Hospital

HOLY FAMILY HOSPITAL

Methuen, MA · CCN 220080 · Rates published

12,810 distinct procedures filed

34 distinct payers

619,765 rate rows

2026-05-13 last MRF observed

Data quality

445,030 of 619,765 rate rows are consumer-grade (71.8%)

174,735 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	112,511
template filing: same amount across many unrelated codes — excluded	60,421
per-diem day rate — not a per-procedure price	1,759
placeholder amount (≤ $0.02) — excluded from medians	44

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

Source MRF file	https://www.mhlawrencehospital.org/getmedia/e6c34e8a-4f60-484a-a120-519d4d00f386/042103586_LawerenceGeneralHospital_standardcharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-18
Content fingerprint	320a9cc1d416363f… · 163,782,983 bytes · first seen 2026-05-13

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
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	$6,259.71	$1,471,932.64	$1,401,840.61	nat. median $424,868 outlier · 3.3×
007 OTHER	Lung Transplant	17	$6,259.71	$1,070,233.55	$1,019,270.04	nat. median $141,082 outlier · 7.2×
002-4 OTHER	Heart And/or Lung Transplant	10	$482,350.54	$837,317.46	$559,811.12	nat. median $216,800 outlier · 2.6×
583-4 OTHER	Neonate With Ecmo	8	$306,063.08	$793,116.12	$525,242.46	nat. median $309,400 1.7× median
161-4 OTHER	Implantable Heart Assist Systems	10	$351,917.29	$585,585.76	$473,144.38	nat. median $202,242 outlier · 2.3×
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$421,931.41	$637,116.43	$470,123.58	nat. median $267,493 1.8× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	19	$6,259.71	$461,325.55	$439,357.66	nat. median $150,232 outlier · 2.9×
583-3 OTHER	Neonate With Ecmo	8	$254,026.14	$647,376.32	$428,726.04	nat. median $259,487 1.7× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	17	$6,259.71	$445,580.01	$412,977.96	nat. median $263,894 1.6× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	10	$224,819.83	$459,698.05	$382,326.88	nat. median $151,691 outlier · 2.5×
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$271,824.39	$410,454.83	$380,617.89	nat. median $165,000 outlier · 2.3×
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$266,168.96	$401,915.13	$371,942.09	nat. median $153,523 outlier · 2.4×
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	10	$225,734.14	$418,801.29	$354,317.66	nat. median $124,561 outlier · 2.8×
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	$228,605.39	$382,722.57	$342,792.69	nat. median $110,000 outlier · 3.1×
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	17	$6,259.71	$358,327.43	$341,264.21	nat. median $117,167 outlier · 2.9×
002-3 OTHER	Heart And/or Lung Transplant	10	$233,569.31	$368,365.90	$333,173.00	nat. median $133,471 outlier · 2.5×
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	18	$6,259.71	$343,498.31	$327,141.25	nat. median $64,729 outlier · 5.1×
583-2 OTHER	Neonate With Ecmo	8	$250,307.54	$479,104.25	$317,287.59	nat. median $191,347 1.7× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	18	$6,259.71	$337,480.68	$305,531.64	nat. median $218,232 1.4× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	$275,208.26	$440,195.67	$303,022.02	nat. median $169,856 1.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$216,954.66	$385,727.06	$300,114.63	nat. median $156,696 1.9× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$190,999.04	$399,440.56	$279,718.83	nat. median $151,250 1.8× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	9	$200,000.00	$511,239.82	$279,212.69	nat. median $172,311 1.6× median
161-3 OTHER	Implantable Heart Assist Systems	10	$183,191.75	$448,619.39	$274,760.47	nat. median $152,491 1.8× median
583-1 OTHER	Neonate With Ecmo	8	$250,307.54	$383,767.27	$272,465.98	nat. median $171,226 1.6× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	$215,898.34	$444,547.37	$264,830.96	nat. median $210,669 1.3× median
006 OTHER	Liver Transplant Without Mcc	17	$6,259.71	$276,673.47	$263,498.55	nat. median $50,611 outlier · 5.2×
008 OTHER	Simultaneous Pancreas And Kidney Transplant	17	$6,259.71	$267,710.61	$254,962.49	nat. median $59,265 outlier · 4.3×
588-1 OTHER	Female Reproductive System Reconstructive Procedures	10	$165,286.17	$395,088.52	$253,591.03	nat. median $75,325 outlier · 3.4×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	$226,807.80	$359,581.97	$248,671.34	nat. median $107,050 outlier · 2.3×
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	18	$6,259.71	$252,030.29	$240,028.85	nat. median $66,849 outlier · 3.6×
005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	10	$147,520.70	$269,568.23	$238,852.21	nat. median $88,000 outlier · 2.7×
570 OTHER	Skin Debridement With Mcc	18	$6,259.71	$248,040.42	$236,228.97	nat. median $33,751 outlier · 7.0×
