|
583-4
|
OTHER
|
Neonate With Ecmo
|
9
|
8
|
—
|
—
|
$3,405,714.17
|
$3,916,571.30
|
$3,575,999.88
|
2026-05-24
|
|
843-4
|
OTHER
|
Extensive Third Degree Burns Without Skin Graft
|
9
|
8
|
—
|
—
|
$911,368.52
|
$1,048,073.80
|
$956,936.95
|
2026-05-24
|
|
004-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
8
|
—
|
—
|
$624,814.49
|
$718,536.66
|
$656,055.21
|
2026-05-24
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
46
|
36
|
—
|
—
|
$321,501.62
|
$2,145,045.75
|
$499,388.70
|
2026-05-24
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
9
|
8
|
—
|
—
|
$368,122.21
|
$423,340.54
|
$386,528.32
|
2026-05-24
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
8
|
—
|
—
|
$363,105.21
|
$417,570.99
|
$381,260.47
|
2026-05-24
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
8
|
—
|
—
|
$324,334.53
|
$372,984.71
|
$340,551.26
|
2026-05-24
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
2
|
2
|
—
|
—
|
$322,443.79
|
$333,308.17
|
$327,875.98
|
2026-05-24
|
|
7
|
OTHER
|
Lung Transplant
|
41
|
32
|
—
|
—
|
$53,849.46
|
$1,622,135.40
|
$307,862.44
|
2026-05-24
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
43
|
33
|
—
|
—
|
$20,022.06
|
$634,944.02
|
$296,840.61
|
2026-05-24
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
8
|
—
|
—
|
$265,586.80
|
$305,424.82
|
$278,866.14
|
2026-05-24
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
46
|
36
|
—
|
—
|
$11,543.05
|
$399,681.73
|
$248,735.95
|
2026-05-24
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
8
|
—
|
—
|
$211,927.28
|
$243,716.37
|
$222,523.64
|
2026-05-24
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
8
|
7
|
—
|
—
|
$207,344.23
|
$238,445.86
|
$217,711.44
|
2026-05-24
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
47
|
37
|
—
|
—
|
$8,220.68
|
$483,824.56
|
$216,648.76
|
2026-05-24
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
8
|
—
|
—
|
$199,309.50
|
$229,205.92
|
$209,274.98
|
2026-05-24
|
|
405-4
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
9
|
8
|
—
|
—
|
$198,218.81
|
$227,951.63
|
$208,129.75
|
2026-05-24
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
8
|
—
|
—
|
$184,671.64
|
$212,372.39
|
$193,905.22
|
2026-05-24
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
8
|
—
|
—
|
$182,668.79
|
$210,069.11
|
$191,802.23
|
2026-05-24
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
8
|
—
|
—
|
$178,425.08
|
$205,188.84
|
$187,346.33
|
2026-05-24
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
9
|
8
|
—
|
—
|
$171,208.32
|
$196,889.57
|
$179,768.74
|
2026-05-24
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
9
|
8
|
—
|
—
|
$170,834.04
|
$196,459.15
|
$179,375.74
|
2026-05-24
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
8
|
—
|
—
|
$168,512.53
|
$193,789.41
|
$176,938.16
|
2026-05-24
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
8
|
—
|
—
|
$165,445.37
|
$190,262.18
|
$173,717.64
|
2026-05-24
|
|
325-4
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
9
|
8
|
—
|
—
|
$162,607.54
|
$186,998.67
|
$170,737.92
|
2026-05-24
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
8
|
—
|
—
|
$157,512.86
|
$181,139.79
|
$165,388.50
|
2026-05-24
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
8
|
—
|
—
|
$156,992.80
|
$180,541.72
|
$164,842.44
|
2026-05-24
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
47
|
37
|
—
|
—
|
$20,804.11
|
$711,908.45
|
$160,588.83
|
2026-05-24
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
42
|
32
|
—
|
—
|
$13,815.94
|
$564,665.19
|
$160,033.90
|
2026-05-24
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
9
|
8
|
—
|
—
|
$152,310.66
|
$175,157.26
|
$159,926.19
|
2026-05-24
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
9
|
8
|
—
|
—
|
$149,401.45
|
$171,811.67
|
$156,871.52
|
2026-05-24
|
|
029-4
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
9
|
8
|
—
|
—
|
$147,221.00
|
$169,304.15
|
$154,582.05
|
2026-05-24
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
9
|
8
|
—
|
—
|
$144,232.07
|
$165,866.88
|
$151,443.67
|
2026-05-24
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
8
|
—
|
—
|
$141,030.56
|
$162,185.14
|
$148,082.09
|
2026-05-24
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
9
|
8
|
—
|
—
|
$138,964.41
|
$159,809.07
|
$145,912.63
|
2026-05-24
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
9
|
8
|
—
|
—
|
$138,592.69
|
$159,381.59
|
$145,522.32
|
2026-05-24
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
8
|
7
|
—
|
—
|
$138,530.58
|
$159,310.17
|
$145,457.11
|
2026-05-24
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
8
|
—
|
—
|
