Hospital

AVERA MARSHALL REGIONAL MEDICAL CTR

Marshall, MN · CCN 241359 · Rates published

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You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $994 across 5 payers · range $69-$2,216

Source: https://www.avera.org/app/files/public/611b19cb-b403-4845-b370-8ac340480d3f/460380552_avera-marshall-hospital_standardcharges.csv · observed 2026-05-09

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,992 distinct procedures filed

5 distinct payers

36,095 rate rows

2026-05-09 last MRF observed

Data quality

35,589 of 36,095 rate rows are consumer-grade (98.6%)

506 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
placeholder amount (≤ $0.02) — excluded from medians	223
per-diem day rate — not a per-procedure price	211
exceeds 10× this hospital's gross charge — excluded from medians	53
percent-of-charges filed in the dollar field — excluded from medians	11
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	8

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

Source MRF file	https://www.avera.org/app/files/public/611b19cb-b403-4845-b370-8ac340480d3f/460380552_avera-marshall-hospital_standardcharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint	7210a28e73f22088… · 11,285,834 bytes · first seen 2026-05-09

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
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$724,391.47	$724,391.47	$724,391.47	nat. median $380,401 1.9× median
5834 OTHER	Neonate With Ecmo	1	$229,982.51	$847,299.94	$538,641.22	nat. median $372,748 1.4× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	$470,100.92	$470,100.92	$470,100.92	nat. median $225,321 outlier · 2.1×
5891 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$153,029.31	$563,789.51	$358,409.41	nat. median $81,201 outlier · 4.4×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	1	$356,052.73	$356,052.73	$356,052.73	nat. median $204,908 1.7× median
5884 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$148,778.70	$548,129.43	$348,454.07	nat. median $243,175 1.4× median
8414 OTHER	Extensive Third Degree Burns With Skin Graft	1	$146,865.77	$541,081.84	$343,973.80	nat. median $140,709 outlier · 2.4×
5914 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$139,711.92	$514,725.66	$327,218.79	nat. median $157,493 outlier · 2.1×
5934 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$137,528.20	$506,680.42	$322,104.31	nat. median $151,840 outlier · 2.1×
5833 OTHER	Neonate With Ecmo	1	$134,446.43	$495,326.58	$314,886.51	nat. median $241,478 1.3× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	1	$309,166.61	$309,166.61	$309,166.61	nat. median $2 outlier · 182938.8×
5892 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$122,423.69	$451,032.49	$286,728.09	nat. median $70,935 outlier · 4.0×
6094 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	$119,510.27	$440,298.88	$279,904.58	nat. median $163,006 1.7× median
1614 OTHER	Implantable Heart Assist Systems	1	$110,517.77	$407,168.81	$258,843.29	nat. median $188,156 1.4× median
5933 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$106,918.98	$393,910.16	$250,414.57	nat. median $109,130 outlier · 2.3×
6024 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	$104,257.78	$384,105.77	$244,181.77	nat. median $119,134 outlier · 2.0×
5893 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$103,933.07	$382,909.47	$243,421.27	nat. median $47,115 outlier · 5.2×
5883 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$102,749.84	$378,550.25	$240,650.05	nat. median $168,056 1.4× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	1	$232,357.24	$232,357.24	$232,357.24	nat. median $141,414 1.6× median
7 OTHER	Lung Transplant	1	$217,239.61	$217,239.61	$217,239.61	nat. median $149,058 1.5× median
6074 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	$90,603.69	$333,801.48	$212,202.58	nat. median $81,519 outlier · 2.6×
5832 OTHER	Neonate With Ecmo	1	$86,791.62	$319,757.06	$203,274.34	nat. median $183,648 1.1× median
1613 OTHER	Implantable Heart Assist Systems	1	$86,301.55	$317,951.57	$202,126.56	nat. median $78 outlier · 2593.4×
14 OTHER	Liver Transplant And/or Intestinal Transplant	2	$75,481.21	$278,087.34	$201,600.27	nat. median $114,398 1.8× median
5932 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$84,917.63	$312,852.94	$198,885.29	nat. median $82,954 outlier · 2.4×
5882 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$83,285.68	$306,840.53	$195,063.11	nat. median $138,777 1.4× median
6114 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	$82,448.14	$303,754.86	$193,101.50	nat. median $70,034 outlier · 2.8×
6023 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	$82,210.30	$302,878.61	$192,544.46	nat. median $95,081 outlier · 2.0×
