Hospital

CROUSE HOSPITAL

Syracuse, NY · CCN 330203 · Rates published

15,466 distinct procedures filed

20 distinct payers

406,443 rate rows

2026-05-22 last MRF observed

Data quality

390,964 of 406,443 rate rows are consumer-grade (96.2%)

15,479 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	15,235
exceeds 10× this hospital's gross charge — excluded from medians	244

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

Source MRF file	https://www.crouse.org/wp-content/uploads/2026/05/16-0960470_Crouse-Hospital_standardcharges.csv
Found on page	https://www.crouse.org/prices/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-31
Content fingerprint	6eb3a11023f37122… · 14,715,182 bytes · first seen 2026-06-08

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
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	$287,566.71	$722,622.13	$329,287.43	nat. median $380,401 0.9× median
002-4 OTHER	Heart &/or Lung Transplant	9	$241,357.85	$702,927.54	$277,867.22	nat. median $178,618 1.6× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	$214,788.23	$539,738.15	$245,950.10	nat. median $225,321 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	$180,890.51	$454,557.08	$207,134.44	nat. median $2 outlier · 122564.8×
583-4 OTHER	Neonate W Ecmo	9	$178,029.22	$517,438.43	$204,733.60	nat. median $254,150 0.8× median
588-4 OTHER	Neonate Bwt <1500g W Major Procedure	9	$174,910.86	$508,342.96	$201,147.49	nat. median $236,745 0.8× median
588-3 OTHER	Neonate Bwt <1500g W Major Procedure	9	$174,910.86	$508,342.96	$201,147.49	nat. median $148,138 1.4× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	15	$163,419.71	$410,654.96	$187,128.94	nat. median $204,908 0.9× median
161-4 OTHER	Cardiac Defibrillator & Heart Assist Implant	9	$160,038.06	$464,962.72	$184,043.77	nat. median $160,594 1.1× median
003-4 OTHER	Bone Marrow Transplant	9	$155,407.14	$451,455.49	$178,718.21	nat. median $186,489 1.0× median
591-4 OTHER	Neonate Birthwt 500-749g Without Major Procedure	9	$134,439.90	$390,299.30	$154,605.89	nat. median $134,440 1.2× median
588-1 OTHER	Neonate Bwt <1500g W Major Procedure	9	$133,956.44	$388,889.15	$154,049.90	nat. median $97,826 1.6× median
588-2 OTHER	Neonate Bwt <1500g W Major Procedure	9	$133,956.44	$388,889.15	$154,049.90	nat. median $133,956 1.1× median
841-4 OTHER	Extensive 3rd Degree Burns W Skin Graft	9	$130,046.58	$377,485.07	$149,553.57	nat. median $113,251 1.3× median
004-4 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	9	$125,444.67	$364,062.45	$144,261.37	nat. median $100,636 1.4× median
001-4 OTHER	Liver Transplant &/or Intestinal Transplant	9	$121,530.67	$352,646.28	$139,760.27	nat. median $120,000 1.2× median
593-4 OTHER	Neonate Birthwt 750-999g Without Major Procedure	9	$121,050.65	$351,246.21	$139,208.25	nat. median $128,260 1.1× median
609-4 OTHER	Neonate Bwt 1500-2499g W Major Procedure	9	$110,886.12	$321,598.81	$127,519.04	nat. median $168,174 0.8× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	15	$107,743.73	$270,747.61	$123,375.39	nat. median $141,414 0.9× median
602-4 OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	9	$105,066.57	$304,624.63	$120,826.55	nat. median $107,500 1.1× median
002-3 OTHER	Heart &/or Lung Transplant	9	$104,701.90	$303,560.98	$120,407.18	nat. median $125,034 1.0× median
841-3 OTHER	Extensive 3rd Degree Burns W Skin Graft	9	$101,760.35	$294,981.22	$117,024.40	nat. median $49,851 outlier · 2.3×
583-3 OTHER	Neonate W Ecmo	9	$101,411.57	$293,963.90	$116,623.30	nat. median $243,100 outlier · 0.5×
583-2 OTHER	Neonate W Ecmo	9	$99,526.74	$288,466.33	$114,455.75	nat. median $178,334 0.6× median
583-1 OTHER	Neonate W Ecmo	9	$99,526.74	$288,466.33	$114,455.75	nat. median $161,998 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	15	$99,903.52	$251,046.08	$114,397.71	nat. median $114,398 1.0× median
7 OTHER	Lung Transplant	15	$99,651.89	$250,413.76	$114,109.57	nat. median $149,058 0.8× median
603-4 OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	9	$96,835.21	$280,615.82	$111,360.49	nat. median $94,550 1.2× median
005-4 OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	9	$95,866.21	$277,789.48	$110,246.14	nat. median $73,086 1.5× median
593-3 OTHER	Neonate Birthwt 750-999g Without Major Procedure	9	$94,681.72	$274,334.61	$108,883.98	nat. median $103,950 1.0× median
002-2 OTHER	Heart &/or Lung Transplant	9	$89,348.39	$258,778.64	$102,750.65	nat. median $94,014 1.1× median
607-4 OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	9	$85,893.68	$248,702.11	$98,777.74	nat. median $98,925 1.0× median
630-4 OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	9	$85,091.82	$246,363.28	$97,855.59	nat. median $195,063 0.5× median
589-2 OTHER	Neonate Bwt <500g Or Ga <24 Weeks	9	$84,466.08	$244,538.14	$97,135.98	nat. median $42,825 outlier · 2.3×
589-1 OTHER	Neonate Bwt <500g Or Ga <24 Weeks	9	$84,466.08	$244,538.14	$97,135.98	nat. median $62,432 1.6× median
