Hospital

MERIT HEALTH WOMEN'S HOSPITAL

Flowood, MS · CCN 250136 · Rates published

8,801 distinct procedures filed

57 distinct payers

253,929 rate rows

2026-05-08 last MRF observed

Data quality

233,246 of 253,929 rate rows are consumer-grade (91.9%)

20,683 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	7,520
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	6,207
placeholder amount (≤ $0.02) — excluded from medians	5,262
template filing: same amount across many unrelated codes — excluded	1,616
exceeds 10× this hospital's gross charge — excluded from medians	78

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

Source MRF file	https://www.merithealthwomanshospital.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/640780035_merit-health-womans-hospital_standardcharges.csv
Found on page	https://www.merithealthwomanshospital.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	359db5888973d9c8… · 124,386,959 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
583-4 OTHER	Neonate With Ecmo	9	$327,626.86	$353,837.00	$330,903.12	nat. median $309,400 1.1× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$303,698.49	$358,044.53	$330,871.51	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	27	$55,023.03	$713,793.05	$308,088.81	nat. median $386,529 0.8× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$268,742.83	$290,242.25	$271,430.25	nat. median $267,493 1.0× median
583-3 OTHER	Neonate With Ecmo	9	$259,486.85	$280,245.80	$262,081.72	nat. median $259,487 1.0× median
002-4 OTHER	Heart And/or Lung Transplant	7	$232,467.30	$251,064.68	$234,791.97	nat. median $216,800 1.1× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	$18,297.04	$380,966.42	$215,640.78	nat. median $239,422 0.9× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	$195,063.44	$210,668.52	$197,014.08	nat. median $210,669 0.9× median
583-2 OTHER	Neonate With Ecmo	9	$191,346.89	$206,654.65	$193,260.36	nat. median $191,347 1.0× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$175,271.74	$189,293.48	$177,024.46	nat. median $151,250 1.2× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$173,134.48	$186,985.23	$174,865.82	nat. median $165,000 1.1× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$169,531.65	$183,094.18	$171,226.97	nat. median $153,523 1.1× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	$169,253.66	$182,793.95	$170,946.19	nat. median $156,696 1.1× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	$168,174.20	$181,628.13	$169,855.94	nat. median $169,856 1.0× median
583-1 OTHER	Neonate With Ecmo	9	$165,358.21	$178,586.86	$167,011.79	nat. median $171,226 1.0× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	$161,453.90	$174,370.21	$163,068.44	nat. median $203,379 0.8× median
161-4 OTHER	Implantable Heart Assist Systems	8	$160,593.79	$173,441.29	$162,199.72	nat. median $202,242 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	30	$11,690.52	$297,327.06	$160,191.73	nat. median $146,562 1.1× median
7 OTHER	Lung Transplant	28	$38,664.41	$973,281.24	$157,178.71	nat. median $169,933 0.9× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	8	$152,401.34	$164,593.45	$153,925.35	nat. median $172,311 0.9× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	7	$148,606.97	$160,495.53	$150,093.04	nat. median $124,561 1.2× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	30	$6,930.00	$295,582.14	$145,632.37	nat. median $181,005 0.8× median
