Hospital

Moses Taylor Hospital

Scranton, PA · CCN 390119 · Rates published

9,348 distinct procedures filed

42 distinct payers

649,066 rate rows

2026-05-24 last MRF observed

Data quality

635,346 of 649,066 rate rows are consumer-grade (97.9%)

13,720 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	5,896
template filing: same amount across many unrelated codes — excluded	5,008
placeholder amount (≤ $0.02) — excluded from medians	1,658
exceeds 10× this hospital's gross charge — excluded from medians	636
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	522

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

Source MRF file	https://commonwealthhealth.net/wp-content/uploads/sheets/452672023_moses-taylor-hospital_standardcharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-18
Content fingerprint	0789de581875e5f5… · 145,466,391 bytes · first seen 2026-05-13

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
583-4 OTHER	Neonate With Ecmo	4	$4,419,613.75	$4,640,594.44	$4,463,809.89	nat. median $309,400 outlier · 14.4×
843-4 OTHER	Extensive Third Degree Burns Without Skin Graft	8	$1,189,171.94	$1,367,547.73	$1,308,089.14	nat. median $13,306 outlier · 98.3×
004-2 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$811,802.00	$933,572.30	$892,982.20	nat. median $61,469 outlier · 14.5×
583-3 OTHER	Neonate With Ecmo	8	$485,610.42	$558,451.98	$534,171.46	nat. median $259,487 outlier · 2.1×
008-4 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	$479,112.87	$550,979.80	$527,024.16	nat. median $81,385 outlier · 6.5×
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	8	$428,900.74	$493,235.85	$471,790.82	nat. median $87,000 outlier · 5.4×
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	34	$380,097.59	$2,288,048.80	$470,941.60	nat. median $386,529 1.2× median
004-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$343,783.04	$395,350.50	$378,161.34	nat. median $91,000 outlier · 4.2×
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	$321,954.63	$321,954.63	$321,954.63	nat. median $0
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	$31,227.24	$677,273.62	$316,191.42	nat. median $239,422 1.3× median
7 OTHER	Lung Transplant	29	$55,399.70	$1,730,277.76	$300,409.73	nat. median $169,933 1.8× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$266,980.10	$307,027.11	$293,678.10	nat. median $99,157 outlier · 3.0×
405-4 OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	8	$260,644.34	$299,740.99	$286,708.78	nat. median $37,546 outlier · 7.6×
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$245,639.15	$282,485.02	$270,203.07	nat. median $267,493 1.0× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$235,968.62	$271,363.91	$259,565.48	nat. median $156,696 1.7× median
583-1 OTHER	Neonate With Ecmo	8	$230,586.08	$265,173.99	$253,644.68	nat. median $171,226 1.5× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	$230,101.34	$264,616.54	$253,111.47	nat. median $93,000 outlier · 2.7×
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	34	$10,452.34	$376,603.15	$241,853.34	nat. median $146,562 1.7× median
002-4 OTHER	Heart And/or Lung Transplant	7	$225,844.11	$259,720.73	$237,136.32	nat. median $216,800 1.1× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	$212,175.47	$244,001.79	$233,393.02	nat. median $100,015 outlier · 2.3×
621-4 OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	8	$206,111.60	$237,028.34	$226,722.76	nat. median $80,035 outlier · 2.8×
325-4 OTHER	Non-elective Or Complex Knee Joint Replacement	7	$214,713.11	$246,920.08	$225,448.77	nat. median $37,807 outlier · 6.0×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	34	$7,320.25	$516,079.53	$217,927.23	nat. median $181,005 1.2× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	$195,840.84	$225,216.97	$215,424.92	nat. median $150,954 1.4× median
029-4 OTHER	Other Percutaneous Intracranial Procedures	8	$194,910.66	$224,147.26	$214,401.73	nat. median $35,822 outlier · 6.0×
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	$188,475.45	$216,746.77	$207,322.99	nat. median $169,856 1.2× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$176,661.92	$203,161.21	$194,328.11	nat. median $165,000 1.2× median
583-2 OTHER	Neonate With Ecmo	8	$169,827.36	$195,301.46	$186,810.10	nat. median $191,347 1.0× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	8	$157,245.02	$180,831.77	$172,969.52	nat. median $151,691 1.1× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	8	$153,775.78	$176,842.15	$169,153.36	nat. median $172,311 1.0× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$150,220.10	$172,753.11	$165,242.11	nat. median $151,250 1.1× median
500-4 OTHER	Malignancy, Male Reproductive System	8	$147,735.47	$169,895.79	$162,509.02	nat. median $16,370 outlier · 9.9×
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$145,537.32	$167,367.92	$160,091.05	nat. median $153,523 1.0× median
161-3 OTHER	Implantable Heart Assist Systems	8	$145,328.53	$167,127.81	$159,861.39	nat. median $152,491 1.0× median
161-4 OTHER	Implantable Heart Assist Systems	8	$145,100.75	$166,865.86	$159,610.83	nat. median $202,242 0.8× median
005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	$143,081.13	$164,543.30	$157,389.24	nat. median $88,000 1.8× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	34	$25,389.57	$759,369.02	$154,808.85	nat. median $134,983 1.1× median
680-4 OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	$139,939.53	$160,930.46	$153,933.48	nat. median $61,090 outlier · 2.5×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	$138,949.16	$159,791.53	$152,844.08	nat. median $107,050 1.4× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	$13,309.28	$602,309.54	$152,005.74	nat. median $111,558 1.4× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$135,818.88	$156,191.71	$149,400.77	nat. median $110,000 1.4× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	8	$132,727.89	$152,637.07	$146,000.67	nat. median $104,111 1.4× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	7	$136,755.84	$157,269.22	$143,593.63	nat. median $124,561 1.2× median
361-4 OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	8	$128,184.40	$147,412.06	$141,002.84	nat. median $46,651 outlier · 3.0×
264-4 OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	8	$123,351.00	$141,853.65	$135,686.10	nat. median $37,949 outlier · 3.6×
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	$122,738.99	$141,149.84	$135,012.89	nat. median $125,000 1.1× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	29	$8,149.36	$378,849.96	$134,746.76	nat. median $94,894 1.4× median
002-3 OTHER	Heart And/or Lung Transplant	7	$126,810.34	$145,831.89	$133,150.86	nat. median $133,471 1.0× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	$120,769.01	$138,884.36	$132,845.91	nat. median $99,067 1.3× median
320-4 OTHER	Other Musculoskeletal System And Connective Tissue Procedures	8	$116,372.20	$133,828.03	$128,009.42	nat. median $32,235 outlier · 4.0×

