Hospital

CARLSBAD MEDICAL CENTER

Carlsbad, NM · CCN 320063 · Rates published

3,973 distinct procedures filed

45 distinct payers

157,732 rate rows

2026-05-09 last MRF observed

Data quality

144,436 of 157,732 rate rows are consumer-grade (91.6%)

13,296 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	9,816
per-diem day rate — not a per-procedure price	3,199
placeholder amount (≤ $0.02) — excluded from medians	148
template filing: same amount across many unrelated codes — excluded	126
exceeds 10× this hospital's gross charge — excluded from medians	7

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

Source MRF file	https://www.carlsbadmedicalcenter.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621762526_carlsbad-medical-center_standardcharges.csv
Found on page	https://www.carlsbadmedicalcenter.com/pricing-information
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	7a7de6dcbaddb557… · 54,018,225 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$460,899.91	$460,899.91	$460,899.91	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	$15,000.00	$1,762,160.12	$431,763.95	nat. median $386,529 1.1× median
7 OTHER	Lung Transplant	22	$15,000.00	$1,190,962.79	$291,820.61	nat. median $169,933 1.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	24	$15,000.00	$890,212.67	$218,136.83	nat. median $239,422 0.9× median
633 OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	2	$195,652.57	$195,652.57	$195,652.57	nat. median $4,769 outlier · 41.0×
636 OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	2	$179,664.20	$179,664.20	$179,664.20	nat. median $53 outlier · 3420.9×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	29	$15,000.00	$674,243.81	$167,180.80	nat. median $181,005 0.9× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	$15,000.00	$678,224.17	$166,199.64	nat. median $146,562 1.1× median
634 OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	$162,457.04	$162,457.04	$162,457.04	nat. median $414 outlier · 392.4×
613 OTHER	Neonate, Birth Weight <750 Grams, Died	2	$128,279.37	$128,279.37	$128,279.37	nat. median $42,666 outlier · 3.0×
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	29	$15,000.00	$500,163.76	$122,574.84	nat. median $134,983 0.9× median
14 OTHER	Allogeneic Bone Marrow Transplant	26	$15,000.00	$381,762.93	$95,440.73	nat. median $100,915 0.9× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	23	$15,000.00	$373,304.45	$94,259.37	nat. median $111,558 0.8× median
632 OTHER	Neonate, Birth Weight 750-999 Grams, Died	2	$92,453.42	$92,453.42	$92,453.42	nat. median $8,778 outlier · 10.5×
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	29	$3,086.52	$345,428.79	$84,664.78	nat. median $90,581 0.9× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	22	$15,000.00	$327,525.39	$84,290.63	nat. median $94,894 0.9× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	29	$15,000.00	$336,880.96	$82,570.56	nat. median $64,729 1.3× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$15,000.00	$310,762.35	$78,453.77	nat. median $90,130 0.9× median
215 OTHER	Other Heart Assist System Implant	29	$15,000.00	$316,295.97	$77,527.23	nat. median $92,359 0.8× median
1414709 OTHER	Joint Device Implt10	21	$10,000.00	$92,999.99	$69,359.99	nat. median $25,000 outlier · 2.8×
1411003 OTHER	Aicd Ohr Thn Sgl/du3	21	$10,000.00	$92,999.99	$69,359.99	nat. median $29,432 outlier · 2.4×
1414710 OTHER	Joint Device Implt11	21	$9,999.90	$92,999.07	$69,359.31	nat. median $21,860 outlier · 3.2×
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	23	$225.69	$281,493.00	$69,000.51	nat. median $65,342 1.1× median
231 OTHER	Coronary Bypass With Ptca With Mcc	29	$15,000.00	$267,785.89	$65,642.26	nat. median $74,989 0.9× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	29	$15,000.00	$266,944.08	$65,436.02	nat. median $76,493 0.9× median
1414708 OTHER	Joint Device Implt 9	21	$9,134.20	$84,948.06	$63,354.81	nat. median $23,000 outlier · 2.8×
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	29	$15,000.00	$249,961.81	$63,107.72	nat. median $74,209 0.9× median
6 OTHER	Liver Transplant Without Mcc	22	$15,000.00	$255,138.48	$62,543.65	nat. median $52,924 1.2× median
1414763 OTHER	Mesh Implantable 14	21	$9,006.30	$83,758.59	$62,467.70	nat. median $22,057 outlier · 2.8×
8 OTHER	Simultaneous Pancreas And Kidney Transplant	22	$12,511.41	$248,545.04	$60,928.25	nat. median $57,589 1.1× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	$15,000.00	$243,910.37	$60,403.45	nat. median $72,612 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	29	$15,000.00	$242,858.96	$59,535.17	nat. median $68,249 0.9× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	29	$15,000.00	$242,055.20	$59,338.24	nat. median $68,309 0.9× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	29	$15,000.00	$233,778.40	$59,132.08	nat. median $66,849 0.9× median
635 OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	2	$57,281.15	$57,281.15	$57,281.15	nat. median $666 outlier · 86.0×
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	29	$15,000.00	$226,505.67	$57,187.40	nat. median $29,655 1.9× median
10 OTHER	Pancreas Transplant	22	$15,000.00	$227,944.69	$55,881.17	nat. median $62,879 0.9× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	29	$6,962.93	$227,849.37	$55,857.81	nat. median $46,003 1.2× median
1414020 OTHER	Anchor/scrw Level 20	21	$8,038.10	$74,754.33	$55,752.26	nat. median $17,400 outlier · 3.2×
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	28	$9,050.00	$226,639.08	$55,561.29	nat. median $61,133 0.9× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	29	$3,926.38	$226,413.64	$55,506.06	nat. median $67,670 0.8× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	30	$15,000.00	$219,561.60	$53,827.31	nat. median $54,564 1.0× median
1417058 OTHER	Tissue Non-human 10	21	$7,672.70	$71,356.11	$53,217.85	nat. median $16,774 outlier · 3.2×
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$15,000.00	$208,872.29	$52,736.73	nat. median $60,727 0.9× median
955 OTHER	Craniotomy For Multiple Significant Trauma	29	$15,000.00	$213,821.47	$52,420.98	nat. median $62,467 0.8× median
459 OTHER	Spinal Fusion Except Cervical With Mcc	23	$225.69	$210,682.93	$51,652.04	nat. median $50,246 1.0× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$14,696.22	$208,872.29	$51,208.43	nat. median $56,507 0.9× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	29	$15,000.00	$208,113.09	$51,022.42	nat. median $54,881 0.9× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	29	$15,000.00	$194,675.97	$49,878.74	nat. median $58,866 0.8× median
1411002 OTHER	Aicd Ohr Thn Sgl/du2	21	$7,111.76	$66,139.32	$49,327.13	nat. median $25,000 2.0× median