002-1 OTHER	Heart &/or Lung Transplant	9	$84,198.10	$243,756.51	$96,827.82	nat. median $50,000 1.9× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	15	$84,027.14	$211,150.57	$96,217.96	nat. median $108,158 0.9× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	15	$83,067.90	$208,740.09	$95,119.54	nat. median $78,761 1.2× median
003-3 OTHER	Bone Marrow Transplant	9	$82,284.95	$238,176.35	$94,627.70	nat. median $98,742 1.0× median
591-3 OTHER	Neonate Birthwt 500-749g Without Major Procedure	9	$82,227.63	$238,009.15	$94,561.77	nat. median $95,550 1.0× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	15	$81,203.54	$204,055.18	$92,984.70	nat. median $105,071 0.9× median
215 OTHER	Other Heart Assist System Implant	15	$80,787.21	$203,008.98	$92,507.97	nat. median $75,013 1.2× median
090-4 OTHER	Major Larynx & Trachea Procedures	9	$78,191.37	$226,236.41	$89,920.08	nat. median $93,830 1.0× median
602-3 OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	9	$77,719.65	$224,860.50	$89,377.60	nat. median $92,917 1.0× median
593-2 OTHER	Neonate Birthwt 750-999g Without Major Procedure	9	$77,581.52	$224,457.60	$89,218.74	nat. median $79,000 1.1× median
591-2 OTHER	Neonate Birthwt 500-749g Without Major Procedure	9	$76,751.34	$222,036.18	$88,264.04	nat. median $72,718 1.2× median
303-4 OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	9	$75,871.43	$219,469.70	$87,252.14	nat. median $78,865 1.1× median
593-1 OTHER	Neonate Birthwt 750-999g Without Major Procedure	9	$75,238.09	$217,622.41	$86,523.80	nat. median $1,908 outlier · 45.3×
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	$73,591.33	$184,926.56	$84,268.10	nat. median $73,813 1.1× median
631-4 OTHER	Neonate Birthwt >2499g W Other Major Procedure	9	$73,239.30	$211,792.44	$84,225.20	nat. median $183,175 outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 15,466 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

193-4	OTHER	Acute & Subacute Endocarditis	36	9	—	—	$31,459.53	$89,931.31	$37,751.44	2026-05-22
690-4	OTHER	Acute Leukemia	36	9	—	—	$61,081.51	$176,331.20	$70,256.71	2026-05-22
690-3	OTHER	Acute Leukemia	36	9	—	—	$42,501.21	$122,137.12	$50,147.71	2026-05-22
834	OTHER	Acute Leukemia With Mcc	40	15	—	—	$42,146.63	$105,909.65	$48,261.34	2026-05-22
245	OTHER	Aicd Generator Procedures	40	15	—	—	$37,262.71	$93,636.90	$42,668.85	2026-05-22
14	OTHER	Allogeneic Bone Marrow Transplant	40	15	—	—	$99,903.52	$251,046.08	$114,397.71	2026-05-22
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	40	15	—	—	$38,407.25	$96,513.00	$43,979.44	2026-05-22
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	40	15	—	—	$34,196.62	$85,932.19	$39,157.93	2026-05-22
305-4	OTHER	Amputation Of Lower Limb Except Toes	36	9	—	—	$44,151.21	$126,949.76	$51,933.46	2026-05-22
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	40	15	—	—	$50,841.62	$127,759.15	$58,217.82	2026-05-22
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	40	15	—	—	$31,726.07	$79,723.96	$36,328.94	2026-05-22
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	40	15	—	—	$46,024.80	$115,655.03	$52,702.16	2026-05-22
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	40	15	—	—	$46,024.80	$115,655.03	$52,702.16	2026-05-22
049-4	OTHER	Bacterial & Tuberculous Infections Of Nervous System	36	9	—	—	$41,842.31	$120,215.29	$49,434.60	2026-05-22
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	40	15	—	—	$46,793.41	$117,586.47	$53,582.29	2026-05-22
003-4	OTHER	Bone Marrow Transplant	36	9	—	—	$155,407.14	$451,455.49	$178,718.21	2026-05-22
003-3	OTHER	Bone Marrow Transplant	36	9	—	—	$82,284.95	$238,176.35	$94,627.70	2026-05-22
003-2	OTHER	Bone Marrow Transplant	36	9	—	—	$54,226.65	$156,337.29	$62,837.86	2026-05-22
003-1	OTHER	Bone Marrow Transplant	36	9	—	—	$46,387.59	$133,472.71	$54,353.83	2026-05-22
842-4	OTHER	Burns With Skin Graft Except Extensive 3rd Degree Burns	36	9	—	—	$60,284.48	$174,006.47	$69,394.10	2026-05-22
842-3	OTHER	Burns With Skin Graft Except Extensive 3rd Degree Burns	36	9	—	—	$30,764.03	$87,902.71	$36,916.84	2026-05-22
161-4	OTHER	Cardiac Defibrillator & Heart Assist Implant	36	9	—	—	$160,038.06	$464,962.72	$184,043.77	2026-05-22
161-3	OTHER	Cardiac Defibrillator & Heart Assist Implant	36	9	—	—	$68,585.59	$198,218.74	$78,873.43	2026-05-22
161-2	OTHER	Cardiac Defibrillator & Heart Assist Implant	36	9	—	—	$42,948.07	$123,440.50	$50,631.33	2026-05-22
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	40	15	—	—	$53,887.11	$135,412.13	$61,705.16	2026-05-22
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	40	15	—	—	$47,233.39	$118,692.08	$54,086.09	2026-05-22
277	OTHER	Cardiac Defibrillator Implant Without Mcc	40	15	—	—	$35,471.55	$89,135.94	$40,617.83	2026-05-22
177-4	OTHER	Cardiac Pacemaker & Defibrillator Revision Except Device Replacement	36	9	—	—	$44,377.75	$127,610.52	$52,178.64	2026-05-22
