Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Vibra Hospital Of Fargo

Fargo, ND · CCN 352004 · Rates published

5,162 distinct procedures filed
72 distinct payers
367,566 rate rows
2026-05-09 last MRF observed
Data quality

312,673 of 367,566 rate rows are consumer-grade (85.1%)

54,893 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 — reasonRows
template filing: same amount across many unrelated codes — excluded 54,892
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://vhfargo.com/wp-content/uploads/sites/28/2026/03/462632428_vibra-hospital-of-fargo_standardcharges.csv
Found on page https://vhfargo.com/about-us/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 3bb8aacc9407296d… · 11,950,613 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
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $156,488.27 $156,488.27 $156,488.27 nat. median
$181,005
0.9× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $128,710.35 $128,710.35 $128,710.35 nat. median
$134,983
1.0× median
974
OTHER 		HIV With Major Related Condition With Mcc* 25 $111,044.49 $111,044.49 $111,044.49 nat. median
$28,084
outlier · 4.0×
977
OTHER 		HIV With Or Without Other Related Condition 25 $106,761.31 $106,761.31 $106,761.31 nat. median
$13,237
outlier · 8.1×
163
OTHER 		Major Chest Procedures With Mcc 25 $106,223.67 $106,223.67 $106,223.67 nat. median
$47,944
outlier · 2.2×
164
OTHER 		Major Chest Procedures With Cc 25 $106,223.67 $106,223.67 $106,223.67 nat. median
$24,249
outlier · 4.4×
165
OTHER 		Major Chest Procedures Without Cc/mcc 25 $106,223.67 $106,223.67 $106,223.67 nat. median
$19,105
outlier · 5.6×
11
OTHER 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 $104,866.14 $104,866.14 $104,866.14 nat. median
$49,519
outlier · 2.1×
140
OTHER 		Major Head And Neck Procedures With Mcc 25 $104,866.14 $104,866.14 $104,866.14 nat. median
$37,242
outlier · 2.8×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 27 $21,415.88 $104,866.14 $104,866.14 nat. median
$38,129
outlier · 2.8×
959
OTHER 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 25 $104,852.70 $104,852.70 $104,852.70 nat. median
$26,861
outlier · 3.9×
68875010201
OTHER 		Gattex 38 $12.79 $536,382.41 $99,999.99 nat. median
$100,000
1.0× median
857
OTHER 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 25 $92,836.51 $92,836.51 $92,836.51 nat. median
$20,168
outlier · 4.6×
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 27 $28,615.74 $87,124.11 $87,124.11 nat. median
$66,849
1.3× median
167
OTHER 		Other Respiratory System O.r. Procedures With Cc 27 $47,993.08 $70,667.93 $70,667.93 nat. median
$18,396
outlier · 3.8×
168
OTHER 		Other Respiratory System O.r. Procedures Without Cc/mcc 25 $70,667.93 $70,667.93 $70,667.93 nat. median
$12,971
outlier · 5.4×
12
OTHER 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 $70,667.93 $70,667.93 $70,667.93 nat. median
$39,504
1.8× median
173
OTHER 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 $70,667.93 $70,667.93 $70,667.93 nat. median
$25,789
outlier · 2.7×
842
OTHER 		Lymphoma And Non-acute Leukemia Without Cc/mcc 25 $67,930.46 $67,930.46 $67,930.46 nat. median
$8,708
outlier · 7.8×
40
OTHER 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 $65,815.76 $65,815.76 $65,815.76 nat. median
$35,347
1.9× median
790
OTHER 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 $62,536.17 $62,536.17 $62,536.17 nat. median
$42,495
1.5× median
356
OTHER 		Other Digestive System O.r. Procedures With Mcc 25 $62,536.17 $62,536.17 $62,536.17 nat. median
$43,743
1.4× median
561
OTHER 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc* 25 $62,298.71 $62,298.71 $62,298.71 nat. median
$8,501
outlier · 7.3×
570
OTHER 		Skin Debridement With Mcc* 25 $60,775.41 $60,775.41 $60,775.41 nat. median
$33,751
1.8× median
573
OTHER 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 $60,775.41 $60,775.41 $60,775.41 nat. median
$54,881
1.1× median
845
OTHER 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 25 $60,376.66 $60,376.66 $60,376.66 nat. median
$9,966
outlier · 6.1×
205
OTHER 		Other Respiratory System Diagnoses With Mcc 27 $20,274.23 $58,754.79 $58,754.79 nat. median
$17,709
outlier · 3.3×
604
OTHER 		Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 25 $58,584.53 $58,584.53 $58,584.53 nat. median
$14,914
outlier · 3.9×
607
OTHER 		Minor Skin Disorders Without Mcc 25 $58,584.53 $58,584.53 $58,584.53 nat. median
$8,745
outlier · 6.7×
542
OTHER 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 25 $58,508.37 $58,508.37 $58,508.37 nat. median
$16,379
outlier · 3.6×
61
