Hospital

INDIANA REGIONAL MEDICAL CENTER

Indiana, PA · CCN 390173 · Rates published

8,728 distinct procedures filed

20 distinct payers

619,032 rate rows

2026-05-24 last MRF observed

Data quality

613,912 of 619,032 rate rows are consumer-grade (99.2%)

5,120 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	2,738
placeholder amount (≤ $0.02) — excluded from medians	1,110
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	818
template filing: same amount across many unrelated codes — excluded	424
exceeds 10× this hospital's gross charge — excluded from medians	30

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

Source MRF file	https://www.irmc.org/clientfiles/getfile/250965404_Indiana-Regional-Medical-Center_standardcharges.csv
Found on page	https://www.irmc.org/patients-and-visitors/financial-services/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-19
Content fingerprint	6080a99a63bb9730… · 116,939,660 bytes · first seen 2026-05-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	$455,682.18	$2,860,061.00	$703,240.39	nat. median $424,868 1.7× median
007 OTHER	Lung Transplant	15	$136,655.69	$2,162,847.20	$509,151.55	nat. median $141,082 outlier · 3.6×
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	$179,835.60	$846,592.03	$295,719.40	nat. median $263,894 1.1× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	17	$146,165.51	$949,211.27	$209,347.05	nat. median $150,232 1.4× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	17	$133,781.67	$645,099.41	$193,743.86	nat. median $218,232 0.9× median
161-4 OTHER	Implantable Heart Assist Systems	6	$171,802.78	$257,704.17	$182,110.95	nat. median $202,242 0.9× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$137,988.21	$247,712.59	$173,398.82	nat. median $203,379 0.9× median
583-4 OTHER	Neonate With Ecmo	6	$143,123.38	$245,707.25	$171,995.07	nat. median $309,400 0.6× median
841-3 OTHER	Extensive Third Degree Burns With Skin Graft	6	$159,264.99	$244,504.70	$171,153.29	nat. median $61,016 outlier · 2.8×
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	$134,571.40	$465,667.50	$168,343.18	nat. median $146,562 1.1× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	15	$119,577.69	$752,886.92	$165,648.54	nat. median $117,167 1.4× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$149,381.26	$224,479.01	$157,135.30	nat. median $210,669 0.7× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	17	$64,594.41	$740,885.64	$151,463.74	nat. median $64,729 outlier · 2.3×
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$129,387.56	$198,931.34	$139,251.93	nat. median $267,493 0.5× median
583-3 OTHER	Neonate With Ecmo	6	$129,164.76	$193,747.14	$135,623.00	nat. median $259,487 0.5× median
002-4 OTHER	Heart And/or Lung Transplant	5	$126,584.29	$142,021.07	$135,565.56	nat. median $216,800 0.6× median
583-2 OTHER	Neonate With Ecmo	6	$114,847.88	$176,980.02	$123,886.01	nat. median $191,347 0.6× median
006 OTHER	Liver Transplant Without Mcc	15	$48,931.48	$613,006.45	$123,112.14	nat. median $50,611 outlier · 2.4×
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$115,600.42	$173,400.63	$121,958.45	nat. median $171,094 0.7× median
583-1 OTHER	Neonate With Ecmo	6	$107,882.01	$171,576.13	$120,103.29	nat. median $171,226 0.7× median
008 OTHER	Simultaneous Pancreas And Kidney Transplant	15	$59,141.98	$591,940.40	$119,118.56	nat. median $59,265 outlier · 2.0×
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	$105,876.81	$162,852.30	$113,996.61	nat. median $106,926 1.1× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	6	$105,575.73	$158,363.60	$110,854.52	nat. median $151,691 0.7× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	6	$104,805.18	$157,207.77	$110,045.44	nat. median $172,311 0.6× median
161-3 OTHER	Implantable Heart Assist Systems	6	$101,699.30	$156,901.59	$109,831.11	nat. median $152,491 0.7× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	17	$67,901.53	$557,980.25	$109,124.55	nat. median $66,849 1.6× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	15	$82,946.96	$473,562.45	$108,800.52	nat. median $104,489 1.0× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$98,327.29	$154,042.54	$107,829.78	nat. median $86,371 1.2× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$95,032.72	$153,957.94	$107,770.56	nat. median $169,856 0.6× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	17	$72,578.35	$540,754.16	$105,885.87	nat. median $67,670 1.6× median
570 OTHER	Skin Debridement With Mcc	17	$31,035.66	$561,768.89	$105,603.88	nat. median $33,751 outlier · 3.1×