Other procedures at this hospital

Browse this hospital's 9,348 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

001-1	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$40,029.14	$46,033.51	$42,030.60	2026-05-24
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$57,032.25	$65,587.09	$59,883.86	2026-05-24
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$79,317.94	$91,215.63	$83,283.84	2026-05-24
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$136,755.84	$157,269.22	$143,593.63	2026-05-24
002-1	OTHER	Heart And/or Lung Transplant	14	7	—	—	$48,066.12	$55,276.04	$50,469.43	2026-05-24
002-2	OTHER	Heart And/or Lung Transplant	14	7	—	—	$105,004.07	$120,754.68	$110,254.27	2026-05-24
002-3	OTHER	Heart And/or Lung Transplant	14	7	—	—	$126,810.34	$145,831.89	$133,150.86	2026-05-24
002-4	OTHER	Heart And/or Lung Transplant	14	7	—	—	$225,844.11	$259,720.73	$237,136.32	2026-05-24
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$46,636.92	$53,632.46	$51,300.61	2026-05-24
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$811,802.00	$933,572.30	$892,982.20	2026-05-24
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$343,783.04	$395,350.50	$378,161.34	2026-05-24
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	16	8	—	—	$135,818.88	$156,191.71	$149,400.77	2026-05-24
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$40,406.44	$46,467.41	$44,447.09	2026-05-24
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$61,195.44	$70,374.76	$67,314.99	2026-05-24
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	8	—	—	$143,081.13	$164,543.30	$157,389.24	2026-05-24
006-1	OTHER	Pancreas Transplant	16	8	—	—	$39,462.17	$45,381.50	$43,408.39	2026-05-24
006-2	OTHER	Pancreas Transplant	16	8	—	—	$55,960.06	$64,354.07	$61,556.07	2026-05-24
006-3	OTHER	Pancreas Transplant	16	8	—	—	$77,165.60	$88,740.44	$84,882.16	2026-05-24
006-4	OTHER	Pancreas Transplant	16	8	—	—	$98,378.58	$113,135.37	$108,216.44	2026-05-24
007-1	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$56,804.78	$65,325.50	$62,485.26	2026-05-24
007-2	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$83,338.23	$95,838.96	$91,672.05	2026-05-24
007-3	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$132,727.89	$152,637.07	$146,000.67	2026-05-24
007-4	OTHER	Allogeneic Bone Marrow Transplant	16	8	—	—	$153,775.78	$176,842.15	$169,153.36	2026-05-24
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	8	—	—	$71,891.67	$82,675.42	$79,080.83	2026-05-24
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	8	—	—	$38,888.83	$44,722.15	$42,777.71	2026-05-24
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	8	—	—	$479,112.87	$550,979.80	$527,024.16	2026-05-24
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$37,793.20	$43,462.18	$41,572.52	2026-05-24
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$39,781.34	$45,748.54	$43,759.48	2026-05-24
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$60,069.71	$69,080.17	$66,076.68	2026-05-24
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	8	—	—	$195,840.84	$225,216.97	$215,424.92	2026-05-24
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	7	—	—	$46,522.10	$53,500.41	$48,848.21	2026-05-24
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	7	—	—	$72,248.31	$83,085.56	$75,860.73	2026-05-24
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	7	—	—	$61,908.67	$71,194.97	$65,004.10	2026-05-24
020-4	OTHER	Open Craniotomy For Trauma	16	8	—	—	$45,334.06	$52,134.17	$49,867.46	2026-05-24
021-4	OTHER	Open Craniotomy Except Trauma	16	8	—	—	$50,601.58	$58,191.82	$55,661.74	2026-05-24
022-4	OTHER	Ventricular Shunt Procedures	16	8	—	—	$39,212.32	$45,094.17	$43,133.56	2026-05-24
023-4	OTHER	Spinal Procedures	16	8	—	—	$46,457.73	$53,426.39	$51,103.51	2026-05-24
026-4	OTHER	Other Nervous System And Related Procedures	16	8	—	—	$38,490.11	$44,263.63	$42,339.12	2026-05-24
027-4	OTHER	Other Open Craniotomy	16	8	—	—	$47,431.63	$54,546.37	$52,174.79	2026-05-24
029-3	OTHER	Other Percutaneous Intracranial Procedures	16	8	—	—	$46,843.10	$53,869.56	$51,527.40	2026-05-24
029-4	OTHER	Other Percutaneous Intracranial Procedures	16	8	—	—	$194,910.66	$224,147.26	$214,401.73	2026-05-24
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	16	8	—	—	$37,314.46	$42,911.63	$41,045.90	2026-05-24
046-4	OTHER	Nonspecific Cva And Precerebral Occlusion Without Infarction	16	8	—	—	$87,559.69	$100,693.64	$96,315.65	2026-05-24
