Hospital

MERIT HEALTH RIVER REGION

Vicksburg, MS · CCN 250031 · Rates published

7,333 distinct procedures filed

55 distinct payers

487,342 rate rows

2026-05-24 last MRF observed

Data quality

457,874 of 487,342 rate rows are consumer-grade (94.0%)

29,468 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
per-diem day rate — not a per-procedure price	15,306
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	12,094
template filing: same amount across many unrelated codes — excluded	1,876
placeholder amount (≤ $0.02) — excluded from medians	140
exceeds 10× this hospital's gross charge — excluded from medians	52

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

Source MRF file	https://www.merithealthriverregion.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621752111_merit-health-river-region_standardcharges.csv
Found on page	https://www.merithealthriverregion.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	0f2dbdb7a127ee57… · 167,828,878 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
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	$1,958,775.63	$1,958,775.63	$1,958,775.63	nat. median $0
633 OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	1	$831,502.63	$831,502.63	$831,502.63	nat. median $4,769 outlier · 174.4×
636 OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	1	$763,553.77	$763,553.77	$763,553.77	nat. median $53 outlier · 14538.3×
634 OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	1	$690,425.17	$690,425.17	$690,425.17	nat. median $414 outlier · 1667.7×
613 OTHER	Neonate, Birth Weight <750 Grams, Died	1	$545,173.70	$545,173.70	$545,173.70	nat. median $42,666 outlier · 12.8×
632 OTHER	Neonate, Birth Weight 750-999 Grams, Died	1	$392,917.20	$392,917.20	$392,917.20	nat. median $8,778 outlier · 44.8×
583-4 OTHER	Neonate With Ecmo	8	$327,626.86	$353,837.00	$327,626.86	nat. median $309,400 1.1× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	$72,059.88	$3,109,557.48	$318,141.71	nat. median $386,529 0.8× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$268,742.83	$290,242.25	$268,742.83	nat. median $267,493 1.0× median
583-3 OTHER	Neonate With Ecmo	8	$259,486.85	$280,245.80	$259,486.85	nat. median $259,487 1.0× median
608 OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	1	$250,107.03	$250,107.03	$250,107.03	nat. median $12,228 outlier · 20.5×
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	26	$198,399.37	$1,444,364.36	$247,106.71	nat. median $239,422 1.0× median
635 OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	1	$243,438.80	$243,438.80	$243,438.80	nat. median $666 outlier · 365.5×
002-4 OTHER	Heart And/or Lung Transplant	7	$232,467.30	$251,064.68	$232,467.30	nat. median $216,800 1.1× median
318 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	1	$206,653.39	$206,653.39	$206,653.39	nat. median $18,600 outlier · 11.1×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	$195,063.44	$210,668.52	$195,063.44	nat. median $210,669 0.9× median
583-2 OTHER	Neonate With Ecmo	8	$191,346.89	$206,654.65	$191,346.89	nat. median $191,347 1.0× median
362 OTHER	Cardiac Defibrillator Implant Without Mcc	1	$180,668.28	$180,668.28	$180,668.28	nat. median $2,518 outlier · 71.8×
