Hospital

NORTHEAST REGIONAL MEDICAL CENTER

Kirksville, MO · CCN 260022 · Rates published

5,329 distinct procedures filed

33 distinct payers

131,586 rate rows

2026-05-06 last MRF observed

Data quality

115,124 of 131,586 rate rows are consumer-grade (87.5%)

16,462 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	8,818
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	7,563
placeholder amount (≤ $0.02) — excluded from medians	73
exceeds 10× this hospital's gross charge — excluded from medians	8

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

Source MRF file	https://www.nermc.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/364395800_northeast-regional-medical-center_standardcharges.csv
Found on page	https://www.nermc.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	3bdf303cdf70a0e5… · 42,180,392 bytes · first seen 2026-05-05

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	5	$972,754.10	$1,118,667.22	$972,754.10	nat. median $309,400 outlier · 3.1×
583-3 OTHER	Neonate With Ecmo	5	$587,323.91	$675,422.49	$587,323.91	nat. median $259,487 outlier · 2.3×
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	16	$361,476.22	$819,231.66	$475,112.53	nat. median $386,529 1.2× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$432,341.72	$497,192.98	$432,341.72	nat. median $169,856 outlier · 2.5×
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$424,533.60	$488,213.64	$424,533.60	nat. median $105,647 outlier · 4.0×
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$424,533.60	$488,213.64	$424,533.60	nat. median $171,094 outlier · 2.5×
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$414,574.14	$476,760.26	$414,574.14	nat. median $156,696 outlier · 2.6×
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$399,786.11	$399,786.11	$399,786.11	nat. median $0
583-2 OTHER	Neonate With Ecmo	5	$368,558.76	$423,842.57	$368,558.76	nat. median $191,347 1.9× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$345,591.62	$397,430.36	$345,591.62	nat. median $203,379 1.7× median
011-2 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$332,927.61	$382,866.75	$332,927.61	nat. median $52,878 outlier · 6.3×
002-4 OTHER	Heart And/or Lung Transplant	5	$330,918.66	$380,556.46	$330,918.66	nat. median $216,800 1.5× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	5	$316,399.75	$363,859.71	$316,399.75	nat. median $172,311 1.8× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$311,944.96	$358,736.70	$311,944.96	nat. median $165,000 1.9× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$311,944.96	$358,736.70	$311,944.96	nat. median $267,493 1.2× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$311,944.96	$358,736.70	$311,944.96	nat. median $153,523 outlier · 2.0×
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$297,569.53	$342,204.96	$297,569.53	nat. median $151,250 2.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	$226,765.20	$531,160.05	$297,190.53	nat. median $239,422 1.2× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$282,597.59	$324,987.23	$282,597.59	nat. median $99,157 outlier · 2.8×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$279,755.22	$321,718.50	$279,755.22	nat. median $210,669 1.3× median
583-1 OTHER	Neonate With Ecmo	5	$269,222.77	$309,606.18	$269,222.77	nat. median $171,226 1.6× median
591-2 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$260,995.28	$300,144.57	$260,995.28	nat. median $80,000 outlier · 3.3×
588-1 OTHER	Female Reproductive System Reconstructive Procedures	5	$255,296.79	$293,591.31	$255,296.79	nat. median $75,325 outlier · 3.4×
161-4 OTHER	Implantable Heart Assist Systems	5	$244,708.79	$281,415.11	$244,708.79	nat. median $202,242 1.2× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	$107,093.76	$404,342.34	$224,462.62	nat. median $146,562 1.5× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	$223,628.70	$257,173.00	$223,628.70	nat. median $150,954 1.5× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	16	$82,045.34	$401,961.20	$223,146.85	nat. median $181,005 1.2× median
7 OTHER	Lung Transplant	15	$108,404.03	$492,456.77	$220,978.84	nat. median $169,933 1.3× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	5	$219,489.97	$252,413.46	$219,489.97	nat. median $124,561 1.8× median
161-3 OTHER	Implantable Heart Assist Systems	5	$212,833.56	$244,758.60	$212,833.56	nat. median $152,491 1.4× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$212,734.04	$244,644.14	$212,734.04	nat. median $125,000 1.7× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	5	$209,348.11	$240,750.32	$209,348.11	nat. median $151,691 1.4× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	$203,482.58	$234,004.97	$203,482.58	nat. median $100,015 outlier · 2.0×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	$197,259.05	$226,847.90	$197,259.05	nat. median $107,050 1.8× median
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$195,692.17	$225,045.99	$195,692.17	nat. median $87,000 outlier · 2.2×
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$195,692.17	$225,045.99	$195,692.17	nat. median $49,980 outlier · 3.9×
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$195,692.17	$225,045.99	$195,692.17	nat. median $86,371 outlier · 2.3×
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$191,434.11	$220,149.22	$191,434.11	nat. median $99,067 1.9× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$187,028.98	$215,083.32	$187,028.98	nat. median $112,711 1.7× median
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$185,691.63	$213,545.38	$185,691.63	nat. median $89,334 outlier · 2.1×
002-3 OTHER	Heart And/or Lung Transplant	5	$178,810.95	$205,632.59	$178,810.95	nat. median $133,471 1.3× median
633-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	5	$176,323.35	$202,771.85	$176,323.35	nat. median $74,597 outlier · 2.4×
007-3 OTHER	Allogeneic Bone Marrow Transplant	5	$173,087.66	$199,050.81	$173,087.66	nat. median $104,111 1.7× median
609-3 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$171,479.77	$197,201.73	$171,479.77	nat. median $83,785 outlier · 2.0×
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	$171,078.43	$196,740.19	$171,078.43	nat. median $93,000 1.8× median
633 OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	2	$169,709.69	$169,709.69	$169,709.69	nat. median $4,769 outlier · 35.6×
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$168,149.22	$193,371.60	$168,149.22	nat. median $110,000 1.5× median
863-4 OTHER	Neonatal Aftercare	5	$163,224.79	$187,708.51	$163,224.79	nat. median $108,047 1.5× median
636 OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	2	$155,841.32	$155,841.32	$155,841.32	nat. median $53 outlier · 2967.3×
002-2 OTHER	Heart And/or Lung Transplant	5	$151,789.16	$174,557.54	$151,789.16	nat. median $106,681 1.4× median