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	$88,440.33	$142,504.68	$99,753.28	nat. median $150,954 0.7× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$90,601.57	$138,396.54	$96,877.58	nat. median $165,000 0.6× median
161-2 OTHER	Implantable Heart Assist Systems	6	$88,911.05	$136,918.29	$95,842.80	nat. median $109,992 0.9× median
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	$65,763.36	$134,924.22	$94,446.95	nat. median $87,912 1.1× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$87,009.18	$132,806.17	$92,964.32	nat. median $156,696 0.6× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$82,359.70	$130,544.78	$91,381.34	nat. median $153,523 0.6× median
002-3 OTHER	Heart And/or Lung Transplant	5	$83,228.95	$95,335.31	$91,001.88	nat. median $133,471 0.7× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	$61,660.62	$303,808.65	$89,297.50	nat. median $90,130 1.0× median
480-4 OTHER	Major Male Pelvic Procedures	1	$89,219.91	$89,219.91	$89,219.91	nat. median $27,837 outlier · 3.2×
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$82,634.77	$127,352.28	$89,146.60	nat. median $151,250 0.6× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$83,504.61	$125,256.92	$88,097.36	nat. median $105,647 0.8× median
014 OTHER	Allogeneic Bone Marrow Transplant	16	$14,984.58	$188,390.60	$87,719.72	nat. median $105,808 0.8× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	5	$82,340.32	$90,031.62	$85,939.28	nat. median $124,561 0.7× median
215 OTHER	Other Heart Assist System Implant	17	$62,758.61	$335,128.60	$85,865.52	nat. median $92,359 0.9× median
837 OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	17	$50,696.90	$468,312.38	$85,647.85	nat. median $38,617 outlier · 2.2×
002-2 OTHER	Heart And/or Lung Transplant	5	$79,324.66	$88,046.90	$84,044.77	nat. median $106,681 0.8× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$77,681.03	$119,129.40	$83,390.58	nat. median $110,000 0.8× median
163 OTHER	Major Chest Procedures With Mcc	17	$47,293.75	$460,004.33	$83,323.90	nat. median $47,944 1.7× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	17	$46,770.83	$209,318.58	$81,662.24	nat. median $90,581 0.9× median

Other procedures at this hospital

Browse this hospital's 8,728 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

018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	50	17	—	—	$455,682.18	$2,860,061.00	$703,240.39	2026-05-24
007	OTHER	Lung Transplant	46	15	—	—	$136,655.69	$2,162,847.20	$509,151.55	2026-05-24
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	46	15	—	—	$179,835.60	$846,592.03	$295,719.40	2026-05-24
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	52	17	—	—	$146,165.51	$949,211.27	$209,347.05	2026-05-24
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	52	17	—	—	$133,781.67	$645,099.41	$193,743.86	2026-05-24
161-4	OTHER	Implantable Heart Assist Systems	14	6	—	—	$171,802.78	$257,704.17	$182,110.95	2026-05-24
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	6	—	—	$137,988.21	$247,712.59	$173,398.82	2026-05-24
583-4	OTHER	Neonate With Ecmo	14	6	—	—	$143,123.38	$245,707.25	$171,995.07	2026-05-24
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	14	6	—	—	$159,264.99	$244,504.70	$171,153.29	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	52	17	—	—	$134,571.40	$465,667.50	$168,343.18	2026-05-24
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	46	15	—	—	$119,577.69	$752,886.92	$165,648.54	2026-05-24
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	6	—	—	$149,381.26	$224,479.01	$157,135.30	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	52	17	—	—	$64,594.41	$740,885.64	$151,463.74	2026-05-24
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	6	—	—	$129,387.56	$198,931.34	$139,251.93	2026-05-24
583-3	OTHER	Neonate With Ecmo	14	6	—	—	$129,164.76	$193,747.14	$135,623.00	2026-05-24
002-4	OTHER	Heart And/or Lung Transplant	10	5	—	—	$126,584.29	$142,021.07	$135,565.56	2026-05-24
583-2	OTHER	Neonate With Ecmo	14	6	—	—	$114,847.88	$176,980.02	$123,886.01	2026-05-24
006	OTHER	Liver Transplant Without Mcc	46	15	—	—	$48,931.48	$613,006.45	$123,112.14	2026-05-24
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	5	—	—	$115,600.42	$173,400.63	$121,958.45	2026-05-24
583-1	OTHER	Neonate With Ecmo	14	6	—	—	$107,882.01	$171,576.13	$120,103.29	2026-05-24
008	OTHER	Simultaneous Pancreas And Kidney Transplant	46	15	—	—	$59,141.98	$591,940.40	$119,118.56	2026-05-24