002-3 OTHER	Heart And/or Lung Transplant	7	$143,753.72	$155,254.02	$145,191.26	nat. median $133,471 1.1× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	$140,888.59	$152,159.68	$142,297.48	nat. median $107,050 1.3× median
006-4 OTHER	Pancreas Transplant	7	$131,237.06	$141,736.03	$132,549.43	nat. median $92,449 1.4× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	$125,634.73	$135,685.50	$126,891.07	nat. median $125,000 1.0× median
161-3 OTHER	Implantable Heart Assist Systems	8	$123,031.66	$132,874.19	$124,261.97	nat. median $152,491 0.8× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	8	$113,251.39	$122,311.50	$114,383.91	nat. median $151,691 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$112,711.39	$121,728.30	$113,838.51	nat. median $112,711 1.0× median
002-2 OTHER	Heart And/or Lung Transplant	7	$106,680.83	$115,215.30	$107,747.64	nat. median $106,681 1.0× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	$105,647.44	$114,099.23	$106,703.91	nat. median $105,647 1.0× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$100,636.02	$108,686.90	$101,642.38	nat. median $110,000 0.9× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	$99,157.23	$107,089.81	$100,148.80	nat. median $99,157 1.0× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	$99,066.83	$106,992.18	$100,057.50	nat. median $99,067 1.0× median
161-2 OTHER	Implantable Heart Assist Systems	8	$98,783.50	$106,686.18	$99,771.33	nat. median $109,992 0.9× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	$98,525.65	$106,407.70	$99,510.90	nat. median $150,954 0.7× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	$96,498.59	$104,218.48	$97,463.58	nat. median $100,015 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	30	$3,570.00	$427,145.07	$96,438.15	nat. median $134,983 0.7× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	$94,250.41	$101,790.44	$95,192.92	nat. median $95,000 1.0× median
161-1 OTHER	Implantable Heart Assist Systems	8	$93,844.33	$101,351.88	$94,782.78	nat. median $101,352 0.9× median
006-3 OTHER	Pancreas Transplant	7	$92,278.98	$99,661.30	$93,201.77	nat. median $85,000 1.1× median
002-1 OTHER	Heart And/or Lung Transplant	7	$91,454.08	$98,770.40	$92,368.62	nat. median $57,500 1.6× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	8	$89,814.04	$96,999.17	$90,712.18	nat. median $104,111 0.9× median
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$89,333.98	$96,480.70	$90,227.32	nat. median $89,334 1.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	28	$14,226.59	$338,799.11	$88,490.86	nat. median $111,558 0.8× median
440-4 OTHER	Kidney Transplant	7	$87,313.90	$94,299.01	$88,187.03	nat. median $87,123 1.0× median
14 OTHER	Allogeneic Bone Marrow Transplant	26	$6,051.21	$202,127.71	$87,508.17	nat. median $100,915 0.9× median
001-3 OTHER	Liver Transplant And/or Intestinal Transplant	7	$85,914.11	$92,787.24	$86,773.25	nat. median $81,541 1.1× median
609-3 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	$83,785.00	$90,487.80	$84,622.85	nat. median $83,785 1.0× median
006-2 OTHER	Pancreas Transplant	7	$80,107.54	$86,516.15	$80,908.62	nat. median $67,906 1.2× median

