Hospital

FORREST GENERAL HOSPITAL

Hattiesburg, MS · CCN 250078 · Rates published

14,410 distinct procedures filed

14 distinct payers

91,357 rate rows

2026-05-13 last MRF observed

Data quality

91,248 of 91,357 rate rows are consumer-grade (99.9%)

109 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	64
per-diem day rate — not a per-procedure price	39
exceeds 10× this hospital's gross charge — excluded from medians	6

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

Source MRF file	http://www.forresthealth.org/app/files/public/a6ddc1d9-4433-4c16-88fd-ba8e248d8fb3/646001587_Forrest-General-Hospital_standardcharges (1).csv
Found on page	http://www.forresthealth.org/patients-visitors/forrest-health-price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	9aa741de01006e31… · 12,869,237 bytes · first seen 2026-05-06

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
9138 OTHER	Inj, Hemgenix, Per Tx Dose	5	$3,182,938.85	$3,342,085.79	$3,278,427.02	nat. median $3,746,358 0.9× median
9141 OTHER	Inj Onase Abepar-xioi Treat	6	$2,272,602.41	$3,636,163.85	$2,363,506.50	nat. median $2,588,981 0.9× median
9081 OTHER	(2018 Code) Tisagenlecleucel Car-pos T	1	$788,903.75	$788,903.75	$788,903.75	nat. median $10 outlier · 77343.5×
9194 OTHER	Tisagenlecleucel Car-pos T	7	$518,240.68	$829,185.09	$544,152.71	nat. median $566,531 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	7	$507,495.55	$811,992.88	$532,870.33	nat. median $587,650 0.9× median
9422 OTHER	Idecabtagene Vicleucel Car	7	$484,690.30	$775,504.48	$508,924.82	nat. median $558,082 0.9× median
9413 OTHER	Lisocabtagene Car Pos T	7	$474,060.62	$758,496.99	$497,763.65	nat. median $562,201 0.9× median
9035 OTHER	Axicabtagene Ciloleucel Car+	7	$459,381.45	$735,010.31	$482,350.52	nat. median $532,192 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	7	$391,462.24	$627,698.32	$411,035.35	nat. median $489,450 0.8× median
9373 OTHER	(2021 Code) Inj Onase Abepar-xioi Treat	1	$328,377.11	$328,377.11	$328,377.11	nat. median $19,594 outlier · 16.8×
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	$98,961.89	$419,675.20	$246,523.95	nat. median $386,529 0.6× median
002-4 OTHER	Heart And/Or Lung Transplant	5	$232,467.25	$371,947.60	$239,441.27	nat. median $216,800 1.1× median
583-4 OTHER	Neonate With Ecmo	5	$204,766.76	$327,626.82	$210,909.76	nat. median $309,400 0.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	$172,953.12	$412,578.23	$181,600.78	nat. median $239,422 0.8× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$167,964.25	$268,742.80	$173,003.18	nat. median $267,493 0.6× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	9	$1.51	$300,251.95	$168,889.01	nat. median $146,562 1.2× median
583-3 OTHER	Neonate With Ecmo	5	$162,179.28	$259,486.85	$167,044.66	nat. median $259,487 0.6× median
161-4 OTHER	Implantable Heart Assist Systems	5	$160,593.79	$256,950.06	$165,411.60	nat. median $202,242 0.8× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	5	$152,401.34	$243,842.14	$156,973.38	nat. median $172,311 0.9× median
001-4 OTHER	Liver Transplant And/Or Intestinal Transplant	5	$148,606.97	$237,771.15	$153,065.18	nat. median $124,561 1.2× median
002-3 OTHER	Heart And/Or Lung Transplant	5	$143,753.72	$230,005.95	$148,066.33	nat. median $133,471 1.1× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	8	$136,286.66	$242,859.54	$143,100.99	nat. median $181,005 0.8× median
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	7	$132,827.94	$219,542.98	$139,469.33	nat. median $153,199 0.9× median
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	7	$132,827.94	$219,542.98	$139,469.33	nat. median $152,962 0.9× median
006-4 OTHER	Pancreas Transplant	5	$131,237.12	$209,979.39	$135,174.23	nat. median $92,449 1.5× median
161-3 OTHER	Implantable Heart Assist Systems	5	$123,031.66	$196,850.66	$126,722.61	nat. median $152,491 0.8× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	8	$119,762.94	$197,948.67	$125,751.08	nat. median $137,903 0.9× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	8	$119,762.94	$197,948.67	$125,751.08	nat. median $138,020 0.9× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$121,914.67	$195,063.47	$125,572.11	nat. median $210,669 0.6× median
583-2 OTHER	Neonate With Ecmo	5	$119,591.80	$191,346.88	$123,179.55	nat. median $191,347 0.6× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	5	$113,251.39	$181,202.22	$116,648.93	nat. median $151,691 0.8× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$109,544.83	$175,271.73	$112,831.17	nat. median $151,250 0.7× median
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	8	$106,697.94	$176,354.34	$112,032.83	nat. median $119,935 0.9× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	8	$106,697.94	$176,354.34	$112,032.83	nat. median $120,174 0.9× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$108,209.03	$173,134.45	$111,455.30	nat. median $165,000 0.7× median
002-2 OTHER	Heart And/Or Lung Transplant	5	$106,680.83	$170,689.33	$109,881.25	nat. median $106,681 1.0× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$105,957.29	$169,531.66	$109,136.01	nat. median $153,523 0.7× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$105,783.57	$169,253.71	$108,957.08	nat. median $156,696 0.7× median
011-4 OTHER	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	5	$105,647.44	$169,035.90	$108,816.86	nat. median $105,647 1.0× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$105,108.89	$168,174.22	$108,262.16	nat. median $169,856 0.6× median
583-1 OTHER	Neonate With Ecmo	5	$103,348.87	$165,358.19	$106,449.34	nat. median $171,226 0.6× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$100,908.67	$161,453.87	$103,935.93	nat. median $203,379 0.5× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$100,636.02	$161,017.63	$103,655.10	nat. median $110,000 0.9× median
161-2 OTHER	Implantable Heart Assist Systems	5	$98,783.50	$158,053.60	$101,747.01	nat. median $109,992 0.9× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	5	$98,525.65	$157,641.04	$101,481.42	nat. median $150,954 0.7× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	8	$809.53	$167,447.70	$98,991.12	nat. median $134,983 0.7× median
1901 OTHER	New Technology - Level 49 ($100,001-$115,000)	8	$93,632.94	$154,760.03	$98,314.58	nat. median $105,693 0.9× median
1902 OTHER	New Technology - Level 49 ($100,001-$115,000)	8	$93,632.94	$154,760.03	$98,314.58	nat. median $105,172 0.9× median
161-1 OTHER	Implantable Heart Assist Systems	5	$93,844.33	$150,150.93	$96,659.66	nat. median $101,352 1.0× median
006-3 OTHER	Pancreas Transplant	5	$92,278.93	$147,646.29	$95,047.30	nat. median $85,000 1.1× median

