|
5834
|
OTHER
|
Neonate With Ecmo
|
12
|
6
|
—
|
—
|
$438,565.60
|
$528,089.73
|
$462,706.82
|
2026-05-22
|
|
MS-018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
72
|
29
|
—
|
—
|
$279,317.87
|
$712,516.20
|
$319,432.67
|
2026-05-22
|
|
5884
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
6
|
—
|
—
|
$268,613.13
|
$323,444.97
|
$283,399.17
|
2026-05-22
|
|
114
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
6
|
—
|
—
|
$251,108.64
|
$302,367.29
|
$264,931.13
|
2026-05-22
|
|
24
|
OTHER
|
Heart &/or Lung Transplant
|
12
|
6
|
—
|
—
|
$250,942.30
|
$302,167.00
|
$264,755.64
|
2026-05-22
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
12
|
6
|
—
|
—
|
$249,777.23
|
$300,764.11
|
$263,526.43
|
2026-05-22
|
|
MS-001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
72
|
29
|
—
|
—
|
$181,266.06
|
$462,394.35
|
$206,334.77
|
2026-05-22
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
12
|
6
|
—
|
—
|
$191,783.15
|
$230,931.73
|
$202,340.02
|
2026-05-22
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
12
|
6
|
—
|
—
|
$187,265.04
|
$225,491.34
|
$197,573.20
|
2026-05-22
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
6
|
—
|
—
|
$187,149.88
|
$225,352.67
|
$197,451.71
|
2026-05-22
|
|
113
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
6
|
—
|
—
|
$186,878.34
|
$225,025.70
|
$197,165.22
|
2026-05-22
|
|
94
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
6
|
—
|
—
|
$183,580.03
|
$221,054.11
|
$193,685.35
|
2026-05-22
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
12
|
6
|
—
|
—
|
$180,004.49
|
$216,748.70
|
$189,913.00
|
2026-05-22
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
6
|
—
|
—
|
$178,896.29
|
$215,414.28
|
$188,743.79
|
2026-05-22
|
|
5914
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
6
|
—
|
—
|
$176,143.20
|
$212,099.20
|
$185,839.15
|
2026-05-22
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
12
|
6
|
—
|
—
|
$172,148.97
|
$207,289.64
|
$181,625.06
|
2026-05-22
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
12
|
6
|
—
|
—
|
$166,576.68
|
$200,579.88
|
$175,746.04
|
2026-05-22
|
|
6304
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
12
|
6
|
—
|
—
|
$163,245.67
|
$196,568.91
|
$172,231.67
|
2026-05-22
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
6
|
—
|
—
|
$154,864.13
|
$186,476.45
|
$163,388.76
|
2026-05-22
|
|
5882
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
6
|
—
|
—
|
$153,294.59
|
$184,586.52
|
$161,732.82
|
2026-05-22
|
|
MS-927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
72
|
29
|
—
|
—
|
$138,100.73
|
$404,246.81
|
$157,934.35
|
2026-05-22
|
|
112
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
6
|
—
|
—
|
$148,566.06
|
$178,892.77
|
$156,744.01
|
2026-05-22
|
|
MS-003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
72
|
29
|
—
|
—
|
$137,290.26
|
$350,215.80
|
$156,277.21
|
2026-05-22
|
|
74
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
6
|
—
|
—
|
$147,745.04
|
$177,904.15
|
$155,877.80
|
2026-05-22
|
|
1613
|
OTHER
|
Implantable Heart Assist Systems
|
12
|
6
|
—
|
—
|
$146,632.57
|
$176,564.59
|
$154,704.09
|
2026-05-22
|
|
44
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
12
|
6
|
—
|
—
|
$141,083.03
|
$169,882.22
|
$148,849.06
|
2026-05-22
|
|
14
|
OTHER
|
Liver Transplant &/or Intestinal Transplant
|
12
|
6
|
—
|
—
|
$139,679.82
|
$168,192.58
|
$147,368.62
|
2026-05-22
|
|
23
|
OTHER
|
Heart &/or Lung Transplant
|
12
|
6
|
—
|
—
|
$136,692.86
|
$164,595.90
|
$144,217.24
|
2026-05-22
|
|
5913
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
6
|
—
|
—
|
$132,842.94
|
$159,960.09
|
$140,155.40
|
2026-05-22
|
|
5881
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
6
|
—
|
—
|
$131,395.67
|
$158,217.38
|
$138,628.45
|
2026-05-22
|
|
5893
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
12
|
6
|
—
|
—
|
$125,210.63
|
$150,769.80
|
$132,102.95
|
2026-05-22
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
12
|
6
|
—
|
—
|
$125,210.63
|
$150,769.80
|
$132,102.95
|
2026-05-22
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
12
|
6
|
—
|
—
|
$125,210.63
|
$150,769.80
|
$132,102.95
|
2026-05-22
|
|
93
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
6
|
—
|
—
|
$123,377.36
|
$148,562.31
|
$130,168.78
|
2026-05-22
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$116,664.17
|
$140,478.75
|
$123,086.05
|
2026-05-22
|
|
5912
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
6
|
—
|
—
|
$113,940.93
|
$137,199.62
|
$120,212.91
|
2026-05-22
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
6
|
—
|
—
|
$113,287.67
|
$136,413.01
|
$119,523.68
|
2026-05-22
|
|
1611
|
OTHER
|
Implantable Heart Assist Systems
|
12
|
6
|
—
|
—
|
$107,893.08
|
$129,917.23
|
