Hospital

MERIT HEALTH WESLEY

Hattiesburg, MS · CCN 250094 · Rates published

7,048 distinct procedures filed

48 distinct payers

445,592 rate rows

2026-05-24 last MRF observed

Data quality

426,710 of 445,592 rate rows are consumer-grade (95.8%)

18,882 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	12,418
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	5,356
template filing: same amount across many unrelated codes — excluded	750
placeholder amount (≤ $0.02) — excluded from medians	356
exceeds 10× this hospital's gross charge — excluded from medians	2

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

Source MRF file	https://www.merithealthwesley.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/522050792_merit-health-wesley_standardcharges.csv
Found on page	https://www.merithealthwesley.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	60021b283c677454… · 140,921,029 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
583-4 OTHER	Neonate With Ecmo	7	$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	26	$72,059.88	$1,716,036.60	$324,902.71	nat. median $386,529 0.8× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$303,496.92	$323,620.38	$313,558.65	nat. median $0
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$268,742.83	$290,242.25	$268,742.83	nat. median $267,493 1.0× median
583-3 OTHER	Neonate With Ecmo	7	$259,486.85	$280,245.80	$259,486.85	nat. median $259,487 1.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	26	$12,642.39	$507,955.22	$251,777.80	nat. median $239,422 1.1× median
002-4 OTHER	Heart And/or Lung Transplant	6	$232,467.30	$251,064.68	$232,467.30	nat. median $216,800 1.1× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$195,063.44	$210,668.52	$195,063.44	nat. median $210,669 0.9× median
583-2 OTHER	Neonate With Ecmo	7	$191,346.89	$206,654.65	$191,346.89	nat. median $191,347 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	$11,280.48	$304,045.64	$177,198.79	nat. median $146,562 1.2× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$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	7	$173,134.48	$186,985.23	$173,134.48	nat. median $165,000 1.0× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$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	7	$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	7	$168,174.20	$181,628.13	$168,174.20	nat. median $169,856 1.0× median
583-1 OTHER	Neonate With Ecmo	7	$165,358.21	$178,586.86	$165,358.21	nat. median $171,226 1.0× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	$161,453.90	$174,370.21	$161,453.90	nat. median $203,379 0.8× median
161-4 OTHER	Implantable Heart Assist Systems	7	$160,593.79	$173,441.29	$160,593.79	nat. median $202,242 0.8× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	28	$6,930.00	$387,059.65	$160,298.90	nat. median $181,005 0.9× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	7	$152,401.34	$164,593.45	$152,401.34	nat. median $172,311 0.9× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	6	$148,606.97	$160,495.53	$148,606.97	nat. median $124,561 1.2× median
002-3 OTHER	Heart And/or Lung Transplant	6	$143,753.72	$155,254.02	$143,753.72	nat. median $133,471 1.1× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	$140,888.59	$152,159.68	$140,888.59	nat. median $107,050 1.3× median
7 OTHER	Lung Transplant	26	$19,028.76	$1,297,708.32	$139,274.46	nat. median $169,933 0.8× median
006-4 OTHER	Pancreas Transplant	6	$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…	7	$125,634.73	$135,685.50	$125,634.73	nat. median $125,000 1.0× median
161-3 OTHER	Implantable Heart Assist Systems	7	$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	7	$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	7	$112,711.39	$121,728.30	$112,711.39	nat. median $112,711 1.0× median
002-2 OTHER	Heart And/or Lung Transplant	6	$106,680.83	$115,215.30	$106,680.83	nat. median $106,681 1.0× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	$105,647.44	$114,099.23	$105,647.44	nat. median $105,647 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	28	$3,570.00	$569,526.76	$105,021.65	nat. median $134,983 0.8× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	26	$14,008.96	$451,732.15	$102,149.12	nat. median $111,558 0.9× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	$100,636.02	$108,686.90	$100,636.02	nat. median $110,000 0.9× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	$99,157.23	$107,089.81	$99,157.23	nat. median $99,157 1.0× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	$99,066.83	$106,992.18	$99,066.83	nat. median $99,067 1.0× median
161-2 OTHER	Implantable Heart Assist Systems	7	$98,783.50	$106,686.18	$98,783.50	nat. median $109,992 0.9× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	$98,525.65	$106,407.70	$98,525.65	nat. median $150,954 0.7× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	$96,498.59	$104,218.48	$96,498.59	nat. median $100,015 1.0× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$94,250.41	$101,790.44	$94,250.41	nat. median $95,000 1.0× median
161-1 OTHER	Implantable Heart Assist Systems	7	$93,844.33	$101,351.88	$93,844.33	nat. median $101,352 0.9× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	26	$7,603.43	$284,137.47	$92,994.14	nat. median $94,894 1.0× median
006-3 OTHER	Pancreas Transplant	6	$92,278.98	$99,661.30	$92,278.98	nat. median $85,000 1.1× median
14 OTHER	Allogeneic Bone Marrow Transplant	25	$5,841.62	$264,712.77	$92,038.97	nat. median $100,915 0.9× median
002-1 OTHER	Heart And/or Lung Transplant	6	$91,454.08	$98,770.40	$91,454.08	nat. median $57,500 1.6× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	7	$89,814.04	$96,999.17	$89,814.04	nat. median $104,111 0.9× median
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$89,333.98	$96,480.70	$89,333.98	nat. median $89,334 1.0× median
440-4 OTHER	Kidney Transplant	6	$87,313.90	$94,299.01	$87,313.90	nat. median $87,123 1.0× median
001-3 OTHER	Liver Transplant And/or Intestinal Transplant	6	$85,914.11	$92,787.24	$85,914.11	nat. median $81,541 1.1× median
215 OTHER	Other Heart Assist System Implant	28	$65,197.89	$201,077.16	$85,889.17	nat. median $92,359 0.9× median

