Hospital

JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL

Philadelphia, PA · CCN 390142 · Rates published

8,320 distinct procedures filed

20 distinct payers

277,448 rate rows

2026-05-08 last MRF observed

Data quality

277,342 of 277,448 rate rows are consumer-grade (100.0%)

106 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	68
placeholder amount (≤ $0.02) — excluded from medians	38

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

Source MRF file	https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/231396794_jefferson-einstein-philadelphia-hospital_standardcharges.csv
Found on page	https://www.jeffersonhealth.org/pay-my-bill/charge-description
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	924e767aeaa6f6be… · 16,689,025 bytes · first seen 2026-05-08

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	6	$579,952.00	$1,017,700.00	$720,377.00	nat. median $309,400 outlier · 2.3×
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$355,210.00	$623,322.00	$441,217.00	nat. median $267,493 1.6× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$332,062.00	$582,703.00	$412,465.00	nat. median $105,647 outlier · 3.9×
'2-4 OTHER	Heart And/or Lung Transplant	6	$331,842.00	$582,317.00	$412,191.50	nat. median $412,192 1.0× median
583-3 OTHER	Neonate With Ecmo	6	$330,302.00	$579,613.00	$410,278.00	nat. median $259,487 1.6× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	19	$293,435.00	$1,173,910.46	$376,463.00	nat. median $386,529 1.0× median
583-2 OTHER	Neonate With Ecmo	6	$253,611.00	$445,037.00	$315,018.00	nat. median $191,347 1.6× median
161-4 OTHER	Implantable Heart Assist Systems	6	$247,636.00	$434,552.00	$307,597.00	nat. median $202,242 1.5× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$247,484.00	$434,285.00	$307,408.00	nat. median $169,856 1.8× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$247,125.00	$433,655.00	$306,962.00	nat. median $171,094 1.8× median
'9-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	$242,763.00	$426,001.00	$301,544.00	nat. median $301,544 1.0× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$238,035.00	$417,704.00	$295,671.00	nat. median $203,379 1.5× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$236,570.00	$415,132.00	$293,850.50	nat. median $165,000 1.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$232,929.00	$408,744.00	$289,328.50	nat. median $156,696 1.8× median
583-1 OTHER	Neonate With Ecmo	6	$227,647.00	$399,475.00	$282,767.50	nat. median $171,226 1.7× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	6	$220,278.00	$386,545.00	$273,615.00	nat. median $151,691 1.8× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$215,874.00	$378,815.00	$268,143.00	nat. median $210,669 1.3× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$204,790.00	$359,365.00	$254,376.00	nat. median $151,250 1.7× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$202,714.00	$355,723.00	$251,798.00	nat. median $153,523 1.6× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	19	$219,316.00	$715,730.00	$247,660.50	nat. median $239,422 1.0× median
011-2 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$196,461.00	$344,751.00	$244,031.00	nat. median $52,878 outlier · 4.6×
'7-4 OTHER	Allogeneic Bone Marrow Transplant	6	$195,376.00	$342,845.00	$242,682.50	nat. median $242,682 1.0× median
161-3 OTHER	Implantable Heart Assist Systems	6	$193,905.00	$340,264.00	$240,855.00	nat. median $152,491 1.6× median
'4-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$186,566.00	$327,386.00	$231,739.50	nat. median $231,740 1.0× median
'1-4 OTHER	Liver Transplant And/or Intestinal Transplant	6	$184,710.00	$324,130.00	$229,434.50	nat. median $229,434 1.0× median
'2-3 OTHER	Heart And/or Lung Transplant	6	$180,761.00	$317,199.00	$224,528.50	nat. median $224,528 1.0× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$175,669.00	$308,265.00	$218,204.50	nat. median $99,157 outlier · 2.2×
588-1 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$173,756.00	$304,906.00	$215,827.00	nat. median $75,325 outlier · 2.9×
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$165,577.00	$290,554.00	$205,668.00	nat. median $86,371 outlier · 2.4×
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$165,577.00	$290,554.00	$205,668.00	nat. median $87,000 outlier · 2.4×
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$165,577.00	$290,554.00	$205,668.00	nat. median $49,980 outlier · 4.1×
'9-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	$163,152.00	$286,300.00	$202,656.50	nat. median $202,656 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	19	$175,932.00	$545,292.00	$193,525.00	nat. median $146,562 1.3× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	$154,275.00	$270,722.00	$191,629.50	nat. median $125,000 1.5× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	19	$167,001.00	$552,846.09	$188,895.00	nat. median $181,005 1.0× median
591-2 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$150,674.00	$264,402.00	$187,156.50	nat. median $80,000 outlier · 2.3×
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$149,810.00	$262,886.00	$186,083.50	nat. median $112,711 1.7× median
161-2 OTHER	Implantable Heart Assist Systems	6	$142,676.00	$250,368.00	$177,222.50	nat. median $109,992 1.6× median
161-1 OTHER	Implantable Heart Assist Systems	6	$142,676.00	$250,368.00	$177,222.50	nat. median $101,352 1.7× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	$142,156.00	$249,456.00	$176,576.50	nat. median $106,926 1.7× median
'2-2 OTHER	Heart And/or Lung Transplant	6	$136,878.00	$240,194.00	$170,020.50	nat. median $170,020 1.0× median
453 OTHER	Combined Anterior/posterior Spinal Fusion W Mcc	1	$149,556.00	$181,366.00	$168,505.50	nat. median $65,342 outlier · 2.6×
'5-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	$129,969.00	$228,070.00	$161,438.50	nat. median $161,438 1.0× median
'4-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$128,651.00	$225,757.00	$159,801.50	nat. median $159,802 1.0× median
'7-3 OTHER	Allogeneic Bone Marrow Transplant	6	$124,261.00	$218,054.00	$154,349.00	nat. median $154,349 1.0× median
842-4 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	$123,324.00	$216,409.00	$153,185.00	nat. median $83,517 1.8× median
'2-1 OTHER	Heart And/or Lung Transplant	6	$120,979.00	$212,294.00	$150,271.50	nat. median $150,272 1.0× median
'6-4 OTHER	Pancreas Transplant	6	$120,653.00	$211,721.00	$149,866.50	nat. median $149,866 1.0× median
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$120,497.00	$211,448.00	$149,673.00	nat. median $89,334 1.7× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	$119,255.00	$209,269.00	$148,130.00	nat. median $100,015 1.5× median