$113,832.15
|
2026-05-22
|
|
1612
|
OTHER
|
Implantable Heart Assist Systems
|
12
|
6
|
—
|
—
|
$107,893.08
|
$129,917.23
|
$113,832.15
|
2026-05-22
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
6
|
—
|
—
|
$107,499.99
|
$129,443.90
|
$113,417.42
|
2026-05-22
|
|
22
|
OTHER
|
Heart &/or Lung Transplant
|
12
|
6
|
—
|
—
|
$103,508.61
|
$124,637.76
|
$109,206.33
|
2026-05-22
|
|
54
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
12
|
6
|
—
|
—
|
$98,283.91
|
$118,346.55
|
$103,694.04
|
2026-05-22
|
|
43
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
12
|
6
|
—
|
—
|
$97,287.31
|
$117,146.52
|
$102,642.58
|
2026-05-22
|
|
MS-004
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
72
|
29
|
—
|
—
|
$89,594.55
|
$228,548.10
|
$101,985.29
|
2026-05-22
|
|
73
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
6
|
—
|
—
|
$93,967.68
|
$113,149.25
|
$99,140.21
|
2026-05-22
|
|
8424
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
12
|
6
|
—
|
—
|
$93,258.97
|
$112,295.87
|
$98,392.49
|
2026-05-22
|
|
21
|
OTHER
|
Heart &/or Lung Transplant
|
12
|
6
|
—
|
—
|
$91,485.42
|
$110,160.28
|
$96,521.31
|
2026-05-22
|
|
64
|
OTHER
|
Pancreas Transplant
|
12
|
6
|
—
|
—
|
$91,238.76
|
$109,863.27
|
$96,261.07
|
2026-05-22
|
|
5932
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
6
|
—
|
—
|
$91,120.76
|
$109,721.18
|
$96,136.58
|
2026-05-22
|
|
MS-007
|
OTHER
|
Lung Transplant
|
72
|
29
|
—
|
—
|
$83,765.35
|
$228,711.73
|
$95,795.48
|
2026-05-22
|
|
6074
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$90,181.73
|
$108,590.48
|
$95,145.87
|
2026-05-22
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
12
|
6
|
—
|
—
|
$89,984.83
|
$108,353.38
|
$94,938.12
|
2026-05-22
|
|
8513
|
OTHER
|
Gender Related Procedures
|
12
|
6
|
—
|
—
|
$86,055.29
|
$103,621.71
|
$90,792.28
|
2026-05-22
|
|
8514
|
OTHER
|
Gender Related Procedures
|
12
|
6
|
—
|
—
|
$86,055.29
|
$103,621.71
|
$90,792.28
|
2026-05-22
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
12
|
6
|
—
|
—
|
$85,329.52
|
$102,747.79
|
$90,026.56
|
2026-05-22
|
|
MS-014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
72
|
29
|
—
|
—
|
$77,734.98
|
$198,295.35
|
$88,899.05
|
2026-05-22
|
|
6023
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$81,001.91
|
$97,536.79
|
$85,460.74
|
2026-05-22
|
|
MS-002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
72
|
29
|
—
|
—
|
$73,297.11
|
$236,555.93
|
$83,823.82
|
2026-05-22
|
|
MS-209
|
OTHER
|
Complex Aortic Arch Procedures
|
64
|
26
|
—
|
—
|
$73,213.02
|
$186,760.20
|
$82,559.36
|
2026-05-22
|
|
660085928
|
OTHER
|
Heart Pump,impella 5.5 W/smart
|
2
|
1
|
$102,500.00
|
$61,500.00
40% off
|
$82,000.00
|
$82,000.00
|
$82,000.00
|
2026-05-22
|
|
MS-212
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
72
|
29
|
—
|
—
|
$70,336.58
|
$201,266.32
|
$80,438.11
|
2026-05-22
|
|
MS-426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
72
|
29
|
—
|
—
|
$52,818.15
|
$181,849.80
|
$80,388.67
|
2026-05-22
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
12
|
6
|
—
|
—
|
$75,005.25
|
$90,316.02
|
$79,133.98
|
2026-05-22
|
|
6134
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
12
|
6
|
—
|
—
|
$74,315.73
|
$89,485.76
|
$78,406.50
|
2026-05-22
|
|
728028772
|
OTHER
|
Triclip G4 System
|
2
|
1
|
$97,500.00
|
$58,500.00
40% off
|
$78,000.00
|
$78,000.00
|
$78,000.00
|
2026-05-22
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
12
|
6
|
—
|
—
|
$73,358.23
|
$88,332.80
|
$77,396.29
|
2026-05-22
|
|
111
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
6
|
—
|
—
|
$73,169.14
|
$88,105.12
|
$77,196.80
|
2026-05-22
|
|
13
|
OTHER
|
Liver Transplant &/or Intestinal Transplant
|
12
|
6
|
—
|
—
|
$72,518.72
|
$87,321.92
|
$76,510.58
|
2026-05-22
|
|
MS-005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
72
|
29
|
—
|
—
|
$66,691.07
|
$197,819.34
|
$76,269.04
|
2026-05-22
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$72,244.34
|
$86,991.53
|
$76,221.09
|
2026-05-22
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
6
|
—
|
—
|
$71,895.31
|
$86,571.26
|
$75,852.85
|
2026-05-22
|
|
53
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
12
|
6
|
—
|
—
|
$71,327.35
|
$85,887.36
|
$75,253.63
|
2026-05-22
|
|
4404
|
OTHER
|
Kidney Transplant
|
12
|
6
|
—
|
—
|
$70,740.90
|
$85,181.20
|
$74,634.90
|
2026-05-22
|
|
63
|
OTHER
|
Pancreas Transplant
|
12
|
6
|
—
|
—
|
$70,313.69
|
$84,666.78
|
$74,184.17
|
2026-05-22
|
|
5931
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
6
|
—
|
—
|
$69,346.23
|
$83,501.84
|
$73,163.46
|
2026-05-22
|
|
MS-215
|
OTHER
|
Other Heart Assist System Implant
|
72
|
29
|
—
|
—
|
$54,794.86
|
$164,290.50
|
$72,769.04
|
2026-05-22
|
|
MS-216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