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	6	—	—	$105,876.81	$162,852.30	$113,996.61	2026-05-24
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	14	6	—	—	$105,575.73	$158,363.60	$110,854.52	2026-05-24
007-4	OTHER	Allogeneic Bone Marrow Transplant	14	6	—	—	$104,805.18	$157,207.77	$110,045.44	2026-05-24
161-3	OTHER	Implantable Heart Assist Systems	14	6	—	—	$101,699.30	$156,901.59	$109,831.11	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	52	17	—	—	$67,901.53	$557,980.25	$109,124.55	2026-05-24
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	46	15	—	—	$82,946.96	$473,562.45	$108,800.52	2026-05-24
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	14	6	—	—	$98,327.29	$154,042.54	$107,829.78	2026-05-24
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	6	—	—	$95,032.72	$153,957.94	$107,770.56	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	52	17	—	—	$72,578.35	$540,754.16	$105,885.87	2026-05-24
570	OTHER	Skin Debridement With Mcc	52	17	—	—	$31,035.66	$561,768.89	$105,603.88	2026-05-24
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	6	—	—	$88,440.33	$142,504.68	$99,753.28	2026-05-24
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	6	—	—	$90,601.57	$138,396.54	$96,877.58	2026-05-24
161-2	OTHER	Implantable Heart Assist Systems	14	6	—	—	$88,911.05	$136,918.29	$95,842.80	2026-05-24
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	6	—	—	$65,763.36	$134,924.22	$94,446.95	2026-05-24
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	6	—	—	$87,009.18	$132,806.17	$92,964.32	2026-05-24
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	6	—	—	$82,359.70	$130,544.78	$91,381.34	2026-05-24
002-3	OTHER	Heart And/or Lung Transplant	10	5	—	—	$83,228.95	$95,335.31	$91,001.88	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	52	17	—	—	$61,660.62	$303,808.65	$89,297.50	2026-05-24
480-4	OTHER	Major Male Pelvic Procedures	2	1	—	—	$89,219.91	$89,219.91	$89,219.91	2026-05-24
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	6	—	—	$82,634.77	$127,352.28	$89,146.60	2026-05-24
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	5	—	—	$83,504.61	$125,256.92	$88,097.36	2026-05-24
014	OTHER	Allogeneic Bone Marrow Transplant	48	16	—	—	$14,984.58	$188,390.60	$87,719.72	2026-05-24
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	10	5	—	—	$82,340.32	$90,031.62	$85,939.28	2026-05-24
215	OTHER	Other Heart Assist System Implant	52	17	—	—	$62,758.61	$335,128.60	$85,865.52	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	52	17	—	—	$50,696.90	$468,312.38	$85,647.85	2026-05-24
002-2	OTHER	Heart And/or Lung Transplant	10	5	—	—	$79,324.66	$88,046.90	$84,044.77	2026-05-24
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	6	—	—	$77,681.03	$119,129.40	$83,390.58	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	52	17	—	—	$47,293.75	$460,004.33	$83,323.90	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	52	17	—	—	$46,770.83	$209,318.58	$81,662.24	2026-05-24
007-3	OTHER	Allogeneic Bone Marrow Transplant	14	6	—	—	$74,395.80	$115,021.71	$80,515.20	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	52	17	—	—	$54,834.49	$432,627.77	$79,955.14	2026-05-24
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	52	17	—	—	$62,329.55	$387,183.73	$79,607.64	2026-05-24
161-1	OTHER	Implantable Heart Assist Systems	14	6	—	—	$72,491.00	$113,211.48	$79,248.04	2026-05-24
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	14	6	—	—	$72,663.86	$109,994.01	$76,995.81	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	52	17	—	—	$53,133.35	$312,560.30	$76,948.22	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	52	17	—	—	$52,966.32	$325,502.69	$76,706.32	2026-05-24
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	6	—	—	$68,035.15	$109,209.80	$76,446.86	2026-05-24
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$70,957.17	$108,381.41	$75,866.98	2026-05-24
010	OTHER	Pancreas Transplant	46	15	—	—	$56,738.73	$363,908.35	$75,720.86	2026-05-24
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	6	—	—	$68,062.73	$107,049.38	$74,934.56	2026-05-24
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	14	6	—	—	$64,983.85	$105,498.27	$73,848.79	2026-05-24
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$66,414.04	$101,092.67	$70,764.87	2026-05-24
863-4	OTHER	Neonatal Aftercare	14	6	—	—	$59,672.29	$100,951.68	$70,666.18	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	52	17	—	—	$48,396.05	$302,432.06	$70,087.61	2026-05-24
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	6	—	—	$65,959.00	$98,938.50	$69,916.54	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	52	17	—	—	$48,187.41	$215,419.13	$69,785.47	2026-05-24
