Hospital

CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER

Windber, PA · CCN 390112 · Rates published

9,094 distinct procedures filed

12 distinct payers

209,337 rate rows

2026-05-09 last MRF observed

Data quality

203,821 of 209,337 rate rows are consumer-grade (97.4%)

5,516 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
template filing: same amount across many unrelated codes — excluded	2,744
exceeds 10× this hospital's gross charge — excluded from medians	1,760
placeholder amount (≤ $0.02) — excluded from medians	600
per-diem day rate — not a per-procedure price	412

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

Source MRF file	https://www.windbercare.org/251244202_Chan-Soon-Shiong-Medical-Center-at-Windber_standardcharges.csv
Found on page	https://www.windbercare.org/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-17
Content fingerprint	7de6773d152ec70a… · 58,391,424 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
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	$311,750.02	$1,046,762.13	$979,084.25	nat. median $424,868 outlier · 2.3×
007 OTHER	Lung Transplant	10	$93,491.51	$761,042.50	$689,964.24	nat. median $141,082 outlier · 4.9×
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	11	$2,005.00	$324,581.20	$295,105.03	nat. median $150,232 2.0× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$202,313.22	$306,996.84	$286,883.22	nat. median $263,894 1.1× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	10	$81,807.78	$249,430.85	$227,631.80	nat. median $117,167 1.9× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	11	$2,005.00	$238,596.50	$217,730.24	nat. median $64,729 outlier · 3.4×
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	11	$2,005.00	$224,958.50	$211,287.02	nat. median $218,232 1.0× median
006 OTHER	Liver Transplant Without Mcc	10	$33,475.94	$190,409.06	$174,210.46	nat. median $50,611 outlier · 3.4×
161-4 OTHER	Implantable Heart Assist Systems	5	$171,802.78	$180,392.92	$171,802.78	nat. median $202,242 0.8× median
008 OTHER	Simultaneous Pancreas And Kidney Transplant	10	$40,461.34	$183,663.00	$168,276.57	nat. median $59,265 outlier · 2.8×
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$162,480.09	$170,604.09	$162,480.09	nat. median $203,379 0.8× median
583-4 OTHER	Neonate With Ecmo	5	$162,072.19	$170,175.80	$162,072.19	nat. median $309,400 0.5× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	11	$2,005.00	$172,794.43	$158,317.51	nat. median $66,849 outlier · 2.4×
841-3 OTHER	Extensive Third Degree Burns With Skin Graft	5	$157,367.16	$165,235.52	$157,367.16	nat. median $61,016 outlier · 2.6×
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	11	$2,005.00	$323,801.30	$155,682.50	nat. median $146,562 1.1× median
570 OTHER	Skin Debridement With Mcc	11	$2,005.00	$169,694.33	$155,352.44	nat. median $33,751 outlier · 4.6×
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	11	$2,005.00	$167,256.08	$153,083.79	nat. median $67,670 outlier · 2.3×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$146,858.12	$154,201.03	$146,858.12	nat. median $210,669 0.7× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	10	$74,434.70	$158,453.10	$140,789.21	nat. median $104,489 1.3× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$130,888.25	$137,432.66	$130,888.25	nat. median $267,493 outlier · 0.5×
583-3 OTHER	Neonate With Ecmo	5	$127,432.12	$133,803.73	$127,432.12	nat. median $259,487 outlier · 0.5×
002-4 OTHER	Heart And/or Lung Transplant	5	$127,385.26	$133,754.52	$127,385.26	nat. median $216,800 0.6× median
837 OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	11	$2,005.00	$139,157.28	$127,188.96	nat. median $38,617 outlier · 3.3×
163 OTHER	Major Chest Procedures With Mcc	11	$2,005.00	$135,828.15	$124,041.83	nat. median $47,944 outlier · 2.6×
583-2 OTHER	Neonate With Ecmo	5	$116,269.72	$122,083.21	$116,269.72	nat. median $191,347 0.6× median
653 OTHER	Major Bladder Procedures With Mcc	11	$2,005.00	$127,095.32	$116,125.00	nat. median $54,646 outlier · 2.1×
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$113,926.86	$119,623.20	$113,926.86	nat. median $171,094 0.7× median
583-1 OTHER	Neonate With Ecmo	5	$112,667.13	$118,300.49	$112,667.13	nat. median $171,226 0.7× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	11	$2,005.00	$114,649.78	$108,947.91	nat. median $82,426 1.3× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	$105,273.01	$110,536.66	$105,273.01	nat. median $106,926 1.0× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	5	$104,086.13	$109,290.44	$104,086.13	nat. median $151,691 0.7× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	5	$103,237.18	$108,399.04	$103,237.18	nat. median $172,311 0.6× median
161-3 OTHER	Implantable Heart Assist Systems	5	$103,033.06	$108,184.71	$103,033.06	nat. median $152,491 0.7× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$101,345.03	$106,412.28	$101,345.03	nat. median $169,856 0.6× median
471 OTHER	Cervical Spinal Fusion With Mcc	11	$2,005.00	$111,400.66	$101,340.03	nat. median $399 outlier · 253.8×
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$101,067.91	$106,121.31	$101,067.91	nat. median $86,371 1.2× median
326 OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	11	$2,005.00	$108,696.08	$98,876.62	nat. median $45,545 outlier · 2.2×
461 OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	11	$2,005.00	$106,871.84	$98,528.07	nat. median $53,999 1.8× median
010 OTHER	Pancreas Transplant	10	$51,803.60	$105,408.12	$96,348.43	nat. median $67,882 1.4× median
021 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	11	$2,005.00	$104,987.12	$95,535.93	nat. median $58,177 1.6× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	$93,913.36	$98,609.03	$93,913.36	nat. median $150,954 0.6× median
215 OTHER	Other Heart Assist System Implant	11	$2,005.00	$98,783.19	$92,440.11	nat. median $92,359 1.0× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$91,229.48	$95,790.95	$91,229.48	nat. median $165,000 0.6× median
161-2 OTHER	Implantable Heart Assist Systems	5	$89,892.32	$94,386.94	$89,892.32	nat. median $109,992 0.8× median
022 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	11	$2,005.00	$98,156.67	$89,186.01	nat. median $36,711 outlier · 2.4×
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	$2,005.00	$101,725.19	$88,939.37	nat. median $76,493 1.2× median
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	$88,684.73	$93,118.97	$88,684.73	nat. median $87,912 1.0× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$87,596.65	$91,976.48	$87,596.65	nat. median $156,696 0.6× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$86,010.65	$90,311.18	$86,010.65	nat. median $153,523 0.6× median
002-3 OTHER	Heart And/or Lung Transplant	5	$85,570.86	$89,849.40	$85,570.86	nat. median $133,471 0.6× median