$130,542.47
|
$150,123.84
|
$137,069.59
|
2026-05-24
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
9
|
8
|
—
|
—
|
$130,250.22
|
$149,787.75
|
$136,762.73
|
2026-05-24
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
41
|
32
|
—
|
—
|
$7,781.79
|
$355,171.84
|
$136,247.83
|
2026-05-24
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
8
|
—
|
—
|
$122,856.07
|
$141,284.48
|
$128,998.87
|
2026-05-24
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
8
|
—
|
—
|
$114,743.00
|
$131,954.45
|
$120,480.15
|
2026-05-24
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
8
|
7
|
—
|
—
|
$113,197.79
|
$130,177.46
|
$118,857.68
|
2026-05-24
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
8
|
—
|
—
|
$110,842.74
|
$127,469.15
|
$116,384.88
|
2026-05-24
|
|
500-4
|
OTHER
|
Malignancy, Male Reproductive System
|
9
|
8
|
—
|
—
|
$109,826.10
|
$126,300.01
|
$115,317.41
|
2026-05-24
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
9
|
8
|
—
|
—
|
$108,349.55
|
$124,601.98
|
$113,767.03
|
2026-05-24
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
8
|
—
|
—
|
$106,442.55
|
$122,408.93
|
$111,764.68
|
2026-05-24
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
8
|
—
|
—
|
$104,570.79
|
$120,256.41
|
$109,799.33
|
2026-05-24
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
8
|
—
|
—
|
$104,014.88
|
$119,617.11
|
$109,215.62
|
2026-05-24
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
46
|
36
|
—
|
—
|
$7,059.30
|
$185,211.56
|
$108,236.93
|
2026-05-24
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
8
|
7
|
—
|
—
|
$101,639.75
|
$116,885.71
|
$106,721.74
|
2026-05-24
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
8
|
—
|
—
|
$100,427.05
|
$115,491.11
|
$105,448.40
|
2026-05-24
|
|
361-4
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
9
|
8
|
—
|
—
|
$96,904.53
|
$111,440.21
|
$101,749.76
|
2026-05-24
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
9
|
8
|
—
|
—
|
$95,648.32
|
$109,995.57
|
$100,430.74
|
2026-05-24
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
8
|
—
|
—
|
$94,905.19
|
$109,140.97
|
$99,650.45
|
2026-05-24
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
33
|
28
|
—
|
—
|
$6,439.30
|
$209,340.56
|
$98,991.33
|
2026-05-24
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
47
|
37
|
—
|
—
|
$9,049.91
|
$227,856.49
|
$98,541.34
|
2026-05-24
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
9
|
8
|
—
|
—
|
$93,235.89
|
$107,221.27
|
$97,897.68
|
2026-05-24
|
|
264-4
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
9
|
8
|
—
|
—
|
$92,326.22
|
$106,175.15
|
$96,942.53
|
2026-05-24
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
8
|
—
|
—
|
$89,323.64
|
$102,722.19
|
$93,789.82
|
2026-05-24
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
46
|
36
|
—
|
—
|
$58,634.47
|
$251,346.45
|
$92,533.52
|
2026-05-24
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
47
|
37
|
—
|
—
|
$9,661.93
|
$290,387.80
|
$92,181.82
|
2026-05-24
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
8
|
—
|
—
|
$87,146.80
|
$100,218.82
|
$91,504.14
|
2026-05-24
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
8
|
—
|
—
|
$86,965.40
|
$100,010.21
|
$91,313.67
|
2026-05-24
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
46
|
36
|
—
|
—
|
$21,068.85
|
$555,664.23
|
$90,920.06
|
2026-05-24
|
|
320-4
|
OTHER
|
Other Musculoskeletal System And Connective Tissue Procedures
|
9
|
8
|
—
|
—
|
$86,527.07
|
$99,506.13
|
$90,853.42
|
2026-05-24
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
47
|
37
|
—
|
—
|
$11,287.76
|
$234,420.22
|
$90,297.88
|
2026-05-24
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
47
|
37
|
—
|
—
|
$10,659.43
|
$244,127.02
|
$90,247.80
|
2026-05-24
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
8
|
—
|
—
|
$84,902.92
|
$97,638.36
|
$89,148.07
|
2026-05-24
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
8
|
—
|
—
|
$80,446.67
|
$92,513.67
|
$84,469.00
|
2026-05-24
|
|
440-4
|
OTHER
|
Kidney Transplant
|
9
|
8
|
—
|
—
|
$79,343.30
|
$91,244.79
|
$83,310.47
|
2026-05-24
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
9
|
8
|
—
|
—
|
$76,972.88
|
$88,518.81
|
$80,821.52
|
2026-05-24
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
8
|
—
|
—
|
$76,668.57
|
$88,168.86
|
$80,502.00
|
2026-05-24
|
|
622-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
8
|
—
|
—
|
$75,281.61
|
$86,573.85
|
$79,045.69
|
2026-05-24
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
46
|
36
|
—
|
—
|
$12,628.23
|
$418,485.19
|
$78,628.42
|
2026-05-24
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
