068.10	$54,068.10	2026-05-14
B0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	16	8	$53,921.57	—	$51,831.55	$56,011.60	$53,921.57	2026-05-14
B0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	16	8	$52,844.72	—	$51,079.01	$54,610.43	$52,844.72	2026-05-14
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	8	8	$52,632.67	—	$52,632.67	$52,632.67	$52,632.67	2026-05-14
28	OTHER	Spinal Procedures With Mcc	8	8	$52,632.67	—	$52,632.67	$52,632.67	$52,632.67	2026-05-14
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	8	8	$52,632.67	—	$52,632.67	$52,632.67	$52,632.67	2026-05-14
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc*	8	8	$52,549.26	—	$52,549.26	$52,549.26	$52,549.26	2026-05-14
665	OTHER	Prostatectomy With Mcc	8	8	$52,549.26	—	$52,549.26	$52,549.26	$52,549.26	2026-05-14
653	OTHER	Major Bladder Procedures With Mcc	8	8	$52,549.26	—	$52,549.26	$52,549.26	$52,549.26	2026-05-14
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	8	8	$52,035.66	—	$52,035.66	$52,035.66	$52,035.66	2026-05-14
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	8	8	$51,833.74	—	$51,833.74	$51,833.74	$51,833.74	2026-05-14
570	OTHER	Skin Debridement With Mcc*	8	8	$51,680.10	—	$51,680.10	$51,680.10	$51,680.10	2026-05-14
B0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	16	8	$50,526.76	—	$50,499.10	$50,554.41	$50,526.76	2026-05-14
974	OTHER	HIV With Major Related Condition With Mcc*	8	8	$50,025.18	—	$50,025.18	$50,025.18	$50,025.18	2026-05-14
C1904	OTHER	Guillain-barr� M <38.50	16	8	$48,977.26	—	$47,138.64	$50,815.87	$48,977.26	2026-05-14
583	OTHER	Mastectomy For Malignancy Without Cc/mcc	8	8	$48,936.53	—	$48,936.53	$48,936.53	$48,936.53	2026-05-14
580	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	8	8	$48,936.53	—	$48,936.53	$48,936.53	$48,936.53	2026-05-14
581	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	8	8	$48,936.53	—	$48,936.53	$48,936.53	$48,936.53	2026-05-14
B0106	OTHER	Stroke M <41.50 And A <84.50	16	8	$48,677.25	—	$48,642.05	$48,712.44	$48,677.25	2026-05-14
C1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	16	8	$48,181.14	—	$46,010.66	$50,351.61	$48,181.14	2026-05-14
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc*	8	8	$47,097.24	—	$47,097.24	$47,097.24	$47,097.24	2026-05-14
919	OTHER	Complications Of Treatment With Mcc	8	8	$47,075.29	—	$47,075.29	$47,075.29	$47,075.29	2026-05-14
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc*	8	8	$47,022.61	—	$47,022.61	$47,022.61	$47,022.61	2026-05-14
53	OTHER	Spinal Disorders And Injuries Without Cc/mcc	8	8	$46,667.04	—	$46,667.04	$46,667.04	$46,667.04	2026-05-14
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	8	8	$46,667.04	—	$46,667.04	$46,667.04	$46,667.04	2026-05-14
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	8	8	$46,667.04	—	$46,667.04	$46,667.04	$46,667.04	2026-05-14
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	8	8	$46,667.04	—	$46,667.04	$46,667.04	$46,667.04	2026-05-14
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	8	8	$46,667.04	—	$46,667.04	$46,667.04	$46,667.04	2026-05-14
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	8	8	$46,667.04	—	$46,667.04	$46,667.04	$46,667.04	2026-05-14
52	OTHER	Spinal Disorders And Injuries With Cc/mcc	8	8	$46,667.04	—	$46,667.04	$46,667.04	$46,667.04	2026-05-14
D1904	OTHER	Guillain-barr� M <38.50	16	8	$46,593.93	—	$43,986.01	$49,201.85	$46,593.93	2026-05-14
438	OTHER	Disorders Of Pancreas Except Malignancy With Mcc	8	8	$45,991.03	—	$45,991.03	$45,991.03	$45,991.03	2026-05-14
675	OTHER	Other Kidney And Urinary Tract Procedures Without Cc/mcc*	8	8	$45,938.35	—	$45,938.35	$45,938.35	$45,938.35	2026-05-14
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc*	8	8	$45,938.35	—	$45,938.35	$45,938.35	$45,938.35	2026-05-14
666	OTHER	Prostatectomy With Cc	8	8	$45,938.35	—	$45,938.35	$45,938.35	$45,938.35	2026-05-14
654	OTHER	Major Bladder Procedures With Cc	8	8	$45,938.35	—	$45,938.35	$45,938.35	$45,938.35	2026-05-14
A1904	OTHER	Guillain-barr� M <38.50	16	8	$45,233.82	—	$43,225.08	$47,242.55	$45,233.82	2026-05-14
C0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	16	8	$45,110.63	—	$44,128.47	$46,092.79	$45,110.63	2026-05-14
D1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	16	8	$45,069.57	—	$43,680.97	$46,458.17	$45,069.57	2026-05-14
B0205	OTHER	Traumatic Brain Injury M <35.50	16	8	$45,010.90	—	$44,222.33	$45,799.48	$45,010.90	2026-05-14
288	OTHER	Acute And Subacute Endocarditis With Mcc	8	8	$44,731.18	—	$44,731.18	$44,731.18	$44,731.18	2026-05-14
393	OTHER	Other Digestive System Diagnoses With Mcc	8	8	$44,599.49	—	$44,599.49	$44,599.49	$44,599.49	2026-05-14
C0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	16	8	$44,224.85	—	$43,025.64	$45,424.05	$44,224.85	2026-05-14
D0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	16	8	$43,801.65	—	$42,859.71	$44,743.58	$43,801.65	2026-05-14
B1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	16	8	$43,633.20	—	$43,320.62	$43,945.78	$43,633.20	2026-05-14
388	OTHER	Gastrointestinal Obstruction With Mcc	8	8	$43,374.76	—	$43,374.76	$43,374.76	$43,374.76	2026-05-14
189	OTHER	Pulmonary Edema And Respiratory Failure	8	8	$42,962.13	—	$42,962.13	$42,962.13	$42,962.13	2026-05-14
640	OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	8	8	$42,948.96	—	$42,948.96	$42,948.96	$42,948.96	2026-05-14
D0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	16	8	$42,940.99	—	$41,787.04	$44,094.95	$42,940.99	2026-05-14
B0105	OTHER	Stroke M <41.50 And A >=84.50	16	8	$42,699.65	—	$42,571.43	$42,827.86	$42,699.65	2026-05-14