Other procedures at this hospital

Browse this hospital's 9,094 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

4251001	OTHER	Des W/atherectomy	3	3	$59,541.00	$50,609.85	$20,839.35	$35,724.60	$35,724.60	2026-05-09
4251006	OTHER	Cto, Dest Stent	3	3	$59,541.00	$50,609.85	$20,839.35	$35,724.60	$35,724.60	2026-05-09
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	21	11	—	—	$311,750.02	$1,046,762.13	$979,084.25	2026-05-09
007	OTHER	Lung Transplant	20	10	—	—	$93,491.51	$761,042.50	$689,964.24	2026-05-09
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	22	11	—	—	$2,005.00	$324,581.20	$295,105.03	2026-05-09
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	10	—	—	$202,313.22	$306,996.84	$286,883.22	2026-05-09
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	10	—	—	$81,807.78	$249,430.85	$227,631.80	2026-05-09
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	22	11	—	—	$2,005.00	$238,596.50	$217,730.24	2026-05-09
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	22	11	—	—	$2,005.00	$224,958.50	$211,287.02	2026-05-09
006	OTHER	Liver Transplant Without Mcc	20	10	—	—	$33,475.94	$190,409.06	$174,210.46	2026-05-09
161-4	OTHER	Implantable Heart Assist Systems	6	5	—	—	$171,802.78	$180,392.92	$171,802.78	2026-05-09
008	OTHER	Simultaneous Pancreas And Kidney Transplant	20	10	—	—	$40,461.34	$183,663.00	$168,276.57	2026-05-09
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	5	—	—	$162,480.09	$170,604.09	$162,480.09	2026-05-09
583-4	OTHER	Neonate With Ecmo	6	5	—	—	$162,072.19	$170,175.80	$162,072.19	2026-05-09
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	22	11	—	—	$2,005.00	$172,794.43	$158,317.51	2026-05-09
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	6	5	—	—	$157,367.16	$165,235.52	$157,367.16	2026-05-09
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	22	11	—	—	$2,005.00	$323,801.30	$155,682.50	2026-05-09
570	OTHER	Skin Debridement With Mcc	22	11	—	—	$2,005.00	$169,694.33	$155,352.44	2026-05-09
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	22	11	—	—	$2,005.00	$167,256.08	$153,083.79	2026-05-09
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	5	—	—	$146,858.12	$154,201.03	$146,858.12	2026-05-09
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	20	10	—	—	$74,434.70	$158,453.10	$140,789.21	2026-05-09
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	5	—	—	$130,888.25	$137,432.66	$130,888.25	2026-05-09
583-3	OTHER	Neonate With Ecmo	6	5	—	—	$127,432.12	$133,803.73	$127,432.12	2026-05-09
002-4	OTHER	Heart And/or Lung Transplant	6	5	—	—	$127,385.26	$133,754.52	$127,385.26	2026-05-09
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	22	11	—	—	$2,005.00	$139,157.28	$127,188.96	2026-05-09
163	OTHER	Major Chest Procedures With Mcc	22	11	—	—	$2,005.00	$135,828.15	$124,041.83	2026-05-09
583-2	OTHER	Neonate With Ecmo	6	5	—	—	$116,269.72	$122,083.21	$116,269.72	2026-05-09
653	OTHER	Major Bladder Procedures With Mcc	22	11	—	—	$2,005.00	$127,095.32	$116,125.00	2026-05-09
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	5	—	—	$113,926.86	$119,623.20	$113,926.86	2026-05-09
583-1	OTHER	Neonate With Ecmo	6	5	—	—	$112,667.13	$118,300.49	$112,667.13	2026-05-09
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	22	11	—	—	$2,005.00	$114,649.78	$108,947.91	2026-05-09
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	5	—	—	$105,273.01	$110,536.66	$105,273.01	2026-05-09
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	6	5	—	—	$104,086.13	$109,290.44	$104,086.13	2026-05-09
007-4	OTHER	Allogeneic Bone Marrow Transplant	6	5	—	—	$103,237.18	$108,399.04	$103,237.18	2026-05-09
161-3	OTHER	Implantable Heart Assist Systems	6	5	—	—	$103,033.06	$108,184.71	$103,033.06	2026-05-09
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	5	—	—	$101,345.03	$106,412.28	$101,345.03	2026-05-09
471	OTHER	Cervical Spinal Fusion With Mcc	22	11	—	—	$2,005.00	$111,400.66	$101,340.03	2026-05-09
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	5	—	—	$101,067.91	$106,121.31	$101,067.91	2026-05-09
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	22	11	—	—	$2,005.00	$108,696.08	$98,876.62	2026-05-09
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	22	11	—	—	$2,005.00	$106,871.84	$98,528.07	2026-05-09
010	OTHER	Pancreas Transplant	20	10	—	—	$51,803.60	$105,408.12	$96,348.43	2026-05-09
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	22	11	—	—	$2,005.00	$104,987.12	$95,535.93	2026-05-09