Other procedures at this hospital

Browse this hospital's 8,801 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

583-4	OTHER	Neonate With Ecmo	9	9	—	—	$327,626.86	$353,837.00	$330,903.12	2026-05-08
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$303,698.49	$358,044.53	$330,871.51	2026-05-08
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	27	27	—	—	$55,023.03	$713,793.05	$308,088.81	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$268,742.83	$290,242.25	$271,430.25	2026-05-08
583-3	OTHER	Neonate With Ecmo	9	9	—	—	$259,486.85	$280,245.80	$262,081.72	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	7	7	—	—	$232,467.30	$251,064.68	$234,791.97	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	28	—	—	$18,297.04	$380,966.42	$215,640.78	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$195,063.44	$210,668.52	$197,014.08	2026-05-08
583-2	OTHER	Neonate With Ecmo	9	9	—	—	$191,346.89	$206,654.65	$193,260.36	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$175,271.74	$189,293.48	$177,024.46	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$173,134.48	$186,985.23	$174,865.82	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$169,531.65	$183,094.18	$171,226.97	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$169,253.66	$182,793.95	$170,946.19	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$168,174.20	$181,628.13	$169,855.94	2026-05-08
583-1	OTHER	Neonate With Ecmo	9	9	—	—	$165,358.21	$178,586.86	$167,011.79	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$161,453.90	$174,370.21	$163,068.44	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	8	8	—	—	$160,593.79	$173,441.29	$162,199.72	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	30	30	—	—	$11,690.52	$297,327.06	$160,191.73	2026-05-08
7	OTHER	Lung Transplant	28	28	—	—	$38,664.41	$973,281.24	$157,178.71	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$152,401.34	$164,593.45	$153,925.35	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$148,606.97	$160,495.53	$150,093.04	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	30	30	—	—	$6,930.00	$295,582.14	$145,632.37	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	7	7	—	—	$143,753.72	$155,254.02	$145,191.26	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$140,888.59	$152,159.68	$142,297.48	2026-05-08
006-4	OTHER	Pancreas Transplant	7	7	—	—	$131,237.06	$141,736.03	$132,549.43	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$125,634.73	$135,685.50	$126,891.07	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	8	8	—	—	$123,031.66	$132,874.19	$124,261.97	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$113,251.39	$122,311.50	$114,383.91	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$112,711.39	$121,728.30	$113,838.51	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	7	7	—	—	$106,680.83	$115,215.30	$107,747.64	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$105,647.44	$114,099.23	$106,703.91	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$100,636.02	$108,686.90	$101,642.38	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$99,157.23	$107,089.81	$100,148.80	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$99,066.83	$106,992.18	$100,057.50	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	8	8	—	—	$98,783.50	$106,686.18	$99,771.33	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	8	—	—	$98,525.65	$106,407.70	$99,510.90	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$96,498.59	$104,218.48	$97,463.58	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	30	30	—	—	$3,570.00	$427,145.07	$96,438.15	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$94,250.41	$101,790.44	$95,192.92	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	8	8	—	—	$93,844.33	$101,351.88	$94,782.78	2026-05-08
006-3	OTHER	Pancreas Transplant	7	7	—	—	$92,278.98	$99,661.30	$93,201.77	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	7	7	—	—	$91,454.08	$98,770.40	$92,368.62	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$89,814.04	$96,999.17	$90,712.18	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$89,333.98	$96,480.70	$90,227.32	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	28	28	—	—	$14,226.59	$338,799.11	$88,490.86	2026-05-08
440-4	OTHER	Kidney Transplant	7	7	—	—	$87,313.90	$94,299.01	$88,187.03	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	26	26	—	—	$6,051.21	$202,127.71	$87,508.17	2026-05-08
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$85,914.11	$92,787.24	$86,773.25	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$83,785.00	$90,487.80	$84,622.85	2026-05-08
006-2	OTHER	Pancreas Transplant	7	7	—	—	$80,107.54	$86,516.15	$80,908.62	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	28	28	—	—	$7,810.82	$213,103.10	$80,711.26	2026-05-08
215	OTHER	Other Heart Assist System Implant	30	30	—	—	$67,728.43	$150,807.87	$79,744.51	2026-05-08