Other procedures at this hospital

Browse this hospital's 14,410 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

9138	OTHER	Inj, Hemgenix, Per Tx Dose	5	5	—	—	$3,182,938.85	$3,342,085.79	$3,278,427.02	2026-05-13
9141	OTHER	Inj Onase Abepar-xioi Treat	6	6	—	—	$2,272,602.41	$3,636,163.85	$2,363,506.50	2026-05-13
9081	OTHER	(2018 Code) Tisagenlecleucel Car-pos T	1	1	—	—	$788,903.75	$788,903.75	$788,903.75	2026-05-13
9194	OTHER	Tisagenlecleucel Car-pos T	7	7	—	—	$518,240.68	$829,185.09	$544,152.71	2026-05-13
9498	OTHER	Ciltacabtagene Car-pos T	7	7	—	—	$507,495.55	$811,992.88	$532,870.33	2026-05-13
9422	OTHER	Idecabtagene Vicleucel Car	7	7	—	—	$484,690.30	$775,504.48	$508,924.82	2026-05-13
9413	OTHER	Lisocabtagene Car Pos T	7	7	—	—	$474,060.62	$758,496.99	$497,763.65	2026-05-13
9035	OTHER	Axicabtagene Ciloleucel Car+	7	7	—	—	$459,381.45	$735,010.31	$482,350.52	2026-05-13
9391	OTHER	Brexucabtagene Car Pos T	7	7	—	—	$391,462.24	$627,698.32	$411,035.35	2026-05-13
9373	OTHER	(2021 Code) Inj Onase Abepar-xioi Treat	1	1	—	—	$328,377.11	$328,377.11	$328,377.11	2026-05-13
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$98,961.89	$419,675.20	$246,523.95	2026-05-13
002-4	OTHER	Heart And/Or Lung Transplant	5	5	—	—	$232,467.25	$371,947.60	$239,441.27	2026-05-13
583-4	OTHER	Neonate With Ecmo	5	5	—	—	$204,766.76	$327,626.82	$210,909.76	2026-05-13
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	9	—	—	$172,953.12	$412,578.23	$181,600.78	2026-05-13
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$167,964.25	$268,742.80	$173,003.18	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	9	—	—	$1.51	$300,251.95	$168,889.01	2026-05-13
583-3	OTHER	Neonate With Ecmo	5	5	—	—	$162,179.28	$259,486.85	$167,044.66	2026-05-13
161-4	OTHER	Implantable Heart Assist Systems	5	5	—	—	$160,593.79	$256,950.06	$165,411.60	2026-05-13
007-4	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$152,401.34	$243,842.14	$156,973.38	2026-05-13
001-4	OTHER	Liver Transplant And/Or Intestinal Transplant	5	5	—	—	$148,606.97	$237,771.15	$153,065.18	2026-05-13
002-3	OTHER	Heart And/Or Lung Transplant	5	5	—	—	$143,753.72	$230,005.95	$148,066.33	2026-05-13
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	8	8	—	—	$136,286.66	$242,859.54	$143,100.99	2026-05-13
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	7	7	—	—	$132,827.94	$219,542.98	$139,469.33	2026-05-13
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	7	7	—	—	$132,827.94	$219,542.98	$139,469.33	2026-05-13
006-4	OTHER	Pancreas Transplant	5	5	—	—	$131,237.12	$209,979.39	$135,174.23	2026-05-13
161-3	OTHER	Implantable Heart Assist Systems	5	5	—	—	$123,031.66	$196,850.66	$126,722.61	2026-05-13
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	8	8	—	—	$119,762.94	$197,948.67	$125,751.08	2026-05-13
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	8	8	—	—	$119,762.94	$197,948.67	$125,751.08	2026-05-13
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$121,914.67	$195,063.47	$125,572.11	2026-05-13
583-2	OTHER	Neonate With Ecmo	5	5	—	—	$119,591.80	$191,346.88	$123,179.55	2026-05-13
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$113,251.39	$181,202.22	$116,648.93	2026-05-13
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$109,544.83	$175,271.73	$112,831.17	2026-05-13
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	8	8	—	—	$106,697.94	$176,354.34	$112,032.83	2026-05-13
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	8	8	—	—	$106,697.94	$176,354.34	$112,032.83	2026-05-13
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$108,209.03	$173,134.45	$111,455.30	2026-05-13
002-2	OTHER	Heart And/Or Lung Transplant	5	5	—	—	$106,680.83	$170,689.33	$109,881.25	2026-05-13
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$105,957.29	$169,531.66	$109,136.01	2026-05-13
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$105,783.57	$169,253.71	$108,957.08	2026-05-13
011-4	OTHER	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	5	5	—	—	$105,647.44	$169,035.90	$108,816.86	2026-05-13
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$105,108.89	$168,174.22	$108,262.16	2026-05-13
583-1	OTHER	Neonate With Ecmo	5	5	—	—	$103,348.87	$165,358.19	$106,449.34	2026-05-13
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$100,908.67	$161,453.87	$103,935.93	2026-05-13