OTHER 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 $58,279.87 $58,279.87 $58,279.87 nat. median
$26,323
outlier · 2.2×
64
OTHER 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 25 $58,279.87 $58,279.87 $58,279.87 nat. median
$19,110
outlier · 3.0×
863
OTHER 		Postoperative And Post-traumatic Infections Without Mcc 25 $57,486.86 $57,486.86 $57,486.86 nat. median
$8,900
outlier · 6.5×
964
OTHER 		Other Multiple Significant Trauma With Cc 25 $57,038.83 $57,038.83 $57,038.83 nat. median
$11,375
outlier · 5.0×
245
OTHER 		Aicd Generator Procedures 25 $56,926.82 $56,926.82 $56,926.82 nat. median
$43,285
1.3× median
264
OTHER 		Other Circulatory System O.r. Procedures 25 $56,926.82 $56,926.82 $56,926.82 nat. median
$32,470
1.8× median
263
OTHER 		Vein Ligation And Stripping 25 $56,926.82 $56,926.82 $56,926.82 nat. median
$26,524
outlier · 2.1×
253
OTHER 		Other Vascular Procedures With Cc 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$24,609
outlier · 2.3×
254
OTHER 		Other Vascular Procedures Without Cc/mcc 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$16,771
outlier · 3.4×
215
OTHER 		Other Heart Assist System Implant 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$92,359
0.6× median
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$90,130
0.6× median
255
OTHER 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$21,899
outlier · 2.6×
251
OTHER 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$11,991
outlier · 4.7×
25
OTHER 		Craniotomy And Endovascular Intracranial Procedures With Mcc 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$42,589
1.3× median
217
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$60,727
0.9× median
22
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$36,392
1.6× median
250
OTHER 		Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$54
outlier · 1053.8×
252
OTHER 		Other Vascular Procedures With Mcc 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$25,377
outlier · 2.2×
256
OTHER 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$16,548
outlier · 3.4×
257
OTHER 		Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 25 $56,554.95 $56,554.95 $56,554.95 nat. median
$9,847
outlier · 5.7×

Other procedures at this hospital

Browse this hospital's 5,162 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 25 $156,488.27 $156,488.27 $156,488.27 $156,488.27 $156,488.27 2026-05-08
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 25 $128,710.35 $128,710.35 $128,710.35 $128,710.35 $128,710.35 2026-05-08
974 OTHER HIV With Major Related Condition With Mcc* 26 25 $111,044.49 $111,044.49 $111,044.49 $111,044.49 $111,044.49 2026-05-08
977 OTHER HIV With Or Without Other Related Condition 26 25 $106,761.31 $106,761.31 $106,761.31 $106,761.31 $106,761.31 2026-05-08
163 OTHER Major Chest Procedures With Mcc 26 25 $106,223.67 $106,223.67 $106,223.67 $106,223.67 $106,223.67 2026-05-08
164 OTHER Major Chest Procedures With Cc 26 25 $106,223.67 $106,223.67 $106,223.67 $106,223.67 $106,223.67 2026-05-08
165 OTHER Major Chest Procedures Without Cc/mcc 26 25 $106,223.67 $106,223.67 $106,223.67 $106,223.67 $106,223.67 2026-05-08
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 25 $104,866.14 $104,866.14 $104,866.14 $104,866.14 $104,866.14 2026-05-08
140 OTHER Major Head And Neck Procedures With Mcc 26 25 $104,866.14 $104,866.14 $104,866.14 $104,866.14 $104,866.14 2026-05-08
166 OTHER Other Respiratory System O.r. Procedures With Mcc 38 27 $104,866.14 $104,866.14 $21,415.88 $104,866.14 $104,866.14 2026-05-09
959 OTHER Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 26 25 $104,852.70 $104,852.70 $104,852.70 $104,852.70 $104,852.70 2026-05-08
68875010201 OTHER Gattex 63 38 $99,999.99 $99,999.99 $12.79 $536,382.41 $99,999.99 2026-05-09
857 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 26 25 $92,836.51 $92,836.51 $92,836.51 $92,836.51 $92,836.51 2026-05-08
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 40 27 $87,124.11 $87,124.11 $28,615.74 $87,124.11 $87,124.11 2026-05-09
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 25 $70,667.93 $70,667.93 $70,667.93 $70,667.93 $70,667.93 2026-05-08
167 OTHER Other Respiratory System O.r. Procedures With Cc 38 27 $70,667.93 $70,667.93 $47,993.08 $70,667.93 $70,667.93 2026-05-09
168 OTHER Other Respiratory System O.r. Procedures Without Cc/mcc 26 25 $70,667.93 $70,667.93 $70,667.93 $70,667.93 $70,667.93 2026-05-08
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 25 $70,667.93 $70,667.93 $70,667.93 $70,667.93 $70,667.93 2026-05-08
842 OTHER Lymphoma And Non-acute Leukemia Without Cc/mcc 26 25 $67,930.46 $67,930.46 $67,930.46 $67,930.46 $67,930.46 2026-05-08