Other procedures at this hospital

Browse this hospital's 5,329 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	5	5	—	—	$972,754.10	$1,118,667.22	$972,754.10	2026-05-06
583-3	OTHER	Neonate With Ecmo	5	5	—	—	$587,323.91	$675,422.49	$587,323.91	2026-05-06
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	16	16	—	—	$361,476.22	$819,231.66	$475,112.53	2026-05-06
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$432,341.72	$497,192.98	$432,341.72	2026-05-06
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$424,533.60	$488,213.64	$424,533.60	2026-05-06
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$424,533.60	$488,213.64	$424,533.60	2026-05-06
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$414,574.14	$476,760.26	$414,574.14	2026-05-06
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$399,786.11	$399,786.11	$399,786.11	2026-05-06
583-2	OTHER	Neonate With Ecmo	5	5	—	—	$368,558.76	$423,842.57	$368,558.76	2026-05-06
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$345,591.62	$397,430.36	$345,591.62	2026-05-06
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$332,927.61	$382,866.75	$332,927.61	2026-05-06
002-4	OTHER	Heart And/or Lung Transplant	5	5	—	—	$330,918.66	$380,556.46	$330,918.66	2026-05-06
007-4	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$316,399.75	$363,859.71	$316,399.75	2026-05-06
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$311,944.96	$358,736.70	$311,944.96	2026-05-06
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$311,944.96	$358,736.70	$311,944.96	2026-05-06
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$311,944.96	$358,736.70	$311,944.96	2026-05-06
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$297,569.53	$342,204.96	$297,569.53	2026-05-06
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	15	—	—	$226,765.20	$531,160.05	$297,190.53	2026-05-06
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$282,597.59	$324,987.23	$282,597.59	2026-05-06
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$279,755.22	$321,718.50	$279,755.22	2026-05-06
583-1	OTHER	Neonate With Ecmo	5	5	—	—	$269,222.77	$309,606.18	$269,222.77	2026-05-06
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$260,995.28	$300,144.57	$260,995.28	2026-05-06
588-1	OTHER	Female Reproductive System Reconstructive Procedures	5	5	—	—	$255,296.79	$293,591.31	$255,296.79	2026-05-06
161-4	OTHER	Implantable Heart Assist Systems	5	5	—	—	$244,708.79	$281,415.11	$244,708.79	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	16	—	—	$107,093.76	$404,342.34	$224,462.62	2026-05-06
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$223,628.70	$257,173.00	$223,628.70	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	16	16	—	—	$82,045.34	$401,961.20	$223,146.85	2026-05-06
7	OTHER	Lung Transplant	15	15	—	—	$108,404.03	$492,456.77	$220,978.84	2026-05-06
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$219,489.97	$252,413.46	$219,489.97	2026-05-06
161-3	OTHER	Implantable Heart Assist Systems	5	5	—	—	$212,833.56	$244,758.60	$212,833.56	2026-05-06
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$212,734.04	$244,644.14	$212,734.04	2026-05-06
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$209,348.11	$240,750.32	$209,348.11	2026-05-06
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$203,482.58	$234,004.97	$203,482.58	2026-05-06
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$197,259.05	$226,847.90	$197,259.05	2026-05-06
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$195,692.17	$225,045.99	$195,692.17	2026-05-06
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$195,692.17	$225,045.99	$195,692.17	2026-05-06
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$195,692.17	$225,045.99	$195,692.17	2026-05-06
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$191,434.11	$220,149.22	$191,434.11	2026-05-06
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$187,028.98	$215,083.32	$187,028.98	2026-05-06
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$185,691.63	$213,545.38	$185,691.63	2026-05-06
002-3	OTHER	Heart And/or Lung Transplant	5	5	—	—	$178,810.95	$205,632.59	$178,810.95	2026-05-06
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	5	5	—	—	$176,323.35	$202,771.85	$176,323.35	2026-05-06
