Hospital

BAY PARK COMMUNITY HOSPITAL

Oregon, OH · CCN 360259 · Rates published

4,408 distinct procedures filed

21 distinct payers

148,321 rate rows

2026-05-14 last MRF observed

Data quality

142,294 of 148,321 rate rows are consumer-grade (95.9%)

6,027 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	3,144
template filing: same amount across many unrelated codes — excluded	1,334
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1,056
placeholder amount (≤ $0.02) — excluded from medians	300
exceeds 10× this hospital's gross charge — excluded from medians	193

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

Source MRF file	https://promedica.canto.com/direct/document/kbvn23jphh5f9cgceqbqr7aj22/f8jNd1hgPHwZeaqLZY8i3ubiKWg/original?content-type=text%2Fcsv&name=341883132_baypark-community-hospital_standardcharges+4.csv
Found on page	https://www.promedica.org/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-18
Content fingerprint	6846e37e09686467… · 50,971,930 bytes · first seen 2026-05-14

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
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	$404,322.29	$821,380.04	$492,686.81	nat. median $424,868 1.2× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$250,912.44	$495,324.38	$305,039.78	nat. median $263,894 1.2× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$1,600.00	$315,476.15	$298,268.36	nat. median $267,493 1.1× median
583-4 OTHER	Neonate With Ecmo	7	$1,600.00	$305,184.72	$288,538.28	nat. median $309,400 0.9× median
583-3 OTHER	Neonate With Ecmo	7	$1,600.00	$305,184.72	$288,538.28	nat. median $259,487 1.1× median
583-1 OTHER	Neonate With Ecmo	7	$1,600.00	$290,305.47	$274,470.62	nat. median $171,226 1.6× median
583-2 OTHER	Neonate With Ecmo	7	$1,600.00	$290,305.47	$274,470.62	nat. median $191,347 1.4× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	12	$190,082.69	$403,724.53	$247,745.08	nat. median $218,232 1.1× median
007 OTHER	Lung Transplant	10	$104,263.28	$474,621.04	$243,508.72	nat. median $141,082 1.7× median
161-4 OTHER	Implantable Heart Assist Systems	7	$1,600.00	$256,873.19	$242,861.92	nat. median $202,242 1.2× median
002-4 OTHER	Heart And/or Lung Transplant	7	$1,600.00	$225,946.90	$213,622.52	nat. median $216,800 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	12	$152,719.73	$451,323.15	$198,425.51	nat. median $146,562 1.4× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	$1,600.00	$202,429.29	$191,387.70	nat. median $169,856 1.1× median
161-1 OTHER	Implantable Heart Assist Systems	7	$1,600.00	$198,857.93	$188,011.14	nat. median $101,352 1.9× median
161-3 OTHER	Implantable Heart Assist Systems	7	$1,600.00	$198,857.93	$188,011.14	nat. median $152,491 1.2× median
161-2 OTHER	Implantable Heart Assist Systems	7	$1,600.00	$198,857.93	$188,011.14	nat. median $109,992 1.7× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$1,600.00	$196,463.53	$185,747.34	nat. median $210,669 0.9× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	7	$1,600.00	$193,178.77	$182,641.74	nat. median $172,311 1.1× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	7	$1,600.00	$179,834.90	$170,025.72	nat. median $151,691 1.1× median
841-3 OTHER	Extensive Third Degree Burns With Skin Graft	7	$1,600.00	$179,834.90	$170,025.72	nat. median $61,016 outlier · 2.8×
841-1 OTHER	Chemotherapy For Acute Leukemia	7	$1,600.00	$179,834.90	$170,025.72	nat. median $20,206 outlier · 8.4×
841-2 OTHER	Extensive Third Degree Burns With Skin Graft	7	$1,600.00	$179,834.90	$170,025.72	nat. median $28,587 outlier · 5.9×
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	10	$101,563.86	$227,584.90	$168,262.55	nat. median $117,167 1.4× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	$1,600.00	$173,444.20	$163,983.61	nat. median $203,379 0.8× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$1,600.00	$159,488.18	$150,788.82	nat. median $165,000 0.9× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	12	$125,866.29	$263,467.48	$150,751.95	nat. median $150,232 1.0× median
588-1 OTHER	Female Reproductive System Reconstructive Procedures	7	$1,600.00	$151,718.01	$143,442.48	nat. median $75,325 1.9× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$1,600.00	$151,718.01	$143,442.48	nat. median $153,523 0.9× median
215 OTHER	Other Heart Assist System Implant	12	$89,263.16	$189,392.09	$141,950.56	nat. median $92,359 1.5× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	12	$97,468.69	$206,836.26	$140,525.86	nat. median $90,581 1.6× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$1,600.00	$147,040.01	$139,019.65	nat. median $151,250 0.9× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	10	$92,426.01	$182,415.29	$135,722.02	nat. median $104,489 1.3× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	$87,704.54	$205,639.00	$131,346.47	nat. median $90,130 1.5× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	$1,600.00	$136,521.58	$129,074.95	nat. median $156,696 0.8× median
014 OTHER	Allogeneic Bone Marrow Transplant	10	$24,495.69	$212,576.72	$120,129.45	nat. median $105,808 1.1× median
231 OTHER	Coronary Bypass With Ptca With Mcc	12	$75,599.79	$160,345.13	$108,161.36	nat. median $74,989 1.4× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	$1,600.00	$111,586.29	$105,499.76	nat. median $106,926 1.0× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	$68,875.04	$157,126.00	$102,424.51	nat. median $72,612 1.4× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	12	$70,579.49	$149,672.45	$101,150.49	nat. median $82,426 1.2× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	$59,006.21	$205,639.00	$100,061.79	nat. median $60,727 1.6× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	12	$68,578.88	$145,419.35	$96,902.70	nat. median $68,249 1.4× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	$1,600.00	$100,720.13	$95,226.30	nat. median $125,000 0.8× median
002-1 OTHER	Heart And/or Lung Transplant	7	$1,600.00	$100,291.38	$94,820.94	nat. median $57,500 1.6× median
002-3 OTHER	Heart And/or Lung Transplant	7	$1,600.00	$100,291.38	$94,820.94	nat. median $133,471 0.7× median
002-2 OTHER	Heart And/or Lung Transplant	7	$1,600.00	$100,291.38	$94,820.94	nat. median $106,681 0.9× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	$1,600.00	$100,130.89	$94,669.20	nat. median $150,954 0.6× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	$1,600.00	$99,613.49	$94,180.03	nat. median $100,015 0.9× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	12	$55,007.67	$120,251.42	$90,998.80	nat. median $58,866 1.5× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	12	$75,362.69	$159,841.07	$89,312.93	nat. median $76,493 1.2× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	7	$1,600.00	$94,410.45	$89,260.79	nat. median $104,111 0.9× median

