Hospital

PROMEDICA MONROE REGIONAL HOSPITAL

Monroe, MI · CCN 230099 · Rates published

4,288 distinct procedures filed

17 distinct payers

122,815 rate rows

2026-05-13 last MRF observed

Data quality

112,880 of 122,815 rate rows are consumer-grade (91.9%)

9,935 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
template filing: same amount across many unrelated codes — excluded	5,238
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2,821
per-diem day rate — not a per-procedure price	1,707
placeholder amount (≤ $0.02) — excluded from medians	140
exceeds 10× this hospital's gross charge — excluded from medians	29

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

Source MRF file	https://promedica.canto.com/direct/document/cs74uos52t4bj9nr9esrm8et39/VGvkhFTo56aHol06gNFB7R9ot_g/original?content-type=text%2Fcsv&name=381984289_mercy-memorial-hospital-corporation_standardcharges+4.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-18
Content fingerprint	54991dfa29501490… · 48,005,204 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	7	$158,778.65	$681,345.85	$642,638.91	nat. median $424,868 1.5× median
007 OTHER	Lung Transplant	5	$113,314.25	$478,569.39	$455,287.42	nat. median $141,082 outlier · 3.2×
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	5	$196,730.37	$574,591.12	$226,894.00	nat. median $263,894 0.9× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$1,600.00	$226,153.18	$196,880.19	nat. median $267,493 0.7× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	7	$121,199.75	$212,758.39	$192,431.03	nat. median $150,232 1.3× median
583-4 OTHER	Neonate With Ecmo	3	$1,600.00	$337,775.54	$190,477.02	nat. median $309,400 0.6× median
583-3 OTHER	Neonate With Ecmo	3	$1,600.00	$204,351.63	$190,477.02	nat. median $259,487 0.7× median
161-4 OTHER	Implantable Heart Assist Systems	3	$1,600.00	$184,763.09	$160,418.40	nat. median $202,242 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	7	$149,989.74	$392,293.78	$158,450.70	nat. median $146,562 1.1× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	7	$149,112.12	$440,988.78	$157,523.58	nat. median $218,232 0.7× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	5	$99,153.25	$211,569.67	$146,464.38	nat. median $117,167 1.3× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	7	$53,561.38	$146,187.29	$140,700.47	nat. median $64,729 outlier · 2.2×
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	$1,600.00	$166,642.19	$126,544.32	nat. median $169,856 0.7× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	$1,600.00	$143,456.97	$122,832.52	nat. median $210,669 0.6× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	3	$1,600.00	$143,848.82	$120,788.80	nat. median $172,311 0.7× median
583-2 OTHER	Neonate With Ecmo	3	$1,600.00	$181,219.40	$113,456.87	nat. median $191,347 0.6× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	3	$1,600.00	$156,604.22	$112,486.46	nat. median $151,691 0.7× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	$1,600.00	$196,269.29	$108,510.28	nat. median $203,379 0.5× median
006 OTHER	Liver Transplant Without Mcc	5	$40,573.75	$115,007.33	$108,079.68	nat. median $50,611 outlier · 2.1×
008 OTHER	Simultaneous Pancreas And Kidney Transplant	5	$49,040.25	$111,665.55	$103,975.81	nat. median $59,265 1.8× median
161-3 OTHER	Implantable Heart Assist Systems	3	$1,600.00	$124,322.28	$100,218.34	nat. median $152,491 0.7× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$1,600.00	$124,826.77	$99,827.07	nat. median $165,000 0.6× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	7	$56,303.63	$129,337.51	$99,430.11	nat. median $66,849 1.5× median
570 OTHER	Skin Debridement With Mcc	7	$25,734.63	$101,195.23	$98,247.80	nat. median $33,751 outlier · 2.9×
583-1 OTHER	Neonate With Ecmo	3	$1,600.00	$181,219.40	$96,840.11	nat. median $171,226 0.6× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	7	$60,181.62	$107,692.17	$95,784.92	nat. median $67,670 1.4× median
588-1 OTHER	Female Reproductive System Reconstructive Procedures	3	$1,600.00	$107,825.46	$94,992.60	nat. median $75,325 1.3× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$1,600.00	$115,142.94	$94,992.60	nat. median $153,523 0.6× median
014 OTHER	Allogeneic Bone Marrow Transplant	6	$84,624.01	$327,899.34	$93,481.89	nat. median $105,808 0.9× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	$1,600.00	$135,697.73	$92,082.03	nat. median $151,250 0.6× median
161-2 OTHER	Implantable Heart Assist Systems	3	$1,600.00	$124,322.28	$91,053.53	nat. median $109,992 0.8× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	5	$82,207.55	$217,255.33	$90,216.88	nat. median $104,489 0.9× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	$1,600.00	$134,014.70	$85,537.65	nat. median $156,696 0.5× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	7	$76,612.81	$222,748.72	$80,934.56	nat. median $90,581 0.9× median
837 OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	7	$42,037.62	$94,902.37	$78,155.42	nat. median $38,617 outlier · 2.0×
161-1 OTHER	Implantable Heart Assist Systems	3	$1,600.00	$124,322.28	$76,796.43	nat. median $101,352 0.8× median
163 OTHER	Major Chest Procedures With Mcc	7	$39,215.75	$80,101.36	$76,084.09	nat. median $47,944 1.6× median
215 OTHER	Other Heart Assist System Implant	7	$70,189.41	$175,936.44	$74,148.82	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	7	$68,969.33	$192,400.22	$72,859.90	nat. median $90,130 0.8× median
002-4 OTHER	Heart And/or Lung Transplant	2	$1,600.00	$141,176.59	$71,388.29	nat. median $216,800 outlier · 0.3×
653 OTHER	Major Bladder Procedures With Mcc	7	$45,468.50	$74,954.76	$70,296.96	nat. median $54,646 1.3× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	$1,600.00	$102,694.83	$70,023.32	nat. median $106,926 0.7× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	7	$62,515.82	$72,061.71	$65,075.95	nat. median $65,342 1.0× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	7	$61,388.32	$172,185.08	$64,851.25	nat. median $82,426 0.8× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	$1,600.00	$64,182.80	$63,262.58	nat. median $125,000 0.5× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	$1,600.00	$135,261.46	$62,895.97	nat. median $150,954 outlier · 0.4×
231 OTHER	Coronary Bypass With Ptca With Mcc	7	$59,493.60	$143,489.52	$62,849.65	nat. median $74,989 0.8× median
010 OTHER	Pancreas Transplant	5	$55,741.23	$83,177.03	$62,787.38	nat. median $67,882 0.9× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	7	$59,307.99	$125,487.68	$62,653.57	nat. median $76,493 0.8× median
471 OTHER	Cervical Spinal Fusion With Mcc	7	$42,251.13	$64,599.00	$60,270.79	nat. median $399 outlier · 150.9×