6034 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	$81,392.53	$299,865.78	$190,629.16	nat. median $114,956 1.7× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	$190,090.95	$190,090.95	$190,090.95	nat. median $108,158 1.8× median
209 OTHER	Complex Aortic Arch Procedures	1	$189,872.87	$189,872.87	$189,872.87	nat. median $5,729 outlier · 33.1×
6214 OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	1	$79,870.21	$294,257.28	$187,063.74	nat. median $60,266 outlier · 3.1×
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	$184,880.63	$184,880.63	$184,880.63	nat. median $74,767 outlier · 2.5×
5931 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$77,198.23	$284,413.17	$180,805.70	nat. median $13 outlier · 13908.1×
44 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$76,103.07	$280,378.41	$178,240.74	nat. median $57,853 outlier · 3.1×
6314 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	$75,463.24	$278,021.12	$176,742.18	nat. median $156,971 1.1× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	1	$172,958.64	$172,958.64	$172,958.64	nat. median $105,227 1.6× median
24 OTHER	Heart And/or Lung Transplant	2	$65,622.12	$628,142.63	$170,496.67	nat. median $27,611 outlier · 6.2×
5913 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$72,793.65	$268,185.84	$170,489.74	nat. median $96,248 1.8× median
215 OTHER	Other Heart Assist System Implant	1	$167,028.68	$167,028.68	$167,028.68	nat. median $75,018 outlier · 2.2×
5831 OTHER	Neonate With Ecmo	1	$71,011.32	$261,619.42	$166,315.37	nat. median $144,202 1.2× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	$164,106.47	$164,106.47	$164,106.47	nat. median $73,813 outlier · 2.2×
1612 OTHER	Implantable Heart Assist Systems	1	$69,292.51	$255,286.96	$162,289.73	nat. median $96,189 1.7× median
1611 OTHER	Implantable Heart Assist Systems	1	$65,827.91	$242,522.72	$154,175.32	nat. median $67,062 outlier · 2.3×
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	$151,136.04	$151,136.04	$151,136.04	nat. median $62,643 outlier · 2.4×
6073 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	$63,402.15	$233,585.77	$148,493.96	nat. median $63,352 outlier · 2.3×
850 OTHER	Acute Leukemia With Other Procedures	1	$145,263.11	$145,263.11	$145,263.11	nat. median $396 outlier · 366.7×
6113 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	$60,917.09	$224,430.30	$142,673.70	nat. median $46,196 outlier · 3.1×
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	1	$140,967.04	$140,967.04	$140,967.04	nat. median $72,707 1.9× median
43 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$58,761.53	$216,488.80	$137,625.16	nat. median $58,476 outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 3,992 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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$724,391.47	$724,391.47	$724,391.47	2026-05-09
5834	OTHER	Neonate With Ecmo	2	1	—	—	$229,982.51	$847,299.94	$538,641.22	2026-05-09
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	1	—	—	$470,100.92	$470,100.92	$470,100.92	2026-05-09
5891	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	1	—	—	$153,029.31	$563,789.51	$358,409.41	2026-05-09
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	1	1	—	—	$356,052.73	$356,052.73	$356,052.73	2026-05-09
5884	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	1	—	—	$148,778.70	$548,129.43	$348,454.07	2026-05-09
8414	OTHER	Extensive Third Degree Burns With Skin Graft	2	1	—	—	$146,865.77	$541,081.84	$343,973.80	2026-05-09
5914	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	1	—	—	$139,711.92	$514,725.66	$327,218.79	2026-05-09
5934	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	1	—	—	$137,528.20	$506,680.42	$322,104.31	2026-05-09
5833	OTHER	Neonate With Ecmo	2	1	—	—	$134,446.43	$495,326.58	$314,886.51	2026-05-09
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	1	1	—	—	$309,166.61	$309,166.61	$309,166.61	2026-05-09
5892	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	1	—	—	$122,423.69	$451,032.49	$286,728.09	2026-05-09
6094	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	1	—	—	$119,510.27	$440,298.88	$279,904.58	2026-05-09
1614	OTHER	Implantable Heart Assist Systems	2	1	—	—	$110,517.77	$407,168.81	$258,843.29	2026-05-09
5933	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	1	—	—	$106,918.98	$393,910.16	$250,414.57	2026-05-09
6024	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$104,257.78	$384,105.77	$244,181.77	2026-05-09
5893	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	1	—	—	$103,933.07	$382,909.47	$243,421.27	2026-05-09
5883	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	1	—	—	$102,749.84	$378,550.25	$240,650.05	2026-05-09
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	1	1	—	—	$232,357.24	$232,357.24	$232,357.24	2026-05-09
7	OTHER	Lung Transplant	1	1	—	—	$217,239.61	$217,239.61	$217,239.61	2026-05-09