Other procedures at this hospital

Browse this hospital's 4,408 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

018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	16	12	—	—	$404,322.29	$821,380.04	$492,686.81	2026-05-14
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	14	10	—	—	$250,912.44	$495,324.38	$305,039.78	2026-05-14
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$1,600.00	$315,476.15	$298,268.36	2026-05-14
583-4	OTHER	Neonate With Ecmo	7	7	—	—	$1,600.00	$305,184.72	$288,538.28	2026-05-14
583-3	OTHER	Neonate With Ecmo	7	7	—	—	$1,600.00	$305,184.72	$288,538.28	2026-05-14
583-1	OTHER	Neonate With Ecmo	7	7	—	—	$1,600.00	$290,305.47	$274,470.62	2026-05-14
583-2	OTHER	Neonate With Ecmo	7	7	—	—	$1,600.00	$290,305.47	$274,470.62	2026-05-14
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	16	12	—	—	$190,082.69	$403,724.53	$247,745.08	2026-05-14
007	OTHER	Lung Transplant	14	10	—	—	$104,263.28	$474,621.04	$243,508.72	2026-05-14
161-4	OTHER	Implantable Heart Assist Systems	7	7	—	—	$1,600.00	$256,873.19	$242,861.92	2026-05-14
002-4	OTHER	Heart And/or Lung Transplant	7	7	—	—	$1,600.00	$225,946.90	$213,622.52	2026-05-14
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	12	—	—	$152,719.73	$451,323.15	$198,425.51	2026-05-14
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$1,600.00	$202,429.29	$191,387.70	2026-05-14
161-3	OTHER	Implantable Heart Assist Systems	7	7	—	—	$1,600.00	$198,857.93	$188,011.14	2026-05-14
161-1	OTHER	Implantable Heart Assist Systems	7	7	—	—	$1,600.00	$198,857.93	$188,011.14	2026-05-14
161-2	OTHER	Implantable Heart Assist Systems	7	7	—	—	$1,600.00	$198,857.93	$188,011.14	2026-05-14
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$1,600.00	$196,463.53	$185,747.34	2026-05-14
007-4	OTHER	Allogeneic Bone Marrow Transplant	7	7	—	—	$1,600.00	$193,178.77	$182,641.74	2026-05-14
841-1	OTHER	Chemotherapy For Acute Leukemia	7	7	—	—	$1,600.00	$179,834.90	$170,025.72	2026-05-14
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$1,600.00	$179,834.90	$170,025.72	2026-05-14
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$1,600.00	$179,834.90	$170,025.72	2026-05-14
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$1,600.00	$179,834.90	$170,025.72	2026-05-14
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	14	10	—	—	$101,563.86	$227,584.90	$168,262.55	2026-05-14
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$1,600.00	$173,444.20	$163,983.61	2026-05-14
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$1,600.00	$159,488.18	$150,788.82	2026-05-14
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	16	12	—	—	$125,866.29	$263,467.48	$150,751.95	2026-05-14
588-1	OTHER	Female Reproductive System Reconstructive Procedures	7	7	—	—	$1,600.00	$151,718.01	$143,442.48	2026-05-14
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$1,600.00	$151,718.01	$143,442.48	2026-05-14
215	OTHER	Other Heart Assist System Implant	16	12	—	—	$89,263.16	$189,392.09	$141,950.56	2026-05-14
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	16	12	—	—	$97,468.69	$206,836.26	$140,525.86	2026-05-14
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$1,600.00	$147,040.01	$139,019.65	2026-05-14
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	14	10	—	—	$92,426.01	$182,415.29	$135,722.02	2026-05-14
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	12	—	—	$87,704.54	$205,639.00	$131,346.47	2026-05-14
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$1,600.00	$136,521.58	$129,074.95	2026-05-14
014	OTHER	Allogeneic Bone Marrow Transplant	14	10	—	—	$24,495.69	$212,576.72	$120,129.45	2026-05-14
231	OTHER	Coronary Bypass With Ptca With Mcc	18	12	—	—	$75,599.79	$160,345.13	$108,161.36	2026-05-14
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$1,600.00	$111,586.29	$105,499.76	2026-05-14
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	12	—	—	$68,875.04	$157,126.00	$102,424.51	2026-05-14
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	16	12	—	—	$70,579.49	$149,672.45	$101,150.49	2026-05-14
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	12	—	—	$59,006.21	$205,639.00	$100,061.79	2026-05-14
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	18	12	—	—	$68,578.88	$145,419.35	$96,902.70	2026-05-14
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$100,720.13	$95,226.30	2026-05-14
002-1	OTHER	Heart And/or Lung Transplant	7	7	—	—	$1,600.00	$100,291.38	$94,820.94	2026-05-14
