|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
23
|
17
|
—
|
—
|
$219,843.63
|
$1,104,167.28
|
$662,005.45
|
2026-05-06
|
|
583-4
|
OTHER
|
Neonate With Ecmo
|
10
|
6
|
—
|
—
|
$224,978.00
|
$856,642.96
|
$573,714.22
|
2026-05-06
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$206,314.11
|
$783,147.88
|
$524,492.82
|
2026-05-06
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
6
|
—
|
—
|
$190,506.26
|
$770,605.74
|
$516,093.04
|
2026-05-06
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
10
|
6
|
—
|
—
|
$191,909.66
|
$728,470.02
|
$487,873.76
|
2026-05-06
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$122,160.00
|
$706,537.97
|
$473,185.33
|
2026-05-06
|
|
7
|
OTHER
|
Lung Transplant
|
22
|
16
|
—
|
—
|
$65,929.47
|
$792,479.34
|
$429,204.41
|
2026-05-06
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
6
|
—
|
—
|
$151,691.49
|
$575,805.85
|
$385,630.91
|
2026-05-06
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
6
|
—
|
—
|
$150,473.99
|
$571,184.36
|
$382,535.79
|
2026-05-06
|
|
589-2
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
6
|
—
|
—
|
$33,954.37
|
$561,222.77
|
$375,864.28
|
2026-05-06
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
6
|
—
|
—
|
$144,856.62
|
$549,861.38
|
$368,255.29
|
2026-05-06
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$101,800.00
|
$494,729.38
|
$331,332.07
|
2026-05-06
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
10
|
6
|
—
|
—
|
$127,664.60
|
$484,602.17
|
$324,549.64
|
2026-05-06
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$123,178.00
|
$482,152.51
|
$322,909.04
|
2026-05-06
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
6
|
—
|
—
|
$126,943.96
|
$481,866.68
|
$322,717.61
|
2026-05-06
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
22
|
16
|
—
|
—
|
$142,669.67
|
$494,579.97
|
$318,624.82
|
2026-05-06
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
6
|
—
|
—
|
$88,566.00
|
$471,293.34
|
$315,636.40
|
2026-05-06
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$119,624.91
|
$454,084.30
|
$304,111.08
|
2026-05-06
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
23
|
17
|
—
|
—
|
$108,695.40
|
$489,438.86
|
$294,099.30
|
2026-05-06
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
6
|
—
|
—
|
$115,154.66
|
$437,115.67
|
$292,746.79
|
2026-05-06
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
23
|
17
|
—
|
—
|
$108,057.49
|
$537,640.29
|
$292,373.31
|
2026-05-06
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
10
|
6
|
—
|
—
|
$104,453.37
|
$396,494.63
|
$265,541.91
|
2026-05-06
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$103,867.14
|
$394,269.37
|
$264,051.60
|
2026-05-06
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$101,800.00
|
$391,929.24
|
$262,484.36
|
2026-05-06
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
6
|
—
|
—
|
$101,924.78
|
$386,896.35
|
$259,113.71
|
2026-05-06
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$101,104.90
|
$383,784.19
|
$257,029.42
|
2026-05-06
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
6
|
—
|
—
|
$99,516.53
|
$377,754.88
|
$252,991.45
|
2026-05-06
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$93,656.00
|
$373,734.45
|
$250,298.88
|
2026-05-06
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
6
|
—
|
—
|
$98,144.21
|
$372,545.68
|
$249,502.73
|
2026-05-06
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$98,073.83
|
$372,278.55
|
$249,323.83
|
2026-05-06
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
6
|
—
|
—
|
$96,828.89
|
$367,552.87
|
$246,158.92
|
2026-05-06
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$80,422.00
|
$356,910.08
|
$239,031.20
|
2026-05-06
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
6
|
—
|
—
|
$81,440.00
|
$341,504.22
|
$228,713.52
|
2026-05-06
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
10
|
6
|
—
|
—
|
$88,376.09
|
$335,466.89
|
$224,670.18
|
2026-05-06
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
10
|
6
|
—
|
—
|
$86,530.00
|
$332,766.12
|
$222,861.41
|
2026-05-06
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
6
|
—
|
—
|
$79,524.27
|
$301,866.24
|
$218,509.93
|
2026-05-06
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
6
|
—
|
—
|
$85,571.63
|
$324,821.43
|
$217,540.66
|
2026-05-06
|
|
593-1
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$1,942.34
|
$324,463.47
|
$217,300.92
|
2026-05-06
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$84,428.74
|
$320,483.11
|
$214,635.18
|
2026-05-06
|
|
011-4
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
6
|
—
|
—
|
$50,921.37
|
$319,684.36
|
$214,100.24
|
2026-05-06