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$175,271.74	$189,293.48	$175,271.74	nat. median $151,250 1.2× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$173,134.48	$186,985.23	$173,134.48	nat. median $165,000 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	27	$151,162.31	$682,125.86	$169,633.01	nat. median $146,562 1.2× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$169,531.65	$183,094.18	$169,531.65	nat. median $153,523 1.1× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$169,253.66	$182,793.95	$169,253.66	nat. median $156,696 1.1× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	$168,174.20	$181,628.13	$168,174.20	nat. median $169,856 1.0× median
583-1 OTHER	Neonate With Ecmo	8	$165,358.21	$178,586.86	$165,358.21	nat. median $171,226 1.0× median
647 OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	1	$161,896.92	$161,896.92	$161,896.92	nat. median $3,517 outlier · 46.0×
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	$161,453.90	$174,370.21	$161,453.90	nat. median $203,379 0.8× median
161-4 OTHER	Implantable Heart Assist Systems	8	$160,593.79	$173,441.29	$160,593.79	nat. median $202,242 0.8× median
7 OTHER	Lung Transplant	25	$127,818.47	$1,189,565.96	$158,340.85	nat. median $169,933 0.9× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	27	$6,930.00	$522,581.79	$156,372.96	nat. median $181,005 0.9× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	8	$152,401.34	$164,593.45	$152,401.34	nat. median $172,311 0.9× median
317 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	1	$150,945.46	$150,945.46	$150,945.46	nat. median $48,503 outlier · 3.1×
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	7	$148,606.97	$160,495.53	$148,606.97	nat. median $124,561 1.2× median
002-3 OTHER	Heart And/or Lung Transplant	7	$143,753.72	$155,254.02	$143,753.72	nat. median $133,471 1.1× median
213 OTHER	Splenic Procedures Age 0-17	1	$143,508.14	$143,508.14	$143,508.14	nat. median $39,925 outlier · 3.6×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	$140,888.59	$152,159.68	$140,888.59	nat. median $107,050 1.3× median
162 OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age 0-17	1	$136,630.60	$136,630.60	$136,630.60	nat. median $14,971 outlier · 9.1×
006-4 OTHER	Pancreas Transplant	7	$131,237.06	$141,736.03	$131,237.06	nat. median $92,449 1.4× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	$125,634.73	$135,685.50	$125,634.73	nat. median $125,000 1.0× median
648 OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	1	$123,640.70	$123,640.70	$123,640.70	nat. median $3,189 outlier · 38.8×
161-3 OTHER	Implantable Heart Assist Systems	8	$123,031.66	$132,874.19	$123,031.66	nat. median $152,491 0.8× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	8	$113,251.39	$122,311.50	$113,251.39	nat. median $151,691 0.7× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$112,711.39	$121,728.30	$112,711.39	nat. median $112,711 1.0× median
002-2 OTHER	Heart And/or Lung Transplant	7	$106,680.83	$115,215.30	$106,680.83	nat. median $106,681 1.0× median
396 OTHER	Major Head And Neck Procedures With Mcc	1	$106,096.29	$106,096.29	$106,096.29	nat. median $7,699 outlier · 13.8×
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	$105,647.44	$114,099.23	$105,647.44	nat. median $105,647 1.0× median
402 OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures Age >17 Without Cc/mcc	1	$102,420.10	$102,420.10	$102,420.10	nat. median $550 outlier · 186.3×
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	27	$3,570.00	$806,040.57	$102,047.75	nat. median $134,983 0.8× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	25	$73,016.65	$521,499.80	$100,970.90	nat. median $94,894 1.1× median
691 OTHER	Kidney Transplant With Hemodialysis With Mcc	1	$100,734.74	$100,734.74	$100,734.74	nat. median $2,024 outlier · 49.8×