002-2	OTHER	Heart And/or Lung Transplant	7	7	—	—	$1,600.00	$100,291.38	$94,820.94	2026-05-14
002-3	OTHER	Heart And/or Lung Transplant	7	7	—	—	$1,600.00	$100,291.38	$94,820.94	2026-05-14
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$1,600.00	$100,130.89	$94,669.20	2026-05-14
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$99,613.49	$94,180.03	2026-05-14
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	16	12	—	—	$55,007.67	$120,251.42	$90,998.80	2026-05-14
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	16	12	—	—	$75,362.69	$159,841.07	$89,312.93	2026-05-14
007-3	OTHER	Allogeneic Bone Marrow Transplant	7	7	—	—	$1,600.00	$94,410.45	$89,260.79	2026-05-14
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	19	12	—	—	$62,769.00	$135,627.34	$87,328.35	2026-05-14
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	12	—	—	$52,475.89	$205,639.00	$87,124.29	2026-05-14
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$1,600.00	$92,100.11	$87,076.46	2026-05-14
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$1,600.00	$90,954.50	$85,993.35	2026-05-14
232	OTHER	Coronary Bypass With Ptca Without Mcc	18	12	—	—	$54,418.93	$132,316.00	$84,396.62	2026-05-14
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	16	12	—	—	$61,713.65	$130,824.53	$82,895.82	2026-05-14
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$1,600.00	$86,920.00	$82,178.91	2026-05-14
228	OTHER	Other Cardiothoracic Procedures With Mcc	18	12	—	—	$44,440.94	$167,270.00	$81,766.61	2026-05-14
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	11	11	—	—	$79,460.55	$156,816.82	$81,498.00	2026-05-14
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	7	7	—	—	$1,600.00	$85,705.60	$81,030.75	2026-05-14
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	7	7	—	—	$1,600.00	$84,753.34	$80,130.43	2026-05-14
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	14	10	—	—	$53,229.84	$105,764.82	$79,356.26	2026-05-14
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$1,600.00	$83,114.78	$78,581.25	2026-05-14
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$1,600.00	$82,421.60	$77,925.88	2026-05-14
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	16	12	—	—	$47,540.29	$105,155.26	$77,464.02	2026-05-14
276	OTHER	Non-maligant Breast Disorders	19	12	—	—	$53,917.89	$114,251.54	$77,081.00	2026-05-14
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$81,475.46	$77,031.34	2026-05-14
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	16	12	—	—	$68,352.51	$144,938.12	$76,498.51	2026-05-14
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	12	—	—	$47,889.23	$157,126.00	$76,186.70	2026-05-14
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	16	12	—	—	$62,016.96	$131,469.35	$75,995.64	2026-05-14
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	18	12	—	—	$52,683.17	$132,502.00	$75,693.80	2026-05-14
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$1,600.00	$79,859.07	$75,503.12	2026-05-14
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	16	12	—	—	$10,312.41	$135,707.23	$74,826.12	2026-05-14
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$1,600.00	$78,411.56	$74,134.57	2026-05-14
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$1,600.00	$78,411.56	$74,134.57	2026-05-14
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$1,600.00	$78,144.84	$73,882.39	2026-05-14
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	7	—	—	$1,600.00	$76,737.85	$72,552.15	2026-05-14
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	7	7	—	—	$1,600.00	$75,814.63	$71,679.29	2026-05-14
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$1,600.00	$75,737.44	$71,606.31	2026-05-14
007-2	OTHER	Allogeneic Bone Marrow Transplant	7	7	—	—	$1,600.00	$75,626.63	$71,501.54	2026-05-14
007-1	OTHER	Allogeneic Bone Marrow Transplant	7	7	—	—	$1,600.00	$75,626.63	$71,501.54	2026-05-14
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	18	12	—	—	$49,051.49	$132,316.00	$71,429.54	2026-05-14
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	7	—	—	$1,600.00	$75,233.80	$71,130.13	2026-05-14
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	12	—	—	$45,271.27	$157,126.00	$70,837.14	2026-05-14
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	16	12	—	—	$53,528.69	$113,424.13	$70,819.72	2026-05-14
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	16	12	—	—	$42,771.40	$91,706.64	$70,691.71	2026-05-14