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$100,636.02	$161,017.63	$103,655.10	2026-05-13
161-2	OTHER	Implantable Heart Assist Systems	5	5	—	—	$98,783.50	$158,053.60	$101,747.01	2026-05-13
009-4	OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	5	5	—	—	$98,525.65	$157,641.04	$101,481.42	2026-05-13
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	9	8	—	—	$809.53	$167,447.70	$98,991.12	2026-05-13
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	8	8	—	—	$93,632.94	$154,760.03	$98,314.58	2026-05-13
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	8	8	—	—	$93,632.94	$154,760.03	$98,314.58	2026-05-13
161-1	OTHER	Implantable Heart Assist Systems	5	5	—	—	$93,844.33	$150,150.93	$96,659.66	2026-05-13
006-3	OTHER	Pancreas Transplant	5	5	—	—	$92,278.93	$147,646.29	$95,047.30	2026-05-13
002-1	OTHER	Heart And/Or Lung Transplant	5	5	—	—	$91,454.13	$146,326.61	$94,197.75	2026-05-13
007-3	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$89,814.04	$143,702.46	$92,508.46	2026-05-13
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$88,055.37	$140,888.59	$90,697.03	2026-05-13
440-4	OTHER	Kidney Transplant	5	5	—	—	$87,313.90	$139,702.24	$89,933.32	2026-05-13
001-3	OTHER	Liver Transplant And/Or Intestinal Transplant	5	5	—	—	$85,914.11	$137,462.58	$88,491.53	2026-05-13
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	8	8	—	—	$82,745.44	$136,764.75	$86,882.71	2026-05-13
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	8	8	—	—	$82,745.44	$136,764.75	$86,882.71	2026-05-13
7	OTHER	Lung Transplant	10	9	—	—	$1,438.46	$139,726.56	$82,776.49	2026-05-13
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	9	—	—	$78,693.25	$139,472.54	$82,627.91	2026-05-13
006-2	OTHER	Pancreas Transplant	5	5	—	—	$80,107.54	$128,172.06	$82,510.77	2026-05-13
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$78,521.72	$125,634.75	$80,877.37	2026-05-13
008-4	OTHER	Autologous Bone Marrow Transplant	5	5	—	—	$77,093.53	$123,349.65	$79,406.34	2026-05-13
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	8	8	—	—	$74,035.44	$122,368.54	$77,737.21	2026-05-13
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	8	8	—	—	$74,035.44	$122,368.54	$77,737.21	2026-05-13
14	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$73,723.41	$300,354.89	$77,409.58	2026-05-13
001-2	OTHER	Liver Transplant And/Or Intestinal Transplant	5	5	—	—	$72,006.41	$115,210.26	$74,166.60	2026-05-13
212	OTHER	Concomitant Aortic And Mitral Valve�procedures	9	9	—	—	$69,343.73	$122,689.04	$72,810.92	2026-05-13
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$70,444.62	$112,711.39	$72,557.96	2026-05-13
007-2	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$70,253.57	$112,405.71	$72,361.18	2026-05-13
588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$69,745.48	$111,592.77	$71,837.84	2026-05-13
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$68,867.98	$110,188.77	$70,934.02	2026-05-13
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	10	9	—	—	$1,748.55	$214,205.45	$70,007.86	2026-05-13
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$67,954.36	$108,726.98	$69,992.99	2026-05-13
215	OTHER	Other Heart Assist System Implant	10	9	—	—	$157.76	$116,356.79	$69,107.04	2026-05-13
1643	OTHER	Y90 Ibritumomab, Rx	7	7	—	—	$65,476.58	$104,762.53	$68,750.41	2026-05-13
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	8	8	—	—	$65,325.44	$107,972.32	$68,591.71	2026-05-13
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	8	8	—	—	$65,325.44	$107,972.32	$68,591.71	2026-05-13
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$66,321.18	$106,113.89	$68,310.82	2026-05-13
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$64,045.67	$102,473.07	$65,967.04	2026-05-13
001-1	OTHER	Liver Transplant And/Or Intestinal Transplant	5	5	—	—	$63,931.79	$102,290.86	$65,849.74	2026-05-13
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	9	—	—	$452.99	$115,695.54	$65,712.34	2026-05-13
006-1	OTHER	Pancreas Transplant	5	5	—	—	$62,968.21	$100,749.14	$64,857.26	2026-05-13
007-1	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$62,554.84	$100,087.74	$64,431.49	2026-05-13
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$61,973.26	$99,157.22	$63,832.46	2026-05-13
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$61,916.78	$99,066.85	$63,774.28	2026-05-13