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	18	$6,259.71	$244,113.91	$232,489.44	nat. median $67,670 outlier · 3.4×
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	$159,270.28	$286,319.92	$230,280.98	nat. median $125,000 1.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	18	$6,259.71	$339,472.95	$226,627.56	nat. median $146,562 1.5× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$148,780.79	$256,866.99	$225,192.43	nat. median $112,711 2.0× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	10	$163,459.21	$328,939.89	$222,007.72	nat. median $106,926 outlier · 2.1×
161-2 OTHER	Implantable Heart Assist Systems	10	$111,692.07	$360,202.69	$220,609.40	nat. median $109,992 outlier · 2.0×
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	$139,000.00	$425,932.21	$219,113.11	nat. median $150,954 1.5× median
006-4 OTHER	Pancreas Transplant	10	$157,143.12	$348,790.77	$218,425.15	nat. median $92,449 outlier · 2.4×
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	$50,021.00	$385,231.27	$211,426.09	nat. median $105,647 outlier · 2.0×
002-2 OTHER	Heart And/or Lung Transplant	10	$166,191.84	$295,921.33	$210,078.23	nat. median $106,681 2.0× median
161-1 OTHER	Implantable Heart Assist Systems	10	$79,255.29	$342,190.66	$209,578.74	nat. median $101,352 outlier · 2.1×
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	$139,970.66	$226,349.83	$208,091.93	nat. median $108,000 1.9× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	17	$6,259.71	$216,110.69	$205,819.70	nat. median $104,489 2.0× median
004-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	$152,053.99	$268,527.75	$204,689.70	nat. median $91,000 outlier · 2.2×
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$136,911.44	$225,977.01	$202,469.40	nat. median $99,157 outlier · 2.0×
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	$137,048.77	$225,770.64	$198,874.65	nat. median $99,067 outlier · 2.0×
178-4 OTHER	External Heart Assist Systems	9	$104,366.84	$213,558.81	$197,397.36	nat. median $67,533 outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 12,810 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

165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	10	10	—	—	$45,046.64	$111,630.75	$68,441.71	2026-05-13
850-3	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	10	10	—	—	$32,924.96	$91,309.08	$68,456.76	2026-05-13
263-4	OTHER	Cholecystectomy	10	10	—	—	$34,549.99	$87,673.18	$68,476.27	2026-05-13
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	18	18	—	—	$6,259.71	$72,126.78	$68,692.17	2026-05-13
513-4	OTHER	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	10	10	—	—	$48,645.88	$84,662.23	$69,246.56	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	18	18	—	—	$6,259.71	$72,779.16	$69,313.49	2026-05-13
170-3	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	10	10	—	—	$44,440.80	$78,247.41	$69,424.21	2026-05-13
169-3	OTHER	Major Abdominal Vascular Procedures	10	10	—	—	$40,361.58	$97,593.77	$69,505.76	2026-05-13
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	18	18	—	—	$6,259.71	$72,989.59	$69,513.89	2026-05-13
174-4	OTHER	Percutaneous Cardiac Intervention With Ami	10	10	—	—	$33,280.32	$94,912.10	$69,584.17	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	18	18	—	—	$6,259.71	$121,156.41	$69,659.65	2026-05-13
333	OTHER	Rectal Resection With Cc	18	18	—	—	$6,259.71	$73,436.53	$69,939.56	2026-05-13
314-4	OTHER	Foot And Toe Procedures	10	10	—	—	$30,842.16	$81,893.95	$69,941.61	2026-05-13
794-4	OTHER	Non-extensive O.r. Procedures For Other Complications Of Treatment	10	9	—	—	$44,134.80	$85,700.00	$69,991.94	2026-05-13
950-3	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	10	10	—	—	$33,080.43	$78,695.57	$70,035.85	2026-05-13
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	9	—	—	$50,000.00	$133,472.28	$70,612.18	2026-05-13
680-3	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	10	10	—	—	$38,547.77	$89,654.13	$71,338.05	2026-05-13
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$49,028.58	$87,035.04	$71,430.74	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	18	18	—	—	$6,259.71	$107,024.49	$71,481.59	2026-05-13
020-3	OTHER	Open Craniotomy For Trauma	10	10	—	—	$36,128.12	$88,068.31	$72,094.83	2026-05-13
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	10	10	—	—	$57,112.94	$136,556.99	$72,177.12	2026-05-13
326-4	OTHER	Elective Knee Joint Replacement	9	9	—	—	$30,475.70	$168,820.26	$72,501.10	2026-05-13
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	10	10	—	—	$46,564.32	$126,768.70	$72,754.45	2026-05-13
364-4	OTHER	Other Skin, Subcutaneous Tissue And Related Procedures	10	10	—	—	$30,606.49	$95,145.22	$72,770.38	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	18	18	—	—	$6,259.71	$109,897.62	$72,770.49	2026-05-13