Other procedures at this hospital

Browse this hospital's 7,333 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

681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	1	—	—	$1,958,775.63	$1,958,775.63	$1,958,775.63	2026-05-24
633	OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	2	1	—	—	$831,502.63	$831,502.63	$831,502.63	2026-05-24
636	OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	2	1	—	—	$763,553.77	$763,553.77	$763,553.77	2026-05-24
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	1	—	—	$690,425.17	$690,425.17	$690,425.17	2026-05-24
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	1	—	—	$545,173.70	$545,173.70	$545,173.70	2026-05-24
632	OTHER	Neonate, Birth Weight 750-999 Grams, Died	2	1	—	—	$392,917.20	$392,917.20	$392,917.20	2026-05-24
583-4	OTHER	Neonate With Ecmo	18	8	—	—	$327,626.86	$353,837.00	$327,626.86	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	52	24	—	—	$72,059.88	$3,109,557.48	$318,141.71	2026-05-24
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	8	—	—	$268,742.83	$290,242.25	$268,742.83	2026-05-24
583-3	OTHER	Neonate With Ecmo	18	8	—	—	$259,486.85	$280,245.80	$259,486.85	2026-05-24
608	OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	2	1	—	—	$250,107.03	$250,107.03	$250,107.03	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	56	26	—	—	$198,399.37	$1,444,364.36	$247,106.71	2026-05-24
635	OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	2	1	—	—	$243,438.80	$243,438.80	$243,438.80	2026-05-24
002-4	OTHER	Heart And/or Lung Transplant	14	7	—	—	$232,467.30	$251,064.68	$232,467.30	2026-05-24
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	1	—	—	$206,653.39	$206,653.39	$206,653.39	2026-05-24
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	8	—	—	$195,063.44	$210,668.52	$195,063.44	2026-05-24
583-2	OTHER	Neonate With Ecmo	18	8	—	—	$191,346.89	$206,654.65	$191,346.89	2026-05-24
362	OTHER	Cardiac Defibrillator Implant Without Mcc	2	1	—	—	$180,668.28	$180,668.28	$180,668.28	2026-05-24
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	8	—	—	$175,271.74	$189,293.48	$175,271.74	2026-05-24
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	8	—	—	$173,134.48	$186,985.23	$173,134.48	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	58	27	—	—	$151,162.31	$682,125.86	$169,633.01	2026-05-24
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	8	—	—	$169,531.65	$183,094.18	$169,531.65	2026-05-24
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	8	—	—	$169,253.66	$182,793.95	$169,253.66	2026-05-24
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	8	—	—	$168,174.20	$181,628.13	$168,174.20	2026-05-24
583-1	OTHER	Neonate With Ecmo	18	8	—	—	$165,358.21	$178,586.86	$165,358.21	2026-05-24
647	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	2	1	—	—	$161,896.92	$161,896.92	$161,896.92	2026-05-24
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	8	—	—	$161,453.90	$174,370.21	$161,453.90	2026-05-24
161-4	OTHER	Implantable Heart Assist Systems	16	8	—	—	$160,593.79	$173,441.29	$160,593.79	2026-05-24
7	OTHER	Lung Transplant	54	25	—	—	$127,818.47	$1,189,565.96	$158,340.85	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	58	27	—	—	$6,930.00	$522,581.79	$156,372.96	2026-05-24
007-4	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$152,401.34	$164,593.45	$152,401.34	2026-05-24
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	1	—	—	$150,945.46	$150,945.46	$150,945.46	2026-05-24
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$148,606.97	$160,495.53	$148,606.97	2026-05-24
002-3	OTHER	Heart And/or Lung Transplant	14	7	—	—	$143,753.72	$155,254.02	$143,753.72	2026-05-24
213	OTHER	Splenic Procedures Age 0-17	2	1	—	—	$143,508.14	$143,508.14	$143,508.14	2026-05-24
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	8	—	—	$140,888.59	$152,159.68	$140,888.59	2026-05-24
162	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age 0-17	2	1	—	—	$136,630.60	$136,630.60	$136,630.60	2026-05-24
006-4	OTHER	Pancreas Transplant	14	7	—	—	$131,237.06	$141,736.03	$131,237.06	2026-05-24
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$125,634.73	$135,685.50	$125,634.73	2026-05-24
648	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	2	1	—	—	$123,640.70	$123,640.70	$123,640.70	2026-05-24
161-3	OTHER	Implantable Heart Assist Systems	16	8	—	—	$123,031.66	$132,874.19	$123,031.66	2026-05-24
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	16	8	—	—	$113,251.39	$122,311.50	$113,251.39	2026-05-24
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	8	—	—	$112,711.39	$121,728.30	$112,711.39	2026-05-24
002-2	OTHER	Heart And/or Lung Transplant	14	7	—	—	$106,680.83	$115,215.30	$106,680.83	2026-05-24
396	OTHER	Major Head And Neck Procedures With Mcc	2	1	—	—	$106,096.29	$106,096.29	$106,096.29	2026-05-24
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	8	—	—	$105,647.44	$114,099.23	$105,647.44	2026-05-24