46
|
36
|
—
|
—
|
$10,771.42
|
$280,486.06
|
$78,589.16
|
2026-05-24
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
46
|
36
|
—
|
—
|
$8,833.54
|
$134,599.30
|
$77,718.26
|
2026-05-24
|
|
612-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
8
|
—
|
—
|
$73,694.50
|
$84,748.67
|
$77,379.23
|
2026-05-24
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
8
|
—
|
—
|
$73,349.49
|
$84,351.91
|
$77,016.96
|
2026-05-24
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
47
|
37
|
—
|
—
|
$12,577.74
|
$226,824.04
|
$76,711.14
|
2026-05-24
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
46
|
36
|
—
|
—
|
$4,160.63
|
$405,565.62
|
$76,175.74
|
2026-05-24
|
|
794-4
|
OTHER
|
Non-extensive O.r. Procedures For Other Complications Of Treatment
|
9
|
8
|
—
|
—
|
$71,893.61
|
$82,677.65
|
$75,488.29
|
2026-05-24
|
|
10
|
OTHER
|
Pancreas Transplant
|
41
|
32
|
—
|
—
|
$7,754.06
|
$272,931.26
|
$75,315.81
|
2026-05-24
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
46
|
36
|
—
|
—
|
$9,643.57
|
$119,064.82
|
$75,179.68
|
2026-05-24
|
|
740-4
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
9
|
8
|
—
|
—
|
$71,555.51
|
$82,288.84
|
$75,133.29
|
2026-05-24
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
46
|
36
|
—
|
—
|
$39,194.73
|
$152,532.88
|
$74,863.84
|
2026-05-24
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
8
|
7
|
—
|
—
|
$70,458.92
|
$81,027.76
|
$73,981.87
|
2026-05-24
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
41
|
32
|
—
|
—
|
$9,007.26
|
$443,955.30
|
$73,814.41
|
2026-05-24
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
8
|
—
|
—
|
$69,691.38
|
$80,145.09
|
$73,175.95
|
2026-05-24
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
46
|
36
|
—
|
—
|
$6,773.55
|
$324,470.83
|
$72,353.04
|
2026-05-24
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
8
|
—
|
—
|
$68,673.53
|
$78,974.56
|
$72,107.21
|
2026-05-24
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
40
|
32
|
—
|
—
|
$21,417.37
|
$205,241.72
|
$72,033.88
|
2026-05-24
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
47
|
37
|
—
|
—
|
$11,376.69
|
$161,564.35
|
$71,381.28
|
2026-05-24
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
8
|
—
|
—
|
$67,922.24
|
$78,110.58
|
$71,318.35
|
2026-05-24
|
|
548-4
|
OTHER
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
9
|
8
|
—
|
—
|
$67,796.73
|
$77,966.24
|
$71,186.57
|
2026-05-24
|
|
304-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
9
|
8
|
—
|
—
|
$67,761.53
|
$77,925.76
|
$71,149.61
|
2026-05-24
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
46
|
36
|
—
|
—
|
$6,725.68
|
$154,011.76
|
$71,143.04
|
2026-05-24
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
8
|
—
|
—
|
$67,595.88
|
$77,735.26
|
$70,975.67
|
2026-05-24
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
47
|
37
|
—
|
—
|
$11,020.64
|
$277,083.60
|
$70,863.09
|
2026-05-24
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
8
|
—
|
—
|
$67,397.78
|
$77,507.45
|
$70,767.67
|
2026-05-24
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
8
|
—
|
—
|
$67,313.76
|
$77,410.82
|
$70,679.45
|
2026-05-24
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
8
|
—
|
—
|
$67,254.67
|
$77,342.87
|
$70,617.40
|
2026-05-24
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
8
|
—
|
—
|
$67,170.53
|
$77,246.11
|
$70,529.06
|
2026-05-24
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
9
|
8
|
—
|
—
|
$66,524.72
|
$76,503.43
|
$69,850.96
|
2026-05-24
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
9
|
8
|
—
|
—
|
$66,374.89
|
$76,331.12
|
$69,693.63
|
2026-05-24
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
9
|
8
|
—
|
—
|
$64,668.82
|
$74,369.14
|
$67,902.26
|
2026-05-24
|
|
054-4
|
OTHER
|
Migraine And Other Headaches
|
9
|
8
|
—
|
—
|
$63,898.96
|
$73,483.80
|
$67,093.91
|
2026-05-24
|
|
011-4
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
8
|
—
|
—
|
$63,415.06
|
$72,927.32
|
$66,585.81
|
2026-05-24
|
|
046-4
|
OTHER
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
9
|
8
|
—
|
—
|
$63,321.55
|
$72,819.78
|
$66,487.63
|
2026-05-24
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
46
|
36
|
—
|
—
|
$39,350.56
|
$140,537.71
|
$66,172.54
|
2026-05-24
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
41
|
32
|
—
|
—
|
$10,475.13
|
$459,754.84
|
$66,048.28
|
2026-05-24
|
|
167-4
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
9
|
8
|
—
|
—
|
$62,519.68
|
$71,897.63
|
$65,645.66
|
2026-05-24
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
9
|
8
|
—
|
—
|
$62,494.71
|
$71,868.92
|
$65,619.45
|