Other procedures at this hospital

Browse this hospital's 7,048 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

001-1	OTHER	Liver Transplant And/or Intestinal Transplant	14	6	—	—	$63,931.79	$69,046.33	$63,931.79	2026-05-24
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	14	6	—	—	$72,006.35	$77,766.86	$72,006.35	2026-05-24
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	14	6	—	—	$85,914.11	$92,787.24	$85,914.11	2026-05-24
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	14	6	—	—	$148,606.97	$160,495.53	$148,606.97	2026-05-24
002-1	OTHER	Heart And/or Lung Transplant	14	6	—	—	$91,454.08	$98,770.40	$91,454.08	2026-05-24
002-2	OTHER	Heart And/or Lung Transplant	14	6	—	—	$106,680.83	$115,215.30	$106,680.83	2026-05-24
002-3	OTHER	Heart And/or Lung Transplant	14	6	—	—	$143,753.72	$155,254.02	$143,753.72	2026-05-24
002-4	OTHER	Heart And/or Lung Transplant	14	6	—	—	$232,467.30	$251,064.68	$232,467.30	2026-05-24
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	7	—	—	$31,617.43	$34,146.83	$31,617.43	2026-05-24
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	7	—	—	$47,347.52	$51,135.33	$47,347.52	2026-05-24
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	7	—	—	$68,867.98	$74,377.42	$68,867.98	2026-05-24
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	7	—	—	$100,636.02	$108,686.90	$100,636.02	2026-05-24
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	7	—	—	$35,748.38	$38,608.25	$35,748.38	2026-05-24
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	7	—	—	$48,838.14	$52,745.19	$48,838.14	2026-05-24
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	7	—	—	$66,321.18	$71,626.87	$66,321.18	2026-05-24
006-1	OTHER	Pancreas Transplant	14	6	—	—	$62,968.21	$68,005.67	$62,968.21	2026-05-24
006-2	OTHER	Pancreas Transplant	14	6	—	—	$80,107.54	$86,516.15	$80,107.54	2026-05-24
006-3	OTHER	Pancreas Transplant	14	6	—	—	$92,278.98	$99,661.30	$92,278.98	2026-05-24
006-4	OTHER	Pancreas Transplant	14	6	—	—	$131,237.06	$141,736.03	$131,237.06	2026-05-24
007-1	OTHER	Allogeneic Bone Marrow Transplant	18	7	—	—	$62,554.84	$67,559.23	$62,554.84	2026-05-24
007-2	OTHER	Allogeneic Bone Marrow Transplant	16	7	—	—	$70,253.57	$75,873.85	$70,253.57	2026-05-24
007-3	OTHER	Allogeneic Bone Marrow Transplant	16	7	—	—	$89,814.04	$96,999.17	$89,814.04	2026-05-24
007-4	OTHER	Allogeneic Bone Marrow Transplant	16	7	—	—	$152,401.34	$164,593.45	$152,401.34	2026-05-24
008-1	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	7	—	—	$30,521.07	$32,962.76	$30,521.07	2026-05-24
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	7	—	—	$40,616.59	$43,865.91	$40,616.59	2026-05-24
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	7	—	—	$48,544.38	$52,427.93	$48,544.38	2026-05-24
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	7	—	—	$77,093.53	$83,261.01	$77,093.53	2026-05-24
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	7	—	—	$33,119.98	$35,769.58	$33,119.98	2026-05-24
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	7	—	—	$45,409.63	$49,042.40	$45,409.63	2026-05-24
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	7	—	—	$98,525.65	$106,407.70	$98,525.65	2026-05-24
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	7	—	—	$52,002.27	$56,162.45	$52,002.27	2026-05-24
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	7	—	—	$105,647.44	$114,099.23	$105,647.44	2026-05-24
020-4	OTHER	Open Craniotomy For Trauma	16	7	—	—	$36,200.68	$39,096.74	$36,200.68	2026-05-24
021-4	OTHER	Open Craniotomy Except Trauma	16	7	—	—	$39,238.88	$42,377.99	$39,238.88	2026-05-24
023-4	OTHER	Spinal Procedures	16	7	—	—	$39,784.23	$42,966.97	$39,784.23	2026-05-24
026-4	OTHER	Other Nervous System And Related Procedures	16	7	—	—	$30,166.51	$32,579.83	$30,166.51	2026-05-24
027-4	OTHER	Other Open Craniotomy	16	7	—	—	$34,586.68	$37,353.61	$34,586.68	2026-05-24
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	16	7	—	—	$30,615.25	$33,064.47	$30,615.25	2026-05-24
089-4	OTHER	Major Cranial Or Facial Bone Procedures	16	7	—	—	$36,915.32	$39,868.54	$36,915.32	2026-05-24
091-4	OTHER	Other Major Head And Neck Procedures	16	7	—	—	$41,527.08	$44,849.25	$41,527.08	2026-05-24
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	16	7	—	—	$32,851.49	$35,479.61	$32,851.49	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	60	26	—	—	$12,642.39	$507,955.22	$251,777.80	2026-05-24