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	16	12	—	—	$63,791.48	$129,187.82	$70,517.77	2026-05-14
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$73,065.61	$69,080.21	2026-05-14
006	OTHER	Liver Transplant Without Mcc	14	10	—	—	$48,554.39	$101,477.96	$68,853.44	2026-05-14
008	OTHER	Simultaneous Pancreas And Kidney Transplant	14	10	—	—	$52,581.24	$103,747.41	$68,270.56	2026-05-14
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	16	12	—	—	$58,013.31	$122,394.42	$67,617.24	2026-05-14
955	OTHER	Craniotomy For Multiple Significant Trauma	16	12	—	—	$60,400.18	$128,032.25	$67,349.30	2026-05-14
010	OTHER	Pancreas Transplant	14	10	—	—	$48,285.16	$127,038.72	$66,689.15	2026-05-14
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$70,075.85	$66,253.53	2026-05-14
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	16	12	—	—	$36,732.81	$136,431.93	$66,001.32	2026-05-14
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	16	12	—	—	$44,798.85	$94,865.33	$65,854.82	2026-05-14
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	16	12	—	—	$44,362.22	$93,937.11	$65,635.86	2026-05-14
589-4	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$1,600.00	$69,119.01	$65,348.88	2026-05-14
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$1,600.00	$69,119.01	$65,348.88	2026-05-14
183-4	OTHER	Percutaneous Structural Cardiac Procedures	7	7	—	—	$1,600.00	$69,113.66	$65,343.82	2026-05-14
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$1,600.00	$68,980.68	$65,218.10	2026-05-14
863-4	OTHER	Neonatal Aftercare	7	7	—	—	$1,600.00	$68,880.56	$65,123.44	2026-05-14
178-4	OTHER	External Heart Assist Systems	7	7	—	—	$1,600.00	$68,857.64	$65,101.76	2026-05-14
690-4	OTHER	Acute Leukemia	7	7	—	—	$1,600.00	$68,589.38	$64,848.14	2026-05-14
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	16	12	—	—	$49,121.28	$104,054.38	$63,713.11	2026-05-14
277	OTHER	Cellulitis Age >17 W Cc	19	12	—	—	$41,498.19	$99,890.00	$62,769.00	2026-05-14
270	OTHER	Other Major Cardiovascular Procedures With Mcc	16	12	—	—	$47,383.70	$100,360.50	$62,493.58	2026-05-14
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$1,600.00	$65,980.98	$62,382.02	2026-05-14
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	16	12	—	—	$43,160.59	$91,382.59	$62,211.17	2026-05-14
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$1,600.00	$65,759.34	$62,172.47	2026-05-14
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$1,600.00	$65,759.34	$62,172.47	2026-05-14
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	16	12	—	—	$51,445.75	$108,996.04	$62,080.46	2026-05-14
459	OTHER	Spinal Fusion Except Cervical With Mcc	11	11	—	—	$59,516.20	$117,439.51	$61,042.26	2026-05-14
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	7	—	—	$1,600.00	$64,284.34	$60,777.92	2026-05-14
653	OTHER	Major Bladder Procedures With Mcc	16	12	—	—	$46,668.83	$98,840.73	$60,330.35	2026-05-14
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	16	12	—	—	$34,111.90	$124,614.18	$60,299.87	2026-05-14
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	16	12	—	—	$42,154.04	$89,242.73	$59,614.99	2026-05-14
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	16	12	—	—	$52,649.17	$111,554.36	$59,353.65	2026-05-14
329	OTHER	Major Small And Large Bowel Procedures With Mcc	16	12	—	—	$41,301.35	$87,430.03	$59,109.50	2026-05-14
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$1,600.00	$62,401.98	$58,998.23	2026-05-14
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	16	12	—	—	$37,508.61	$79,367.02	$58,954.14	2026-05-14
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	19	12	—	—	$38,893.65	$87,404.00	$57,897.90	2026-05-14
028	OTHER	Spinal Procedures With Mcc	16	12	—	—	$52,551.17	$114,283.87	$57,816.71	2026-05-14
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$1,600.00	$60,415.69	$57,120.28	2026-05-14
695-4	OTHER	Chemotherapy For Acute Leukemia	7	7	—	—	$1,600.00	$60,072.54	$56,795.86	2026-05-14
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$59,678.95	$56,423.73	2026-05-14
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	16	12	—	—	$37,878.14	$80,152.59	$56,347.57	2026-05-14
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$1,600.00	$59,582.66	$56,332.69	2026-05-14
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	11	11	—	—	$31,824.71	$108,324.28	$56,307.07	2026-05-14