2026-05-24
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
9
|
8
|
—
|
—
|
$61,631.78
|
$70,876.55
|
$64,713.37
|
2026-05-24
|
|
091-3
|
OTHER
|
Other Major Head And Neck Procedures
|
9
|
8
|
—
|
—
|
$60,103.19
|
$69,118.67
|
$63,108.35
|
2026-05-24
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
47
|
37
|
—
|
—
|
$14,145.32
|
$145,685.71
|
$63,026.39
|
2026-05-24
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
8
|
—
|
—
|
$59,487.33
|
$68,410.43
|
$62,461.70
|
2026-05-24
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
9
|
8
|
—
|
—
|
$59,302.33
|
$68,197.68
|
$62,267.45
|
2026-05-24
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
9
|
8
|
—
|
—
|
$59,064.01
|
$67,923.61
|
$62,017.21
|
2026-05-24
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
9
|
8
|
—
|
—
|
$58,983.79
|
$67,831.36
|
$61,932.98
|
2026-05-24
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
8
|
—
|
—
|
$58,812.43
|
$67,634.29
|
$61,753.05
|
2026-05-24
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
8
|
—
|
—
|
$58,753.30
|
$67,566.29
|
$61,690.97
|
2026-05-24
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
46
|
36
|
—
|
—
|
$7,294.25
|
$119,732.50
|
$61,547.97
|
2026-05-24
|
|
690-4
|
OTHER
|
Acute Leukemia
|
9
|
8
|
—
|
—
|
$58,260.31
|
$66,999.36
|
$61,173.33
|
2026-05-24
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
9
|
8
|
—
|
—
|
$57,840.01
|
$66,516.01
|
$60,732.01
|
2026-05-24
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
47
|
37
|
—
|
—
|
$12,947.67
|
$121,521.04
|
$60,514.39
|
2026-05-24
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
47
|
37
|
—
|
—
|
$7,922.89
|
$215,185.16
|
$60,251.85
|
2026-05-24
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
36
|
30
|
—
|
—
|
$3,437.47
|
$133,559.15
|
$59,878.24
|
2026-05-24
|
|
588-1
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
9
|
8
|
—
|
—
|
$56,954.09
|
$65,497.20
|
$59,801.79
|
2026-05-24
|
|
091-4
|
OTHER
|
Other Major Head And Neck Procedures
|
9
|
8
|
—
|
—
|
$56,655.17
|
$65,153.45
|
$59,487.93
|
2026-05-24
|
|
001-2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
8
|
7
|
—
|
—
|
$56,601.69
|
$65,091.94
|
$59,431.77
|
2026-05-24
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
9
|
8
|
—
|
—
|
$56,468.19
|
$64,938.42
|
$59,291.60
|
2026-05-24
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
9
|
8
|
—
|
—
|
$56,341.58
|
$64,792.82
|
$59,158.66
|
2026-05-24
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
8
|
—
|
—
|
$56,192.46
|
$64,621.33
|
$59,002.08
|
2026-05-24
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
45
|
35
|
—
|
—
|
$5,300.99
|
$121,055.56
|
$58,898.91
|
2026-05-24
|
|
160-3
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
8
|
—
|
—
|
$56,082.52
|
$64,494.90
|
$58,886.65
|
2026-05-24
|
|
089-4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
9
|
8
|
—
|
—
|
$56,055.76
|
$64,464.12
|
$58,858.55
|
2026-05-24
|
|
130-4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
9
|
8
|
—
|
—
|
$55,758.57
|
$64,122.36
|
$58,546.50
|
2026-05-24
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
46
|
36
|
—
|
—
|
$5,820.70
|
$103,753.35
|
$58,142.08
|
2026-05-24
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
46
|
36
|
—
|
—
|
$6,768.35
|
$118,054.19
|
$57,938.98
|
2026-05-24
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
47
|
37
|
—
|
—
|
$10,116.85
|
$168,858.64
|
$57,498.71
|
2026-05-24
|
|
630-1
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
8
|
—
|
—
|
$54,754.56
|
$62,967.74
|
$57,492.29
|
2026-05-24
|
|
303-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
8
|
—
|
—
|
$54,423.38
|
$62,586.89
|
$57,144.55
|
2026-05-24
|
|
911-4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
9
|
8
|
—
|
—
|
$54,363.30
|
$62,517.79
|
$57,081.47
|
2026-05-24
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
8
|
—
|
—
|
$54,239.56
|
$62,375.49
|
$56,951.54
|
2026-05-24
|
|
625-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
9
|
8
|
—
|
—
|
$53,588.32
|
$61,626.57
|
$56,267.74
|
2026-05-24
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
46
|
36
|
—
|
—
|
$6,906.09
|
$285,811.77
|
$56,101.08
|
2026-05-24
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
47
|
37
|
—
|
—
|
$15,499.65
|
$96,697.41
|
$56,098.53
|
2026-05-24
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
46
|
36
|
—
|
—
|
$7,448.97
|
$104,363.25
|
$55,906.11
|
2026-05-24
|
|
007-1
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
9
|
8
|
—
|
—
|
$53,099.54
|
$61,064.47
|
$55,754.52
|
2026-05-24
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
9
|
8
|
—
|
—
|