007-3	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$173,087.66	$199,050.81	$173,087.66	2026-05-06
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$171,479.77	$197,201.73	$171,479.77	2026-05-06
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$171,078.43	$196,740.19	$171,078.43	2026-05-06
633	OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	2	2	—	—	$169,709.69	$169,709.69	$169,709.69	2026-05-06
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$168,149.22	$193,371.60	$168,149.22	2026-05-06
863-4	OTHER	Neonatal Aftercare	5	5	—	—	$163,224.79	$187,708.51	$163,224.79	2026-05-06
636	OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	2	2	—	—	$155,841.32	$155,841.32	$155,841.32	2026-05-06
002-2	OTHER	Heart And/or Lung Transplant	5	5	—	—	$151,789.16	$174,557.54	$151,789.16	2026-05-06
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$148,874.10	$171,205.22	$148,874.10	2026-05-06
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$148,417.79	$170,680.45	$148,417.79	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	16	16	—	—	$115,947.83	$261,833.49	$145,715.14	2026-05-06
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	2	—	—	$140,915.78	$140,915.78	$140,915.78	2026-05-06
006-4	OTHER	Pancreas Transplant	5	5	—	—	$134,253.54	$154,391.57	$134,253.54	2026-05-06
161-1	OTHER	Implantable Heart Assist Systems	5	5	—	—	$133,087.68	$153,050.83	$133,087.68	2026-05-06
161-2	OTHER	Implantable Heart Assist Systems	5	5	—	—	$133,087.68	$153,050.83	$133,087.68	2026-05-06
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$129,378.27	$148,785.01	$129,378.27	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	15	15	—	—	$50,249.43	$226,990.63	$127,448.57	2026-05-06
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$127,401.48	$146,511.70	$127,401.48	2026-05-06
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$124,252.12	$142,889.93	$124,252.12	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	15	15	—	—	$7,850.00	$213,952.32	$120,172.54	2026-05-06
006-3	OTHER	Pancreas Transplant	5	5	—	—	$118,480.46	$136,252.52	$118,480.46	2026-05-06
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$118,287.81	$136,030.99	$118,287.81	2026-05-06
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	5	5	—	—	$117,131.06	$134,700.72	$117,131.06	2026-05-06
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$114,696.66	$131,901.16	$114,696.66	2026-05-06
007-2	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$114,495.04	$131,669.29	$114,495.04	2026-05-06
007-1	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$114,495.04	$131,669.29	$114,495.04	2026-05-06
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	16	16	—	—	$2,677.26	$205,254.47	$114,450.73	2026-05-06
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$112,654.46	$129,552.63	$112,654.46	2026-05-06
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$111,952.60	$128,745.49	$111,952.60	2026-05-06
440-4	OTHER	Kidney Transplant	5	5	—	—	$111,816.77	$128,589.29	$111,816.77	2026-05-06
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$111,269.95	$111,269.95	$111,269.95	2026-05-06
215	OTHER	Other Heart Assist System Implant	16	16	—	—	$83,348.43	$187,826.37	$109,855.44	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	15	15	—	—	$81,875.47	$194,544.09	$109,341.77	2026-05-06
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	5	5	—	—	$109,192.21	$125,571.04	$109,192.21	2026-05-06
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$107,581.03	$123,718.18	$107,581.03	2026-05-06
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$104,921.86	$120,660.14	$104,921.86	2026-05-06
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$103,998.15	$119,597.87	$103,998.15	2026-05-06
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	5	5	—	—	$103,200.38	$118,680.44	$103,200.38	2026-05-06
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$103,072.81	$118,533.74	$103,072.81	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	16	16	—	—	$48,608.47	$184,516.00	$102,991.07	2026-05-06
593-1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$102,817.49	$118,240.11	$102,817.49	2026-05-06
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$99,415.71	$114,328.07	$99,415.71	2026-05-06
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$99,415.71	$114,328.07	$99,415.71	2026-05-06