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	10	10	—	—	$50,933.50	$108,046.48	$72,814.60	2026-05-13
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	10	10	—	—	$37,571.77	$111,587.96	$72,832.86	2026-05-13
091-3	OTHER	Other Major Head And Neck Procedures	10	10	—	—	$51,207.42	$96,648.83	$73,057.20	2026-05-13
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	18	18	—	—	$6,259.71	$77,000.67	$73,333.97	2026-05-13
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	10	10	—	—	$46,091.74	$105,686.19	$73,391.91	2026-05-13
912-3	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	10	10	—	—	$31,322.15	$83,660.14	$73,417.48	2026-05-13
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	8	8	—	—	$53,158.98	$80,270.06	$73,883.55	2026-05-13
008-1	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	9	9	—	—	$47,977.11	$118,729.02	$74,194.84	2026-05-13
027-3	OTHER	Other Open Craniotomy	9	9	—	—	$42,739.27	$76,490.06	$74,598.15	2026-05-13
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	10	10	—	—	$40,850.98	$126,567.91	$74,646.83	2026-05-13
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	10	10	—	—	$50,285.71	$102,888.61	$74,728.23	2026-05-13
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	8	8	—	—	$54,728.48	$91,331.04	$74,948.86	2026-05-13
312-3	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	10	10	—	—	$37,853.09	$92,778.03	$75,058.06	2026-05-13
043-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	10	10	—	—	$47,373.74	$92,470.15	$75,284.57	2026-05-13
308-4	OTHER	Hip And Femur Fracture Repair	10	10	—	—	$29,452.81	$102,352.12	$75,639.49	2026-05-13
230-4	OTHER	Major Small Bowel Procedures	9	9	—	—	$62,177.88	$133,509.16	$75,959.56	2026-05-13
325-3	OTHER	Non-elective Or Complex Knee Joint Replacement	9	9	—	—	$37,524.88	$85,000.00	$76,158.86	2026-05-13
691-4	OTHER	Lymphoma, Myeloma And Non-acute Leukemia	10	10	—	—	$43,593.12	$121,695.64	$76,819.75	2026-05-13
910-3	OTHER	Craniotomy For Multiple Significant Trauma	10	10	—	—	$53,538.23	$102,720.02	$77,678.68	2026-05-13
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$52,142.73	$141,209.61	$77,913.54	2026-05-13
177-4	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	10	10	—	—	$29,114.73	$140,154.34	$78,445.54	2026-05-13
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	10	10	—	—	$59,833.50	$108,146.58	$78,768.62	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	18	18	—	—	$6,259.71	$121,558.68	$78,944.80	2026-05-13
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$56,467.76	$127,392.48	$79,014.32	2026-05-13
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	18	18	—	—	$6,259.71	$86,720.19	$79,016.74	2026-05-13
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	18	18	—	—	$6,259.71	$83,003.94	$79,051.37	2026-05-13
519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	10	10	—	—	$54,863.42	$87,606.32	$79,517.15	2026-05-13
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	18	18	—	—	$6,259.71	$83,607.92	$79,626.59	2026-05-13
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	10	10	—	—	$50,595.41	$132,977.04	$80,131.31	2026-05-13
432	OTHER	Cirrhosis And Alcoholic Hepatitis With Mcc	18	18	—	—	$5,575.62	$84,426.33	$80,406.03	2026-05-13
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	10	10	—	—	$42,554.19	$109,761.38	$80,576.17	2026-05-13
690-3	OTHER	Acute Leukemia	10	10	—	—	$57,142.40	$111,591.04	$80,682.87	2026-05-13
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	8	8	—	—	$69,080.25	$104,311.18	$80,725.93	2026-05-13
745	OTHER	D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc	18	18	—	—	$3,222.37	$84,781.80	$80,744.57	2026-05-13
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$62,670.15	$94,631.93	$81,045.16	2026-05-13
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$64,792.90	$97,837.28	$81,045.16	2026-05-13
098-4	OTHER	Other Ear, Nose, Mouth And Throat Procedures	10	10	—	—	$50,008.09	$111,905.14	$81,307.03	2026-05-13
181-3	OTHER	Lower Extremity Arterial Procedures	9	9	—	—	$33,933.05	$204,124.55	$81,309.54	2026-05-13
277	OTHER	Cellulitis Age >17 W Cc	18	18	—	—	$6,259.71	$85,464.19	$81,394.46	2026-05-13
423-4	OTHER	Inborn Errors Of Metabolism	8	8	—	—	$55,895.90	$114,525.65	$81,979.18	2026-05-13
443-4	OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	10	10	—	—	$37,858.02	$109,668.18	$81,981.50	2026-05-13
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	9	9	—	—	$47,018.38	$96,682.32	$82,000.00	2026-05-13
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	10	10	—	—	$69,820.53	$142,439.27	$82,060.96	2026-05-13
021-3	OTHER	Open Craniotomy Except Trauma	11	10	—	—	$40,573.81	$101,558.32	$82,849.11	2026-05-13
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	10	10	—	—	$45,854.84	$134,218.13	$82,986.26	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	18	18	—	—	$6,259.71	$87,482.93	$83,317.08	2026-05-13
