Hospital

EMERSON HOSPITAL -

W Concord, MA · CCN 220084 · Rates published

14,696 distinct procedures filed

37 distinct payers

244,904 rate rows

2026-05-18 last MRF observed

Data quality

226,719 of 244,904 rate rows are consumer-grade (92.6%)

18,185 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	15,869
per-diem day rate — not a per-procedure price	1,371
exceeds 10× this hospital's gross charge — excluded from medians	807
placeholder amount (≤ $0.02) — excluded from medians	82
template filing: same amount across many unrelated codes — excluded	56

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

Source MRF file	https://emersonhealth.org/wp-content/uploads/2026/05/042103565_EmersonHospital_standardcharges.csv
Found on page	https://emersonhealth.org/patients-visitors/insurance-financial/standard-charges-and-price-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-18
Content fingerprint	793c8e639b2a9747… · 36,623,886 bytes · first seen 2026-05-18

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	8	$5,300.00	$1,159,051.65	$1,135,887.98	nat. median $424,868 outlier · 2.7×
007 OTHER	Lung Transplant	7	$5,300.00	$832,273.23	$815,627.77	nat. median $141,082 outlier · 5.8×
583-4 OTHER	Neonate With Ecmo	5	$324,768.40	$666,701.54	$619,389.72	nat. median $309,400 outlier · 2.0×
002-4 OTHER	Heart And/or Lung Transplant	5	$490,334.55	$554,514.87	$511,829.82	nat. median $216,800 outlier · 2.4×
583-3 OTHER	Neonate With Ecmo	5	$269,551.18	$528,040.31	$505,573.17	nat. median $259,487 1.9× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$398,048.51	$546,876.34	$497,560.64	nat. median $267,493 1.9× median
161-4 OTHER	Implantable Heart Assist Systems	5	$351,917.29	$522,878.50	$461,230.63	nat. median $202,242 outlier · 2.3×
583-2 OTHER	Neonate With Ecmo	5	$265,605.31	$389,379.09	$374,159.90	nat. median $191,347 2.0× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	5	$224,819.83	$398,873.86	$358,316.78	nat. median $151,691 outlier · 2.4×
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	8	$5,300.00	$358,121.85	$350,976.77	nat. median $150,232 outlier · 2.3×
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$256,438.11	$376,210.47	$342,362.67	nat. median $165,000 outlier · 2.1×
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	7	$5,300.00	$342,961.16	$336,101.94	nat. median $263,894 1.3× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$251,102.80	$366,830.37	$335,239.44	nat. median $153,523 outlier · 2.2×
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$275,019.17	$343,773.96	$332,553.49	nat. median $169,856 2.0× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$228,605.39	$349,252.68	$318,403.11	nat. median $110,000 outlier · 2.9×
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	5	$225,734.14	$369,652.40	$313,452.66	nat. median $124,561 outlier · 2.5×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$229,093.16	$396,943.16	$312,300.67	nat. median $210,669 1.5× median
002-3 OTHER	Heart And/or Lung Transplant	5	$233,569.31	$325,141.83	$303,215.48	nat. median $133,471 outlier · 2.3×
583-1 OTHER	Neonate With Ecmo	5	$239,764.64	$336,493.48	$299,705.80	nat. median $171,226 1.8× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	4	$268,925.02	$330,803.57	$295,190.47	nat. median $172,311 1.7× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$204,674.21	$344,421.60	$292,557.76	nat. median $156,696 1.9× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$199,458.58	$343,978.90	$291,791.10	nat. median $105,647 outlier · 2.8×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	$224,654.49	$286,700.02	$278,598.63	nat. median $107,050 outlier · 2.6×
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$180,187.78	$356,666.60	$278,084.84	nat. median $151,250 1.8× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	7	$5,300.00	$276,706.44	$271,172.31	nat. median $117,167 outlier · 2.3×
161-3 OTHER	Implantable Heart Assist Systems	5	$194,387.68	$400,579.13	$269,603.65	nat. median $152,491 1.8× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$211,039.82	$320,790.05	$261,382.59	nat. median $150,954 1.7× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	8	$5,300.00	$262,786.43	$257,548.06	nat. median $64,729 outlier · 4.0×
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	8	$5,300.00	$251,951.61	$246,929.94	nat. median $218,232 1.1× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$150,254.99	$255,659.45	$225,792.79	nat. median $125,000 1.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$140,359.24	$231,602.23	$222,879.34	nat. median $112,711 2.0× median
588-1 OTHER	Female Reproductive System Reconstructive Procedures	5	$165,286.17	$366,830.37	$220,667.25	nat. median $75,325 outlier · 2.9×
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	$173,449.16	$221,252.57	$217,840.99	nat. median $106,926 outlier · 2.0×
161-2 OTHER	Implantable Heart Assist Systems	5	$118,518.23	$321,630.50	$216,468.91	nat. median $109,992 2.0× median
006-4 OTHER	Pancreas Transplant	5	$166,747.06	$284,864.06	$214,325.65	nat. median $92,449 outlier · 2.3×
005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	$147,520.70	$250,287.74	$209,833.92	nat. median $88,000 outlier · 2.4×
006 OTHER	Liver Transplant Without Mcc	7	$5,300.00	$210,032.60	$205,831.95	nat. median $50,611 outlier · 4.1×
161-1 OTHER	Implantable Heart Assist Systems	5	$84,099.05	$305,547.29	$205,645.28	nat. median $101,352 outlier · 2.0×
002-2 OTHER	Heart And/or Lung Transplant	5	$166,191.84	$231,562.72	$204,788.48	nat. median $106,681 1.9× median
162-4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	$91,301.25	$208,526.68	$202,105.15	nat. median $80,850 outlier · 2.5×
004-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$152,053.99	$224,227.86	$199,535.62	nat. median $91,000 outlier · 2.2×
008 OTHER	Simultaneous Pancreas And Kidney Transplant	7	$5,300.00	$203,486.05	$199,416.33	nat. median $59,265 outlier · 3.4×
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$129,161.74	$203,362.35	$196,076.61	nat. median $99,157 2.0× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$156,799.51	$328,549.63	$195,999.39	nat. median $203,379 1.0× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$129,291.30	$201,594.06	$195,772.91	nat. median $99,067 2.0× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	$132,047.80	$210,160.47	$193,724.76	nat. median $108,000 1.8× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	$163,421.77	$204,277.21	$190,820.44	nat. median $100,015 1.9× median
002-1 OTHER	Heart And/or Lung Transplant	5	$142,471.65	$198,510.91	$190,326.23	nat. median $57,500 outlier · 3.3×
440-4 OTHER	Kidney Transplant	5	$115,728.45	$201,806.40	$184,168.89	nat. median $87,123 outlier · 2.1×
570 OTHER	Skin Debridement With Mcc	11	$217.65	$186,948.04	$183,209.08	nat. median $33,751 outlier · 5.4×