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	16	12	—	—	$40,855.77	$86,482.78	$55,911.49	2026-05-14
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	19	12	—	—	$37,087.20	$87,404.00	$55,908.78	2026-05-14
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	15	11	—	—	$3,228.78	$105,271.77	$55,815.78	2026-05-14
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$1,600.00	$58,913.16	$55,699.72	2026-05-14
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$1,600.00	$58,730.51	$55,527.02	2026-05-14
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$1,600.00	$58,730.51	$55,527.02	2026-05-14
593-1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$1,600.00	$58,357.55	$55,174.41	2026-05-14
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$1,600.00	$58,357.55	$55,174.41	2026-05-14
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	16	12	—	—	$48,974.54	$103,742.44	$54,750.01	2026-05-14
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	18	12	—	—	$37,653.56	$132,502.00	$54,470.23	2026-05-14
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	16	12	—	—	$49,170.13	$108,410.19	$54,466.74	2026-05-14
022-4	OTHER	Ventricular Shunt Procedures	7	7	—	—	$1,600.00	$57,300.58	$54,175.10	2026-05-14
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	16	12	—	—	$40,105.99	$84,888.82	$54,123.09	2026-05-14
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$1,600.00	$57,198.94	$54,079.00	2026-05-14
591-1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$1,600.00	$57,198.94	$54,079.00	2026-05-14
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	14	12	—	—	$42,239.94	$89,425.33	$53,951.43	2026-05-14
630-1	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$1,600.00	$57,039.98	$53,928.71	2026-05-14
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$1,600.00	$57,039.98	$53,928.71	2026-05-14
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	7	7	—	—	$1,600.00	$57,010.17	$53,900.53	2026-05-14
278	OTHER	Cellulitis Age >17 Without Cc	16	12	—	—	$9,091.49	$105,874.69	$53,823.33	2026-05-14
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$1,600.00	$56,471.37	$53,391.11	2026-05-14
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$1,600.00	$56,471.37	$53,391.11	2026-05-14
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$1,600.00	$56,471.37	$53,391.11	2026-05-14
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$1,600.00	$56,471.37	$53,391.11	2026-05-14
163	OTHER	Major Chest Procedures With Mcc	16	12	—	—	$40,275.11	$85,248.32	$53,390.57	2026-05-14
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	16	12	—	—	$47,593.81	$116,748.81	$52,752.65	2026-05-14
140	OTHER	Major Head And Neck Procedures With Mcc	16	12	—	—	$38,338.02	$81,130.27	$52,537.95	2026-05-14
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	16	12	—	—	$42,028.76	$88,976.43	$52,503.64	2026-05-14
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	7	7	—	—	$1,600.00	$55,467.15	$52,441.67	2026-05-14
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	14	10	—	—	$11,905.82	$96,241.36	$52,340.24	2026-05-14
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	16	12	—	—	$37,333.26	$78,994.21	$52,256.82	2026-05-14
799	OTHER	Splenectomy With Mcc	16	12	—	—	$40,696.53	$86,144.21	$52,151.24	2026-05-14
229	OTHER	Other Cardiothoracic Procedures Without Mcc	18	12	—	—	$28,354.68	$167,270.00	$52,100.81	2026-05-14
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	16	12	—	—	$44,211.01	$93,615.65	$52,073.36	2026-05-14
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	16	12	—	—	$40,873.68	$86,520.82	$51,813.35	2026-05-14
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	16	12	—	—	$37,961.35	$80,329.48	$51,528.26	2026-05-14
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$1,600.00	$53,910.36	$50,969.80	2026-05-14
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	16	12	—	—	$25,083.83	$104,423.39	$50,704.84	2026-05-14
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	16	12	—	—	$35,176.06	$74,408.25	$50,696.78	2026-05-14
863-3	OTHER	Neonatal Aftercare	7	7	—	—	$1,600.00	$52,101.37	$49,259.48	2026-05-14
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	16	12	—	—	$43,948.41	$99,011.91	$49,212.55	2026-05-14
091-4	OTHER	Other Major Head And Neck Procedures	7	7	—	—	$1,600.00	$50,927.48	$48,149.62	2026-05-14
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	16	12	—	—	$32,077.62	$67,821.28	$48,078.43	2026-05-14