Other procedures at this hospital

Browse this hospital's 3,973 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

1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	24	—	—	$15,000.00	$890,212.67	$218,136.83	2026-05-09
10	OTHER	Pancreas Transplant	23	22	—	—	$15,000.00	$227,944.69	$55,881.17	2026-05-09
1061560	OTHER	Ic-prq Card Rev 1 Vs	24	20	$40,983.00	$8,196.60 80% off	$628.23	$38,114.19	$27,868.44	2026-05-09
1061570	OTHER	Ic-prq De Cr Rev Ami	23	19	$37,714.00	$7,542.80 80% off	$3,771.40	$35,074.02	$26,399.80	2026-05-09
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	30	29	—	—	$15,000.00	$173,255.97	$43,502.80	2026-05-09
1110865	OTHER	Bilat Lithotripsy	23	19	$30,079.00	$6,015.80 80% off	$3,007.90	$27,973.47	$21,055.30	2026-05-09
113	OTHER	Orbital Procedures With Cc/mcc	30	29	—	—	$5,506.78	$74,685.48	$18,332.66	2026-05-09
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	30	29	—	—	$15,000.00	$133,926.29	$32,846.66	2026-05-09
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	30	29	—	—	$13,230.41	$91,543.84	$22,462.96	2026-05-09
14	OTHER	Allogeneic Bone Marrow Transplant	27	26	—	—	$15,000.00	$381,762.93	$95,440.73	2026-05-09
140	OTHER	Major Head And Neck Procedures With Mcc	30	29	—	—	$600.29	$135,492.35	$33,230.35	2026-05-09
1410015	OTHER	Oth Ster Supp Lvl 15	23	19	$32,152.00	$6,430.40 80% off	$3,215.20	$29,901.36	$22,506.40	2026-05-09
1410066	OTHER	Pmkr Dual Rate-rs L2	25	21	$35,167.00	$7,033.40 80% off	$3,516.70	$32,705.31	$24,391.83	2026-05-09
1410067	OTHER	Pmkr Dual Rate-rs L3	25	21	$57,546.00	$11,509.20 80% off	$5,754.60	$53,517.78	$39,913.91	2026-05-09
1410730	OTHER	Lead Neurostimulat 7	25	21	$65,791.33	$13,158.27 80% off	$6,579.13	$61,185.94	$45,632.87	2026-05-09
1411002	OTHER	Aicd Ohr Thn Sgl/du2	25	21	$71,117.55	$14,223.51 80% off	$7,111.76	$66,139.32	$49,327.13	2026-05-09
1411003	OTHER	Aicd Ohr Thn Sgl/du3	25	21	$99,999.99	$20,000.00 80% off	$10,000.00	$92,999.99	$69,359.99	2026-05-09
1413124	OTHER	Evnt Rcrdr Crdc Lvl1	25	21	$32,152.00	$6,430.40 80% off	$3,215.20	$29,901.36	$22,300.63	2026-05-09
1413125	OTHER	Genrate Neuro Rech 4	25	21	$41,770.90	$8,354.18 80% off	$4,177.09	$38,846.94	$28,972.30	2026-05-09
1413216	OTHER	Pmkr Singl Rate-rsl1	25	21	$44,048.37	$8,809.67 80% off	$4,404.84	$40,964.98	$30,551.95	2026-05-09
1414015	OTHER	Anchor/scrw Level 15	25	21	$28,133.00	$5,626.60 80% off	$2,813.30	$26,163.69	$19,513.05	2026-05-09
1414016	OTHER	Anchor/scrw Level 16	25	21	$36,171.00	$7,234.20 80% off	$3,617.10	$33,639.03	$25,088.21	2026-05-09
1414017	OTHER	Anchor/scrw Level 17	25	21	$44,118.00	$8,823.60 80% off	$4,411.80	$41,029.74	$30,600.24	2026-05-09
1414018	OTHER	Anchor/scrw Level 18	25	21	$55,627.00	$11,125.40 80% off	$5,562.70	$51,733.11	$38,582.89	2026-05-09
1414019	OTHER	Anchor/scrw Level 19	25	21	$69,055.00	$13,811.00 80% off	$6,905.50	$64,221.15	$47,896.55	2026-05-09
1414020	OTHER	Anchor/scrw Level 20	25	21	$80,381.00	$16,076.20 80% off	$8,038.10	$74,754.33	$55,752.26	2026-05-09
1414177	OTHER	Cath Hemodial St 1	25	21	$41,627.76	$8,325.55 80% off	$4,162.78	$38,713.82	$28,873.01	2026-05-09
1414201	OTHER	Cath Intravas Ultra2	25	21	$30,143.00	$6,028.60 80% off	$3,014.30	$28,032.99	$20,907.18	2026-05-09
1414287	OTHER	Cath Trns Arthr Rot3	25	21	$26,861.00	$5,372.20 80% off	$2,686.10	$24,980.73	$18,630.79	2026-05-09
1414413	OTHER	Cath-infus Perif 14	25	21	$32,152.00	$6,430.40 80% off	$3,215.20	$29,901.36	$22,300.63	2026-05-09
1414576	OTHER	Genratr Neurostm 3	25	21	$32,872.08	$6,574.42 80% off	$3,287.21	$30,571.03	$22,800.07	2026-05-09
1414577	OTHER	Genratr Neurostm 4	25	21	$41,627.76	$8,325.55 80% off	$4,162.78	$38,713.82	$28,873.01	2026-05-09
1414578	OTHER	Genratr Neurostm 5	25	21	$52,659.52	$10,531.90 80% off	$5,265.95	$48,973.35	$36,524.64	2026-05-09
1414579	OTHER	Genratr Neurostm 6	25	21	$66,538.76	$13,307.75 80% off	$6,653.88	$61,881.05	$46,151.28	2026-05-09
1414604	OTHER	Graft Vascular 5	25	21	$28,133.00	$5,626.60 80% off	$2,813.30	$26,163.69	$19,513.05	2026-05-09
1414639	OTHER	Guidewire Level 15	25	21	$28,133.00	$5,626.60 80% off	$2,813.30	$26,163.69	$19,513.05	2026-05-09
1414640	OTHER	Guidewire Level 16	25	21	$36,171.00	$7,234.20 80% off	$3,617.10	$33,639.03	$25,088.21	2026-05-09
1414641	OTHER	Guidewire Level 17	25	21	$44,118.00	$8,823.60 80% off	$4,411.80	$41,029.74	$30,600.24	2026-05-09
1414642	OTHER	Guidewire Level 18	25	21	$55,627.00	$11,125.40 80% off	$5,562.70	$51,733.11	$38,582.89	2026-05-09
1414643	OTHER	Guidewire Level 19	25	21	$69,055.00	$13,811.00 80% off	$6,905.50	$64,221.15	$47,896.55	2026-05-09
1414703	OTHER	Joint Device Implt 4	25	21	$26,124.00	$5,224.80 80% off	$2,612.40	$24,295.32	$18,119.61	2026-05-09