Other procedures at this hospital

Browse this hospital's 14,696 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…	19	13	$281,966.22	$211,474.67 25% off	$62.84	$134,144.54	$134,144.54	2026-05-08
221-4	OTHER	Major Small & Large Bowel Procedures	6	3	$101,795.09	$76,346.32 25% off	$99,932.12	$146,944.88	$122,583.96	2026-05-08
49-4	OTHER	Bacterial & Tuberculous Infections Of Nervous System	9	6	$64,282.48	$48,211.86 25% off	$30,710.97	$120,587.03	$88,637.80	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	21	16	$123,307.91	$92,480.93 25% off	$1,087.36	$83,787.80	$83,787.80	2026-05-08
225-4	OTHER	Appendectomy	6	3	$28,838.66	$21,629.00 25% off	$63,937.01	$94,015.98	$76,285.87	2026-05-08
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	8	—	—	$5,300.00	$1,159,051.65	$1,135,887.98	2026-05-18
007	OTHER	Lung Transplant	7	7	—	—	$5,300.00	$832,273.23	$815,627.77	2026-05-18
583-4	OTHER	Neonate With Ecmo	5	5	—	—	$324,768.40	$666,701.54	$619,389.72	2026-05-18
002-4	OTHER	Heart And/or Lung Transplant	5	5	—	—	$490,334.55	$554,514.87	$511,829.82	2026-05-18
583-3	OTHER	Neonate With Ecmo	5	5	—	—	$269,551.18	$528,040.31	$505,573.17	2026-05-18
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$398,048.51	$546,876.34	$497,560.64	2026-05-18
161-4	OTHER	Implantable Heart Assist Systems	5	5	—	—	$351,917.29	$522,878.50	$461,230.63	2026-05-18
583-2	OTHER	Neonate With Ecmo	5	5	—	—	$265,605.31	$389,379.09	$374,159.90	2026-05-18
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$224,819.83	$398,873.86	$358,316.78	2026-05-18
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	8	8	—	—	$5,300.00	$358,121.85	$350,976.77	2026-05-18
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$256,438.11	$376,210.47	$342,362.67	2026-05-18
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	7	7	—	—	$5,300.00	$342,961.16	$336,101.94	2026-05-18
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$251,102.80	$366,830.37	$335,239.44	2026-05-18
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$275,019.17	$343,773.96	$332,553.49	2026-05-18
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$228,605.39	$349,252.68	$318,403.11	2026-05-18
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$225,734.14	$369,652.40	$313,452.66	2026-05-18
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$229,093.16	$396,943.16	$312,300.67	2026-05-18
002-3	OTHER	Heart And/or Lung Transplant	5	5	—	—	$233,569.31	$325,141.83	$303,215.48	2026-05-18
583-1	OTHER	Neonate With Ecmo	5	5	—	—	$239,764.64	$336,493.48	$299,705.80	2026-05-18
007-4	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$268,925.02	$330,803.57	$295,190.47	2026-05-18
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$204,674.21	$344,421.60	$292,557.76	2026-05-18
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$199,458.58	$343,978.90	$291,791.10	2026-05-18
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$224,654.49	$286,700.02	$278,598.63	2026-05-18
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$180,187.78	$356,666.60	$278,084.84	2026-05-18
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	7	7	—	—	$5,300.00	$276,706.44	$271,172.31	2026-05-18
161-3	OTHER	Implantable Heart Assist Systems	5	5	—	—	$194,387.68	$400,579.13	$269,603.65	2026-05-18
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$211,039.82	$320,790.05	$261,382.59	2026-05-18
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	8	8	—	—	$5,300.00	$262,786.43	$257,548.06	2026-05-18
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	8	8	—	—	$5,300.00	$251,951.61	$246,929.94	2026-05-18
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$150,254.99	$255,659.45	$225,792.79	2026-05-18
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$140,359.24	$231,602.23	$222,879.34	2026-05-18
588-1	OTHER	Female Reproductive System Reconstructive Procedures	5	5	—	—	$165,286.17	$366,830.37	$220,667.25	2026-05-18
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$173,449.16	$221,252.57	$217,840.99	2026-05-18
161-2	OTHER	Implantable Heart Assist Systems	5	5	—	—	$118,518.23	$321,630.50	$216,468.91	2026-05-18
006-4	OTHER	Pancreas Transplant	5	5	—	—	$166,747.06	$284,864.06	$214,325.65	2026-05-18
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$147,520.70	$250,287.74	$209,833.92	2026-05-18
006	OTHER	Liver Transplant Without Mcc	7	7	—	—	$5,300.00	$210,032.60	$205,831.95	2026-05-18
161-1	OTHER	Implantable Heart Assist Systems	5	5	—	—	$84,099.05	$305,547.29	$205,645.28	2026-05-18