332	OTHER	Rectal Resection With Mcc	16	12	—	—	$32,570.62	$68,869.33	$47,582.33	2026-05-14
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	16	12	—	—	$28,604.31	$78,434.87	$47,180.28	2026-05-14
200-4	OTHER	Cardiac Structural And Valvular Disorders	7	7	—	—	$1,600.00	$49,691.68	$46,981.22	2026-05-14
471	OTHER	Cervical Spinal Fusion With Mcc	16	12	—	—	$43,098.19	$91,846.71	$46,970.57	2026-05-14
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$1,600.00	$49,456.29	$46,758.67	2026-05-14
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$1,600.00	$49,456.29	$46,758.67	2026-05-14
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	7	—	—	$1,600.00	$49,341.66	$46,650.29	2026-05-14
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	7	7	—	—	$1,600.00	$49,310.32	$46,620.66	2026-05-14
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	16	12	—	—	$41,196.68	$87,207.48	$46,442.88	2026-05-14
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$49,045.89	$46,370.66	2026-05-14
910-4	OTHER	Craniotomy For Multiple Significant Trauma	7	7	—	—	$1,600.00	$49,041.30	$46,366.32	2026-05-14
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$48,728.72	$46,070.79	2026-05-14
183-3	OTHER	Percutaneous Structural Cardiac Procedures	7	7	—	—	$1,600.00	$48,682.11	$46,026.72	2026-05-14
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	16	12	—	—	$33,843.81	$71,576.02	$46,002.05	2026-05-14
335	OTHER	Peritoneal Adhesiolysis With Mcc	16	12	—	—	$32,125.05	$67,922.09	$45,783.99	2026-05-14
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	19	12	—	—	$28,742.09	$99,890.00	$45,571.52	2026-05-14
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	16	12	—	—	$8,020.18	$93,225.73	$45,156.52	2026-05-14
179-4	OTHER	Defibrillator Implants	7	7	—	—	$1,600.00	$47,370.64	$44,786.79	2026-05-14
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	19	12	—	—	$29,626.97	$87,404.00	$44,609.12	2026-05-14
356	OTHER	Other Digestive System O.r. Procedures With Mcc	16	12	—	—	$39,478.80	$83,555.45	$44,597.74	2026-05-14
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	7	7	—	—	$1,600.00	$47,061.88	$44,494.87	2026-05-14
021-4	OTHER	Open Craniotomy Except Trauma	7	7	—	—	$1,600.00	$46,977.81	$44,415.38	2026-05-14
120-4	OTHER	Major Respiratory And Chest Procedures	7	7	—	—	$1,600.00	$46,712.62	$44,164.66	2026-05-14
754-4	OTHER	Depression Except Major Depressive Disorder	7	7	—	—	$1,600.00	$46,621.58	$44,078.58	2026-05-14
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	7	—	—	$1,600.00	$46,593.39	$44,051.94	2026-05-14
660-4	OTHER	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	7	7	—	—	$1,600.00	$46,577.34	$44,036.76	2026-05-14
031	OTHER	Ventricular Shunt Procedures With Mcc	16	12	—	—	$39,998.91	$85,223.59	$43,594.92	2026-05-14
411	OTHER	Cholecystectomy With C.d.e. With Mcc	16	12	—	—	$29,730.77	$62,832.07	$43,562.99	2026-05-14
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$1,600.00	$45,894.10	$43,390.79	2026-05-14
245	OTHER	Aicd Generator Procedures	16	12	—	—	$38,567.81	$86,781.41	$43,172.00	2026-05-14
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	16	12	—	—	$33,617.45	$71,094.79	$43,128.74	2026-05-14
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$45,609.81	$43,122.00	2026-05-14
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	16	12	—	—	$34,722.45	$73,443.89	$42,961.11	2026-05-14
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	16	12	—	—	$37,896.92	$80,192.54	$42,858.17	2026-05-14
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	14	12	—	—	$33,332.03	$70,488.02	$42,545.71	2026-05-14
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	7	7	—	—	$1,600.00	$44,997.63	$42,543.22	2026-05-14
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	11	11	—	—	$41,382.78	$81,637.63	$42,443.88	2026-05-14
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	16	12	—	—	$32,157.26	$67,990.56	$42,377.74	2026-05-14
570	OTHER	Skin Debridement With Mcc	16	12	—	—	$31,226.11	$79,475.25	$42,353.57	2026-05-14
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	16	12	—	—	$26,500.15	$55,999.73	$41,629.55	2026-05-14
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	16	12	—	—	$31,664.27	$66,942.51	$41,573.96	2026-05-14
324	OTHER	Urinary Stones Without Cc	19	12	—	—	$13,268.35	$87,404.00	$41,515.87	2026-05-14
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	16	12	—	—	$31,377.96	$67,765.16	$41,507.96	2026-05-14