1414704	OTHER	Joint Device Implt 5	25	21	$36,171.00	$7,234.20 80% off	$3,617.10	$33,639.03	$25,088.21	2026-05-09
1414705	OTHER	Joint Device Implt 6	25	21	$44,118.00	$8,823.60 80% off	$4,411.80	$41,029.74	$30,600.24	2026-05-09
1414706	OTHER	Joint Device Implt 7	25	21	$55,627.00	$11,125.40 80% off	$5,562.70	$51,733.11	$38,582.89	2026-05-09
1414707	OTHER	Joint Device Implt 8	25	21	$69,055.00	$13,811.00 80% off	$6,905.50	$64,221.15	$47,896.55	2026-05-09
1414708	OTHER	Joint Device Implt 9	25	21	$91,342.00	$18,268.40 80% off	$9,134.20	$84,948.06	$63,354.81	2026-05-09
1414709	OTHER	Joint Device Implt10	25	21	$99,999.99	$20,000.00 80% off	$10,000.00	$92,999.99	$69,359.99	2026-05-09
1414710	OTHER	Joint Device Implt11	25	21	$99,999.00	$19,999.80 80% off	$9,999.90	$92,999.07	$69,359.31	2026-05-09
1414760	OTHER	Mesh Implantable 11	25	21	$28,133.00	$5,626.60 80% off	$2,813.30	$26,163.69	$19,513.05	2026-05-09
1414761	OTHER	Mesh Implantable 12	25	21	$40,191.00	$8,038.20 80% off	$4,019.10	$37,377.63	$27,876.48	2026-05-09
1414763	OTHER	Mesh Implantable 14	25	21	$90,063.00	$18,012.60 80% off	$9,006.30	$83,758.59	$62,467.70	2026-05-09
1414930	OTHER	Sheath Non-lasr 7	25	21	$28,133.00	$5,626.60 80% off	$2,813.30	$26,163.69	$19,513.05	2026-05-09
1414953	OTHER	Stnt Coat/cov W/del3	25	21	$30,143.00	$6,028.60 80% off	$3,014.30	$28,032.99	$20,907.18	2026-05-09
1417054	OTHER	Tissue Non-human 6	25	21	$28,937.00	$5,787.40 80% off	$2,893.70	$26,911.41	$20,070.70	2026-05-09
1417055	OTHER	Tissue Non-human 7	25	21	$36,171.00	$7,234.20 80% off	$3,617.10	$33,639.03	$25,088.21	2026-05-09
1417056	OTHER	Tissue Non-human 8	25	21	$46,036.00	$9,207.20 80% off	$4,603.60	$42,813.48	$31,930.57	2026-05-09
1417057	OTHER	Tissue Non-human 9	25	21	$61,382.00	$12,276.40 80% off	$6,138.20	$57,085.26	$42,574.56	2026-05-09
1417058	OTHER	Tissue Non-human 10	25	21	$76,727.00	$15,345.40 80% off	$7,672.70	$71,356.11	$53,217.85	2026-05-09
1417117	OTHER	Stnt No Cocv W/del 4	25	21	$28,093.00	$5,618.60 80% off	$2,809.30	$26,126.49	$19,485.30	2026-05-09
1418036	OTHER	Genrate Neuro Rech 3	25	21	$35,964.38	$7,192.88 80% off	$3,596.44	$33,446.87	$24,944.89	2026-05-09
1418037	OTHER	Genrate Neuro Rech 5	25	21	$45,561.32	$9,112.26 80% off	$4,556.13	$42,372.03	$31,601.33	2026-05-09
1418038	OTHER	Genrate Neuro Rech 6	25	21	$59,381.56	$11,876.31 80% off	$5,938.16	$55,224.85	$41,187.05	2026-05-09
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	30	29	—	—	$4,935.13	$119,015.23	$29,193.45	2026-05-09
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	25	24	—	—	$15,000.00	$188,363.97	$48,032.81	2026-05-09
162	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age 0-17	2	2	—	—	$24,730.14	$24,730.14	$24,730.14	2026-05-09
163	OTHER	Major Chest Procedures With Mcc	30	29	—	—	$15,000.00	$166,525.96	$42,047.81	2026-05-09
164	OTHER	Major Chest Procedures With Cc	30	29	—	—	$13,862.98	$80,177.88	$20,562.26	2026-05-09
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	30	29	—	—	$14,300.46	$331,923.66	$29,124.19	2026-05-09
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	28	27	—	—	$10,545.11	$172,563.49	$43,572.28	2026-05-09
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	30	29	—	—	$11,737.92	$94,548.92	$23,199.21	2026-05-09
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	29	28	—	—	$15,000.00	$1,762,160.12	$431,763.95	2026-05-09
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	29	28	—	—	$9,050.00	$226,639.08	$55,561.29	2026-05-09
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	24	23	—	—	$15,000.00	$373,304.45	$94,259.37	2026-05-09
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	30	29	—	—	$15,000.00	$249,961.81	$63,107.72	2026-05-09
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	30	29	—	—	$15,000.00	$233,778.40	$59,132.08	2026-05-09
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	30	29	—	—	$12,027.96	$87,315.75	$22,047.23	2026-05-09
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	30	29	—	—	$15,000.00	$168,163.89	$42,572.32	2026-05-09
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	30	29	—	—	$3,086.52	$345,428.79	$84,664.78	2026-05-09
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$25,974.97	$43,930.59	$34,952.78	2026-05-09
215	OTHER	Other Heart Assist System Implant	30	29	—	—	$15,000.00	$316,295.97	$77,527.23	2026-05-09
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	30	29	—	—	$15,000.00	$310,762.35	$78,453.77	2026-05-09
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	30	29	—	—	$15,000.00	$208,872.29	$52,736.73	2026-05-09