Other procedures at this hospital

Browse this hospital's 4,288 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

018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	7	—	—	$158,778.65	$681,345.85	$642,638.91	2026-05-13
007	OTHER	Lung Transplant	11	5	—	—	$113,314.25	$478,569.39	$455,287.42	2026-05-13
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	11	5	—	—	$196,730.37	$574,591.12	$226,894.00	2026-05-13
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$1,600.00	$226,153.18	$196,880.19	2026-05-13
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	13	7	—	—	$121,199.75	$212,758.39	$192,431.03	2026-05-13
583-3	OTHER	Neonate With Ecmo	3	3	—	—	$1,600.00	$204,351.63	$190,477.02	2026-05-13
583-4	OTHER	Neonate With Ecmo	3	3	—	—	$1,600.00	$337,775.54	$190,477.02	2026-05-13
161-4	OTHER	Implantable Heart Assist Systems	3	3	—	—	$1,600.00	$184,763.09	$160,418.40	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	7	—	—	$149,989.74	$392,293.78	$158,450.70	2026-05-13
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	13	7	—	—	$149,112.12	$440,988.78	$157,523.58	2026-05-13
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	11	5	—	—	$99,153.25	$211,569.67	$146,464.38	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	13	7	—	—	$53,561.38	$146,187.29	$140,700.47	2026-05-13
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$1,600.00	$166,642.19	$126,544.32	2026-05-13
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$1,600.00	$143,456.97	$122,832.52	2026-05-13
007-4	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$1,600.00	$143,848.82	$120,788.80	2026-05-13
583-2	OTHER	Neonate With Ecmo	3	3	—	—	$1,600.00	$181,219.40	$113,456.87	2026-05-13
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$1,600.00	$156,604.22	$112,486.46	2026-05-13
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	3	—	—	$1,600.00	$196,269.29	$108,510.28	2026-05-13
006	OTHER	Liver Transplant Without Mcc	11	5	—	—	$40,573.75	$115,007.33	$108,079.68	2026-05-13
008	OTHER	Simultaneous Pancreas And Kidney Transplant	11	5	—	—	$49,040.25	$111,665.55	$103,975.81	2026-05-13
161-3	OTHER	Implantable Heart Assist Systems	3	3	—	—	$1,600.00	$124,322.28	$100,218.34	2026-05-13
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$1,600.00	$124,826.77	$99,827.07	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	13	7	—	—	$56,303.63	$129,337.51	$99,430.11	2026-05-13
570	OTHER	Skin Debridement With Mcc	13	7	—	—	$25,734.63	$101,195.23	$98,247.80	2026-05-13
583-1	OTHER	Neonate With Ecmo	3	3	—	—	$1,600.00	$181,219.40	$96,840.11	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	13	7	—	—	$60,181.62	$107,692.17	$95,784.92	2026-05-13
588-1	OTHER	Female Reproductive System Reconstructive Procedures	3	3	—	—	$1,600.00	$107,825.46	$94,992.60	2026-05-13
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$1,600.00	$115,142.94	$94,992.60	2026-05-13
014	OTHER	Allogeneic Bone Marrow Transplant	12	6	—	—	$84,624.01	$327,899.34	$93,481.89	2026-05-13
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$1,600.00	$135,697.73	$92,082.03	2026-05-13
161-2	OTHER	Implantable Heart Assist Systems	3	3	—	—	$1,600.00	$124,322.28	$91,053.53	2026-05-13
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	11	5	—	—	$82,207.55	$217,255.33	$90,216.88	2026-05-13
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$1,600.00	$134,014.70	$85,537.65	2026-05-13
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	13	7	—	—	$76,612.81	$222,748.72	$80,934.56	2026-05-13
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	13	7	—	—	$42,037.62	$94,902.37	$78,155.42	2026-05-13
161-1	OTHER	Implantable Heart Assist Systems	3	3	—	—	$1,600.00	$124,322.28	$76,796.43	2026-05-13
163	OTHER	Major Chest Procedures With Mcc	13	7	—	—	$39,215.75	$80,101.36	$76,084.09	2026-05-13
215	OTHER	Other Heart Assist System Implant	13	7	—	—	$70,189.41	$175,936.44	$74,148.82	2026-05-13
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	7	—	—	$68,969.33	$192,400.22	$72,859.90	2026-05-13
002-4	OTHER	Heart And/or Lung Transplant	2	2	—	—	$1,600.00	$141,176.59	$71,388.29	2026-05-13
653	OTHER	Major Bladder Procedures With Mcc	13	7	—	—	$45,468.50	$74,954.76	$70,296.96	2026-05-13
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$1,600.00	$102,694.83	$70,023.32	2026-05-13
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	8	7	—	—	$62,515.82	$72,061.71	$65,075.95	2026-05-13