002-2	OTHER	Heart And/or Lung Transplant	5	5	—	—	$166,191.84	$231,562.72	$204,788.48	2026-05-18
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$91,301.25	$208,526.68	$202,105.15	2026-05-18
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$152,053.99	$224,227.86	$199,535.62	2026-05-18
008	OTHER	Simultaneous Pancreas And Kidney Transplant	7	7	—	—	$5,300.00	$203,486.05	$199,416.33	2026-05-18
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$129,161.74	$203,362.35	$196,076.61	2026-05-18
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$156,799.51	$328,549.63	$195,999.39	2026-05-18
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$129,291.30	$201,594.06	$195,772.91	2026-05-18
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$132,047.80	$210,160.47	$193,724.76	2026-05-18
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$163,421.77	$204,277.21	$190,820.44	2026-05-18
002-1	OTHER	Heart And/or Lung Transplant	5	5	—	—	$142,471.65	$198,510.91	$190,326.23	2026-05-18
440-4	OTHER	Kidney Transplant	5	5	—	—	$115,728.45	$201,806.40	$184,168.89	2026-05-18
570	OTHER	Skin Debridement With Mcc	11	11	—	—	$217.65	$186,948.04	$183,209.08	2026-05-18
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	8	8	—	—	$5,300.00	$185,742.07	$182,044.59	2026-05-18
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$141,748.59	$188,146.13	$181,216.53	2026-05-18
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$122,924.46	$193,964.46	$181,083.33	2026-05-18
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$108,642.25	$200,497.64	$176,652.60	2026-05-18
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	4	4	—	—	$162,611.41	$172,558.68	$169,949.34	2026-05-18
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$83,343.93	$177,443.41	$169,476.63	2026-05-18
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$133,871.36	$184,968.47	$165,679.50	2026-05-18
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$131,280.32	$169,315.28	$164,315.64	2026-05-18
007-3	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$135,764.26	$194,951.34	$162,603.39	2026-05-18
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	7	7	—	—	$5,300.00	$165,404.93	$162,096.83	2026-05-18
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$109,906.32	$191,794.03	$155,449.33	2026-05-18
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$100,555.38	$172,117.28	$154,518.61	2026-05-18
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$119,233.91	$188,146.13	$151,880.70	2026-05-18
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$65,938.76	$162,268.06	$151,088.07	2026-05-18
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	8	8	—	—	$5,300.00	$153,608.41	$150,553.60	2026-05-18
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$114,669.78	$154,534.26	$149,801.82	2026-05-18
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$110,767.00	$158,983.36	$149,476.45	2026-05-18
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$73,730.74	$184,431.44	$148,692.50	2026-05-18
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$71,090.23	$152,764.66	$146,521.61	2026-05-18
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$108,587.96	$149,225.32	$144,446.43	2026-05-18
006-3	OTHER	Pancreas Transplant	5	5	—	—	$121,562.54	$200,301.92	$142,567.89	2026-05-18
863-4	OTHER	Neonatal Aftercare	5	5	—	—	$94,437.60	$148,058.37	$142,161.05	2026-05-18
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$61,743.56	$162,488.23	$142,137.03	2026-05-18
910-4	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$89,853.90	$144,499.45	$140,416.28	2026-05-18
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$98,646.56	$211,753.76	$138,966.30	2026-05-18
178-4	OTHER	External Heart Assist Systems	4	4	—	—	$104,366.84	$176,259.13	$137,822.67	2026-05-18
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$107,160.36	$171,820.31	$135,575.01	2026-05-18
007-2	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$122,878.81	$152,492.74	$135,531.26	2026-05-18
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$103,140.36	$188,146.13	$134,850.02	2026-05-18
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	5	5	—	—	$104,498.76	$140,002.81	$134,487.19	2026-05-18
007-1	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$112,342.67	$140,428.34	$133,864.14	2026-05-18
169-4	OTHER	Major Abdominal Vascular Procedures	5	5	—	—	$67,883.36	$136,906.78	$133,035.37	2026-05-18
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	5	5	—	—	$92,947.25	$236,833.74	$132,078.91	2026-05-18