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$93,913.36	$98,609.03	$93,913.36	2026-05-09
215	OTHER	Other Heart Assist System Implant	22	11	—	—	$2,005.00	$98,783.19	$92,440.11	2026-05-09
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	5	—	—	$91,229.48	$95,790.95	$91,229.48	2026-05-09
161-2	OTHER	Implantable Heart Assist Systems	6	5	—	—	$89,892.32	$94,386.94	$89,892.32	2026-05-09
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	22	11	—	—	$2,005.00	$98,156.67	$89,186.01	2026-05-09
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	11	—	—	$2,005.00	$101,725.19	$88,939.37	2026-05-09
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$88,684.73	$93,118.97	$88,684.73	2026-05-09
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	5	—	—	$87,596.65	$91,976.48	$87,596.65	2026-05-09
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	5	—	—	$86,010.65	$90,311.18	$86,010.65	2026-05-09
002-3	OTHER	Heart And/or Lung Transplant	6	5	—	—	$85,570.86	$89,849.40	$85,570.86	2026-05-09
231	OTHER	Coronary Bypass With Ptca With Mcc	22	11	—	—	$2,005.00	$105,695.10	$84,638.42	2026-05-09
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	11	—	—	$2,005.00	$102,352.02	$84,161.63	2026-05-09
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	5	—	—	$83,952.88	$88,150.52	$83,952.88	2026-05-09
014	OTHER	Allogeneic Bone Marrow Transplant	20	10	—	—	$76,938.27	$145,095.70	$83,265.13	2026-05-09
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	5	—	—	$83,112.45	$87,268.07	$83,112.45	2026-05-09
356	OTHER	Other Digestive System O.r. Procedures With Mcc	22	11	—	—	$2,005.00	$90,093.81	$81,465.38	2026-05-09
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	6	5	—	—	$80,906.13	$84,951.44	$80,906.13	2026-05-09
002-2	OTHER	Heart And/or Lung Transplant	6	5	—	—	$78,960.72	$82,908.76	$78,960.72	2026-05-09
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	5	—	—	$78,557.20	$82,485.06	$78,557.20	2026-05-09
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	11	—	—	$2,005.00	$84,410.49	$76,444.14	2026-05-09
007-3	OTHER	Allogeneic Bone Marrow Transplant	6	5	—	—	$75,646.26	$79,428.57	$75,646.26	2026-05-09
161-1	OTHER	Implantable Heart Assist Systems	6	5	—	—	$74,549.29	$78,276.75	$74,549.29	2026-05-09
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	22	11	—	—	$2,005.00	$161,214.12	$73,944.54	2026-05-09
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	5	—	—	$72,388.54	$76,007.97	$72,388.54	2026-05-09
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	14	10	—	—	$2,005.00	$75,774.86	$72,131.19	2026-05-09
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	5	—	—	$72,093.09	$75,697.74	$72,093.09	2026-05-09
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$71,470.27	$75,043.78	$71,470.27	2026-05-09
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	5	—	—	$70,590.09	$74,119.59	$70,590.09	2026-05-09
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	5	—	—	$69,650.10	$73,132.61	$69,650.10	2026-05-09
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	22	11	—	—	$2,005.00	$76,498.15	$68,973.36	2026-05-09
347	OTHER	Anal And Stomal Procedures With Mcc	22	11	—	—	$2,005.00	$75,017.27	$67,516.27	2026-05-09
863-4	OTHER	Neonatal Aftercare	6	5	—	—	$67,301.12	$70,666.18	$67,301.12	2026-05-09
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$66,611.11	$69,941.67	$66,611.11	2026-05-09
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	22	11	—	—	$2,005.00	$73,803.67	$66,371.12	2026-05-09
197	OTHER	Interstitial Lung Disease With Cc	22	11	—	—	$2,005.00	$73,735.24	$66,252.90	2026-05-09
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	5	—	—	$65,959.00	$69,256.95	$65,959.00	2026-05-09
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	5	—	—	$65,926.24	$69,222.55	$65,926.24	2026-05-09
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	5	—	—	$65,757.79	$69,045.68	$65,757.79	2026-05-09
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	5	—	—	$65,569.13	$68,847.59	$65,569.13	2026-05-09
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	5	—	—	$65,271.78	$68,535.37	$65,271.78	2026-05-09
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	5	—	—	$64,970.07	$68,218.57	$64,970.07	2026-05-09
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	5	—	—	$64,291.83	$67,506.42	$64,291.83	2026-05-09
006-4	OTHER	Pancreas Transplant	6	5	—	—	$62,895.46	$66,040.23	$62,895.46	2026-05-09