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 25 $65,815.76 $65,815.76 $65,815.76 $65,815.76 $65,815.76 2026-05-08
356 OTHER Other Digestive System O.r. Procedures With Mcc 26 25 $62,536.17 $62,536.17 $62,536.17 $62,536.17 $62,536.17 2026-05-08
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 25 $62,536.17 $62,536.17 $62,536.17 $62,536.17 $62,536.17 2026-05-08
561 OTHER Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc* 26 25 $62,298.71 $62,298.71 $62,298.71 $62,298.71 $62,298.71 2026-05-08
570 OTHER Skin Debridement With Mcc* 26 25 $60,775.41 $60,775.41 $60,775.41 $60,775.41 $60,775.41 2026-05-08
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 25 $60,775.41 $60,775.41 $60,775.41 $60,775.41 $60,775.41 2026-05-08
845 OTHER Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 26 25 $60,376.66 $60,376.66 $60,376.66 $60,376.66 $60,376.66 2026-05-08
205 OTHER Other Respiratory System Diagnoses With Mcc 38 27 $58,754.79 $58,754.79 $20,274.23 $58,754.79 $58,754.79 2026-05-09
604 OTHER Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 26 25 $58,584.53 $58,584.53 $58,584.53 $58,584.53 $58,584.53 2026-05-08
607 OTHER Minor Skin Disorders Without Mcc 26 25 $58,584.53 $58,584.53 $58,584.53 $58,584.53 $58,584.53 2026-05-08
542 OTHER Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 26 25 $58,508.37 $58,508.37 $58,508.37 $58,508.37 $58,508.37 2026-05-08
64 OTHER Intracranial Hemorrhage Or Cerebral Infarction With Mcc 26 25 $58,279.87 $58,279.87 $58,279.87 $58,279.87 $58,279.87 2026-05-08
61 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 25 $58,279.87 $58,279.87 $58,279.87 $58,279.87 $58,279.87 2026-05-08
863 OTHER Postoperative And Post-traumatic Infections Without Mcc 26 25 $57,486.86 $57,486.86 $57,486.86 $57,486.86 $57,486.86 2026-05-08
964 OTHER Other Multiple Significant Trauma With Cc 26 25 $57,038.83 $57,038.83 $57,038.83 $57,038.83 $57,038.83 2026-05-08
263 OTHER Vein Ligation And Stripping 26 25 $56,926.82 $56,926.82 $56,926.82 $56,926.82 $56,926.82 2026-05-08
264 OTHER Other Circulatory System O.r. Procedures 26 25 $56,926.82 $56,926.82 $56,926.82 $56,926.82 $56,926.82 2026-05-08
245 OTHER Aicd Generator Procedures 26 25 $56,926.82 $56,926.82 $56,926.82 $56,926.82 $56,926.82 2026-05-08
250 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
675 OTHER Other Kidney And Urinary Tract Procedures Without Cc/mcc* 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
481 OTHER Hip And Femur Procedures Except Major Joint With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
834 OTHER Acute Leukemia With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 38 27 $56,554.95 $56,554.95 $42,316.53 $56,554.95 $56,554.95 2026-05-09
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
742 OTHER Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
344 OTHER Minor Small And Large Bowel Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
475 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
228 OTHER Other Cardiothoracic Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
34 OTHER Carotid Artery Stent Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
799 OTHER Splenic Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
38 OTHER Extracranial Procedures With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
256 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
738 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
812 OTHER Red Blood Cell Disorders Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
251 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
26 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
353 OTHER Hernia Procedures Except Inguinal And Femoral With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
271 OTHER Other Major Cardiovascular Procedures With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
329 OTHER Major Small And Large Bowel Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
510 OTHER Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
735 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
814 OTHER Reticuloendothelial And Immunity Disorders With Mcc* 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
41 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
33 OTHER Ventricular Shunt Procedures Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
385 OTHER Inflammatory Bowel Disease With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
947 OTHER Signs And Symptoms With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
257 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