72
|
29
|
—
|
—
|
$63,277.76
|
$161,416.20
|
$72,028.94
|
2026-05-22
|
|
728028834
|
OTHER
|
Gen Neuro Carot Sins Baro
|
2
|
1
|
$87,500.00
|
$52,500.00
40% off
|
$70,000.00
|
$70,000.00
|
$70,000.00
|
2026-05-22
|
|
660028834
|
OTHER
|
Gen Neuro Carot Sins Baro
|
2
|
1
|
$87,500.00
|
$52,500.00
40% off
|
$70,000.00
|
$70,000.00
|
$70,000.00
|
2026-05-22
|
|
72
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
6
|
—
|
—
|
$66,172.32
|
$79,680.04
|
$69,814.83
|
2026-05-22
|
|
84
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherap
|
12
|
6
|
—
|
—
|
$65,712.40
|
$79,126.24
|
$69,329.60
|
2026-05-22
|
|
6093
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
6
|
—
|
—
|
$64,920.53
|
$78,172.72
|
$68,494.13
|
2026-05-22
|
|
6022
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$64,725.04
|
$77,937.33
|
$68,287.89
|
2026-05-22
|
|
728028825
|
OTHER
|
Thv Sapien 3 Ultra Resilia
|
2
|
1
|
$85,000.00
|
$51,000.00
40% off
|
$68,000.00
|
$68,000.00
|
$68,000.00
|
2026-05-22
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$63,216.64
|
$76,121.01
|
$66,696.45
|
2026-05-22
|
|
MS-429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
72
|
29
|
—
|
—
|
$58,276.50
|
$155,393.55
|
$66,645.99
|
2026-05-22
|
|
42
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
12
|
6
|
—
|
—
|
$62,170.28
|
$74,861.06
|
$65,592.49
|
2026-05-22
|
|
2994
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
6
|
—
|
—
|
$61,941.39
|
$74,585.44
|
$65,351.00
|
2026-05-22
|
|
92
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
6
|
—
|
—
|
$61,922.90
|
$74,563.19
|
$65,331.50
|
2026-05-22
|
|
6073
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$61,830.49
|
$74,451.92
|
$65,234.01
|
2026-05-22
|
|
728028832
|
OTHER
|
Thv Sapien 3
|
2
|
1
|
$81,250.00
|
$48,750.00
40% off
|
$65,000.00
|
$65,000.00
|
$65,000.00
|
2026-05-22
|
|
MS-850
|
OTHER
|
Acute Leukemia With Other Procedures
|
72
|
29
|
—
|
—
|
$56,011.96
|
$171,622.30
|
$64,056.23
|
2026-05-22
|
|
62
|
OTHER
|
Pancreas Transplant
|
12
|
6
|
—
|
—
|
$60,618.51
|
$72,992.53
|
$63,955.31
|
2026-05-22
|
|
1784
|
OTHER
|
External Heart Assist Devices
|
12
|
6
|
—
|
—
|
$60,113.81
|
$72,384.81
|
$63,422.83
|
2026-05-22
|
|
MS-231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
72
|
29
|
—
|
—
|
$54,526.84
|
$139,093.35
|
$62,357.82
|
2026-05-22
|
|
6124
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$59,084.51
|
$71,145.40
|
$62,336.87
|
2026-05-22
|
|
6334
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
12
|
6
|
—
|
—
|
$58,929.55
|
$70,958.80
|
$62,173.37
|
2026-05-22
|
|
MS-456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
72
|
29
|
—
|
—
|
$54,355.43
|
$138,656.10
|
$62,161.79
|
2026-05-22
|
|
71
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
6
|
—
|
—
|
$58,413.48
|
$70,337.38
|
$61,628.90
|
2026-05-22
|
|
6214
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
12
|
6
|
—
|
—
|
$57,942.90
|
$69,770.75
|
$61,132.41
|
2026-05-22
|
|
728028802
|
OTHER
|
Mitraclip G4 System
|
2
|
1
|
$75,000.00
|
$45,000.00
40% off
|
$60,000.00
|
$60,000.00
|
$60,000.00
|
2026-05-22
|
|
728028807
|
OTHER
|
Evolute Valve
|
2
|
1
|
$75,000.00
|
$45,000.00
40% off
|
$60,000.00
|
$60,000.00
|
$60,000.00
|
2026-05-22
|
|
1654
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$56,793.47
|
$68,386.68
|
$59,919.71
|
2026-05-22
|
|
12
|
OTHER
|
Liver Transplant &/or Intestinal Transplant
|
12
|
6
|
—
|
—
|
$56,042.82
|
$67,482.80
|
$59,127.74
|
2026-05-22
|
|
1674
|
OTHER
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
12
|
6
|
—
|
—
|
$55,646.88
|
$67,006.04
|
$58,710.01
|
2026-05-22
|
|
MS-020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
72
|
29
|
—
|
—
|
$50,897.50
|
$143,133.48
|
$58,207.25
|
2026-05-22
|
|
728029483
|
OTHER
|
Impella Circulatory Assist Cath
|
2
|
1
|
$72,692.00
|
$43,615.20
40% off
|
$58,153.60
|
$58,153.60
|
$58,153.60
|
2026-05-22
|
|
8413
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
12
|
6
|
—
|
—
|
$54,172.59
|
$65,230.81
|
$57,154.57
|
2026-05-22
|
|
1834
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
12
|
6
|
—
|
—
|
$54,102.93
|
$65,146.93
|
$57,081.07
|
2026-05-22
|
|
9104
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
12
|
6
|
—
|
—
|
$53,943.70
|
$64,955.19
|
$56,913.08
|
2026-05-22
|
|
MS-219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
72
|
29
|
—
|
—
|
$48,536.98
|
$126,691.95
|
$56,533.90
|
2026-05-22
|
|
MS-957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
72
|
29
|
—
|
—
|
$49,287.55
|
$125,728.35
|
$56,366.08
|
2026-05-22
|
|
MS-233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
72
|
29
|
—
|
—
|
$49,451.19
|
$126,145.80
|
$56,290.19
|
2026-05-22
|
|
6313