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
23
|
17
|
—
|
—
|
$70,517.48
|
$360,880.56
|
$206,198.34
|
2026-05-06
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
6
|
—
|
—
|
$79,752.99
|
$302,734.44
|
$202,748.48
|
2026-05-06
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
6
|
—
|
—
|
$78,620.65
|
$298,436.19
|
$199,869.83
|
2026-05-06
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$77,123.76
|
$292,754.15
|
$196,064.44
|
2026-05-06
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
6
|
—
|
—
|
$74,336.89
|
$282,175.48
|
$188,979.65
|
2026-05-06
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
10
|
6
|
—
|
—
|
$73,137.70
|
$277,623.44
|
$185,931.04
|
2026-05-06
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
6
|
—
|
—
|
$72,765.41
|
$276,210.28
|
$184,984.61
|
2026-05-06
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
6
|
—
|
—
|
$72,707.70
|
$275,991.23
|
$184,837.91
|
2026-05-06
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
10
|
6
|
—
|
—
|
$71,158.74
|
$270,111.52
|
$180,900.12
|
2026-05-06
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
6
|
—
|
—
|
$70,637.26
|
$268,132.02
|
$179,574.41
|
2026-05-06
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
10
|
6
|
—
|
—
|
$68,336.02
|
$267,573.70
|
$179,200.49
|
2026-05-06
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$69,725.89
|
$264,672.58
|
$177,257.54
|
2026-05-06
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
10
|
6
|
—
|
—
|
$69,307.16
|
$263,083.11
|
$176,193.03
|
2026-05-06
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
6
|
—
|
—
|
$69,261.42
|
$262,909.47
|
$176,076.74
|
2026-05-06
|
|
588-1
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
10
|
6
|
—
|
—
|
$50,900.00
|
$255,258.63
|
$170,952.79
|
2026-05-06
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$64,168.34
|
$243,576.67
|
$163,129.11
|
2026-05-06
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
6
|
—
|
—
|
$64,036.74
|
$243,077.12
|
$162,794.55
|
2026-05-06
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
22
|
16
|
—
|
—
|
$57,690.19
|
$264,408.83
|
$161,049.51
|
2026-05-06
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
10
|
6
|
—
|
—
|
$62,443.44
|
$237,029.11
|
$158,744.05
|
2026-05-06
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$62,358.99
|
$236,708.55
|
$158,529.36
|
2026-05-06
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
6
|
—
|
—
|
$45,252.83
|
$223,825.54
|
$157,603.80
|
2026-05-06
|
|
524991
|
OTHER
|
Hchg Ide Team-hf Heartmate 3 G240119 Pr96570
|
21
|
12
|
$324,864.00
|
$181,923.84
44% off
|
$65,362.64
|
$324,864.00
|
$152,458.68
|
2026-05-06
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
23
|
17
|
—
|
—
|
$55,360.04
|
$410,917.21
|
$149,788.77
|
2026-05-06
|
|
591-1
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$1,847.67
|
$221,433.58
|
$148,299.35
|
2026-05-06
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
6
|
—
|
—
|
$50,900.00
|
$220,431.81
|
$147,628.44
|
2026-05-06
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
10
|
6
|
—
|
—
|
$57,659.32
|
$218,869.05
|
$146,581.83
|
2026-05-06
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
6
|
—
|
—
|
$57,270.85
|
$217,394.45
|
$145,594.25
|
2026-05-06
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
6
|
—
|
—
|
$57,180.06
|
$217,049.84
|
$145,363.46
|
2026-05-06
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
10
|
6
|
—
|
—
|
$56,930.93
|
$216,104.17
|
$144,730.12
|
2026-05-06
|
|
440-4
|
OTHER
|
Kidney Transplant
|
10
|
6
|
—
|
—
|
$56,439.01
|
$214,236.88
|
$143,479.55
|
2026-05-06
|
|
523374
|
OTHER
|
Hchg Heartmate 3 Implant Pr96570
|
23
|
13
|
$302,721.10
|
$169,523.82
44% off
|
$60,907.49
|
$302,721.10
|
$142,430.28
|
2026-05-06
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
23
|
17
|
—
|
—
|
$31,163.54
|
$250,986.62
|
$141,075.08
|
2026-05-06
|
|
524900
|
OTHER
|
Hchg Ide Innovate G240020 Pr87670
|
21
|
12
|
$294,784.00
|
$165,079.04
44% off
|
$59,310.54
|
$294,784.00
|
$138,342.13
|
2026-05-06
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
23
|
17
|
—
|
—
|
$50,691.09
|
$240,019.66
|
$137,155.88
|
2026-05-06
|
|
611-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
6
|
—
|
—
|
$207.06
|
$204,080.28
|
$136,677.43
|
2026-05-06
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
22
|
16
|
—
|
—
|
$61,183.13
|
$212,097.98
|
$136,640.55
|
2026-05-06
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
17
|
—
|
—
|
$49,804.23
|
$281,696.47
|
$134,756.31
|
2026-05-06
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$52,228.44
|
$198,253.99
|
$132,775.43
|
2026-05-06
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