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	30	30	—	—	$5,936.39	$151,432.72	$79,578.09	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	8	—	—	$77,093.53	$83,261.01	$77,864.47	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$75,590.50	$81,637.74	$76,346.40	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$75,071.12	$81,076.81	$75,821.84	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	29	—	—	$10,582.18	$136,235.27	$74,729.40	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	9	9	—	—	$73,331.35	$79,197.86	$74,064.67	2026-05-08
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$72,006.35	$77,766.86	$72,726.42	2026-05-08
863-4	OTHER	Neonatal Aftercare	9	9	—	—	$71,891.87	$77,643.22	$72,610.79	2026-05-08
007-2	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$70,253.57	$75,873.85	$70,956.10	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$70,123.64	$75,733.54	$70,824.88	2026-05-08
588-1	OTHER	Female Reproductive System Reconstructive Procedures	8	8	—	—	$69,745.48	$75,325.12	$70,442.94	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$68,867.98	$74,377.42	$69,556.66	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	9	9	—	—	$68,799.08	$74,303.00	$69,487.07	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$68,560.56	$74,045.40	$69,246.17	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	8	—	—	$67,954.36	$73,390.70	$68,633.90	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$66,321.18	$71,626.87	$66,984.39	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	30	30	—	—	$47,050.86	$97,605.48	$65,406.94	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	29	29	—	—	$12,347.29	$118,173.88	$64,995.63	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$64,045.67	$69,169.33	$64,686.13	2026-05-08
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$63,931.79	$69,046.33	$64,571.11	2026-05-08
006-1	OTHER	Pancreas Transplant	7	7	—	—	$62,968.21	$68,005.67	$63,597.89	2026-05-08
007-1	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$62,554.84	$67,559.23	$63,180.39	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$62,002.64	$66,962.85	$62,622.66	2026-05-08
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	25	25	—	—	$22,341.41	$232,607.28	$62,525.92	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	30	—	—	$13,015.07	$146,476.21	$62,448.43	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	30	30	—	—	$8,793.98	$174,232.68	$62,111.91	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	9	—	—	$61,230.01	$66,128.41	$61,842.31	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$61,099.22	$65,987.16	$61,710.21	2026-05-08
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$59,798.47	$64,582.34	$60,396.45	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	30	30	—	—	$8,888.14	$107,578.02	$59,635.41	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$58,189.70	$62,844.87	$58,771.59	2026-05-08
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$58,129.27	$62,779.61	$58,710.56	2026-05-08
440-3	OTHER	Kidney Transplant	7	7	—	—	$57,554.17	$62,158.51	$58,129.71	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	9	9	—	—	$57,529.82	$62,132.20	$58,105.12	2026-05-08
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	8	8	—	—	$57,365.77	$61,955.03	$57,939.42	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	8	—	—	$57,233.90	$61,812.61	$57,806.24	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	30	30	—	—	$10,702.12	$101,174.68	$56,487.24	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	29	29	—	—	$12,859.38	$107,908.96	$56,336.45	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	9	9	—	—	$55,288.17	$59,711.22	$55,841.05	2026-05-08
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$50,908.98	$60,019.00	$55,463.99	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	29	—	—	$12,617.96	$108,341.96	$55,254.40	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	8	—	—	$54,499.12	$58,859.05	$55,044.11	2026-05-08
178-4	OTHER	External Heart Assist Systems	8	8	—	—	$54,135.54	$58,466.38	$54,676.90	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	30	30	—	—	$4,642.91	$243,339.38	$54,563.86	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	30	30	—	—	$42,275.05	$116,650.76	$54,303.75	2026-05-08
759-4	OTHER	Eating Disorders	8	8	—	—	$53,679.19	$57,973.52	$54,215.98	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$52,763.51	$56,984.59	$53,291.14	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$52,506.25	$56,706.75	$53,031.31	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	9	9	—	—	$52,288.74	$56,471.84	$52,811.63	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$52,002.27	$56,162.45	$52,522.29	2026-05-08