10	OTHER	Pancreas Transplant	60	26	—	—	$20,882.61	$218,345.01	$55,816.93	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	66	28	—	—	$8,595.34	$135,086.91	$46,115.76	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	64	27	—	—	$6,849.30	$102,068.74	$34,600.62	2026-05-24
120-4	OTHER	Major Respiratory And Chest Procedures	16	7	—	—	$36,033.82	$38,916.53	$36,033.82	2026-05-24
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	16	7	—	—	$34,195.45	$36,931.08	$34,195.45	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	56	25	—	—	$5,841.62	$264,712.77	$92,038.97	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	66	28	—	—	$3,110.89	$110,772.25	$36,312.80	2026-05-24
1410018	OTHER	Oth Ster Supp Lvl 18	40	16	$87,997.00	$18,479.37 79% off	$8,796.30	$87,997.00	$33,306.86	2026-05-24
1410039	OTHER	Aicd Dual Chamber L5	40	15	$99,999.00	$25,499.75 74% off	$8,796.30	$79,999.20	$37,849.62	2026-05-24
1411003	OTHER	Aicd Ohr Thn Sgl/du3	40	15	$98,107.00	$25,017.28 74% off	$8,796.30	$78,485.60	$37,133.50	2026-05-24
1411004	OTHER	Aicd Ohr Thn Sgl/du4	40	15	$99,999.00	$25,499.75 74% off	$8,796.30	$79,999.20	$37,849.62	2026-05-24
1411701	OTHER	Impella Device L2	42	16	$99,999.00	$20,999.79 79% off	$8,796.30	$79,999.20	$33,999.66	2026-05-24
1411702	OTHER	Impella Device L3	42	16	$99,999.00	$20,999.79 79% off	$8,796.30	$79,999.20	$33,999.66	2026-05-24
1413003	OTHER	Aicd Dual Chamber L1	40	15	$99,999.00	$25,499.75 74% off	$8,796.30	$79,999.20	$37,849.62	2026-05-24
1413004	OTHER	Aicd Ohr Thn Sgl/du1	40	15	$99,999.00	$25,499.75 74% off	$8,796.30	$79,999.20	$37,849.62	2026-05-24
1413005	OTHER	Aicd Single Chamber1	40	15	$99,999.00	$25,499.75 74% off	$8,796.30	$79,999.20	$37,849.62	2026-05-24
1414576	OTHER	Genratr Neurostm 3	42	16	$96,465.00	$20,257.65 79% off	$8,796.30	$77,172.00	$32,798.10	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	56	25	—	—	$4,770.45	$106,168.20	$48,218.04	2026-05-24
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	16	7	—	—	$36,478.35	$39,396.62	$36,478.35	2026-05-24
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	16	7	—	—	$67,954.36	$73,390.70	$67,954.36	2026-05-24
161-1	OTHER	Implantable Heart Assist Systems	16	7	—	—	$93,844.33	$101,351.88	$93,844.33	2026-05-24
161-2	OTHER	Implantable Heart Assist Systems	16	7	—	—	$98,783.50	$106,686.18	$98,783.50	2026-05-24
161-3	OTHER	Implantable Heart Assist Systems	16	7	—	—	$123,031.66	$132,874.19	$123,031.66	2026-05-24
161-4	OTHER	Implantable Heart Assist Systems	16	7	—	—	$160,593.79	$173,441.29	$160,593.79	2026-05-24
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	7	—	—	$34,765.74	$37,547.00	$34,765.74	2026-05-24
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	7	—	—	$43,866.14	$47,375.44	$43,866.14	2026-05-24
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	7	—	—	$64,045.67	$69,169.33	$64,045.67	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	66	28	—	—	$9,582.84	$276,002.60	$38,098.09	2026-05-24
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	16	7	—	—	$36,281.36	$39,183.87	$36,281.36	2026-05-24
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	16	7	—	—	$54,499.12	$58,859.05	$54,499.12	2026-05-24
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	16	7	—	—	$30,614.38	$33,063.53	$30,614.38	2026-05-24
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	16	7	—	—	$36,808.56	$39,753.24	$36,808.56	2026-05-24
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	16	7	—	—	$49,838.33	$53,825.39	$49,838.33	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	66	28	—	—	$25,130.78	$304,314.58	$37,377.00	2026-05-24
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	16	7	—	—	$30,602.72	$33,050.94	$30,602.72	2026-05-24
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	16	7	—	—	$44,924.65	$48,518.62	$44,924.65	2026-05-24
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	16	7	—	—	$30,533.17	$32,975.82	$30,533.17	2026-05-24
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	16	7	—	—	$49,022.12	$52,943.89	$49,022.12	2026-05-24
169-4	OTHER	Major Abdominal Vascular Procedures	16	7	—	—	$42,047.59	$45,411.39	$42,047.59	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	56	25	—	—	$8,198.37	$77,359.65	$42,186.61	2026-05-24
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	16	7	—	—	$34,153.81	$36,886.12	$34,153.81	2026-05-24