6074	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$90,603.69	$333,801.48	$212,202.58	2026-05-09
5832	OTHER	Neonate With Ecmo	2	1	—	—	$86,791.62	$319,757.06	$203,274.34	2026-05-09
1613	OTHER	Implantable Heart Assist Systems	2	1	—	—	$86,301.55	$317,951.57	$202,126.56	2026-05-09
14	OTHER	Liver Transplant And/or Intestinal Transplant	3	2	—	—	$75,481.21	$278,087.34	$201,600.27	2026-05-09
5932	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	1	—	—	$84,917.63	$312,852.94	$198,885.29	2026-05-09
5882	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	1	—	—	$83,285.68	$306,840.53	$195,063.11	2026-05-09
6114	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	1	—	—	$82,448.14	$303,754.86	$193,101.50	2026-05-09
6023	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$82,210.30	$302,878.61	$192,544.46	2026-05-09
6034	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	1	—	—	$81,392.53	$299,865.78	$190,629.16	2026-05-09
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	1	—	—	$190,090.95	$190,090.95	$190,090.95	2026-05-09
209	OTHER	Complex Aortic Arch Procedures	1	1	—	—	$189,872.87	$189,872.87	$189,872.87	2026-05-09
6214	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	2	1	—	—	$79,870.21	$294,257.28	$187,063.74	2026-05-09
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$184,880.63	$184,880.63	$184,880.63	2026-05-09
5931	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	1	—	—	$77,198.23	$284,413.17	$180,805.70	2026-05-09
44	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$76,103.07	$280,378.41	$178,240.74	2026-05-09
6314	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	1	—	—	$75,463.24	$278,021.12	$176,742.18	2026-05-09
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	1	1	—	—	$172,958.64	$172,958.64	$172,958.64	2026-05-09
24	OTHER	Heart And/or Lung Transplant	3	2	—	—	$65,622.12	$628,142.63	$170,496.67	2026-05-09
5913	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	1	—	—	$72,793.65	$268,185.84	$170,489.74	2026-05-09
215	OTHER	Other Heart Assist System Implant	1	1	—	—	$167,028.68	$167,028.68	$167,028.68	2026-05-09
5831	OTHER	Neonate With Ecmo	2	1	—	—	$71,011.32	$261,619.42	$166,315.37	2026-05-09
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$164,106.47	$164,106.47	$164,106.47	2026-05-09
1612	OTHER	Implantable Heart Assist Systems	2	1	—	—	$69,292.51	$255,286.96	$162,289.73	2026-05-09
1611	OTHER	Implantable Heart Assist Systems	2	1	—	—	$65,827.91	$242,522.72	$154,175.32	2026-05-09
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	1	—	—	$151,136.04	$151,136.04	$151,136.04	2026-05-09
6073	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$63,402.15	$233,585.77	$148,493.96	2026-05-09
850	OTHER	Acute Leukemia With Other Procedures	1	1	—	—	$145,263.11	$145,263.11	$145,263.11	2026-05-09
6113	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	1	—	—	$60,917.09	$224,430.30	$142,673.70	2026-05-09
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	1	1	—	—	$140,967.04	$140,967.04	$140,967.04	2026-05-09
43	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$58,761.53	$216,488.80	$137,625.16	2026-05-09
6304	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	1	—	—	$58,175.01	$214,327.95	$136,251.48	2026-05-09
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	1	1	—	—	$131,999.12	$131,999.12	$131,999.12	2026-05-09
5912	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	1	—	—	$55,966.72	$206,192.21	$131,079.46	2026-05-09
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$128,803.48	$128,803.48	$128,803.48	2026-05-09
5881	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	1	—	—	$54,821.84	$201,974.25	$128,398.04	2026-05-09
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	1	1	—	—	$127,823.82	$127,823.82	$127,823.82	2026-05-09
6124	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$51,720.90	$190,549.78	$121,135.34	2026-05-09
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$121,092.02	$121,092.02	$121,092.02	2026-05-09
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	1	1	—	—	$120,322.04	$120,322.04	$120,322.04	2026-05-09
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	1	—	—	$119,612.46	$119,612.46	$119,612.46	2026-05-09
5911	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	1	—	—	$50,879.17	$187,448.67	$119,163.92	2026-05-09
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	1	—	—	$50,537.08	$186,188.36	$118,362.72	2026-05-09
1784	OTHER	External Heart Assist Systems	2	1	—	—	$49,721.71	$183,184.36	$116,453.04	2026-05-09
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	1	1	—	—	$115,945.45	$115,945.45	$115,945.45	2026-05-09
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	1	1	—	—	$115,376.77	$115,376.77	$115,376.77	2026-05-09
955	OTHER	Craniotomy For Multiple Significant Trauma	1	1	—	—	$112,914.20	$112,914.20	$112,914.20	2026-05-09