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$108,923.58	$135,573.12	$131,498.04	2026-05-18
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	5	5	—	—	$62,432.06	$139,591.89	$128,888.52	2026-05-18
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$82,713.41	$142,697.20	$128,398.01	2026-05-18
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	5	5	—	—	$66,967.82	$136,515.15	$127,645.83	2026-05-18
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	5	5	—	—	$64,962.76	$183,174.24	$126,196.02	2026-05-18
023-4	OTHER	Spinal Procedures	5	5	—	—	$54,988.04	$148,623.46	$125,872.83	2026-05-18
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	8	8	—	—	$5,300.00	$127,225.99	$124,698.83	2026-05-18
260-4	OTHER	Major Pancreas, Liver & Shunt Procedures	14	11	$51,725.08	$38,793.81 25% off	$67,835.24	$173,152.70	$124,350.99	2026-05-18
021-4	OTHER	Open Craniotomy Except Trauma	5	5	—	—	$77,337.38	$153,865.65	$124,147.71	2026-05-18
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$89,555.30	$150,946.67	$123,010.01	2026-05-18
006-2	OTHER	Pancreas Transplant	5	5	—	—	$97,729.08	$173,881.59	$122,597.48	2026-05-18
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	5	5	—	—	$99,340.00	$159,611.87	$122,512.11	2026-05-18
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$100,659.02	$147,850.03	$122,165.60	2026-05-18
441-4	OTHER	Major Bladder Procedures	14	11	$190,042.25	$142,531.69 25% off	$59,907.57	$159,879.02	$121,638.69	2026-05-18
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$95,548.28	$139,422.96	$120,819.76	2026-05-18
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$103,828.39	$175,278.95	$120,534.43	2026-05-18
220-4	OTHER	Major Stomach, Esophageal & Duodenal Procedures	14	11	$257,895.21	$193,421.41 25% off	$71,161.96	$165,159.01	$119,301.98	2026-05-18
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$67,947.52	$161,695.14	$118,498.48	2026-05-18
950-4	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	14	11	$91,083.20	$68,312.40 25% off	$53,517.04	$168,233.30	$117,328.02	2026-05-18
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	5	5	—	—	$95,027.58	$121,173.11	$117,070.13	2026-05-18
183-4	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$87,811.82	$150,409.59	$116,985.62	2026-05-18
089-4	OTHER	Major Cranial Or Facial Bone Procedures	5	5	—	—	$73,664.11	$134,753.36	$116,797.38	2026-05-18
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	11	11	—	—	$3,097.37	$117,901.80	$115,543.76	2026-05-18
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$86,523.65	$136,371.54	$115,065.70	2026-05-18
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$55,312.55	$126,313.94	$114,947.79	2026-05-18
010	OTHER	Pancreas Transplant	7	7	—	—	$5,300.00	$116,876.20	$114,538.68	2026-05-18
020-4	OTHER	Open Craniotomy For Trauma	5	5	—	—	$62,683.77	$129,708.56	$114,535.06	2026-05-18
120-4	OTHER	Major Respiratory And Chest Procedures	5	5	—	—	$76,087.46	$123,146.93	$114,006.61	2026-05-18
690-4	OTHER	Acute Leukemia	5	5	—	—	$97,259.67	$172,312.88	$113,427.93	2026-05-18
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	8	8	—	—	$5,300.00	$115,718.08	$113,421.08	2026-05-18
179-4	OTHER	Defibrillator Implants	4	4	—	—	$87,028.31	$143,602.82	$113,286.65	2026-05-18
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$82,628.28	$116,393.72	$113,104.74	2026-05-18
895	OTHER	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	8	8	—	—	$5,300.00	$168,092.03	$112,571.12	2026-05-18
091-4	OTHER	Other Major Head And Neck Procedures	5	5	—	—	$81,161.42	$135,207.28	$112,478.40	2026-05-18
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	5	5	—	—	$86,722.30	$181,609.40	$111,853.48	2026-05-18
215	OTHER	Other Heart Assist System Implant	8	8	—	—	$5,300.00	$110,513.65	$108,320.74	2026-05-18
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	5	5	—	—	$86,460.72	$112,508.32	$108,075.90	2026-05-18
261-4	OTHER	Major Biliary Tract Procedures	5	5	—	—	$56,219.46	$127,023.44	$107,735.03	2026-05-18
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	5	5	—	—	$83,319.25	$123,161.16	$105,356.98	2026-05-18
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	8	8	—	—	$5,300.00	$107,333.19	$105,203.89	2026-05-18
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$37,422.60	$107,371.22	$104,337.19	2026-05-18
130-4	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	14	11	$69,661.97	$52,246.48 25% off	$48,934.82	$135,039.89	$103,920.18	2026-05-18
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	5	5	—	—	$91,558.67	$117,442.62	$103,398.20	2026-05-18