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	15	—	—	$73,591.33	$184,926.56	$84,268.10	2026-05-22
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	15	—	—	$49,242.62	$123,741.05	$56,386.83	2026-05-22
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	15	—	—	$45,364.46	$113,995.67	$51,946.02	2026-05-22
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	40	15	—	—	$58,999.79	$148,259.71	$67,559.59	2026-05-22
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	40	15	—	—	$40,388.27	$101,491.08	$46,247.87	2026-05-22
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	40	15	—	—	$35,019.38	$87,999.68	$40,100.06	2026-05-22
162-4	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	36	9	—	—	$65,443.75	$189,054.78	$75,260.32	2026-05-22
162-3	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	36	9	—	—	$40,248.26	$115,565.82	$47,709.39	2026-05-22
162-2	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	36	9	—	—	$31,583.16	$90,291.90	$37,899.79	2026-05-22
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	36	9	—	—	$49,298.05	$141,961.82	$57,503.76	2026-05-22
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	36	9	—	—	$32,021.73	$91,571.11	$38,426.08	2026-05-22
321-4	OTHER	Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp	36	9	—	—	$49,416.85	$142,308.31	$57,632.33	2026-05-22
471	OTHER	Cervical Spinal Fusion With Mcc	40	15	—	—	$37,037.76	$93,071.65	$42,411.27	2026-05-22
41094475	OTHER	Ch Generator Ans 3609 Genes Xpipg	16	7	$76,380.00	$76,380.00	$53,466.00	$53,466.00	$53,466.00	2026-05-22
22653175	OTHER	Ch Neurostimulator 68,500-68,999.00	16	7	$68,630.00	$68,630.00	$48,041.00	$48,041.00	$48,041.00	2026-05-22
22653350	OTHER	Ch Orbital Pros Implant	16	7	$49,450.00	$49,450.00	$36,469.38	$36,469.38	$36,469.38	2026-05-22
41197138	OTHER	Ch Restore Sensor Ipg	16	7	$67,890.00	$67,890.00	$47,523.00	$47,523.00	$47,523.00	2026-05-22
41110768	OTHER	Ch Spine Orif 57,000.-57,499.99	16	7	$56,340.00	$56,340.00	$39,438.00	$39,438.00	$39,438.00	2026-05-22
41110933	OTHER	Ch Spine Orif 65,000.-65,999.99	16	7	$67,080.00	$67,080.00	$46,956.00	$46,956.00	$46,956.00	2026-05-22
695-4	OTHER	Chemotherapy For Acute Leukemia #	36	9	—	—	$51,644.94	$148,807.09	$60,043.74	2026-05-22
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	40	15	—	—	$38,180.78	$95,943.91	$43,720.12	2026-05-22
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	40	15	—	—	$287,566.71	$722,622.13	$329,287.43	2026-05-22
262-4	OTHER	Cholecystectomy Except Laparoscopic	36	9	—	—	$42,436.98	$121,949.77	$50,078.18	2026-05-22
661-4	OTHER	Coagulation & Platelet Disorders	36	9	—	—	$32,163.32	$91,984.08	$38,595.98	2026-05-22
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	40	15	—	—	$83,067.90	$208,740.09	$95,119.54	2026-05-22
346-4	OTHER	Connective Tissue Disorders	36	9	—	—	$34,293.33	$98,196.80	$41,152.00	2026-05-22
165-4	OTHER	Coronary Bypass W Ami Or Complex Pdx	36	9	—	—	$49,502.49	$142,558.11	$57,725.02	2026-05-22
165-3	OTHER	Coronary Bypass W Ami Or Complex Pdx	36	9	—	—	$34,202.86	$97,932.90	$41,043.43	2026-05-22
166-4	OTHER	Coronary Bypass Without Ami Or Complex Pdx	36	9	—	—	$43,663.60	$125,527.52	$51,405.74	2026-05-22
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	40	15	—	—	$59,601.42	$149,771.53	$68,248.51	2026-05-22
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	40	15	—	—	$40,567.46	$101,941.36	$46,453.06	2026-05-22
231	OTHER	Coronary Bypass With Ptca With Mcc	40	15	—	—	$64,614.97	$162,370.01	$73,989.43	2026-05-22
232	OTHER	Coronary Bypass With Ptca Without Mcc	40	15	—	—	$46,579.91	$117,049.96	$53,337.81	2026-05-22
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	40	15	—	—	$44,868.06	$112,748.27	$51,377.60	2026-05-22
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	40	15	—	—	$32,478.67	$81,615.17	$37,190.74	2026-05-22
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	40	15	—	—	$34,102.07	$85,694.59	$39,049.66	2026-05-22
021-4	OTHER	Craniotomy Except For Trauma	36	9	—	—	$50,640.71	$145,878.00	$58,956.89	2026-05-22
021-3	OTHER	Craniotomy Except For Trauma	36	9	—	—	$30,545.78	$87,266.13	$36,654.94	2026-05-22
955	OTHER	Craniotomy For Multiple Significant Trauma	40	15	—	—	$52,066.98	$130,838.35	$59,620.96	2026-05-22
910-4	OTHER	Craniotomy For Multiple Significant Trauma	36	9	—	—	$50,233.91	$144,691.46	$58,516.62	2026-05-22
020-4	OTHER	Craniotomy For Trauma	36	9	—	—	$46,832.38	$134,770.05	$54,835.22	2026-05-22
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	40	15	—	—	$43,502.39	$109,316.51	$49,813.80	2026-05-22
304-4	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	36	9	—	—	$64,045.15	$184,975.42	$73,651.92	2026-05-22
304-3	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	36	9	—	—	$37,422.74	$107,324.50	$44,651.40	2026-05-22
303-4	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	36	9	—	—	$75,871.43	$219,469.70	$87,252.14	2026-05-22