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	1	1	—	—	$112,166.04	$112,166.04	$112,166.04	2026-05-09
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	1	1	—	—	$112,083.84	$112,083.84	$112,083.84	2026-05-09
4404	OTHER	Kidney Transplant	2	1	—	—	$47,573.93	$175,271.54	$111,422.74	2026-05-09
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	1	1	—	—	$111,171.28	$111,171.28	$111,171.28	2026-05-09
6022	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$47,402.59	$174,640.29	$111,021.44	2026-05-09
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$110,300.66	$110,300.66	$110,300.66	2026-05-09
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$110,300.66	$110,300.66	$110,300.66	2026-05-09
8413	OTHER	Extensive Third Degree Burns With Skin Graft	2	1	—	—	$47,086.86	$173,477.09	$110,281.98	2026-05-09
6093	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	1	—	—	$46,466.80	$171,192.64	$108,829.72	2026-05-09
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	1	1	—	—	$107,942.09	$107,942.09	$107,942.09	2026-05-09
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	1	1	—	—	$102,803.91	$102,803.91	$102,803.91	2026-05-09
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	1	1	—	—	$102,684.81	$102,684.81	$102,684.81	2026-05-09
6303	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	1	—	—	$43,113.03	$158,836.73	$100,974.88	2026-05-09
28	OTHER	Spinal Procedures With Mcc	1	1	—	—	$100,789.23	$100,789.23	$100,789.23	2026-05-09
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	1	1	—	—	$100,760.72	$100,760.72	$100,760.72	2026-05-09
3034	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	1	—	—	$42,745.79	$157,483.72	$100,114.76	2026-05-09
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	1	1	—	—	$100,031.00	$100,031.00	$100,031.00	2026-05-09
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	1	1	—	—	$99,702.21	$99,702.21	$99,702.21	2026-05-09
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	1	1	—	—	$99,470.72	$99,470.72	$99,470.72	2026-05-09
6334	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	2	1	—	—	$42,451.63	$156,399.98	$99,425.80	2026-05-09
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	1	1	—	—	$98,445.77	$98,445.77	$98,445.77	2026-05-09
1694	OTHER	Major Abdominal Vascular Procedures	2	1	—	—	$42,031.66	$154,852.74	$98,442.20	2026-05-09
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	1	1	—	—	$98,382.02	$98,382.02	$98,382.02	2026-05-09
6084	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	1	—	—	$41,677.59	$153,548.28	$97,612.93	2026-05-09
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	1	1	—	—	$96,743.10	$96,743.10	$96,743.10	2026-05-09
23	OTHER	Heart And/or Lung Transplant	3	2	—	—	$81,330.82	$299,638.44	$96,125.78	2026-05-09
1624	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	1	—	—	$40,333.81	$148,597.53	$94,465.67	2026-05-09
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$94,309.05	$94,309.05	$94,309.05	2026-05-09
8	OTHER	Simultaneous Pancreas And Kidney Transplant	1	1	—	—	$94,017.17	$94,017.17	$94,017.17	2026-05-09
8424	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	2	1	—	—	$39,979.14	$147,290.87	$93,635.01	2026-05-09
6033	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	1	—	—	$39,607.70	$145,922.41	$92,765.05	2026-05-09
834	OTHER	Acute Leukemia With Mcc	1	1	—	—	$92,093.07	$92,093.07	$92,093.07	2026-05-09
8634	OTHER	Neonatal Aftercare	2	1	—	—	$39,199.11	$144,417.10	$91,808.11	2026-05-09
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	1	1	—	—	$91,767.64	$91,767.64	$91,767.64	2026-05-09
234	OTHER	Spinal Procedures	3	2	—	—	$37,396.42	$137,775.63	$91,636.79	2026-05-09
11	OTHER	Liver Transplant And/or Intestinal Transplant	3	2	—	—	$34,784.94	$128,154.45	$91,492.53	2026-05-09
1304	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	1	—	—	$38,734.81	$142,706.52	$90,720.66	2026-05-09
2204	OTHER	Major Stomach, Esophageal And Duodenal Procedures	2	1	—	—	$38,714.44	$142,631.47	$90,672.96	2026-05-09
5894	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	1	—	—	$38,605.40	$142,229.76	$90,417.58	2026-05-09
4403	OTHER	Kidney Transplant	2	1	—	—	$38,511.35	$141,883.23	$90,197.29	2026-05-09
6083	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	1	—	—	$38,379.54	$141,397.65	$89,888.60	2026-05-09
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$89,457.72	$89,457.72	$89,457.72	2026-05-09
21	OTHER	Heart And/or Lung Transplant	3	2	—	—	$51,741.87	$190,627.04	$88,803.50	2026-05-09
6134	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	1	—	—	$37,326.93	$137,519.60	$87,423.27	2026-05-09
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	1	1	—	—	$87,320.59	$87,320.59	$87,320.59	2026-05-09
653	OTHER	Major Bladder Procedures With Mcc	1	1	—	—	$87,169.61	$87,169.61	$87,169.61	2026-05-09
6072	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$36,820.69	$135,654.51	$86,237.60	2026-05-09