402	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures Age >17 Without Cc/mcc	2	1	—	—	$102,420.10	$102,420.10	$102,420.10	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	58	27	—	—	$3,570.00	$806,040.57	$102,047.75	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	54	25	—	—	$73,016.65	$521,499.80	$100,970.90	2026-05-24
691	OTHER	Kidney Transplant With Hemodialysis With Mcc	2	1	—	—	$100,734.74	$100,734.74	$100,734.74	2026-05-24
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$100,636.02	$108,686.90	$100,636.02	2026-05-24
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	8	—	—	$99,157.23	$107,089.81	$99,157.23	2026-05-24
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$99,066.83	$106,992.18	$99,066.83	2026-05-24
161-2	OTHER	Implantable Heart Assist Systems	16	8	—	—	$98,783.50	$106,686.18	$98,783.50	2026-05-24
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$98,525.65	$106,407.70	$98,525.65	2026-05-24
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$96,498.59	$104,218.48	$96,498.59	2026-05-24
104	OTHER	Craniotomy, Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17	2	1	—	—	$95,528.87	$95,528.87	$95,528.87	2026-05-24
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	8	—	—	$94,250.41	$101,790.44	$94,250.41	2026-05-24
161-1	OTHER	Implantable Heart Assist Systems	16	8	—	—	$93,844.33	$101,351.88	$93,844.33	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	48	22	—	—	$85,102.34	$320,060.06	$92,419.89	2026-05-24
006-3	OTHER	Pancreas Transplant	14	7	—	—	$92,278.98	$99,661.30	$92,278.98	2026-05-24
002-1	OTHER	Heart And/or Lung Transplant	14	7	—	—	$91,454.08	$98,770.40	$91,454.08	2026-05-24
106	OTHER	Concussion Age 0-17	2	1	—	—	$90,839.30	$90,839.30	$90,839.30	2026-05-24
677	OTHER	Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With…	2	1	—	—	$90,288.52	$90,288.52	$90,288.52	2026-05-24
007-3	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$89,814.04	$96,999.17	$89,814.04	2026-05-24
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	8	—	—	$89,333.98	$96,480.70	$89,333.98	2026-05-24
440-4	OTHER	Kidney Transplant	14	7	—	—	$87,313.90	$94,299.01	$87,313.90	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	56	26	—	—	$50,000.00	$414,087.80	$87,144.64	2026-05-24
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$85,914.11	$92,787.24	$85,914.11	2026-05-24
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	8	—	—	$83,785.00	$90,487.80	$83,785.00	2026-05-24
105	OTHER	Traumatic Stupor And Coma <1 Hour Age 0-17	2	1	—	—	$82,233.20	$82,233.20	$82,233.20	2026-05-24
631	OTHER	Neonate, Birth Weight 750-999 Grams, Discharged Alive	2	1	—	—	$81,149.40	$81,149.40	$81,149.40	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	58	27	—	—	$17,052.61	$185,860.12	$80,854.62	2026-05-24
006-2	OTHER	Pancreas Transplant	14	7	—	—	$80,107.54	$86,516.15	$80,107.54	2026-05-24
215	OTHER	Other Heart Assist System Implant	58	27	—	—	$70,514.45	$720,710.30	$79,109.90	2026-05-24
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	8	—	—	$77,093.53	$83,261.01	$77,093.53	2026-05-24
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$75,590.50	$81,637.74	$75,590.50	2026-05-24
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$75,071.12	$81,076.81	$75,071.12	2026-05-24
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	18	8	—	—	$73,331.35	$79,197.86	$73,331.35	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	58	27	—	—	$59,935.00	$309,608.10	$72,743.72	2026-05-24
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$72,006.35	$77,766.86	$72,006.35	2026-05-24
863-4	OTHER	Neonatal Aftercare	18	8	—	—	$71,891.87	$77,643.22	$71,891.87	2026-05-24
007-2	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$70,253.57	$75,873.85	$70,253.57	2026-05-24
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$70,123.64	$75,733.54	$70,123.64	2026-05-24
588-1	OTHER	Female Reproductive System Reconstructive Procedures	16	8	—	—	$69,745.48	$75,325.12	$69,745.48	2026-05-24
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$68,867.98	$74,377.42	$68,867.98	2026-05-24
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	8	—	—	$68,799.08	$74,303.00	$68,799.08	2026-05-24
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	8	—	—	$68,560.56	$74,045.40	$68,560.56	2026-05-24
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	16	8	—	—	$67,954.36	$73,390.70	$67,954.36	2026-05-24
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$66,321.18	$71,626.87	$66,321.18	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	50	25	—	—	$62,759.34	$232,607.28	$65,284.80	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	28	—	—	$52,887.00	$179,026.48	$64,628.92	2026-05-24
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	8	—	—	$64,045.67	$69,169.33	$64,045.67	2026-05-24
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$63,931.79	$69,046.33	$63,931.79	2026-05-24
006-1	OTHER	Pancreas Transplant	14	7	—	—	$62,968.21	$68,005.67	$62,968.21	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	58	27	—	—	$47,104.00	$214,611.90	$62,688.53	2026-05-24