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
12
|
6
|
—
|
—
|
$52,905.87
|
$63,705.51
|
$55,818.12
|
2026-05-22
|
|
1623
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$52,846.87
|
$63,634.47
|
$55,755.87
|
2026-05-22
|
|
6804
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
12
|
6
|
—
|
—
|
$52,433.87
|
$63,137.16
|
$55,320.14
|
2026-05-22
|
|
6084
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
12
|
6
|
—
|
—
|
$51,436.56
|
$61,936.27
|
$54,267.93
|
2026-05-22
|
|
6254
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
12
|
6
|
—
|
—
|
$51,361.92
|
$61,846.40
|
$54,189.18
|
2026-05-22
|
|
9114
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
12
|
6
|
—
|
—
|
$51,308.61
|
$61,782.20
|
$54,132.93
|
2026-05-22
|
|
3044
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
12
|
6
|
—
|
—
|
$50,703.68
|
$61,053.79
|
$53,494.71
|
2026-05-22
|
|
1664
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$50,631.17
|
$60,966.48
|
$53,418.21
|
2026-05-22
|
|
MS-427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
72
|
29
|
—
|
—
|
$41,234.41
|
$119,106.90
|
$53,149.21
|
2026-05-22
|
|
MS-010
|
OTHER
|
Pancreas Transplant
|
72
|
29
|
—
|
—
|
$46,414.34
|
$118,399.05
|
$53,080.24
|
2026-05-22
|
|
MS-019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
72
|
29
|
—
|
—
|
$46,148.50
|
$141,028.03
|
$52,776.21
|
2026-05-22
|
|
MS-275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
72
|
29
|
—
|
—
|
$46,121.33
|
$117,651.60
|
$52,745.13
|
2026-05-22
|
|
1794
|
OTHER
|
Defibrillator Implants
|
12
|
6
|
—
|
—
|
$49,970.80
|
$60,171.31
|
$52,721.49
|
2026-05-22
|
|
3033
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
6
|
—
|
—
|
$49,894.74
|
$60,079.72
|
$52,641.24
|
2026-05-22
|
|
1603
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
6
|
—
|
—
|
$49,826.50
|
$59,997.55
|
$52,569.24
|
2026-05-22
|
|
914
|
OTHER
|
Other Major Head And Neck Procedures
|
12
|
6
|
—
|
—
|
$49,679.35
|
$59,820.37
|
$52,414.00
|
2026-05-22
|
|
6144
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
12
|
6
|
—
|
—
|
$49,586.23
|
$59,708.24
|
$52,315.75
|
2026-05-22
|
|
11
|
OTHER
|
Liver Transplant &/or Intestinal Transplant
|
12
|
6
|
—
|
—
|
$49,235.08
|
$59,285.41
|
$51,945.27
|
2026-05-22
|
|
MS-928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
72
|
29
|
—
|
—
|
$24,119.98
|
$118,349.55
|
$51,824.13
|
2026-05-22
|
|
8504
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
12
|
6
|
—
|
—
|
$48,915.91
|
$58,901.09
|
$51,608.53
|
2026-05-22
|
|
214
|
OTHER
|
Open Craniotomy Except Trauma
|
12
|
6
|
—
|
—
|
$48,846.96
|
$58,818.06
|
$51,535.78
|
2026-05-22
|
|
1783
|
OTHER
|
External Heart Assist Devices
|
12
|
6
|
—
|
—
|
$48,505.04
|
$58,406.35
|
$51,175.05
|
2026-05-22
|
|
MS-870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
72
|
29
|
—
|
—
|
$44,707.37
|
$114,044.70
|
$51,128.11
|
2026-05-22
|
|
2993
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
6
|
—
|
—
|
$48,435.38
|
$58,322.47
|
$51,101.55
|
2026-05-22
|
|
6033
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
12
|
6
|
—
|
—
|
$48,318.09
|
$58,181.23
|
$50,977.80
|
2026-05-22
|
|
MS-268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
72
|
29
|
—
|
—
|
$44,488.09
|
$113,485.35
|
$50,877.34
|
2026-05-22
|
|
6021
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$48,215.73
|
$58,057.98
|
$50,869.81
|
2026-05-22
|
|
4403
|
OTHER
|
Kidney Transplant
|
12
|
6
|
—
|
—
|
$48,095.60
|
$57,913.32
|
$50,743.06
|
2026-05-22
|
|
9124
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
12
|
6
|
—
|
—
|
$47,706.06
|
$57,444.26
|
$50,332.08
|
2026-05-22
|
|
52
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
12
|
6
|
—
|
—
|
$47,560.33
|
$57,268.80
|
$50,178.33
|
2026-05-22
|
|
3004
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
6
|
—
|
—
|
$47,253.96
|
$56,899.88
|
$49,855.10
|
2026-05-22
|
|
MS-955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
72
|
29
|
—
|
—
|
$43,538.55
|
$111,458.54
|
$49,791.43
|
2026-05-22
|
|
MS-317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
72
|
29
|
—
|
—
|
$43,250.07
|
$115,259.53
|
$49,461.51
|
2026-05-22
|
|
6904
|
OTHER
|
Acute Leukemia
|
12
|
6
|
—
|
—
|
$46,869.39
|
$56,436.82
|
$49,449.36
|
2026-05-22
|
|
MS-447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
72
|
29
|
—
|
—
|
$43,218.37
|
$110,246.40
|
$49,195.38
|
2026-05-22
|
|
83
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherap
|
12
|
6
|
—
|
—
|
$46,251.67
|
$55,693.00
|
$48,797.64
|
2026-05-22
|
|
6072
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$46,180.59
|
$55,607.40
|
$48,722.64
|
2026-05-22
|
|
MS-573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
72
|
29
|
—
|
—
|
$42,376.20
|
$109,110.87
|
$48,462.15
|