$53,026.38
|
$60,980.34
|
$55,677.70
|
2026-05-24
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
44
|
34
|
—
|
—
|
$2,372.18
|
$177,485.62
|
$55,092.96
|
2026-05-24
|
|
912-4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
9
|
8
|
—
|
—
|
$52,435.56
|
$60,300.89
|
$55,057.34
|
2026-05-24
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
47
|
37
|
—
|
—
|
$8,753.71
|
$102,427.42
|
$54,871.13
|
2026-05-24
|
|
027-4
|
OTHER
|
Other Open Craniotomy
|
9
|
8
|
—
|
—
|
$52,238.97
|
$60,074.82
|
$54,850.92
|
2026-05-24
|
|
232-4
|
OTHER
|
Gastric Fundoplication
|
9
|
8
|
—
|
—
|
$51,884.20
|
$59,666.83
|
$54,478.41
|
2026-05-24
|
|
630-2
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
8
|
—
|
—
|
$51,738.22
|
$59,498.95
|
$54,325.13
|
2026-05-24
|
|
260-4
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
9
|
8
|
—
|
—
|
$51,715.31
|
$59,472.61
|
$54,301.08
|
2026-05-24
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
46
|
36
|
—
|
—
|
$8,929.49
|
$174,684.00
|
$54,289.26
|
2026-05-24
|
|
165-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
8
|
—
|
—
|
$51,640.15
|
$59,386.17
|
$54,222.16
|
2026-05-24
|
|
695-4
|
OTHER
|
Chemotherapy For Acute Leukemia
|
9
|
8
|
—
|
—
|
$51,628.85
|
$59,373.18
|
$54,210.29
|
2026-05-24
|
|
004-1
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
8
|
—
|
—
|
$51,363.71
|
$59,068.27
|
$53,931.90
|
2026-05-24
|
|
023-4
|
OTHER
|
Spinal Procedures
|
9
|
8
|
—
|
—
|
$51,166.36
|
$58,841.31
|
$53,724.68
|
2026-05-24
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
47
|
37
|
—
|
—
|
$11,019.94
|
$100,233.81
|
$53,648.61
|
2026-05-24
|
|
603-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
8
|
—
|
—
|
$50,945.16
|
$58,586.93
|
$53,492.42
|
2026-05-24
|
|
850-4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
9
|
8
|
—
|
—
|
$50,509.78
|
$58,086.25
|
$53,035.27
|
2026-05-24
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
46
|
36
|
—
|
—
|
$6,377.25
|
$112,465.94
|
$52,748.71
|
2026-05-24
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
47
|
37
|
—
|
—
|
$7,374.39
|
$345,003.25
|
$52,708.00
|
2026-05-24
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
46
|
36
|
—
|
—
|
$4,735.16
|
$351,234.28
|
$52,606.13
|
2026-05-24
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
46
|
36
|
—
|
—
|
$4,572.06
|
$421,326.67
|
$52,594.72
|
2026-05-24
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
46
|
36
|
—
|
—
|
$7,066.19
|
$94,991.31
|
$52,463.12
|
2026-05-24
|
|
020-4
|
OTHER
|
Open Craniotomy For Trauma
|
9
|
8
|
—
|
—
|
$49,928.80
|
$57,418.12
|
$52,425.24
|
2026-05-24
|
|
178-3
|
OTHER
|
External Heart Assist Systems
|
9
|
8
|
—
|
—
|
$49,922.02
|
$57,410.32
|
$52,418.12
|
2026-05-24
|
|
179-4
|
OTHER
|
Defibrillator Implants
|
9
|
8
|
—
|
—
|
$49,875.92
|
$57,357.31
|
$52,369.72
|
2026-05-24
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
39
|
31
|
—
|
—
|
$14,695.27
|
$132,730.41
|
$52,250.95
|
2026-05-24
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
46
|
36
|
—
|
—
|
$2,864.31
|
$125,035.35
|
$51,966.68
|
2026-05-24
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
47
|
37
|
—
|
—
|
$11,572.61
|
$113,509.83
|
$51,885.13
|
2026-05-24
|
|
512-4
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
9
|
8
|
—
|
—
|
$49,358.91
|
$56,762.75
|
$51,826.86
|
2026-05-24
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
46
|
36
|
—
|
—
|
$30,971.73
|
$146,942.25
|
$51,761.69
|
2026-05-24
|
|
950-4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
8
|
—
|
—
|
$49,281.78
|
$56,674.05
|
$51,745.87
|
2026-05-24
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
41
|
32
|
—
|
—
|
$4,703.28
|
$132,710.25
|
$51,456.05
|
2026-05-24
|
|
589-2
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
8
|
—
|
—
|
$48,949.24
|
$56,291.63
|
$51,396.70
|
2026-05-24
|
|
008-2
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
8
|
—
|
—
|
$48,674.39
|
$55,975.55
|
$51,108.11
|
2026-05-24
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
47
|
37
|
—
|
—
|
$11,724.37
|
$99,137.00
|
$51,035.90
|
2026-05-24
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
47
|
37
|
—
|
—
|
$11,591.03
|
$83,958.64
|
$50,908.90
|
2026-05-24
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
47
|
37
|
—
|
—
|
$13,929.64
|
$89,238.80
|
$50,748.26
|
2026-05-24
|
|
519-4
|
OTHER
|
Uterine And Adnexa Procedures For Leiomyoma
|
9
|
8
|
—
|
—
|
$48,324.20
|
$55,572.83
|
$50,740.41
|
2026-05-24
|
|
120-4
|
OTHER
|
Major Respiratory And Chest Procedures
|
9
|
8
|
—
|
—
|
$48,185.58
|
$55,413.42
|
$50,594.86
|
2026-05-24
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