007-1	OTHER	Allogeneic Bone Marrow Transplant	18	8	—	—	$62,554.84	$67,559.23	$62,554.84	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	58	27	—	—	$55,733.31	$222,724.27	$62,518.83	2026-05-24
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	8	—	—	$62,002.64	$66,962.85	$62,002.64	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	60	28	—	—	$54,150.58	$294,643.73	$61,578.65	2026-05-24
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	8	—	—	$61,230.01	$66,128.41	$61,230.01	2026-05-24
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	8	—	—	$61,099.22	$65,987.16	$61,099.22	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	58	27	—	—	$53,971.49	$317,473.36	$60,541.27	2026-05-24
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	8	—	—	$59,798.47	$64,582.34	$59,798.47	2026-05-24
772	OTHER	Cesarean Section Without Sterilization With Cc	2	1	—	—	$59,220.00	$59,220.00	$59,220.00	2026-05-24
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	8	—	—	$58,189.70	$62,844.87	$58,189.70	2026-05-24
764	OTHER	Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc	2	1	—	—	$58,172.70	$58,172.70	$58,172.70	2026-05-24
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$58,129.27	$62,779.61	$58,129.27	2026-05-24
161	OTHER	Hip And Femur Procedures Except Major Joint Age 0-17	2	1	—	—	$57,655.50	$57,655.50	$57,655.50	2026-05-24
440-3	OTHER	Kidney Transplant	14	7	—	—	$57,554.17	$62,158.51	$57,554.17	2026-05-24
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	18	8	—	—	$57,529.82	$62,132.20	$57,529.82	2026-05-24
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	16	8	—	—	$57,365.77	$61,955.03	$57,365.77	2026-05-24
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	16	8	—	—	$57,233.90	$61,812.61	$57,233.90	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	58	27	—	—	$45,572.00	$270,662.70	$57,102.38	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	58	27	—	—	$50,506.62	$212,011.02	$56,652.13	2026-05-24
428	OTHER	Appendix Procedures Without Cc/mcc	2	1	—	—	$56,240.52	$56,240.52	$56,240.52	2026-05-24
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	18	8	—	—	$55,288.17	$59,711.22	$55,288.17	2026-05-24
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	16	8	—	—	$54,499.12	$58,859.05	$54,499.12	2026-05-24
178-4	OTHER	External Heart Assist Systems	16	8	—	—	$54,135.54	$58,466.38	$54,135.54	2026-05-24
400	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures Age 0-17	2	1	—	—	$54,009.87	$54,009.87	$54,009.87	2026-05-24
759-4	OTHER	Eating Disorders	16	8	—	—	$53,679.19	$57,973.52	$53,679.19	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	58	27	—	—	$47,680.20	$841,183.96	$53,479.62	2026-05-24
10	OTHER	Pancreas Transplant	54	25	—	—	$39,849.40	$200,149.59	$53,366.88	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	58	27	—	—	$32,068.33	$122,595.79	$52,843.61	2026-05-24
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	8	—	—	$52,763.51	$56,984.59	$52,763.51	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	54	25	—	—	$9,002.90	$169,870.24	$52,562.92	2026-05-24
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	8	—	—	$52,506.25	$56,706.75	$52,506.25	2026-05-24
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	18	8	—	—	$52,288.74	$56,471.84	$52,288.74	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	58	27	—	—	$46,577.39	$278,357.00	$52,241.77	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	58	27	—	—	$46,577.39	$112,385.03	$52,241.77	2026-05-24
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	8	—	—	$52,002.27	$56,162.45	$52,002.27	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	58	27	—	—	$21,692.70	$297,414.79	$51,153.55	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	56	26	—	—	$3,150.00	$239,666.09	$50,182.40	2026-05-24
427	OTHER	Appendix Procedures With Cc	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-24
646	OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without…	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	54	25	—	—	$39,706.36	$325,567.22	$50,000.00	2026-05-24
363	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-24
108	OTHER	Extraocular Procedures Except Orbit Age 0-17	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-24
359	OTHER	Concomitant Aortic And Mitral Valve Procedures	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-24
426	OTHER	Appendix Procedures With Mcc	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-24
364	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-24
361	OTHER	Cardiac Defibrillator Implant With Mcc	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-24
210	OTHER	Urethral Stricture Age 0-17	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-24
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	16	8	—	—	$49,838.33	$53,825.39	$49,838.33	2026-05-24
440-2	OTHER	Kidney Transplant	14	7	—	—	$49,361.83	$53,310.78	$49,361.83	2026-05-24