178-1	OTHER	External Heart Assist Systems	16	7	—	—	$33,280.15	$35,942.56	$33,280.15	2026-05-24
178-2	OTHER	External Heart Assist Systems	16	7	—	—	$37,313.14	$40,298.19	$37,313.14	2026-05-24
178-3	OTHER	External Heart Assist Systems	16	7	—	—	$40,049.05	$43,252.97	$40,049.05	2026-05-24
178-4	OTHER	External Heart Assist Systems	16	7	—	—	$54,135.54	$58,466.38	$54,135.54	2026-05-24
179-3	OTHER	Defibrillator Implants	16	7	—	—	$32,159.38	$34,732.13	$32,159.38	2026-05-24
179-4	OTHER	Defibrillator Implants	16	7	—	—	$44,105.36	$47,633.79	$44,105.36	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	58	26	—	—	$72,059.88	$1,716,036.60	$324,902.71	2026-05-24
181-4	OTHER	Lower Extremity Arterial Procedures	16	7	—	—	$34,765.74	$37,547.00	$34,765.74	2026-05-24
183-3	OTHER	Percutaneous Structural Cardiac Procedures	16	7	—	—	$32,451.08	$35,047.17	$32,451.08	2026-05-24
183-4	OTHER	Percutaneous Structural Cardiac Procedures	16	7	—	—	$46,195.76	$49,891.42	$46,195.76	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	60	26	—	—	$9,002.90	$169,870.24	$54,601.83	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	60	26	—	—	$14,008.96	$451,732.15	$102,149.12	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	66	28	—	—	$8,622.95	$232,310.24	$66,027.59	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	64	28	—	—	$2,730.00	$334,788.15	$46,051.85	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	66	28	—	—	$7,202.91	$221,666.88	$44,793.91	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	66	28	—	—	$5,923.42	$154,854.58	$84,205.18	2026-05-24
213	OTHER	Splenic Procedures Age 0-17	4	2	—	—	$34,479.16	$51,021.13	$42,750.15	2026-05-24
215	OTHER	Other Heart Assist System Implant	66	28	—	—	$65,197.89	$201,077.16	$85,889.17	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	66	29	—	—	$10,401.80	$182,285.19	$75,860.71	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	66	29	—	—	$11,464.28	$97,216.83	$51,334.99	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	66	29	—	—	$18,514.10	$93,636.74	$50,476.81	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	66	29	—	—	$12,499.39	$181,459.24	$59,768.92	2026-05-24
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	66	28	—	—	$21,521.10	$214,562.19	$30,763.59	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	66	29	—	—	$14,222.01	$75,942.70	$41,834.37	2026-05-24
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	16	7	—	—	$37,167.12	$40,140.49	$37,167.12	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	66	29	—	—	$18,560.75	$77,915.63	$39,597.06	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	66	29	—	—	$10,939.17	$92,211.88	$38,887.48	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	64	27	—	—	$7,844.03	$172,148.13	$46,633.57	2026-05-24
230-4	OTHER	Major Small Bowel Procedures	16	7	—	—	$33,312.38	$35,977.37	$33,312.38	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	66	29	—	—	$12,185.39	$187,536.18	$65,515.95	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	66	29	—	—	$12,274.14	$116,548.57	$47,414.69	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	66	29	—	—	$12,714.66	$129,251.48	$59,515.83	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	66	29	—	—	$12,640.99	$90,807.86	$42,827.65	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	64	28	—	—	$13,351.85	$83,572.85	$47,732.53	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	64	28	—	—	$12,290.99	$59,808.88	$33,499.07	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	64	28	—	—	$19,148.84	$117,553.80	$38,385.83	2026-05-24
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	66	28	—	—	$13,195.51	$55,708.12	$33,398.65	2026-05-24
245	OTHER	Aicd Generator Procedures	66	29	—	—	$12,846.43	$96,678.27	$35,943.62	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	66	28	—	—	$9,924.11	$64,748.10	$38,633.26	2026-05-24
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	16	7	—	—	$38,739.65	$41,838.83	$38,739.65	2026-05-24
261-4	OTHER	Major Biliary Tract Procedures	16	7	—	—	$34,051.10	$36,775.19	$34,051.10	2026-05-24
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	16	7	—	—	$30,246.16	$32,665.85	$30,246.16	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	66	28	—	—	$40,532.57	$112,430.17	$59,335.17	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	66	28	—	—	$2,861.74	$100,028.28	$40,398.75	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	66	28	—	—	$4,611.96	$324,452.50	$57,856.53	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	66	28	—	—	$3,835.45	$125,410.96	$34,172.25	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	68	29	—	—	$3,543.15	$76,728.13	$47,719.43	2026-05-24