303-3	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	36	9	—	—	$48,890.56	$140,773.26	$57,062.74	2026-05-22
303-2	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	36	9	—	—	$37,152.00	$106,534.82	$44,358.39	2026-05-22
303-1	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	36	9	—	—	$31,152.88	$89,036.87	$37,383.45	2026-05-22
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	40	15	—	—	$163,419.71	$410,654.96	$187,128.94	2026-05-22
33249	OTHER	Eltrd/insert Pace-defib	2	1	—	—	$53,868.00	$53,868.00	$53,868.00	2026-05-22
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	40	15	—	—	$45,680.90	$114,790.86	$52,308.37	2026-05-22
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	40	15	—	—	$35,874.16	$90,147.65	$41,078.85	2026-05-22
841-4	OTHER	Extensive 3rd Degree Burns W Skin Graft	36	9	—	—	$130,046.58	$377,485.07	$149,553.57	2026-05-22
841-3	OTHER	Extensive 3rd Degree Burns W Skin Graft	36	9	—	—	$101,760.35	$294,981.22	$117,024.40	2026-05-22
841-2	OTHER	Extensive 3rd Degree Burns W Skin Graft	36	9	—	—	$49,539.10	$142,664.88	$57,764.64	2026-05-22
841-1	OTHER	Extensive 3rd Degree Burns W Skin Graft	36	9	—	—	$37,693.48	$108,114.19	$44,944.42	2026-05-22
911-4	OTHER	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	36	9	—	—	$45,453.12	$130,747.09	$53,342.49	2026-05-22
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	40	15	—	—	$180,890.51	$454,557.08	$207,134.44	2026-05-22
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	40	15	—	—	$32,993.37	$82,908.55	$37,780.11	2026-05-22
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	40	15	—	—	$36,249.32	$91,090.38	$41,508.44	2026-05-22
950-4	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	36	9	—	—	$56,669.53	$163,462.57	$65,481.74	2026-05-22
024-4	OTHER	Extracranial Vascular Procedures	36	9	—	—	$47,547.91	$136,857.07	$55,609.62	2026-05-22
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	40	15	—	—	$45,330.14	$113,909.44	$51,906.72	2026-05-22
092-4	OTHER	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	36	9	—	—	$51,414.25	$148,134.24	$59,794.07	2026-05-22
793	OTHER	Full Term Neonate With Major Problems	40	15	—	—	$31,800.79	$79,911.74	$36,414.51	2026-05-22
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	40	15	—	—	$50,927.78	$127,975.67	$58,316.48	2026-05-22
002-4	OTHER	Heart &/or Lung Transplant	36	9	—	—	$241,357.85	$702,927.54	$277,867.22	2026-05-22
002-3	OTHER	Heart &/or Lung Transplant	36	9	—	—	$104,701.90	$303,560.98	$120,407.18	2026-05-22
002-2	OTHER	Heart &/or Lung Transplant	36	9	—	—	$89,348.39	$258,778.64	$102,750.65	2026-05-22
002-1	OTHER	Heart &/or Lung Transplant	36	9	—	—	$84,198.10	$243,756.51	$96,827.82	2026-05-22
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	40	15	—	—	$214,788.23	$539,738.15	$245,950.10	2026-05-22
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	40	15	—	—	$84,027.14	$211,150.57	$96,217.96	2026-05-22
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral & Umbilical	36	9	—	—	$37,050.47	$106,238.69	$44,248.51	2026-05-22
308-4	OTHER	Hip And Femur Fracture Repair	36	9	—	—	$40,469.96	$116,212.48	$47,949.33	2026-05-22
301-4	OTHER	Hip Joint Replacement	36	9	—	—	$37,697.00	$101,024.15	$42,437.67	2026-05-22
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	40	15	—	—	$48,223.90	$121,181.11	$55,220.31	2026-05-22
423-4	OTHER	Inborn Errors Of Metabolism	36	9	—	—	$38,187.31	$109,554.55	$45,478.88	2026-05-22
710-4	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	36	9	—	—	$44,279.67	$127,324.46	$52,072.49	2026-05-22
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	40	15	—	—	$38,135.79	$95,830.86	$43,668.60	2026-05-22
228-4	OTHER	Inguinal, Femoral & Umbilical Hernia Procedures	36	9	—	—	$31,401.52	$89,762.09	$37,681.82	2026-05-22
33240	OTHER	Insert Pulse Generator	2	1	—	—	$53,868.00	$53,868.00	$53,868.00	2026-05-22
33208	OTHER	Insertion Of Heart Pacemaker	2	1	—	—	$36,160.00	$36,160.00	$36,160.00	2026-05-22
33206	OTHER	Insertion Of Heart Pacemaker	2	1	—	—	$36,160.00	$36,160.00	$36,160.00	2026-05-22
33207	OTHER	Insertion Of Heart Pacemaker	2	1	—	—	$36,160.00	$36,160.00	$36,160.00	2026-05-22
310-4	OTHER	Intervertebral Disc Excision & Decompression	36	9	—	—	$47,883.57	$137,836.12	$55,972.90	2026-05-22
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	40	15	—	—	$42,146.63	$105,909.65	$48,261.34	2026-05-22
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	40	15	—	—	$61,467.30	$154,460.27	$70,385.09	2026-05-22
442-4	OTHER	Kidney & Urinary Tract Procedures For Malignancy	36	9	—	—	$44,662.99	$128,442.51	$52,487.35	2026-05-22
443-4	OTHER	Kidney & Urinary Tract Procedures For Nonmalignancy	36	9	—	—	$35,628.39	$102,090.83	$42,709.42	2026-05-22
440-4	OTHER	Kidney Transplant	36	9	—	—	$72,346.27	$209,187.69	$83,198.21	2026-05-22
440-3	OTHER	Kidney Transplant	36	9	—	—	$39,804.16	$114,270.50	$47,228.75	2026-05-22
440-2	OTHER	Kidney Transplant	36	9	—	—	$32,711.02	$93,581.58	$39,253.22	2026-05-22