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$62,841.61	$65,983.69	$62,841.61	2026-05-09
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	5	—	—	$62,479.29	$65,603.25	$62,479.29	2026-05-09
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	5	—	—	$62,001.95	$65,102.05	$62,001.95	2026-05-09
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	5	—	—	$61,309.96	$64,375.46	$61,309.96	2026-05-09
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	6	5	—	—	$61,285.07	$64,349.32	$61,285.07	2026-05-09
588-1	OTHER	Female Reproductive System Reconstructive Procedures	6	5	—	—	$61,141.29	$64,198.35	$61,141.29	2026-05-09
007-2	OTHER	Allogeneic Bone Marrow Transplant	6	5	—	—	$60,708.55	$63,743.98	$60,708.55	2026-05-09
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	5	—	—	$60,508.00	$63,533.40	$60,508.00	2026-05-09
440-4	OTHER	Kidney Transplant	6	5	—	—	$60,437.58	$63,459.46	$60,437.58	2026-05-09
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	5	—	—	$60,286.61	$63,300.94	$60,286.61	2026-05-09
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	6	5	—	—	$60,212.48	$63,223.10	$60,212.48	2026-05-09
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	5	—	—	$59,560.12	$62,538.13	$59,560.12	2026-05-09
006-3	OTHER	Pancreas Transplant	6	5	—	—	$59,055.99	$62,008.79	$59,055.99	2026-05-09
849	OTHER	Radiotherapy	22	11	—	—	$2,005.00	$65,375.09	$58,513.76	2026-05-09
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	5	—	—	$57,996.91	$60,896.76	$57,996.91	2026-05-09
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	5	—	—	$57,156.86	$60,014.70	$57,156.86	2026-05-09
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$56,727.36	$59,563.73	$56,727.36	2026-05-09
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$56,725.22	$59,561.48	$56,725.22	2026-05-09
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	5	—	—	$55,667.81	$58,451.20	$55,667.81	2026-05-09
006-2	OTHER	Pancreas Transplant	6	5	—	—	$55,613.31	$58,393.98	$55,613.31	2026-05-09
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	6	5	—	—	$55,577.11	$58,355.97	$55,577.11	2026-05-09
178-4	OTHER	External Heart Assist Systems	6	5	—	—	$55,150.28	$57,907.79	$55,150.28	2026-05-09
023-4	OTHER	Spinal Procedures	6	5	—	—	$55,004.89	$57,755.13	$55,004.89	2026-05-09
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	21	11	—	—	$33,940.86	$68,010.81	$54,759.58	2026-05-09
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$54,205.97	$56,916.27	$54,205.97	2026-05-09
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	6	5	—	—	$54,063.80	$56,766.99	$54,063.80	2026-05-09
002-1	OTHER	Heart And/or Lung Transplant	6	5	—	—	$53,818.32	$56,509.24	$53,818.32	2026-05-09
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	5	—	—	$53,795.59	$56,485.37	$53,795.59	2026-05-09
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	5	—	—	$53,652.19	$56,334.80	$53,652.19	2026-05-09
007-1	OTHER	Allogeneic Bone Marrow Transplant	6	5	—	—	$53,590.34	$56,269.86	$53,590.34	2026-05-09
020-4	OTHER	Open Craniotomy For Trauma	6	5	—	—	$53,470.52	$56,144.05	$53,470.52	2026-05-09
277	OTHER	Cellulitis Age >17 W Cc	22	11	—	—	$2,005.00	$61,458.97	$53,409.75	2026-05-09
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	5	—	—	$53,158.62	$55,816.55	$53,158.62	2026-05-09
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	22	11	—	—	$2,005.00	$72,980.66	$53,096.02	2026-05-09
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	5	—	—	$52,104.10	$54,709.31	$52,104.10	2026-05-09
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	22	11	—	—	$2,005.00	$85,621.68	$51,820.99	2026-05-09
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	22	11	—	—	$2,005.00	$62,354.44	$51,810.36	2026-05-09
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	22	11	—	—	$2,005.00	$54,327.51	$51,703.47	2026-05-09
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	6	5	—	—	$51,415.43	$53,986.20	$51,415.43	2026-05-09
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	6	5	—	—	$51,052.18	$53,604.79	$51,052.18	2026-05-09
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$50,907.54	$53,452.92	$50,907.54	2026-05-09
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	5	—	—	$50,457.53	$52,980.41	$50,457.53	2026-05-09
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	22	11	—	—	$2,005.00	$54,690.70	$50,173.54	2026-05-09
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	21	11	—	—	$46,551.82	$112,963.31	$49,682.13	2026-05-09