B0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	16	8	$42,612.49	—	$40,620.52	$44,604.47	$42,612.49	2026-05-14
539	OTHER	Osteomyelitis With Mcc*	8	8	$42,549.49	—	$42,549.49	$42,549.49	$42,549.49	2026-05-14
380	OTHER	Complicated Peptic Ulcer With Mcc	8	8	$42,040.29	—	$42,040.29	$42,040.29	$42,040.29	2026-05-14
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	8	8	$42,040.29	—	$42,040.29	$42,040.29	$42,040.29	2026-05-14
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	8	8	$42,040.29	—	$42,040.29	$42,040.29	$42,040.29	2026-05-14
411	OTHER	Cholecystectomy With C.d.e. With Mcc	8	8	$42,040.29	—	$42,040.29	$42,040.29	$42,040.29	2026-05-14
B1903	OTHER	Guillain-barr� M >=38.50 And M <51.50	16	8	$42,016.66	—	$41,941.24	$42,092.08	$42,016.66	2026-05-14
C0106	OTHER	Stroke M <41.50 And A <84.50	16	8	$41,919.45	—	$41,592.62	$42,246.28	$41,919.45	2026-05-14
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	8	8	$41,864.70	—	$41,864.70	$41,864.70	$41,864.70	2026-05-14
623	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	8	8	$41,645.21	—	$41,645.21	$41,645.21	$41,645.21	2026-05-14
620	OTHER	O.r. Procedures For Obesity With Cc	8	8	$41,645.21	—	$41,645.21	$41,645.21	$41,645.21	2026-05-14
B0604	OTHER	Neurological M <43.50	16	8	$41,502.95	—	$41,265.79	$41,740.11	$41,502.95	2026-05-14
903	OTHER	Wound Debridements For Injuries Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
142	OTHER	Major Head And Neck Procedures Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
374	OTHER	Digestive Malignancy With Mcc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
141	OTHER	Major Head And Neck Procedures With Cc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
904	OTHER	Skin Grafts For Injuries With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
671	OTHER	Urethral Procedures With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
669	OTHER	Transurethral Procedures With Cc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
670	OTHER	Transurethral Procedures Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
672	OTHER	Urethral Procedures Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
668	OTHER	Transurethral Procedures With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
488	OTHER	Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
709	OTHER	Penis Procedures With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
667	OTHER	Prostatectomy Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
922	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
575	OTHER	Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
139	OTHER	Salivary Gland Procedures	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
905	OTHER	Intensive Outpatient Psychiatric Services, Per Diem	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
138	OTHER	Mouth Procedures Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
501	OTHER	Soft Tissue Procedures With Cc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
717	OTHER	Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
435	OTHER	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
137	OTHER	Mouth Procedures With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
117	OTHER	Intraocular Procedures Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
663	OTHER	Minor Bladder Procedures With Cc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
578	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
136	OTHER	Sinus And Mastoid Procedures Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
664	OTHER	Minor Bladder Procedures Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
312	OTHER	Syncope And Collapse	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
658	OTHER	Kidney And Ureter Procedures For Neoplasm Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
306	OTHER	Cardiac Congenital And Valvular Disorders With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
157	OTHER	Dental And Oral Diseases With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
661	OTHER	Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
304	OTHER	Hypertension With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
660	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Cc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
116	OTHER	Intraocular Procedures With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
155	OTHER	Other Ear, Nose, Mouth And Throat Diagnoses With Cc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
657	OTHER	Kidney And Ureter Procedures For Neoplasm With Cc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
713	OTHER	Transurethral Prostatectomy With Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
154	OTHER	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
115	OTHER	Extraocular Procedures Except Orbit	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
152	OTHER	Otitis Media And Uri With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
655	OTHER	Major Bladder Procedures Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
198	OTHER	Interstitial Lung Disease Without Cc/mcc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
197	OTHER	Interstitial Lung Disease With Cc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
196	OTHER	Interstitial Lung Disease With Mcc*	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
283	OTHER	Acute Myocardial Infarction, Expired With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
545	OTHER	Connective Tissue Disorders With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	8	8	$41,460.84	—	$41,460.84	$41,460.84	$41,460.84	2026-05-14

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