1674	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	2	1	—	—	$35,860.93	$132,118.58	$83,989.76	2026-05-09
54	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	2	—	—	$25,613.75	$308,654.85	$83,778.14	2026-05-09
9104	OTHER	Craniotomy For Multiple Significant Trauma	2	1	—	—	$35,732.72	$131,646.24	$83,689.48	2026-05-09
6123	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$35,729.13	$131,632.99	$83,681.06	2026-05-09
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	1	1	—	—	$83,663.64	$83,663.64	$83,663.64	2026-05-09
2224	OTHER	Other Stomach, Esophageal And Duodenal Procedures	2	1	—	—	$35,617.69	$131,222.45	$83,420.07	2026-05-09
6904	OTHER	Acute Leukemia	2	1	—	—	$35,495.48	$130,772.19	$83,133.83	2026-05-09
228	OTHER	Other Cardiothoracic Procedures With Mcc	1	1	—	—	$82,992.64	$82,992.64	$82,992.64	2026-05-09
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	1	1	—	—	$82,561.52	$82,561.52	$82,561.52	2026-05-09
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	1	1	—	—	$82,217.63	$82,217.63	$82,217.63	2026-05-09
1634	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	2	1	—	—	$35,004.21	$128,962.28	$81,983.24	2026-05-09
9114	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	2	1	—	—	$34,807.71	$128,238.32	$81,523.02	2026-05-09
9504	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	1	—	—	$34,749.00	$128,022.01	$81,385.51	2026-05-09
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	1	1	—	—	$81,162.48	$81,162.48	$81,162.48	2026-05-09
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	1	1	—	—	$80,592.13	$80,592.13	$80,592.13	2026-05-09
1654	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	2	1	—	—	$34,124.74	$125,722.11	$79,923.42	2026-05-09
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	1	1	—	—	$79,862.42	$79,862.42	$79,862.42	2026-05-09
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	1	1	—	—	$78,865.99	$78,865.99	$78,865.99	2026-05-09
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	1	1	—	—	$78,470.10	$78,470.10	$78,470.10	2026-05-09
74	OTHER	Allogeneic Bone Marrow Transplant	3	2	—	—	$17,291.67	$288,423.65	$78,286.79	2026-05-09
1794	OTHER	Defibrillator Implants	2	1	—	—	$33,386.05	$123,000.63	$78,193.34	2026-05-09
8504	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	2	1	—	—	$33,333.92	$122,808.61	$78,071.26	2026-05-09
6	OTHER	Liver Transplant Without Mcc	1	1	—	—	$77,785.68	$77,785.68	$77,785.68	2026-05-09
277	OTHER	Cardiac Defibrillator Implant Without Mcc	1	1	—	—	$77,475.34	$77,475.34	$77,475.34	2026-05-09
4402	OTHER	Kidney Transplant	2	1	—	—	$33,029.58	$121,687.35	$77,358.46	2026-05-09
6224	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$32,997.23	$121,568.16	$77,282.70	2026-05-09
2614	OTHER	Major Biliary Tract Procedures	2	1	—	—	$32,927.14	$121,309.92	$77,118.53	2026-05-09
329	OTHER	Major Small And Large Bowel Procedures With Mcc	1	1	—	—	$77,106.29	$77,106.29	$77,106.29	2026-05-09
1783	OTHER	External Heart Assist Systems	2	1	—	—	$32,679.11	$120,396.14	$76,537.62	2026-05-09
245	OTHER	Aicd Generator Procedures	1	1	—	—	$76,534.26	$76,534.26	$76,534.26	2026-05-09
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	1	1	—	—	$76,304.44	$76,304.44	$76,304.44	2026-05-09
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	1	1	—	—	$76,270.89	$76,270.89	$76,270.89	2026-05-09
4474	OTHER	Other Kidney, Urinary Tract And Related Procedures	2	1	—	—	$32,546.71	$119,908.35	$76,227.53	2026-05-09
799	OTHER	Splenic Procedures With Mcc	1	1	—	—	$75,972.30	$75,972.30	$75,972.30	2026-05-09
7404	OTHER	Mental Illness Diagnosis With O.r. Procedure	2	1	—	—	$32,316.05	$119,058.58	$75,687.32	2026-05-09
3124	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	2	1	—	—	$32,304.67	$119,016.64	$75,660.65	2026-05-09
6144	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	2	1	—	—	$32,170.47	$118,522.23	$75,346.35	2026-05-09
1782	OTHER	External Heart Assist Systems	2	1	—	—	$32,108.17	$118,292.68	$75,200.42	2026-05-09
163	OTHER	Major Chest Procedures With Mcc	1	1	—	—	$75,182.20	$75,182.20	$75,182.20	2026-05-09
31	OTHER	Ventricular Shunt Procedures With Mcc	1	1	—	—	$75,160.39	$75,160.39	$75,160.39	2026-05-09
6814	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	2	1	—	—	$31,986.55	$117,844.62	$74,915.58	2026-05-09
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	1	1	—	—	$74,865.15	$74,865.15	$74,865.15	2026-05-09
6213	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	2	1	—	—	$31,939.22	$117,670.25	$74,804.74	2026-05-09
1204	OTHER	Major Respiratory And Chest Procedures	2	1	—	—	$31,818.20	$117,224.39	$74,521.29	2026-05-09
214	OTHER	Open Craniotomy Except Trauma	2	1	—	—	$31,812.21	$117,202.32	$74,507.27	2026-05-09
356	OTHER	Other Digestive System O.r. Procedures With Mcc	1	1	—	—	$73,689.22	$73,689.22	$73,689.22	2026-05-09
6021	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$31,277.81	$115,233.50	$73,255.65	2026-05-09