2026-05-22
|
|
MS-218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
72
|
29
|
—
|
—
|
$41,848.93
|
$108,492.45
|
$48,412.71
|
2026-05-22
|
|
MS-217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
72
|
29
|
—
|
—
|
$42,530.80
|
$108,492.45
|
$48,412.71
|
2026-05-22
|
|
2604
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
12
|
6
|
—
|
—
|
$45,575.66
|
$54,878.99
|
$48,084.41
|
2026-05-22
|
|
1633
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$45,446.29
|
$54,723.21
|
$47,947.92
|
2026-05-22
|
|
91
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
6
|
—
|
—
|
$45,344.64
|
$54,600.81
|
$47,840.67
|
2026-05-22
|
|
1694
|
OTHER
|
Major Abdominal Vascular Procedures
|
12
|
6
|
—
|
—
|
$45,141.34
|
$54,356.01
|
$47,626.18
|
2026-05-22
|
|
MS-207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
72
|
29
|
—
|
—
|
$41,621.36
|
$106,172.55
|
$47,598.89
|
2026-05-22
|
|
235
|
OTHER
|
Spinal Procedures
|
12
|
6
|
—
|
—
|
$44,538.54
|
$53,630.17
|
$46,990.20
|
2026-05-22
|
|
7404
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
12
|
6
|
—
|
—
|
$44,416.99
|
$53,483.80
|
$46,861.96
|
2026-05-22
|
|
6083
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
12
|
6
|
—
|
—
|
$44,400.64
|
$53,464.11
|
$46,844.71
|
2026-05-22
|
|
1204
|
OTHER
|
Major Respiratory And Chest Procedures
|
12
|
6
|
—
|
—
|
$43,938.59
|
$52,907.75
|
$46,357.23
|
2026-05-22
|
|
6814
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
12
|
6
|
—
|
—
|
$43,867.51
|
$52,822.15
|
$46,282.23
|
2026-05-22
|
|
3124
|
OTHER
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
12
|
6
|
—
|
—
|
$43,785.05
|
$52,722.87
|
$46,195.24
|
2026-05-22
|
|
1304
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
12
|
6
|
—
|
—
|
$43,421.81
|
$52,285.48
|
$45,812.00
|
2026-05-22
|
|
2204
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
12
|
6
|
—
|
—
|
$43,278.93
|
$52,113.43
|
$45,661.26
|
2026-05-22
|
|
6954
|
OTHER
|
Chemotherapy For Acute Leukemia
|
12
|
6
|
—
|
—
|
$43,137.47
|
$51,943.10
|
$45,512.01
|
2026-05-22
|
|
41
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
12
|
6
|
—
|
—
|
$43,013.07
|
$51,793.31
|
$45,380.77
|
2026-05-22
|
|
MS-266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
72
|
29
|
—
|
—
|
$39,640.13
|
$101,118.60
|
$45,333.12
|
2026-05-22
|
|
MS-969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
72
|
29
|
—
|
—
|
$39,594.20
|
$123,103.74
|
$45,280.60
|
2026-05-22
|
|
204
|
OTHER
|
Open Craniotomy For Trauma
|
12
|
6
|
—
|
—
|
$42,674.00
|
$51,385.02
|
$45,023.03
|
2026-05-22
|
|
894
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
12
|
6
|
—
|
—
|
$42,648.41
|
$51,354.21
|
$44,996.03
|
2026-05-22
|
|
3614
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
12
|
6
|
—
|
—
|
$42,600.79
|
$51,296.86
|
$44,945.78
|
2026-05-22
|
|
4284
|
OTHER
|
Genetic Disorders
|
12
|
6
|
—
|
—
|
$42,548.89
|
$51,234.37
|
$44,891.04
|
2026-05-22
|
|
MS-232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
72
|
29
|
—
|
—
|
$39,214.51
|
$100,032.90
|
$44,846.39
|
2026-05-22
|
|
2614
|
OTHER
|
Major Biliary Tract Procedures
|
12
|
6
|
—
|
—
|
$42,377.58
|
$51,028.09
|
$44,710.29
|
2026-05-22
|
|
9504
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
12
|
6
|
—
|
—
|
$42,371.18
|
$51,020.39
|
$44,703.54
|
2026-05-22
|
|
6092
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
6
|
—
|
—
|
$42,361.23
|
$51,008.40
|
$44,693.04
|
2026-05-22
|
|
1653
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$42,204.14
|
$50,819.24
|
$44,527.30
|
2026-05-22
|
|
MS-276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
72
|
29
|
—
|
—
|
$38,852.29
|
$99,422.06
|
$44,432.14
|
2026-05-22
|
|
61
|
OTHER
|
Pancreas Transplant
|
12
|
6
|
—
|
—
|
$42,104.62
|
$50,699.41
|
$44,422.30
|
2026-05-22
|
|
MS-028
|
OTHER
|
Spinal Procedures With Mcc
|
72
|
29
|
—
|
—
|
$38,863.29
|
$99,136.95
|
$44,238.00
|
2026-05-22
|
|
MS-457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
72
|
29
|
—
|
—
|
$38,570.92
|
$98,391.15
|
$44,110.36
|
2026-05-22
|
|
MS-790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
72
|
29
|
—
|
—
|
$38,444.14
|
$121,575.89
|
$43,965.38
|
2026-05-22
|
|
6234
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
12
|
6
|
—
|
—
|
$41,391.64
|
$49,840.89
|
$43,670.08
|
2026-05-22
|
|
MS-820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
72
|
29
|
—
|
—
|
$37,935.09
|
$96,769.20
|
$43,383.21
|
2026-05-22
|
|
274
|
OTHER
|
Other Open Craniotomy
|
12
|
6
|
—
|
—
|
$41,110.86
|
$49,502.80
|
$43,373.84
|
2026-05-22
|
|
6302
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
12
|
6
|
—
|
—
|
$41,009.92
|
$49,381.25
|
$43,267.35
|
2026-05-22
|
|
MS-016
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
72
|
29
|
—
|
—