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$49,315.72	$53,260.97	$49,315.72	2026-05-24
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	16	8	—	—	$49,022.12	$52,943.89	$49,022.12	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	50	25	—	—	$46,980.86	$209,717.05	$48,862.30	2026-05-24
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$48,838.14	$52,745.19	$48,838.14	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	58	27	—	—	$32,818.79	$195,180.57	$48,726.89	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	58	27	—	—	$43,414.05	$839,859.61	$48,691.08	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	58	27	—	—	$43,363.79	$487,614.00	$48,634.67	2026-05-24
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	8	—	—	$48,544.38	$52,427.93	$48,544.38	2026-05-24
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	18	8	—	—	$47,763.59	$51,584.68	$47,763.59	2026-05-24
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$47,347.52	$51,135.33	$47,347.52	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	58	27	—	—	$42,948.28	$103,621.96	$47,104.00	2026-05-24
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	16	8	—	—	$46,996.52	$50,756.25	$46,996.52	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	62	29	—	—	$38,701.94	$189,085.87	$46,848.49	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	56	26	—	—	$2,730.00	$411,405.01	$46,720.85	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	58	27	—	—	$41,575.08	$154,389.32	$46,626.93	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	58	27	—	—	$41,548.19	$328,140.93	$46,596.75	2026-05-24
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	8	—	—	$46,360.73	$50,069.59	$46,360.73	2026-05-24
183-4	OTHER	Percutaneous Structural Cardiac Procedures	16	8	—	—	$46,195.76	$49,891.42	$46,195.76	2026-05-24
863-3	OTHER	Neonatal Aftercare	18	8	—	—	$46,127.72	$49,817.94	$46,127.72	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	28	—	—	$40,594.33	$175,743.06	$45,866.11	2026-05-24
6	OTHER	Liver Transplant Without Mcc	54	25	—	—	$32,857.31	$337,153.55	$45,767.19	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	48	22	—	—	$42,007.56	$126,937.50	$45,609.29	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	58	27	—	—	$40,596.14	$289,647.20	$45,528.12	2026-05-24
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$45,409.63	$49,042.40	$45,409.63	2026-05-24
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$45,408.49	$49,041.17	$45,408.49	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	58	27	—	—	$40,378.12	$139,060.51	$45,283.40	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	50	25	—	—	$43,328.40	$264,520.84	$45,060.76	2026-05-24
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	16	8	—	—	$44,924.65	$48,518.62	$44,924.65	2026-05-24
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	8	—	—	$44,863.20	$48,452.26	$44,863.20	2026-05-24
28	OTHER	Spinal Procedures With Mcc	58	27	—	—	$42,313.96	$281,687.00	$44,690.40	2026-05-24
276	OTHER	Non-maligant Breast Disorders	58	27	—	—	$38,674.51	$137,368.11	$44,677.75	2026-05-24
910-4	OTHER	Craniotomy For Multiple Significant Trauma	16	8	—	—	$44,380.87	$47,931.34	$44,380.87	2026-05-24
179-4	OTHER	Defibrillator Implants	16	8	—	—	$44,105.36	$47,633.79	$44,105.36	2026-05-24
440-1	OTHER	Kidney Transplant	14	7	—	—	$44,076.85	$47,603.00	$44,076.85	2026-05-24
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	16	8	—	—	$43,922.74	$47,436.55	$43,922.74	2026-05-24
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	8	—	—	$43,866.14	$47,375.44	$43,866.14	2026-05-24
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	8	—	—	$43,588.48	$47,075.55	$43,588.48	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	58	27	—	—	$38,757.17	$304,038.68	$43,463.97	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	58	27	—	—	$38,641.07	$361,762.00	$43,333.65	2026-05-24
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	8	—	—	$42,956.73	$46,393.27	$42,956.73	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	56	26	—	—	$1,680.00	$85,858.22	$42,946.66	2026-05-24
898	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age >21 Without…	4	2	—	—	$1,102.64	$84,748.40	$42,925.52	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	60	28	—	—	$33,466.00	$205,689.78	$42,482.29	2026-05-24
679	OTHER	Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With…	2	1	—	—	$42,474.50	$42,474.50	$42,474.50	2026-05-24
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	18	8	—	—	$42,414.30	$45,807.44	$42,414.30	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	58	27	—	—	$37,782.47	$226,957.19	$42,369.92	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	58	27	—	—	$37,506.41	$233,496.37	$42,060.06	2026-05-24
169-4	OTHER	Major Abdominal Vascular Procedures	16	8	—	—	$42,047.59	$45,411.39	$42,047.59	2026-05-24
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	16	8	—	—	$41,928.25	$45,282.51	$41,928.25	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	48	22	—	—	$38,486.77	$78,473.58	$41,784.93	2026-05-24