8
|
7
|
—
|
—
|
$48,170.49
|
$55,396.06
|
$50,579.01
|
2026-05-24
|
|
607-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
8
|
—
|
—
|
$48,137.61
|
$55,358.25
|
$50,544.49
|
2026-05-24
|
|
021-4
|
OTHER
|
Open Craniotomy Except Trauma
|
9
|
8
|
—
|
—
|
$48,131.58
|
$55,351.32
|
$50,538.16
|
2026-05-24
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
47
|
37
|
—
|
—
|
$9,479.75
|
$292,002.70
|
$50,495.24
|
2026-05-24
|
|
440-3
|
OTHER
|
Kidney Transplant
|
9
|
8
|
—
|
—
|
$48,084.14
|
$55,296.76
|
$50,488.35
|
2026-05-24
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
8
|
—
|
—
|
$48,049.79
|
$55,257.26
|
$50,452.28
|
2026-05-24
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
45
|
35
|
—
|
—
|
$5,888.35
|
$112,526.11
|
$50,390.40
|
2026-05-24
|
|
178-2
|
OTHER
|
External Heart Assist Systems
|
9
|
8
|
—
|
—
|
$47,989.98
|
$55,188.48
|
$50,389.48
|
2026-05-24
|
|
312-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
9
|
8
|
—
|
—
|
$47,928.30
|
$55,117.54
|
$50,324.72
|
2026-05-24
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
46
|
36
|
—
|
—
|
$3,479.27
|
$86,480.78
|
$49,427.42
|
2026-05-24
|
|
634
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…
|
2
|
2
|
—
|
—
|
$47,905.00
|
$50,154.26
|
$49,029.63
|
2026-05-24
|
|
613-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
8
|
—
|
—
|
$46,531.72
|
$53,511.48
|
$48,858.31
|
2026-05-24
|
|
011-2
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
8
|
—
|
—
|
$46,470.00
|
$53,440.50
|
$48,793.50
|
2026-05-24
|
|
092-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
9
|
8
|
—
|
—
|
$46,447.49
|
$53,414.61
|
$48,769.86
|
2026-05-24
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
46
|
36
|
—
|
—
|
$25,231.53
|
$97,064.63
|
$48,628.18
|
2026-05-24
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
46
|
36
|
—
|
—
|
$7,026.41
|
$93,069.98
|
$48,521.53
|
2026-05-24
|
|
261-4
|
OTHER
|
Major Biliary Tract Procedures
|
9
|
8
|
—
|
—
|
$45,969.81
|
$52,865.28
|
$48,268.30
|
2026-05-24
|
|
131-4
|
OTHER
|
Cystic Fibrosis - Pulmonary Disease
|
9
|
8
|
—
|
—
|
$45,293.25
|
$52,087.24
|
$47,557.91
|
2026-05-24
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
9
|
8
|
—
|
—
|
$45,259.51
|
$52,048.44
|
$47,522.49
|
2026-05-24
|
|
169-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
9
|
8
|
—
|
—
|
$45,255.12
|
$52,043.39
|
$47,517.88
|
2026-05-24
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
46
|
36
|
—
|
—
|
$12,546.97
|
$82,383.12
|
$47,465.04
|
2026-05-24
|
|
163-3
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
8
|
—
|
—
|
$45,132.97
|
$51,902.92
|
$47,389.62
|
2026-05-24
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
46
|
36
|
—
|
—
|
$2,917.35
|
$138,465.32
|
$47,242.51
|
2026-05-24
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
47
|
37
|
—
|
—
|
$4,963.15
|
$127,822.72
|
$46,967.82
|
2026-05-24
|
|
792-4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
9
|
8
|
—
|
—
|
$44,615.50
|
$51,307.82
|
$46,846.28
|
2026-05-24
|
|
510-4
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
9
|
8
|
—
|
—
|
$44,530.38
|
$51,209.94
|
$46,756.90
|
2026-05-24
|
|
005-2
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
8
|
—
|
—
|
$44,501.76
|
$51,177.02
|
$46,726.85
|
2026-05-24
|
|
454
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
40
|
32
|
—
|
—
|
$14,632.68
|
$87,090.90
|
$46,704.29
|
2026-05-24
|
|
181-4
|
OTHER
|
Lower Extremity Arterial Procedures
|
9
|
8
|
—
|
—
|
$44,372.20
|
$51,028.03
|
$46,590.81
|
2026-05-24
|
|
165-3
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
8
|
—
|
—
|
$44,201.97
|
$50,832.27
|
$46,412.07
|
2026-05-24
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
46
|
36
|
—
|
—
|
$9,924.21
|
$172,611.81
|
$46,399.21
|
2026-05-24
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
47
|
37
|
—
|
—
|
$16,853.00
|
$80,383.96
|
$46,012.61
|
2026-05-24
|
|
22
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
47
|
37
|
—
|
—
|
$8,937.68
|
$268,202.74
|
$45,631.98
|
2026-05-24
|
|
022-4
|
OTHER
|
Ventricular Shunt Procedures
|
9
|
8
|
—
|
—
|
$43,186.61
|
$49,664.60
|
$45,345.94
|
2026-05-24
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
46
|
36
|
—
|
—
|
$6,116.99
|
$247,754.66
|
$45,215.55
|
2026-05-24
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
47
|
37
|
—
|
—
|
$6,322.12
|
$127,585.93
|
$45,208.90
|
2026-05-24
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
37
|
31
|
—
|
—
|
$1,076.26
|
$107,213.27
|
$45,032.32
|
2026-05-24
|
|
008-3
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
8
|
—
|
—
|