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	30	29	—	—	$14,696.22	$208,872.29	$51,208.43	2026-05-09
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	30	29	—	—	$15,000.00	$243,910.37	$60,403.45	2026-05-09
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	30	29	—	—	$15,000.00	$103,514.36	$26,403.17	2026-05-09
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	30	29	—	—	$15,000.00	$169,402.75	$42,774.19	2026-05-09
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	30	29	—	—	$15,000.00	$160,107.99	$39,261.18	2026-05-09
228	OTHER	Other Cardiothoracic Procedures With Mcc	30	29	—	—	$15,000.00	$157,160.08	$40,464.15	2026-05-09
229	OTHER	Other Cardiothoracic Procedures Without Mcc	30	29	—	—	$15,000.00	$100,047.65	$25,771.99	2026-05-09
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	30	29	—	—	$15,000.00	$182,029.80	$46,154.21	2026-05-09
231	OTHER	Coronary Bypass With Ptca With Mcc	30	29	—	—	$15,000.00	$267,785.89	$65,642.26	2026-05-09
232	OTHER	Coronary Bypass With Ptca Without Mcc	30	29	—	—	$9,050.00	$192,585.77	$48,626.01	2026-05-09
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	30	29	—	—	$15,000.00	$242,858.96	$59,535.17	2026-05-09
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	30	29	—	—	$15,000.00	$173,529.21	$43,816.12	2026-05-09
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	30	29	—	—	$15,000.00	$186,423.05	$47,070.54	2026-05-09
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	30	29	—	—	$15,000.00	$133,062.25	$33,598.21	2026-05-09
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	30	29	—	—	$15,000.00	$156,343.69	$38,338.92	2026-05-09
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	30	29	—	—	$15,000.00	$124,266.19	$31,377.22	2026-05-09
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	30	29	—	—	$12,175.27	$90,549.52	$22,219.35	2026-05-09
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	30	29	—	—	$15,000.00	$101,423.12	$24,883.38	2026-05-09
245	OTHER	Aicd Generator Procedures	30	29	—	—	$15,000.00	$144,930.09	$35,542.59	2026-05-09
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	30	29	—	—	$15,000.00	$144,431.37	$36,468.92	2026-05-09
252	OTHER	Other Vascular Procedures With Mcc	30	29	—	—	$7,682.70	$110,809.99	$27,183.17	2026-05-09
253	OTHER	Other Vascular Procedures With Cc	30	29	—	—	$12,420.76	$82,452.31	$20,235.54	2026-05-09
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	30	29	—	—	$9,180.02	$85,686.12	$21,628.48	2026-05-09
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	30	29	—	—	$13,594.03	$99,812.59	$24,488.81	2026-05-09
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	30	29	—	—	$15,000.00	$98,767.43	$25,321.65	2026-05-09
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	30	29	—	—	$14,105.25	$103,329.11	$25,350.35	2026-05-09
263	OTHER	Vein Ligation And Stripping	30	29	—	—	$5,185.56	$97,122.01	$23,829.60	2026-05-09
264	OTHER	Other Circulatory System O.r. Procedures	30	29	—	—	$11,467.11	$106,118.17	$26,033.67	2026-05-09
265	OTHER	Aicd Lead Procedures	30	29	—	—	$15,000.00	$114,936.51	$28,194.17	2026-05-09
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	30	29	—	—	$15,000.00	$194,675.97	$49,878.74	2026-05-09
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	30	29	—	—	$2,737.06	$151,232.48	$38,186.20	2026-05-09
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	30	29	—	—	$3,926.38	$226,413.64	$55,506.06	2026-05-09
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	30	29	—	—	$317.56	$134,155.01	$32,902.69	2026-05-09
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	30	29	—	—	$15,000.00	$80,142.92	$20,553.32	2026-05-09
270	OTHER	Other Major Cardiovascular Procedures With Mcc	30	29	—	—	$640.65	$167,607.95	$42,740.63	2026-05-09
271	OTHER	Other Major Cardiovascular Procedures With Cc	30	29	—	—	$15,000.00	$112,970.17	$27,712.41	2026-05-09
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	30	29	—	—	$9,050.00	$81,099.09	$19,903.99	2026-05-09
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	30	29	—	—	$15,000.00	$131,051.37	$33,090.47	2026-05-09
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	30	29	—	—	$15,000.00	$104,564.79	$26,670.92	2026-05-09
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	30	29	—	—	$15,000.00	$226,505.67	$57,187.40	2026-05-09
276	OTHER	Non-maligant Breast Disorders	30	29	—	—	$15,000.00	$190,806.81	$48,176.99	2026-05-09
277	OTHER	Cellulitis Age >17 W Cc	30	29	—	—	$15,000.00	$146,712.17	$37,044.82	2026-05-09
278	OTHER	Cellulitis Age >17 Without Cc	30	29	—	—	$14,430.94	$176,817.01	$43,354.89	2026-05-09
279	OTHER	Cellulitis Age 0-17	30	29	—	—	$11,741.92	$114,561.57	$28,102.30	2026-05-09