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$64,328.93	$136,279.30	$84,065.06	2026-05-13
895	OTHER	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	18	18	—	—	$4,010.18	$138,385.74	$84,143.72	2026-05-13
440-1	OTHER	Kidney Transplant	10	10	—	—	$68,667.58	$124,906.57	$84,301.79	2026-05-13
179-1	OTHER	Defibrillator Implants	9	9	—	—	$40,576.27	$139,392.97	$84,309.45	2026-05-13
030-3	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	9	9	—	—	$39,054.89	$125,140.45	$84,556.09	2026-05-13
049-4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	10	10	—	—	$49,541.68	$104,556.10	$84,616.49	2026-05-13
317-4	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	10	10	—	—	$55,860.40	$129,946.32	$84,898.36	2026-05-13
444-4	OTHER	Renal Dialysis Access Device Procedures	10	10	—	—	$48,473.13	$131,112.68	$84,956.24	2026-05-13
695-4	OTHER	Chemotherapy For Acute Leukemia	9	9	—	—	$74,726.48	$169,864.47	$85,000.00	2026-05-13
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	10	10	—	—	$38,700.93	$140,879.80	$85,058.80	2026-05-13
952-4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	10	10	—	—	$49,000.00	$129,398.57	$85,170.16	2026-05-13
322-4	OTHER	Shoulder And Elbow Joint Replacement	9	9	—	—	$46,473.01	$155,478.02	$85,233.08	2026-05-13
323-4	OTHER	Non-elective Or Complex Hip Joint Replacement	9	9	—	—	$39,286.87	$259,029.14	$85,932.72	2026-05-13
324-4	OTHER	Elective Hip Joint Replacement	9	9	—	—	$32,970.61	$206,627.95	$86,013.26	2026-05-13
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	9	—	—	$59,643.74	$137,629.13	$86,040.30	2026-05-13
224-4	OTHER	Peritoneal Adhesiolysis	10	10	—	—	$39,581.76	$102,085.17	$86,298.01	2026-05-13
171-4	OTHER	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	10	10	—	—	$39,331.29	$123,605.09	$86,337.91	2026-05-13
050-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	10	10	—	—	$48,028.93	$111,563.21	$86,650.83	2026-05-13
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$69,959.17	$105,638.35	$88,553.36	2026-05-13
310-4	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	10	10	—	—	$48,864.27	$120,038.99	$88,567.71	2026-05-13
514-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	10	10	—	—	$64,115.08	$102,282.74	$89,024.21	2026-05-13
320-4	OTHER	Other Musculoskeletal System And Connective Tissue Procedures	10	10	—	—	$39,924.78	$121,096.18	$89,519.02	2026-05-13
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$35,267.21	$135,290.32	$89,596.24	2026-05-13
029-4	OTHER	Other Percutaneous Intracranial Procedures	9	9	—	—	$60,262.89	$119,213.07	$90,000.00	2026-05-13
182-4	OTHER	Other Peripheral Vascular And Related Procedures	9	9	—	—	$53,971.32	$119,724.12	$90,000.00	2026-05-13
440-2	OTHER	Kidney Transplant	10	10	—	—	$79,826.73	$129,333.87	$90,048.47	2026-05-13
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	10	10	—	—	$74,657.39	$133,928.01	$90,707.68	2026-05-13
180-4	OTHER	Other Circulatory System Procedures	10	10	—	—	$48,790.24	$111,947.27	$91,227.86	2026-05-13
315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	10	10	—	—	$41,248.74	$107,885.13	$91,706.03	2026-05-13
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	9	9	—	—	$47,658.77	$111,568.47	$92,000.00	2026-05-13
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	11	10	—	—	$13,400.15	$124,131.22	$92,039.96	2026-05-13
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	10	10	—	—	$45,229.25	$131,509.12	$93,656.47	2026-05-13
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	9	9	—	—	$46,286.69	$234,649.59	$93,865.36	2026-05-13
403-4	OTHER	Procedures For Obesity	10	10	—	—	$51,932.94	$155,087.15	$94,182.47	2026-05-13
849	OTHER	Radiotherapy	18	18	—	—	$6,259.71	$98,939.48	$94,228.08	2026-05-13
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	8	8	—	—	$72,170.86	$108,978.00	$94,957.16	2026-05-13
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	9	9	—	—	$70,850.85	$127,363.45	$95,000.00	2026-05-13
179-3	OTHER	Defibrillator Implants	9	9	—	—	$63,050.24	$123,343.58	$95,000.00	2026-05-13
179-2	OTHER	Defibrillator Implants	9	9	—	—	$45,770.93	$189,447.18	$95,544.00	2026-05-13
024-4	OTHER	Open Extracranial Vascular Procedures	11	10	—	—	$22,140.52	$134,969.89	$95,674.87	2026-05-13
223-4	OTHER	Other Small And Large Bowel Procedures	8	8	—	—	$40,085.04	$116,223.91	$95,679.90	2026-05-13
313-4	OTHER	Knee And Lower Leg Procedures Except Foot	10	10	—	—	$49,113.52	$139,143.11	$96,339.28	2026-05-13
305-4	OTHER	Amputation Of Lower Limb Except Toes	10	10	—	—	$48,223.89	$127,900.89	$96,752.01	2026-05-13
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	8	—	—	$40,306.08	$117,219.82	$97,897.11	2026-05-13
178-2	OTHER	External Heart Assist Systems	9	9	—	—	$71,935.44	$136,057.83	$98,000.00	2026-05-13