271	OTHER	Other Major Cardiovascular Procedures With Cc	66	28	—	—	$3,131.49	$77,765.19	$30,466.34	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	66	28	—	—	$12,606.32	$70,360.44	$32,602.94	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	66	28	—	—	$10,540.75	$103,185.76	$59,938.67	2026-05-24
276	OTHER	Non-maligant Breast Disorders	66	28	—	—	$17,658.37	$85,538.07	$46,213.60	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	66	28	—	—	$9,404.85	$139,747.20	$39,225.34	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	66	28	—	—	$7,937.02	$79,266.47	$42,912.15	2026-05-24
28	OTHER	Spinal Procedures With Mcc	66	28	—	—	$7,419.85	$85,562.28	$46,226.33	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	66	28	—	—	$6,930.00	$387,059.65	$160,298.90	2026-05-24
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	7	—	—	$33,683.31	$36,377.97	$33,683.31	2026-05-24
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	7	—	—	$46,360.73	$50,069.59	$46,360.73	2026-05-24
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	7	—	—	$61,230.01	$66,128.41	$61,230.01	2026-05-24
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	16	7	—	—	$31,760.26	$34,301.08	$31,760.26	2026-05-24
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	16	7	—	—	$46,996.52	$50,756.25	$46,996.52	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	66	28	—	—	$5,625.29	$73,949.90	$38,087.38	2026-05-24
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	16	7	—	—	$41,745.67	$45,085.33	$41,745.67	2026-05-24
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	4	2	—	—	$28,292.40	$41,870.16	$35,081.28	2026-05-24
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	4	2	—	—	$40,524.61	$59,954.13	$50,239.37	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	66	28	—	—	$7,604.63	$76,648.22	$37,942.25	2026-05-24
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	16	7	—	—	$30,840.86	$33,308.13	$30,840.86	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	66	28	—	—	$7,835.85	$61,625.12	$33,625.57	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	66	28	—	—	$6,942.80	$228,649.42	$42,267.31	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	66	28	—	—	$5,673.60	$97,240.79	$36,204.38	2026-05-24
332	OTHER	Rectal Resection With Mcc	66	28	—	—	$7,080.94	$59,299.95	$30,997.38	2026-05-24
335	OTHER	Peritoneal Adhesiolysis With Mcc	66	28	—	—	$5,217.45	$54,960.73	$30,586.73	2026-05-24
34	OTHER	Carotid Artery Stent Procedures With Mcc	66	28	—	—	$10,079.89	$59,449.67	$33,058.93	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	66	28	—	—	$6,776.87	$198,203.73	$37,364.18	2026-05-24
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	16	7	—	—	$35,352.94	$38,181.17	$35,352.94	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	66	28	—	—	$3,570.00	$569,526.76	$105,021.65	2026-05-24
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	66	28	—	—	$6,716.22	$125,361.45	$32,980.56	2026-05-24
401-4	OTHER	Adrenal Procedures	16	7	—	—	$32,624.37	$35,234.32	$32,624.37	2026-05-24
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	16	7	—	—	$32,060.45	$34,625.28	$32,060.45	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	66	28	—	—	$7,078.30	$94,443.35	$46,251.01	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	66	28	—	—	$24,002.72	$78,697.25	$34,493.09	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	66	28	—	—	$22,017.12	$89,079.02	$36,150.15	2026-05-24
440-1	OTHER	Kidney Transplant	14	6	—	—	$44,076.85	$47,603.00	$44,076.85	2026-05-24
440-2	OTHER	Kidney Transplant	14	6	—	—	$49,361.83	$53,310.78	$49,361.83	2026-05-24
440-3	OTHER	Kidney Transplant	14	6	—	—	$57,554.17	$62,158.51	$57,554.17	2026-05-24
440-4	OTHER	Kidney Transplant	14	6	—	—	$87,313.90	$94,299.01	$87,313.90	2026-05-24