6
|
—
|
—
|
$45,269.72
|
$171,839.36
|
$132,139.78
|
2026-05-06
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
6
|
—
|
—
|
$51,860.38
|
$196,856.86
|
$131,839.73
|
2026-05-06
|
|
523722
|
OTHER
|
Hchg Heartmate 3 Implant Pr87670
|
23
|
13
|
$279,229.70
|
$156,368.63
44% off
|
$56,181.02
|
$279,229.70
|
$131,377.57
|
2026-05-06
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
6
|
—
|
—
|
$51,191.81
|
$194,319.05
|
$130,140.10
|
2026-05-06
|
|
612-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$50,610.62
|
$193,437.49
|
$129,549.70
|
2026-05-06
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
6
|
—
|
—
|
$50,713.96
|
$192,505.18
|
$128,925.31
|
2026-05-06
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
17
|
14
|
—
|
—
|
$54,323.38
|
$197,678.59
|
$126,000.99
|
2026-05-06
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
6
|
—
|
—
|
$48,641.41
|
$184,637.96
|
$123,656.45
|
2026-05-06
|
|
001-2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
10
|
6
|
—
|
—
|
$48,601.29
|
$184,485.69
|
$123,554.46
|
2026-05-06
|
|
607-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$47,893.32
|
$181,798.28
|
$121,754.65
|
2026-05-06
|
|
690-4
|
OTHER
|
Acute Leukemia
|
10
|
6
|
—
|
—
|
$47,389.43
|
$179,885.57
|
$120,473.65
|
2026-05-06
|
|
006-1
|
OTHER
|
Pancreas Transplant
|
10
|
6
|
—
|
—
|
$47,293.01
|
$179,519.59
|
$120,228.55
|
2026-05-06
|
|
523381
|
OTHER
|
Hchg Heartmate 3 Implant Pr79770
|
23
|
13
|
$251,797.70
|
$141,006.71
44% off
|
$50,661.70
|
$251,797.70
|
$118,470.82
|
2026-05-06
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
22
|
16
|
—
|
—
|
$52,490.76
|
$181,964.92
|
$117,227.84
|
2026-05-06
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
6
|
—
|
—
|
$46,093.81
|
$174,967.55
|
$117,179.95
|
2026-05-06
|
|
602-1
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$46,007.96
|
$174,641.64
|
$116,961.67
|
2026-05-06
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
10
|
6
|
—
|
—
|
$45,939.69
|
$174,382.52
|
$116,788.13
|
2026-05-06
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
23
|
17
|
—
|
—
|
$42,916.62
|
$444,348.15
|
$116,120.36
|
2026-05-06
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
23
|
17
|
—
|
—
|
$42,781.71
|
$192,639.54
|
$115,755.33
|
2026-05-06
|
|
007-1
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
6
|
—
|
—
|
$45,169.08
|
$171,457.35
|
$114,829.08
|
2026-05-06
|
|
440-3
|
OTHER
|
Kidney Transplant
|
10
|
6
|
—
|
—
|
$45,128.97
|
$171,305.08
|
$114,727.10
|
2026-05-06
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
6
|
—
|
—
|
$44,987.51
|
$170,768.14
|
$114,367.49
|
2026-05-06
|
|
614-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
10
|
6
|
—
|
—
|
$4,373.63
|
$169,512.59
|
$113,526.62
|
2026-05-06
|
|
023-4
|
OTHER
|
Spinal Procedures
|
10
|
6
|
—
|
—
|
$44,123.30
|
$167,487.68
|
$112,170.49
|
2026-05-06
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
22
|
16
|
—
|
—
|
$23,606.97
|
$200,794.49
|
$111,633.95
|
2026-05-06
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
10
|
6
|
—
|
—
|
$43,488.52
|
$165,078.09
|
$110,556.74
|
2026-05-06
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
6
|
—
|
—
|
$43,442.07
|
$164,901.78
|
$110,438.66
|
2026-05-06
|
|
120-4
|
OTHER
|
Major Respiratory And Chest Procedures
|
10
|
6
|
—
|
—
|
$43,412.51
|
$164,789.58
|
$110,363.51
|
2026-05-06
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
23
|
17
|
—
|
—
|
$40,060.06
|
$293,902.61
|
$110,222.21
|
2026-05-06
|
|
001-1
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
10
|
6
|
—
|
—
|
$43,318.21
|
$164,431.62
|
$110,123.78
|
2026-05-06
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
6
|
—
|
—
|
$43,268.94
|
$164,244.62
|
$109,998.54
|
2026-05-06
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
22
|
16
|
—
|
—
|
$28,533.02
|
$194,608.42
|
$109,701.20
|
2026-05-06
|
|
950-4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
6
|
—
|
—
|
$43,028.26
|
$163,331.01
|
$109,386.68
|
2026-05-06
|
|
519930
|
OTHER
|
Hchg Kit Strl Implant Pr72570
|
23
|
13
|
$230,882.80
|
$129,294.37
44% off
|
$46,453.62
|
$230,882.80
|
$108,630.36
|
2026-05-06
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
23
|
17
|
—
|
—
|
$32,759.06
|
$183,382.35
|
$108,070.71
|
2026-05-06
|
|
167-4
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
6
|
—
|
—
|
$42,410.36
|
$160,985.53
|
$107,815.85
|
2026-05-06
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
6
|
—
|
—
|
$42,304.10
|
$160,582.15
|
$107,545.70
|
2026-05-06
|
|
178-3
|
OTHER
|
External Heart Assist Systems
|
10
|
6
|
—
|
—
|
$42,103.53
|
$159,820.81
|
$107,035.81