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$61,230.01	$97,968.02	$63,066.91	2026-05-13
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$60,311.63	$96,498.61	$62,120.98	2026-05-13
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$58,906.49	$94,250.38	$60,673.68	2026-05-13
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	9	9	—	—	$57,228.18	$100,940.21	$60,089.59	2026-05-13
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	8	8	—	—	$56,615.44	$93,576.11	$59,446.21	2026-05-13
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	8	8	—	—	$56,615.44	$93,576.11	$59,446.21	2026-05-13
440-3	OTHER	Kidney Transplant	5	5	—	—	$57,554.17	$92,086.67	$59,280.80	2026-05-13
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	5	5	—	—	$57,365.77	$91,785.23	$59,086.74	2026-05-13
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$57,233.90	$91,574.24	$58,950.92	2026-05-13
9273	OTHER	Sipuleucel-t Auto Cd54+	7	7	—	—	$55,453.57	$88,725.71	$58,226.25	2026-05-13
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$55,833.73	$89,333.97	$57,508.74	2026-05-13
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	10	9	—	—	$1,373.05	$155,783.25	$57,364.49	2026-05-13
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	9	—	—	$289.00	$141,026.94	$57,211.26	2026-05-13
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$54,499.12	$87,198.59	$56,134.09	2026-05-13
178-4	OTHER	External Heart Assist Systems	5	5	—	—	$54,135.54	$86,616.86	$55,759.61	2026-05-13
759-4	OTHER	Eating Disorders	5	5	—	—	$53,679.19	$85,886.70	$55,289.57	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Mcc	10	9	—	—	$522.27	$125,895.87	$55,117.80	2026-05-13
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	10	9	—	—	$628.83	$167,967.14	$54,306.93	2026-05-13
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$52,365.58	$83,784.93	$53,936.55	2026-05-13
011-3	OTHER	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	5	5	—	—	$52,002.27	$83,203.63	$53,562.34	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	10	9	—	—	$2,911.30	$88,845.24	$53,015.01	2026-05-13
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	9	—	—	$3,607.48	$89,125.52	$52,426.02	2026-05-13
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$49,838.33	$79,741.33	$51,333.48	2026-05-13
108	OTHER	(2015 Code) Level Ii Icd And Similar Procedures	1	1	—	—	$51,193.03	$51,193.03	$51,193.03	2026-05-13
440-2	OTHER	Kidney Transplant	5	5	—	—	$49,361.83	$78,978.93	$50,842.68	2026-05-13
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	5	5	—	—	$49,022.12	$78,435.39	$50,492.78	2026-05-13
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$48,838.14	$78,141.02	$50,303.28	2026-05-13
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	8	8	—	—	$47,905.44	$79,179.90	$50,300.71	2026-05-13
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	8	8	—	—	$47,905.44	$79,179.90	$50,300.71	2026-05-13
008-3	OTHER	Autologous Bone Marrow Transplant	5	5	—	—	$48,544.38	$77,671.01	$50,000.71	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	10	9	—	—	$191.62	$82,385.41	$49,236.54	2026-05-13
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$47,347.52	$75,756.03	$48,767.95	2026-05-13
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$47,244.06	$75,590.50	$48,661.38	2026-05-13
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$46,996.52	$75,194.43	$48,406.42	2026-05-13
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$46,919.47	$75,071.15	$48,327.05	2026-05-13
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	10	9	—	—	$562.54	$104,185.58	$47,925.95	2026-05-13
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$46,360.73	$74,177.17	$47,751.55	2026-05-13
5244	OTHER	Level 4 Blood Product Exchange And Related Services	8	8	—	—	$45,349.63	$72,559.41	$47,617.12	2026-05-13
183-4	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$46,195.76	$73,913.22	$47,581.63	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	8	8	—	—	$45,193.87	$79,337.18	$47,453.56	2026-05-13
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$45,832.12	$73,331.39	$47,207.08	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	9	8	—	—	$1,116.37	$78,689.03	$47,074.44	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	10	9	—	—	$457.59	$78,285.79	$46,838.58	2026-05-13
1142	OTHER	Supprelin La Implant	7	7	—	—	$44,578.75	$71,326.00	$46,807.69	2026-05-13