441-4	OTHER	Major Bladder Procedures	16	7	—	—	$39,231.65	$42,370.18	$39,231.65	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	54	25	—	—	$22,148.56	$218,924.50	$67,473.77	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	54	25	—	—	$26,006.96	$82,489.62	$46,903.52	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	54	25	—	—	$30,722.13	$116,926.68	$35,711.09	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	66	28	—	—	$12,898.46	$195,301.61	$67,064.39	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	66	28	—	—	$14,956.35	$84,918.60	$45,887.49	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	66	28	—	—	$20,369.30	$70,316.94	$35,548.41	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	54	25	—	—	$15,150.31	$141,579.10	$50,770.13	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	66	28	—	—	$12,666.82	$224,388.85	$46,683.92	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	66	28	—	—	$6,068.77	$81,164.76	$48,139.36	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	66	28	—	—	$10,408.33	$74,128.44	$40,860.22	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	66	28	—	—	$9,718.34	$233,602.16	$40,833.82	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	66	28	—	—	$6,471.34	$61,133.82	$36,540.42	2026-05-24
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	68	29	—	—	$7,352.63	$52,286.08	$30,274.67	2026-05-24
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	66	28	—	—	$6,367.37	$76,281.85	$31,038.62	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	60	26	—	—	$7,603.43	$284,137.47	$92,994.14	2026-05-24
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	16	7	—	—	$33,299.86	$35,963.84	$33,299.86	2026-05-24
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	66	28	—	—	$21,582.32	$53,934.81	$31,869.00	2026-05-24
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	66	28	—	—	$22,731.45	$58,737.78	$33,630.04	2026-05-24
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	16	7	—	—	$32,863.05	$35,492.09	$32,863.05	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	66	28	—	—	$6,769.43	$93,296.39	$50,297.63	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	66	28	—	—	$6,797.47	$69,796.42	$37,927.03	2026-05-24
583-1	OTHER	Neonate With Ecmo	18	7	—	—	$165,358.21	$178,586.86	$165,358.21	2026-05-24
583-2	OTHER	Neonate With Ecmo	18	7	—	—	$191,346.89	$206,654.65	$191,346.89	2026-05-24
583-3	OTHER	Neonate With Ecmo	18	7	—	—	$259,486.85	$280,245.80	$259,486.85	2026-05-24
583-4	OTHER	Neonate With Ecmo	18	7	—	—	$327,626.86	$353,837.00	$327,626.86	2026-05-24
588-1	OTHER	Female Reproductive System Reconstructive Procedures	16	7	—	—	$69,745.48	$75,325.12	$69,745.48	2026-05-24
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	7	—	—	$169,531.65	$183,094.18	$169,531.65	2026-05-24
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	7	—	—	$173,134.48	$186,985.23	$173,134.48	2026-05-24
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	7	—	—	$268,742.83	$290,242.25	$268,742.83	2026-05-24
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	7	—	—	$52,506.25	$56,706.75	$52,506.25	2026-05-24
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	7	—	—	$43,588.48	$47,075.55	$43,588.48	2026-05-24
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	7	—	—	$34,670.70	$37,444.36	$34,670.70	2026-05-24
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	7	—	—	$52,763.51	$56,984.59	$52,763.51	2026-05-24
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	7	—	—	$99,157.23	$107,089.81	$99,157.23	2026-05-24
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	7	—	—	$169,253.66	$182,793.95	$169,253.66	2026-05-24
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	7	—	—	$89,333.98	$96,480.70	$89,333.98	2026-05-24
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	7	—	—	$112,711.39	$121,728.30	$112,711.39	2026-05-24
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	7	—	—	$175,271.74	$189,293.48	$175,271.74	2026-05-24
6	OTHER	Liver Transplant Without Mcc	60	26	—	—	$10,321.46	$367,803.87	$42,136.65	2026-05-24
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$75,590.50	$81,637.74	$75,590.50	2026-05-24
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$99,066.83	$106,992.18	$99,066.83	2026-05-24
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$125,634.73	$135,685.50	$125,634.73	2026-05-24
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	7	—	—	$33,827.11	$36,533.28	$33,827.11	2026-05-24
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	7	—	—	$68,560.56	$74,045.40	$68,560.56	2026-05-24
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	7	—	—	$140,888.59	$152,159.68	$140,888.59	2026-05-24
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$58,129.27	$62,779.61	$58,129.27	2026-05-24