401-4	OTHER	Adrenal Procedures	5	5	—	—	$73,565.40	$181,250.20	$103,221.32	2026-05-18
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$59,901.37	$142,823.04	$103,006.83	2026-05-18
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$81,056.31	$126,171.29	$102,629.85	2026-05-18
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	5	5	—	—	$82,729.45	$126,527.32	$102,568.39	2026-05-18
014	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$5,300.00	$104,551.64	$102,477.97	2026-05-18
178-3	OTHER	External Heart Assist Systems	4	4	—	—	$77,210.29	$130,396.03	$101,960.83	2026-05-18
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	8	8	—	—	$5,300.00	$103,992.53	$101,930.04	2026-05-18
440-3	OTHER	Kidney Transplant	5	5	—	—	$90,045.15	$124,926.34	$101,628.72	2026-05-18
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$86,192.82	$175,278.95	$100,063.06	2026-05-18
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$79,110.47	$154,534.26	$100,035.30	2026-05-18
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$68,260.45	$121,685.88	$99,133.33	2026-05-18
006-1	OTHER	Pancreas Transplant	5	5	—	—	$97,729.08	$136,679.20	$98,095.01	2026-05-18
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$49,476.28	$103,409.40	$97,665.07	2026-05-18
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	5	5	—	—	$44,777.65	$173,022.39	$97,576.45	2026-05-18
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$65,769.72	$103,341.14	$97,519.68	2026-05-18
264-4	OTHER	Other Hepatobiliary, Pancreas & Abdominal Procedures	14	11	$39,763.66	$29,822.75 25% off	$61,092.06	$143,070.09	$97,087.67	2026-05-18
231	OTHER	Coronary Bypass With Ptca With Mcc	8	8	—	—	$5,300.00	$98,965.97	$97,004.01	2026-05-18
710-4	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	14	11	$65,765.37	$49,324.03 25% off	$46,889.58	$138,564.27	$96,775.29	2026-05-18
405-4	OTHER	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	14	11	$92,407.93	$69,305.95 25% off	$53,662.33	$153,117.02	$96,035.33	2026-05-18
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	8	—	—	$5,300.00	$97,928.14	$95,986.94	2026-05-18
026-4	OTHER	Other Nervous System And Related Procedures	5	5	—	—	$68,691.56	$136,609.82	$95,442.98	2026-05-18
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	5	5	—	—	$70,066.10	$110,642.50	$95,108.87	2026-05-18
178-2	OTHER	External Heart Assist Systems	4	4	—	—	$71,935.44	$121,488.13	$94,995.32	2026-05-18
022-4	OTHER	Ventricular Shunt Procedures	5	5	—	—	$65,351.43	$138,964.18	$94,870.84	2026-05-18
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$87,151.47	$99,562.10	$94,623.93	2026-05-18
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$72,046.49	$103,634.55	$94,449.39	2026-05-18
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$74,277.35	$113,007.53	$93,923.12	2026-05-18
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$82,870.12	$107,836.39	$93,829.67	2026-05-18
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	4	4	—	—	$85,071.37	$105,371.21	$93,732.53	2026-05-18
711-4	OTHER	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	14	11	$99,718.05	$74,788.54 25% off	$50,059.14	$138,785.37	$93,490.62	2026-05-18
121-4	OTHER	Other Respiratory And Chest Procedures	5	5	—	—	$50,663.28	$128,563.39	$93,215.60	2026-05-18
650-4	OTHER	Splenectomy	5	5	—	—	$55,275.53	$115,820.67	$93,082.40	2026-05-18
447-4	OTHER	Other Kidney, Urinary Tract & Related Procedures	14	11	$68,285.97	$51,214.48 25% off	$36,743.86	$148,081.11	$93,002.38	2026-05-18
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	11	11	—	—	$485.58	$94,600.96	$92,708.94	2026-05-18
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	5	5	—	—	$34,161.35	$124,517.35	$92,559.81	2026-05-18
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	8	8	—	—	$5,300.00	$93,666.40	$91,810.43	2026-05-18
695-4	OTHER	Chemotherapy For Acute Leukemia	4	4	—	—	$74,726.48	$109,856.62	$90,739.42	2026-05-18
222-4	OTHER	Other Stomach, Esophageal & Duodenal Procedures	14	11	$164,912.66	$123,684.50 25% off	$40,345.94	$132,731.54	$89,578.18	2026-05-18
442-4	OTHER	Kidney & Urinary Tract Procedures For Malignancy	14	11	$78,004.67	$58,503.50 25% off	$40,899.16	$126,424.19	$88,808.53	2026-05-18
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	5	5	—	—	$65,033.09	$98,411.92	$88,715.00	2026-05-18
027-4	OTHER	Other Open Craniotomy	4	4	—	—	$67,787.12	$112,611.69	$88,608.35	2026-05-18
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$74,657.39	$109,670.10	$88,423.67	2026-05-18