178-1	OTHER	External Heart Assist Systems	9	9	—	—	$64,160.73	$121,352.76	$98,000.00	2026-05-13
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	10	10	—	—	$58,145.55	$110,256.15	$98,012.36	2026-05-13
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	10	10	—	—	$66,373.09	$113,716.92	$98,417.83	2026-05-13
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	10	10	—	—	$59,901.37	$165,112.28	$98,733.68	2026-05-13
183-1	OTHER	Percutaneous Structural Cardiac Procedures	9	9	—	—	$50,162.32	$164,484.05	$98,793.06	2026-05-13
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	10	10	—	—	$52,468.44	$132,302.02	$99,062.35	2026-05-13
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	8	8	—	—	$68,935.07	$105,992.91	$99,079.20	2026-05-13
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	18	18	—	—	$6,259.71	$172,898.19	$99,267.40	2026-05-13
229-4	OTHER	Other Digestive System And Abdominal Procedures	10	10	—	—	$50,958.18	$114,521.30	$99,502.76	2026-05-13
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	9	8	—	—	$27,576.64	$150,382.92	$99,591.34	2026-05-13
232-4	OTHER	Gastric Fundoplication	7	7	—	—	$72,581.54	$249,234.15	$99,787.15	2026-05-13
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	8	—	—	$50,000.00	$150,338.77	$100,001.80	2026-05-13
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	8	8	—	—	$91,648.36	$138,389.02	$100,649.30	2026-05-13
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	10	10	—	—	$43,970.69	$136,163.06	$100,884.43	2026-05-13
309-4	OTHER	Other Significant Hip And Femur Surgery	10	10	—	—	$56,448.96	$126,148.48	$101,435.60	2026-05-13
183-2	OTHER	Percutaneous Structural Cardiac Procedures	9	9	—	—	$52,696.72	$138,842.79	$101,624.35	2026-05-13
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$69,715.90	$112,390.79	$102,995.06	2026-05-13
006-1	OTHER	Pancreas Transplant	10	10	—	—	$92,100.29	$201,241.05	$103,552.55	2026-05-13
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	10	10	—	—	$59,840.91	$132,991.49	$103,703.14	2026-05-13
440-3	OTHER	Kidney Transplant	10	10	—	—	$90,045.15	$148,419.03	$104,253.82	2026-05-13
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	8	—	—	$76,369.27	$115,317.60	$104,928.69	2026-05-13
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	8	—	—	$85,919.68	$141,302.64	$105,280.82	2026-05-13
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	10	10	—	—	$52,067.44	$159,488.28	$105,648.54	2026-05-13
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	18	18	—	—	$6,259.71	$110,996.41	$105,710.87	2026-05-13
197	OTHER	Interstitial Lung Disease With Cc	19	19	—	—	$2,688.66	$111,087.67	$105,797.78	2026-05-13
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	10	10	—	—	$70,066.11	$119,165.66	$106,817.51	2026-05-13
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	10	10	—	—	$64,212.56	$138,616.97	$106,858.79	2026-05-13
231-4	OTHER	Major Large Bowel Procedures	9	9	—	—	$40,365.28	$134,161.49	$106,876.70	2026-05-13
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	9	9	—	—	$68,595.31	$138,142.81	$106,958.10	2026-05-13
650-4	OTHER	Splenectomy	10	10	—	—	$55,275.53	$124,742.72	$107,276.85	2026-05-13
347	OTHER	Anal And Stomal Procedures With Mcc	18	18	—	—	$6,259.71	$112,769.59	$107,399.61	2026-05-13
121-4	OTHER	Other Respiratory And Chest Procedures	10	10	—	—	$50,663.28	$138,467.04	$107,430.37	2026-05-13
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	10	10	—	—	$61,092.06	$154,091.25	$107,863.96	2026-05-13
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$78,733.99	$121,712.88	$108,245.78	2026-05-13
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	15	15	—	—	$6,259.71	$273,655.62	$108,807.93	2026-05-13
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	18	18	—	—	$6,259.71	$114,501.80	$109,049.33	2026-05-13
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	10	10	—	—	$64,667.86	$164,912.13	$109,093.91	2026-05-13
022-4	OTHER	Ventricular Shunt Procedures	10	10	—	—	$65,351.43	$151,287.73	$109,338.03	2026-05-13
014	OTHER	Allogeneic Bone Marrow Transplant	17	17	—	—	$6,259.71	$191,084.61	$109,674.07	2026-05-13
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	10	10	—	—	$54,260.05	$138,003.57	$109,934.49	2026-05-13
026-4	OTHER	Other Nervous System And Related Procedures	10	10	—	—	$68,691.56	$147,133.32	$109,997.41	2026-05-13
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	9	9	—	—	$51,814.49	$296,867.26	$111,635.78	2026-05-13
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	10	10	—	—	$44,777.65	$186,350.88	$112,456.22	2026-05-13
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	8	8	—	—	$98,480.06	$172,208.15	$114,045.13	2026-05-13
091-4	OTHER	Other Major Head And Neck Procedures	10	10	—	—	$76,486.86	$169,842.38	$114,629.82	2026-05-13