94	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	2	—	—	$59,037.94	$269,040.02	$73,025.50	2026-05-09
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	1	1	—	—	$72,592.14	$72,592.14	$72,592.14	2026-05-09
1781	OTHER	External Heart Assist Systems	2	1	—	—	$30,821.30	$113,551.61	$72,186.46	2026-05-09
9124	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	2	1	—	—	$30,723.65	$113,191.84	$71,957.74	2026-05-09
6804	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	2	1	—	—	$30,584.06	$112,677.56	$71,630.81	2026-05-09
140	OTHER	Major Head And Neck Procedures With Mcc	1	1	—	—	$71,550.41	$71,550.41	$71,550.41	2026-05-09
4414	OTHER	Major Bladder Procedures	2	1	—	—	$30,399.53	$111,997.74	$71,198.64	2026-05-09
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	1	1	—	—	$71,139.42	$71,139.42	$71,139.42	2026-05-09
64	OTHER	Pancreas Transplant	3	2	—	—	$33,734.53	$261,537.75	$70,989.16	2026-05-09
51	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$30,303.08	$111,642.38	$70,972.73	2026-05-09
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	1	1	—	—	$70,844.18	$70,844.18	$70,844.18	2026-05-09
12	OTHER	Liver Transplant And/or Intestinal Transplant	3	2	—	—	$39,178.14	$144,339.84	$70,723.40	2026-05-09
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	1	1	—	—	$70,688.17	$70,688.17	$70,688.17	2026-05-09
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	1	1	—	—	$70,481.84	$70,481.84	$70,481.84	2026-05-09
901	OTHER	Wound Debridements For Injuries With Mcc	1	1	—	—	$70,397.97	$70,397.97	$70,397.97	2026-05-09
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	1	1	—	—	$70,267.12	$70,267.12	$70,267.12	2026-05-09
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	1	1	—	—	$69,995.37	$69,995.37	$69,995.37	2026-05-09
3614	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	2	1	—	—	$29,694.39	$109,399.87	$69,547.13	2026-05-09
1814	OTHER	Lower Extremity Arterial Procedures	2	1	—	—	$29,080.91	$107,139.70	$68,110.30	2026-05-09
791	OTHER	Prematurity With Major Problems	1	1	—	—	$68,089.73	$68,089.73	$68,089.73	2026-05-09
3174	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	2	1	—	—	$29,051.56	$107,031.54	$68,041.55	2026-05-09
233	OTHER	Spinal Procedures	3	2	—	—	$18,394.17	$128,248.23	$67,767.66	2026-05-09
1824	OTHER	Other Peripheral Vascular And Related Procedures	2	1	—	—	$28,762.19	$105,965.46	$67,363.82	2026-05-09
6514	OTHER	Other Procedures Of Blood And Blood-forming Organs	2	1	—	—	$28,731.64	$105,852.90	$67,292.27	2026-05-09
7104	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	2	1	—	—	$28,616.61	$105,429.12	$67,022.86	2026-05-09
2604	OTHER	Major Pancreas, Liver And Shunt Procedures	2	1	—	—	$28,583.06	$105,305.51	$66,944.29	2026-05-09
6122	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$28,566.29	$105,243.71	$66,905.00	2026-05-09
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	1	1	—	—	$66,833.28	$66,833.28	$66,833.28	2026-05-09
6082	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	1	—	—	$28,043.87	$103,319.03	$65,681.45	2026-05-09
6614	OTHER	Coagulation And Platelet Disorders	2	1	—	—	$28,005.53	$103,177.77	$65,591.65	2026-05-09
34	OTHER	Carotid Artery Stent Procedures With Mcc	1	1	—	—	$64,930.99	$64,930.99	$64,930.99	2026-05-09
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	1	1	—	—	$64,833.70	$64,833.70	$64,833.70	2026-05-09
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	1	1	—	—	$64,771.63	$64,771.63	$64,771.63	2026-05-09
7924	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	2	1	—	—	$27,601.14	$101,687.91	$64,644.53	2026-05-09
1664	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	2	1	—	—	$27,562.79	$101,546.65	$64,554.72	2026-05-09
3094	OTHER	Other Significant Hip And Femur Surgery	2	1	—	—	$27,434.59	$101,074.31	$64,254.45	2026-05-09
6954	OTHER	Chemotherapy For Acute Leukemia	2	1	—	—	$27,418.41	$101,014.72	$64,216.57	2026-05-09
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	1	1	—	—	$64,025.14	$64,025.14	$64,025.14	2026-05-09
1303	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	1	—	—	$27,282.41	$100,513.68	$63,898.04	2026-05-09
1764	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	2	1	—	—	$27,094.30	$99,820.62	$63,457.46	2026-05-09
5104	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	2	1	—	—	$27,067.34	$99,721.30	$63,394.32	2026-05-09
924	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	2	1	—	—	$27,016.41	$99,533.68	$63,275.04	2026-05-09
3044	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	1	—	—	$26,933.14	$99,226.88	$63,080.01	2026-05-09
13	OTHER	Liver Transplant And/or Intestinal Transplant	3	2	—	—	$48,342.20	$231,601.50	$62,863.56	2026-05-09
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	1	1	—	—	$62,849.22	$62,849.22	$62,849.22	2026-05-09
1834	OTHER	Percutaneous Structural Cardiac Procedures	2	1	—	—	$26,812.12	$98,781.03	$62,796.57	2026-05-09