Other procedures at this hospital

Browse this hospital's 8,320 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

583-4	OTHER	Neonate With Ecmo	6	6	—	—	$579,952.00	$1,017,700.00	$720,377.00	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$355,210.00	$623,322.00	$441,217.00	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$332,062.00	$582,703.00	$412,465.00	2026-05-08
'2-4	OTHER	Heart And/or Lung Transplant	6	6	—	—	$331,842.00	$582,317.00	$412,191.50	2026-05-08
583-3	OTHER	Neonate With Ecmo	6	6	—	—	$330,302.00	$579,613.00	$410,278.00	2026-05-08
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	19	—	$567,806.00	$293,435.00	$1,173,910.46	$376,463.00	2026-05-08
583-2	OTHER	Neonate With Ecmo	6	6	—	—	$253,611.00	$445,037.00	$315,018.00	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	6	6	—	—	$247,636.00	$434,552.00	$307,597.00	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$247,484.00	$434,285.00	$307,408.00	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$247,125.00	$433,655.00	$306,962.00	2026-05-08
'9-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$242,763.00	$426,001.00	$301,544.00	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$238,035.00	$417,704.00	$295,671.00	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$236,570.00	$415,132.00	$293,850.50	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$232,929.00	$408,744.00	$289,328.50	2026-05-08
583-1	OTHER	Neonate With Ecmo	6	6	—	—	$227,647.00	$399,475.00	$282,767.50	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$220,278.00	$386,545.00	$273,615.00	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$215,874.00	$378,815.00	$268,143.00	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$204,790.00	$359,365.00	$254,376.00	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$202,714.00	$355,723.00	$251,798.00	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	34	19	—	$368,752.00	$219,316.00	$715,730.00	$247,660.50	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$196,461.00	$344,751.00	$244,031.00	2026-05-08
'7-4	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$195,376.00	$342,845.00	$242,682.50	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	6	6	—	—	$193,905.00	$340,264.00	$240,855.00	2026-05-08
'4-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$186,566.00	$327,386.00	$231,739.50	2026-05-08
'1-4	OTHER	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$184,710.00	$324,130.00	$229,434.50	2026-05-08
'2-3	OTHER	Heart And/or Lung Transplant	6	6	—	—	$180,761.00	$317,199.00	$224,528.50	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$175,669.00	$308,265.00	$218,204.50	2026-05-08
588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$173,756.00	$304,906.00	$215,827.00	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$165,577.00	$290,554.00	$205,668.00	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$165,577.00	$290,554.00	$205,668.00	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$165,577.00	$290,554.00	$205,668.00	2026-05-08
'9-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$163,152.00	$286,300.00	$202,656.50	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	35	19	—	$281,122.00	$175,932.00	$545,292.00	$193,525.00	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$154,275.00	$270,722.00	$191,629.50	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	35	19	—	$279,477.00	$167,001.00	$552,846.09	$188,895.00	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$150,674.00	$264,402.00	$187,156.50	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$149,810.00	$262,886.00	$186,083.50	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	6	6	—	—	$142,676.00	$250,368.00	$177,222.50	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	6	6	—	—	$142,676.00	$250,368.00	$177,222.50	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$142,156.00	$249,456.00	$176,576.50	2026-05-08
'2-2	OTHER	Heart And/or Lung Transplant	6	6	—	—	$136,878.00	$240,194.00	$170,020.50	2026-05-08
453	OTHER	Combined Anterior/posterior Spinal Fusion W Mcc	4	1	—	—	$149,556.00	$181,366.00	$168,505.50	2026-05-08
'5-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$129,969.00	$228,070.00	$161,438.50	2026-05-08
'4-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$128,651.00	$225,757.00	$159,801.50	2026-05-08