183-4	OTHER	Percutaneous Structural Cardiac Procedures	9	9	—	—	$87,811.82	$193,159.16	$115,000.00	2026-05-13
401-4	OTHER	Adrenal Procedures	10	10	—	—	$73,565.40	$195,212.51	$115,022.82	2026-05-13
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	10	—	—	$79,110.47	$166,438.54	$117,373.42	2026-05-13
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	9	9	—	—	$85,071.37	$231,805.00	$118,008.06	2026-05-13
120-4	OTHER	Major Respiratory And Chest Procedures	10	10	—	—	$76,087.46	$149,119.74	$118,038.27	2026-05-13
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	10	10	—	—	$82,628.28	$148,184.58	$118,111.89	2026-05-13
183-3	OTHER	Percutaneous Structural Cardiac Procedures	9	9	—	—	$65,010.88	$205,038.88	$118,327.68	2026-05-13
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	10	10	—	—	$82,729.45	$185,685.79	$118,724.63	2026-05-13
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	18	—	—	$6,259.71	$125,594.48	$119,613.79	2026-05-13
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	10	10	—	—	$83,319.25	$132,648.67	$119,940.76	2026-05-13
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$58,631.30	$136,044.32	$121,073.90	2026-05-13
261-4	OTHER	Major Biliary Tract Procedures	10	10	—	—	$56,219.46	$143,445.56	$121,753.98	2026-05-13
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	10	10	—	—	$66,967.82	$169,888.18	$122,350.54	2026-05-13
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	18	—	—	$6,259.71	$155,546.52	$123,655.48	2026-05-13
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	8	8	—	—	$100,729.23	$152,101.13	$124,303.05	2026-05-13
020-4	OTHER	Open Craniotomy For Trauma	10	10	—	—	$62,683.78	$146,598.76	$124,327.70	2026-05-13
006-2	OTHER	Pancreas Transplant	10	10	—	—	$92,100.29	$203,872.67	$124,942.45	2026-05-13
863-4	OTHER	Neonatal Aftercare	8	8	—	—	$88,998.39	$189,585.77	$125,553.49	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Mcc	19	19	—	—	$6,259.71	$134,035.41	$125,673.42	2026-05-13
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	10	10	—	—	$99,340.00	$205,013.30	$125,676.64	2026-05-13
027-4	OTHER	Other Open Craniotomy	9	9	—	—	$67,787.12	$208,918.03	$126,116.87	2026-05-13
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	10	10	—	—	$89,555.30	$192,579.63	$126,187.40	2026-05-13
181-4	OTHER	Lower Extremity Arterial Procedures	9	9	—	—	$57,463.21	$151,048.40	$126,768.70	2026-05-13
007-2	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$120,000.00	$228,911.23	$127,579.51	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Mcc	18	18	—	—	$6,259.71	$134,086.95	$127,701.86	2026-05-13
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$87,676.22	$159,810.45	$128,765.65	2026-05-13
089-4	OTHER	Major Cranial Or Facial Bone Procedures	10	10	—	—	$73,664.11	$161,914.30	$129,163.22	2026-05-13
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	10	10	—	—	$86,722.30	$195,599.38	$129,930.54	2026-05-13
169-4	OTHER	Major Abdominal Vascular Procedures	10	10	—	—	$67,883.36	$164,804.07	$131,227.31	2026-05-13
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$103,576.17	$214,795.31	$131,821.03	2026-05-13
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	18	—	—	$6,259.71	$138,422.06	$131,830.53	2026-05-13
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	8	—	—	$91,715.06	$146,876.69	$132,612.47	2026-05-13
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$99,336.67	$188,781.26	$133,113.88	2026-05-13
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	10	10	—	—	$71,378.95	$176,340.13	$133,281.92	2026-05-13
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	10	10	—	—	$62,432.07	$161,895.86	$133,801.03	2026-05-13
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	10	10	—	—	$106,005.44	$160,068.22	$135,524.29	2026-05-13
179-4	OTHER	Defibrillator Implants	9	9	—	—	$87,028.31	$169,814.42	$135,962.55	2026-05-13
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	10	10	—	—	$67,947.52	$174,151.05	$136,568.73	2026-05-13
910-4	OTHER	Craniotomy For Multiple Significant Trauma	10	10	—	—	$89,853.90	$184,489.84	$136,687.10	2026-05-13
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	8	—	—	$101,281.17	$152,934.56	$137,564.71	2026-05-13
690-4	OTHER	Acute Leukemia	10	10	—	—	$97,259.67	$185,586.71	$138,793.53	2026-05-13
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	18	18	—	—	$6,259.71	$145,749.12	$138,808.69	2026-05-13
215	OTHER	Other Heart Assist System Implant	18	18	—	—	$6,259.71	$158,316.30	$138,938.44	2026-05-13
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	10	10	—	—	$108,923.58	$198,680.55	$139,075.02	2026-05-13
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$75,355.64	$171,085.27	$140,443.27	2026-05-13
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	10	10	—	—	$67,835.24	$175,802.08	$140,703.50	2026-05-13