054-4	OTHER	Migraine And Other Headaches	16	8	—	—	$88,745.26	$102,057.05	$97,619.79	2026-05-24
073-4	OTHER	Orbit And Eye Procedures	16	8	—	—	$53,692.42	$61,746.28	$59,061.66	2026-05-24
089-4	OTHER	Major Cranial Or Facial Bone Procedures	16	8	—	—	$76,087.82	$87,500.99	$83,696.60	2026-05-24
091-3	OTHER	Other Major Head And Neck Procedures	16	8	—	—	$82,178.98	$94,505.83	$90,396.88	2026-05-24
091-4	OTHER	Other Major Head And Neck Procedures	16	8	—	—	$51,441.43	$59,157.64	$56,585.57	2026-05-24
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	16	8	—	—	$43,633.16	$50,178.13	$47,996.47	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	74	30	—	—	$31,227.24	$677,273.62	$316,191.42	2026-05-24
10	OTHER	Pancreas Transplant	72	29	—	—	$7,554.87	$291,126.68	$79,433.80	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	84	34	—	—	$11,210.56	$180,115.88	$58,109.90	2026-05-24
110-4	OTHER	Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies	16	8	—	—	$50,416.83	$57,979.35	$55,458.51	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	84	34	—	—	$6,189.97	$136,091.66	$44,960.30	2026-05-24
120-4	OTHER	Major Respiratory And Chest Procedures	16	8	—	—	$48,542.99	$55,824.44	$53,397.29	2026-05-24
121-4	OTHER	Other Respiratory And Chest Procedures	16	8	—	—	$38,475.06	$44,246.32	$42,322.57	2026-05-24
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	16	8	—	—	$75,808.26	$87,179.50	$83,389.08	2026-05-24
131-4	OTHER	Cystic Fibrosis - Pulmonary Disease	16	8	—	—	$63,754.73	$73,317.94	$70,130.21	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	60	26	—	—	$5,851.02	$184,042.82	$96,929.57	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	84	34	—	—	$2,898.23	$147,696.34	$46,335.29	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	74	30	—	—	$4,502.75	$141,557.60	$56,033.08	2026-05-24
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	16	8	—	—	$75,815.36	$87,187.66	$83,396.90	2026-05-24
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	16	8	—	—	$106,200.44	$122,130.51	$116,820.49	2026-05-24
161-1	OTHER	Implantable Heart Assist Systems	16	8	—	—	$60,766.91	$69,881.95	$66,843.60	2026-05-24
161-2	OTHER	Implantable Heart Assist Systems	16	8	—	—	$70,109.75	$80,626.21	$77,120.73	2026-05-24
161-3	OTHER	Implantable Heart Assist Systems	16	8	—	—	$145,328.53	$167,127.81	$159,861.39	2026-05-24
161-4	OTHER	Implantable Heart Assist Systems	16	8	—	—	$145,100.75	$166,865.86	$159,610.83	2026-05-24
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	8	—	—	$36,631.22	$42,125.90	$40,294.34	2026-05-24
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	8	—	—	$54,351.64	$62,504.39	$59,786.81	2026-05-24
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	16	8	—	—	$77,089.64	$88,653.09	$84,798.60	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	84	34	—	—	$7,235.01	$368,003.46	$50,498.58	2026-05-24
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	16	8	—	—	$40,979.56	$47,126.49	$45,077.51	2026-05-24
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	16	8	—	—	$63,533.34	$73,063.34	$69,886.67	2026-05-24
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	16	8	—	—	$40,134.24	$46,154.38	$44,147.66	2026-05-24
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	16	8	—	—	$54,683.00	$62,885.45	$60,151.30	2026-05-24
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	16	8	—	—	$52,517.23	$60,394.81	$57,768.95	2026-05-24
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	16	8	—	—	$37,150.32	$42,722.87	$40,865.35	2026-05-24
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	16	8	—	—	$64,651.26	$74,348.95	$71,116.39	2026-05-24
169-4	OTHER	Major Abdominal Vascular Procedures	16	8	—	—	$46,281.96	$53,224.25	$50,910.15	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	74	30	—	—	$4,346.57	$85,005.51	$44,004.38	2026-05-24
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	16	8	—	—	$41,430.95	$47,645.59	$45,574.04	2026-05-24
177-4	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	16	8	—	—	$58,687.34	$67,490.44	$64,556.07	2026-05-24
178-1	OTHER	External Heart Assist Systems	16	8	—	—	$42,012.33	$48,314.18	$46,213.57	2026-05-24
178-2	OTHER	External Heart Assist Systems	16	8	—	—	$43,573.66	$50,109.71	$47,931.02	2026-05-24
178-3	OTHER	External Heart Assist Systems	16	8	—	—	$45,327.90	$52,127.08	$49,860.69	2026-05-24