10	OTHER	Pancreas Transplant	28	28	—	—	$21,020.42	$163,758.76	$51,901.30	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	30	30	—	—	$4,781.22	$101,728.02	$51,881.29	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	29	—	—	$11,601.19	$93,913.24	$51,652.28	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	29	—	—	$18,640.38	$93,913.24	$51,652.28	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	28	28	—	—	$7,366.01	$129,708.45	$51,627.11	2026-05-08
105815879-3299944	OTHER	Nrstm Nrv Non Rchrg F-15 Axnc - 4101[msmh]	24	22	$105,336.00	$25,280.64 76% off	$9,600.00	$89,535.60	$50,561.28	2026-05-08
105817324-3299944	OTHER	Abbo-gntr Pls Prclm Xr7 Impl 10n[msmh]	24	22	$105,336.00	$25,280.64 76% off	$9,600.00	$89,535.60	$50,561.28	2026-05-08
105816220-3299944	OTHER	Abbo-gntr Nrstm Prclm 5 Elite Ipg[msmh]	24	22	$105,336.00	$25,280.64 76% off	$9,600.00	$89,535.60	$50,561.28	2026-05-08
105824010-3299944	OTHER	Waivewriter Alpha Prime Implatable Pulse Generatio	24	22	$105,336.00	$25,280.64 76% off	$9,600.00	$89,535.60	$50,561.28	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	8	—	—	$49,838.33	$53,825.39	$50,336.71	2026-05-08
440-2	OTHER	Kidney Transplant	7	7	—	—	$49,361.83	$53,310.78	$49,855.45	2026-05-08
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$49,315.72	$53,260.97	$49,808.87	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	30	30	—	—	$6,895.25	$93,600.58	$49,608.31	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	8	8	—	—	$49,022.12	$52,943.89	$49,512.34	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$48,838.14	$52,745.19	$49,326.52	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	29	29	—	—	$3,150.00	$98,315.10	$49,172.61	2026-05-08
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	8	—	—	$48,544.38	$52,427.93	$49,029.82	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	30	30	—	—	$21,838.89	$333,398.53	$48,800.57	2026-05-08
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	9	9	—	—	$47,763.59	$51,584.68	$48,241.23	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	29	29	—	—	$12,390.57	$87,206.42	$47,963.53	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$47,347.52	$51,135.33	$47,821.00	2026-05-08
459	OTHER	Spinal Fusion Except Cervical With Mcc	25	25	—	—	$15,238.56	$150,427.80	$47,809.06	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	8	8	—	—	$46,996.52	$50,756.25	$47,466.49	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	30	30	—	—	$12,898.45	$84,618.94	$46,846.71	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$46,360.73	$50,069.59	$46,824.34	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	8	8	—	—	$46,195.76	$49,891.42	$46,657.72	2026-05-08
863-3	OTHER	Neonatal Aftercare	9	9	—	—	$46,127.72	$49,817.94	$46,589.00	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	29	29	—	—	$13,460.69	$84,668.64	$46,567.75	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	29	29	—	—	$2,730.00	$100,617.93	$46,053.31	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	8	—	—	$45,409.63	$49,042.40	$45,863.72	2026-05-08
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$45,408.49	$49,041.17	$45,862.58	2026-05-08
276	OTHER	Non-maligant Breast Disorders	30	30	—	—	$17,722.27	$86,473.86	$45,831.15	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	30	30	—	—	$7,962.36	$129,111.10	$45,822.17	2026-05-08
28	OTHER	Spinal Procedures With Mcc	30	30	—	—	$7,498.50	$86,496.10	$45,670.74	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	30	—	—	$15,050.09	$85,904.82	$45,529.56	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	30	30	—	—	$6,154.17	$82,456.56	$45,456.15	2026-05-08
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	8	8	—	—	$44,924.65	$48,518.62	$45,373.90	2026-05-08
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	9	9	—	—	$44,863.20	$48,452.26	$45,311.83	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	26	26	—	—	$4,875.94	$85,467.92	$45,298.00	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	28	28	—	—	$9,850.86	$266,373.18	$44,864.67	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	8	8	—	—	$44,380.87	$47,931.34	$44,824.68	2026-05-08
179-4	OTHER	Defibrillator Implants	8	8	—	—	$44,105.36	$47,633.79	$44,546.42	2026-05-08
440-1	OTHER	Kidney Transplant	7	7	—	—	$44,076.85	$47,603.00	$44,517.62	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	25	25	—	—	$17,919.32	$87,908.86	$44,402.32	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$43,922.74	$47,436.55	$44,361.96	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$43,866.14	$47,375.44	$44,304.81	2026-05-08
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$40,613.36	$47,881.01	$44,247.18	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	30	30	—	—	$12,772.89	$168,291.64	$44,243.08	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$43,588.48	$47,075.55	$44,024.36	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	30	30	—	—	$7,169.96	$79,460.96	$43,843.18	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	30	30	—	—	$8,726.93	$101,315.18	$43,718.24	2026-05-08