309-4	OTHER	Other Significant Hip And Femur Surgery	5	5	—	—	$56,448.96	$117,125.88	$88,014.03	2026-05-18
951-4	OTHER	Moderately Extensive Procedure Unrelated To Principal Diagnosis	14	11	$44,166.49	$33,124.87 25% off	$46,197.77	$123,184.91	$87,204.54	2026-05-18
223-4	OTHER	Other Small & Large Bowel Procedures	14	11	$123,174.23	$92,380.67 25% off	$36,979.68	$129,159.78	$86,635.57	2026-05-18
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$45,854.83	$119,845.42	$86,577.88	2026-05-18
229-4	OTHER	Other Digestive System And Abdominal Procedures	5	5	—	—	$50,958.18	$106,330.32	$86,336.95	2026-05-18
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$65,999.22	$92,402.62	$86,323.59	2026-05-18
232-4	OTHER	Gastric Fundoplication	4	4	—	—	$68,473.16	$89,101.48	$86,087.58	2026-05-18
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	4	4	—	—	$68,595.31	$106,443.12	$86,015.32	2026-05-18
440-2	OTHER	Kidney Transplant	5	5	—	—	$84,705.41	$107,144.25	$85,592.07	2026-05-18
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	5	5	—	—	$68,085.72	$95,680.58	$85,107.15	2026-05-18
313-4	OTHER	Knee & Lower Leg Procedures Except Foot	14	11	$86,369.56	$64,777.17 25% off	$46,403.42	$129,191.09	$85,058.51	2026-05-18
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$38,024.60	$108,835.83	$84,943.75	2026-05-18
178-1	OTHER	External Heart Assist Systems	4	4	—	—	$64,160.73	$108,357.74	$84,728.28	2026-05-18
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	5	5	—	—	$66,373.09	$105,583.47	$84,454.60	2026-05-18
305-4	OTHER	Amputation Of Lower Limb Except Toes	5	5	—	—	$48,223.89	$118,752.95	$83,950.16	2026-05-18
183-3	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$65,010.88	$105,656.60	$83,840.95	2026-05-18
230-4	OTHER	Major Small Bowel Procedures	4	4	—	—	$62,177.88	$108,461.11	$83,787.08	2026-05-18
181-4	OTHER	Lower Extremity Arterial Procedures	4	4	—	—	$57,463.21	$113,193.71	$83,729.18	2026-05-18
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$50,595.41	$118,128.56	$83,599.36	2026-05-18
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	5	5	—	—	$41,066.17	$106,962.23	$83,462.38	2026-05-18
024-4	OTHER	Open Extracranial Vascular Procedures	5	5	—	—	$47,397.19	$125,316.35	$83,015.54	2026-05-18
440-1	OTHER	Kidney Transplant	5	5	—	—	$72,864.26	$95,672.29	$82,719.58	2026-05-18
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	8	8	—	—	$5,300.00	$201,736.60	$82,472.45	2026-05-18
179-3	OTHER	Defibrillator Implants	4	4	—	—	$63,050.24	$104,708.28	$82,399.88	2026-05-18
224-4	OTHER	Peritoneal Adhesiolysis	14	11	$23,088.15	$17,316.11 25% off	$37,544.07	$113,869.91	$81,798.85	2026-05-18
403-4	OTHER	Procedures For Obesity	5	5	—	—	$51,932.94	$143,994.76	$81,720.60	2026-05-18
759-4	OTHER	Eating Disorders	5	5	—	—	$18,155.61	$253,511.13	$81,499.27	2026-05-18
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	5	5	—	—	$65,170.05	$84,802.59	$81,462.56	2026-05-18
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	5	5	—	—	$45,229.25	$122,103.11	$81,264.21	2026-05-18
514-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$64,115.08	$86,816.16	$81,072.05	2026-05-18
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$74,087.67	$118,769.01	$80,520.80	2026-05-18
182-4	OTHER	Other Peripheral Vascular Procedures #	10	8	$49,476.00	$37,107.00 25% off	$53,971.32	$140,691.01	$80,297.11	2026-05-18
315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	5	5	—	—	$41,248.74	$100,168.80	$79,571.85	2026-05-18
021-3	OTHER	Open Craniotomy Except Trauma	5	5	—	—	$40,573.81	$85,005.93	$79,571.85	2026-05-18
180-4	OTHER	Other Circulatory System Procedures	5	5	—	—	$48,790.24	$103,940.39	$79,156.94	2026-05-18
320-4	OTHER	Other Musculoskeletal System & Connective Tissue Procedures	14	11	$18,059.62	$13,544.72 25% off	$39,924.78	$112,434.95	$78,803.55	2026-05-18
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$61,125.38	$80,984.59	$78,696.18	2026-05-18
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	8	8	—	—	$5,300.00	$80,006.77	$78,420.65	2026-05-18
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	4	4	—	—	$70,850.85	$88,162.15	$78,260.89	2026-05-18
050-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	5	5	—	—	$48,028.93	$90,401.05	$77,641.46	2026-05-18
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$68,010.45	$88,499.23	$77,004.46	2026-05-18
310-4	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	5	5	—	—	$48,864.27	$111,453.37	$76,848.77	2026-05-18
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	5	5	—	—	$59,833.50	$96,535.22	$76,785.23	2026-05-18