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	13	7	—	—	$61,388.32	$172,185.08	$64,851.25	2026-05-13
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$1,600.00	$64,182.80	$63,262.58	2026-05-13
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$1,600.00	$135,261.46	$62,895.97	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Mcc	13	7	—	—	$59,493.60	$143,489.52	$62,849.65	2026-05-13
010	OTHER	Pancreas Transplant	11	5	—	—	$55,741.23	$83,177.03	$62,787.38	2026-05-13
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	13	7	—	—	$59,307.99	$125,487.68	$62,653.57	2026-05-13
471	OTHER	Cervical Spinal Fusion With Mcc	13	7	—	—	$42,251.13	$64,599.00	$60,270.79	2026-05-13
007-3	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$1,600.00	$68,771.90	$59,336.81	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	13	7	—	—	$48,326.25	$103,975.98	$58,698.80	2026-05-13
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	13	7	—	—	$43,639.75	$84,865.14	$58,516.43	2026-05-13
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$1,600.00	$91,853.07	$57,899.35	2026-05-13
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	7	—	—	$54,229.37	$139,728.78	$57,288.46	2026-05-13
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$1,600.00	$113,546.92	$57,186.57	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	13	7	—	—	$53,997.53	$113,703.72	$57,043.55	2026-05-13
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$1,600.00	$112,486.46	$57,004.05	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	13	7	—	—	$53,820.34	$150,178.66	$56,856.36	2026-05-13
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	13	7	—	—	$46,320.75	$125,855.78	$56,328.60	2026-05-13
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$1,600.00	$80,890.84	$54,676.37	2026-05-13
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	3	3	—	—	$1,600.00	$64,371.43	$53,920.79	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	13	7	—	—	$50,688.12	$102,984.21	$53,547.45	2026-05-13
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	13	7	—	—	$50,421.28	$138,122.73	$53,265.56	2026-05-13
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	13	7	—	—	$50,391.86	$141,130.85	$53,234.48	2026-05-13
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$1,600.00	$63,665.60	$52,308.83	2026-05-13
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	13	7	—	—	$27,802.25	$81,324.80	$52,114.10	2026-05-13
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$1,600.00	$53,608.78	$51,877.54	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	13	7	—	—	$48,860.78	$125,818.27	$51,617.03	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	13	7	—	—	$47,595.17	$177,085.29	$50,280.02	2026-05-13
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	7	—	—	$46,503.92	$103,685.25	$49,127.22	2026-05-13
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	7	—	—	$46,503.92	$128,917.83	$49,127.22	2026-05-13
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	13	7	—	—	$46,336.54	$121,246.30	$48,950.39	2026-05-13
459	OTHER	Spinal Fusion Except Cervical With Mcc	8	7	—	—	$46,903.17	$54,050.68	$48,819.50	2026-05-13
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$1,600.00	$51,288.86	$48,042.47	2026-05-13
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	3	3	—	—	$1,600.00	$64,533.89	$47,766.80	2026-05-13
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$1,600.00	$101,072.03	$47,718.77	2026-05-13
007-2	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$1,600.00	$66,089.75	$47,649.82	2026-05-13
007-1	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$1,600.00	$56,698.60	$47,649.82	2026-05-13
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	3	3	—	—	$1,600.00	$100,952.77	$47,405.41	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Mcc	13	7	—	—	$38,437.00	$67,095.42	$46,883.32	2026-05-13
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	12	6	—	—	$41,982.13	$208,622.51	$46,362.01	2026-05-13
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$1,600.00	$58,522.19	$46,056.41	2026-05-13
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	13	7	—	—	$43,373.83	$115,673.19	$45,820.56	2026-05-13
232	OTHER	Coronary Bypass With Ptca Without Mcc	13	7	—	—	$42,912.96	$128,552.07	$45,333.70	2026-05-13
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	8	7	—	—	$43,289.08	$49,881.41	$45,056.40	2026-05-13