009-3	OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	5	5	—	—	$45,409.63	$72,655.41	$46,771.92	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	9	9	—	—	$44,494.60	$78,081.89	$46,719.33	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	9	9	—	—	$44,264.87	$77,669.53	$46,478.11	2026-05-13
863-4	OTHER	Neonatal Aftercare	5	5	—	—	$44,932.43	$71,891.89	$46,280.40	2026-05-13
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$44,924.65	$71,879.44	$46,272.39	2026-05-13
910-4	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$44,380.87	$71,009.39	$45,712.30	2026-05-13
179-4	OTHER	Defibrillator Implants	5	5	—	—	$44,105.36	$70,568.58	$45,428.52	2026-05-13
440-1	OTHER	Kidney Transplant	5	5	—	—	$44,076.91	$70,523.06	$45,399.22	2026-05-13
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$43,922.74	$70,276.38	$45,240.42	2026-05-13
459	OTHER	Spinal Fusion Except Cervical With Mcc	9	9	—	—	$43,083.33	$75,548.53	$45,237.50	2026-05-13
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$43,866.14	$70,185.82	$45,182.12	2026-05-13
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$43,827.26	$70,123.62	$45,142.08	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	16	9	—	—	$1.61	$78,822.30	$45,075.44	2026-05-13
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	5	5	—	—	$42,999.44	$68,799.10	$44,289.42	2026-05-13
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$42,850.35	$68,560.56	$44,135.86	2026-05-13
318	OTHER	(2015 Code) Level IV Neurostimulator & Related Procedures	1	1	—	—	$43,458.78	$43,458.78	$43,458.78	2026-05-13
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	9	9	—	—	$41,389.08	$79,779.47	$43,458.53	2026-05-13
169-4	OTHER	Major Abdominal Vascular Procedures	5	5	—	—	$42,047.59	$67,276.14	$43,309.02	2026-05-13
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	5	5	—	—	$41,928.25	$67,085.20	$43,186.10	2026-05-13
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	5	5	—	—	$41,745.67	$66,793.07	$42,998.04	2026-05-13
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$41,561.96	$66,499.14	$42,808.82	2026-05-13
091-4	OTHER	Other Major Head And Neck Procedures	5	5	—	—	$41,527.08	$66,443.33	$42,772.89	2026-05-13
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	10	9	—	—	$224.01	$71,149.33	$42,664.31	2026-05-13
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	9	9	—	—	$40,455.01	$70,830.38	$42,477.76	2026-05-13
276	OTHER	Cardiac Defibrillator Implant With Mcc	10	9	—	—	$168.92	$70,740.39	$42,425.12	2026-05-13
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	10	9	—	—	$2,139.05	$70,362.21	$42,203.93	2026-05-13
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	10	9	—	—	$470.33	$98,961.89	$42,203.93	2026-05-13
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	10	9	—	—	$2,228.24	$118,448.46	$41,966.72	2026-05-13
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	5	5	—	—	$40,736.95	$65,179.12	$41,959.06	2026-05-13
008-2	OTHER	Autologous Bone Marrow Transplant	5	5	—	—	$40,616.59	$64,986.54	$41,835.09	2026-05-13
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	9	9	—	—	$39,809.05	$70,397.51	$41,799.50	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	10	9	—	—	$118.58	$73,793.16	$41,625.58	2026-05-13
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	9	—	—	$39,548.86	$69,203.74	$41,526.30	2026-05-13
178-3	OTHER	External Heart Assist Systems	5	5	—	—	$40,049.05	$64,078.48	$41,250.52	2026-05-13
28	OTHER	Spinal Procedures With Mcc	10	9	—	—	$3,600.70	$68,643.31	$41,198.49	2026-05-13
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	8	8	—	—	$39,195.44	$64,783.68	$41,155.21	2026-05-13
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	8	8	—	—	$39,195.44	$64,783.68	$41,155.21	2026-05-13
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	5	5	—	—	$39,885.91	$63,817.46	$41,082.49	2026-05-13
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	7	7	—	—	$39,071.68	$62,514.69	$41,025.26	2026-05-13
023-4	OTHER	Spinal Procedures	5	5	—	—	$39,784.23	$63,654.77	$40,977.76	2026-05-13
232	OTHER	Coronary Bypass With Ptca Without Mcc	9	9	—	—	$38,744.88	$67,760.50	$40,682.12	2026-05-13
021-4	OTHER	Open Craniotomy Except Trauma	5	5	—	—	$39,238.88	$62,782.21	$40,416.05	2026-05-13
441-4	OTHER	Major Bladder Procedures	5	5	—	—	$39,231.65	$62,770.64	$40,408.60	2026-05-13