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	40	15	—	—	$35,131.47	$88,281.35	$40,228.41	2026-05-22
313-4	OTHER	Knee & Lower Leg Procedures Except Foot	36	9	—	—	$45,321.89	$130,364.34	$53,200.46	2026-05-22
302-4	OTHER	Knee Joint Replacement	36	9	—	—	$32,985.00	$90,829.45	$38,218.39	2026-05-22
001-4	OTHER	Liver Transplant &/or Intestinal Transplant	36	9	—	—	$121,530.67	$352,646.28	$139,760.27	2026-05-22
001-3	OTHER	Liver Transplant &/or Intestinal Transplant	36	9	—	—	$58,411.39	$168,543.14	$67,366.91	2026-05-22
001-1	OTHER	Liver Transplant &/or Intestinal Transplant	36	9	—	—	$43,194.64	$124,159.68	$50,898.19	2026-05-22
001-2	OTHER	Liver Transplant &/or Intestinal Transplant	36	9	—	—	$43,194.64	$124,159.68	$50,898.19	2026-05-22
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	40	15	—	—	$81,203.54	$204,055.18	$92,984.70	2026-05-22
6	OTHER	Liver Transplant Without Mcc	40	15	—	—	$36,976.00	$92,916.44	$42,340.55	2026-05-22
181-4	OTHER	Lower Extremity Arterial Procedures #	36	9	—	—	$46,324.74	$133,289.39	$54,285.82	2026-05-22
7	OTHER	Lung Transplant	40	15	—	—	$99,651.89	$250,413.76	$114,109.57	2026-05-22
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	40	15	—	—	$44,396.06	$111,562.20	$50,837.12	2026-05-22
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	40	15	—	—	$35,682.01	$89,664.79	$40,858.82	2026-05-22
691-4	OTHER	Lymphoma, Myeloma & Non-acute Leukemia	36	9	—	—	$44,365.32	$127,574.26	$52,165.18	2026-05-22
169-4	OTHER	Major Abdominal Vascular Procedures	36	9	—	—	$50,236.67	$144,699.52	$58,519.60	2026-05-22
261-4	OTHER	Major Biliary Tract Procedures	36	9	—	—	$43,037.86	$123,702.39	$50,728.51	2026-05-22
441-4	OTHER	Major Bladder Procedures	36	9	—	—	$47,338.63	$136,246.68	$55,383.13	2026-05-22
653	OTHER	Major Bladder Procedures With Mcc	40	15	—	—	$42,507.30	$106,815.97	$48,674.34	2026-05-22
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	36	9	—	—	$69,305.96	$200,319.87	$79,701.85	2026-05-22
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	36	9	—	—	$33,641.35	$96,295.11	$40,369.61	2026-05-22
163	OTHER	Major Chest Procedures With Mcc	40	15	—	—	$35,145.96	$88,317.76	$40,245.00	2026-05-22
089-4	OTHER	Major Cranial/facial Bone Procedures	36	9	—	—	$47,720.57	$137,360.70	$55,796.50	2026-05-22
140	OTHER	Major Head And Neck Procedures With Mcc	40	15	—	—	$32,248.39	$81,036.50	$36,927.05	2026-05-22
660-4	OTHER	Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul	36	9	—	—	$35,008.17	$100,281.81	$42,009.81	2026-05-22
090-4	OTHER	Major Larynx & Trachea Procedures	36	9	—	—	$78,191.37	$226,236.41	$89,920.08	2026-05-22
680-4	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	36	9	—	—	$62,415.87	$180,223.21	$71,778.26	2026-05-22
260-4	OTHER	Major Pancreas, Liver & Shunt Procedures	36	9	—	—	$51,919.13	$149,606.84	$60,340.49	2026-05-22
120-4	OTHER	Major Respiratory & Chest Procedures	36	9	—	—	$42,693.90	$122,699.17	$50,356.26	2026-05-22
381-4	OTHER	Major Skin Disorders	36	9	—	—	$41,395.45	$118,911.91	$48,950.97	2026-05-22
221-4	OTHER	Major Small & Large Bowel Procedures	36	9	—	—	$46,268.10	$133,124.20	$54,224.52	2026-05-22
329	OTHER	Major Small And Large Bowel Procedures With Mcc	40	15	—	—	$35,014.04	$87,986.27	$40,093.95	2026-05-22
220-4	OTHER	Major Stomach, Esophageal & Duodenal Procedures	36	9	—	—	$49,579.15	$142,781.72	$57,807.99	2026-05-22
951-4	OTHER	Moderately Extensive Procedure Unrelated To Principal Diagnosis	36	9	—	—	$43,966.80	$126,411.89	$51,733.88	2026-05-22
043-4	OTHER	Multiple Sclerosis & Other Demyelinating Diseases	36	9	—	—	$41,498.36	$119,212.07	$49,062.35	2026-05-22
912-4	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	36	9	—	—	$52,955.82	$152,630.61	$61,462.48	2026-05-22
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	40	15	—	—	$36,414.02	$91,504.26	$41,697.04	2026-05-22
863-4	OTHER	Neonatal Aftercare	36	9	—	—	$37,225.21	$106,748.35	$44,437.62	2026-05-22
603-4	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	36	9	—	—	$96,835.21	$280,615.82	$111,360.49	2026-05-22
603-3	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	36	9	—	—	$62,638.27	$180,871.88	$72,034.01	2026-05-22
603-2	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	36	9	—	—	$48,272.41	$138,970.28	$56,393.74	2026-05-22
603-1	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	36	9	—	—	$36,363.26	$104,234.26	$43,504.75	2026-05-22
613-4	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	36	9	—	—	$36,390.20	$104,312.82	$43,533.90	2026-05-22
613-3	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	36	9	—	—	$35,489.57	$101,685.92	$42,559.18	2026-05-22
611-4	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	36	9	—	—	$57,356.05	$165,464.99	$66,224.74	2026-05-22
611-3	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	36	9	—	—	$43,902.57	$126,224.54	$51,664.36	2026-05-22
591-4	OTHER	Neonate Birthwt 500-749g Without Major Procedure	36	9	—	—	$134,439.90	$390,299.30	$154,605.89	2026-05-22