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$42,956.73	$46,393.27	$43,386.30	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	29	29	—	—	$1,680.00	$85,648.44	$42,841.81	2026-05-08
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	9	9	—	—	$42,414.30	$45,807.44	$42,838.44	2026-05-08
278	OTHER	Cellulitis Age >17 Without Cc	30	30	—	—	$6,493.92	$80,712.84	$42,777.81	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	30	30	—	—	$7,305.89	$166,250.16	$42,497.18	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	8	8	—	—	$42,047.59	$45,411.39	$42,468.06	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	8	8	—	—	$41,928.25	$45,282.51	$42,347.53	2026-05-08
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	8	8	—	—	$41,745.67	$45,085.33	$42,163.13	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$41,673.69	$45,007.59	$42,090.43	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$41,561.97	$44,886.92	$41,977.58	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	8	8	—	—	$41,527.08	$44,849.25	$41,942.35	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	30	30	—	—	$6,022.03	$194,682.49	$41,755.25	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	8	8	—	—	$40,736.95	$43,995.91	$41,144.32	2026-05-08
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	8	—	—	$40,616.59	$43,865.91	$41,022.75	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	30	30	—	—	$3,550.91	$76,920.56	$40,767.90	2026-05-08
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	29	29	—	—	$5,371.19	$79,714.72	$40,654.51	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	26	26	—	—	$8,302.70	$78,961.22	$40,522.71	2026-05-08
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	9	9	—	—	$40,075.72	$43,281.78	$40,476.48	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	29	29	—	—	$12,751.06	$79,358.92	$40,473.05	2026-05-08
178-3	OTHER	External Heart Assist Systems	8	8	—	—	$40,049.05	$43,252.97	$40,449.54	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	8	8	—	—	$39,885.91	$43,076.78	$40,284.77	2026-05-08
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$39,797.14	$42,980.91	$40,195.11	2026-05-08
023-4	OTHER	Spinal Procedures	8	8	—	—	$39,784.23	$42,966.97	$40,182.07	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	30	30	—	—	$7,017.17	$171,487.07	$40,163.22	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	29	29	—	—	$11,038.06	$72,618.12	$39,777.10	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	8	8	—	—	$39,238.88	$42,377.99	$39,631.27	2026-05-08
441-4	OTHER	Major Bladder Procedures	8	8	—	—	$39,231.65	$42,370.18	$39,623.96	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	29	—	—	$14,311.14	$77,659.66	$39,606.43	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	8	8	—	—	$38,739.65	$41,838.83	$39,127.05	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	9	9	—	—	$38,391.46	$41,462.78	$38,775.38	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	30	30	—	—	$10,490.86	$75,993.10	$38,756.48	2026-05-08
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$38,190.37	$41,245.60	$38,572.27	2026-05-08
631-2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$38,026.26	$41,068.36	$38,406.52	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	30	30	—	—	$30,525.60	$68,018.40	$38,276.93	2026-05-08
105815085-3299944	OTHER	Jrf - Gft Ostchnd Hmcndyl Mdl Rt Fsh[msmh]	25	22	$83,141.00	$19,953.84 76% off	$8,314.10	$70,669.85	$38,244.86	2026-05-08
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$37,807.29	$40,831.87	$38,185.36	2026-05-08
105815107-3299944	OTHER	Impl Hemi Condyle Left[msmhp]	24	22	$79,362.00	$19,046.88 76% off	$7,936.20	$67,457.70	$38,093.76	2026-05-08
752-4	OTHER	Disorders Of Personality And Impulse Control	8	8	—	—	$37,618.18	$40,627.64	$37,994.36	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	30	30	—	—	$6,101.31	$69,274.50	$37,911.53	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$37,453.32	$40,449.59	$37,827.85	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	30	30	—	—	$8,215.32	$69,091.38	$37,804.89	2026-05-08
178-2	OTHER	External Heart Assist Systems	8	8	—	—	$37,313.14	$40,298.19	$37,686.27	2026-05-08
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$34,588.76	$40,778.33	$37,683.54	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	29	—	—	$18,648.36	$73,832.04	$37,654.34	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	8	8	—	—	$37,167.12	$40,140.49	$37,538.79	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	30	30	—	—	$9,780.32	$175,201.62	$37,533.04	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	30	30	—	—	$16,703.21	$72,502.98	$37,526.66	2026-05-08
6	OTHER	Liver Transplant Without Mcc	28	28	—	—	$10,415.92	$275,852.90	$37,494.09	2026-05-08
277	OTHER	Cellulitis Age >17 W Cc	30	30	—	—	$9,504.55	$104,810.40	$37,353.17	2026-05-08