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$98,918.16	$113,755.88	$98,918.16	2026-05-06
021-4	OTHER	Open Craniotomy Except Trauma	5	5	—	—	$95,753.44	$110,116.45	$95,753.44	2026-05-06
006-2	OTHER	Pancreas Transplant	5	5	—	—	$95,338.67	$109,639.47	$95,338.67	2026-05-06
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$94,974.85	$109,221.07	$94,974.85	2026-05-06
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$94,974.85	$109,221.07	$94,974.85	2026-05-06
002-1	OTHER	Heart And/or Lung Transplant	5	5	—	—	$94,166.34	$108,291.30	$94,166.34	2026-05-06
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	12	12	—	—	$35,288.59	$167,006.20	$91,710.52	2026-05-06
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$89,134.22	$102,504.35	$89,134.22	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	16	16	—	—	$33,694.07	$158,806.20	$88,784.36	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	16	16	—	—	$19,313.10	$158,302.61	$88,506.09	2026-05-06
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$87,794.69	$100,963.90	$87,794.69	2026-05-06
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	5	5	—	—	$87,431.84	$100,546.61	$87,431.84	2026-05-06
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$87,184.44	$100,262.10	$87,184.44	2026-05-06
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	5	5	—	—	$86,554.95	$99,538.19	$86,554.95	2026-05-06
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$85,016.92	$97,769.46	$85,016.92	2026-05-06
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$84,824.09	$97,547.71	$84,824.09	2026-05-06
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$84,528.18	$97,207.41	$84,528.18	2026-05-06
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	5	5	—	—	$84,383.30	$97,040.79	$84,383.30	2026-05-06
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$84,235.50	$96,870.83	$84,235.50	2026-05-06
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$83,422.02	$95,935.32	$83,422.02	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	16	16	—	—	$34,967.71	$148,143.34	$82,892.27	2026-05-06
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	5	5	—	—	$82,654.23	$95,052.37	$82,654.23	2026-05-06
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$81,989.00	$94,287.34	$81,989.00	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	16	16	—	—	$42,494.04	$144,523.17	$80,891.86	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	16	16	—	—	$46,259.07	$143,894.18	$80,544.28	2026-05-06
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	5	5	—	—	$80,519.70	$92,597.66	$80,519.70	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	16	16	—	—	$49,843.32	$143,413.40	$80,278.62	2026-05-06
632	OTHER	Neonate, Birth Weight 750-999 Grams, Died	2	2	—	—	$80,194.40	$80,194.40	$80,194.40	2026-05-06
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$79,779.84	$91,746.82	$79,779.84	2026-05-06
178-4	OTHER	External Heart Assist Systems	5	5	—	—	$79,183.98	$91,061.57	$79,183.98	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	16	16	—	—	$56,344.95	$132,065.88	$78,412.69	2026-05-06
752-4	OTHER	Disorders Of Personality And Impulse Control	5	5	—	—	$77,391.20	$88,999.88	$77,391.20	2026-05-06
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	5	5	—	—	$76,925.83	$88,464.70	$76,925.83	2026-05-06
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$76,342.73	$87,794.14	$76,342.73	2026-05-06
10	OTHER	Pancreas Transplant	15	15	—	—	$7,850.00	$134,972.05	$76,097.55	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	16	16	—	—	$6,039.67	$134,915.03	$75,582.58	2026-05-06
863-3	OTHER	Neonatal Aftercare	5	5	—	—	$75,559.29	$86,893.19	$75,559.29	2026-05-06
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$75,445.21	$86,762.00	$75,445.21	2026-05-06
622-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$75,445.21	$86,762.00	$75,445.21	2026-05-06
633-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	5	5	—	—	$75,320.14	$86,618.16	$75,320.14	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	16	16	—	—	$7,850.00	$134,191.02	$75,182.52	2026-05-06
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	16	16	—	—	$33,285.73	$134,111.21	$75,138.42	2026-05-06
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	5	5	—	—	$75,133.21	$86,403.20	$75,133.21	2026-05-06