754-4	OTHER	Depression Except Major Depressive Disorder	2	2	—	—	$1,600.00	$88,435.20	$45,017.60	2026-05-13
028	OTHER	Spinal Procedures With Mcc	13	7	—	—	$42,532.63	$91,174.46	$44,931.91	2026-05-13
276	OTHER	Non-maligant Breast Disorders	13	7	—	—	$42,520.74	$136,528.40	$44,919.34	2026-05-13
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	13	7	—	—	$42,216.06	$101,324.23	$44,597.48	2026-05-13
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	13	7	—	—	$20,121.36	$85,502.60	$44,020.89	2026-05-13
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$1,600.00	$62,574.05	$43,937.72	2026-05-13
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	13	7	—	—	$41,554.19	$96,754.61	$43,898.27	2026-05-13
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	13	7	—	—	$41,527.57	$105,460.11	$43,870.15	2026-05-13
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$1,600.00	$105,765.17	$43,600.89	2026-05-13
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$1,600.00	$70,448.24	$43,514.82	2026-05-13
863-4	OTHER	Neonatal Aftercare	3	3	—	—	$1,600.00	$58,723.59	$43,452.53	2026-05-13
178-4	OTHER	External Heart Assist Systems	3	3	—	—	$1,600.00	$43,816.63	$43,438.26	2026-05-13
690-4	OTHER	Acute Leukemia	3	3	—	—	$1,600.00	$43,282.40	$43,271.36	2026-05-13
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	13	7	—	—	$40,585.53	$105,626.57	$42,874.97	2026-05-13
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	13	7	—	—	$40,369.80	$101,947.90	$42,647.07	2026-05-13
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	12	6	—	—	$38,498.33	$106,735.57	$42,512.37	2026-05-13
278	OTHER	Cellulitis Age >17 Without Cc	13	7	—	—	$39,436.19	$103,800.13	$41,660.80	2026-05-13
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	3	—	—	$1,600.00	$46,495.13	$41,648.46	2026-05-13
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$1,600.00	$105,841.23	$41,510.57	2026-05-13
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$1,600.00	$104,480.08	$41,510.57	2026-05-13
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	13	7	—	—	$38,901.76	$173,010.38	$41,096.22	2026-05-13
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	13	7	—	—	$38,765.88	$88,349.22	$40,952.68	2026-05-13
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	13	7	—	—	$38,711.25	$93,870.75	$40,894.96	2026-05-13
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	13	7	—	—	$38,651.02	$97,012.51	$40,831.33	2026-05-13
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$1,600.00	$73,005.65	$40,592.84	2026-05-13
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	7	—	—	$37,801.44	$103,814.20	$39,933.83	2026-05-13
270	OTHER	Other Major Cardiovascular Procedures With Mcc	13	7	—	—	$37,405.69	$100,944.41	$39,515.76	2026-05-13
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$1,600.00	$40,704.91	$39,421.67	2026-05-13
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	13	7	—	—	$36,909.12	$73,327.37	$38,991.17	2026-05-13
228	OTHER	Other Cardiothoracic Procedures With Mcc	14	8	—	—	$35,102.09	$116,064.73	$38,759.48	2026-05-13
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	3	—	—	$1,600.00	$49,216.62	$38,624.54	2026-05-13
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	7	—	—	$35,752.05	$88,778.28	$37,768.84	2026-05-13
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$1,600.00	$54,818.42	$37,667.53	2026-05-13
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$1,600.00	$112,486.46	$37,592.58	2026-05-13
183-4	OTHER	Percutaneous Structural Cardiac Procedures	3	3	—	—	$1,600.00	$43,597.57	$37,412.47	2026-05-13
347	OTHER	Anal And Stomal Procedures With Mcc	13	7	—	—	$20,086.50	$63,754.36	$37,409.01	2026-05-13
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$1,600.00	$37,727.45	$37,348.58	2026-05-13
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$1,600.00	$56,301.26	$37,250.98	2026-05-13
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$1,600.00	$45,234.38	$37,137.34	2026-05-13
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$1,600.00	$72,747.05	$37,137.34	2026-05-13
695-4	OTHER	Chemotherapy For Acute Leukemia	3	3	—	—	$1,600.00	$37,972.33	$37,089.37	2026-05-13
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	13	7	—	—	$35,040.46	$75,435.16	$37,017.10	2026-05-13
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$1,600.00	$57,029.61	$36,905.30	2026-05-13