|
2026-05-06
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
23
|
17
|
—
|
—
|
$35,015.39
|
$177,726.04
|
$106,370.71
|
2026-05-06
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
23
|
17
|
—
|
—
|
$39,090.23
|
$403,645.46
|
$105,767.20
|
2026-05-06
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
6
|
—
|
—
|
$41,569.38
|
$157,793.23
|
$105,677.89
|
2026-05-06
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
23
|
17
|
—
|
—
|
$38,921.71
|
$175,258.57
|
$105,311.25
|
2026-05-06
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
23
|
17
|
—
|
—
|
$38,792.91
|
$174,678.59
|
$104,962.75
|
2026-05-06
|
|
165-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
6
|
—
|
—
|
$41,149.94
|
$156,201.09
|
$104,611.60
|
2026-05-06
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
6
|
—
|
—
|
$41,132.34
|
$156,134.30
|
$104,566.87
|
2026-05-06
|
|
021-4
|
OTHER
|
Open Craniotomy Except Trauma
|
10
|
6
|
—
|
—
|
$40,997.93
|
$155,624.07
|
$104,225.15
|
2026-05-06
|
|
182-4
|
OTHER
|
Other Peripheral Vascular And Related Procedures
|
10
|
6
|
—
|
—
|
$37,721.60
|
$153,786.16
|
$102,994.26
|
2026-05-06
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
6
|
—
|
—
|
$40,143.57
|
$152,381.01
|
$102,053.20
|
2026-05-06
|
|
169-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
10
|
6
|
—
|
—
|
$40,074.60
|
$152,119.21
|
$101,877.87
|
2026-05-06
|
|
850-4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
10
|
6
|
—
|
—
|
$39,868.40
|
$151,336.50
|
$101,353.67
|
2026-05-06
|
|
181-4
|
OTHER
|
Lower Extremity Arterial Procedures
|
10
|
6
|
—
|
—
|
$39,749.47
|
$150,885.04
|
$101,051.30
|
2026-05-06
|
|
440-2
|
OTHER
|
Kidney Transplant
|
10
|
6
|
—
|
—
|
$39,677.68
|
$150,612.55
|
$100,868.82
|
2026-05-06
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
23
|
17
|
—
|
—
|
$36,516.22
|
$164,426.97
|
$98,802.65
|
2026-05-06
|
|
519931
|
OTHER
|
Hchg Hospital Implant Set Pr65970
|
23
|
13
|
$209,967.70
|
$117,581.91
44% off
|
$42,245.50
|
$209,967.70
|
$98,789.80
|
2026-05-06
|
|
519932
|
OTHER
|
Hchg Kit Pump Implant Pr65970
|
23
|
13
|
$209,967.70
|
$117,581.91
44% off
|
$42,245.50
|
$209,967.70
|
$98,789.80
|
2026-05-06
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
23
|
17
|
—
|
—
|
$36,322.25
|
$163,553.57
|
$98,277.83
|
2026-05-06
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
23
|
17
|
—
|
—
|
$36,300.87
|
$163,457.29
|
$98,219.98
|
2026-05-06
|
|
304-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
6
|
—
|
—
|
$38,351.81
|
$145,579.67
|
$97,498.18
|
2026-05-06
|
|
912-4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
10
|
6
|
—
|
—
|
$38,073.83
|
$144,524.47
|
$96,791.49
|
2026-05-06
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
10
|
6
|
—
|
—
|
$37,948.56
|
$144,048.97
|
$96,473.03
|
2026-05-06
|
|
178-2
|
OTHER
|
External Heart Assist Systems
|
10
|
6
|
—
|
—
|
$37,666.35
|
$142,977.74
|
$95,755.61
|
2026-05-06
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
23
|
17
|
—
|
—
|
$35,187.97
|
$158,446.10
|
$95,208.80
|
2026-05-06
|
|
179-4
|
OTHER
|
Defibrillator Implants
|
10
|
6
|
—
|
—
|
$37,345.44
|
$141,759.59
|
$94,939.78
|
2026-05-06
|
|
589-4
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
6
|
—
|
—
|
$689.11
|
$141,388.27
|
$94,691.10
|
2026-05-06
|
|
260-4
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
10
|
6
|
—
|
—
|
$37,070.27
|
$140,715.08
|
$94,240.25
|
2026-05-06
|
|
089-4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
10
|
6
|
—
|
—
|
$36,985.12
|
$140,391.84
|
$94,023.77
|
2026-05-06
|
|
863-3
|
OTHER
|
Neonatal Aftercare
|
10
|
6
|
—
|
—
|
$6,850.02
|
$138,660.79
|
$92,864.44
|
2026-05-06
|
|
005-2
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
6
|
—
|
—
|
$36,513.60
|
$138,602.02
|
$92,825.08
|
2026-05-06
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
23
|
17
|
—
|
—
|
$34,268.03
|
$154,303.74
|
$92,719.69
|
2026-05-06
|
|
447-4
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
10
|
6
|
—
|
—
|
$36,384.11
|
$138,110.48
|
$92,495.89
|
2026-05-06
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
10
|
6
|
—
|
—
|
$36,353.85
|
$137,995.61
|
$92,418.96
|
2026-05-06
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
23
|
17
|
—
|
—
|
$14,973.14
|
$178,792.22
|
$91,383.03
|
2026-05-06
|
|
004-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
6
|
—
|
—
|
$35,876.00
|
$136,181.75
|
$91,204.16
|
2026-05-06
|
|
613-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
6
|
—
|
—
|
$35,803.52
|
$135,906.59
|
$91,019.89
|
2026-05-06
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
17
|
—
|
—
|
$33,474.85
|
$150,732.18
|
$90,573.57
|