28	OTHER	Spinal Procedures With Mcc	30	29	—	—	$15,000.00	$190,860.79	$46,795.62	2026-05-09
288	OTHER	Acute And Subacute Endocarditis With Mcc	30	29	—	—	$12,212.33	$85,965.67	$22,044.08	2026-05-09
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	30	29	—	—	$15,000.00	$108,373.52	$27,781.05	2026-05-09
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	30	29	—	—	$15,000.00	$674,243.81	$167,180.80	2026-05-09
31	OTHER	Ventricular Shunt Procedures With Mcc	30	29	—	—	$15,000.00	$142,328.41	$34,905.18	2026-05-09
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$27,321.13	$36,063.73	$31,692.43	2026-05-09
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$37,404.26	$51,582.33	$44,493.29	2026-05-09
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	30	29	—	—	$15,000.00	$141,769.39	$35,796.77	2026-05-09
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	30	29	—	—	$6,363.72	$76,407.17	$19,292.81	2026-05-09
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	31	30	—	—	$12,233.98	$86,429.49	$22,039.52	2026-05-09
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	30	29	—	—	$9,050.00	$137,465.03	$33,713.65	2026-05-09
324	OTHER	Urinary Stones Without Cc	30	29	—	—	$9,050.00	$100,095.29	$24,558.06	2026-05-09
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	30	29	—	—	$9,050.00	$101,982.20	$25,020.36	2026-05-09
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	31	30	—	—	$15,000.00	$158,430.73	$38,850.25	2026-05-09
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	30	29	—	—	$9,860.55	$77,642.93	$19,913.26	2026-05-09
329	OTHER	Major Small And Large Bowel Procedures With Mcc	30	29	—	—	$15,000.00	$146,013.32	$35,807.98	2026-05-09
330	OTHER	Major Small And Large Bowel Procedures With Cc	30	29	—	—	$11,084.04	$76,149.93	$19,531.01	2026-05-09
332	OTHER	Rectal Resection With Mcc	30	29	—	—	$15,000.00	$115,015.83	$28,213.60	2026-05-09
333	OTHER	Rectal Resection With Cc	30	29	—	—	$12,938.29	$74,402.77	$18,668.38	2026-05-09
335	OTHER	Peritoneal Adhesiolysis With Mcc	30	29	—	—	$15,000.00	$113,433.92	$27,826.03	2026-05-09
34	OTHER	Carotid Artery Stent Procedures With Mcc	30	29	—	—	$9,408.38	$122,957.40	$31,046.74	2026-05-09
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	30	29	—	—	$12,751.98	$82,045.69	$20,135.91	2026-05-09
347	OTHER	Anal And Stomal Procedures With Mcc	30	29	—	—	$3,693.29	$72,922.45	$17,900.72	2026-05-09
35	OTHER	Carotid Artery Stent Procedures With Cc	30	29	—	—	$12,583.23	$75,937.08	$19,060.18	2026-05-09
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	30	29	—	—	$4,805.94	$79,158.19	$19,428.48	2026-05-09
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	30	29	—	—	$10,870.28	$92,185.48	$22,620.16	2026-05-09
356	OTHER	Other Digestive System O.r. Procedures With Mcc	30	29	—	—	$15,000.00	$139,542.56	$34,222.65	2026-05-09
357	OTHER	Other Digestive System O.r. Procedures With Cc	30	29	—	—	$11,613.92	$73,872.29	$18,652.75	2026-05-09
362	OTHER	Cardiac Defibrillator Implant Without Mcc	2	2	—	—	$32,700.96	$32,700.96	$32,700.96	2026-05-09
37	OTHER	Extracranial Procedures With Mcc	30	29	—	—	$7,672.84	$104,577.51	$25,656.21	2026-05-09
396	OTHER	Major Head And Neck Procedures With Mcc	2	2	—	—	$19,203.43	$19,203.43	$19,203.43	2026-05-09
397	OTHER	Coagulation Disorders	30	29	—	—	$8,441.35	$76,076.87	$18,673.56	2026-05-09
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	30	29	—	—	$15,000.00	$500,163.76	$122,574.84	2026-05-09
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	30	29	—	—	$15,000.00	$122,655.61	$30,970.54	2026-05-09
402	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures Age >17 Without Cc/mcc	2	2	—	—	$18,538.04	$18,538.04	$18,538.04	2026-05-09
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	30	29	—	—	$15,000.00	$173,776.96	$42,610.08	2026-05-09
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	30	29	—	—	$12,247.20	$92,128.33	$22,606.15	2026-05-09
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	30	29	—	—	$15,000.00	$113,265.51	$27,784.77	2026-05-09
411	OTHER	Cholecystectomy With C.d.e. With Mcc	30	29	—	—	$9,500.60	$104,933.23	$25,743.36	2026-05-09
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	30	29	—	—	$13,293.21	$123,602.47	$27,761.44	2026-05-09
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	30	29	—	—	$8,985.77	$75,806.84	$18,607.40	2026-05-09
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	30	29	—	—	$15,000.00	$108,230.64	$26,551.23	2026-05-09
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	30	29	—	—	$15,000.00	$131,925.03	$32,618.16	2026-05-09
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	23	23	—	—	$225.69	$281,493.00	$69,000.51	2026-05-09