178-4	OTHER	External Heart Assist Systems	16	8	—	—	$61,537.39	$70,768.00	$67,691.13	2026-05-24
179-3	OTHER	Defibrillator Implants	16	8	—	—	$36,095.03	$41,509.28	$39,704.53	2026-05-24
179-4	OTHER	Defibrillator Implants	16	8	—	—	$49,871.84	$57,352.62	$54,859.03	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	84	34	—	—	$380,097.59	$2,288,048.80	$470,941.60	2026-05-24
181-4	OTHER	Lower Extremity Arterial Procedures	16	8	—	—	$40,288.81	$46,332.13	$44,317.69	2026-05-24
182-4	OTHER	Other Peripheral Vascular And Related Procedures	16	8	—	—	$42,449.91	$48,817.40	$46,694.90	2026-05-24
183-3	OTHER	Percutaneous Structural Cardiac Procedures	16	8	—	—	$35,915.85	$41,303.23	$39,507.43	2026-05-24
183-4	OTHER	Percutaneous Structural Cardiac Procedures	16	8	—	—	$66,483.60	$76,456.14	$73,131.96	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	66	29	—	—	$3,764.85	$133,459.41	$58,696.93	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	74	30	—	—	$13,309.28	$602,309.54	$152,005.74	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	84	34	—	—	$9,229.77	$309,746.98	$89,769.38	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	84	34	—	—	$13,990.08	$446,384.20	$77,218.22	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	84	34	—	—	$10,681.54	$295,555.84	$64,963.02	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	84	34	—	—	$7,025.09	$192,977.76	$112,455.84	2026-05-24
215	OTHER	Other Heart Assist System Implant	84	34	—	—	$58,465.68	$268,102.88	$99,721.15	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	84	34	—	—	$8,675.83	$243,046.92	$98,137.21	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	84	34	—	—	$12,575.67	$129,622.44	$65,357.85	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	84	34	—	—	$12,069.45	$83,791.70	$47,930.57	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	84	34	—	—	$12,292.72	$241,945.65	$78,678.77	2026-05-24
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	84	34	—	—	$8,773.21	$286,082.92	$41,493.21	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	84	34	—	—	$13,732.18	$88,868.49	$53,769.96	2026-05-24
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	16	8	—	—	$42,840.46	$49,266.53	$47,124.51	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	84	34	—	—	$13,645.01	$103,887.50	$46,966.33	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	84	34	—	—	$11,351.65	$86,894.64	$52,085.46	2026-05-24
229-4	OTHER	Other Digestive System And Abdominal Procedures	16	8	—	—	$49,712.07	$57,168.88	$54,683.27	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	84	34	—	—	$7,691.22	$229,530.84	$68,002.01	2026-05-24
230-4	OTHER	Major Small Bowel Procedures	16	8	—	—	$38,405.30	$44,166.10	$42,245.83	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	84	34	—	—	$10,951.96	$250,048.24	$92,251.09	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	84	34	—	—	$13,860.27	$155,398.09	$65,460.37	2026-05-24
232-4	OTHER	Gastric Fundoplication	16	8	—	—	$47,109.50	$54,175.92	$51,820.44	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	84	34	—	—	$11,095.94	$172,335.30	$79,481.07	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	84	34	—	—	$11,345.20	$121,077.15	$54,046.70	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	84	34	—	—	$11,493.98	$96,330.35	$59,632.76	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	84	34	—	—	$11,869.18	$79,745.18	$41,813.89	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	84	34	—	—	$30,121.84	$156,738.40	$51,421.65	2026-05-24
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	84	34	—	—	$12,967.17	$68,763.64	$39,928.80	2026-05-24
245	OTHER	Aicd Generator Procedures	84	34	—	—	$13,039.98	$85,837.57	$51,066.60	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	84	34	—	—	$9,246.10	$73,292.11	$45,099.67	2026-05-24
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	16	8	—	—	$48,153.16	$55,376.13	$52,968.47	2026-05-24
261-4	OTHER	Major Biliary Tract Procedures	16	8	—	—	$41,739.39	$48,000.30	$45,913.33	2026-05-24
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	16	8	—	—	$123,351.00	$141,853.65	$135,686.10	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	84	34	—	—	$39,092.86	$149,906.89	$63,400.18	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	84	34	—	—	$2,848.33	$133,371.04	$50,548.77	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	84	34	—	—	$4,098.56	$432,603.33	$76,768.18	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	84	34	—	—	$3,467.00	$167,214.62	$43,613.12	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	84	34	—	—	$3,462.41	$78,227.13	$49,520.93	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	84	34	—	—	$10,240.95	$93,813.92	$41,043.33	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	84	34	—	—	$9,449.24	$119,217.27	$73,864.29	2026-05-24