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	6	—	—	$61,628.95	$99,577.48	$69,704.24	2026-05-24
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	6	—	—	$64,836.35	$99,423.86	$69,596.70	2026-05-24
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	6	—	—	$66,279.21	$99,418.81	$69,593.17	2026-05-24
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	6	—	—	$63,764.25	$99,024.87	$69,317.41	2026-05-24
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	6	—	—	$63,386.41	$98,489.98	$68,942.99	2026-05-24
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	5	—	—	$64,683.83	$97,025.74	$68,241.44	2026-05-24
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	6	—	—	$64,532.92	$97,270.08	$68,089.06	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	52	17	—	—	$50,954.37	$389,336.94	$67,039.61	2026-05-24
006-4	OTHER	Pancreas Transplant	10	5	—	—	$66,275.85	$69,918.05	$66,782.98	2026-05-24
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$63,050.07	$95,344.33	$66,741.03	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	52	17	—	—	$57,196.80	$373,981.41	$66,175.73	2026-05-24
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	14	6	—	—	$62,731.07	$94,096.60	$65,867.62	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	52	17	—	—	$52,629.04	$381,082.36	$65,859.83	2026-05-24
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	14	6	—	—	$61,951.35	$93,809.88	$65,666.92	2026-05-24
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	10	5	—	—	$60,615.07	$68,206.99	$65,106.67	2026-05-24
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	6	—	—	$61,008.02	$92,893.98	$65,025.79	2026-05-24
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	6	—	—	$61,135.20	$91,702.80	$64,803.31	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	42	17	—	—	$55,853.07	$273,655.62	$64,741.97	2026-05-24
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	52	17	—	—	$55,862.30	$369,444.80	$64,723.49	2026-05-24
588-1	OTHER	Female Reproductive System Reconstructive Procedures	14	6	—	—	$61,297.30	$92,299.94	$64,609.95	2026-05-24
007-2	OTHER	Allogeneic Bone Marrow Transplant	14	6	—	—	$60,708.55	$91,062.83	$64,351.06	2026-05-24
440-4	OTHER	Kidney Transplant	10	5	—	—	$61,211.64	$67,257.50	$64,200.34	2026-05-24
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	6	—	—	$60,467.57	$90,701.35	$64,095.62	2026-05-24
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	6	—	—	$60,286.61	$90,429.92	$63,903.81	2026-05-24
006-3	OTHER	Pancreas Transplant	10	5	—	—	$59,379.00	$65,694.63	$62,708.51	2026-05-24
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	6	—	—	$57,996.91	$86,995.37	$61,476.72	2026-05-24
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	14	6	—	—	$56,594.53	$86,701.47	$60,691.03	2026-05-24
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	6	—	—	$55,676.04	$86,640.81	$60,648.57	2026-05-24
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$57,092.59	$86,031.84	$60,222.29	2026-05-24
023-4	OTHER	Spinal Procedures	14	6	—	—	$56,705.13	$85,703.28	$59,992.30	2026-05-24
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$54,850.30	$85,087.83	$59,561.48	2026-05-24
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	52	17	—	—	$33,529.20	$357,603.65	$59,392.44	2026-05-24
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	14	6	—	—	$51,770.85	$83,893.97	$58,725.78	2026-05-24
178-4	OTHER	External Heart Assist Systems	14	6	—	—	$55,150.28	$82,725.42	$58,459.30	2026-05-24
006-2	OTHER	Pancreas Transplant	10	5	—	—	$58,258.61	$61,174.64	$58,393.98	2026-05-24
020-4	OTHER	Open Craniotomy For Trauma	14	6	—	—	$55,312.20	$83,347.93	$58,343.55	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	52	17	—	—	$48,027.96	$179,465.74	$57,223.88	2026-05-24
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	14	6	—	—	$53,583.11	$81,422.50	$56,995.75	2026-05-24
002-1	OTHER	Heart And/or Lung Transplant	10	5	—	—	$52,649.53	$59,631.35	$56,920.84	2026-05-24
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$54,205.97	$81,308.96	$56,916.27	2026-05-24
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	6	—	—	$54,200.99	$81,301.49	$56,911.04	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	52	17	—	—	$43,564.82	$205,349.01	$56,806.12	2026-05-24
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	14	6	—	—	$50,918.49	$81,095.70	$56,766.99	2026-05-24
007-1	OTHER	Allogeneic Bone Marrow Transplant	14	6	—	—	$49,414.63	$80,385.51	$56,269.86	2026-05-24