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$75,071.12	$81,076.81	$75,071.12	2026-05-24
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$96,498.59	$104,218.48	$96,498.59	2026-05-24
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	7	—	—	$42,956.73	$46,393.27	$42,956.73	2026-05-24
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	7	—	—	$58,189.70	$62,844.87	$58,189.70	2026-05-24
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	7	—	—	$61,099.22	$65,987.16	$61,099.22	2026-05-24
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	7	—	—	$37,807.29	$40,831.87	$37,807.29	2026-05-24
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	7	—	—	$39,797.14	$42,980.91	$39,797.14	2026-05-24
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	7	—	—	$83,785.00	$90,487.80	$83,785.00	2026-05-24
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	7	—	—	$168,174.20	$181,628.13	$168,174.20	2026-05-24
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	18	7	—	—	$47,763.59	$51,584.68	$47,763.59	2026-05-24
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	18	7	—	—	$73,331.35	$79,197.86	$73,331.35	2026-05-24
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$38,190.37	$41,245.60	$38,190.37	2026-05-24
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$49,315.72	$53,260.97	$49,315.72	2026-05-24
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$70,123.64	$75,733.54	$70,123.64	2026-05-24
613	OTHER	Neonate, Birth Weight <750 Grams, Died	4	2	—	—	$47,703.27	$50,817.69	$49,260.48	2026-05-24
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	7	—	—	$44,863.20	$48,452.26	$44,863.20	2026-05-24
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	7	—	—	$68,799.08	$74,303.00	$68,799.08	2026-05-24
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	18	7	—	—	$42,414.30	$45,807.44	$42,414.30	2026-05-24
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	18	7	—	—	$55,288.17	$59,711.22	$55,288.17	2026-05-24
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	18	7	—	—	$33,769.98	$36,471.58	$33,769.98	2026-05-24
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	18	7	—	—	$57,529.82	$62,132.20	$57,529.82	2026-05-24
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	66	28	—	—	$23,980.80	$67,076.02	$30,674.47	2026-05-24
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	18	7	—	—	$45,408.49	$49,041.17	$45,408.49	2026-05-24
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	7	—	—	$34,365.28	$37,114.50	$34,365.28	2026-05-24
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	7	—	—	$41,673.69	$45,007.59	$41,673.69	2026-05-24
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	18	7	—	—	$38,391.46	$41,462.78	$38,391.46	2026-05-24
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	7	—	—	$59,798.47	$64,582.34	$59,798.47	2026-05-24
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	7	—	—	$94,250.41	$101,790.44	$94,250.41	2026-05-24
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	7	—	—	$195,063.44	$210,668.52	$195,063.44	2026-05-24
631-2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	7	—	—	$38,026.26	$41,068.36	$38,026.26	2026-05-24
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	7	—	—	$62,002.64	$66,962.85	$62,002.64	2026-05-24
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	7	—	—	$161,453.90	$174,370.21	$161,453.90	2026-05-24
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	18	7	—	—	$52,288.74	$56,471.84	$52,288.74	2026-05-24
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	18	7	—	—	$40,075.72	$43,281.78	$40,075.72	2026-05-24
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	18	7	—	—	$33,177.01	$35,831.17	$33,177.01	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	60	26	—	—	$2,630.24	$175,826.74	$38,457.71	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	60	26	—	—	$4,059.37	$175,826.74	$30,546.44	2026-05-24
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	16	7	—	—	$32,418.63	$35,012.12	$32,418.63	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	66	28	—	—	$5,951.62	$259,576.66	$43,990.74	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	68	29	—	—	$5,285.87	$104,817.67	$32,933.68	2026-05-24
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	16	7	—	—	$43,922.74	$47,436.55	$43,922.74	2026-05-24
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	4	2	—	—	$303,496.92	$323,620.38	$313,558.65	2026-05-24