|
$31,012.87
|
$97,840.05
|
$43,251.25
|
2026-05-22
|
|
4402
|
OTHER
|
Kidney Transplant
|
12
|
6
|
—
|
—
|
$40,987.17
|
$49,353.86
|
$43,243.35
|
2026-05-22
|
|
MS-235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
72
|
29
|
—
|
—
|
$37,959.67
|
$96,831.90
|
$43,209.41
|
2026-05-22
|
|
6123
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$40,915.38
|
$49,267.41
|
$43,167.60
|
2026-05-22
|
|
924
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
12
|
6
|
—
|
—
|
$40,654.50
|
$48,953.28
|
$42,892.36
|
2026-05-22
|
|
4014
|
OTHER
|
Adrenal Procedures
|
12
|
6
|
—
|
—
|
$40,322.54
|
$48,553.55
|
$42,542.12
|
2026-05-22
|
|
MS-430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
72
|
29
|
—
|
—
|
$37,303.14
|
$95,157.15
|
$42,462.09
|
2026-05-22
|
|
MS-023
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
72
|
29
|
—
|
—
|
$37,065.11
|
$94,549.95
|
$42,388.29
|
2026-05-22
|
|
5204
|
OTHER
|
Other GYN Procedures For Malignancy
|
12
|
6
|
—
|
—
|
$40,173.97
|
$48,374.66
|
$42,385.38
|
2026-05-22
|
|
6133
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
12
|
6
|
—
|
—
|
$40,158.33
|
$48,355.83
|
$42,368.88
|
2026-05-22
|
|
6113
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
12
|
6
|
—
|
—
|
$40,000.52
|
$48,165.81
|
$42,202.39
|
2026-05-22
|
|
1622
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$39,952.19
|
$48,107.60
|
$42,151.39
|
2026-05-22
|
|
MS-463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
72
|
29
|
—
|
—
|
$36,865.89
|
$94,041.75
|
$41,964.36
|
2026-05-22
|
|
4414
|
OTHER
|
Major Bladder Procedures
|
12
|
6
|
—
|
—
|
$39,768.08
|
$47,885.91
|
$41,957.15
|
2026-05-22
|
|
1782
|
OTHER
|
External Heart Assist Devices
|
12
|
6
|
—
|
—
|
$39,493.69
|
$47,555.52
|
$41,667.66
|
2026-05-22
|
|
MS-213
|
OTHER
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
64
|
26
|
—
|
—
|
$36,913.75
|
$94,163.85
|
$41,626.15
|
2026-05-22
|
|
6032
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
12
|
6
|
—
|
—
|
$39,424.03
|
$47,471.63
|
$41,594.16
|
2026-05-22
|
|
1833
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
12
|
6
|
—
|
—
|
$39,314.56
|
$47,339.82
|
$41,478.67
|
2026-05-22
|
|
MS-008
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
72
|
29
|
—
|
—
|
$36,252.05
|
$100,651.79
|
$41,458.46
|
2026-05-22
|
|
MS-428
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
72
|
29
|
—
|
—
|
$36,267.03
|
$92,763.00
|
$41,393.74
|
2026-05-22
|
|
MS-278
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
72
|
29
|
—
|
—
|
$36,003.67
|
$91,842.30
|
$41,174.41
|
2026-05-22
|
|
MS-461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
72
|
29
|
—
|
—
|
$35,724.24
|
$119,023.26
|
$40,854.85
|
2026-05-22
|
|
MS-834
|
OTHER
|
Acute Leukemia With Mcc
|
72
|
29
|
—
|
—
|
$35,510.14
|
$126,867.47
|
$40,609.99
|
2026-05-22
|
|
5114
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
12
|
6
|
—
|
—
|
$38,482.88
|
$46,338.36
|
$40,601.20
|
2026-05-22
|
|
4401
|
OTHER
|
Kidney Transplant
|
12
|
6
|
—
|
—
|
$38,357.06
|
$46,186.86
|
$40,468.45
|
2026-05-22
|
|
MS-405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
72
|
29
|
—
|
—
|
$35,384.65
|
$90,263.25
|
$40,466.49
|
2026-05-22
|
|
6224
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$38,315.12
|
$46,136.36
|
$40,424.21
|
2026-05-22
|
|
MS-011
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
72
|
29
|
—
|
—
|
$35,278.57
|
$89,992.65
|
$40,345.18
|
2026-05-22
|
|
3214
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
12
|
6
|
—
|
—
|
$38,194.98
|
$45,991.70
|
$40,297.46
|
2026-05-22
|
|
225
|
OTHER
|
Ventricular Shunt Procedures
|
12
|
6
|
—
|
—
|
$38,170.10
|
$45,961.75
|
$40,271.21
|
2026-05-22
|
|
MS-234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
72
|
29
|
—
|
—
|
$35,334.20
|
$90,134.55
|
$40,220.85
|
2026-05-22
|
|
7924
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
12
|
6
|
—
|
—
|
$38,056.37
|
$45,824.79
|
$40,151.22
|
2026-05-22
|
|
1793
|
OTHER
|
Defibrillator Implants
|
12
|
6
|
—
|
—
|
$38,054.95
|
$45,823.08
|
$40,149.72
|
2026-05-22
|
|
728028882
|
OTHER
|
Impella 2.5 Catheter
|
2
|
1
|
$50,000.00
|
$30,000.00
40% off
|
$40,000.00
|
$40,000.00
|
$40,000.00
|
2026-05-22
|
|
8423
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
12
|
6
|
—
|
—
|
$37,669.67
|
$45,359.16
|
$39,743.23
|
2026-05-22
|
|
6514
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
12
|
6
|
—
|
—
|
$37,663.27
|
$45,351.46
|
$39,736.48
|
2026-05-22
|
|
MS-017
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
72
|
29
|
—
|
—
|
$25,820.16
|
$89,632.95
|
$39,623.21
|
2026-05-22
|
|
8633
|
OTHER
|
Neonatal Aftercare
|
12
|
6
|
—
|
—
|
$37,526.79
|
$45,187.11
|
$39,592.49
|
2026-05-22
|
|
3043
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