1214	OTHER	Other Respiratory And Chest Procedures	2	1	—	—	$26,794.75	$98,717.02	$62,755.89	2026-05-09
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	1	1	—	—	$62,699.92	$62,699.92	$62,699.92	2026-05-09
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	1	1	—	—	$62,693.21	$62,693.21	$62,693.21	2026-05-09
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	1	1	—	—	$62,517.07	$62,517.07	$62,517.07	2026-05-09
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	1	1	—	—	$62,164.80	$62,164.80	$62,164.80	2026-05-09
4401	OTHER	Kidney Transplant	2	1	—	—	$26,466.44	$97,507.47	$61,986.96	2026-05-09
904	OTHER	Skin Grafts For Injuries With Cc/mcc	1	1	—	—	$61,616.25	$61,616.25	$61,616.25	2026-05-09
213	OTHER	Open Craniotomy Except Trauma	3	2	—	—	$16,666.96	$95,733.25	$61,404.30	2026-05-09
6504	OTHER	Splenectomy	2	1	—	—	$26,126.15	$96,253.78	$61,189.97	2026-05-09
224	OTHER	Ventricular Shunt Procedures	2	1	—	—	$26,112.37	$96,203.02	$61,157.70	2026-05-09
4044	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	2	1	—	—	$26,102.19	$96,165.50	$61,133.85	2026-05-09
3214	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	2	1	—	—	$25,996.15	$95,774.82	$60,885.49	2026-05-09
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	1	1	—	—	$60,868.09	$60,868.09	$60,868.09	2026-05-09
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	1	1	—	—	$60,821.12	$60,821.12	$60,821.12	2026-05-09
332	OTHER	Rectal Resection With Mcc	1	1	—	—	$60,737.24	$60,737.24	$60,737.24	2026-05-09
265	OTHER	Aicd Lead Procedures	1	1	—	—	$60,695.31	$60,695.31	$60,695.31	2026-05-09
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	1	1	—	—	$60,587.95	$60,587.95	$60,587.95	2026-05-09
4054	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	2	1	—	—	$25,857.76	$95,264.96	$60,561.36	2026-05-09
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	1	1	—	—	$60,497.36	$60,497.36	$60,497.36	2026-05-09
6234	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	2	1	—	—	$25,799.04	$95,048.65	$60,423.84	2026-05-09
22	OTHER	Heart And/or Lung Transplant	3	2	—	—	$51,584.80	$222,364.36	$60,356.33	2026-05-09
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	1	1	—	—	$59,962.24	$59,962.24	$59,962.24	2026-05-09
335	OTHER	Peritoneal Adhesiolysis With Mcc	1	1	—	—	$59,901.85	$59,901.85	$59,901.85	2026-05-09
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	1	1	—	—	$59,812.94	$59,812.94	$59,812.94	2026-05-09
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	1	1	—	—	$59,705.58	$59,705.58	$59,705.58	2026-05-09
3054	OTHER	Amputation Of Lower Limb Except Toes	2	1	—	—	$25,464.15	$93,814.83	$59,639.49	2026-05-09
7504	OTHER	Schizophrenia	2	1	—	—	$25,352.71	$93,404.29	$59,378.50	2026-05-09
4444	OTHER	Renal Dialysis Access Device Procedures	2	1	—	—	$25,283.82	$93,150.46	$59,217.14	2026-05-09
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	1	1	—	—	$59,153.68	$59,153.68	$59,153.68	2026-05-09
9514	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	1	—	—	$25,186.76	$92,792.90	$58,989.83	2026-05-09
1793	OTHER	Defibrillator Implants	2	1	—	—	$25,119.66	$92,545.69	$58,832.68	2026-05-09
252	OTHER	Other Vascular Procedures With Mcc	1	1	—	—	$58,516.23	$58,516.23	$58,516.23	2026-05-09
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	1	1	—	—	$58,501.14	$58,501.14	$58,501.14	2026-05-09
4014	OTHER	Adrenal Procedures	2	1	—	—	$24,976.48	$92,018.17	$58,497.32	2026-05-09
8633	OTHER	Neonatal Aftercare	2	1	—	—	$24,833.89	$91,492.85	$58,163.37	2026-05-09
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	1	1	—	—	$57,950.92	$57,950.92	$57,950.92	2026-05-09
6143	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	2	1	—	—	$24,679.33	$90,923.40	$57,801.36	2026-05-09
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	1	1	—	—	$57,682.52	$57,682.52	$57,682.52	2026-05-09
3033	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	1	—	—	$24,572.09	$90,528.31	$57,550.20	2026-05-09
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	1	1	—	—	$57,511.41	$57,511.41	$57,511.41	2026-05-09
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	1	1	—	—	$57,229.59	$57,229.59	$57,229.59	2026-05-09
2644	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	2	1	—	—	$24,366.60	$89,771.24	$57,068.92	2026-05-09
9524	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	2	1	—	—	$24,362.40	$89,755.79	$57,059.10	2026-05-09
6133	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	1	—	—	$24,340.83	$89,676.33	$57,008.58	2026-05-09
6914	OTHER	Lymphoma, Myeloma And Non-acute Leukemia	2	1	—	—	$24,333.05	$89,647.64	$56,990.35	2026-05-09
6302	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	1	—	—	$24,192.26	$89,128.94	$56,660.60	2026-05-09
1704	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	2	1	—	—	$24,072.44	$88,687.50	$56,379.97	2026-05-09