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	23	23	—	—	$225.69	$194,291.61	$47,636.16	2026-05-09
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	23	23	—	—	$225.69	$146,302.40	$35,878.81	2026-05-09
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	29	—	—	$15,000.00	$266,944.08	$65,436.02	2026-05-09
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	29	—	—	$15,000.00	$189,425.01	$46,443.85	2026-05-09
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	29	—	—	$15,000.00	$132,547.61	$32,508.88	2026-05-09
459	OTHER	Spinal Fusion Except Cervical With Mcc	23	23	—	—	$225.69	$210,682.93	$51,652.04	2026-05-09
460	OTHER	Spinal Fusion Except Cervical Without Mcc	23	23	—	—	$225.69	$116,197.57	$28,503.12	2026-05-09
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	30	29	—	—	$9,050.00	$175,444.67	$44,299.60	2026-05-09
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	30	29	—	—	$14,693.78	$84,498.08	$21,668.35	2026-05-09
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	30	29	—	—	$15,000.00	$181,051.44	$45,714.74	2026-05-09
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	30	29	—	—	$14,513.22	$98,942.19	$24,275.56	2026-05-09
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	30	29	—	—	$8,754.46	$165,355.77	$41,752.33	2026-05-09
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	30	29	—	—	$13,321.59	$112,026.69	$28,286.74	2026-05-09
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	30	29	—	—	$12,382.88	$87,293.49	$22,268.47	2026-05-09
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	30	29	—	—	$14,885.06	$96,353.21	$24,577.79	2026-05-09
471	OTHER	Cervical Spinal Fusion With Mcc	30	29	—	—	$13,416.82	$153,389.45	$37,615.13	2026-05-09
472	OTHER	Cervical Spinal Fusion With Cc	30	29	—	—	$11,504.71	$93,586.36	$22,963.38	2026-05-09
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	30	29	—	—	$9,053.78	$77,550.81	$19,034.67	2026-05-09
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	30	29	—	—	$15,000.00	$136,369.09	$33,445.14	2026-05-09
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	30	29	—	—	$15,000.00	$109,739.48	$26,920.89	2026-05-09
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	30	29	—	—	$10,940.68	$78,119.40	$19,173.97	2026-05-09
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	30	29	—	—	$12,737.68	$92,512.73	$23,037.97	2026-05-09
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	30	29	—	—	$10,013.02	$88,052.69	$21,607.63	2026-05-09
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	30	29	—	—	$15,000.00	$102,512.68	$25,659.54	2026-05-09
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	30	29	—	—	$10,246.64	$116,632.73	$28,609.74	2026-05-09
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	31	30	—	—	$7,207.27	$80,562.24	$19,772.47	2026-05-09
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	30	29	—	—	$7,189.68	$115,174.69	$28,252.52	2026-05-09
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	31	30	—	—	$5,273.17	$107,648.62	$23,513.62	2026-05-09
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	23	22	—	—	$15,000.00	$327,525.39	$84,290.63	2026-05-09
500	OTHER	Soft Tissue Procedures With Mcc	30	29	—	—	$9,839.42	$100,533.67	$24,665.47	2026-05-09
503	OTHER	Foot Procedures With Mcc	30	29	—	—	$8,961.37	$88,662.61	$21,757.06	2026-05-09
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	30	29	—	—	$8,335.34	$95,949.81	$23,542.42	2026-05-09
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	30	29	—	—	$15,000.00	$101,235.65	$25,953.58	2026-05-09
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	30	29	—	—	$12,859.98	$118,719.81	$29,121.07	2026-05-09
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	30	29	—	—	$14,232.89	$91,175.36	$23,021.78	2026-05-09
545	OTHER	Connective Tissue Disorders With Mcc	30	29	—	—	$11,110.69	$78,834.21	$19,349.10	2026-05-09
56	OTHER	Degenerative Nervous System Disorders With Mcc	30	29	—	—	$5,999.21	$73,796.03	$18,114.75	2026-05-09
570	OTHER	Skin Debridement With Mcc	30	29	—	—	$13,360.50	$216,143.25	$41,238.64	2026-05-09
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	30	29	—	—	$15,000.00	$208,113.09	$51,022.42	2026-05-09
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	30	29	—	—	$6,890.10	$110,273.17	$27,051.64	2026-05-09
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	30	29	—	—	$4,726.14	$155,692.51	$39,312.36	2026-05-09
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	30	29	—	—	$12,438.47	$84,202.63	$21,480.60	2026-05-09
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	31	30	—	—	$5,305.04	$102,874.86	$25,239.06	2026-05-09