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	16	8	—	—	$41,745.67	$45,085.33	$41,745.67	2026-05-24
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	8	—	—	$41,673.69	$45,007.59	$41,673.69	2026-05-24
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	16	8	—	—	$41,561.96	$44,886.92	$41,561.96	2026-05-24
091-4	OTHER	Other Major Head And Neck Procedures	16	8	—	—	$41,527.08	$44,849.25	$41,527.08	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	58	27	—	—	$7,937.02	$95,137.49	$41,404.56	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	60	28	—	—	$34,992.14	$369,224.57	$41,369.33	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	58	27	—	—	$36,816.96	$237,945.27	$41,286.19	2026-05-24
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	16	8	—	—	$40,736.95	$43,995.91	$40,736.95	2026-05-24
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	8	—	—	$40,616.59	$43,865.91	$40,616.59	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	56	26	—	—	$3,367.00	$123,983.10	$40,445.89	2026-05-24
799	OTHER	Splenectomy With Mcc	60	28	—	—	$32,092.13	$333,291.18	$40,341.52	2026-05-24
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	18	8	—	—	$40,075.72	$43,281.78	$40,075.72	2026-05-24
178-3	OTHER	External Heart Assist Systems	16	8	—	—	$40,049.05	$43,252.97	$40,049.05	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	58	27	—	—	$35,711.32	$132,795.17	$40,007.03	2026-05-24
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	16	8	—	—	$39,885.91	$43,076.78	$39,885.91	2026-05-24
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	8	—	—	$39,797.14	$42,980.91	$39,797.14	2026-05-24
023-4	OTHER	Spinal Procedures	16	8	—	—	$39,784.23	$42,966.97	$39,784.23	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	58	27	—	—	$35,337.57	$209,595.30	$39,625.65	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	58	27	—	—	$35,054.45	$323,023.27	$39,307.86	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	58	27	—	—	$3,539.50	$90,182.52	$39,249.93	2026-05-24
021-4	OTHER	Open Craniotomy Except Trauma	16	8	—	—	$39,238.88	$42,377.99	$39,238.88	2026-05-24
441-4	OTHER	Major Bladder Procedures	16	8	—	—	$39,231.65	$42,370.18	$39,231.65	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	60	28	—	—	$28,950.00	$88,970.70	$38,806.29	2026-05-24
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	16	8	—	—	$38,739.65	$41,838.83	$38,739.65	2026-05-24
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	18	8	—	—	$38,391.46	$41,462.78	$38,391.46	2026-05-24
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$38,190.37	$41,245.60	$38,190.37	2026-05-24
631-2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	8	—	—	$38,026.26	$41,068.36	$38,026.26	2026-05-24
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	8	—	—	$37,807.29	$40,831.87	$37,807.29	2026-05-24
752-4	OTHER	Disorders Of Personality And Impulse Control	16	8	—	—	$37,618.18	$40,627.64	$37,618.18	2026-05-24
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	16	8	—	—	$37,453.32	$40,449.59	$37,453.32	2026-05-24
178-2	OTHER	External Heart Assist Systems	16	8	—	—	$37,313.14	$40,298.19	$37,313.14	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	58	27	—	—	$33,245.21	$130,348.61	$37,277.09	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	28	—	—	$29,570.10	$102,855.14	$37,167.75	2026-05-24
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	16	8	—	—	$37,167.12	$40,140.49	$37,167.12	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	58	27	—	—	$33,146.10	$181,905.91	$37,165.83	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	60	28	—	—	$33,602.00	$214,135.31	$37,143.99	2026-05-24
089-4	OTHER	Major Cranial Or Facial Bone Procedures	16	8	—	—	$36,915.32	$39,868.54	$36,915.32	2026-05-24
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	16	8	—	—	$36,808.56	$39,753.24	$36,808.56	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	56	26	—	—	$34,872.52	$439,057.98	$36,767.90	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	58	27	—	—	$32,726.35	$160,401.47	$36,694.69	2026-05-24
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	16	8	—	—	$36,551.68	$39,475.82	$36,551.68	2026-05-24
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	16	8	—	—	$36,478.35	$39,396.62	$36,478.35	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	58	27	—	—	$32,487.81	$93,736.66	$36,426.94	2026-05-24
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	16	8	—	—	$36,281.36	$39,183.87	$36,281.36	2026-05-24
020-4	OTHER	Open Craniotomy For Trauma	16	8	—	—	$36,200.68	$39,096.74	$36,200.68	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	58	27	—	—	$32,232.29	$106,557.60	$36,140.13	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	58	27	—	—	$32,218.13	$187,528.57	$36,124.23	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	58	27	—	—	$7,001.74	$83,771.31	$36,108.73	2026-05-24