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$46,091.74	$91,308.23	$76,568.29	2026-05-18
910-3	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$53,538.23	$86,099.22	$76,454.48	2026-05-18
519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	5	5	—	—	$54,863.42	$78,225.03	$76,014.60	2026-05-18
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$37,571.76	$99,638.60	$75,985.03	2026-05-18
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$46,564.31	$113,193.71	$75,903.24	2026-05-18
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$50,285.70	$85,953.15	$75,439.12	2026-05-18
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	5	5	—	—	$56,106.33	$78,123.91	$75,046.37	2026-05-18
952-4	OTHER	Nonextensive Procedure Unrelated To Principal Diagnosis	14	11	$46,537.18	$34,902.89 25% off	$48,684.47	$120,143.52	$74,975.26	2026-05-18
171-4	OTHER	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	14	11	$41,566.21	$31,174.66 25% off	$32,825.50	$114,764.41	$74,807.83	2026-05-18
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$59,122.79	$79,004.44	$74,761.16	2026-05-18
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$42,554.19	$84,063.47	$74,678.17	2026-05-18
029-4	OTHER	Other Percutaneous Intracranial Procedures	4	4	—	—	$60,262.89	$91,296.99	$74,490.04	2026-05-18
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	4	4	—	—	$51,814.49	$99,681.30	$74,339.52	2026-05-18
444-4	OTHER	Renal Dialysis Access Device Procedures	5	5	—	—	$48,473.13	$121,735.03	$73,715.16	2026-05-18
317-4	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	5	5	—	—	$55,860.40	$120,652.09	$73,664.93	2026-05-18
049-4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	5	5	—	—	$49,541.68	$92,179.26	$73,420.36	2026-05-18
020-3	OTHER	Open Craniotomy For Trauma	5	5	—	—	$36,128.12	$75,393.56	$73,263.13	2026-05-18
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	5	5	—	—	$43,347.62	$104,386.93	$73,245.82	2026-05-18
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	5	5	—	—	$51,630.64	$81,550.89	$73,061.64	2026-05-18
174-4	OTHER	Percutaneous Cardiac Intervention With Ami	5	5	—	—	$33,280.32	$81,737.41	$72,595.75	2026-05-18
912-3	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	5	5	—	—	$31,322.15	$76,594.96	$72,590.55	2026-05-18
680-3	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$38,547.77	$74,647.49	$72,538.15	2026-05-18
423-4	OTHER	Inborn Errors Of Metabolism	5	5	—	—	$48,499.98	$93,498.70	$71,551.70	2026-05-18
483-4	OTHER	Penis, Testes And Scrotal Procedures	5	5	—	—	$61,245.07	$76,556.33	$71,527.09	2026-05-18
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	4	4	—	—	$47,658.77	$97,831.85	$71,363.07	2026-05-18
091-3	OTHER	Other Major Head And Neck Procedures	5	5	—	—	$51,207.42	$86,299.22	$71,217.63	2026-05-18
443-4	OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	5	5	—	—	$37,858.03	$101,824.32	$71,134.02	2026-05-18
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	5	5	—	—	$50,933.50	$90,317.22	$70,981.13	2026-05-18
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	5	5	—	—	$60,603.44	$111,200.44	$70,822.47	2026-05-18
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$45,046.64	$99,676.80	$70,655.71	2026-05-18
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$46,253.38	$77,714.92	$70,620.15	2026-05-18
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$59,918.83	$99,488.07	$70,553.09	2026-05-18
098-4	OTHER	Other Ear, Nose, Mouth And Throat Procedures	5	5	—	—	$50,008.08	$103,901.27	$70,548.80	2026-05-18
183-2	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$52,696.72	$90,741.94	$70,437.26	2026-05-18
169-3	OTHER	Major Abdominal Vascular Procedures	14	11	$37,176.99	$27,882.74 25% off	$32,475.69	$93,747.51	$69,797.16	2026-05-18
690-3	OTHER	Acute Leukemia	14	11	$21,919.61	$16,439.71 25% off	$46,837.05	$105,889.38	$69,526.21	2026-05-18
849	OTHER	Radiotherapy	8	8	—	—	$5,300.00	$70,646.52	$69,243.93	2026-05-18
177-4	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	5	5	—	—	$29,114.73	$130,129.99	$68,065.93	2026-05-18
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	5	5	—	—	$50,149.98	$72,023.16	$67,954.56	2026-05-18
183-1	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$50,162.32	$88,213.84	$67,941.73	2026-05-18
263-4	OTHER	Cholecystectomy	5	5	—	—	$34,549.99	$71,439.91	$67,908.70	2026-05-18
023-3	OTHER	Spinal Procedures	5	5	—	—	$41,027.88	$79,595.82	$66,937.46	2026-05-18