007-3	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$132,000.00	$296,121.54	$140,957.89	2026-05-13
023-4	OTHER	Spinal Procedures	10	10	—	—	$54,988.04	$160,072.42	$142,457.93	2026-05-13
441-4	OTHER	Major Bladder Procedures	10	10	—	—	$78,973.51	$162,255.74	$142,514.02	2026-05-13
021-4	OTHER	Open Craniotomy Except Trauma	10	10	—	—	$77,337.38	$168,360.31	$143,079.43	2026-05-13
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	10	10	—	—	$65,938.76	$189,634.53	$144,820.29	2026-05-13
006-3	OTHER	Pancreas Transplant	10	10	—	—	$114,561.04	$225,402.41	$145,294.85	2026-05-13
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	10	10	—	—	$64,962.76	$197,284.75	$145,440.09	2026-05-13
178-3	OTHER	External Heart Assist Systems	9	9	—	—	$77,210.29	$205,916.00	$146,034.03	2026-05-13
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$119,661.54	$192,927.40	$146,475.05	2026-05-13
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	18	18	—	—	$6,259.71	$155,276.37	$147,882.26	2026-05-13
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	8	—	—	$115,103.24	$173,805.89	$148,177.53	2026-05-13
010	OTHER	Pancreas Transplant	17	17	—	—	$6,259.71	$155,667.39	$148,254.66	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	18	18	—	—	$6,259.71	$157,944.94	$150,423.75	2026-05-13
007-1	OTHER	Allogeneic Bone Marrow Transplant	7	7	—	—	$119,083.23	$179,815.67	$150,550.70	2026-05-13
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	11	10	—	—	$17,612.94	$255,077.83	$152,220.08	2026-05-13
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	18	18	—	—	$6,259.71	$160,612.71	$152,964.48	2026-05-13
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	10	10	—	—	$103,140.36	$202,639.65	$155,577.86	2026-05-13
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	10	10	—	—	$61,743.56	$175,005.23	$155,747.53	2026-05-13
471	OTHER	Cervical Spinal Fusion With Mcc	18	18	—	—	$6,259.71	$164,496.75	$156,663.57	2026-05-13
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$126,160.93	$236,848.41	$156,853.25	2026-05-13
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	10	—	—	$114,669.78	$196,675.89	$158,525.93	2026-05-13
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$113,589.98	$185,056.20	$159,086.74	2026-05-13
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	10	10	—	—	$98,646.56	$228,065.85	$160,157.76	2026-05-13
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	18	18	—	—	$6,259.71	$168,543.95	$160,518.05	2026-05-13
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	9	—	—	$100,659.02	$209,259.71	$161,320.91	2026-05-13
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	10	—	—	$82,421.25	$186,960.77	$162,204.03	2026-05-13
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	10	10	—	—	$83,343.93	$210,761.23	$162,446.02	2026-05-13
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$117,413.02	$177,293.66	$163,089.96	2026-05-13
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	10	10	—	—	$73,730.74	$198,638.80	$171,367.14	2026-05-13
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	10	10	—	—	$119,233.91	$202,639.65	$176,175.60	2026-05-13
653	OTHER	Major Bladder Procedures With Mcc	18	18	—	—	$6,259.71	$186,891.46	$177,991.87	2026-05-13
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	9	9	—	—	$120,000.00	$260,563.60	$179,159.88	2026-05-13
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	10	10	—	—	$122,924.46	$252,967.22	$187,329.51	2026-05-13
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$139,157.14	$213,464.00	$189,620.76	2026-05-13
163	OTHER	Major Chest Procedures With Mcc	18	18	—	—	$6,259.71	$199,455.31	$189,957.44	2026-05-13
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$115,160.78	$215,942.63	$192,180.14	2026-05-13
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	10	10	—	—	$141,748.59	$214,040.38	$193,006.02	2026-05-13
440-4	OTHER	Kidney Transplant	10	10	—	—	$115,728.45	$229,337.98	$193,434.62	2026-05-13
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	10	10	—	—	$91,301.25	$251,813.42	$193,720.96	2026-05-13
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$173,227.07	$261,572.87	$194,335.82	2026-05-13
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	18	18	—	—	$6,259.71	$204,178.28	$194,455.50	2026-05-13
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	8	—	—	$166,207.47	$367,951.60	$195,008.93	2026-05-13
002-1	OTHER	Heart And/or Lung Transplant	10	10	—	—	$142,471.65	$229,211.54	$195,242.42	2026-05-13
178-4	OTHER	External Heart Assist Systems	9	9	—	—	$104,366.84	$213,558.81	$197,397.36	2026-05-13
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$137,048.77	$225,770.64	$198,874.65	2026-05-13
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$136,911.44	$225,977.01	$202,469.40	2026-05-13