183-4	OTHER	Percutaneous Structural Cardiac Procedures	6	5	—	—	$49,635.71	$52,117.50	$49,635.71	2026-05-09
910-4	OTHER	Craniotomy For Multiple Significant Trauma	6	5	—	—	$49,489.63	$51,964.11	$49,489.63	2026-05-09
323-4	OTHER	Non-elective Or Complex Hip Joint Replacement	6	5	—	—	$48,705.51	$51,140.79	$48,705.51	2026-05-09
432	OTHER	Cirrhosis And Alcoholic Hepatitis With Mcc	22	11	—	—	$2,005.00	$55,164.59	$48,637.98	2026-05-09
745	OTHER	D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc	22	11	—	—	$2,005.00	$55,348.16	$48,606.53	2026-05-09
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	5	—	—	$48,537.49	$50,964.36	$48,537.49	2026-05-09
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	22	11	—	—	$2,005.00	$92,412.32	$48,493.12	2026-05-09
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	5	—	—	$48,483.37	$50,907.54	$48,483.37	2026-05-09
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	22	11	—	—	$2,005.00	$77,607.24	$48,136.04	2026-05-09
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	5	—	—	$48,104.47	$50,509.69	$48,104.47	2026-05-09
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	21	11	—	—	$26,753.32	$52,578.91	$47,708.60	2026-05-09
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	22	11	—	—	$2,005.00	$65,450.89	$47,557.52	2026-05-09
955	OTHER	Craniotomy For Multiple Significant Trauma	22	11	—	—	$2,005.00	$89,278.18	$47,236.62	2026-05-09
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	5	—	—	$47,189.50	$49,548.97	$47,189.50	2026-05-09
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	6	5	—	—	$47,121.03	$49,477.08	$47,121.03	2026-05-09
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	5	—	—	$47,072.11	$49,425.72	$47,072.11	2026-05-09
895	OTHER	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	21	10	—	—	$2,005.00	$56,610.53	$46,871.33	2026-05-09
232-4	OTHER	Gastric Fundoplication	6	5	—	—	$46,608.39	$48,938.81	$46,608.39	2026-05-09
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	5	—	—	$46,517.14	$48,843.00	$46,517.14	2026-05-09
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	5	—	—	$46,450.62	$48,773.15	$46,450.62	2026-05-09
055-4	OTHER	Head Trauma With Coma > 1 Hour Or Hemorrhage	6	5	—	—	$46,072.88	$48,376.52	$46,072.88	2026-05-09
179-4	OTHER	Defibrillator Implants	6	5	—	—	$45,844.77	$48,137.01	$45,844.77	2026-05-09
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	5	—	—	$45,774.99	$48,063.74	$45,774.99	2026-05-09
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	5	—	—	$45,712.38	$47,998.00	$45,712.38	2026-05-09
091-4	OTHER	Other Major Head And Neck Procedures	6	5	—	—	$45,577.39	$47,856.26	$45,577.39	2026-05-09
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	5	—	—	$45,522.07	$47,798.17	$45,522.07	2026-05-09
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	6	5	—	—	$45,169.80	$47,428.29	$45,169.80	2026-05-09
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	6	5	—	—	$44,876.98	$47,120.83	$44,876.98	2026-05-09
021-4	OTHER	Open Craniotomy Except Trauma	6	5	—	—	$44,813.72	$47,054.41	$44,813.72	2026-05-09
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	11	—	—	$2,005.00	$67,145.19	$44,719.30	2026-05-09
178-3	OTHER	External Heart Assist Systems	6	5	—	—	$44,500.04	$46,725.04	$44,500.04	2026-05-09
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	11	—	—	$2,005.00	$60,981.38	$44,453.80	2026-05-09
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	5	—	—	$44,328.52	$46,544.95	$44,328.52	2026-05-09
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	22	11	—	—	$2,005.00	$87,397.70	$44,292.22	2026-05-09
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$44,234.61	$46,446.34	$44,234.61	2026-05-09
440-3	OTHER	Kidney Transplant	6	5	—	—	$44,124.40	$46,330.62	$44,124.40	2026-05-09
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	6	5	—	—	$44,013.47	$46,214.14	$44,013.47	2026-05-09
459	OTHER	Spinal Fusion Except Cervical With Mcc	14	10	—	—	$2,005.00	$47,602.05	$43,977.11	2026-05-09
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	6	5	—	—	$43,896.88	$46,091.72	$43,896.88	2026-05-09
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	5	—	—	$43,767.02	$45,955.37	$43,767.02	2026-05-09
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	22	11	—	—	$2,005.00	$47,193.67	$43,674.18	2026-05-09
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	5	—	—	$43,633.33	$45,815.00	$43,633.33	2026-05-09