'7-3	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$124,261.00	$218,054.00	$154,349.00	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	6	—	—	$123,324.00	$216,409.00	$153,185.00	2026-05-08
'2-1	OTHER	Heart And/or Lung Transplant	6	6	—	—	$120,979.00	$212,294.00	$150,271.50	2026-05-08
'6-4	OTHER	Pancreas Transplant	6	6	—	—	$120,653.00	$211,721.00	$149,866.50	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$120,497.00	$211,448.00	$149,673.00	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$119,255.00	$209,269.00	$148,130.00	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$118,995.00	$208,812.00	$147,807.00	2026-05-08
222	OTHER	Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc	4	1	—	—	$128,144.00	$155,400.00	$144,380.50	2026-05-08
851-4	OTHER	Gender Related Procedures	6	6	—	—	$113,798.00	$199,693.00	$141,352.00	2026-05-08
851-3	OTHER	Gender Related Procedures	6	6	—	—	$113,798.00	$199,693.00	$141,352.00	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$112,838.00	$198,009.00	$140,160.00	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$107,116.00	$187,967.00	$133,051.50	2026-05-08
224	OTHER	Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc	4	1	—	—	$116,923.00	$141,793.00	$131,738.00	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	35	19	—	$182,650.00	$110,300.00	$353,765.00	$123,521.00	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$99,186.00	$174,051.00	$123,201.50	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	6	—	—	$98,274.00	$172,451.00	$122,069.50	2026-05-08
226	OTHER	Cardiac Defibrillator Implant Without Cardiac Cath W Mcc	4	1	—	—	$107,372.00	$130,210.00	$120,977.00	2026-05-08
863-4	OTHER	Neonatal Aftercare	6	6	—	—	$97,008.00	$170,229.00	$120,496.50	2026-05-08
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$96,758.00	$169,790.00	$120,185.50	2026-05-08
'1-3	OTHER	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$95,898.00	$168,281.00	$119,117.00	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$95,535.00	$167,644.00	$118,667.00	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$95,073.00	$166,835.00	$118,093.50	2026-05-08
'5-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$94,322.00	$165,517.00	$117,160.50	2026-05-08
440-4	OTHER	Kidney Transplant	6	6	—	—	$93,547.00	$164,156.00	$116,197.50	2026-05-08
7	OTHER	Lung Transplant	35	19	—	$170,816.00	$102,059.00	$572,000.00	$115,531.00	2026-05-08
'6-3	OTHER	Pancreas Transplant	6	6	—	—	$92,982.00	$163,164.00	$115,495.50	2026-05-08
593-1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$91,702.00	$160,919.00	$113,906.50	2026-05-08
459	OTHER	Spinal Fusion Except Cervical W Mcc	4	1	—	—	$100,547.00	$121,933.00	$113,287.00	2026-05-08
223	OTHER	Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc	4	1	—	—	$100,097.00	$121,387.00	$112,779.50	2026-05-08
454	OTHER	Combined Anterior/posterior Spinal Fusion W Cc	4	1	—	—	$99,791.00	$121,017.00	$112,435.50	2026-05-08
'7-2	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$87,505.00	$153,554.00	$108,693.00	2026-05-08
'8-4	OTHER	Autologous Bone Marrow Transplant	6	6	—	—	$86,897.00	$152,487.00	$107,937.50	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	35	19	—	$158,574.00	$99,320.00	$384,800.00	$107,700.00	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$85,850.00	$150,649.00	$106,637.00	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$85,591.00	$150,196.00	$106,315.50	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$83,597.00	$146,695.00	$103,838.00	2026-05-08
'4-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$82,213.00	$144,267.00	$102,119.50	2026-05-08
299-4	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$81,910.00	$143,736.00	$101,743.50	2026-05-08
'9-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$81,886.00	$143,693.00	$101,713.00	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$81,764.00	$143,479.00	$101,561.50	2026-05-08
225	OTHER	Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc	4	1	—	—	$90,068.00	$109,226.00	$101,480.50	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	34	19	—	$149,564.00	$86,146.00	$369,200.00	$100,358.50	2026-05-08
'6-2	OTHER	Pancreas Transplant	6	6	—	—	$80,161.00	$140,666.00	$99,570.50	2026-05-08
209	OTHER	Complex Aortic Arch Procedures	28	18	—	$149,394.00	$93,581.00	$289,082.00	$99,308.00	2026-05-08