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	13	7	—	—	$34,922.07	$60,138.99	$36,892.03	2026-05-13
197	OTHER	Interstitial Lung Disease With Cc	13	7	—	—	$8,304.62	$37,995.05	$36,888.40	2026-05-13
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	13	7	—	—	$34,778.49	$106,817.63	$36,740.36	2026-05-13
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	13	7	—	—	$23,077.25	$42,744.41	$36,549.80	2026-05-13
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$1,600.00	$77,592.31	$36,184.42	2026-05-13
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	3	3	—	—	$1,600.00	$39,229.98	$36,066.98	2026-05-13
329	OTHER	Major Small And Large Bowel Procedures With Mcc	14	8	—	—	$32,644.37	$99,208.79	$36,043.67	2026-05-13
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$1,600.00	$208,102.25	$35,731.74	2026-05-13
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$1,600.00	$160,426.04	$35,731.74	2026-05-13
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$1,600.00	$136,180.25	$35,731.74	2026-05-13
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$1,600.00	$63,033.40	$35,731.74	2026-05-13
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	13	7	—	—	$33,795.14	$97,075.82	$35,701.53	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	13	7	—	—	$33,379.09	$180,041.83	$35,262.01	2026-05-13
841-1	OTHER	Chemotherapy For Acute Leukemia	3	3	—	—	$1,600.00	$112,486.46	$35,258.48	2026-05-13
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	13	7	—	—	$33,311.86	$104,114.31	$35,190.99	2026-05-13
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$1,600.00	$38,185.83	$35,133.13	2026-05-13
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	13	7	—	—	$33,213.79	$56,014.84	$35,087.39	2026-05-13
277	OTHER	Cellulitis Age >17 W Cc	13	7	—	—	$32,798.46	$106,081.43	$34,648.63	2026-05-13
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	13	7	—	—	$32,562.43	$89,434.77	$34,399.28	2026-05-13
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$1,600.00	$49,382.56	$34,311.69	2026-05-13
245	OTHER	Aicd Generator Procedures	13	7	—	—	$32,405.53	$85,842.84	$34,233.54	2026-05-13
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	13	7	—	—	$32,309.57	$76,218.26	$34,132.16	2026-05-13
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	13	7	—	—	$32,295.59	$90,714.92	$34,117.39	2026-05-13
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$1,600.00	$44,196.22	$34,098.73	2026-05-13
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	8	7	—	—	$32,708.11	$37,675.01	$34,039.11	2026-05-13
799	OTHER	Splenectomy With Mcc	13	7	—	—	$32,170.91	$61,944.33	$33,985.68	2026-05-13
031	OTHER	Ventricular Shunt Procedures With Mcc	13	7	—	—	$31,831.91	$92,893.05	$33,627.56	2026-05-13
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	13	7	—	—	$31,708.63	$70,607.63	$33,497.32	2026-05-13
48133263	OTHER	Hc Remrepl Icd Gen Only Dual Lead	50	17	$76,578.00	$49,775.70 35% off	$326.11	$68,920.20	$33,311.43	2026-05-13
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	13	7	—	—	$30,759.59	$97,666.66	$32,494.75	2026-05-13
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$1,600.00	$36,085.52	$32,307.38	2026-05-13
002-1	OTHER	Heart And/or Lung Transplant	2	2	—	—	$1,600.00	$62,995.82	$32,297.91	2026-05-13
002-3	OTHER	Heart And/or Lung Transplant	2	2	—	—	$1,600.00	$62,995.82	$32,297.91	2026-05-13
002-2	OTHER	Heart And/or Lung Transplant	2	2	—	—	$1,600.00	$62,995.82	$32,297.91	2026-05-13
091-4	OTHER	Other Major Head And Neck Procedures	3	3	—	—	$1,600.00	$45,637.80	$32,282.43	2026-05-13
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	13	7	—	—	$30,517.96	$75,090.50	$32,239.48	2026-05-13
140	OTHER	Major Head And Neck Procedures With Mcc	13	7	—	—	$30,324.64	$78,572.24	$32,035.26	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	13	7	—	—	$30,029.77	$67,557.30	$31,723.75	2026-05-13
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	13	7	—	—	$29,979.34	$96,918.73	$31,670.48	2026-05-13
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	13	7	—	—	$29,964.64	$71,308.66	$31,654.95	2026-05-13
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	13	7	—	—	$29,878.48	$64,898.53	$31,563.93	2026-05-13
901	OTHER	Wound Debridements For Injuries With Mcc	13	7	—	—	$29,843.48	$66,206.81	$31,526.96	2026-05-13
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	13	7	—	—	$29,788.84	$76,968.53	$31,469.24	2026-05-13