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$74,842.31	$86,068.66	$74,842.31	2026-05-06
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$74,375.81	$85,532.18	$74,375.81	2026-05-06
607-1	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$74,274.18	$85,415.31	$74,274.18	2026-05-06
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$73,111.31	$84,078.01	$73,111.31	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	16	16	—	—	$37,627.58	$129,957.04	$72,842.90	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	16	16	—	—	$3,405.75	$129,312.83	$72,486.93	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	16	16	—	—	$51,240.41	$120,080.45	$72,190.38	2026-05-06
440-3	OTHER	Kidney Transplant	5	5	—	—	$71,701.28	$82,456.47	$71,701.28	2026-05-06
183-4	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$71,684.30	$82,436.95	$71,684.30	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	16	16	—	—	$51,299.84	$131,857.96	$71,393.21	2026-05-06
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$70,751.29	$81,363.98	$70,751.29	2026-05-06
690-4	OTHER	Acute Leukemia	5	5	—	—	$70,589.59	$81,178.03	$70,589.59	2026-05-06
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	5	5	—	—	$70,383.10	$80,940.56	$70,383.10	2026-05-06
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$70,233.85	$80,768.92	$70,233.85	2026-05-06
695-4	OTHER	Chemotherapy For Acute Leukemia	5	5	—	—	$70,013.13	$80,515.09	$70,013.13	2026-05-06
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$69,999.62	$80,499.57	$69,999.62	2026-05-06
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$69,934.70	$80,424.91	$69,934.70	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	16	16	—	—	$12,747.55	$123,562.37	$69,309.34	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	16	16	—	—	$43,702.05	$123,562.37	$69,309.34	2026-05-06
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$69,163.96	$79,538.55	$69,163.96	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	16	16	—	—	$30,643.35	$123,108.19	$69,058.38	2026-05-06
459	OTHER	Spinal Fusion Except Cervical With Mcc	12	12	—	—	$32,925.58	$124,645.56	$68,611.54	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	16	16	—	—	$53,863.83	$120,890.46	$67,832.90	2026-05-06
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	5	5	—	—	$66,931.11	$76,970.78	$66,931.11	2026-05-06
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	5	5	—	—	$66,857.62	$76,886.26	$66,857.62	2026-05-06
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	5	5	—	—	$65,807.48	$75,678.60	$65,807.48	2026-05-06
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	5	5	—	—	$65,745.85	$75,607.72	$65,745.85	2026-05-06
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$65,707.85	$75,564.02	$65,707.85	2026-05-06
006-1	OTHER	Pancreas Transplant	5	5	—	—	$65,346.45	$75,148.41	$65,346.45	2026-05-06
091-4	OTHER	Other Major Head And Neck Procedures	5	5	—	—	$65,152.41	$74,925.27	$65,152.41	2026-05-06
179-4	OTHER	Defibrillator Implants	5	5	—	—	$64,363.31	$74,017.80	$64,363.31	2026-05-06
910-4	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$64,231.52	$73,866.25	$64,231.52	2026-05-06
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	5	5	—	—	$63,993.01	$73,591.96	$63,993.01	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	16	16	—	—	$7,850.00	$113,819.29	$63,925.51	2026-05-06
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	5	5	—	—	$63,705.99	$73,261.89	$63,705.99	2026-05-06
28	OTHER	Spinal Procedures With Mcc	16	16	—	—	$44,224.86	$112,787.40	$63,355.32	2026-05-06
276	OTHER	Non-maligant Breast Disorders	16	16	—	—	$21,566.79	$112,755.11	$63,337.47	2026-05-06
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$63,306.59	$72,802.58	$63,306.59	2026-05-06
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	12	12	—	—	$41,529.77	$114,839.78	$63,264.51	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	15	15	—	—	$19,929.19	$111,293.73	$62,883.85	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	16	16	—	—	$27,591.66	$111,928.42	$62,880.66	2026-05-06
178-3	OTHER	External Heart Assist Systems	5	5	—	—	$62,786.73	$72,204.73	$62,786.73	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	16	16	—	—	$1,786.04	$111,555.98	$62,674.85	2026-05-06