178-4	OTHER	External Heart Assist Devices	6	6	—	—	$79,494.00	$139,495.00	$98,741.50	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$78,132.00	$137,107.00	$97,050.50	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	6	6	—	—	$77,928.00	$136,747.00	$96,796.00	2026-05-08
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	30	19	—	$145,486.00	$81,920.00	$281,481.00	$96,606.00	2026-05-08
'7-1	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$77,245.00	$135,550.00	$95,948.50	2026-05-08
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	30	19	—	$143,554.00	$85,169.00	$277,725.00	$95,326.00	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	6	—	—	$76,623.00	$134,458.00	$95,175.50	2026-05-08
227	OTHER	Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc	4	1	—	—	$83,727.00	$101,535.00	$94,335.00	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$75,103.00	$131,790.00	$93,287.50	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	35	19	—	$136,154.00	$83,271.00	$447,200.00	$92,128.00	2026-05-08
'1-2	OTHER	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$74,110.00	$130,048.00	$92,054.50	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Circulatory Procedures	6	6	—	—	$73,587.00	$129,130.00	$91,404.00	2026-05-08
215	OTHER	Other Heart Assist System Implant	35	19	—	$131,512.00	$82,402.00	$463,262.39	$88,994.00	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$71,637.00	$125,709.00	$88,982.50	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	6	6	—	—	$71,545.00	$125,547.00	$88,868.50	2026-05-08
455	OTHER	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	4	1	—	—	$78,739.00	$95,487.00	$88,716.00	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	6	6	—	—	$71,334.00	$125,177.00	$88,606.50	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	19	—	$129,224.00	$75,518.00	$297,163.12	$87,450.00	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$69,962.00	$122,769.00	$86,902.00	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$69,884.00	$122,632.00	$86,805.00	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	6	—	—	$69,338.00	$121,674.00	$86,127.00	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$68,019.00	$119,360.00	$84,488.50	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	6	6	—	—	$67,920.00	$119,186.00	$84,366.00	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	6	—	—	$67,850.00	$119,063.00	$84,278.00	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$67,050.00	$117,659.00	$83,285.00	2026-05-08
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	6	—	—	$66,954.00	$117,491.00	$83,165.50	2026-05-08
179-4	OTHER	Defibrillator Implants	6	6	—	—	$66,081.00	$115,958.00	$82,080.50	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$65,980.00	$115,782.00	$81,956.00	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$65,890.00	$115,623.00	$81,844.00	2026-05-08
91-4	OTHER	Other Major Head And Neck Procedures	6	6	—	—	$65,695.00	$115,282.00	$81,602.00	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	6	—	—	$65,572.00	$115,066.00	$81,449.50	2026-05-08
'1-1	OTHER	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$65,108.00	$114,251.00	$80,872.50	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	6	6	—	—	$64,686.00	$113,510.00	$80,348.00	2026-05-08
21-4	OTHER	Open Craniotomy Except Trauma	6	6	—	—	$64,594.00	$113,350.00	$80,234.50	2026-05-08
178-3	OTHER	External Heart Assist Devices	6	6	—	—	$64,142.00	$112,557.00	$79,673.00	2026-05-08
299-3	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$64,050.00	$112,395.00	$79,558.50	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$63,895.00	$112,123.00	$79,366.00	2026-05-08
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$63,760.00	$111,886.00	$79,198.00	2026-05-08
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	30	19	—	$119,071.00	$65,341.00	$230,105.00	$79,102.00	2026-05-08
440-3	OTHER	Kidney Transplant	6	6	—	—	$63,601.00	$111,607.00	$79,000.50	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	6	—	—	$63,086.00	$110,703.00	$78,361.00	2026-05-08
'5-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$62,893.00	$110,365.00	$78,121.50	2026-05-08
300-4	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$62,488.00	$109,654.00	$77,618.50	2026-05-08
690-4	OTHER	Acute Leukemia	6	6	—	—	$61,979.00	$108,761.00	$76,986.50	2026-05-08