089-4	OTHER	Major Cranial Or Facial Bone Procedures	8	8	—	—	$36,915.32	$39,868.54	$37,284.47	2026-05-08
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	8	—	—	$36,808.56	$39,753.24	$37,176.65	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	30	30	—	—	$4,485.04	$76,693.63	$37,096.46	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	30	30	—	—	$2,868.32	$75,021.21	$37,033.58	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	8	8	—	—	$36,551.68	$39,475.82	$36,917.20	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	29	29	—	—	$23,822.40	$72,281.92	$36,863.78	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	8	—	—	$36,478.35	$39,396.62	$36,843.13	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	30	30	—	—	$5,728.70	$72,013.74	$36,727.01	2026-05-08
245	OTHER	Aicd Generator Procedures	29	29	—	—	$12,934.05	$73,820.99	$36,681.70	2026-05-08
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	8	—	—	$36,281.36	$39,183.87	$36,644.17	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	28	28	—	—	$2,668.73	$134,256.68	$36,596.65	2026-05-08
020-4	OTHER	Open Craniotomy For Trauma	8	8	—	—	$36,200.68	$39,096.74	$36,562.69	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	8	8	—	—	$36,033.82	$38,916.53	$36,394.16	2026-05-08
799	OTHER	Splenectomy With Mcc	30	30	—	—	$8,747.48	$67,143.56	$36,368.46	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	30	30	—	—	$5,680.53	$66,510.42	$36,301.98	2026-05-08
690-4	OTHER	Acute Leukemia	8	8	—	—	$35,850.55	$38,718.59	$36,209.05	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	30	30	—	—	$7,690.33	$66,280.18	$36,167.91	2026-05-08
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$35,748.38	$38,608.25	$36,105.86	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	29	29	—	—	$4,129.55	$79,104.83	$36,080.54	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	30	30	—	—	$9,657.76	$207,001.95	$35,955.21	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	30	30	—	—	$5,735.64	$72,930.59	$35,825.04	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	8	8	—	—	$35,352.94	$38,181.17	$35,706.47	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	30	30	—	—	$9,997.30	$67,376.40	$35,458.71	2026-05-08
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$34,765.74	$37,547.00	$35,113.40	2026-05-08
181-4	OTHER	Lower Extremity Arterial Procedures	8	8	—	—	$34,765.74	$37,547.00	$35,113.40	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$34,670.70	$37,444.36	$35,017.41	2026-05-08
027-4	OTHER	Other Open Craniotomy	8	8	—	—	$34,586.68	$37,353.61	$34,932.54	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	25	25	—	—	$29,231.67	$124,234.60	$34,754.92	2026-05-08
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$34,365.28	$37,114.50	$34,708.93	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	8	8	—	—	$34,195.45	$36,931.08	$34,537.40	2026-05-08
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	8	8	—	—	$34,153.81	$36,886.12	$34,495.35	2026-05-08
261-4	OTHER	Major Biliary Tract Procedures	8	8	—	—	$34,051.10	$36,775.19	$34,391.62	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	30	30	—	—	$6,186.17	$67,402.56	$34,375.31	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	30	30	—	—	$6,834.38	$148,652.80	$34,326.67	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	30	30	—	—	$6,923.43	$76,551.55	$34,287.18	2026-05-08
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$33,827.11	$36,533.28	$34,165.38	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	30	30	—	—	$5,900.86	$62,796.64	$34,139.40	2026-05-08
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	9	9	—	—	$33,769.98	$36,471.58	$34,107.68	2026-05-08
695-4	OTHER	Chemotherapy For Acute Leukemia	8	8	—	—	$33,740.77	$36,440.03	$34,078.17	2026-05-08
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$33,683.31	$36,377.97	$34,020.14	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	30	—	—	$20,445.25	$62,482.66	$33,956.58	2026-05-08
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	30	30	—	—	$7,926.80	$64,507.68	$33,845.61	2026-05-08
230-4	OTHER	Major Small Bowel Procedures	8	8	—	—	$33,312.38	$35,977.37	$33,645.51	2026-05-08
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	8	8	—	—	$33,299.86	$35,963.84	$33,632.85	2026-05-08
178-1	OTHER	External Heart Assist Systems	8	8	—	—	$33,280.15	$35,942.56	$33,612.95	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	30	30	—	—	$6,659.06	$64,056.36	$33,591.83	2026-05-08
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$33,177.01	$35,831.17	$33,508.78	2026-05-08
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	8	—	—	$33,119.98	$35,769.58	$33,451.18	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	30	30	—	—	$8,575.51	$63,022.92	$33,396.43	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	30	30	—	—	$3,119.41	$83,079.19	$33,388.81	2026-05-08
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	8	8	—	—	$32,863.05	$35,492.09	$33,191.68	2026-05-08