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$62,220.77	$71,553.89	$62,220.77	2026-05-06
775-4	OTHER	Alcohol Abuse And Dependence	5	5	—	—	$61,957.98	$71,251.67	$61,957.98	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	16	16	—	—	$24,239.12	$110,132.63	$61,888.35	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	16	16	—	—	$49,093.29	$110,060.40	$61,848.42	2026-05-06
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	5	5	—	—	$61,785.80	$71,053.67	$61,785.80	2026-05-06
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$61,484.87	$70,707.61	$61,484.87	2026-05-06
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$61,092.10	$70,255.92	$61,092.10	2026-05-06
169-4	OTHER	Major Abdominal Vascular Procedures	5	5	—	—	$60,988.62	$70,136.91	$60,988.62	2026-05-06
440-2	OTHER	Kidney Transplant	5	5	—	—	$60,758.19	$69,871.92	$60,758.19	2026-05-06
639-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	5	5	—	—	$60,650.58	$69,748.17	$60,650.58	2026-05-06
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$60,465.51	$69,535.34	$60,465.51	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	16	16	—	—	$45,474.61	$107,504.44	$60,436.06	2026-05-06
230-4	OTHER	Major Small Bowel Procedures	5	5	—	—	$60,287.64	$69,330.79	$60,287.64	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	16	16	—	—	$21,832.50	$106,919.14	$60,112.64	2026-05-06
1411002	OTHER	Aicd Ohr Thn Sgl/du2	20	10	$99,999.96	$23,999.99 76% off	$10,000.00	$83,399.97	$59,999.98	2026-05-06
1414710	OTHER	Joint Device Implt11	20	10	$99,999.67	$23,999.92 76% off	$9,999.97	$83,399.72	$59,999.81	2026-05-06
1414709	OTHER	Joint Device Implt10	20	10	$99,999.63	$23,999.91 76% off	$9,999.96	$83,399.69	$59,999.78	2026-05-06
1411702	OTHER	Impella Device L3	20	10	$99,999.00	$23,999.76 76% off	$9,999.90	$83,399.17	$59,999.40	2026-05-06
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$59,527.65	$68,456.80	$59,527.65	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	15	15	—	—	$7,850.00	$105,115.71	$59,436.20	2026-05-06
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$59,153.31	$68,026.31	$59,153.31	2026-05-06
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	5	5	—	—	$59,150.89	$68,023.52	$59,150.89	2026-05-06
278	OTHER	Cellulitis Age >17 Without Cc	16	16	—	—	$14,274.42	$104,385.98	$58,712.85	2026-05-06
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	5	5	—	—	$58,487.92	$67,261.10	$58,487.92	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	16	16	—	—	$7,850.00	$103,565.04	$58,259.21	2026-05-06
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	16	16	—	—	$19,465.35	$102,936.04	$57,911.65	2026-05-06
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	5	5	—	—	$57,902.56	$66,587.94	$57,902.56	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	16	16	—	—	$45,792.67	$102,567.33	$57,707.92	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	16	16	—	—	$29,686.48	$102,419.11	$57,626.01	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	15	15	—	—	$7,850.00	$101,841.38	$57,608.97	2026-05-06
611-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$57,581.42	$66,218.64	$57,581.42	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	16	16	—	—	$45,655.39	$102,255.68	$57,535.70	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	16	16	—	—	$41,198.75	$92,138.26	$57,339.09	2026-05-06
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	5	5	—	—	$57,062.52	$65,621.90	$57,062.52	2026-05-06
044-4	OTHER	Intracranial Hemorrhage	5	5	—	—	$56,924.27	$65,462.91	$56,924.27	2026-05-06
440-1	OTHER	Kidney Transplant	5	5	—	—	$56,903.25	$65,438.74	$56,903.25	2026-05-06
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$56,865.17	$65,394.94	$56,865.17	2026-05-06
050-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	5	5	—	—	$56,809.03	$65,330.39	$56,809.03	2026-05-06
023-4	OTHER	Spinal Procedures	5	5	—	—	$56,471.51	$64,942.24	$56,471.51	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	16	16	—	—	$35,632.28	$99,950.54	$56,261.93	2026-05-06
441-4	OTHER	Major Bladder Procedures	5	5	—	—	$56,137.60	$64,558.24	$56,137.60	2026-05-06
750-4	OTHER	Schizophrenia	5	5	—	—	$55,973.76	$64,369.83	$55,973.76	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	16	16	—	—	$36,658.93	$99,209.42	$55,852.40	2026-05-06
270	OTHER	Other Major Cardiovascular Procedures With Mcc	16	16	—	—	$555.70	$98,876.88	$55,668.65	2026-05-06