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	9	9	—	—	$38,313.38	$75,796.02	$40,229.05	2026-05-13
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$38,751.64	$62,002.62	$39,914.19	2026-05-13
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	5	5	—	—	$38,739.65	$61,983.44	$39,901.84	2026-05-13
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	16	9	—	—	$31.50	$91,175.63	$39,515.02	2026-05-13
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$38,187.02	$61,099.23	$39,332.63	2026-05-13
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	9	—	—	$263.88	$64,891.11	$39,003.77	2026-05-13
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	9	9	—	—	$35,370.27	$64,736.19	$38,913.16	2026-05-13
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	9	9	—	—	$36,969.41	$64,625.99	$38,817.88	2026-05-13
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	9	9	—	—	$36,937.04	$64,515.21	$38,783.89	2026-05-13
752-4	OTHER	Disorders Of Personality And Impulse Control	5	5	—	—	$37,618.18	$60,189.09	$38,746.73	2026-05-13
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$37,453.32	$59,925.31	$38,576.92	2026-05-13
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$37,374.05	$59,798.48	$38,495.27	2026-05-13
178-2	OTHER	External Heart Assist Systems	5	5	—	—	$37,313.14	$59,701.02	$38,432.53	2026-05-13
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	9	9	—	—	$36,526.49	$70,450.02	$38,352.81	2026-05-13
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	5	5	—	—	$37,167.12	$59,467.39	$38,282.13	2026-05-13
107	OTHER	(2015 Code) Level I Icd And Similar Procedures	1	1	—	—	$38,067.15	$38,067.15	$38,067.15	2026-05-13
089-4	OTHER	Major Cranial Or Facial Bone Procedures	5	5	—	—	$36,915.32	$59,064.51	$38,022.78	2026-05-13
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$36,808.56	$58,893.70	$37,912.82	2026-05-13
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	9	9	—	—	$35,931.26	$62,709.73	$37,727.82	2026-05-13
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	5	5	—	—	$36,551.68	$58,482.69	$37,648.23	2026-05-13
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$36,478.35	$58,365.36	$37,572.70	2026-05-13
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$36,368.57	$58,189.71	$37,459.63	2026-05-13
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$36,330.82	$58,129.31	$37,420.74	2026-05-13
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$36,281.36	$58,050.18	$37,369.80	2026-05-13
020-4	OTHER	Open Craniotomy For Trauma	5	5	—	—	$36,200.68	$57,921.09	$37,286.70	2026-05-13
653	OTHER	Major Bladder Procedures With Mcc	9	9	—	—	$35,350.02	$61,666.32	$37,117.52	2026-05-13
120-4	OTHER	Major Respiratory And Chest Procedures	5	5	—	—	$36,033.82	$57,654.11	$37,114.83	2026-05-13
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	5	5	—	—	$35,956.12	$57,529.79	$37,034.80	2026-05-13
690-4	OTHER	Acute Leukemia	5	5	—	—	$35,850.55	$57,360.88	$36,926.07	2026-05-13
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$35,748.38	$57,197.41	$36,820.83	2026-05-13
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	5	5	—	—	$35,352.94	$56,564.70	$36,413.53	2026-05-13
8	OTHER	Simultaneous Pancreas And Kidney Transplant	10	9	—	—	$2,717.21	$167,967.14	$36,105.45	2026-05-13
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	9	—	—	$2,299.10	$59,741.24	$35,991.50	2026-05-13
181-4	OTHER	Lower Extremity Arterial Procedures	5	5	—	—	$34,765.74	$55,625.18	$35,808.71	2026-05-13
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$34,765.74	$55,625.18	$35,808.71	2026-05-13
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	9	9	—	—	$33,981.30	$59,209.28	$35,680.37	2026-05-13
027-4	OTHER	Other Open Craniotomy	5	5	—	—	$34,586.68	$55,338.69	$35,624.28	2026-05-13
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	9	9	—	—	$33,909.59	$59,216.40	$35,605.07	2026-05-13
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	5	5	—	—	$34,555.09	$55,288.14	$35,591.74	2026-05-13
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	9	9	—	—	$33,717.33	$61,782.08	$35,403.20	2026-05-13
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$34,195.45	$54,712.72	$35,221.31	2026-05-13
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	5	5	—	—	$34,153.81	$54,646.10	$35,178.42	2026-05-13
261-4	OTHER	Major Biliary Tract Procedures	5	5	—	—	$34,051.10	$54,481.76	$35,072.63	2026-05-13