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$1,600.00	$34,138.32	$31,402.59	2026-05-13
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	13	7	—	—	$29,675.38	$96,405.26	$31,349.38	2026-05-13
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	—	—	$1,600.00	$35,208.58	$31,295.75	2026-05-13
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	13	7	—	—	$29,538.08	$76,450.37	$31,204.33	2026-05-13
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	3	3	—	—	$1,600.00	$35,106.93	$31,193.88	2026-05-13
849	OTHER	Radiotherapy	13	7	—	—	$23,708.13	$59,264.45	$31,148.64	2026-05-13
910-4	OTHER	Craniotomy For Multiple Significant Trauma	3	3	—	—	$1,600.00	$36,434.05	$31,108.88	2026-05-13
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	13	7	—	—	$29,345.46	$69,076.61	$31,000.85	2026-05-13
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$1,600.00	$32,320.16	$30,914.40	2026-05-13
793	OTHER	Full Term Neonate With Major Problems	14	7	—	—	$3,211.04	$36,484.00	$30,566.79	2026-05-13
179-4	OTHER	Defibrillator Implants	3	3	—	—	$1,600.00	$33,445.23	$30,069.42	2026-05-13
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	13	7	—	—	$28,355.11	$57,053.50	$29,954.63	2026-05-13
791	OTHER	Prematurity With Major Problems	13	7	—	—	$11,615.15	$35,516.25	$29,916.42	2026-05-13
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	3	3	—	—	$1,600.00	$49,665.88	$29,877.32	2026-05-13
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	3	—	—	$1,600.00	$31,367.07	$29,866.81	2026-05-13
021-4	OTHER	Open Craniotomy Except Trauma	3	3	—	—	$1,600.00	$33,538.33	$29,825.02	2026-05-13
593-1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$1,600.00	$36,905.30	$29,663.58	2026-05-13
120-4	OTHER	Major Respiratory And Chest Procedures	3	3	—	—	$1,600.00	$35,711.79	$29,660.02	2026-05-13
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$1,600.00	$59,132.49	$29,585.83	2026-05-13
48133249	OTHER	Hc Insrepl Icd System 1 Or 2 Chmbr	50	17	$51,000.00	$33,150.00 35% off	$678.72	$45,900.00	$29,580.00	2026-05-13
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	13	7	—	—	$27,849.42	$82,049.28	$29,420.41	2026-05-13
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	13	7	—	—	$27,725.43	$45,124.17	$29,289.43	2026-05-13
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$1,600.00	$52,712.50	$29,150.75	2026-05-13
034	OTHER	Carotid Artery Stent Procedures With Mcc	13	7	—	—	$27,560.85	$62,598.48	$29,115.56	2026-05-13
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	13	7	—	—	$27,494.31	$60,931.46	$29,045.28	2026-05-13
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$1,600.00	$37,946.71	$28,973.86	2026-05-13
907	OTHER	Other O.r. Procedures For Injuries With Mcc	13	7	—	—	$27,340.92	$64,087.30	$28,883.23	2026-05-13
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	3	3	—	—	$1,600.00	$53,328.31	$28,613.35	2026-05-13
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	3	3	—	—	$1,600.00	$41,099.81	$28,592.97	2026-05-13
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$1,600.00	$49,382.56	$28,377.27	2026-05-13
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	13	7	—	—	$26,806.51	$109,314.63	$28,318.68	2026-05-13
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	13	7	—	—	$10,608.29	$46,575.48	$28,225.87	2026-05-13
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	13	7	—	—	$26,691.66	$72,706.05	$28,197.35	2026-05-13
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	13	7	—	—	$26,629.33	$63,763.74	$28,131.50	2026-05-13
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	13	7	—	—	$26,626.52	$55,688.94	$28,128.53	2026-05-13
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	13	7	—	—	$26,552.97	$48,040.85	$28,050.83	2026-05-13
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	13	7	—	—	$26,405.89	$114,946.36	$27,895.45	2026-05-13
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	3	3	—	—	$1,600.00	$29,818.74	$27,860.70	2026-05-13
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	3	—	—	$1,600.00	$31,367.07	$27,740.81	2026-05-13
690-3	OTHER	Acute Leukemia	3	3	—	—	$1,600.00	$30,079.78	$27,692.84	2026-05-13
904	OTHER	Skin Grafts For Injuries With Cc/mcc	13	7	—	—	$26,176.85	$59,203.49	$27,653.50	2026-05-13
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	13	7	—	—	$26,166.35	$61,761.45	$27,642.40	2026-05-13