2026-05-06
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
17
|
—
|
—
|
$33,474.85
|
$196,496.28
|
$90,573.57
|
2026-05-06
|
|
130-4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
6
|
—
|
—
|
$35,604.35
|
$135,150.59
|
$90,513.58
|
2026-05-06
|
|
440-1
|
OTHER
|
Kidney Transplant
|
10
|
6
|
—
|
—
|
$35,576.91
|
$135,046.41
|
$90,443.80
|
2026-05-06
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
23
|
17
|
—
|
—
|
$33,353.18
|
$150,184.29
|
$90,244.36
|
2026-05-06
|
|
911-4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
10
|
6
|
—
|
—
|
$35,460.08
|
$134,602.96
|
$90,146.81
|
2026-05-06
|
|
621-3
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
10
|
6
|
—
|
—
|
$280.40
|
$134,568.23
|
$90,123.55
|
2026-05-06
|
|
170-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
10
|
6
|
—
|
—
|
$35,408.71
|
$134,407.95
|
$90,016.21
|
2026-05-06
|
|
740-4
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
10
|
6
|
—
|
—
|
$34,906.93
|
$132,503.25
|
$89,561.45
|
2026-05-06
|
|
178-1
|
OTHER
|
External Heart Assist Systems
|
10
|
6
|
—
|
—
|
$35,137.76
|
$133,379.47
|
$89,327.40
|
2026-05-06
|
|
510-4
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
7
|
3
|
—
|
—
|
$31,200.26
|
$118,433.08
|
$89,097.23
|
2026-05-06
|
|
695-4
|
OTHER
|
Chemotherapy For Acute Leukemia
|
10
|
6
|
—
|
—
|
$34,836.56
|
$132,236.11
|
$88,561.68
|
2026-05-06
|
|
312-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
10
|
6
|
—
|
—
|
$34,754.92
|
$131,926.23
|
$88,354.14
|
2026-05-06
|
|
022-4
|
OTHER
|
Ventricular Shunt Procedures
|
10
|
6
|
—
|
—
|
$34,738.03
|
$131,862.12
|
$88,311.20
|
2026-05-06
|
|
522889
|
OTHER
|
Hchg Ide Vad Heartassist5 G100297 Pr59970
|
21
|
12
|
$187,889.20
|
$105,217.95
44% off
|
$37,803.31
|
$187,889.20
|
$88,176.40
|
2026-05-06
|
|
614-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
10
|
6
|
—
|
—
|
$34,628.95
|
$131,448.06
|
$88,033.90
|
2026-05-06
|
|
651-4
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
10
|
6
|
—
|
—
|
$34,608.54
|
$131,370.59
|
$87,982.01
|
2026-05-06
|
|
176-4
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
10
|
6
|
—
|
—
|
$34,020.20
|
$129,137.31
|
$86,486.33
|
2026-05-06
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
10
|
6
|
—
|
—
|
$33,877.34
|
$128,595.02
|
$86,123.15
|
2026-05-06
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
23
|
17
|
—
|
—
|
$24,458.69
|
$147,175.12
|
$85,816.90
|
2026-05-06
|
|
612-2
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$33,320.09
|
$127,617.29
|
$85,468.35
|
2026-05-06
|
|
401-4
|
OTHER
|
Adrenal Procedures
|
10
|
6
|
—
|
—
|
$33,504.35
|
$127,179.19
|
$85,174.93
|
2026-05-06
|
|
027-4
|
OTHER
|
Other Open Craniotomy
|
10
|
6
|
—
|
—
|
$33,440.31
|
$126,936.09
|
$85,012.12
|
2026-05-06
|
|
590029
|
OTHER
|
Hchg New Tech Evoque Ttvr
|
23
|
13
|
$180,600.00
|
$101,136.00
44% off
|
$36,336.72
|
$180,600.00
|
$84,972.30
|
2026-05-06
|
|
317-4
|
OTHER
|
Tendon, Muscle And Other Soft Tissue Procedures
|
10
|
6
|
—
|
—
|
$32,550.01
|
$126,751.76
|
$84,888.68
|
2026-05-06
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
23
|
17
|
—
|
—
|
$31,199.68
|
$140,487.44
|
$84,417.61
|
2026-05-06
|
|
091-4
|
OTHER
|
Other Major Head And Neck Procedures
|
10
|
6
|
—
|
—
|
$32,883.64
|
$124,823.03
|
$83,596.96
|
2026-05-06
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
23
|
17
|
—
|
—
|
$30,864.70
|
$138,979.04
|
$83,511.22
|
2026-05-06
|
|
313-4
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
10
|
6
|
—
|
—
|
$32,697.85
|
$124,117.78
|
$83,124.64
|
2026-05-06
|
|
752-4
|
OTHER
|
Disorders Of Personality And Impulse Control
|
10
|
6
|
—
|
—
|
$32,636.62
|
$123,885.37
|
$82,968.99
|
2026-05-06
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
23
|
17
|
—
|
—
|
$30,588.26
|
$137,734.27
|
$82,763.25
|
2026-05-06
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
23
|
17
|
—
|
—
|
$30,579.60
|
$180,980.39
|
$82,739.83
|
2026-05-06
|
|
691-4
|
OTHER
|
Lymphoma, Myeloma And Non-acute Leukemia
|
10
|
6
|
—
|
—
|
$29,782.41
|
$123,465.96
|
$82,688.10
|
2026-05-06
|
|
303-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
6
|
—
|
—
|
$32,398.75
|
$122,982.44
|
$82,364.27
|
2026-05-06
|
|
011-2
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
6
|
—
|
—
|
$32,324.15
|
$122,699.28
|
$82,174.64
|
2026-05-06
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
23
|
17
|
—
|
—
|
$30,358.14
|
$136,698.10
|
$82,140.63
|
2026-05-06
|
|
519929
|
OTHER
|
Hchg Pump Pr54570
|
23
|
13
|
$173,594.00
|
$97,212.64
44% off
|
$34,927.11
|
$173,594.00
|
$81,675.98
|
2026-05-06
|
|
10
|
OTHER
|
Pancreas Transplant
|
22
|
16
|
—
|
—
|
$36,531.49