276	OTHER	Non-maligant Breast Disorders	84	34	—	—	$8,465.20	$92,556.23	$50,510.71	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	84	34	—	—	$8,754.01	$186,329.60	$52,893.85	2026-05-24
28	OTHER	Spinal Procedures With Mcc	84	34	—	—	$8,594.81	$85,616.63	$51,655.78	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	84	34	—	—	$7,320.25	$516,079.53	$217,927.23	2026-05-24
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	8	—	—	$38,782.82	$44,600.24	$42,661.10	2026-05-24
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	8	—	—	$55,269.30	$63,559.69	$60,796.23	2026-05-24
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	16	8	—	—	$91,604.00	$105,344.60	$100,764.40	2026-05-24
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	16	8	—	—	$36,574.46	$42,060.63	$40,231.90	2026-05-24
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	16	8	—	—	$89,991.94	$103,490.73	$98,991.13	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	84	34	—	—	$5,246.52	$98,599.86	$40,249.05	2026-05-24
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	16	8	—	—	$50,448.65	$58,015.95	$55,493.51	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	84	34	—	—	$6,845.92	$99,274.64	$45,995.09	2026-05-24
320-4	OTHER	Other Musculoskeletal System And Connective Tissue Procedures	16	8	—	—	$116,372.20	$133,828.03	$128,009.42	2026-05-24
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	16	8	—	—	$38,413.51	$44,175.54	$42,254.87	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	84	34	—	—	$8,280.93	$74,173.98	$41,227.46	2026-05-24
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	14	7	—	—	$214,713.11	$246,920.08	$225,448.77	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	84	34	—	—	$6,747.85	$304,865.89	$54,288.15	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	84	34	—	—	$5,340.71	$129,654.39	$46,692.74	2026-05-24
34	OTHER	Carotid Artery Stent Procedures With Mcc	84	34	—	—	$13,088.37	$75,901.57	$40,821.65	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	84	34	—	—	$5,975.30	$264,271.64	$45,160.38	2026-05-24
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	16	8	—	—	$128,184.40	$147,412.06	$141,002.84	2026-05-24
363-4	OTHER	Breast Procedures Except Mastectomy	16	8	—	—	$38,597.48	$44,387.10	$42,457.22	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	84	34	—	—	$25,389.57	$759,369.02	$154,808.85	2026-05-24
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	84	34	—	—	$6,506.52	$167,148.60	$39,625.02	2026-05-24
401-4	OTHER	Adrenal Procedures	16	8	—	—	$36,448.62	$41,915.91	$40,093.48	2026-05-24
403-4	OTHER	Procedures For Obesity	16	8	—	—	$36,367.23	$41,822.31	$40,003.95	2026-05-24
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	16	8	—	—	$38,444.29	$44,210.93	$42,288.71	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	84	34	—	—	$6,513.15	$125,924.47	$56,740.77	2026-05-24
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	16	8	—	—	$260,644.34	$299,740.99	$286,708.78	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	84	34	—	—	$24,537.78	$103,535.60	$45,331.28	2026-05-24
440-2	OTHER	Kidney Transplant	16	8	—	—	$38,161.14	$43,885.31	$41,977.25	2026-05-24
440-3	OTHER	Kidney Transplant	16	8	—	—	$43,659.15	$50,208.02	$48,025.07	2026-05-24
440-4	OTHER	Kidney Transplant	16	8	—	—	$84,570.40	$97,255.96	$93,027.44	2026-05-24
441-4	OTHER	Major Bladder Procedures	16	8	—	—	$84,391.96	$97,050.75	$92,831.15	2026-05-24
445-4	OTHER	Other Bladder Procedures	16	8	—	—	$53,730.64	$61,790.24	$59,103.71	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	70	28	—	—	$21,001.85	$218,924.50	$80,200.98	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	70	28	—	—	$19,880.10	$86,132.42	$46,668.31	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	70	28	—	—	$28,867.77	$116,926.68	$39,051.04	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	84	34	—	—	$10,431.26	$260,402.15	$92,453.09	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	84	34	—	—	$16,975.81	$88,310.04	$52,642.93	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	84	34	—	—	$24,651.08	$85,742.89	$45,227.45	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	70	28	—	—	$14,505.13	$141,579.10	$55,189.63	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	84	34	—	—	$10,489.27	$299,185.13	$72,125.37	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	84	34	—	—	$6,861.37	$101,324.06	$54,810.81	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	84	34	—	—	$7,695.24	$71,812.02	$39,753.63	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	84	34	—	—	$9,324.19	$311,469.55	$52,243.13	2026-05-24