850	OTHER	Acute Leukemia With Other Procedures	30	19	—	$114,474.00	$71,751.00	$221,164.00	$76,056.00	2026-05-08
'8-3	OTHER	Autologous Bone Marrow Transplant	6	6	—	—	$61,162.00	$107,328.00	$75,972.00	2026-05-08
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$61,068.00	$107,163.00	$75,855.00	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	35	19	—	$111,459.00	$66,377.00	$244,993.99	$75,455.00	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	35	19	—	$111,111.00	$66,340.00	$300,517.14	$75,220.00	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	6	6	—	—	$60,269.00	$105,759.00	$74,861.50	2026-05-08
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$60,097.00	$105,459.00	$74,649.00	2026-05-08
'9-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$59,963.00	$105,223.00	$74,482.00	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	6	6	—	—	$59,694.00	$104,751.00	$74,148.00	2026-05-08
23-4	OTHER	Spinal Procedures	6	6	—	—	$58,897.00	$103,353.00	$73,158.00	2026-05-08
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	6	6	—	—	$58,736.00	$103,071.00	$72,958.50	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$58,715.00	$103,033.00	$72,931.00	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	6	6	—	—	$58,104.00	$101,960.00	$72,172.50	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	6	—	—	$58,010.00	$101,795.00	$72,055.50	2026-05-08
312-4	OTHER	Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	6	6	—	—	$57,901.00	$101,604.00	$71,920.50	2026-05-08
460	OTHER	Spinal Fusion Except Cervical Without Mcc	4	1	—	—	$63,582.00	$77,106.00	$71,638.50	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$57,420.00	$100,761.00	$71,323.50	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	6	6	—	—	$57,231.00	$100,430.00	$71,089.00	2026-05-08
695-4	OTHER	Chemotherapy For Acute Leukemia	6	6	—	—	$57,044.00	$100,101.00	$70,857.00	2026-05-08
'4-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$56,880.00	$99,813.00	$70,652.50	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	35	19	—	$104,091.00	$63,171.00	$294,329.44	$70,481.00	2026-05-08
20-4	OTHER	Open Craniotomy For Trauma	6	6	—	—	$56,431.00	$99,026.00	$70,095.00	2026-05-08
89-4	OTHER	Major Cranial Or Facial Bone Procedures	6	6	—	—	$56,398.00	$98,967.00	$70,053.00	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	6	—	—	$56,335.00	$98,856.00	$69,975.00	2026-05-08
428-4	OTHER	Genetic Disorders	6	6	—	—	$56,266.00	$98,736.00	$69,889.50	2026-05-08
261-4	OTHER	Major Biliary Tract Procedures	6	6	—	—	$56,039.00	$98,338.00	$69,608.50	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$56,031.00	$98,323.00	$69,598.00	2026-05-08
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$56,018.00	$98,300.00	$69,581.50	2026-05-08
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$55,810.00	$97,936.00	$69,323.50	2026-05-08
'6-1	OTHER	Pancreas Transplant	6	6	—	—	$55,678.00	$97,705.00	$69,160.00	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	35	19	—	$101,590.00	$60,658.00	$248,232.03	$68,792.00	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	35	19	—	$101,155.00	$61,271.00	$231,606.12	$68,498.00	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	35	19	—	$100,823.00	$58,536.00	$210,977.32	$68,274.00	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	6	—	—	$54,736.00	$96,050.00	$67,988.50	2026-05-08
27-4	OTHER	Other Open Craniotomy	6	6	—	—	$54,364.00	$95,399.00	$67,527.50	2026-05-08
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$54,231.00	$95,164.00	$67,362.00	2026-05-08
440-2	OTHER	Kidney Transplant	6	6	—	—	$54,201.00	$95,112.00	$67,324.50	2026-05-08
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$54,106.00	$94,945.00	$67,206.50	2026-05-08
92-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	6	6	—	—	$53,761.00	$94,340.00	$66,778.00	2026-05-08
401-4	OTHER	Adrenal Procedures	6	6	—	—	$53,322.00	$93,569.00	$66,233.00	2026-05-08
520-4	OTHER	Other GYN Procedures For Malignancy	6	6	—	—	$53,125.00	$93,225.00	$65,988.50	2026-05-08
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	6	—	—	$53,105.00	$93,188.00	$65,963.00	2026-05-08
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$52,896.00	$92,822.00	$65,704.00	2026-05-08
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$52,832.00	$92,710.00	$65,624.50	2026-05-08
10	OTHER	Pancreas Transplant	35	19	—	$94,990.00	$59,570.00	$260,000.00	$65,527.00	2026-05-08