730 OTHER Other Male Reproductive System Diagnoses Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
737 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
35 OTHER Carotid Artery Stent Procedures With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
73 OTHER Cranial And Peripheral Nerve Disorders With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
253 OTHER Other Vascular Procedures With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
54 OTHER Nervous System Neoplasms With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
31 OTHER Ventricular Shunt Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
846 OTHER Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
202 OTHER Bronchitis And Asthma With Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
951 OTHER Other Factors Influencing Health Status 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
509 OTHER Arthroscopy 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
808 OTHER Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
729 OTHER Other Male Reproductive System Diagnoses With Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
465 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
841 OTHER Lymphoma And Non-acute Leukemia With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
722 OTHER Malignancy, Male Reproductive System With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
27 OTHER Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
231 OTHER Coronary Bypass With Ptca With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
818 OTHER Other Antepartum Diagnoses With O.r. Procedures With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
768 OTHER Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
36 OTHER Carotid Artery Stent Procedures Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
252 OTHER Other Vascular Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
817 OTHER Other Antepartum Diagnoses With O.r. Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
229 OTHER Other Cardiothoracic Procedures Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
728 OTHER Inflammation Of The Male Reproductive System Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
905 OTHER Skin Grafts For Injuries Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
215 OTHER Other Heart Assist System Implant 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
487 OTHER Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
488 OTHER Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
761 OTHER Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
743 OTHER Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
39 OTHER Extracranial Procedures Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
904 OTHER Skin Grafts For Injuries With Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
759 OTHER Infections, Female Reproductive System Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
553 OTHER Bone Diseases And Arthropathies With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
212 OTHER Concomitant Aortic And Mitral Valve Procedures 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
815 OTHER Reticuloendothelial And Immunity Disorders With Cc* 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
758 OTHER Infections, Female Reproductive System With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
741 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 38 27 $56,554.95 $56,554.95 $21,415.88 $113,283.10 $56,554.95 2026-05-09
726 OTHER Benign Prostatic Hypertrophy Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
740 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
725 OTHER Benign Prostatic Hypertrophy With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
37 OTHER Extracranial Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
724 OTHER Malignancy, Male Reproductive System Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
950 OTHER Aftercare Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
451 OTHER Single Level Spinal Fusion Except Cervical Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
241 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
254 OTHER Other Vascular Procedures Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
32 OTHER Ventricular Shunt Procedures With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
723 OTHER Malignancy, Male Reproductive System With Cc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
811 OTHER Red Blood Cell Disorders With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
727 OTHER Inflammation Of The Male Reproductive System With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