591-3	OTHER	Neonate Birthwt 500-749g Without Major Procedure	36	9	—	—	$82,227.63	$238,009.15	$94,561.77	2026-05-22
591-2	OTHER	Neonate Birthwt 500-749g Without Major Procedure	36	9	—	—	$76,751.34	$222,036.18	$88,264.04	2026-05-22
591-1	OTHER	Neonate Birthwt 500-749g Without Major Procedure	36	9	—	—	$62,022.88	$179,076.96	$71,326.32	2026-05-22
593-4	OTHER	Neonate Birthwt 750-999g Without Major Procedure	36	9	—	—	$121,050.65	$351,246.21	$139,208.25	2026-05-22
593-3	OTHER	Neonate Birthwt 750-999g Without Major Procedure	36	9	—	—	$94,681.72	$274,334.61	$108,883.98	2026-05-22
593-2	OTHER	Neonate Birthwt 750-999g Without Major Procedure	36	9	—	—	$77,581.52	$224,457.60	$89,218.74	2026-05-22
593-1	OTHER	Neonate Birthwt 750-999g Without Major Procedure	36	9	—	—	$75,238.09	$217,622.41	$86,523.80	2026-05-22
633-4	OTHER	Neonate Birthwt >2499g W Major Anomaly	36	9	—	—	$37,604.39	$107,854.32	$44,847.99	2026-05-22
630-4	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	36	9	—	—	$85,091.82	$246,363.28	$97,855.59	2026-05-22
630-3	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	36	9	—	—	$41,552.23	$119,369.20	$49,120.65	2026-05-22
631-4	OTHER	Neonate Birthwt >2499g W Other Major Procedure	36	9	—	—	$73,239.30	$211,792.44	$84,225.20	2026-05-22
631-3	OTHER	Neonate Birthwt >2499g W Other Major Procedure	36	9	—	—	$34,303.69	$98,227.02	$41,164.43	2026-05-22
602-4	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	36	9	—	—	$105,066.57	$304,624.63	$120,826.55	2026-05-22
602-3	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	36	9	—	—	$77,719.65	$224,860.50	$89,377.60	2026-05-22
602-2	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	36	9	—	—	$66,129.58	$191,055.18	$76,049.02	2026-05-22
602-1	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	36	9	—	—	$45,469.69	$130,795.44	$53,360.42	2026-05-22
608-4	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	36	9	—	—	$50,233.21	$144,689.45	$58,515.87	2026-05-22
608-3	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	36	9	—	—	$47,755.11	$137,461.42	$55,833.87	2026-05-22
608-2	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	36	9	—	—	$39,898.09	$114,544.47	$47,330.42	2026-05-22
607-4	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	36	9	—	—	$85,893.68	$248,702.11	$98,777.74	2026-05-22
607-3	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	36	9	—	—	$63,816.54	$184,308.62	$73,389.02	2026-05-22
607-2	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	36	9	—	—	$52,277.59	$150,652.37	$60,728.44	2026-05-22
607-1	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	36	9	—	—	$42,351.33	$121,699.97	$49,985.50	2026-05-22
614-3	OTHER	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	36	9	—	—	$35,409.45	$101,452.23	$42,472.46	2026-05-22
614-4	OTHER	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	36	9	—	—	$35,409.45	$101,452.23	$42,472.46	2026-05-22
612-4	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	36	9	—	—	$59,151.09	$170,700.67	$68,167.47	2026-05-22
612-3	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	36	9	—	—	$44,435.76	$127,779.74	$52,241.43	2026-05-22
612-2	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	36	9	—	—	$32,052.81	$91,661.76	$38,463.38	2026-05-22
609-4	OTHER	Neonate Bwt 1500-2499g W Major Procedure	36	9	—	—	$110,886.12	$321,598.81	$127,519.04	2026-05-22
609-3	OTHER	Neonate Bwt 1500-2499g W Major Procedure	36	9	—	—	$50,928.72	$146,718.05	$59,268.59	2026-05-22
621-4	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	36	9	—	—	$47,537.55	$136,826.85	$55,598.41	2026-05-22
622-4	OTHER	Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond	36	9	—	—	$36,327.35	$104,129.51	$43,465.88	2026-05-22
588-4	OTHER	Neonate Bwt <1500g W Major Procedure	36	9	—	—	$174,910.86	$508,342.96	$201,147.49	2026-05-22
588-3	OTHER	Neonate Bwt <1500g W Major Procedure	36	9	—	—	$174,910.86	$508,342.96	$201,147.49	2026-05-22
588-1	OTHER	Neonate Bwt <1500g W Major Procedure	36	9	—	—	$133,956.44	$388,889.15	$154,049.90	2026-05-22
588-2	OTHER	Neonate Bwt <1500g W Major Procedure	36	9	—	—	$133,956.44	$388,889.15	$154,049.90	2026-05-22
589-2	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	36	9	—	—	$84,466.08	$244,538.14	$97,135.98	2026-05-22
589-1	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	36	9	—	—	$84,466.08	$244,538.14	$97,135.98	2026-05-22
589-3	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	36	9	—	—	$31,015.43	$88,635.99	$37,218.52	2026-05-22
583-4	OTHER	Neonate W Ecmo	36	9	—	—	$178,029.22	$517,438.43	$204,733.60	2026-05-22
583-3	OTHER	Neonate W Ecmo	36	9	—	—	$101,411.57	$293,963.90	$116,623.30	2026-05-22
583-2	OTHER	Neonate W Ecmo	36	9	—	—	$99,526.74	$288,466.33	$114,455.75	2026-05-22
583-1	OTHER	Neonate W Ecmo	36	9	—	—	$99,526.74	$288,466.33	$114,455.75	2026-05-22
050-4	OTHER	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	36	9	—	—	$37,553.28	$107,705.24	$44,792.68	2026-05-22