271	OTHER	Other Major Cardiovascular Procedures With Cc	16	12	—	—	$31,994.42	$67,644.38	$41,477.60	2026-05-14
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	7	7	—	—	$1,600.00	$43,820.68	$41,430.46	2026-05-14
183-2	OTHER	Percutaneous Structural Cardiac Procedures	7	7	—	—	$1,600.00	$43,736.62	$41,350.98	2026-05-14
690-3	OTHER	Acute Leukemia	7	7	—	—	$1,600.00	$43,550.90	$41,175.40	2026-05-14
907	OTHER	Other O.r. Procedures For Injuries With Mcc	16	12	—	—	$34,526.48	$73,027.33	$40,954.95	2026-05-14
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	16	12	—	—	$32,050.77	$67,764.21	$40,838.80	2026-05-14
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$1,600.00	$43,021.28	$40,674.66	2026-05-14
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	16	12	—	—	$27,994.11	$59,140.09	$40,667.73	2026-05-14
652	OTHER	Kidney Transplant	14	10	—	—	$29,070.45	$57,328.66	$40,458.68	2026-05-14
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$1,600.00	$42,774.42	$40,441.27	2026-05-14
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	16	12	—	—	$33,613.89	$71,087.18	$40,424.37	2026-05-14
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	16	12	—	—	$33,519.93	$70,887.46	$40,390.05	2026-05-14
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$1,600.00	$42,700.28	$40,371.18	2026-05-14
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	16	12	—	—	$26,098.39	$55,164.70	$40,224.02	2026-05-14
183-1	OTHER	Percutaneous Structural Cardiac Procedures	7	7	—	—	$1,600.00	$42,514.57	$40,195.59	2026-05-14
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	16	12	—	—	$35,289.80	$81,655.25	$40,063.99	2026-05-14
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$1,600.00	$42,353.32	$40,043.14	2026-05-14
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	7	7	—	—	$1,600.00	$42,172.96	$39,872.61	2026-05-14
901	OTHER	Wound Debridements For Injuries With Mcc	16	12	—	—	$35,416.40	$79,823.53	$39,684.62	2026-05-14
026-4	OTHER	Other Nervous System And Related Procedures	7	7	—	—	$1,600.00	$41,887.12	$39,602.37	2026-05-14
793	OTHER	Full Term Neonate With Major Problems	15	11	—	—	$5,379.07	$73,935.65	$39,211.71	2026-05-14
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	16	12	—	—	$23,693.26	$51,533.32	$39,161.98	2026-05-14
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	16	12	—	—	$31,321.68	$79,918.63	$39,123.85	2026-05-14
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	16	12	—	—	$33,697.08	$71,264.08	$39,117.71	2026-05-14
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	19	12	—	—	$24,456.52	$87,404.00	$39,010.92	2026-05-14
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$1,600.00	$41,208.46	$38,960.73	2026-05-14
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$1,600.00	$41,208.46	$38,960.73	2026-05-14
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$1,600.00	$41,208.46	$38,960.73	2026-05-14
023-4	OTHER	Spinal Procedures	7	7	—	—	$1,600.00	$41,031.93	$38,793.82	2026-05-14
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	7	—	—	$1,600.00	$40,999.06	$38,762.74	2026-05-14
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	16	12	—	—	$29,048.98	$61,382.66	$38,753.43	2026-05-14
654	OTHER	Major Bladder Procedures With Cc	16	12	—	—	$25,174.95	$53,245.49	$38,740.37	2026-05-14
178-2	OTHER	External Heart Assist Systems	7	7	—	—	$1,600.00	$40,949.38	$38,715.78	2026-05-14
178-3	OTHER	External Heart Assist Systems	7	7	—	—	$1,600.00	$40,949.38	$38,715.78	2026-05-14
178-1	OTHER	External Heart Assist Systems	7	7	—	—	$1,600.00	$40,949.38	$38,715.78	2026-05-14
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	16	12	—	—	$25,823.83	$54,594.07	$38,459.93	2026-05-14
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	16	12	—	—	$34,679.12	$75,781.56	$38,274.74	2026-05-14
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$1,600.00	$40,402.18	$38,198.42	2026-05-14
791	OTHER	Prematurity With Major Problems	15	11	—	—	$5,291.21	$71,981.86	$38,176.45	2026-05-14
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	7	—	—	$1,600.00	$40,364.73	$38,163.02	2026-05-14
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	16	12	—	—	$28,043.31	$59,244.71	$38,039.40	2026-05-14
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	16	12	—	—	$25,643.53	$54,219.36	$37,922.44	2026-05-14
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	16	12	—	—	$13,754.91	$64,806.45	$37,665.80	2026-05-14