$42,830.33
|
$49,254.88
|
$44,971.85
|
2026-05-24
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
44
|
34
|
—
|
—
|
$4,651.36
|
$164,360.44
|
$44,950.45
|
2026-05-24
|
|
651-4
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
9
|
8
|
—
|
—
|
$42,752.59
|
$49,165.48
|
$44,890.22
|
2026-05-24
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
45
|
35
|
—
|
—
|
$5,468.42
|
$75,558.23
|
$44,855.68
|
2026-05-24
|
|
303-2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
8
|
—
|
—
|
$42,713.58
|
$49,120.62
|
$44,849.26
|
2026-05-24
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
45
|
35
|
—
|
—
|
$5,105.54
|
$76,011.44
|
$44,670.50
|
2026-05-24
|
|
363-4
|
OTHER
|
Breast Procedures Except Mastectomy
|
9
|
8
|
—
|
—
|
$42,509.46
|
$48,885.88
|
$44,634.93
|
2026-05-24
|
|
511-4
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
9
|
8
|
—
|
—
|
$42,430.37
|
$48,794.93
|
$44,551.89
|
2026-05-24
|
|
121-4
|
OTHER
|
Other Respiratory And Chest Procedures
|
9
|
8
|
—
|
—
|
$42,374.63
|
$48,730.82
|
$44,493.36
|
2026-05-24
|
|
404-4
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
9
|
8
|
—
|
—
|
$42,340.73
|
$48,691.84
|
$44,457.77
|
2026-05-24
|
|
321-4
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
9
|
8
|
—
|
—
|
$42,306.84
|
$48,652.87
|
$44,422.18
|
2026-05-24
|
|
440-2
|
OTHER
|
Kidney Transplant
|
9
|
8
|
—
|
—
|
$42,028.89
|
$48,333.22
|
$44,130.33
|
2026-05-24
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
46
|
36
|
—
|
—
|
$3,483.88
|
$156,763.70
|
$44,115.13
|
2026-05-24
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
9
|
8
|
—
|
—
|
$41,614.81
|
$47,857.03
|
$43,695.55
|
2026-05-24
|
|
177-4
|
OTHER
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
9
|
8
|
—
|
—
|
$41,595.52
|
$47,834.85
|
$43,675.30
|
2026-05-24
|
|
518-4
|
OTHER
|
Other Female Reproductive System And Related Procedures
|
9
|
8
|
—
|
—
|
$41,483.55
|
$47,706.08
|
$43,557.73
|
2026-05-24
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
46
|
36
|
—
|
—
|
$6,324.01
|
$102,923.27
|
$43,493.53
|
2026-05-24
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
47
|
37
|
—
|
—
|
$6,456.10
|
$85,833.82
|
$43,431.46
|
2026-05-24
|
|
614-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
9
|
8
|
—
|
—
|
$41,346.94
|
$47,548.98
|
$43,414.29
|
2026-05-24
|
|
176-4
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
9
|
8
|
—
|
—
|
$41,278.23
|
$47,469.96
|
$43,342.14
|
2026-05-24
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
46
|
36
|
—
|
—
|
$6,753.25
|
$78,593.40
|
$43,212.29
|
2026-05-24
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
46
|
36
|
—
|
—
|
$10,414.43
|
$87,950.55
|
$43,191.99
|
2026-05-24
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
33
|
28
|
—
|
—
|
$3,968.61
|
$96,441.61
|
$43,181.00
|
2026-05-24
|
|
030-4
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
9
|
8
|
—
|
—
|
$41,096.39
|
$47,260.85
|
$43,151.21
|
2026-05-24
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
46
|
36
|
—
|
—
|
$8,225.40
|
$80,108.87
|
$42,930.76
|
2026-05-24
|
|
230-4
|
OTHER
|
Major Small Bowel Procedures
|
9
|
8
|
—
|
—
|
$40,778.65
|
$46,895.45
|
$42,817.58
|
2026-05-24
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
46
|
36
|
—
|
—
|
$5,712.52
|
$127,136.41
|
$42,753.28
|
2026-05-24
|
|
178-1
|
OTHER
|
External Heart Assist Systems
|
9
|
8
|
—
|
—
|
$40,713.75
|
$46,820.81
|
$42,749.44
|
2026-05-24
|
|
182-4
|
OTHER
|
Other Peripheral Vascular And Related Procedures
|
9
|
8
|
—
|
—
|
$40,506.61
|
$46,582.60
|
$42,531.94
|
2026-05-24
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
47
|
37
|
—
|
—
|
$9,417.04
|
$75,349.31
|
$42,475.13
|
2026-05-24
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
46
|
36
|
—
|
—
|
$10,285.30
|
$103,580.74
|
$42,380.68
|
2026-05-24
|
|
162-2
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
8
|
—
|
—
|
$40,343.91
|
$46,395.50
|
$42,361.11
|
2026-05-24
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
45
|
35
|
—
|
—
|
$8,416.46
|
$69,241.91
|
$42,300.68
|
2026-05-24
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
46
|
36
|
—
|
—
|
$8,959.72
|
$81,488.96
|
$42,221.06
|
2026-05-24
|
|
401-4
|
OTHER
|
Adrenal Procedures
|
9
|
8
|
—
|
—
|
$40,142.80
|
$46,164.22
|
$42,149.94
|
2026-05-24
|
|
304-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
9
|
8
|
—
|
—
|
$40,135.62
|
$46,155.96
|
$42,142.40
|
2026-05-24
|
|
910-3
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
9
|
8
|
—
|
—
|
$40,093.09
|
$46,107.05
|
$42,097.74
|
2026-05-24
|
|
403-4
|
OTHER
|
Procedures For Obesity
|
9
|
8
|
—
|
—
|
$40,053.16
|