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	14	6	—	—	$52,416.48	$79,737.93	$55,816.55	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	52	17	—	—	$42,425.88	$203,377.17	$55,686.51	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	52	17	—	—	$38,212.35	$194,247.61	$55,339.48	2026-05-24
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	6	—	—	$52,104.10	$78,156.15	$55,230.35	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	52	17	—	—	$38,627.09	$187,383.61	$54,251.04	2026-05-24
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	14	6	—	—	$51,052.18	$76,578.27	$54,115.31	2026-05-24
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	10	5	—	—	$50,364.82	$56,556.97	$53,986.20	2026-05-24
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	6	—	—	$41,062.56	$77,062.73	$53,943.91	2026-05-24
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	5	—	—	$50,849.53	$76,274.29	$53,646.26	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	52	17	—	—	$42,194.33	$149,021.59	$53,547.84	2026-05-24
323-4	OTHER	Non-elective Or Complex Hip Joint Replacement	14	6	—	—	$49,429.91	$76,104.45	$53,273.12	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	52	17	—	—	$46,354.58	$330,339.55	$53,188.36	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	52	17	—	—	$41,443.86	$162,028.05	$53,174.53	2026-05-24
183-4	OTHER	Percutaneous Structural Cardiac Procedures	14	6	—	—	$49,635.71	$74,453.57	$52,613.85	2026-05-24
910-4	OTHER	Craniotomy For Multiple Significant Trauma	14	6	—	—	$49,489.63	$74,234.44	$52,459.01	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	46	14	—	—	$41,829.23	$86,257.88	$52,247.85	2026-05-24
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	50	17	—	—	$7,899.88	$146,670.28	$52,135.27	2026-05-24
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	14	6	—	—	$48,104.47	$72,156.71	$50,990.74	2026-05-24
232-4	OTHER	Gastric Fundoplication	14	6	—	—	$48,562.39	$72,843.59	$50,990.51	2026-05-24
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	6	—	—	$47,722.31	$72,806.24	$50,964.36	2026-05-24
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	6	—	—	$47,287.32	$72,725.05	$50,907.54	2026-05-24
055-4	OTHER	Head Trauma With Coma > 1 Hour Or Hemorrhage	14	6	—	—	$47,093.93	$72,088.94	$50,462.25	2026-05-24
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	6	—	—	$46,287.02	$71,690.64	$50,183.45	2026-05-24
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	14	6	—	—	$47,790.38	$71,685.57	$50,179.90	2026-05-24
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	14	6	—	—	$47,189.50	$70,784.25	$50,020.87	2026-05-24
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	14	6	—	—	$47,121.03	$70,681.54	$49,948.29	2026-05-24
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	14	6	—	—	$47,072.11	$70,608.17	$49,896.44	2026-05-24
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	52	17	—	—	$34,377.00	$225,144.85	$49,785.08	2026-05-24
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	48	16	—	—	$37,374.69	$176,947.00	$49,731.58	2026-05-24
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	14	6	—	—	$46,517.14	$69,775.71	$49,308.17	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	52	17	—	—	$31,175.65	$113,476.17	$49,199.66	2026-05-24
179-4	OTHER	Defibrillator Implants	14	6	—	—	$45,844.77	$68,767.15	$48,595.46	2026-05-24
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	6	—	—	$45,774.99	$68,662.49	$48,521.49	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	42	17	—	—	$41,803.14	$176,973.88	$48,468.15	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	52	17	—	—	$17,418.58	$79,177.53	$48,201.35	2026-05-24
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	14	6	—	—	$45,533.94	$68,823.21	$48,176.25	2026-05-24
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	14	6	—	—	$44,591.08	$68,590.20	$48,013.14	2026-05-24
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	6	—	—	$43,426.60	$68,568.57	$47,998.00	2026-05-24
091-4	OTHER	Other Major Head And Neck Procedures	14	6	—	—	$45,577.39	$68,366.09	$47,856.26	2026-05-24
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	14	—	—	$39,095.53	$286,913.55	$47,783.43	2026-05-24
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	14	6	—	—	$44,876.98	$67,315.47	$47,569.60	2026-05-24
021-4	OTHER	Open Craniotomy Except Trauma	14	6	—	—	$44,813.72	$67,220.58	$47,502.54	2026-05-24
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	10	5	—	—	$47,236.97	$49,686.78	$47,428.29	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	52	17	—	—	$34,480.36	$157,405.59	$47,322.18	2026-05-24