952-4	OTHER	Nonextensive Procedure Unrelated To Principal Diagnosis	36	9	—	—	$41,594.36	$119,492.08	$49,166.25	2026-05-22
791-4	OTHER	O.r. Procedure For Other Complications Of Treatment	36	9	—	—	$46,284.68	$133,172.55	$54,242.46	2026-05-22
167-4	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	36	9	—	—	$46,426.26	$133,585.52	$54,395.70	2026-05-22
228	OTHER	Other Cardiothoracic Procedures With Mcc	40	15	—	—	$37,998.54	$95,485.96	$43,511.43	2026-05-22
696-4	OTHER	Other Chemotherapy #	36	9	—	—	$30,977.45	$88,525.19	$37,172.94	2026-05-22
180-4	OTHER	Other Circulatory System Procedures	36	9	—	—	$33,910.71	$97,080.77	$40,692.85	2026-05-22
229-4	OTHER	Other Digestive System & Abdominal Procedures	36	9	—	—	$40,594.28	$116,575.09	$48,083.88	2026-05-22
356	OTHER	Other Digestive System O.r. Procedures With Mcc	40	15	—	—	$32,526.71	$81,735.89	$37,245.75	2026-05-22
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	40	15	—	—	$33,495.87	$84,171.28	$38,355.51	2026-05-22
518-4	OTHER	Other Female Reproductive System & Related Procedures	36	9	—	—	$41,914.14	$120,424.80	$49,512.33	2026-05-22
215	OTHER	Other Heart Assist System Implant	40	15	—	—	$80,787.21	$203,008.98	$92,507.97	2026-05-22
264-4	OTHER	Other Hepatobiliary, Pancreas & Abdominal Procedures	36	9	—	—	$43,134.55	$123,984.42	$50,833.15	2026-05-22
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	40	15	—	—	$31,946.43	$80,277.72	$36,581.28	2026-05-22
447-4	OTHER	Other Kidney, Urinary Tract & Related Procedures	36	9	—	—	$53,328.78	$153,718.44	$61,866.12	2026-05-22
270	OTHER	Other Major Cardiovascular Procedures With Mcc	40	15	—	—	$39,140.02	$98,354.39	$44,818.53	2026-05-22
320-4	OTHER	Other Musculoskeletal System & Connective Tissue Procedures	36	9	—	—	$35,184.98	$100,797.52	$42,221.98	2026-05-22
026-4	OTHER	Other Nervous System & Related Procedures	36	9	—	—	$43,972.33	$126,428.01	$51,739.86	2026-05-22
546-4	OTHER	Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses	36	9	—	—	$30,378.64	$86,778.62	$36,454.37	2026-05-22
681-4	OTHER	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	36	9	—	—	$62,587.85	$180,724.82	$71,976.02	2026-05-22
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	40	15	—	—	$56,915.83	$143,022.95	$65,173.29	2026-05-22
182-4	OTHER	Other Peripheral Vascular Procedures #	36	9	—	—	$43,945.39	$126,349.44	$51,710.71	2026-05-22
405-4	OTHER	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	36	9	—	—	$58,560.57	$168,978.27	$67,528.37	2026-05-22
121-4	OTHER	Other Respiratory & Chest Procedures	36	9	—	—	$42,461.15	$122,020.28	$50,104.35	2026-05-22
309-4	OTHER	Other Significant Hip And Femur Surgery	36	9	—	—	$40,306.27	$115,735.04	$47,772.18	2026-05-22
364-4	OTHER	Other Skin, Subcutaneous Tissue & Related Procedures	36	9	—	—	$37,296.35	$106,955.85	$44,514.61	2026-05-22
223-4	OTHER	Other Small & Large Bowel Procedures	36	9	—	—	$39,155.62	$112,378.88	$46,526.86	2026-05-22
222-4	OTHER	Other Stomach, Esophageal & Duodenal Procedures	36	9	—	—	$38,848.28	$111,482.43	$46,194.22	2026-05-22
10	OTHER	Pancreas Transplant	40	15	—	—	$60,795.52	$152,772.17	$69,615.85	2026-05-22
006-4	OTHER	Pancreas Transplant	36	9	—	—	$53,386.11	$153,885.64	$61,928.17	2026-05-22
006-3	OTHER	Pancreas Transplant	36	9	—	—	$51,143.51	$147,344.56	$59,501.07	2026-05-22
006-2	OTHER	Pancreas Transplant	36	9	—	—	$35,542.75	$101,841.03	$42,616.74	2026-05-22
006-1	OTHER	Pancreas Transplant	36	9	—	—	$35,542.75	$101,841.03	$42,616.74	2026-05-22
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	40	15	—	—	$41,394.79	$104,020.35	$47,400.42	2026-05-22
844-4	OTHER	Partial Thickness Burns Without Skin Graft	36	9	—	—	$35,710.58	$102,330.56	$42,798.38	2026-05-22
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	36	9	—	—	$44,893.68	$129,115.35	$52,737.01	2026-05-22
175-4	OTHER	Percutaneous Coronary Intervention Without Ami	38	9	—	—	$15,811.00	$98,926.05	$41,452.03	2026-05-22
224-4	OTHER	Peritoneal Adhesiolysis	36	9	—	—	$39,087.25	$112,179.45	$46,452.86	2026-05-22
171-4	OTHER	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	36	9	—	—	$41,816.76	$120,140.75	$49,406.94	2026-05-22
170-4	OTHER	Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock	36	9	—	—	$33,865.12	$96,947.81	$40,638.15	2026-05-22
401-4	OTHER	Pituitary & Adrenal Procedures	36	9	—	—	$48,888.49	$140,767.22	$57,060.51	2026-05-22
711-4	OTHER	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	36	9	—	—	$42,314.73	$121,593.21	$49,945.88	2026-05-22
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	40	15	—	—	$34,401.74	$86,447.62	$39,392.81	2026-05-22
850-4	OTHER	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	36	9	—	—	$53,301.84	$153,639.87	$61,836.97	2026-05-22
403-4	OTHER	Procedures For Obesity	36	9	—	—	$13,323.00	$109,751.97	$46,049.85	2026-05-22
444-4	OTHER	Renal Dialysis Access Device Procedure Only	36	9	—	—	$43,350.73	$124,614.96	$51,067.12	2026-05-22