232 OTHER Coronary Bypass With Ptca Without Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
272 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
42 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 25 $56,554.95 $56,554.95 $56,554.95 $56,554.95 $56,554.95 2026-05-08
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 25 $56,501.19 $56,501.19 $56,501.19 $56,501.19 $56,501.19 2026-05-08
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 26 25 $56,335.42 $56,335.42 $56,335.42 $56,335.42 $56,335.42 2026-05-08
935 OTHER Non-extensive Burns 26 25 $56,335.42 $56,335.42 $56,335.42 $56,335.42 $56,335.42 2026-05-08
869 OTHER Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 26 25 $56,335.42 $56,335.42 $56,335.42 $56,335.42 $56,335.42 2026-05-08
940 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 26 25 $56,335.42 $56,335.42 $56,335.42 $56,335.42 $56,335.42 2026-05-08
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 25 $56,335.42 $56,335.42 $56,335.42 $56,335.42 $56,335.42 2026-05-08
819 OTHER Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 26 25 $56,335.42 $56,335.42 $56,335.42 $56,335.42 $56,335.42 2026-05-08
813 OTHER Coagulation Disorders 38 27 $56,335.42 $56,335.42 $10,963.71 $56,335.42 $56,335.42 2026-05-09
934 OTHER Full Thickness Burn Without Skin Graft Or Inhalation Injury 26 25 $56,335.42 $56,335.42 $56,335.42 $56,335.42 $56,335.42 2026-05-08
975 OTHER HIV With Major Related Condition With Cc* 26 25 $55,434.88 $55,434.88 $55,434.88 $55,434.88 $55,434.88 2026-05-08
489 OTHER Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 26 25 $55,183.98 $55,183.98 $55,183.98 $55,183.98 $55,183.98 2026-05-08
506 OTHER Major Thumb Or Joint Procedures 26 25 $53,718.92 $53,718.92 $53,718.92 $53,718.92 $53,718.92 2026-05-08
29 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 26 25 $53,718.92 $53,718.92 $53,718.92 $53,718.92 $53,718.92 2026-05-08
28 OTHER Spinal Procedures With Mcc 26 25 $53,718.92 $53,718.92 $53,718.92 $53,718.92 $53,718.92 2026-05-08
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 26 25 $53,633.79 $53,633.79 $53,633.79 $53,633.79 $53,633.79 2026-05-08
664 OTHER Minor Bladder Procedures Without Cc/mcc 26 25 $53,633.79 $53,633.79 $53,633.79 $53,633.79 $53,633.79 2026-05-08
637 OTHER Diabetes With Mcc 38 27 $53,633.79 $53,633.79 $9,896.34 $53,633.79 $53,633.79 2026-05-09
920 OTHER Complications Of Treatment With Cc 38 27 $53,109.60 $53,109.60 $21,415.88 $53,109.60 $53,109.60 2026-05-09
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 39 27 $52,903.50 $52,903.50 $28,615.74 $52,903.50 $52,903.50 2026-05-09
558 OTHER Tendonitis, Myositis And Bursitis Without Mcc 26 25 $52,746.69 $52,746.69 $52,746.69 $52,746.69 $52,746.69 2026-05-08
55292070255 OTHER Hemin For Injection 63 38 $51,333.70 $51,333.70 $12.79 $51,333.70 $51,333.70 2026-05-09
955 OTHER Craniotomy For Multiple Significant Trauma 26 25 $51,057.61 $51,057.61 $51,057.61 $51,057.61 $51,057.61 2026-05-08
571 OTHER Skin Debridement With Cc* 26 25 $49,946.50 $49,946.50 $49,946.50 $49,946.50 $49,946.50 2026-05-08
572 OTHER Skin Debridement Without Cc/mcc* 26 25 $49,946.50 $49,946.50 $49,946.50 $49,946.50 $49,946.50 2026-05-08
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 27 $49,946.50 $49,946.50 $40,031.57 $49,946.50 $49,946.50 2026-05-09
82 OTHER Traumatic Stupor And Coma >1 Hour With Mcc* 26 25 $48,069.25 $48,069.25 $48,069.25 $48,069.25 $48,069.25 2026-05-08
906 OTHER Hand Procedures For Injuries 26 25 $48,046.85 $48,046.85 $48,046.85 $48,046.85 $48,046.85 2026-05-08
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc* 26 25 $47,993.08 $47,993.08 $47,993.08 $47,993.08 $47,993.08 2026-05-08
53 OTHER Spinal Disorders And Injuries Without Cc/mcc 26 25 $47,630.18 $47,630.18 $47,630.18 $47,630.18 $47,630.18 2026-05-08
52 OTHER Spinal Disorders And Injuries With Cc/mcc 26 25 $47,630.18 $47,630.18 $47,630.18 $47,630.18 $47,630.18 2026-05-08
433 OTHER Cirrhosis And Alcoholic Hepatitis With Cc 26 25 $46,940.21 $46,940.21 $46,940.21 $46,940.21 $46,940.21 2026-05-08
665 OTHER Prostatectomy With Mcc 26 25 $46,886.45 $46,886.45 $46,886.45 $46,886.45 $46,886.45 2026-05-08
657 OTHER Kidney And Ureter Procedures For Neoplasm With Cc 26 25 $46,886.45 $46,886.45 $46,886.45 $46,886.45 $46,886.45 2026-05-08
666 OTHER Prostatectomy With Cc 26 25 $46,886.45 $46,886.45 $46,886.45 $46,886.45 $46,886.45 2026-05-08
638 OTHER Diabetes With Cc 26 25 $46,886.45 $46,886.45 $46,886.45 $46,886.45 $46,886.45 2026-05-08
976 OTHER HIV With Major Related Condition Without Cc/mcc* 26 25 $46,563.86 $46,563.86 $46,563.86 $46,563.86 $46,563.86 2026-05-08