232	OTHER	Coronary Bypass With Ptca Without Mcc	22	11	—	—	$2,005.00	$71,189.72	$43,278.99	2026-05-09
690-4	OTHER	Acute Leukemia	6	5	—	—	$42,999.44	$45,149.41	$42,999.44	2026-05-09
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	6	5	—	—	$42,669.73	$44,803.22	$42,669.73	2026-05-09
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$42,367.51	$44,485.89	$42,367.51	2026-05-09
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	6	5	—	—	$41,812.53	$43,903.16	$41,812.53	2026-05-09
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	5	—	—	$41,693.84	$43,778.53	$41,693.84	2026-05-09
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	22	11	—	—	$2,005.00	$66,398.97	$41,681.06	2026-05-09
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$41,600.58	$43,680.61	$41,600.58	2026-05-09
440-2	OTHER	Kidney Transplant	6	5	—	—	$41,417.74	$43,488.63	$41,417.74	2026-05-09
169-4	OTHER	Major Abdominal Vascular Procedures	6	5	—	—	$41,414.07	$43,484.77	$41,414.07	2026-05-09
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	22	11	—	—	$2,005.00	$47,594.13	$41,390.16	2026-05-09
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	6	5	—	—	$41,298.07	$43,362.97	$41,298.07	2026-05-09
333	OTHER	Rectal Resection With Cc	22	11	—	—	$2,005.00	$47,506.14	$41,013.59	2026-05-09
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	22	11	—	—	$2,005.00	$47,201.49	$40,990.36	2026-05-09
028	OTHER	Spinal Procedures With Mcc	22	11	—	—	$2,005.00	$60,966.46	$40,864.57	2026-05-09
027-1	OTHER	Other Open Craniotomy	6	5	—	—	$40,853.65	$42,896.33	$40,853.65	2026-05-09
276	OTHER	Non-maligant Breast Disorders	22	11	—	—	$2,005.00	$79,636.97	$40,853.01	2026-05-09
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	6	5	—	—	$40,749.53	$42,787.01	$40,749.53	2026-05-09
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	22	11	—	—	$2,005.00	$46,708.93	$40,741.06	2026-05-09
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	5	—	—	$40,734.53	$42,771.26	$40,734.53	2026-05-09
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	14	10	—	—	$2,005.00	$43,898.57	$40,558.33	2026-05-09
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	11	—	—	$2,005.00	$73,980.60	$40,557.28	2026-05-09
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	20	10	—	—	$34,909.90	$97,382.17	$40,424.03	2026-05-09
120-4	OTHER	Major Respiratory And Chest Procedures	6	5	—	—	$40,310.63	$42,326.16	$40,310.63	2026-05-09
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	5	—	—	$40,245.42	$42,257.69	$40,245.42	2026-05-09
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	20	10	—	—	$35,444.88	$45,191.30	$40,203.58	2026-05-09
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	6	5	—	—	$40,169.77	$42,178.26	$40,169.77	2026-05-09
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	22	11	—	—	$2,005.00	$55,772.74	$39,914.82	2026-05-09
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	22	11	—	—	$2,005.00	$71,040.48	$39,888.99	2026-05-09
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	5	—	—	$39,836.52	$41,828.35	$39,836.52	2026-05-09
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	6	5	—	—	$39,705.44	$41,690.71	$39,705.44	2026-05-09
695-4	OTHER	Chemotherapy For Acute Leukemia	6	5	—	—	$39,575.66	$41,554.44	$39,575.66	2026-05-09
446-4	OTHER	Urethral And Transurethral Procedures	6	5	—	—	$39,509.87	$41,485.36	$39,509.87	2026-05-09
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	5	—	—	$39,461.54	$41,434.62	$39,461.54	2026-05-09
650-4	OTHER	Splenectomy	6	5	—	—	$39,225.02	$41,186.27	$39,225.02	2026-05-09
089-4	OTHER	Major Cranial Or Facial Bone Procedures	6	5	—	—	$39,126.98	$41,083.33	$39,126.98	2026-05-09
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	5	—	—	$39,109.66	$41,065.14	$39,109.66	2026-05-09
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	5	—	—	$39,083.29	$41,037.45	$39,083.29	2026-05-09
261-4	OTHER	Major Biliary Tract Procedures	6	5	—	—	$38,878.51	$40,822.44	$38,878.51	2026-05-09
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	5	—	—	$38,863.52	$40,806.70	$38,863.52	2026-05-09
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	5	—	—	$38,719.39	$40,655.36	$38,719.39	2026-05-09
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	22	11	—	—	$2,005.00	$54,459.39	$38,648.69	2026-05-09
006-1	OTHER	Pancreas Transplant	6	5	—	—	$38,628.09	$40,559.49	$38,628.09	2026-05-09