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	16	7	—	—	$37,453.32	$40,449.59	$37,453.32	2026-05-24
690-4	OTHER	Acute Leukemia	16	7	—	—	$35,850.55	$38,718.59	$35,850.55	2026-05-24
695-4	OTHER	Chemotherapy For Acute Leukemia	16	7	—	—	$33,740.77	$36,440.03	$33,740.77	2026-05-24
7	OTHER	Lung Transplant	60	26	—	—	$19,028.76	$1,297,708.32	$139,274.46	2026-05-24
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	66	28	—	—	$8,288.14	$82,338.62	$30,616.42	2026-05-24
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	16	7	—	—	$57,365.77	$61,955.03	$57,365.77	2026-05-24
752-4	OTHER	Disorders Of Personality And Impulse Control	16	7	—	—	$37,618.18	$40,627.64	$37,618.18	2026-05-24
759-4	OTHER	Eating Disorders	16	7	—	—	$53,679.19	$57,973.52	$53,679.19	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	64	28	—	—	$1,680.00	$84,639.48	$40,477.93	2026-05-24
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	16	7	—	—	$32,692.46	$35,307.86	$32,692.46	2026-05-24
799	OTHER	Splenectomy With Mcc	66	28	—	—	$8,660.50	$64,494.62	$38,486.47	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	60	26	—	—	$9,743.22	$355,164.24	$50,810.26	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	66	28	—	—	$5,561.51	$138,089.45	$33,994.01	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	66	28	—	—	$9,814.11	$96,103.83	$49,502.42	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	66	28	—	—	$4,394.38	$102,258.18	$38,947.44	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	66	28	—	—	$8,130.04	$89,972.75	$39,714.33	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	64	28	—	—	$5,251.46	$78,179.91	$41,796.15	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	66	29	—	—	$4,074.18	$280,987.43	$37,072.12	2026-05-24
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	16	7	—	—	$41,561.96	$44,886.92	$41,561.96	2026-05-24
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	16	7	—	—	$113,251.39	$122,311.50	$113,251.39	2026-05-24
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	16	7	—	—	$57,233.90	$61,812.61	$57,233.90	2026-05-24
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	16	7	—	—	$39,885.91	$43,076.78	$39,885.91	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	66	28	—	—	$12,467.52	$70,329.02	$41,864.90	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	66	28	—	—	$6,128.04	$64,776.58	$36,618.38	2026-05-24
863-3	OTHER	Neonatal Aftercare	18	7	—	—	$46,127.72	$49,817.94	$46,127.72	2026-05-24
863-4	OTHER	Neonatal Aftercare	18	7	—	—	$71,891.87	$77,643.22	$71,891.87	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	64	28	—	—	$3,150.00	$123,209.41	$49,387.29	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	66	28	—	—	$5,820.26	$66,244.02	$35,746.29	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	66	28	—	—	$24,714.59	$76,915.92	$31,429.48	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Mcc	66	28	—	—	$7,601.44	$54,674.24	$32,799.99	2026-05-24
910-4	OTHER	Craniotomy For Multiple Significant Trauma	16	7	—	—	$44,380.87	$47,931.34	$44,380.87	2026-05-24
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	16	7	—	—	$41,928.25	$45,282.51	$41,928.25	2026-05-24
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	16	7	—	—	$40,736.95	$43,995.91	$40,736.95	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	66	28	—	—	$11,280.48	$304,045.64	$177,198.79	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	66	28	—	—	$4,711.22	$102,144.13	$54,819.60	2026-05-24
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	66	28	—	—	$6,004.16	$83,277.52	$31,061.71	2026-05-24
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	16	7	—	—	$36,551.68	$39,475.82	$36,551.68	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	66	28	—	—	$44,415.41	$122,026.30	$67,311.00	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	66	28	—	—	$9,147.72	$75,103.63	$32,170.81	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	66	28	—	—	$8,741.49	$108,512.56	$63,975.13	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	66	28	—	—	$8,499.61	$60,008.80	$35,888.96	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	66	28	—	—	$13,513.93	$444,531.38	$51,617.55	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	66	28	—	—	$6,016.64	$66,814.42	$39,829.78	2026-05-24

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