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	8	8	—	—	$32,851.49	$35,479.61	$33,180.01	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	30	30	—	—	$3,843.85	$94,058.22	$33,079.13	2026-05-08
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	8	8	—	—	$32,692.46	$35,307.86	$33,019.39	2026-05-08
401-4	OTHER	Adrenal Procedures	8	8	—	—	$32,624.37	$35,234.32	$32,950.61	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	30	30	—	—	$5,354.91	$78,613.25	$32,920.26	2026-05-08
183-3	OTHER	Percutaneous Structural Cardiac Procedures	8	8	—	—	$32,451.08	$35,047.17	$32,775.59	2026-05-08
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	8	8	—	—	$32,418.63	$35,012.12	$32,742.82	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	30	30	—	—	$5,750.64	$103,567.09	$32,520.71	2026-05-08
179-3	OTHER	Defibrillator Implants	8	8	—	—	$32,159.38	$34,732.13	$32,480.97	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	30	30	—	—	$27,863.57	$316,459.84	$32,460.42	2026-05-08
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	8	8	—	—	$32,060.45	$34,625.28	$32,381.05	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	30	30	—	—	$12,665.83	$61,866.54	$32,360.48	2026-05-08
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	8	8	—	—	$31,760.26	$34,301.08	$32,077.86	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	29	29	—	—	$12,372.10	$62,694.60	$31,974.25	2026-05-08
904	OTHER	Skin Grafts For Injuries With Cc/mcc	30	30	—	—	$27,449.50	$57,686.94	$31,958.35	2026-05-08
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$31,617.43	$34,146.83	$31,933.61	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	30	30	—	—	$10,154.23	$58,533.40	$31,656.90	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	30	30	—	—	$6,771.72	$94,021.09	$31,584.54	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	30	30	—	—	$620.00	$62,443.44	$31,243.95	2026-05-08
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	8	8	—	—	$30,840.86	$33,308.13	$31,149.27	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	30	30	—	—	$13,270.91	$59,072.36	$30,987.10	2026-05-08
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$28,394.79	$33,475.96	$30,935.38	2026-05-08
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	8	8	—	—	$30,615.25	$33,064.47	$30,921.40	2026-05-08
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	8	—	—	$30,614.38	$33,063.53	$30,920.53	2026-05-08
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	8	8	—	—	$30,602.72	$33,050.94	$30,908.75	2026-05-08
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	8	8	—	—	$30,533.17	$32,975.82	$30,838.50	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	30	30	—	—	$9,281.59	$57,347.15	$30,836.51	2026-05-08
008-1	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	8	—	—	$30,521.07	$32,962.76	$30,826.28	2026-05-08
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	2	—	—	$28,187.02	$33,231.02	$30,709.02	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	30	30	—	—	$22,781.23	$56,788.36	$30,640.75	2026-05-08
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	8	8	—	—	$30,246.16	$32,665.85	$30,548.62	2026-05-08
791	OTHER	Prematurity With Major Problems	29	29	—	—	$1,365.00	$60,996.64	$30,520.84	2026-05-08
026-4	OTHER	Other Nervous System And Related Procedures	8	8	—	—	$30,166.51	$32,579.83	$30,468.17	2026-05-08
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	8	8	—	—	$30,149.17	$32,561.11	$30,450.66	2026-05-08
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	8	8	—	—	$30,060.94	$32,465.81	$30,361.55	2026-05-08
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	8	8	—	—	$30,047.38	$32,451.17	$30,347.86	2026-05-08
022-4	OTHER	Ventricular Shunt Procedures	8	8	—	—	$29,985.28	$32,384.10	$30,285.13	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	30	30	—	—	$7,666.79	$58,122.64	$30,255.26	2026-05-08
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	8	8	—	—	$29,918.54	$32,312.02	$30,217.72	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	30	30	—	—	$26,741.21	$86,215.12	$30,132.35	2026-05-08
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	9	—	—	$29,685.69	$32,060.55	$29,982.55	2026-05-08
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$29,667.65	$32,041.07	$29,964.33	2026-05-08
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	8	8	—	—	$29,649.19	$32,021.12	$29,945.68	2026-05-08
182-4	OTHER	Other Peripheral Vascular And Related Procedures	8	8	—	—	$29,536.81	$31,899.76	$29,832.18	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	28	28	—	—	$3,146.25	$53,822.60	$29,813.35	2026-05-08
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	30	30	—	—	$6,073.85	$62,458.14	$29,811.97	2026-05-08
121-4	OTHER	Other Respiratory And Chest Procedures	8	8	—	—	$29,462.13	$31,819.10	$29,756.75	2026-05-08

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