|
$126,640.39
|
$81,585.94
|
2026-05-06
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
17
|
14
|
—
|
—
|
$35,131.08
|
$127,839.32
|
$81,485.20
|
2026-05-06
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
6
|
—
|
—
|
$31,802.67
|
$120,719.78
|
$80,848.92
|
2026-05-06
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
23
|
17
|
—
|
—
|
$29,877.04
|
$134,531.79
|
$80,838.91
|
2026-05-06
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
23
|
17
|
—
|
—
|
$29,857.70
|
$134,444.68
|
$80,786.56
|
2026-05-06
|
|
321-4
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
10
|
6
|
—
|
—
|
$31,735.81
|
$120,466.00
|
$80,678.96
|
2026-05-06
|
|
625-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
10
|
6
|
—
|
—
|
$31,735.11
|
$120,463.33
|
$80,677.17
|
2026-05-06
|
|
361-4
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
10
|
6
|
—
|
—
|
$31,729.48
|
$120,441.96
|
$80,662.85
|
2026-05-06
|
|
403-4
|
OTHER
|
Procedures For Obesity
|
10
|
6
|
—
|
—
|
$31,690.77
|
$120,295.03
|
$80,564.45
|
2026-05-06
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
23
|
17
|
—
|
—
|
$26,454.87
|
$134,554.17
|
$80,504.52
|
2026-05-06
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
23
|
17
|
—
|
—
|
$29,172.96
|
$188,871.27
|
$80,267.18
|
2026-05-06
|
|
222-4
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
10
|
6
|
—
|
—
|
$31,434.61
|
$119,322.65
|
$79,913.23
|
2026-05-06
|
|
623-3
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
10
|
6
|
—
|
—
|
$31,088.71
|
$118,788.37
|
$79,555.41
|
2026-05-06
|
|
710-4
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
10
|
6
|
—
|
—
|
$31,108.06
|
$118,083.13
|
$79,083.09
|
2026-05-06
|
|
759-4
|
OTHER
|
Eating Disorders
|
10
|
6
|
—
|
—
|
$31,049.65
|
$117,861.40
|
$78,934.60
|
2026-05-06
|
|
952-4
|
OTHER
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
6
|
—
|
—
|
$30,932.83
|
$117,417.95
|
$78,637.61
|
2026-05-06
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
23
|
17
|
—
|
—
|
$29,016.15
|
$130,655.34
|
$78,509.58
|
2026-05-06
|
|
005-1
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
6
|
—
|
—
|
$30,212.76
|
$116,982.52
|
$78,345.99
|
2026-05-06
|
|
524756
|
OTHER
|
Hchg Ide Altavalve Pivotal G190128 Pr49670
|
21
|
12
|
$166,784.00
|
$93,399.04
44% off
|
$33,556.94
|
$166,784.00
|
$78,271.73
|
2026-05-06
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
23
|
17
|
—
|
—
|
$28,117.59
|
$126,609.25
|
$77,363.42
|
2026-05-06
|
|
608-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
6
|
—
|
—
|
$30,421.20
|
$115,475.86
|
$77,336.94
|
2026-05-06
|
|
630-2
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
6
|
—
|
—
|
$30,364.90
|
$115,262.15
|
$77,193.81
|
2026-05-06
|
|
092-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
10
|
6
|
—
|
—
|
$30,210.78
|
$114,677.12
|
$76,801.99
|
2026-05-06
|
|
278
|
OTHER
|
Cellulitis Age >17 Without Cc
|
23
|
17
|
—
|
—
|
$28,337.52
|
$127,599.57
|
$76,673.40
|
2026-05-06
|
|
020-4
|
OTHER
|
Open Craniotomy For Trauma
|
10
|
6
|
—
|
—
|
$30,150.96
|
$114,450.05
|
$76,649.93
|
2026-05-06
|
|
611-2
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
6
|
—
|
—
|
$2,217.91
|
$114,198.94
|
$76,481.75
|
2026-05-06
|
|
405-4
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
10
|
6
|
—
|
—
|
$30,053.14
|
$114,078.73
|
$76,401.24
|
2026-05-06
|
|
622-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$30,041.88
|
$114,035.98
|
$76,372.61
|
2026-05-06
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
6
|
—
|
—
|
$29,940.54
|
$113,651.30
|
$76,114.99
|
2026-05-06
|
|
232-4
|
OTHER
|
Gastric Fundoplication
|
10
|
6
|
—
|
—
|
$29,901.13
|
$113,501.71
|
$76,014.80
|
2026-05-06
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
23
|
17
|
—
|
—
|
$27,949.08
|
$125,850.47
|
$75,622.38
|
2026-05-06
|
|
609-2
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$29,675.92
|
$112,646.86
|
$75,442.29
|
2026-05-06
|
|
842-3
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
6
|
—
|
—
|
$29,663.26
|
$112,598.78
|
$75,410.09
|
2026-05-06
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
23
|
17
|
—
|
—
|
$27,850.32
|
$125,405.74
|
$75,355.15
|
2026-05-06
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
23
|
17
|
—
|
—
|
$27,810.61
|
$125,226.93
|
$75,247.71
|
2026-05-06
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
23
|
17
|
—
|
—
|
$27,766.82
|
$125,029.79
|
$75,129.25
|
2026-05-06
|
|
625-3
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
10
|
6
|
—
|
—
|
$26,855.32
|
$112,176.70
|
$75,127.41
|
2026-05-06
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
14
|
11
|
—
|
—
|
$1,394.66
|
$143,525.91
|