130-4	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	36	9	—	—	$42,569.58	$122,336.56	$50,221.71	2026-05-22
130-3	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	36	9	—	—	$30,183.18	$86,208.51	$36,219.82	2026-05-22
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	40	15	—	—	$49,313.53	$123,919.25	$56,468.03	2026-05-22
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	40	15	—	—	$38,847.22	$97,618.60	$44,483.25	2026-05-22
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	40	15	—	—	$53,044.53	$133,294.82	$60,740.33	2026-05-22
315-4	OTHER	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	36	9	—	—	$36,081.47	$103,412.34	$43,199.78	2026-05-22
8	OTHER	Simultaneous Pancreas And Kidney Transplant	40	15	—	—	$41,489.34	$104,257.95	$47,508.69	2026-05-22
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	40	15	—	—	$60,447.05	$151,896.50	$69,216.82	2026-05-22
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	40	15	—	—	$41,140.11	$103,380.37	$47,108.79	2026-05-22
361-4	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	36	9	—	—	$66,934.21	$193,402.07	$76,974.34	2026-05-22
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	40	15	—	—	$46,957.35	$117,998.44	$53,770.02	2026-05-22
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	36	9	—	—	$62,802.65	$181,351.33	$72,223.04	2026-05-22
312-3	OTHER	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	36	9	—	—	$31,898.10	$91,210.52	$38,277.73	2026-05-22
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	40	15	—	—	$64,579.13	$162,279.95	$73,948.40	2026-05-22
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	40	15	—	—	$43,763.93	$109,973.73	$50,113.28	2026-05-22
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	40	15	—	—	$32,925.51	$82,738.02	$37,702.40	2026-05-22
023-4	OTHER	Spinal Procedures	36	9	—	—	$56,447.14	$162,813.90	$65,241.04	2026-05-22
023-3	OTHER	Spinal Procedures	36	9	—	—	$30,300.59	$86,550.98	$36,360.71	2026-05-22
28	OTHER	Spinal Procedures With Mcc	40	15	—	—	$46,357.25	$116,490.45	$53,082.85	2026-05-22
41110842	OTHER	Spine Orif 61,000,-61,499.99	16	7	$61,410.00	$61,410.00	$42,987.00	$42,987.00	$42,987.00	2026-05-22
650-4	OTHER	Splenectomy	36	9	—	—	$40,015.50	$114,886.93	$47,457.49	2026-05-22
799	OTHER	Splenic Procedures With Mcc	40	15	—	—	$36,256.18	$91,107.63	$41,516.30	2026-05-22
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	40	15	—	—	$38,728.27	$97,319.68	$44,347.03	2026-05-22
317-4	OTHER	Tendon, Muscle & Other Soft Tissue Procedures	36	9	—	—	$44,263.10	$127,276.11	$52,054.56	2026-05-22
483-4	OTHER	Testes & Scrotal Procedures	36	9	—	—	$30,173.51	$86,180.31	$36,208.21	2026-05-22
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	40	15	—	—	$41,144.68	$103,391.87	$47,114.03	2026-05-22
004-4	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	36	9	—	—	$125,444.67	$364,062.45	$144,261.37	2026-05-22
004-3	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	36	9	—	—	$70,181.03	$202,872.24	$80,708.18	2026-05-22
004-2	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	36	9	—	—	$50,276.04	$144,814.35	$58,562.21	2026-05-22
004-1	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	36	9	—	—	$50,276.04	$144,814.35	$58,562.21	2026-05-22
005-4	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	36	9	—	—	$95,866.21	$277,789.48	$110,246.14	2026-05-22
005-3	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	36	9	—	—	$64,393.94	$185,992.74	$74,053.03	2026-05-22
005-2	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	36	9	—	—	$40,986.58	$117,719.32	$48,508.46	2026-05-22
005-1	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	36	9	—	—	$39,967.85	$114,747.93	$47,405.91	2026-05-22
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	40	15	—	—	$107,743.73	$270,747.61	$123,375.39	2026-05-22
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	40	15	—	—	$38,151.04	$95,869.18	$43,686.06	2026-05-22
33214	OTHER	Upgrade Of Pacemaker System	2	1	—	—	$36,160.00	$36,160.00	$36,160.00	2026-05-22
519-4	OTHER	Uterine & Adnexa Procedures For Leiomyoma	36	9	—	—	$42,403.83	$121,853.08	$50,042.31	2026-05-22
513-4	OTHER	Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma	36	9	—	—	$33,789.84	$96,728.23	$40,547.81	2026-05-22
512-4	OTHER	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	36	9	—	—	$52,450.25	$151,155.99	$60,915.32	2026-05-22
511-4	OTHER	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	36	9	—	—	$43,630.45	$125,430.83	$51,369.85	2026-05-22
022-4	OTHER	Ventricular Shunt Procedures	36	9	—	—	$37,836.45	$108,531.19	$45,099.15	2026-05-22
31	OTHER	Ventricular Shunt Procedures With Mcc	40	15	—	—	$31,954.06	$80,296.88	$36,590.01	2026-05-22
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	40	15	—	—	$41,183.57	$103,489.59	$47,158.56	2026-05-22
901	OTHER	Wound Debridements For Injuries With Mcc	40	15	—	—	$33,783.34	$84,893.65	$38,684.69	2026-05-22

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