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$1,600.00	$28,314.59	$27,363.31	2026-05-13
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	13	7	—	—	$25,864.48	$57,229.34	$27,323.50	2026-05-13
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	13	7	—	—	$25,844.87	$65,510.47	$27,302.78	2026-05-13
332	OTHER	Rectal Resection With Mcc	13	7	—	—	$25,809.84	$57,698.26	$27,265.78	2026-05-13
265	OTHER	Aicd Lead Procedures	13	7	—	—	$25,792.34	$71,032.00	$27,247.30	2026-05-13
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$1,600.00	$41,421.69	$27,209.73	2026-05-13
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	13	7	—	—	$25,747.50	$40,889.82	$27,199.92	2026-05-13
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$1,600.00	$38,389.67	$27,163.61	2026-05-13
279	OTHER	Cellulitis Age 0-17	13	7	—	—	$25,709.69	$52,270.51	$27,159.98	2026-05-13
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	13	7	—	—	$25,544.41	$58,964.35	$26,985.37	2026-05-13
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	13	7	—	—	$25,486.27	$70,464.61	$26,923.96	2026-05-13
335	OTHER	Peritoneal Adhesiolysis With Mcc	13	7	—	—	$25,461.05	$55,093.41	$26,897.32	2026-05-13
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	13	7	—	—	$25,423.94	$90,323.37	$26,858.11	2026-05-13
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	13	7	—	—	$25,402.91	$63,306.54	$26,835.89	2026-05-13
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	3	—	—	$1,600.00	$44,482.91	$26,835.51	2026-05-13
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	13	7	—	—	$25,379.11	$40,589.72	$26,810.75	2026-05-13
271	OTHER	Other Major Cardiovascular Procedures With Cc	13	7	—	—	$25,358.78	$63,911.45	$26,789.28	2026-05-13
183-3	OTHER	Percutaneous Structural Cardiac Procedures	3	3	—	—	$1,600.00	$30,885.39	$26,700.32	2026-05-13
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	13	7	—	—	$25,150.77	$51,032.56	$26,569.53	2026-05-13
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	13	7	—	—	$25,100.33	$68,551.41	$26,516.25	2026-05-13
252	OTHER	Other Vascular Procedures With Mcc	13	7	—	—	$24,882.52	$88,421.90	$26,286.15	2026-05-13
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	13	7	—	—	$24,876.20	$40,685.84	$26,279.48	2026-05-13
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$1,600.00	$81,494.44	$26,235.42	2026-05-13
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$1,600.00	$40,720.73	$26,235.42	2026-05-13
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$1,600.00	$37,826.23	$26,235.42	2026-05-13
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	13	7	—	—	$24,764.16	$41,551.00	$26,161.12	2026-05-13
023-4	OTHER	Spinal Procedures	3	3	—	—	$1,600.00	$31,616.17	$26,125.57	2026-05-13
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$1,600.00	$29,826.04	$26,105.13	2026-05-13
178-2	OTHER	External Heart Assist Systems	3	3	—	—	$1,600.00	$27,763.32	$26,074.22	2026-05-13
178-3	OTHER	External Heart Assist Systems	3	3	—	—	$1,600.00	$33,817.61	$26,074.22	2026-05-13
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	13	7	—	—	$24,646.49	$54,024.27	$26,036.80	2026-05-13
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	2	2	—	—	$1,600.00	$50,283.18	$25,941.59	2026-05-13
022-4	OTHER	Ventricular Shunt Procedures	3	3	—	—	$1,600.00	$36,247.67	$25,849.68	2026-05-13
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	13	7	—	—	$24,462.97	$77,688.32	$25,842.93	2026-05-13
895	OTHER	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	13	7	—	—	$12,386.50	$87,232.48	$25,752.00	2026-05-13
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$1,600.00	$45,224.03	$25,733.76	2026-05-13
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	13	7	—	—	$24,345.31	$60,059.27	$25,718.63	2026-05-13
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	13	7	—	—	$24,313.78	$78,473.76	$25,685.32	2026-05-13
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	13	7	—	—	$24,114.78	$47,539.11	$25,475.10	2026-05-13
652	OTHER	Kidney Transplant	12	6	—	—	$23,069.88	$143,269.13	$25,463.72	2026-05-13
230-4	OTHER	Major Small Bowel Procedures	3	3	—	—	$1,600.01	$30,466.16	$25,349.56	2026-05-13
020-4	OTHER	Open Craniotomy For Trauma	3	3	—	—	$1,600.00	$41,283.57	$25,281.55	2026-05-13
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	3	3	—	—	$1,600.00	$26,931.54	$25,267.76	2026-05-13
264	OTHER	Other Circulatory System O.r. Procedures	13	7	—	—	$23,848.02	$49,600.01	$25,193.30	2026-05-13