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	10	—	—	$152,053.99	$268,527.75	$204,689.70	2026-05-13
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	17	17	—	—	$6,259.71	$216,110.69	$205,819.70	2026-05-13
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$139,970.66	$226,349.83	$208,091.93	2026-05-13
161-1	OTHER	Implantable Heart Assist Systems	10	10	—	—	$79,255.29	$342,190.66	$209,578.74	2026-05-13
002-2	OTHER	Heart And/or Lung Transplant	10	10	—	—	$166,191.84	$295,921.33	$210,078.23	2026-05-13
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$50,021.00	$385,231.27	$211,426.09	2026-05-13
006-4	OTHER	Pancreas Transplant	10	10	—	—	$157,143.12	$348,790.77	$218,425.15	2026-05-13
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	9	—	—	$139,000.00	$425,932.21	$219,113.11	2026-05-13
161-2	OTHER	Implantable Heart Assist Systems	10	10	—	—	$111,692.07	$360,202.69	$220,609.40	2026-05-13
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	10	10	—	—	$163,459.21	$328,939.89	$222,007.72	2026-05-13
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$148,780.79	$256,866.99	$225,192.43	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	18	18	—	—	$6,259.71	$339,472.95	$226,627.56	2026-05-13
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$159,270.28	$286,319.92	$230,280.98	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	18	18	—	—	$6,259.71	$244,113.91	$232,489.44	2026-05-13
570	OTHER	Skin Debridement With Mcc	18	18	—	—	$6,259.71	$248,040.42	$236,228.97	2026-05-13
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	10	10	—	—	$147,520.70	$269,568.23	$238,852.21	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	18	18	—	—	$6,259.71	$252,030.29	$240,028.85	2026-05-13
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$226,807.80	$359,581.97	$248,671.34	2026-05-13
588-1	OTHER	Female Reproductive System Reconstructive Procedures	10	10	—	—	$165,286.17	$395,088.52	$253,591.03	2026-05-13
008	OTHER	Simultaneous Pancreas And Kidney Transplant	17	17	—	—	$6,259.71	$267,710.61	$254,962.49	2026-05-13
006	OTHER	Liver Transplant Without Mcc	17	17	—	—	$6,259.71	$276,673.47	$263,498.55	2026-05-13
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$215,898.34	$444,547.37	$264,830.96	2026-05-13
583-1	OTHER	Neonate With Ecmo	8	8	—	—	$250,307.54	$383,767.27	$272,465.98	2026-05-13
161-3	OTHER	Implantable Heart Assist Systems	10	10	—	—	$183,191.75	$448,619.39	$274,760.47	2026-05-13
007-4	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$200,000.00	$511,239.82	$279,212.69	2026-05-13
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$190,999.04	$399,440.56	$279,718.83	2026-05-13
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$216,954.66	$385,727.06	$300,114.63	2026-05-13
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$275,208.26	$440,195.67	$303,022.02	2026-05-13
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	18	18	—	—	$6,259.71	$337,480.68	$305,531.64	2026-05-13
583-2	OTHER	Neonate With Ecmo	8	8	—	—	$250,307.54	$479,104.25	$317,287.59	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	18	18	—	—	$6,259.71	$343,498.31	$327,141.25	2026-05-13
002-3	OTHER	Heart And/or Lung Transplant	10	10	—	—	$233,569.31	$368,365.90	$333,173.00	2026-05-13
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	17	17	—	—	$6,259.71	$358,327.43	$341,264.21	2026-05-13
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	10	—	—	$228,605.39	$382,722.57	$342,792.69	2026-05-13
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	10	10	—	—	$225,734.14	$418,801.29	$354,317.66	2026-05-13
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$266,168.96	$401,915.13	$371,942.09	2026-05-13
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$271,824.39	$410,454.83	$380,617.89	2026-05-13
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	10	10	—	—	$224,819.83	$459,698.05	$382,326.88	2026-05-13
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	17	17	—	—	$6,259.71	$445,580.01	$412,977.96	2026-05-13
583-3	OTHER	Neonate With Ecmo	8	8	—	—	$254,026.14	$647,376.32	$428,726.04	2026-05-13
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	19	19	—	—	$6,259.71	$461,325.55	$439,357.66	2026-05-13
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$421,931.41	$637,116.43	$470,123.58	2026-05-13
161-4	OTHER	Implantable Heart Assist Systems	10	10	—	—	$351,917.29	$585,585.76	$473,144.38	2026-05-13
583-4	OTHER	Neonate With Ecmo	8	8	—	—	$306,063.08	$793,116.12	$525,242.46	2026-05-13
002-4	OTHER	Heart And/or Lung Transplant	10	10	—	—	$482,350.54	$837,317.46	$559,811.12	2026-05-13
007	OTHER	Lung Transplant	17	17	—	—	$6,259.71	$1,070,233.55	$1,019,270.04	2026-05-13
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	18	—	—	$6,259.71	$1,471,932.64	$1,401,840.61	2026-05-13

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