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	6	—	—	$44,328.52	$66,492.78	$46,988.23	2026-05-24
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	14	6	—	—	$44,197.91	$66,764.09	$46,734.86	2026-05-24
178-3	OTHER	External Heart Assist Systems	14	6	—	—	$43,091.40	$66,750.06	$46,725.04	2026-05-24
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$18,320.17	$66,351.92	$46,446.34	2026-05-24
440-3	OTHER	Kidney Transplant	10	5	—	—	$42,782.43	$48,641.93	$46,430.94	2026-05-24
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	14	6	—	—	$43,767.02	$65,650.53	$46,393.04	2026-05-24
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	6	—	—	$43,633.33	$65,450.00	$45,958.24	2026-05-24
440-2	OTHER	Kidney Transplant	10	5	—	—	$42,141.12	$47,922.57	$45,744.27	2026-05-24
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	14	6	—	—	$42,020.24	$65,164.05	$45,614.83	2026-05-24
690-4	OTHER	Acute Leukemia	14	6	—	—	$42,999.44	$64,499.16	$45,579.41	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	52	17	—	—	$34,431.19	$151,346.44	$45,220.49	2026-05-24
028	OTHER	Spinal Procedures With Mcc	52	17	—	—	$19,490.28	$79,158.16	$45,121.10	2026-05-24
276	OTHER	Non-maligant Breast Disorders	52	17	—	—	$9,560.21	$103,399.74	$45,108.34	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	52	17	—	—	$31,021.30	$195,923.00	$44,925.34	2026-05-24
027-1	OTHER	Other Open Craniotomy	14	6	—	—	$41,444.02	$64,086.93	$44,860.85	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	52	17	—	—	$23,006.74	$96,055.56	$44,781.65	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	42	17	—	—	$21,046.86	$89,596.60	$44,558.10	2026-05-24
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$42,367.51	$63,551.26	$44,485.89	2026-05-24
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	14	6	—	—	$41,812.53	$62,718.79	$44,321.28	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	52	17	—	—	$34,404.34	$120,412.94	$44,071.97	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	52	17	—	—	$36,965.61	$159,643.33	$44,043.43	2026-05-24
169-4	OTHER	Major Abdominal Vascular Procedures	14	6	—	—	$41,414.07	$62,121.10	$43,898.91	2026-05-24
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	6	—	—	$39,831.30	$62,540.76	$43,778.53	2026-05-24
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	6	—	—	$41,062.56	$62,400.87	$43,680.61	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	52	17	—	—	$30,007.14	$166,713.80	$43,456.63	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	46	14	—	—	$5,125.05	$126,439.89	$43,439.47	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	52	17	—	—	$31,768.20	$129,859.38	$43,357.21	2026-05-24
446-4	OTHER	Urethral And Transurethral Procedures	14	6	—	—	$40,190.32	$61,935.06	$43,354.54	2026-05-24
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	14	6	—	—	$40,734.53	$61,101.79	$43,178.60	2026-05-24
347	OTHER	Anal And Stomal Procedures With Mcc	52	17	—	—	$24,224.09	$294,993.23	$43,163.87	2026-05-24
650-4	OTHER	Splenectomy	14	6	—	—	$40,257.41	$61,412.67	$42,988.87	2026-05-24
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	6	—	—	$40,378.55	$61,236.93	$42,865.85	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	52	17	—	—	$34,978.79	$126,655.08	$42,802.07	2026-05-24
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	14	6	—	—	$37,726.17	$61,124.29	$42,787.01	2026-05-24
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	14	6	—	—	$40,245.42	$60,368.13	$42,660.15	2026-05-24
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	14	6	—	—	$40,169.77	$60,254.65	$42,579.96	2026-05-24
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	52	17	—	—	$27,830.90	$290,321.10	$42,425.72	2026-05-24
120-4	OTHER	Major Respiratory And Chest Procedures	14	6	—	—	$40,310.63	$60,465.94	$42,360.34	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	52	17	—	—	$29,110.26	$232,912.00	$42,157.73	2026-05-24
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	14	6	—	—	$39,705.44	$59,558.16	$42,087.77	2026-05-24
027-4	OTHER	Other Open Craniotomy	14	6	—	—	$39,633.59	$59,450.39	$42,011.61	2026-05-24
695-4	OTHER	Chemotherapy For Acute Leukemia	14	6	—	—	$39,575.66	$59,363.49	$41,950.20	2026-05-24
240-4	OTHER	Digestive Malignancy	14	6	—	—	$38,740.45	$59,787.25	$41,851.08	2026-05-24
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	6	—	—	$39,461.54	$59,192.31	$41,829.23	2026-05-24
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	14	6	—	—	$39,836.52	$59,754.78	$41,828.35	2026-05-24