441-4	OTHER	Major Bladder Procedures	6	6	—	—	$52,589.00	$92,283.00	$65,322.50	2026-05-08
178-2	OTHER	External Heart Assist Devices	6	6	—	—	$52,226.00	$91,646.00	$64,871.50	2026-05-08
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$52,134.00	$91,484.00	$64,757.00	2026-05-08
183-3	OTHER	Percutaneous Structural Cardiac Procedures	6	6	—	—	$51,989.00	$91,230.00	$64,577.00	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	35	19	—	$94,950.00	$52,437.00	$183,191.00	$64,309.00	2026-05-08
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	30	19	—	$95,553.00	$55,728.00	$184,363.00	$63,461.50	2026-05-08
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	6	6	—	—	$50,889.00	$89,300.00	$63,211.00	2026-05-08
440-1	OTHER	Kidney Transplant	6	6	—	—	$50,723.00	$89,008.00	$63,004.50	2026-05-08
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$50,667.00	$88,911.00	$62,935.50	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	31	19	—	$94,450.00	$59,233.00	$179,122.00	$62,787.00	2026-05-08
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	6	6	—	—	$50,508.00	$88,632.00	$62,738.50	2026-05-08
22-4	OTHER	Ventricular Shunt Procedures	6	6	—	—	$50,476.00	$88,575.00	$62,697.50	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	30	19	—	$94,395.00	$55,451.00	$182,110.00	$62,690.00	2026-05-08
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	6	6	—	—	$50,325.00	$88,311.00	$62,510.50	2026-05-08
179-3	OTHER	Defibrillator Implants	6	6	—	—	$50,323.00	$88,307.00	$62,508.00	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	35	19	—	$91,525.00	$54,593.00	$185,527.51	$61,996.00	2026-05-08
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	6	—	—	$49,814.00	$87,413.00	$61,875.50	2026-05-08
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	6	6	—	—	$49,805.00	$87,398.00	$61,865.00	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	35	19	—	$91,079.00	$52,350.00	$196,874.76	$61,696.00	2026-05-08
863-3	OTHER	Neonatal Aftercare	6	6	—	—	$49,625.00	$87,082.00	$61,641.00	2026-05-08
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$49,428.00	$86,737.00	$61,396.50	2026-05-08
160-2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$49,364.00	$86,625.00	$61,317.00	2026-05-08
30-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	6	6	—	—	$49,274.00	$86,466.00	$61,205.50	2026-05-08
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	6	6	—	—	$49,237.00	$86,400.00	$61,158.50	2026-05-08
181-4	OTHER	Lower Extremity Vascular Procedures	6	6	—	—	$49,128.00	$86,209.00	$61,023.00	2026-05-08
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	6	—	—	$49,121.00	$86,198.00	$61,015.00	2026-05-08
121-4	OTHER	Other Respiratory And Chest Procedures	6	6	—	—	$48,704.00	$85,465.00	$60,496.50	2026-05-08
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	6	6	—	—	$48,684.00	$85,431.00	$60,472.00	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	35	19	—	$89,152.00	$53,597.00	$171,912.00	$60,394.00	2026-05-08
38240	OTHER	Bone Marrow Or Blood-derived Peripheral Stem Cell Tra0lantation; Allogenic	41	20	—	$26,318.03	$1,008.80	$245,719.04	$60,299.15	2026-05-08
230-4	OTHER	Major Small Bowel Procedures	6	6	—	—	$48,411.00	$84,952.00	$60,133.00	2026-05-08
'8-2	OTHER	Autologous Bone Marrow Transplant	6	6	—	—	$48,005.00	$84,240.00	$59,628.50	2026-05-08
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$47,987.00	$84,208.00	$59,607.00	2026-05-08
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	6	6	—	—	$47,869.00	$84,000.00	$59,459.50	2026-05-08
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	6	6	—	—	$47,775.00	$83,835.00	$59,342.50	2026-05-08
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	6	6	—	—	$47,603.00	$83,534.00	$59,129.50	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	19	—	$87,106.00	$46,771.00	$170,089.61	$59,013.00	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	19	—	$87,106.00	$50,721.00	$196,962.53	$59,013.00	2026-05-08
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	6	—	—	$47,409.00	$83,194.00	$58,888.50	2026-05-08
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	30	19	—	$88,566.00	$48,613.00	$170,773.00	$58,809.50	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	35	19	—	$86,792.00	$48,394.00	$167,323.00	$58,801.00	2026-05-08
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	30	19	—	$88,502.00	$52,638.00	$170,648.00	$58,766.50	2026-05-08