120-4	OTHER	Major Respiratory And Chest Procedures	16	8	—	—	$36,033.82	$38,916.53	$36,033.82	2026-05-24
676	OTHER	Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, Without…	2	1	—	—	$35,981.70	$35,981.70	$35,981.70	2026-05-24
690-4	OTHER	Acute Leukemia	16	8	—	—	$35,850.55	$38,718.59	$35,850.55	2026-05-24
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$35,748.38	$38,608.25	$35,748.38	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	58	27	—	—	$31,758.73	$253,002.38	$35,608.58	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	60	28	—	—	$32,570.63	$190,080.26	$35,607.89	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	58	27	—	—	$31,749.53	$97,979.06	$35,598.26	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	58	27	—	—	$31,624.95	$113,318.16	$35,458.42	2026-05-24
8E0Y0CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0XXCZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0WXCZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E090CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E093CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0X0CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E097CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0YXCZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0W7CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0X4CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0Y4CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0W0CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0W3CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0Y3CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E098CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0X3CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E09XCZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0W4CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E094CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
8E0W8CZ	OTHER	Robotic Surgery	2	1	—	—	$35,450.23	$35,450.23	$35,450.23	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	58	27	—	—	$15,121.90	$91,692.59	$35,418.56	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	56	26	—	—	$3,367.00	$266,673.23	$35,394.83	2026-05-24
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	16	8	—	—	$35,352.94	$38,181.17	$35,352.94	2026-05-24
245	OTHER	Aicd Generator Procedures	56	26	—	—	$32,329.26	$146,462.69	$35,096.48	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	54	25	—	—	$33,313.16	$175,826.74	$34,977.08	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	58	27	—	—	$31,128.76	$181,686.75	$34,901.47	2026-05-24
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	8	—	—	$34,765.74	$37,547.00	$34,765.74	2026-05-24
181-4	OTHER	Lower Extremity Arterial Procedures	16	8	—	—	$34,765.74	$37,547.00	$34,765.74	2026-05-24
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	8	—	—	$34,670.70	$37,444.36	$34,670.70	2026-05-24
027-4	OTHER	Other Open Craniotomy	16	8	—	—	$34,586.68	$37,353.61	$34,586.68	2026-05-24
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	8	—	—	$34,365.28	$37,114.50	$34,365.28	2026-05-24
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	16	8	—	—	$34,195.45	$36,931.08	$34,195.45	2026-05-24
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	16	8	—	—	$34,153.81	$36,886.12	$34,153.81	2026-05-24
692	OTHER	Kidney Transplant With Hemodialysis Without Mcc	2	1	—	—	$34,146.25	$34,146.25	$34,146.25	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	58	27	—	—	$30,421.63	$148,287.89	$34,107.76	2026-05-24
261-4	OTHER	Major Biliary Tract Procedures	16	8	—	—	$34,051.10	$36,775.19	$34,051.10	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	50	25	—	—	$32,635.04	$326,261.51	$33,930.94	2026-05-24
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	8	—	—	$33,827.11	$36,533.28	$33,827.11	2026-05-24
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	18	8	—	—	$33,769.98	$36,471.58	$33,769.98	2026-05-24
695-4	OTHER	Chemotherapy For Acute Leukemia	16	8	—	—	$33,740.77	$36,440.03	$33,740.77	2026-05-24
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	8	—	—	$33,683.31	$36,377.97	$33,683.31	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	58	27	—	—	$29,877.31	$208,391.97	$33,496.78	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	58	27	—	—	$29,862.44	$72,023.98	$33,480.10	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	58	27	—	—	$29,739.97	$71,728.29	$33,342.63	2026-05-24
230-4	OTHER	Major Small Bowel Procedures	16	8	—	—	$33,312.38	$35,977.37	$33,312.38	2026-05-24
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	16	8	—	—	$33,299.86	$35,963.84	$33,299.86	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	58	27	—	—	$29,684.77	$158,397.92	$33,280.67	2026-05-24
178-1	OTHER	External Heart Assist Systems	16	8	—	—	$33,280.15	$35,942.56	$33,280.15	2026-05-24
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	18	8	—	—	$33,177.01	$35,831.17	$33,177.01	2026-05-24

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