$74,479.61
|
2026-05-06
|
|
404-4
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
10
|
6
|
—
|
—
|
$29,180.48
|
$110,766.21
|
$74,182.77
|
2026-05-06
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
23
|
17
|
—
|
—
|
$26,950.74
|
$121,355.08
|
$74,152.91
|
2026-05-06
|
|
444-4
|
OTHER
|
Renal Dialysis Access Device Procedures
|
10
|
6
|
—
|
—
|
$29,101.66
|
$110,467.02
|
$73,982.40
|
2026-05-06
|
|
261-4
|
OTHER
|
Major Biliary Tract Procedures
|
10
|
6
|
—
|
—
|
$29,060.14
|
$110,309.40
|
$73,876.84
|
2026-05-06
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
23
|
17
|
—
|
—
|
$27,149.28
|
$126,408.69
|
$73,458.36
|
2026-05-06
|
|
029-4
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
10
|
6
|
—
|
—
|
$28,688.56
|
$108,898.91
|
$72,932.20
|
2026-05-06
|
|
792-4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
6
|
—
|
—
|
$28,663.92
|
$108,805.42
|
$72,869.59
|
2026-05-06
|
|
180-4
|
OTHER
|
Other Circulatory System Procedures
|
10
|
6
|
—
|
—
|
$28,593.55
|
$108,538.28
|
$72,690.67
|
2026-05-06
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
23
|
17
|
—
|
—
|
$26,861.64
|
$192,002.95
|
$72,680.08
|
2026-05-06
|
|
690-3
|
OTHER
|
Acute Leukemia
|
10
|
6
|
—
|
—
|
$28,582.29
|
$108,495.54
|
$72,662.05
|
2026-05-06
|
|
024-4
|
OTHER
|
Open Extracranial Vascular Procedures
|
10
|
6
|
—
|
—
|
$28,397.20
|
$107,792.96
|
$72,191.52
|
2026-05-06
|
|
518-4
|
OTHER
|
Other Female Reproductive System And Related Procedures
|
10
|
6
|
—
|
—
|
$28,345.83
|
$107,597.95
|
$72,060.91
|
2026-05-06
|
|
042-4
|
OTHER
|
Degenerative Nervous System Disorders Except Multiple Sclerosis
|
10
|
6
|
—
|
—
|
$22,105.10
|
$107,234.64
|
$71,817.60
|
2026-05-06
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
23
|
17
|
—
|
—
|
$26,500.69
|
$119,328.59
|
$71,703.45
|
2026-05-06
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
23
|
17
|
—
|
—
|
$24,582.91
|
$117,794.21
|
$71,188.56
|
2026-05-06
|
|
622-3
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$16,568.76
|
$106,155.40
|
$71,094.80
|
2026-05-06
|
|
951-4
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
6
|
—
|
—
|
$27,798.31
|
$105,519.62
|
$70,669.01
|
2026-05-06
|
|
626-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$25,365.40
|
$105,439.47
|
$70,615.33
|
2026-05-06
|
|
650-4
|
OTHER
|
Splenectomy
|
10
|
6
|
—
|
—
|
$27,770.16
|
$105,412.76
|
$70,597.44
|
2026-05-06
|
|
043-4
|
OTHER
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
10
|
6
|
—
|
—
|
$27,668.11
|
$105,025.41
|
$70,338.02
|
2026-05-06
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
23
|
17
|
—
|
—
|
$25,390.85
|
$114,991.54
|
$70,191.20
|
2026-05-06
|
|
179-3
|
OTHER
|
Defibrillator Implants
|
10
|
6
|
—
|
—
|
$27,563.96
|
$104,630.04
|
$70,073.24
|
2026-05-06
|
|
130-3
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
6
|
—
|
—
|
$27,561.14
|
$104,619.36
|
$70,066.08
|
2026-05-06
|
|
305-4
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
10
|
6
|
—
|
—
|
$27,335.24
|
$103,761.85
|
$69,491.79
|
2026-05-06
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
23
|
17
|
—
|
—
|
$25,659.66
|
$115,541.54
|
$69,427.84
|
2026-05-06
|
|
442-4
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
10
|
6
|
—
|
—
|
$27,262.05
|
$103,484.02
|
$69,305.72
|
2026-05-06
|
|
711-4
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
10
|
6
|
—
|
—
|
$27,232.49
|
$103,371.82
|
$69,230.58
|
2026-05-06
|
|
230-4
|
OTHER
|
Major Small Bowel Procedures
|
10
|
6
|
—
|
—
|
$27,230.38
|
$103,363.81
|
$69,225.21
|
2026-05-06
|
|
121-4
|
OTHER
|
Other Respiratory And Chest Procedures
|
10
|
6
|
—
|
—
|
$27,090.33
|
$102,832.20
|
$68,869.18
|
2026-05-06
|
|
482-4
|
OTHER
|
Transurethral Prostatectomy
|
10
|
6
|
—
|
—
|
$25,436.59
|
$102,685.28
|
$68,770.78
|
2026-05-06
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
10
|
6
|
—
|
—
|
$26,829.24
|
$101,841.12
|
$68,205.43
|
2026-05-06
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
23
|
17
|
—
|
—
|
$25,187.21
|
$113,414.20
|
$68,149.55
|
2026-05-06
|
|
165-3
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
6
|
—
|
—
|
$26,788.42
|
$101,686.18
|
$68,101.66
|
2026-05-06
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
23
|
17
|
—
|
—
|
$25,142.41
|
$113,212.47
|
$68,028.33
|
2026-05-06
|
|
231-4
|
OTHER
|
Major Large Bowel Procedures
|
10
|
6
|
—
|
—
|
$26,732.82
|
$101,475.14
|
$67,960.32
|
2026-05-06
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
23
|
17
|
—
|
—
|
$16,379.68
|
$112,825.05
|
$67,795.53
|
2026-05-06
|
|
514-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$26,592.77
|
$100,943.54
|
$67,604.29
|
2026-05-06