3134	OTHER	Knee And Lower Leg Procedures Except Foot	2	1	—	—	$24,047.27	$88,594.80	$56,321.04	2026-05-09
1623	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	1	—	—	$24,032.90	$88,541.83	$56,287.37	2026-05-09
3644	OTHER	Other Skin, Subcutaneous Tissue And Related Procedures	2	1	—	—	$23,946.63	$88,223.99	$56,085.31	2026-05-09
8423	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	2	1	—	—	$23,927.45	$88,153.36	$56,040.40	2026-05-09
264	OTHER	Other Nervous System And Related Procedures	3	2	—	—	$22,884.42	$84,310.63	$56,038.57	2026-05-09
2004	OTHER	Cardiac Structural And Valvular Disorders	2	1	—	—	$23,908.88	$88,084.94	$55,996.91	2026-05-09
7114	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	2	1	—	—	$23,798.65	$87,678.81	$55,738.73	2026-05-09
6032	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	1	—	—	$23,666.25	$87,191.02	$55,428.64	2026-05-09
37	OTHER	Extracranial Procedures With Mcc	1	1	—	—	$55,224.98	$55,224.98	$55,224.98	2026-05-09
6344	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	2	1	—	—	$23,412.23	$86,255.17	$54,833.70	2026-05-09
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	1	1	—	—	$54,565.72	$54,565.72	$54,565.72	2026-05-09
6903	OTHER	Acute Leukemia	2	1	—	—	$23,224.71	$85,564.32	$54,394.51	2026-05-09
73	OTHER	Allogeneic Bone Marrow Transplant	3	2	—	—	$26,912.13	$200,362.99	$54,384.50	2026-05-09
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	1	1	—	—	$54,325.84	$54,325.84	$54,325.84	2026-05-09
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	1	1	—	—	$54,265.45	$54,265.45	$54,265.45	2026-05-09
652	OTHER	Kidney Transplant	1	1	—	—	$54,174.86	$54,174.86	$54,174.86	2026-05-09
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	1	1	—	—	$54,134.60	$54,134.60	$54,134.60	2026-05-09
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	1	1	—	—	$54,028.92	$54,028.92	$54,028.92	2026-05-09
1804	OTHER	Other Circulatory System Procedures	2	1	—	—	$22,999.45	$84,734.41	$53,866.93	2026-05-09
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	1	1	—	—	$53,854.46	$53,854.46	$53,854.46	2026-05-09
1653	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	2	1	—	—	$22,920.97	$84,445.26	$53,683.11	2026-05-09
907	OTHER	Other O.r. Procedures For Injuries With Mcc	2	2	—	—	$42,580.33	$64,404.26	$53,492.29	2026-05-09
8154	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses	2	1	—	—	$22,826.91	$84,098.73	$53,462.82	2026-05-09
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	1	1	—	—	$53,460.25	$53,460.25	$53,460.25	2026-05-09
6212	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	2	1	—	—	$22,818.52	$84,067.83	$53,443.18	2026-05-09
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	1	1	—	—	$53,408.25	$53,408.25	$53,408.25	2026-05-09
2304	OTHER	Major Small Bowel Procedures	2	1	—	—	$22,772.39	$83,897.88	$53,335.14	2026-05-09
500	OTHER	Soft Tissue Procedures With Mcc	1	1	—	—	$53,089.52	$53,089.52	$53,089.52	2026-05-09
2324	OTHER	Gastric Fundoplication	2	1	—	—	$22,654.37	$83,463.06	$53,058.71	2026-05-09
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	1	1	—	—	$53,009.00	$53,009.00	$53,009.00	2026-05-09
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	1	1	—	—	$52,858.03	$52,858.03	$52,858.03	2026-05-09
229	OTHER	Other Cardiothoracic Procedures Without Mcc	1	1	—	—	$52,832.86	$52,832.86	$52,832.86	2026-05-09
5114	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	2	1	—	—	$22,512.98	$82,942.16	$52,727.57	2026-05-09
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	1	1	—	—	$52,708.73	$52,708.73	$52,708.73	2026-05-09
665	OTHER	Prostatectomy With Mcc	1	1	—	—	$52,358.13	$52,358.13	$52,358.13	2026-05-09
3254	OTHER	Non-elective Or Complex Knee Joint Replacement	2	1	—	—	$22,320.67	$82,233.65	$52,277.16	2026-05-09
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	1	1	—	—	$52,156.83	$52,156.83	$52,156.83	2026-05-09
7524	OTHER	Disorders Of Personality And Impulse Control	2	1	—	—	$22,187.67	$81,743.65	$51,965.66	2026-05-09
53	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	2	—	—	$16,426.08	$190,693.25	$51,759.84	2026-05-09
3624	OTHER	Mastectomy Procedures	2	1	—	—	$22,072.64	$81,319.87	$51,696.25	2026-05-09
6223	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$22,067.25	$81,300.00	$51,683.62	2026-05-09
5184	OTHER	Other Female Reproductive System And Related Procedures	2	1	—	—	$22,039.09	$81,196.27	$51,617.68	2026-05-09
4804	OTHER	Major Male Pelvic Procedures	2	1	—	—	$21,994.16	$81,030.73	$51,512.44	2026-05-09
10	OTHER	Pancreas Transplant	1	1	—	—	$51,497.57	$51,497.57	$51,497.57	2026-05-09
662	OTHER	Minor Bladder Procedures With Mcc	1	1	—	—	$51,356.66	$51,356.66	$51,356.66	2026-05-09
7594	OTHER	Eating Disorders	2	1	—	—	$21,859.96	$80,536.31	$51,198.13	2026-05-09
4844	OTHER	Other Male Reproductive System And Related Procedures	2	1	—	—	$21,798.85	$80,311.18	$51,055.01	2026-05-09

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