324-3	OTHER	Elective Hip Joint Replacement	14	6	—	—	$38,127.91	$59,634.60	$41,744.22	2026-05-24
089-4	OTHER	Major Cranial Or Facial Bone Procedures	14	6	—	—	$39,126.98	$58,690.47	$41,474.60	2026-05-24
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	14	6	—	—	$39,083.29	$58,624.93	$41,428.29	2026-05-24
759-4	OTHER	Eating Disorders	2	1	—	—	$41,388.48	$41,388.48	$41,388.48	2026-05-24
261-4	OTHER	Major Biliary Tract Procedures	14	6	—	—	$38,878.51	$58,317.76	$41,211.22	2026-05-24
131-1	OTHER	Cystic Fibrosis - Pulmonary Disease	14	6	—	—	$38,154.06	$58,752.09	$41,126.46	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	52	17	—	—	$28,971.58	$162,067.99	$41,110.69	2026-05-24
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	6	—	—	$38,863.52	$58,295.28	$41,016.26	2026-05-24
006-1	OTHER	Pancreas Transplant	10	5	—	—	$40,559.49	$42,490.90	$40,945.78	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	52	17	—	—	$7,811.78	$89,060.19	$40,703.54	2026-05-24
197	OTHER	Interstitial Lung Disease With Cc	48	15	—	—	$10,015.28	$296,166.91	$40,671.73	2026-05-24
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	6	—	—	$38,719.39	$58,079.08	$40,655.36	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	52	17	—	—	$28,897.82	$170,430.30	$40,341.68	2026-05-24
183-3	OTHER	Percutaneous Structural Cardiac Procedures	14	6	—	—	$37,214.97	$57,393.76	$40,175.64	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	46	14	—	—	$34,602.63	$131,943.18	$40,127.90	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	52	17	—	—	$31,174.58	$111,085.61	$40,048.24	2026-05-24
384-4	OTHER	Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue	14	6	—	—	$36,915.38	$57,152.16	$40,006.51	2026-05-24
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	6	—	—	$37,623.78	$56,435.67	$39,881.21	2026-05-24
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	14	6	—	—	$37,973.98	$56,960.97	$39,872.68	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	52	17	—	—	$21,916.68	$97,783.91	$39,623.92	2026-05-24
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	48	16	—	—	$8,217.06	$65,328.06	$39,578.28	2026-05-24
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$37,537.04	$56,305.56	$39,413.89	2026-05-24
401-4	OTHER	Adrenal Procedures	14	6	—	—	$36,993.15	$55,489.73	$39,212.74	2026-05-24
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	14	6	—	—	$37,297.71	$55,946.57	$39,162.60	2026-05-24
593-1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	6	—	—	$21,161.58	$55,854.51	$39,098.16	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	52	17	—	—	$26,884.02	$184,620.42	$38,933.70	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	52	17	—	—	$8,767.32	$70,708.36	$38,910.18	2026-05-24
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	14	6	—	—	$35,632.12	$55,263.76	$38,684.64	2026-05-24
441-4	OTHER	Major Bladder Procedures	14	6	—	—	$36,484.48	$54,726.72	$38,673.55	2026-05-24
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	2	1	—	—	$38,654.83	$38,654.83	$38,654.83	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	52	17	—	—	$26,618.68	$209,018.27	$38,549.42	2026-05-24
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	6	—	—	$36,087.97	$54,980.07	$38,486.05	2026-05-24
178-2	OTHER	External Heart Assist Systems	14	6	—	—	$36,232.75	$54,349.13	$38,406.72	2026-05-24
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	14	6	—	—	$36,484.51	$54,726.77	$38,308.74	2026-05-24
324-4	OTHER	Elective Hip Joint Replacement	14	6	—	—	$35,564.60	$54,662.97	$38,264.08	2026-05-24
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	6	—	—	$36,168.84	$54,253.26	$37,977.28	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	52	17	—	—	$26,176.22	$129,419.50	$37,908.64	2026-05-24
165-1	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	6	—	—	$34,570.45	$53,964.21	$37,774.95	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	52	17	—	—	$26,482.54	$174,696.12	$37,728.94	2026-05-24
051-4	OTHER	Viral Meningitis	14	6	—	—	$35,476.02	$53,295.99	$37,307.19	2026-05-24
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	14	6	—	—	$34,469.72	$53,238.19	$37,266.74	2026-05-24
181-3	OTHER	Lower Extremity Arterial Procedures	14	6	—	—	$34,720.15	$53,230.83	$37,261.58	2026-05-24
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	14	6	—	—	$35,151.48	$52,727.22	$37,260.57	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	52	17	—	—	$24,964.30	$99,958.54	$37,153.96	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	52	17	—	—	$26,299.76	$107,178.61	$37,151.68	2026-05-24