963 OTHER Other Multiple Significant Trauma With Mcc 26 25 $46,563.86 $46,563.86 $46,563.86 $46,563.86 $46,563.86 2026-05-08
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 27 $46,563.86 $46,563.86 $25,919.92 $89,569.08 $46,563.86 2026-05-09
288 OTHER Acute And Subacute Endocarditis With Mcc 38 27 $45,654.36 $45,654.36 $31,496.58 $45,654.36 $45,654.36 2026-05-09
393 OTHER Other Digestive System Diagnoses With Mcc 38 27 $45,519.95 $45,519.95 $16,189.65 $56,554.95 $45,519.95 2026-05-09
388 OTHER Gastrointestinal Obstruction With Mcc 26 25 $44,269.94 $44,269.94 $44,269.94 $44,269.94 $44,269.94 2026-05-08
189 OTHER Pulmonary Edema And Respiratory Failure 40 27 $43,848.79 $43,848.79 $21,415.88 $52,191.60 $43,848.79 2026-05-09
625 OTHER Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 25 $43,835.35 $43,835.35 $43,835.35 $43,835.35 $43,835.35 2026-05-08
520 OTHER Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 26 25 $43,427.65 $43,427.65 $43,427.65 $43,427.65 $43,427.65 2026-05-08
411 OTHER Cholecystectomy With C.d.e. With Mcc 26 25 $42,907.93 $42,907.93 $42,907.93 $42,907.93 $42,907.93 2026-05-08
417 OTHER Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 25 $42,907.93 $42,907.93 $42,907.93 $42,907.93 $42,907.93 2026-05-08
380 OTHER Complicated Peptic Ulcer With Mcc 26 25 $42,907.93 $42,907.93 $42,907.93 $42,907.93 $42,907.93 2026-05-08
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 25 $42,907.93 $42,907.93 $42,907.93 $42,907.93 $42,907.93 2026-05-08
448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 26 25 $42,728.72 $42,728.72 $42,728.72 $42,728.72 $42,728.72 2026-05-08
605 OTHER Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 26 25 $42,504.70 $42,504.70 $42,504.70 $42,504.70 $42,504.70 2026-05-08
614 OTHER Adrenal And Pituitary Procedures With Cc/mcc 26 25 $42,504.70 $42,504.70 $42,504.70 $42,504.70 $42,504.70 2026-05-08
696 OTHER Kidney And Urinary Tract Signs And Symptoms Without Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
698 OTHER Other Kidney And Urinary Tract Diagnoses With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
478 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Cc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
595 OTHER Major Skin Disorders With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
690 OTHER Kidney And Urinary Tract Infections Without Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
157 OTHER Dental And Oral Diseases With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
909 OTHER Other O.r. Procedures For Injuries Without Cc/mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
154 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
914 OTHER Traumatic Injury Without Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
152 OTHER Otitis Media And Uri With Mcc 39 27 $42,316.53 $42,316.53 $28,615.74 $52,588.00 $42,316.53 2026-05-09
602 OTHER Cellulitis With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
694 OTHER Urinary Stones Without Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
304 OTHER Hypertension With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
663 OTHER Minor Bladder Procedures With Cc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
145 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
144 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
155 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Cc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
597 OTHER Malignant Breast Disorders With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
198 OTHER Interstitial Lung Disease Without Cc/mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
866 OTHER Viral Illness Without Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
660 OTHER Kidney And Ureter Procedures For Non-neoplasm With Cc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
661 OTHER Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
659 OTHER Kidney And Ureter Procedures For Non-neoplasm With Mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
662 OTHER Minor Bladder Procedures With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
867 OTHER Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
658 OTHER Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
115 OTHER Extraocular Procedures Except Orbit 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
114 OTHER Orbital Procedures Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
655 OTHER Major Bladder Procedures Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
564 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