480-4	OTHER	Major Male Pelvic Procedures	16	8	—	—	$40,206.93	$46,237.97	$44,227.62	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	72	29	—	—	$8,149.36	$378,849.96	$134,746.76	2026-05-24
500-4	OTHER	Malignancy, Male Reproductive System	16	8	—	—	$147,735.47	$169,895.79	$162,509.02	2026-05-24
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	16	8	—	—	$40,432.43	$46,497.29	$44,475.67	2026-05-24
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	16	8	—	—	$38,525.67	$44,304.52	$42,378.24	2026-05-24
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	16	8	—	—	$68,101.59	$78,316.83	$74,911.75	2026-05-24
514-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	16	8	—	—	$39,210.63	$45,092.22	$43,131.69	2026-05-24
518-4	OTHER	Other Female Reproductive System And Related Procedures	16	8	—	—	$37,665.99	$43,315.89	$41,432.59	2026-05-24
519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	16	8	—	—	$66,947.10	$76,989.16	$73,641.81	2026-05-24
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	16	8	—	—	$92,528.38	$106,407.64	$101,781.22	2026-05-24
570	OTHER	Skin Debridement With Mcc	84	34	—	—	$4,451.15	$449,415.11	$49,816.68	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	84	34	—	—	$5,563.40	$103,109.00	$58,416.61	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	70	30	—	—	$2,928.00	$98,522.40	$40,813.91	2026-05-24
583-1	OTHER	Neonate With Ecmo	16	8	—	—	$230,586.08	$265,173.99	$253,644.68	2026-05-24
583-2	OTHER	Neonate With Ecmo	16	8	—	—	$169,827.36	$195,301.46	$186,810.10	2026-05-24
583-3	OTHER	Neonate With Ecmo	16	8	—	—	$485,610.42	$558,451.98	$534,171.46	2026-05-24
583-4	OTHER	Neonate With Ecmo	8	4	—	—	$4,419,613.75	$4,640,594.44	$4,463,809.89	2026-05-24
588-1	OTHER	Female Reproductive System Reconstructive Procedures	16	8	—	—	$56,041.39	$64,447.60	$61,645.53	2026-05-24
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	16	8	—	—	$145,537.32	$167,367.92	$160,091.05	2026-05-24
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	16	8	—	—	$176,661.92	$203,161.21	$194,328.11	2026-05-24
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	16	8	—	—	$245,639.15	$282,485.02	$270,203.07	2026-05-24
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	16	8	—	—	$73,361.87	$84,366.15	$80,698.05	2026-05-24
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	16	8	—	—	$48,067.43	$55,277.54	$52,874.17	2026-05-24
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	16	8	—	—	$428,900.74	$493,235.85	$471,790.82	2026-05-24
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	16	8	—	—	$91,185.15	$104,862.92	$100,303.67	2026-05-24
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	16	8	—	—	$266,980.10	$307,027.11	$293,678.10	2026-05-24
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	16	8	—	—	$235,968.62	$271,363.91	$259,565.48	2026-05-24
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	16	8	—	—	$85,330.83	$98,130.45	$93,863.91	2026-05-24
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	16	8	—	—	$104,183.66	$119,811.21	$114,602.02	2026-05-24
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	16	8	—	—	$150,220.10	$172,753.11	$165,242.11	2026-05-24
6	OTHER	Liver Transplant Without Mcc	72	29	—	—	$10,203.40	$490,405.16	$68,290.23	2026-05-24
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$38,261.56	$44,000.79	$42,087.71	2026-05-24
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$96,518.27	$110,996.01	$106,170.10	2026-05-24
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$120,769.01	$138,884.36	$132,845.91	2026-05-24
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$122,738.99	$141,149.84	$135,012.89	2026-05-24
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	16	8	—	—	$74,832.56	$86,057.44	$82,315.82	2026-05-24
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	16	8	—	—	$61,375.31	$70,581.61	$67,512.85	2026-05-24