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	14	8	—	—	$22,771.50	$87,971.74	$25,134.01	2026-05-13
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$1,600.00	$31,111.73	$25,132.89	2026-05-13
089-4	OTHER	Major Cranial Or Facial Bone Procedures	3	3	—	—	$1,600.00	$36,605.63	$25,108.94	2026-05-13
178-1	OTHER	External Heart Assist Systems	3	3	—	—	$1,600.00	$26,074.22	$25,063.53	2026-05-13
863-3	OTHER	Neonatal Aftercare	3	3	—	—	$1,600.00	$33,012.80	$25,012.42	2026-05-13
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	3	3	—	—	$1,600.00	$24,996.25	$24,940.61	2026-05-13
411	OTHER	Cholecystectomy With C.d.e. With Mcc	13	7	—	—	$23,586.77	$47,138.18	$24,917.31	2026-05-13
037	OTHER	Extracranial Procedures With Mcc	13	7	—	—	$23,508.31	$44,498.16	$24,834.42	2026-05-13
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	13	7	—	—	$23,505.53	$57,993.68	$24,831.49	2026-05-13
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	3	3	—	—	$1,600.00	$25,426.18	$24,776.09	2026-05-13
027-4	OTHER	Other Open Craniotomy	3	3	—	—	$1,600.00	$28,052.95	$24,748.99	2026-05-13
169-4	OTHER	Major Abdominal Vascular Procedures	3	3	—	—	$1,600.00	$35,116.10	$24,708.57	2026-05-13
432	OTHER	Cirrhosis And Alcoholic Hepatitis With Mcc	13	7	—	—	$17,221.75	$34,547.68	$24,695.36	2026-05-13
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	13	7	—	—	$23,233.05	$78,410.46	$24,543.64	2026-05-13
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	13	7	—	—	$23,132.92	$43,475.92	$24,437.85	2026-05-13
200-4	OTHER	Cardiac Structural And Valvular Disorders	3	3	—	—	$1,600.00	$31,513.54	$24,412.47	2026-05-13
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	13	7	—	—	$23,107.70	$71,716.62	$24,411.21	2026-05-13
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	13	7	—	—	$23,008.94	$47,855.63	$24,306.88	2026-05-13
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	3	—	—	$1,600.00	$37,190.99	$24,282.51	2026-05-13
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	13	7	—	—	$22,936.09	$38,153.68	$24,229.92	2026-05-13
029-4	OTHER	Other Percutaneous Intracranial Procedures	3	3	—	—	$1,600.00	$24,961.31	$24,103.26	2026-05-13
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	13	7	—	—	$22,812.82	$62,603.16	$24,099.69	2026-05-13
050-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	3	3	—	—	$1,600.00	$34,360.37	$24,096.12	2026-05-13
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	13	7	—	—	$22,749.80	$67,308.78	$24,033.12	2026-05-13
181-4	OTHER	Lower Extremity Arterial Procedures	3	3	—	—	$1,600.00	$31,264.46	$23,993.41	2026-05-13
500	OTHER	Soft Tissue Procedures With Mcc	13	7	—	—	$22,616.72	$77,723.49	$23,892.53	2026-05-13
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	13	7	—	—	$22,583.10	$76,122.13	$23,857.02	2026-05-13
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	3	3	—	—	$1,600.00	$28,421.69	$23,833.16	2026-05-13
324	OTHER	Urinary Stones Without Cc	13	7	—	—	$22,520.07	$64,396.78	$23,790.43	2026-05-13
229	OTHER	Other Cardiothoracic Procedures Without Mcc	13	7	—	—	$22,509.56	$68,631.13	$23,779.33	2026-05-13
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	13	7	—	—	$22,457.72	$48,085.40	$23,724.57	2026-05-13
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	3	3	—	—	$1,600.00	$28,228.19	$23,675.77	2026-05-13
182-4	OTHER	Other Peripheral Vascular And Related Procedures	3	3	—	—	$1,600.00	$27,887.45	$23,572.58	2026-05-13
665	OTHER	Prostatectomy With Mcc	13	7	—	—	$22,311.33	$51,203.72	$23,569.92	2026-05-13
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	3	3	—	—	$1,600.00	$30,450.94	$23,553.56	2026-05-13
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	13	7	—	—	$22,265.82	$55,672.53	$23,521.84	2026-05-13
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	13	7	—	—	$22,227.29	$67,583.10	$23,481.14	2026-05-13
662	OTHER	Minor Bladder Procedures With Mcc	13	7	—	—	$21,893.19	$51,686.71	$23,128.19	2026-05-13
263	OTHER	Vein Ligation And Stripping	13	7	—	—	$21,864.49	$53,679.62	$23,097.87	2026-05-13
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$1,600.00	$44,333.23	$23,080.44	2026-05-13
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$1,600.00	$29,840.64	$23,080.44	2026-05-13
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	3	3	—	—	$1,600.00	$28,139.97	$23,069.50	2026-05-13

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