12
|
6
|
—
|
—
|
$37,378.23
|
$45,008.22
|
$39,435.74
|
2026-05-22
|
|
1602
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
6
|
—
|
—
|
$37,329.89
|
$44,950.02
|
$39,384.75
|
2026-05-22
|
|
304
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
12
|
6
|
—
|
—
|
$37,261.65
|
$44,867.85
|
$39,312.75
|
2026-05-22
|
|
1704
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
12
|
6
|
—
|
—
|
$37,233.21
|
$44,833.61
|
$39,282.75
|
2026-05-22
|
|
MS-220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
72
|
29
|
—
|
—
|
$34,493.97
|
$87,991.20
|
$39,264.42
|
2026-05-22
|
|
MS-450
|
OTHER
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
72
|
29
|
—
|
—
|
$34,473.28
|
$87,938.40
|
$39,240.86
|
2026-05-22
|
|
1814
|
OTHER
|
Lower Extremity Vascular Procedures
|
12
|
6
|
—
|
—
|
$37,150.76
|
$44,734.32
|
$39,195.75
|
2026-05-22
|
|
1663
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$37,145.78
|
$44,728.33
|
$39,190.50
|
2026-05-22
|
|
MS-021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
72
|
29
|
—
|
—
|
$34,241.71
|
$108,235.15
|
$39,159.40
|
2026-05-22
|
|
1214
|
OTHER
|
Other Respiratory And Chest Procedures
|
12
|
6
|
—
|
—
|
$36,830.17
|
$44,348.29
|
$38,857.52
|
2026-05-22
|
|
MS-270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
72
|
29
|
—
|
—
|
$34,128.52
|
$87,058.95
|
$38,848.42
|
2026-05-22
|
|
5124
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
12
|
6
|
—
|
—
|
$36,815.24
|
$44,330.31
|
$38,841.77
|
2026-05-22
|
|
2304
|
OTHER
|
Major Small Bowel Procedures
|
12
|
6
|
—
|
—
|
$36,609.09
|
$44,082.09
|
$38,624.27
|
2026-05-22
|
|
MS-653
|
OTHER
|
Major Bladder Procedures With Mcc
|
72
|
29
|
—
|
—
|
$33,611.70
|
$102,067.85
|
$38,438.91
|
2026-05-22
|
|
MS-466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
72
|
29
|
—
|
—
|
$33,010.06
|
$85,889.10
|
$38,326.39
|
2026-05-22
|
|
82
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherap
|
12
|
6
|
—
|
—
|
$36,302.01
|
$43,712.32
|
$38,300.29
|
2026-05-22
|
|
3032
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
6
|
—
|
—
|
$36,288.51
|
$43,696.06
|
$38,286.04
|
2026-05-22
|
|
4054
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
12
|
6
|
—
|
—
|
$36,198.94
|
$43,588.21
|
$38,191.54
|
2026-05-22
|
|
2644
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
12
|
6
|
—
|
—
|
$36,127.85
|
$43,502.61
|
$38,116.54
|
2026-05-22
|
|
7104
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
12
|
6
|
—
|
—
|
$35,997.77
|
$43,345.97
|
$37,979.30
|
2026-05-22
|
|
1764
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
12
|
6
|
—
|
—
|
$35,851.34
|
$43,169.65
|
$37,824.81
|
2026-05-22
|
|
4044
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
12
|
6
|
—
|
—
|
$35,766.04
|
$43,066.94
|
$37,734.81
|
2026-05-22
|
|
6344
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
12
|
6
|
—
|
—
|
$35,744.71
|
$43,041.26
|
$37,712.31
|
2026-05-22
|
|
4034
|
OTHER
|
Procedures For Obesity
|
12
|
6
|
—
|
—
|
$35,665.81
|
$42,946.25
|
$37,629.06
|
2026-05-22
|
|
2992
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
6
|
—
|
—
|
$35,623.16
|
$42,894.89
|
$37,584.06
|
2026-05-22
|
|
1781
|
OTHER
|
External Heart Assist Devices
|
12
|
6
|
—
|
—
|
$35,544.25
|
$42,799.88
|
$37,500.82
|
2026-05-22
|
|
8411
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
12
|
6
|
—
|
—
|
$35,495.92
|
$42,741.68
|
$37,449.82
|
2026-05-22
|
|
8412
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
12
|
6
|
—
|
—
|
$35,495.92
|
$42,741.68
|
$37,449.82
|
2026-05-22
|
|
1673
|
OTHER
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
12
|
6
|
—
|
—
|
$35,321.76
|
$42,531.97
|
$37,266.08
|
2026-05-22
|
|
MS-221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
72
|
29
|
—
|
—
|
$30,306.17
|
$83,163.30
|
$37,110.06
|
2026-05-22
|
|
7114
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
12
|
6
|
—
|
—
|
$35,095.71
|
$42,259.78
|
$37,027.59
|
2026-05-22
|
|
MS-326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
72
|
29
|
—
|
—
|
$32,259.83
|
$82,292.10
|
$36,892.90
|
2026-05-22
|
|
294
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
12
|
6
|
—
|
—
|
$34,860.42
|
$41,976.46
|
$36,779.34
|
2026-05-22
|
|
4844
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
12
|
6
|
—
|
—
|
$34,857.58
|
$41,973.04
|
$36,776.35
|
2026-05-22
|
|
9103
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
12
|
6
|
—
|
—
|
$34,822.04
|
$41,930.24
|
$36,738.85
|
2026-05-22
|
|
4854
|
OTHER
|
Prostatectomy Procedures
|
12
|
6
|
—
|
—
|
$34,775.83
|
$41,874.60
|
$36,690.10
|
2026-05-22
|
|
MS-228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
72
|
29
|
—
|
—
|
$32,001.10
|
$95,453.38
|
$36,597.01
|
2026-05-22
|
|
264
|
OTHER
|
Other Nervous System And Related Procedures