759-4	OTHER	Eating Disorders	5	5	—	—	$55,643.12	$63,989.58	$55,643.12	2026-05-06
089-4	OTHER	Major Cranial Or Facial Bone Procedures	5	5	—	—	$55,461.69	$63,780.94	$55,461.69	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	16	16	—	—	$41,340.22	$92,459.38	$55,419.21	2026-05-06
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	5	5	—	—	$55,095.44	$63,359.75	$55,095.44	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	16	16	—	—	$7,593.65	$97,529.54	$54,924.12	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	16	16	—	—	$14,401.70	$97,358.49	$54,829.60	2026-05-06
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	5	5	—	—	$54,814.89	$63,037.12	$54,814.89	2026-05-06
401-4	OTHER	Adrenal Procedures	5	5	—	—	$54,805.18	$63,025.96	$54,805.18	2026-05-06
1414708	OTHER	Joint Device Implt 9	20	10	$91,166.99	$21,880.08 76% off	$9,116.70	$76,033.27	$54,700.19	2026-05-06
178-2	OTHER	External Heart Assist Systems	5	5	—	—	$53,993.45	$62,092.46	$53,993.45	2026-05-06
120-4	OTHER	Major Respiratory And Chest Procedures	5	5	—	—	$53,965.96	$62,060.85	$53,965.96	2026-05-06
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	5	5	—	—	$53,287.62	$61,280.77	$53,287.62	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	16	16	—	—	$20,848.84	$94,390.14	$53,189.35	2026-05-06
758-4	OTHER	Behavioral Disorders	5	5	—	—	$52,918.79	$60,856.60	$52,918.79	2026-05-06
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$52,694.99	$60,599.24	$52,694.99	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	16	16	—	—	$16,250.60	$93,386.79	$52,634.93	2026-05-06
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	5	5	—	—	$52,235.76	$60,071.13	$52,235.76	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	16	16	—	—	$41,413.88	$92,626.61	$52,214.87	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	16	16	—	—	$4,099.47	$91,748.68	$51,729.74	2026-05-06
660-4	OTHER	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	5	5	—	—	$51,534.52	$59,264.70	$51,534.52	2026-05-06
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	5	5	—	—	$51,475.77	$59,197.13	$51,475.77	2026-05-06
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$51,404.62	$59,115.31	$51,404.62	2026-05-06
1414576	OTHER	Genratr Neurostm 3	20	10	$85,087.71	$20,421.05 76% off	$8,508.77	$70,963.15	$51,052.62	2026-05-06
471	OTHER	Cervical Spinal Fusion With Mcc	16	16	—	—	$19,472.87	$90,370.91	$50,968.42	2026-05-06
160-2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$50,968.03	$58,613.23	$50,968.03	2026-05-06
6	OTHER	Liver Transplant Without Mcc	15	15	—	—	$38,815.58	$90,205.96	$50,717.32	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	16	16	—	—	$40,216.02	$89,907.23	$50,712.19	2026-05-06
423-4	OTHER	Inborn Errors Of Metabolism	5	5	—	—	$50,501.60	$58,076.84	$50,501.60	2026-05-06
121-4	OTHER	Other Respiratory And Chest Procedures	5	5	—	—	$50,353.57	$57,906.60	$50,353.57	2026-05-06
261-4	OTHER	Major Biliary Tract Procedures	5	5	—	—	$50,331.74	$57,881.50	$50,331.74	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	16	16	—	—	$2,374.14	$89,080.59	$50,255.41	2026-05-06
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$32,444.58	$67,895.42	$50,170.00	2026-05-06
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$49,844.21	$57,320.84	$49,844.21	2026-05-06
635	OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	2	2	—	—	$49,685.86	$49,685.86	$49,685.86	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	16	16	—	—	$31,542.70	$87,951.77	$49,631.65	2026-05-06
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	5	5	—	—	$49,532.13	$56,961.95	$49,532.13	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	16	16	—	—	$20,464.73	$87,769.31	$49,530.82	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	16	16	—	—	$28,559.23	$87,503.29	$49,383.84	2026-05-06
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$49,162.64	$56,537.04	$49,162.64	2026-05-06
608-1	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$49,139.52	$56,510.45	$49,139.52	2026-05-06
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	12	12	—	—	$39,528.17	$86,131.25	$49,074.74	2026-05-06
277	OTHER	Cellulitis Age >17 W Cc	16	16	—	—	$25,183.03	$86,376.41	$48,761.14	2026-05-06