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	6	6	—	—	$47,296.00	$82,996.00	$58,748.00	2026-05-08
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	6	6	—	—	$47,268.00	$82,946.00	$58,713.50	2026-05-08
403-4	OTHER	Procedures For Obesity	6	6	—	—	$47,164.00	$82,763.00	$58,583.50	2026-05-08
299-2	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$47,108.00	$82,664.00	$58,514.00	2026-05-08
178-1	OTHER	External Heart Assist Devices	6	6	—	—	$47,003.00	$82,481.00	$58,384.00	2026-05-08
Q2043	OTHER	Sipuleucel-t; Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	41	20	—	$63,866.98	$51,648.94	$226,311.24	$58,313.32	2026-05-08
841-1	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$46,939.00	$82,369.00	$58,304.50	2026-05-08
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$46,939.00	$82,369.00	$58,304.50	2026-05-08
167-3	OTHER	Other Cardiothoracic And Thoracic Circulatory Procedures	6	6	—	—	$46,709.00	$81,965.00	$58,019.00	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	35	19	—	$85,260.00	$50,793.00	$164,741.99	$57,766.00	2026-05-08
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	6	6	—	—	$46,410.00	$81,440.00	$57,647.50	2026-05-08
246	OTHER	Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries…	4	1	—	—	$51,004.00	$61,853.00	$57,467.00	2026-05-08
29-4	OTHER	Other Percutaneous Intracranial Procedures	6	6	—	—	$46,099.00	$80,894.00	$57,261.00	2026-05-08
484-4	OTHER	Other Male Reproductive System And Related Procedures	6	6	—	—	$46,095.00	$80,888.00	$57,256.00	2026-05-08
910-3	OTHER	Craniotomy For Multiple Significant Trauma	6	6	—	—	$46,048.00	$80,805.00	$57,198.00	2026-05-08
485-4	OTHER	Prostatectomy Procedures	6	6	—	—	$45,987.00	$80,698.00	$57,122.00	2026-05-08
26-4	OTHER	Other Nervous System And Related Procedures	6	6	—	—	$45,813.00	$80,393.00	$56,906.00	2026-05-08
21-3	OTHER	Open Craniotomy Except Trauma	6	6	—	—	$45,458.00	$79,769.00	$56,464.50	2026-05-08
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	6	6	—	—	$45,320.00	$79,527.00	$56,293.00	2026-05-08
248	OTHER	Percutaneous Cardiovascular Procedures W Non-drug-eluting Stent W Mcc Or 4+ Arte…	4	1	—	—	$49,962.00	$60,588.00	$56,292.00	2026-05-08
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$45,001.00	$78,968.00	$55,897.00	2026-05-08
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$44,997.00	$78,961.00	$55,892.50	2026-05-08
447-4	OTHER	Other Kidney, Urinary Tract And Related Non-percutaneous Procedures	6	6	—	—	$44,888.00	$78,770.00	$55,757.00	2026-05-08
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	6	6	—	—	$44,747.00	$78,522.00	$55,582.00	2026-05-08
448-4	OTHER	Other Kidney, Urinary Tract And Related Percutaneous Procedures	6	6	—	—	$44,511.00	$78,108.00	$55,288.50	2026-05-08
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$44,354.00	$77,833.00	$55,094.00	2026-05-08
650-4	OTHER	Splenic Procedures	6	6	—	—	$44,334.00	$77,797.00	$55,068.00	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	35	19	—	$81,238.00	$47,094.00	$281,863.14	$55,051.00	2026-05-08
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	6	—	—	$44,287.00	$77,714.00	$55,009.50	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	35	19	—	$81,144.00	$49,684.00	$172,076.95	$54,988.00	2026-05-08
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$44,023.00	$77,252.00	$54,683.00	2026-05-08
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$43,934.00	$77,095.00	$54,572.00	2026-05-08
91-3	OTHER	Other Major Head And Neck Procedures	6	6	—	—	$43,896.00	$77,029.00	$54,525.50	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	35	19	—	$80,374.00	$48,009.00	$175,992.06	$54,467.00	2026-05-08
300-3	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$43,692.00	$76,670.00	$54,271.00	2026-05-08
607-1	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$43,657.00	$76,609.00	$54,227.00	2026-05-08
28	OTHER	Spinal Procedures With Mcc	35	19	—	$79,660.00	$47,783.00	$170,330.98	$53,986.00	2026-05-08
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$43,318.00	$76,015.00	$53,807.00	2026-05-08
43-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	6	6	—	—	$43,259.00	$75,911.00	$53,733.50	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	35	19	—	$79,067.00	$45,141.00	$213,742.04	$53,585.00	2026-05-08