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	22	11	—	—	$2,005.00	$41,384.36	$38,177.47	2026-05-09
240-4	OTHER	Digestive Malignancy	6	5	—	—	$38,091.58	$39,996.16	$38,091.58	2026-05-09
324-3	OTHER	Elective Hip Joint Replacement	6	5	—	—	$37,998.45	$39,898.37	$37,998.45	2026-05-09
027-4	OTHER	Other Open Craniotomy	6	5	—	—	$37,995.68	$39,895.46	$37,995.68	2026-05-09
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	5	—	—	$37,973.98	$39,872.68	$37,973.98	2026-05-09
503	OTHER	Foot Procedures With Mcc	22	11	—	—	$2,005.00	$43,691.19	$37,918.38	2026-05-09
278	OTHER	Cellulitis Age >17 Without Cc	22	11	—	—	$2,005.00	$68,592.86	$37,631.55	2026-05-09
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	5	—	—	$37,623.78	$39,504.97	$37,623.78	2026-05-09
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$37,537.04	$39,413.89	$37,537.04	2026-05-09
131-1	OTHER	Cystic Fibrosis - Pulmonary Disease	6	5	—	—	$37,369.45	$39,237.92	$37,369.45	2026-05-09
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	22	11	—	—	$2,005.00	$101,620.72	$37,340.24	2026-05-09
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	6	5	—	—	$37,297.71	$39,162.60	$37,297.71	2026-05-09
593-1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	5	—	—	$37,221.38	$39,082.45	$37,221.38	2026-05-09
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	22	11	—	—	$2,005.00	$64,667.73	$37,208.36	2026-05-09
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	22	11	—	—	$2,005.00	$56,936.85	$37,155.32	2026-05-09
401-4	OTHER	Adrenal Procedures	6	5	—	—	$36,993.15	$38,842.81	$36,993.15	2026-05-09
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	5	—	—	$36,842.51	$38,684.64	$36,842.51	2026-05-09
140	OTHER	Major Head And Neck Procedures With Mcc	22	11	—	—	$2,005.00	$59,697.88	$36,820.25	2026-05-09
183-3	OTHER	Percutaneous Structural Cardiac Procedures	6	5	—	—	$36,655.01	$38,487.76	$36,655.01	2026-05-09
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	5	—	—	$36,653.38	$38,486.05	$36,653.38	2026-05-09
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	20	10	—	—	$32,842.68	$49,569.74	$36,611.07	2026-05-09
441-4	OTHER	Major Bladder Procedures	6	5	—	—	$36,484.48	$38,308.70	$36,484.48	2026-05-09
384-4	OTHER	Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue	6	5	—	—	$36,372.61	$38,191.24	$36,372.61	2026-05-09
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	11	—	—	$2,005.00	$55,563.80	$36,272.21	2026-05-09
178-2	OTHER	External Heart Assist Systems	6	5	—	—	$36,232.75	$38,044.39	$36,232.75	2026-05-09
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	5	—	—	$36,168.84	$37,977.28	$36,168.84	2026-05-09
270	OTHER	Other Major Cardiovascular Procedures With Mcc	22	11	—	—	$2,005.00	$53,116.19	$35,888.10	2026-05-09
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	22	11	—	—	$2,005.00	$48,101.57	$35,406.08	2026-05-09
440-1	OTHER	Kidney Transplant	6	5	—	—	$35,189.96	$36,949.46	$35,189.96	2026-05-09
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	5	—	—	$35,151.48	$36,909.05	$35,151.48	2026-05-09
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	6	5	—	—	$35,041.27	$36,793.33	$35,041.27	2026-05-09
022-4	OTHER	Ventricular Shunt Procedures	6	5	—	—	$35,018.44	$36,769.36	$35,018.44	2026-05-09
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	6	5	—	—	$34,914.10	$36,659.81	$34,914.10	2026-05-09
179-3	OTHER	Defibrillator Implants	6	5	—	—	$34,912.80	$36,658.44	$34,912.80	2026-05-09
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	6	5	—	—	$34,911.15	$36,656.71	$34,911.15	2026-05-09
908	OTHER	Other O.r. Procedures For Injuries With Cc	22	11	—	—	$2,005.00	$40,871.24	$34,894.40	2026-05-09
324-4	OTHER	Elective Hip Joint Replacement	6	5	—	—	$34,822.02	$36,563.12	$34,822.02	2026-05-09
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	5	—	—	$34,559.33	$36,287.30	$34,559.33	2026-05-09
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	6	5	—	—	$34,553.46	$36,281.13	$34,553.46	2026-05-09
165-1	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	5	—	—	$34,388.14	$36,107.55	$34,388.14	2026-05-09
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	5	—	—	$34,291.95	$36,006.55	$34,291.95	2026-05-09
160-2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	5	—	—	$34,247.60	$35,959.98	$34,247.60	2026-05-09
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	5	—	—	$34,218.18	$35,929.09	$34,218.18	2026-05-09
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	6	5	—	—	$34,158.91	$35,866.86	$34,158.91	2026-05-09