230-4	OTHER	Major Small Bowel Procedures	7	7	—	—	$1,600.00	$39,784.66	$37,614.58	2026-05-14
020-4	OTHER	Open Craniotomy For Trauma	7	7	—	—	$1,600.00	$39,675.37	$37,511.26	2026-05-14
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	7	—	—	$1,600.00	$39,653.21	$37,490.30	2026-05-14
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	16	12	—	—	$30,699.75	$64,892.04	$37,425.67	2026-05-14
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	16	12	—	—	$23,900.09	$50,595.86	$37,258.42	2026-05-14
089-4	OTHER	Major Cranial Or Facial Bone Procedures	7	7	—	—	$1,600.00	$39,397.95	$37,248.97	2026-05-14
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	7	—	—	$1,736.64	$39,370.43	$37,222.95	2026-05-14
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	7	7	—	—	$1,600.00	$39,216.82	$37,077.72	2026-05-14
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	16	12	—	—	$33,048.19	$74,071.58	$36,935.18	2026-05-14
279	OTHER	Cellulitis Age 0-17	16	12	—	—	$13,314.39	$68,597.33	$36,832.94	2026-05-14
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	7	7	—	—	$1,600.00	$38,862.97	$36,743.17	2026-05-14
027-4	OTHER	Other Open Craniotomy	7	7	—	—	$1,600.00	$38,819.41	$36,701.98	2026-05-14
169-4	OTHER	Major Abdominal Vascular Procedures	7	7	—	—	$1,600.00	$38,754.44	$36,640.56	2026-05-14
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	16	12	—	—	$22,055.97	$49,530.67	$36,505.54	2026-05-14
288	OTHER	Acute And Subacute Endocarditis With Mcc	16	12	—	—	$24,322.91	$51,474.63	$36,423.36	2026-05-14
252	OTHER	Other Vascular Procedures With Mcc	16	12	—	—	$31,386.00	$66,350.95	$36,380.35	2026-05-14
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	16	12	—	—	$31,728.68	$67,079.46	$36,326.24	2026-05-14
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	16	12	—	—	$21,925.11	$46,491.13	$36,293.21	2026-05-14
800	OTHER	Splenectomy With Cc	16	12	—	—	$25,267.38	$53,437.60	$36,175.60	2026-05-14
034	OTHER	Carotid Artery Stent Procedures With Mcc	16	12	—	—	$31,573.65	$73,624.58	$36,056.94	2026-05-14
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	7	—	—	$1,600.00	$38,069.68	$35,993.15	2026-05-14
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	16	12	—	—	$32,020.36	$67,699.54	$35,975.15	2026-05-14
029-4	OTHER	Other Percutaneous Intracranial Procedures	7	7	—	—	$1,600.00	$37,781.56	$35,720.74	2026-05-14
050-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	7	7	—	—	$1,600.00	$37,770.08	$35,709.90	2026-05-14
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	14	12	—	—	$30,573.24	$73,514.26	$35,646.71	2026-05-14
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	16	12	—	—	$32,490.99	$68,700.05	$35,640.79	2026-05-14
181-4	OTHER	Lower Extremity Arterial Procedures	7	7	—	—	$1,600.00	$37,605.01	$35,553.82	2026-05-14
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$1,600.00	$37,439.17	$35,397.03	2026-05-14
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	16	12	—	—	$25,929.98	$54,814.72	$35,319.19	2026-05-14
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	7	7	—	—	$1,600.00	$37,347.45	$35,310.32	2026-05-14
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	16	12	—	—	$27,314.11	$57,694.50	$35,192.48	2026-05-14
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	16	12	—	—	$28,661.56	$60,559.06	$35,111.96	2026-05-14
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	16	12	—	—	$31,979.52	$68,964.44	$35,076.52	2026-05-14
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	7	7	—	—	$1,600.00	$37,094.49	$35,071.15	2026-05-14
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	16	12	—	—	$31,084.49	$65,709.95	$35,048.62	2026-05-14
750-4	OTHER	Schizophrenia	7	7	—	—	$1,600.00	$37,005.07	$34,986.61	2026-05-14
904	OTHER	Skin Grafts For Injuries With Cc/mcc	16	12	—	—	$31,335.34	$69,866.04	$34,935.44	2026-05-14
182-4	OTHER	Other Peripheral Vascular And Related Procedures	7	7	—	—	$1,600.00	$36,928.65	$34,914.36	2026-05-14
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	16	12	—	—	$28,899.55	$61,065.02	$34,900.79	2026-05-14
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	7	7	—	—	$1,600.00	$36,898.07	$34,885.45	2026-05-14
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	7	7	—	—	$1,600.00	$36,898.07	$34,885.45	2026-05-14
250	OTHER	Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc	19	12	—	—	$19,530.05	$87,404.00	$34,780.70	2026-05-14

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