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	10	9	—	—	$365.33	$60,254.55	$34,888.15	2026-05-13
695-4	OTHER	Chemotherapy For Acute Leukemia	5	5	—	—	$33,740.77	$53,985.23	$34,752.99	2026-05-13
270	OTHER	Other Major Cardiovascular Procedures With Mcc	10	9	—	—	$987.43	$62,195.72	$34,740.90	2026-05-13
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$33,683.31	$53,893.30	$34,693.81	2026-05-13
228	OTHER	Other Cardiothoracic Procedures With Mcc	9	9	—	—	$32,971.07	$91,678.10	$34,619.62	2026-05-13
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	9	9	—	—	$32,721.07	$59,740.74	$34,357.12	2026-05-13
230-4	OTHER	Major Small Bowel Procedures	5	5	—	—	$33,312.38	$53,299.81	$34,311.75	2026-05-13
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	5	5	—	—	$33,299.86	$53,279.78	$34,298.86	2026-05-13
178-1	OTHER	External Heart Assist Systems	5	5	—	—	$33,280.15	$53,248.24	$34,278.55	2026-05-13
009-2	OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	5	5	—	—	$33,119.98	$52,991.97	$34,113.58	2026-05-13
799	OTHER	Splenic Procedures With Mcc	9	9	—	—	$32,437.42	$56,437.85	$34,059.29	2026-05-13
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$32,977.21	$52,763.54	$33,966.53	2026-05-13
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	5	5	—	—	$32,863.10	$52,580.96	$33,848.99	2026-05-13
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	5	5	—	—	$32,851.49	$52,562.38	$33,837.03	2026-05-13
471	OTHER	Cervical Spinal Fusion With Mcc	9	9	—	—	$32,211.52	$56,032.33	$33,822.10	2026-05-13
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$32,816.39	$52,506.22	$33,800.88	2026-05-13
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	5	5	—	—	$32,692.46	$52,307.94	$33,673.23	2026-05-13
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	5	5	—	—	$32,680.48	$52,288.77	$33,660.89	2026-05-13
401-4	OTHER	Adrenal Procedures	5	5	—	—	$32,624.37	$52,198.99	$33,603.10	2026-05-13
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	10	9	—	—	$314.99	$55,590.36	$33,563.57	2026-05-13
183-3	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$32,451.08	$51,921.73	$33,424.61	2026-05-13
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	5	5	—	—	$32,418.63	$51,869.81	$33,391.19	2026-05-13
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	9	9	—	—	$31,735.61	$55,178.00	$33,322.39	2026-05-13
6	OTHER	Liver Transplant Without Mcc	10	9	—	—	$269.04	$99,500.81	$33,275.07	2026-05-13
179-3	OTHER	Defibrillator Implants	5	5	—	—	$32,159.38	$51,455.01	$33,124.16	2026-05-13
10	OTHER	Pancreas Transplant	9	9	—	—	$31,542.70	$55,083.92	$33,119.84	2026-05-13
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	10	9	—	—	$1,165.54	$54,754.26	$33,074.53	2026-05-13
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	5	5	—	—	$32,060.45	$51,296.72	$33,022.26	2026-05-13
277	OTHER	Cardiac Defibrillator Implant Without Mcc	10	9	—	—	$250.82	$65,747.70	$32,911.96	2026-05-13
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$31,760.26	$50,816.42	$32,713.07	2026-05-13
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	9	9	—	—	$31,078.20	$53,997.90	$32,632.11	2026-05-13
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$31,617.43	$50,587.89	$32,565.95	2026-05-13
163	OTHER	Major Chest Procedures With Mcc	10	9	—	—	$5,172.32	$54,380.43	$32,453.55	2026-05-13
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	9	—	—	$4,896.21	$52,952.20	$32,020.47	2026-05-13
1579	OTHER	New Technology - Level 42 ($30,001-$40,000)	8	8	—	—	$30,485.44	$50,387.47	$32,009.71	2026-05-13
1593	OTHER	New Technology - Level 42 ($30,001-$40,000)	8	8	—	—	$30,485.44	$50,387.47	$32,009.71	2026-05-13
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	9	9	—	—	$30,363.07	$52,714.13	$31,881.22	2026-05-13
321-4	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	5	5	—	—	$30,840.86	$49,345.38	$31,766.09	2026-05-13
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$30,822.34	$49,315.74	$31,747.01	2026-05-13
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	9	9	—	—	$30,222.82	$52,462.39	$31,733.96	2026-05-13
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	5	5	—	—	$30,615.25	$48,984.40	$31,533.71	2026-05-13
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$30,614.38	$48,983.01	$31,532.81	2026-05-13
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$30,602.72	$48,964.35	$31,520.80	2026-05-13