|
12
|
6
|
—
|
—
|
$34,644.33
|
$41,716.25
|
$36,551.35
|
2026-05-22
|
|
MS-853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
72
|
29
|
—
|
—
|
$31,944.18
|
$81,486.90
|
$36,362.00
|
2026-05-22
|
|
213
|
OTHER
|
Open Craniotomy Except Trauma
|
12
|
6
|
—
|
—
|
$34,375.63
|
$41,392.70
|
$36,267.86
|
2026-05-22
|
|
MS-576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
72
|
29
|
—
|
—
|
$31,702.27
|
$101,974.69
|
$36,255.25
|
2026-05-22
|
|
MS-239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
72
|
29
|
—
|
—
|
$31,834.87
|
$81,208.05
|
$36,237.56
|
2026-05-22
|
|
1754
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
12
|
6
|
—
|
—
|
$34,271.13
|
$41,266.88
|
$36,157.62
|
2026-05-22
|
|
1652
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$34,030.16
|
$40,976.71
|
$35,903.38
|
2026-05-22
|
|
6091
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
6
|
—
|
—
|
$34,027.32
|
$40,973.29
|
$35,900.38
|
2026-05-22
|
|
4474
|
OTHER
|
Other Kidney, Urinary Tract And Related Non-percutaneous Procedures
|
12
|
6
|
—
|
—
|
$33,944.86
|
$40,874.00
|
$35,813.38
|
2026-05-22
|
|
4424
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
12
|
6
|
—
|
—
|
$33,838.23
|
$40,745.61
|
$35,700.89
|
2026-05-22
|
|
MS-471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
74
|
30
|
—
|
—
|
$30,644.15
|
$79,673.55
|
$35,552.82
|
2026-05-22
|
|
4484
|
OTHER
|
Other Kidney, Urinary Tract And Related Percutaneous Procedures
|
12
|
6
|
—
|
—
|
$33,659.81
|
$40,530.77
|
$35,512.64
|
2026-05-22
|
|
1632
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$33,541.10
|
$40,387.82
|
$35,387.40
|
2026-05-22
|
|
MS-837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
72
|
29
|
—
|
—
|
$31,075.49
|
$79,270.95
|
$35,373.17
|
2026-05-22
|
|
6504
|
OTHER
|
Splenic Procedures
|
12
|
6
|
—
|
—
|
$33,525.46
|
$40,368.99
|
$35,370.90
|
2026-05-22
|
|
6143
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
12
|
6
|
—
|
—
|
$33,489.92
|
$40,326.20
|
$35,333.40
|
2026-05-22
|
|
MS-267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
72
|
29
|
—
|
—
|
$30,794.12
|
$78,553.20
|
$35,216.68
|
2026-05-22
|
|
728029737
|
OTHER
|
Incepta Rf He Crt-d
|
8
|
4
|
$66,311.00
|
$39,786.60
40% off
|
$14,159.72
|
$70,400.35
|
$35,177.65
|
2026-05-22
|
|
1621
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$33,290.88
|
$40,086.53
|
$35,123.41
|
2026-05-22
|
|
9514
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
12
|
6
|
—
|
—
|
$33,223.35
|
$40,005.22
|
$35,052.16
|
2026-05-22
|
|
913
|
OTHER
|
Other Major Head And Neck Procedures
|
12
|
6
|
—
|
—
|
$33,194.92
|
$39,970.98
|
$35,022.16
|
2026-05-22
|
|
3003
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
6
|
—
|
—
|
$33,039.96
|
$39,784.38
|
$34,858.67
|
2026-05-22
|
|
6071
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
—
|
—
|
$33,013.65
|
$39,752.71
|
$34,830.92
|
2026-05-22
|
|
MS-650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
72
|
29
|
—
|
—
|
$30,409.91
|
$84,907.48
|
$34,777.29
|
2026-05-22
|
|
MS-981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
72
|
29
|
—
|
—
|
$30,347.81
|
$77,414.70
|
$34,706.27
|
2026-05-22
|
|
MS-826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
72
|
29
|
—
|
—
|
$30,257.26
|
$90,012.74
|
$34,602.71
|
2026-05-22
|
|
1303
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
12
|
6
|
—
|
—
|
$32,757.75
|
$39,444.57
|
$34,560.93
|
2026-05-22
|
|
434
|
OTHER
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
12
|
6
|
—
|
—
|
$32,712.97
|
$39,390.65
|
$34,513.68
|
2026-05-22
|
|
728029734
|
OTHER
|
Energen Rf He Crt-d
|
8
|
4
|
$64,214.00
|
$38,528.40
40% off
|
$14,159.72
|
$70,400.35
|
$34,338.85
|
2026-05-22
|
|
5144
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
12
|
6
|
—
|
—
|
$32,546.63
|
$39,190.36
|
$34,338.19
|
2026-05-22
|
|
MS-006
|
OTHER
|
Liver Transplant Without Mcc
|
72
|
29
|
—
|
—
|
$29,993.35
|
$89,714.62
|
$34,300.91
|
2026-05-22
|
|
MS-277
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
72
|
29
|
—
|
—
|
$29,873.69
|
$76,727.89
|
$34,164.06
|
2026-05-22
|
|
2314
|
OTHER
|
Major Large Bowel Procedures
|
12
|
6
|
—
|
—
|
$32,317.03
|
$38,913.88
|
$34,095.95
|
2026-05-22
|
|
MS-823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
72
|
29
|
—
|
—
|
$29,655.71
|
$75,649.20
|
$33,914.77
|
2026-05-22
|
|
1824
|
OTHER
|
Other Peripheral Vascular And Related Procedures
|
12
|
6
|
—
|
—
|
$32,141.45
|
$38,702.47
|
$33,910.70
|
2026-05-22
|
|
2224
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
12
|
6
|
—
|
—
|
$32,098.80
|
$38,651.11
|
$33,865.71
|
2026-05-22
|
|
MS-329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
72
|
29
|
—
|
—
|
$29,497.05
|
$75,842.25
|
$33,843.18
|
2026-05-22
|