$46,061.13
|
$42,055.82
|
2026-05-24
|
|
026-4
|
OTHER
|
Other Nervous System And Related Procedures
|
9
|
8
|
—
|
—
|
$39,945.25
|
$45,937.04
|
$41,942.51
|
2026-05-24
|
|
710-4
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
9
|
8
|
—
|
—
|
$39,759.40
|
$45,723.31
|
$41,747.37
|
2026-05-24
|
|
179-3
|
OTHER
|
Defibrillator Implants
|
9
|
8
|
—
|
—
|
$39,753.38
|
$45,716.39
|
$41,741.05
|
2026-05-24
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
45
|
35
|
—
|
—
|
$5,727.05
|
$67,117.38
|
$41,544.58
|
2026-05-24
|
|
183-3
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
9
|
8
|
—
|
—
|
$39,556.03
|
$45,489.43
|
$41,533.83
|
2026-05-24
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
47
|
37
|
—
|
—
|
$13,213.78
|
$71,157.72
|
$41,437.99
|
2026-05-24
|
|
167-3
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
9
|
8
|
—
|
—
|
$39,454.27
|
$45,372.41
|
$41,426.98
|
2026-05-24
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
47
|
37
|
—
|
—
|
$11,157.00
|
$175,417.26
|
$41,400.95
|
2026-05-24
|
|
001-1
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
8
|
7
|
—
|
—
|
$39,318.95
|
$45,216.79
|
$41,284.90
|
2026-05-24
|
|
009-2
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
8
|
—
|
—
|
$39,294.84
|
$45,189.07
|
$41,259.58
|
2026-05-24
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
38
|
32
|
—
|
—
|
$2,673.39
|
$94,557.46
|
$40,814.07
|
2026-05-24
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
47
|
37
|
—
|
—
|
$13,796.30
|
$97,394.54
|
$40,749.28
|
2026-05-24
|
|
440-1
|
OTHER
|
Kidney Transplant
|
9
|
8
|
—
|
—
|
$38,772.67
|
$44,588.57
|
$40,711.30
|
2026-05-24
|
|
006-1
|
OTHER
|
Pancreas Transplant
|
9
|
8
|
—
|
—
|
$38,694.52
|
$44,498.70
|
$40,629.25
|
2026-05-24
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
46
|
36
|
—
|
—
|
$17,948.98
|
$96,144.90
|
$40,579.88
|
2026-05-24
|
|
650-4
|
OTHER
|
Splenectomy
|
9
|
8
|
—
|
—
|
$38,465.35
|
$44,235.15
|
$40,388.62
|
2026-05-24
|
|
514-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
8
|
—
|
—
|
$38,417.48
|
$44,180.10
|
$40,338.35
|
2026-05-24
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
46
|
36
|
—
|
—
|
$15,719.37
|
$307,982.48
|
$40,294.61
|
2026-05-24
|
|
323
|
OTHER
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
46
|
36
|
—
|
—
|
$8,764.71
|
$71,762.37
|
$40,263.54
|
2026-05-24
|
|
40
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
47
|
37
|
—
|
—
|
$6,635.25
|
$156,701.81
|
$40,195.50
|
2026-05-24
|
|
841-1
|
OTHER
|
Chemotherapy For Acute Leukemia
|
9
|
8
|
—
|
—
|
$38,251.47
|
$43,989.19
|
$40,164.04
|
2026-05-24
|
|
841-2
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
9
|
8
|
—
|
—
|
$38,251.47
|
$43,989.19
|
$40,164.04
|
2026-05-24
|
|
711-4
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
9
|
8
|
—
|
—
|
$38,219.04
|
$43,951.90
|
$40,129.99
|
2026-05-24
|
|
842-3
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
9
|
8
|
—
|
—
|
$38,213.77
|
$43,945.84
|
$40,124.46
|
2026-05-24
|
|
609-2
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
8
|
—
|
—
|
$38,042.79
|
$43,749.21
|
$39,944.93
|
2026-05-24
|
|
634-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
9
|
8
|
—
|
—
|
$38,029.23
|
$43,733.61
|
$39,930.69
|
2026-05-24
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
47
|
37
|
—
|
—
|
$12,045.90
|
$74,761.10
|
$39,804.17
|
2026-05-24
|
|
073-4
|
OTHER
|
Orbit And Eye Procedures
|
9
|
8
|
—
|
—
|
$37,886.35
|
$43,569.30
|
$39,780.67
|
2026-05-24
|
|
608-1
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
8
|
—
|
—
|
$37,803.29
|
$43,473.78
|
$39,693.45
|
2026-05-24
|
|
009-1
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
8
|
—
|
—
|
$37,800.74
|
$43,470.85
|
$39,690.78
|
2026-05-24
|
|
445-4
|
OTHER
|
Other Bladder Procedures
|
9
|
8
|
—
|
—
|
$37,788.89
|
$43,457.22
|
$39,678.33
|
2026-05-24
|
|
447-4
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
9
|
8
|
—
|
—
|
$37,662.28
|
$43,311.62
|
$39,545.39
|
2026-05-24
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
46
|
36
|
—
|
—
|
$10,689.64
|
$73,024.05
|
$39,402.20
|
2026-05-24
|
|
442-4
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
9
|
8
|
—
|
—
|
$37,505.73
|
$43,131.59
|
$39,381.02
|
2026-05-24
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
47
|
37
|
—
|
—
|
$13,137.15
|
$64,465.91
|
$39,360.40
|
2026-05-24
|
|
170-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
9
|
8
|
—
|
—
|
$37,384.46
|
$42,992.13
|
$39,253.68
|
2026-05-24
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
46
|
36
|
—
|
—
|
$3,810.70
|
$74,645.06
|
$39,227.88
|
2026-05-24
|