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	16	8	—	—	$138,949.16	$159,791.53	$152,844.08	2026-05-24
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$55,122.44	$63,390.81	$60,634.68	2026-05-24
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$96,819.68	$111,342.63	$106,501.65	2026-05-24
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$212,175.47	$244,001.79	$233,393.02	2026-05-24
608-1	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	16	8	—	—	$57,812.44	$66,484.31	$63,593.68	2026-05-24
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	16	8	—	—	$103,848.53	$119,425.81	$114,233.39	2026-05-24
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	16	8	—	—	$54,012.95	$62,114.89	$59,414.24	2026-05-24
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	16	8	—	—	$62,607.04	$71,998.10	$68,867.74	2026-05-24
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	16	8	—	—	$188,475.45	$216,746.77	$207,322.99	2026-05-24
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	16	8	—	—	$230,101.34	$264,616.54	$253,111.47	2026-05-24
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$104,295.35	$119,939.65	$114,724.88	2026-05-24
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$80,945.28	$93,087.07	$89,039.80	2026-05-24
613-1	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	16	8	—	—	$51,042.16	$58,698.48	$56,146.38	2026-05-24
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	16	8	—	—	$42,249.59	$48,587.03	$46,474.55	2026-05-24
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	16	8	—	—	$69,613.07	$80,055.03	$76,574.38	2026-05-24
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	16	8	—	—	$62,401.85	$71,762.13	$68,642.04	2026-05-24
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	84	34	—	—	$3,406.70	$102,990.88	$39,301.26	2026-05-24
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	16	8	—	—	$206,111.60	$237,028.34	$226,722.76	2026-05-24
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	16	8	—	—	$106,350.84	$122,303.47	$116,985.93	2026-05-24
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	16	8	—	—	$41,094.46	$47,258.63	$45,203.90	2026-05-24
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	16	8	—	—	$48,774.84	$56,091.07	$53,652.32	2026-05-24
630-1	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	16	8	—	—	$79,766.13	$91,731.05	$87,742.74	2026-05-24
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	16	8	—	—	$50,832.74	$58,457.65	$55,916.01	2026-05-24
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	16	8	—	—	$88,829.06	$102,153.42	$97,711.96	2026-05-24
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	16	8	—	—	$111,764.39	$128,529.05	$122,940.83	2026-05-24
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	16	8	—	—	$49,430.71	$56,845.32	$54,373.79	2026-05-24
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	16	8	—	—	$114,310.17	$131,456.70	$125,741.19	2026-05-24
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	16	8	—	—	$58,063.78	$66,773.35	$63,870.16	2026-05-24
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	1	—	—	$49,770.55	$49,770.55	$49,770.55	2026-05-24
636-3	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	16	8	—	—	$53,887.66	$61,970.81	$59,276.43	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	80	33	—	—	$2,292.51	$189,318.00	$55,505.96	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	80	33	—	—	$4,078.47	$175,317.80	$43,363.12	2026-05-24
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	16	8	—	—	$40,091.16	$46,104.83	$44,100.28	2026-05-24
652	OTHER	Kidney Transplant	72	29	—	—	$13,487.01	$141,711.22	$39,719.56	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	84	34	—	—	$6,549.54	$346,102.22	$65,518.94	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	84	34	—	—	$5,441.84	$139,756.90	$40,334.84	2026-05-24
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	16	8	—	—	$139,939.53	$160,930.46	$153,933.48	2026-05-24
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	1	—	—	$321,954.63	$321,954.63	$321,954.63	2026-05-24
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	16	8	—	—	$66,164.57	$76,089.26	$72,781.03	2026-05-24
690-4	OTHER	Acute Leukemia	16	8	—	—	$52,898.85	$60,833.68	$58,188.74	2026-05-24
695-4	OTHER	Chemotherapy For Acute Leukemia	16	8	—	—	$46,877.65	$53,909.30	$51,565.42	2026-05-24
7	OTHER	Lung Transplant	72	29	—	—	$55,399.70	$1,730,277.76	$300,409.73	2026-05-24