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	5	5	—	—	$30,533.17	$48,853.07	$31,449.17	2026-05-13
008-1	OTHER	Autologous Bone Marrow Transplant	5	5	—	—	$30,521.07	$48,833.71	$31,436.70	2026-05-13
245	OTHER	Aicd Generator Procedures	9	9	—	—	$29,751.99	$76,476.15	$31,239.59	2026-05-13
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	9	—	—	$29,749.46	$67,178.03	$31,236.93	2026-05-13
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	5	5	—	—	$30,246.16	$48,393.86	$31,153.54	2026-05-13
329	OTHER	Major Small And Large Bowel Procedures With Mcc	10	9	—	—	$3,823.12	$51,450.87	$31,142.32	2026-05-13
026-4	OTHER	Other Nervous System And Related Procedures	5	5	—	—	$30,166.51	$48,266.42	$31,071.51	2026-05-13
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	5	5	—	—	$30,149.17	$48,238.67	$31,053.65	2026-05-13
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	10	9	—	—	$1.47	$51,281.14	$31,043.02	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	9	9	—	—	$29,536.87	$199,500.84	$31,013.71	2026-05-13
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	5	5	—	—	$30,060.94	$48,097.50	$30,962.77	2026-05-13
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	5	5	—	—	$30,047.38	$48,075.81	$30,948.80	2026-05-13
022-4	OTHER	Ventricular Shunt Procedures	5	5	—	—	$29,985.28	$47,976.45	$30,884.84	2026-05-13
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	5	5	—	—	$29,918.54	$47,869.66	$30,816.10	2026-05-13
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	10	9	—	—	$440.61	$50,808.42	$30,766.53	2026-05-13
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$29,852.28	$47,763.65	$30,747.85	2026-05-13
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$29,685.69	$47,497.10	$30,576.26	2026-05-13
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$29,667.65	$47,468.24	$30,557.68	2026-05-13
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	5	5	—	—	$29,649.19	$47,438.70	$30,538.67	2026-05-13
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	9	9	—	—	$29,019.73	$51,947.33	$30,470.72	2026-05-13
182-4	OTHER	Other Peripheral Vascular Procedures	5	5	—	—	$29,536.81	$47,258.90	$30,422.91	2026-05-13
121-4	OTHER	Other Respiratory And Chest Procedures	5	5	—	—	$29,462.13	$47,139.41	$30,345.99	2026-05-13
650-4	OTHER	Splenectomy	5	5	—	—	$29,420.06	$47,072.10	$30,302.66	2026-05-13
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	16	9	—	—	$23,170.54	$50,443.90	$30,262.33	2026-05-13
231-4	OTHER	Major Large Bowel Procedures	5	5	—	—	$29,310.55	$46,896.88	$30,189.87	2026-05-13
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	10	9	—	—	$24,661.68	$64,228.41	$30,110.23	2026-05-13
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	5	5	—	—	$28,973.86	$46,358.18	$29,843.08	2026-05-13
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	9	9	—	—	$28,301.39	$49,013.19	$29,716.46	2026-05-13
863-3	OTHER	Neonatal Aftercare	5	5	—	—	$28,829.84	$46,127.74	$29,694.74	2026-05-13
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$28,713.26	$45,941.22	$29,574.66	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Mcc	9	9	—	—	$28,148.47	$48,738.67	$29,555.89	2026-05-13
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	5	5	—	—	$28,439.91	$45,503.86	$29,293.11	2026-05-13
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$28,380.29	$45,408.46	$29,231.70	2026-05-13
5166	OTHER	Cochlear Implant Procedure	8	8	—	—	$27,829.67	$61,864.98	$29,221.15	2026-05-13
793	OTHER	Full Term Neonate With Major Problems	7	7	—	—	$27,708.09	$44,332.94	$29,093.49	2026-05-13
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$28,043.71	$44,869.94	$28,885.02	2026-05-13
029-4	OTHER	Other Percutaneous Intracranial Procedures	5	5	—	—	$28,040.20	$44,864.32	$28,881.41	2026-05-13
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	5	5	—	—	$28,039.50	$44,863.20	$28,880.69	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	10	9	—	—	$702.24	$47,370.61	$28,755.68	2026-05-13
183-2	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$27,869.62	$44,591.39	$28,705.71	2026-05-13
5232	OTHER	Level 2 Icd And Similar Procedures	8	8	—	—	$27,302.35	$59,319.85	$28,667.47	2026-05-13
309-4	OTHER	Other Significant Hip And Femur Surgery	5	5	—	—	$27,818.32	$44,509.31	$28,652.87	2026-05-13

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