6	OTHER	Liver Transplant Without Mcc	23	22	—	—	$15,000.00	$255,138.48	$62,543.65	2026-05-09
608	OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	2	2	—	—	$45,269.37	$45,269.37	$45,269.37	2026-05-09
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	30	29	—	—	$13,595.91	$87,582.57	$22,114.60	2026-05-09
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$128,279.37	$128,279.37	$128,279.37	2026-05-09
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	30	29	—	—	$13,519.51	$110,781.44	$27,972.32	2026-05-09
619	OTHER	O.r. Procedures For Obesity With Mcc	30	29	—	—	$15,000.00	$91,721.68	$23,511.44	2026-05-09
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	30	29	—	—	$13,700.06	$125,851.84	$27,734.97	2026-05-09
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	30	29	—	—	$7,731.30	$95,937.05	$23,539.29	2026-05-09
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	30	29	—	—	$7,503.18	$118,386.29	$29,039.36	2026-05-09
631	OTHER	Neonate, Birth Weight 750-999 Grams, Discharged Alive	2	2	—	—	$19,094.45	$19,094.45	$19,094.45	2026-05-09
632	OTHER	Neonate, Birth Weight 750-999 Grams, Died	2	2	—	—	$92,453.42	$92,453.42	$92,453.42	2026-05-09
633	OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	2	2	—	—	$195,652.57	$195,652.57	$195,652.57	2026-05-09
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	2	—	—	$162,457.04	$162,457.04	$162,457.04	2026-05-09
635	OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	2	2	—	—	$57,281.15	$57,281.15	$57,281.15	2026-05-09
636	OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	2	2	—	—	$179,664.20	$179,664.20	$179,664.20	2026-05-09
647	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	2	2	—	—	$38,094.35	$38,094.35	$38,094.35	2026-05-09
648	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	2	2	—	—	$29,092.66	$29,092.66	$29,092.66	2026-05-09
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	26	25	—	—	$15,000.00	$149,345.61	$37,709.76	2026-05-09
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	26	25	—	—	$15,000.00	$117,719.16	$33,552.60	2026-05-09
652	OTHER	Kidney Transplant	23	22	—	—	$15,000.00	$102,588.91	$26,425.72	2026-05-09
653	OTHER	Major Bladder Procedures With Mcc	30	29	—	—	$15,000.00	$165,069.87	$40,476.84	2026-05-09
654	OTHER	Major Bladder Procedures With Cc	30	29	—	—	$13,497.15	$88,923.07	$21,820.87	2026-05-09
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	30	29	—	—	$15,000.00	$101,137.17	$25,759.35	2026-05-09
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	30	29	—	—	$12,586.29	$80,714.73	$19,809.83	2026-05-09
662	OTHER	Minor Bladder Procedures With Mcc	30	29	—	—	$12,064.74	$97,252.25	$23,861.51	2026-05-09
665	OTHER	Prostatectomy With Mcc	30	29	—	—	$8,024.92	$99,148.61	$24,326.13	2026-05-09
668	OTHER	Transurethral Procedures With Mcc	30	29	—	—	$7,676.90	$92,757.29	$22,760.25	2026-05-09
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	30	29	—	—	$12,843.18	$133,468.87	$32,734.60	2026-05-09
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	30	29	—	—	$8,085.32	$74,288.41	$18,235.38	2026-05-09
677	OTHER	Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With…	2	2	—	—	$21,244.89	$21,244.89	$21,244.89	2026-05-09
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$460,899.91	$460,899.91	$460,899.91	2026-05-09
691	OTHER	Kidney Transplant With Hemodialysis With Mcc	2	2	—	—	$18,232.99	$18,232.99	$18,232.99	2026-05-09
7	OTHER	Lung Transplant	23	22	—	—	$15,000.00	$1,190,962.79	$291,820.61	2026-05-09
709	OTHER	Penis Procedures With Cc/mcc	30	29	—	—	$6,872.46	$73,923.11	$18,145.88	2026-05-09
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	30	29	—	—	$10,598.24	$113,548.25	$27,854.04	2026-05-09
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	30	29	—	—	$9,211.78	$113,811.91	$27,918.64	2026-05-09
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	30	29	—	—	$10,134.63	$81,562.85	$20,017.62	2026-05-09
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	30	29	—	—	$2,059.06	$188,802.35	$46,291.30	2026-05-09
791	OTHER	Prematurity With Major Problems	30	29	—	—	$8,398.75	$128,938.95	$31,624.77	2026-05-09
792	OTHER	Prematurity Without Major Problems	30	29	—	—	$1,731.88	$77,801.76	$19,096.15	2026-05-09
793	OTHER	Full Term Neonate With Major Problems	30	29	—	—	$3,543.07	$132,452.33	$32,485.53	2026-05-09
799	OTHER	Splenectomy With Mcc	30	29	—	—	$15,000.00	$143,865.89	$35,281.86	2026-05-09
8	OTHER	Simultaneous Pancreas And Kidney Transplant	23	22	—	—	$12,511.41	$248,545.04	$60,928.25	2026-05-09
800	OTHER	Splenectomy With Cc	30	29	—	—	$11,962.59	$89,243.95	$21,899.49	2026-05-09
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	30	29	—	—	$15,000.00	$126,559.69	$31,041.83	2026-05-09