514-4	OTHER	Female Reproductive System Reconstructive Procedures	6	6	—	—	$43,039.00	$75,525.00	$53,460.00	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	35	19	—	$78,628.00	$47,444.00	$384,800.00	$53,289.00	2026-05-08
231-4	OTHER	Major Large Bowel Procedures	6	6	—	—	$42,736.00	$74,992.00	$53,083.00	2026-05-08
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	30	19	—	$79,638.00	$48,675.00	$153,409.00	$52,865.00	2026-05-08
182-4	OTHER	Other Peripheral Vascular And Related Procedures	6	6	—	—	$42,503.00	$74,585.00	$52,794.50	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	35	19	—	$77,826.00	$46,266.00	$183,305.08	$52,747.00	2026-05-08
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	6	6	—	—	$42,447.00	$74,486.00	$52,724.50	2026-05-08
229-4	OTHER	Other Digestive System And Abdominal Procedures	6	6	—	—	$42,141.00	$73,950.00	$52,345.50	2026-05-08
518-4	OTHER	Other Female Reproductive System And Related Procedures	6	6	—	—	$42,074.00	$73,831.00	$52,261.50	2026-05-08
89-3	OTHER	Major Cranial Or Facial Bone Procedures	6	6	—	—	$42,054.00	$73,796.00	$52,237.00	2026-05-08
444-4	OTHER	Renal Dialysis Access Device Procedures	6	6	—	—	$42,036.00	$73,765.00	$52,214.50	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	29	19	—	$78,810.00	$46,737.00	$151,797.00	$52,205.00	2026-05-08
690-3	OTHER	Acute Leukemia	6	6	—	—	$41,867.00	$73,468.00	$52,004.00	2026-05-08
483-4	OTHER	Penis, Testes And Scrotal Procedures	6	6	—	—	$41,844.00	$73,429.00	$51,976.00	2026-05-08
169-3	OTHER	Major Abdominal Vascular Procedures	6	6	—	—	$41,727.00	$73,222.00	$51,830.00	2026-05-08
183-2	OTHER	Percutaneous Structural Cardiac Procedures	6	6	—	—	$41,673.00	$73,128.00	$51,763.50	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	32	17	—	$77,776.00	$45,785.00	$149,787.00	$51,737.00	2026-05-08
313-4	OTHER	Knee And Lower Leg Procedures Except Foot	6	6	—	—	$41,611.00	$73,019.00	$51,686.50	2026-05-08
179-2	OTHER	Defibrillator Implants	6	6	—	—	$41,607.00	$73,011.00	$51,681.00	2026-05-08
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$41,597.00	$72,995.00	$51,669.50	2026-05-08
309-4	OTHER	Other Significant Hip And Femur Surgery	6	6	—	—	$41,505.00	$72,833.00	$51,555.00	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	35	19	—	$76,010.00	$44,875.00	$161,704.56	$51,521.00	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	35	19	—	$75,606.00	$42,514.00	$160,341.01	$51,248.00	2026-05-08
519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	6	6	—	—	$41,205.00	$72,307.00	$51,182.50	2026-05-08
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	6	—	—	$41,167.00	$72,239.00	$51,134.50	2026-05-08
513-4	OTHER	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	6	6	—	—	$41,057.00	$72,046.00	$50,997.50	2026-05-08
338	OTHER	Appendectomy W Complicated Principal Diag W Mcc	4	1	—	—	$45,115.00	$54,710.00	$50,830.50	2026-05-08
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	30	19	—	$76,493.00	$43,053.00	$147,292.00	$50,771.50	2026-05-08
315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	6	6	—	—	$40,872.00	$71,723.00	$50,768.50	2026-05-08
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	6	6	—	—	$40,815.00	$71,622.00	$50,698.00	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	35	19	—	$73,288.00	$46,003.00	$157,526.14	$50,603.00	2026-05-08
98-4	OTHER	Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures	6	6	—	—	$40,719.00	$71,454.00	$50,578.50	2026-05-08
232-4	OTHER	Gastric Fundoplication	6	6	—	—	$40,705.00	$71,429.00	$50,561.00	2026-05-08
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	6	6	—	—	$40,681.00	$71,386.00	$50,531.00	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	35	19	—	$74,359.00	$42,825.00	$183,980.00	$50,407.00	2026-05-08
23-3	OTHER	Spinal Procedures	6	6	—	—	$40,567.00	$71,187.00	$50,389.50	2026-05-08
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$40,563.00	$71,180.00	$50,385.00	2026-05-08
223-4	OTHER	Other Small And Large Bowel Procedures	6	6	—	—	$40,556.00	$71,167.00	$50,375.50	2026-05-08
'8-1	OTHER	Autologous Bone Marrow Transplant	6	6	—	—	$40,547.00	$71,152.00	$50,365.00	2026-05-08
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	28	18	—	$75,703.00	$47,513.00	$145,754.00	$50,363.00	2026-05-08
180-4	OTHER	Other Circulatory System Procedures	6	6	—	—	$40,388.00	$70,873.00	$50,167.50	2026-05-08

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