565 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
599 OTHER Malignant Breast Disorders Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
566 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
306 OTHER Cardiac Congenital And Valvular Disorders With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
654 OTHER Major Bladder Procedures With Cc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
113 OTHER Orbital Procedures With Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
642 OTHER Inborn And Other Disorders Of Metabolism 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
142 OTHER Major Head And Neck Procedures Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
641 OTHER Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
141 OTHER Major Head And Neck Procedures With Cc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
643 OTHER Endocrine Disorders With Mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
283 OTHER Acute Myocardial Infarction, Expired With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
374 OTHER Digestive Malignancy With Mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
644 OTHER Endocrine Disorders With Cc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
139 OTHER Salivary Gland Procedures 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
138 OTHER Mouth Procedures Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
137 OTHER Mouth Procedures With Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
197 OTHER Interstitial Lung Disease With Cc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
386 OTHER Inflammatory Bowel Disease With Cc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
136 OTHER Sinus And Mastoid Procedures Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
562 OTHER Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
600 OTHER Non-malignant Breast Disorders With Cc/mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
700 OTHER Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
563 OTHER Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
645 OTHER Endocrine Disorders Without Cc/mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
135 OTHER Sinus And Mastoid Procedures With Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
640 OTHER Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 38 27 $42,316.53 $42,316.53 $25,683.20 $42,316.53 $42,316.53 2026-05-09
277 OTHER Cardiac Defibrillator Implant Without Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
653 OTHER Major Bladder Procedures With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
78 OTHER Hypertensive Encephalopathy With Cc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
921 OTHER Complications Of Treatment Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
387 OTHER Inflammatory Bowel Disease Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
809 OTHER Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
915 OTHER Allergic Reactions With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
918 OTHER Poisoning And Toxic Effects Of Drugs Without Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
865 OTHER Viral Illness With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
619 OTHER O.r. Procedures For Obesity With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
916 OTHER Allergic Reactions Without Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
312 OTHER Syncope And Collapse 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
536 OTHER Fractures Of Hip And Pelvis Without Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
864 OTHER Fever And Inflammatory Conditions 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
117 OTHER Intraocular Procedures Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
708 OTHER Major Male Pelvic Procedures Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
601 OTHER Non-malignant Breast Disorders Without Cc/mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
196 OTHER Interstitial Lung Disease With Mcc* 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
639 OTHER Diabetes Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
13 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
77 OTHER Hypertensive Encephalopathy With Mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
116 OTHER Intraocular Procedures With Cc/mcc 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
843 OTHER Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 26 25 $42,316.53 $42,316.53 $42,316.53 $42,316.53 $42,316.53 2026-05-08
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