8060122	OTHER	Cc-revasc Ivl Cornry	24	20	$55,000.00	$11,000.00 80% off	$137.82	$51,150.00	$38,324.00	2026-05-09
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	30	29	—	—	$13,280.73	$72,604.77	$18,332.70	2026-05-09
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	30	29	—	—	$15,000.00	$186,302.40	$45,678.81	2026-05-09
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	30	29	—	—	$14,058.96	$145,641.67	$35,716.93	2026-05-09
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	30	29	—	—	$15,000.00	$148,595.91	$36,440.72	2026-05-09
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	30	29	—	—	$13,731.23	$73,418.04	$18,732.90	2026-05-09
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	30	29	—	—	$7,252.98	$100,381.13	$24,628.08	2026-05-09
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	30	29	—	—	$15,000.00	$174,393.21	$44,034.21	2026-05-09
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	30	29	—	—	$13,215.60	$173,118.33	$42,448.71	2026-05-09
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	30	29	—	—	$15,000.00	$102,760.45	$25,211.03	2026-05-09
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	30	29	—	—	$5,608.56	$82,353.91	$20,211.43	2026-05-09
849	OTHER	Radiotherapy	30	29	—	—	$5,611.59	$86,070.52	$21,122.00	2026-05-09
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	31	30	—	—	$15,000.00	$156,880.55	$38,470.46	2026-05-09
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	30	29	—	—	$15,000.00	$144,494.89	$35,435.97	2026-05-09
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	31	30	—	—	$15,000.00	$219,561.60	$53,827.31	2026-05-09
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	30	29	—	—	$2,514.05	$122,773.23	$30,114.16	2026-05-09
901	OTHER	Wound Debridements For Injuries With Mcc	30	29	—	—	$11,628.55	$133,309.96	$33,660.76	2026-05-09
904	OTHER	Skin Grafts For Injuries With Cc/mcc	30	29	—	—	$15,000.00	$116,680.41	$28,621.42	2026-05-09
907	OTHER	Other O.r. Procedures For Injuries With Mcc	31	30	—	—	$15,000.00	$159,640.70	$29,914.91	2026-05-09
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	30	29	—	—	$15,000.00	$678,224.17	$166,199.64	2026-05-09
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	30	29	—	—	$6,962.93	$227,849.37	$55,857.81	2026-05-09
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	30	29	—	—	$8,300.29	$102,312.54	$25,101.29	2026-05-09
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	30	29	—	—	$9,050.00	$123,703.95	$30,342.18	2026-05-09
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	30	29	—	—	$11,670.72	$115,263.64	$28,274.31	2026-05-09
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	30	29	—	—	$15,000.00	$111,797.97	$27,425.22	2026-05-09
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	30	29	—	—	$3,030.21	$74,234.44	$18,222.16	2026-05-09
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	30	29	—	—	$10,466.66	$81,931.37	$20,245.45	2026-05-09
955	OTHER	Craniotomy For Multiple Significant Trauma	30	29	—	—	$15,000.00	$213,821.47	$52,420.98	2026-05-09
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	30	29	—	—	$15,000.00	$119,536.20	$30,785.41	2026-05-09
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	30	29	—	—	$15,000.00	$242,055.20	$59,338.24	2026-05-09
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	31	30	—	—	$10,677.00	$133,859.56	$33,464.89	2026-05-09
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	30	29	—	—	$10,637.09	$93,522.84	$23,856.33	2026-05-09
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	30	29	—	—	$10,699.94	$81,931.37	$20,107.90	2026-05-09
963	OTHER	Other Multiple Significant Trauma With Mcc	30	29	—	—	$6,712.53	$86,842.48	$21,927.72	2026-05-09
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	30	29	—	—	$15,000.00	$336,880.96	$82,570.56	2026-05-09
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	30	29	—	—	$8,788.47	$114,733.12	$28,144.33	2026-05-09
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	30	29	—	—	$14,568.98	$83,780.13	$21,154.48	2026-05-09
974	OTHER	HIV With Major Related Condition With Mcc	30	29	—	—	$12,008.74	$106,269.72	$22,495.63	2026-05-09
98	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	30	29	—	—	$9,799.42	$72,900.28	$17,895.29	2026-05-09
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	30	29	—	—	$15,000.00	$149,040.61	$36,549.67	2026-05-09
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	30	29	—	—	$10,265.04	$78,097.21	$19,168.53	2026-05-09
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	30	29	—	—	$12,383.16	$108,907.21	$26,716.98	2026-05-09

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