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
23
|
17
|
—
|
—
|
$24,952.01
|
$112,355.11
|
$67,513.15
|
2026-05-06
|
|
026-4
|
OTHER
|
Other Nervous System And Related Procedures
|
10
|
6
|
—
|
—
|
$26,556.88
|
$100,807.30
|
$67,513.05
|
2026-05-06
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
22
|
16
|
—
|
—
|
$30,188.10
|
$104,650.35
|
$67,419.23
|
2026-05-06
|
|
844-4
|
OTHER
|
Partial Thickness Burns Without Skin Graft
|
10
|
6
|
—
|
—
|
$23,233.25
|
$100,572.21
|
$67,355.61
|
2026-05-06
|
|
455
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
17
|
14
|
—
|
—
|
$29,013.89
|
$105,579.33
|
$67,296.61
|
2026-05-06
|
|
009-2
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
6
|
—
|
—
|
$26,430.21
|
$100,326.45
|
$67,191.01
|
2026-05-06
|
|
512-4
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
10
|
6
|
—
|
—
|
$26,162.78
|
$99,311.32
|
$66,511.16
|
2026-05-06
|
|
326-4
|
OTHER
|
Elective Knee Joint Replacement
|
10
|
6
|
—
|
—
|
$25,962.91
|
$98,552.65
|
$66,003.06
|
2026-05-06
|
|
793-4
|
OTHER
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
6
|
—
|
—
|
$25,863.69
|
$98,175.98
|
$65,750.79
|
2026-05-06
|
|
310-4
|
OTHER
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
10
|
6
|
—
|
—
|
$25,822.87
|
$98,021.04
|
$65,647.03
|
2026-05-06
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
23
|
17
|
—
|
—
|
$24,237.23
|
$109,136.58
|
$65,579.17
|
2026-05-06
|
|
484-4
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
10
|
6
|
—
|
—
|
$25,791.20
|
$97,900.83
|
$65,566.52
|
2026-05-06
|
|
639-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition
|
10
|
6
|
—
|
—
|
$22,816.03
|
$97,756.58
|
$65,469.91
|
2026-05-06
|
|
660-4
|
OTHER
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
10
|
6
|
—
|
—
|
$21,780.26
|
$97,329.16
|
$65,183.66
|
2026-05-06
|
|
445-4
|
OTHER
|
Other Bladder Procedures
|
10
|
6
|
—
|
—
|
$25,632.85
|
$97,299.77
|
$65,163.98
|
2026-05-06
|
|
480-4
|
OTHER
|
Major Male Pelvic Procedures
|
10
|
6
|
—
|
—
|
$25,473.10
|
$96,693.37
|
$65,018.31
|
2026-05-06
|
|
524521
|
OTHER
|
Hchg Transcatheter Heart Valve Pr41170
|
23
|
13
|
$138,144.00
|
$77,360.64
44% off
|
$27,794.57
|
$138,144.00
|
$64,996.75
|
2026-05-06
|
|
634-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
10
|
6
|
—
|
—
|
$25,502.66
|
$96,805.56
|
$64,833.00
|
2026-05-06
|
|
524271
|
OTHER
|
Hchg Ide Apollo G160020 Pr41170
|
21
|
12
|
$138,144.00
|
$77,360.64
44% off
|
$27,794.57
|
$138,144.00
|
$64,830.98
|
2026-05-06
|
|
524925
|
OTHER
|
Hchg Ide Impella G210059 Pr41170
|
21
|
12
|
$138,144.00
|
$77,360.64
44% off
|
$27,794.57
|
$138,144.00
|
$64,830.98
|
2026-05-06
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
23
|
17
|
—
|
—
|
$23,934.83
|
$107,774.89
|
$64,760.93
|
2026-05-06
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
23
|
17
|
—
|
—
|
$23,885.95
|
$107,554.82
|
$64,628.70
|
2026-05-06
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
23
|
17
|
—
|
—
|
$23,814.68
|
$107,233.89
|
$64,435.85
|
2026-05-06
|
|
030-4
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
10
|
6
|
—
|
—
|
$25,333.76
|
$96,164.43
|
$64,403.61
|
2026-05-06
|
|
325-4
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
10
|
6
|
—
|
—
|
$25,263.38
|
$95,897.29
|
$64,224.71
|
2026-05-06
|
|
009-1
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
6
|
—
|
—
|
$25,108.56
|
$95,309.59
|
$63,831.10
|
2026-05-06
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
23
|
17
|
—
|
—
|
$23,512.78
|
$244,572.17
|
$63,619.00
|
2026-05-06
|
|
309-4
|
OTHER
|
Other Significant Hip And Femur Surgery
|
10
|
6
|
—
|
—
|
$25,005.10
|
$94,916.90
|
$63,568.11
|
2026-05-06
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
23
|
17
|
—
|
—
|
$23,400.78
|
$105,370.17
|
$63,315.96
|
2026-05-06
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
23
|
17
|
—
|
—
|
$23,341.22
|
$115,591.96
|
$63,154.80
|
2026-05-06
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
23
|
17
|
—
|
—
|
$23,227.18
|
$313,745.16
|
$62,846.24
|
2026-05-06
|
|
661-4
|
OTHER
|
Coagulation And Platelet Disorders
|
10
|
6
|
—
|
—
|
$23,158.52
|
$93,821.63
|
$62,834.58
|
2026-05-06
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
23
|
17
|
—
|
—
|
$23,157.43
|
$112,248.28
|
$62,657.52
|
2026-05-06
|
|
227-4
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
10
|
6
|
—
|
—
|
$24,637.74
|
$93,522.44
|
$62,634.21
|
2026-05-06
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
23
|
17
|
—
|
—
|
$23,147.25
|
$104,228.55
|
$62,629.98
|
2026-05-06
|
|
322-4
|
OTHER
|
Shoulder And Elbow Joint Replacement
|
10
|
6
|
—
|
—
|
$24,620.15
|
$93,455.65
|
$62,589.47
|
2026-05-06
|