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	16	8	—	—	$36,100.51	$41,515.59	$39,710.57	2026-05-24
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	84	34	—	—	$6,163.16	$109,784.82	$41,323.50	2026-05-24
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	84	34	—	—	$6,603.61	$83,832.96	$41,767.88	2026-05-24
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	16	8	—	—	$95,219.48	$109,502.40	$104,741.42	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	66	29	—	—	$1,178.76	$111,708.88	$44,949.71	2026-05-24
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	16	8	—	—	$40,509.71	$46,586.17	$44,560.68	2026-05-24
794-4	OTHER	Non-extensive O.r. Procedures For Other Complications Of Treatment	16	8	—	—	$98,057.46	$112,766.08	$107,863.21	2026-05-24
799	OTHER	Splenectomy With Mcc	84	34	—	—	$10,266.85	$81,223.66	$48,034.15	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	72	29	—	—	$8,789.53	$473,552.32	$76,606.17	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	84	34	—	—	$9,716.76	$184,119.26	$42,132.58	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	84	34	—	—	$7,060.49	$127,714.66	$60,854.68	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	84	34	—	—	$4,787.54	$136,344.24	$48,269.61	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	84	34	—	—	$6,176.14	$119,963.66	$49,922.65	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	82	33	—	—	$4,985.15	$126,131.60	$56,472.42	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	84	34	—	—	$4,562.73	$374,649.90	$53,796.49	2026-05-24
841-1	OTHER	Chemotherapy For Acute Leukemia	16	8	—	—	$39,059.89	$44,918.87	$42,965.88	2026-05-24
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	16	8	—	—	$39,059.89	$44,918.87	$42,965.88	2026-05-24
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	16	8	—	—	$71,965.01	$82,759.76	$79,161.51	2026-05-24
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	16	8	—	—	$157,245.02	$180,831.77	$172,969.52	2026-05-24
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	16	8	—	—	$93,966.64	$108,061.64	$103,363.30	2026-05-24
843-4	OTHER	Extensive Third Degree Burns Without Skin Graft	16	8	—	—	$1,189,171.94	$1,367,547.73	$1,308,089.14	2026-05-24
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	16	8	—	—	$53,173.28	$61,149.27	$58,490.60	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	84	34	—	—	$7,573.61	$70,504.32	$39,038.96	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	82	33	—	—	$4,987.28	$63,640.58	$39,476.86	2026-05-24
863-4	OTHER	Neonatal Aftercare	16	8	—	—	$59,814.23	$68,786.36	$65,795.65	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	84	34	—	—	$6,445.92	$164,279.21	$72,202.61	2026-05-24
894-3	OTHER	HIV With One Significant HIV Condition Or Without Significant Related Conditions	16	8	—	—	$36,677.98	$42,179.68	$40,345.78	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	84	34	—	—	$4,704.32	$71,539.00	$40,589.85	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	84	34	—	—	$20,457.09	$102,554.56	$40,538.40	2026-05-24
910-3	OTHER	Craniotomy For Multiple Significant Trauma	16	8	—	—	$36,403.48	$41,864.00	$40,043.82	2026-05-24
910-4	OTHER	Craniotomy For Multiple Significant Trauma	16	8	—	—	$54,286.52	$62,429.50	$59,715.18	2026-05-24
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	16	8	—	—	$50,912.07	$58,548.88	$56,003.27	2026-05-24
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	16	8	—	—	$47,610.13	$54,751.65	$52,371.15	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	84	34	—	—	$10,452.34	$376,603.15	$241,853.34	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	82	33	—	—	$5,711.68	$94,017.95	$49,485.16	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	84	34	—	—	$10,159.84	$110,486.12	$43,998.09	2026-05-24
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	16	8	—	—	$44,746.57	$51,458.56	$49,221.23	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	84	34	—	—	$38,121.16	$162,701.74	$71,369.39	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	84	34	—	—	$11,105.20	$84,905.92	$40,141.25	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	84	34	—	—	$8,511.88	$143,572.59	$78,015.82	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	84	34	—	—	$22,359.07	$592,708.51	$84,744.42	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	84	34	—	—	$5,027.71	$70,698.19	$39,935.41	2026-05-24

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