841	OTHER	Lymphoma And Non-acute Leukemia With Cc	22	11	—	—	$2,005.00	$40,234.81	$34,137.22	2026-05-09
181-4	OTHER	Lower Extremity Arterial Procedures	6	5	—	—	$34,083.26	$35,787.42	$34,083.26	2026-05-09
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	5	—	—	$34,078.70	$35,782.64	$34,078.70	2026-05-09
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	11	—	—	$2,005.00	$45,991.83	$34,075.42	2026-05-09
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	5	—	—	$33,930.39	$35,626.91	$33,930.39	2026-05-09
181-3	OTHER	Lower Extremity Arterial Procedures	6	5	—	—	$33,886.88	$35,581.22	$33,886.88	2026-05-09
051-4	OTHER	Viral Meningitis	6	5	—	—	$33,885.72	$35,580.01	$33,885.72	2026-05-09
314	OTHER	Other Circulatory System Diagnoses With Mcc	22	11	—	—	$2,005.00	$39,751.05	$33,882.36	2026-05-09
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	22	11	—	—	$2,005.00	$81,681.62	$33,827.47	2026-05-09
121-4	OTHER	Other Respiratory And Chest Procedures	6	5	—	—	$33,789.14	$35,478.60	$33,789.14	2026-05-09
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	6	5	—	—	$33,775.45	$35,464.22	$33,775.45	2026-05-09
228	OTHER	Other Cardiothoracic Procedures With Mcc	22	11	—	—	$2,005.00	$76,458.06	$33,652.07	2026-05-09
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	22	11	—	—	$2,005.00	$50,623.80	$33,592.25	2026-05-09
230-4	OTHER	Major Small Bowel Procedures	6	5	—	—	$33,586.33	$35,265.65	$33,586.33	2026-05-09
097-4	OTHER	Tonsil And Adenoid Procedures	6	5	—	—	$33,469.46	$35,142.93	$33,469.46	2026-05-09
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	22	11	—	—	$2,005.00	$38,339.60	$33,421.61	2026-05-09
023-3	OTHER	Spinal Procedures	6	5	—	—	$33,409.61	$35,080.09	$33,409.61	2026-05-09
652	OTHER	Kidney Transplant	20	10	—	—	$23,314.76	$61,085.86	$33,394.90	2026-05-09
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	5	—	—	$33,304.60	$34,969.83	$33,304.60	2026-05-09
548-3	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	6	5	—	—	$33,304.25	$34,969.46	$33,304.25	2026-05-09
518-3	OTHER	Other Female Reproductive System And Related Procedures	6	5	—	—	$33,296.26	$34,961.07	$33,296.26	2026-05-09
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	5	—	—	$33,292.21	$34,956.82	$33,292.21	2026-05-09
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	6	5	—	—	$33,210.04	$34,870.54	$33,210.04	2026-05-09
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	6	5	—	—	$33,144.82	$34,802.06	$33,144.82	2026-05-09
519-3	OTHER	Uterine And Adnexa Procedures For Leiomyoma	6	5	—	—	$33,115.34	$34,771.11	$33,115.34	2026-05-09
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	22	11	—	—	$2,005.00	$53,489.30	$33,089.24	2026-05-09
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	5	—	—	$32,891.13	$34,535.69	$32,891.13	2026-05-09
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	6	5	—	—	$32,812.88	$34,453.52	$32,812.88	2026-05-09
288	OTHER	Acute And Subacute Endocarditis With Mcc	22	11	—	—	$2,005.00	$37,791.54	$32,768.08	2026-05-09
200-4	OTHER	Cardiac Structural And Valvular Disorders	6	5	—	—	$32,725.37	$34,361.64	$32,725.37	2026-05-09
403-4	OTHER	Procedures For Obesity	6	5	—	—	$32,720.92	$34,356.97	$32,720.92	2026-05-09
863-3	OTHER	Neonatal Aftercare	6	5	—	—	$32,639.47	$34,271.44	$32,639.47	2026-05-09
178-1	OTHER	External Heart Assist Systems	6	5	—	—	$32,609.41	$34,239.88	$32,609.41	2026-05-09
841-1	OTHER	Chemotherapy For Acute Leukemia	6	5	—	—	$32,565.06	$34,193.31	$32,565.06	2026-05-09
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	6	5	—	—	$32,565.06	$34,193.31	$32,565.06	2026-05-09
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	6	5	—	—	$32,405.28	$34,025.54	$32,405.28	2026-05-09
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	22	11	—	—	$2,005.00	$59,802.35	$32,383.49	2026-05-09
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	6	5	—	—	$32,197.90	$33,807.80	$32,197.90	2026-05-09
029-4	OTHER	Other Percutaneous Intracranial Procedures	6	5	—	—	$31,982.04	$33,581.14	$31,982.04	2026-05-09
484-4	OTHER	Other Male Reproductive System And Related Procedures	6	5	—	—	$31,979.43	$33,578.40	$31,979.43	2026-05-09
910-3	OTHER	Craniotomy For Multiple Significant Trauma	6	5	—	—	$31,946.82	$33,544.16	$31,946.82	2026-05-09
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	22	11	—	—	$2,005.00	$58,503.92	$31,914.40	2026-05-09

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