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$49,191.25	$131,109.79	$66,891.10	2026-05-18
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	5	5	—	—	$56,012.16	$70,015.21	$66,777.55	2026-05-18
170-3	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	5	5	—	—	$44,440.80	$72,650.87	$66,716.40	2026-05-18
691-4	OTHER	Lymphoma, Myeloma And Non-acute Leukemia	5	5	—	—	$43,593.12	$112,991.53	$66,655.25	2026-05-18
231-4	OTHER	Major Large Bowel Procedures	4	4	—	—	$40,365.28	$95,431.84	$66,550.24	2026-05-18
308-4	OTHER	Hip And Femur Fracture Repair	5	5	—	—	$29,452.81	$95,031.53	$65,637.66	2026-05-18
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$36,788.25	$93,488.01	$65,634.02	2026-05-18
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$40,146.88	$96,595.89	$65,527.33	2026-05-18
120-3	OTHER	Major Respiratory And Chest Procedures	5	5	—	—	$35,819.65	$67,258.70	$65,358.14	2026-05-18
043-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	5	5	—	—	$47,373.74	$81,419.27	$65,323.20	2026-05-18
863-3	OTHER	Neonatal Aftercare	5	5	—	—	$43,533.90	$93,867.79	$65,257.04	2026-05-18
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	11	11	—	—	$1,871.14	$66,519.45	$65,180.43	2026-05-18
312-3	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	5	5	—	—	$37,853.09	$86,142.22	$65,126.66	2026-05-18
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	8	8	—	—	$5,300.00	$66,299.43	$64,982.08	2026-05-18
362-4	OTHER	Mastectomy Procedures	5	5	—	—	$52,196.04	$84,537.42	$64,965.23	2026-05-18
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	23	19	$31,222.61	$23,416.96 25% off	$5,300.00	$84,480.13	$64,939.43	2026-05-18
304-2	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	14	11	$57,008.06	$42,756.05 25% off	$29,316.19	$86,564.50	$64,919.92	2026-05-18
631-2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$47,635.33	$77,380.08	$64,865.84	2026-05-18
179-2	OTHER	Defibrillator Implants	4	4	—	—	$45,770.93	$85,312.70	$64,336.46	2026-05-18
950-3	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	14	11	$75,818.50	$56,863.88 25% off	$23,731.46	$88,304.32	$64,307.87	2026-05-18
364-4	OTHER	Other Skin, Subcutaneous Tissue & Related Procedures	14	11	$56,795.17	$42,596.38 25% off	$30,606.49	$89,638.80	$64,059.74	2026-05-18
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	4	4	—	—	$46,286.69	$83,813.82	$63,866.08	2026-05-18
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	5	5	—	—	$53,433.35	$99,413.88	$63,829.14	2026-05-18
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	5	5	—	—	$38,541.10	$67,512.63	$63,563.53	2026-05-18
513-4	OTHER	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	5	5	—	—	$48,645.88	$67,502.93	$63,493.27	2026-05-18
165-1	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$44,332.22	$81,854.26	$62,815.55	2026-05-18
752-4	OTHER	Disorders Of Personality And Impulse Control	5	5	—	—	$16,553.43	$177,659.14	$62,749.17	2026-05-18
321-3	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	5	5	—	—	$30,179.57	$64,227.22	$62,412.33	2026-05-18
220-3	OTHER	Major Stomach, Esophageal & Duodenal Procedures	14	11	$52,474.46	$39,355.85 25% off	$33,217.78	$83,237.53	$62,249.00	2026-05-18
401-3	OTHER	Adrenal Procedures	5	5	—	—	$41,989.07	$65,488.21	$61,477.71	2026-05-18
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	11	11	—	—	$290.01	$62,624.16	$61,361.51	2026-05-18
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	8	8	—	—	$5,300.00	$62,410.50	$61,169.41	2026-05-18
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	4	4	—	—	$47,018.38	$77,177.84	$61,007.68	2026-05-18
260-3	OTHER	Major Pancreas, Liver & Shunt Procedures	14	11	$78,047.53	$58,535.65 25% off	$29,773.29	$85,480.08	$60,986.86	2026-05-18
480-4	OTHER	Major Male Pelvic Procedures	5	5	—	—	$46,322.58	$80,663.25	$60,960.04	2026-05-18
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	8	8	—	—	$5,300.00	$62,079.18	$60,844.58	2026-05-18
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	11	11	—	—	$93.40	$62,042.65	$60,791.41	2026-05-18
314-4	OTHER	Foot And Toe Procedures	5	5	—	—	$30,842.16	$76,036.60	$60,687.21	2026-05-18
089-3	OTHER	Major Cranial Or Facial Bone Procedures	5	5	—	—	$45,161.39	$83,472.24	$60,551.88	2026-05-18
322-4	OTHER	Shoulder And Elbow Joint Replacement	4	4	—	—	$46,473.01	$76,105.92	$60,214.19	2026-05-18
130-2	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$44,031.15	$70,218.26	$60,185.57	2026-05-18
277	OTHER	Cellulitis Age >17 W Cc	8	8	—	—	$5,300.00	$61,013.87	$59,800.16	2026-05-18

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