1411701	OTHER	Impella Device L2	20	10	$81,000.00	$19,440.00 76% off	$8,100.00	$67,554.00	$48,600.00	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	16	16	—	—	$29,842.60	$85,958.32	$48,530.10	2026-05-06
183-3	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$48,497.24	$55,771.83	$48,497.24	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	16	16	—	—	$12,194.79	$85,735.97	$48,407.24	2026-05-06
130-2	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$48,386.76	$55,644.78	$48,386.76	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	16	16	—	—	$34,764.09	$113,332.66	$48,386.24	2026-05-06
690-3	OTHER	Acute Leukemia	5	5	—	—	$48,289.46	$55,532.88	$48,289.46	2026-05-06
020-4	OTHER	Open Craniotomy For Trauma	5	5	—	—	$48,286.22	$55,529.16	$48,286.22	2026-05-06
178-1	OTHER	External Heart Assist Systems	5	5	—	—	$48,274.91	$55,516.14	$48,274.91	2026-05-06
245	OTHER	Aicd Generator Procedures	16	16	—	—	$22,994.64	$85,310.29	$48,172.02	2026-05-06
634-3	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	5	5	—	—	$48,133.42	$55,353.43	$48,133.42	2026-05-06
008-1	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	5	5	—	—	$48,060.55	$55,269.63	$48,060.55	2026-05-06
180-4	OTHER	Other Circulatory System Procedures	5	5	—	—	$48,038.01	$55,243.72	$48,038.01	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	16	16	—	—	$16,729.54	$85,049.95	$48,028.16	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	16	16	—	—	$29,441.99	$85,011.93	$48,007.16	2026-05-06
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$47,935.33	$55,125.63	$47,935.33	2026-05-06
799	OTHER	Splenectomy With Mcc	16	16	—	—	$37,910.69	$84,673.65	$47,820.23	2026-05-06
179-3	OTHER	Defibrillator Implants	5	5	—	—	$47,558.57	$54,692.36	$47,558.57	2026-05-06
181-4	OTHER	Lower Extremity Arterial Procedures	5	5	—	—	$47,451.85	$54,569.63	$47,451.85	2026-05-06
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	5	5	—	—	$47,409.00	$54,520.35	$47,409.00	2026-05-06
639-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	5	5	—	—	$47,382.97	$54,490.41	$47,382.97	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	16	16	—	—	$30,995.55	$83,778.60	$47,325.64	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	16	16	—	—	$15,382.71	$83,753.90	$47,311.99	2026-05-06
027-4	OTHER	Other Open Craniotomy	5	5	—	—	$47,185.04	$54,262.80	$47,185.04	2026-05-06
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$47,181.81	$54,259.08	$47,181.81	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	16	16	—	—	$17,790.95	$83,419.46	$47,127.19	2026-05-06
625-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	5	5	—	—	$47,087.46	$54,150.58	$47,087.46	2026-05-06
313-4	OTHER	Knee And Lower Leg Procedures Except Foot	5	5	—	—	$47,058.11	$54,116.82	$47,058.11	2026-05-06
182-4	OTHER	Other Peripheral Vascular And Related Procedures	5	5	—	—	$46,856.79	$53,885.31	$46,856.79	2026-05-06
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	5	5	—	—	$46,612.62	$53,604.52	$46,612.62	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	16	16	—	—	$18,867.82	$82,087.32	$46,391.08	2026-05-06
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	5	5	—	—	$46,386.24	$53,344.18	$46,386.24	2026-05-06
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	5	5	—	—	$46,323.18	$53,271.66	$46,323.18	2026-05-06
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	5	5	—	—	$46,159.05	$53,082.91	$46,159.05	2026-05-06
662-4	OTHER	Sickle Cell Anemia Crisis	5	5	—	—	$46,112.79	$53,029.71	$46,112.79	2026-05-06
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	16	16	—	—	$7,850.00	$80,844.50	$45,704.32	2026-05-06
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	5	5	—	—	$45,564.80	$52,399.52	$45,564.80	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	16	16	—	—	$23,281.20	$80,188.88	$45,342.03	2026-05-06
757-4	OTHER	Organic Mental Health Disturbances	5	5	—	—	$45,202.17	$51,982.50	$45,202.17	2026-05-06
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	5	5	—	—	$45,188.04	$51,966.25	$45,188.04	2026-05-06
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	5	5	—	—	$45,108.24	$51,874.48	$45,108.24	2026-05-06
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$45,096.68	$51,861.18	$45,096.68	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	16	16	—	—	$520.69	$79,664.34	$45,052.19	2026-05-06

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