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	14	6	—	—	$35,041.27	$52,561.90	$37,143.75	2026-05-24
022-4	OTHER	Ventricular Shunt Procedures	14	6	—	—	$35,018.44	$52,527.66	$37,119.55	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	52	17	—	—	$8,493.96	$84,615.14	$37,087.85	2026-05-24
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	14	6	—	—	$34,914.10	$52,371.15	$37,008.95	2026-05-24
440-1	OTHER	Kidney Transplant	10	5	—	—	$32,745.05	$38,708.96	$36,949.46	2026-05-24
097-4	OTHER	Tonsil And Adenoid Procedures	14	6	—	—	$34,645.99	$52,623.73	$36,836.61	2026-05-24
023-3	OTHER	Spinal Procedures	14	6	—	—	$34,014.83	$52,450.74	$36,715.52	2026-05-24
548-3	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	14	6	—	—	$33,619.55	$52,428.21	$36,699.75	2026-05-24
518-3	OTHER	Other Female Reproductive System And Related Procedures	14	6	—	—	$33,966.29	$52,370.70	$36,659.49	2026-05-24
179-3	OTHER	Defibrillator Implants	14	6	—	—	$34,912.80	$52,369.20	$36,658.44	2026-05-24
849	OTHER	Radiotherapy	52	17	—	—	$28,591.73	$266,108.00	$36,628.97	2026-05-24
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	14	6	—	—	$34,553.46	$56,125.90	$36,626.67	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	52	17	—	—	$25,499.90	$230,149.08	$36,604.18	2026-05-24
519-3	OTHER	Uterine And Adnexa Procedures For Leiomyoma	14	6	—	—	$32,912.93	$52,094.15	$36,465.90	2026-05-24
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	14	6	—	—	$34,291.95	$51,437.92	$36,349.47	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	52	17	—	—	$29,484.00	$149,954.58	$36,301.28	2026-05-24
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	14	6	—	—	$32,363.55	$51,839.00	$36,287.30	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	50	17	—	—	$29,632.76	$236,647.50	$36,217.82	2026-05-24
181-4	OTHER	Lower Extremity Arterial Procedures	14	6	—	—	$34,083.26	$51,124.89	$36,128.26	2026-05-24
200-4	OTHER	Cardiac Structural And Valvular Disorders	14	6	—	—	$32,851.82	$51,497.19	$36,048.03	2026-05-24
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	14	6	—	—	$34,251.86	$51,377.79	$35,964.45	2026-05-24
160-2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	6	—	—	$31,454.93	$51,371.40	$35,959.98	2026-05-24
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	14	6	—	—	$34,158.91	$51,238.37	$35,866.86	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	52	17	—	—	$12,730.44	$106,054.49	$35,843.53	2026-05-24
121-4	OTHER	Other Respiratory And Chest Procedures	14	6	—	—	$33,789.14	$50,683.71	$35,808.20	2026-05-24
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	14	6	—	—	$32,239.64	$51,118.05	$35,782.64	2026-05-24
230-4	OTHER	Major Small Bowel Procedures	14	6	—	—	$33,586.33	$50,379.50	$35,601.51	2026-05-24
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	14	6	—	—	$30,144.94	$50,663.17	$35,464.22	2026-05-24
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	6	—	—	$33,304.60	$49,956.90	$35,302.88	2026-05-24
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	6	—	—	$33,292.21	$49,938.32	$35,289.74	2026-05-24
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	52	17	—	—	$24,378.78	$208,935.75	$35,270.61	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	52	17	—	—	$10,092.12	$88,334.89	$35,234.46	2026-05-24
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	14	6	—	—	$33,210.04	$49,815.06	$35,202.64	2026-05-24
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	14	6	—	—	$32,891.13	$49,336.69	$34,864.60	2026-05-24
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	14	6	—	—	$32,947.22	$49,717.23	$34,802.06	2026-05-24
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	14	6	—	—	$32,812.88	$49,219.32	$34,781.65	2026-05-24
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	14	6	—	—	$32,565.06	$48,847.59	$34,518.96	2026-05-24
841-1	OTHER	Chemotherapy For Acute Leukemia	14	6	—	—	$32,565.06	$48,847.59	$34,518.96	2026-05-24
403-4	OTHER	Procedures For Obesity	14	6	—	—	$32,720.92	$49,081.38	$34,356.97	2026-05-24
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	14	6	—	—	$32,405.28	$48,607.92	$34,349.60	2026-05-24
863-3	OTHER	Neonatal Aftercare	14	6	—	—	$32,663.76	$49,038.34	$34,326.84	2026-05-24
031	OTHER	Ventricular Shunt Procedures With Mcc	52	17	—	—	$28,240.43	$123,249.83	$34,284.34	2026-05-24
179-2	OTHER	Defibrillator Implants	14	6	—	—	$31,711.52	$48,953.79	$34,267.65	2026-05-24
245	OTHER	Aicd Generator Procedures	52	17	—	—	$19,623.81	$97,360.51	$34,262.68	2026-05-24
178-1	OTHER	External Heart Assist Systems	14	6	—	—	$32,609.41	$48,914.11	$34,239.88	2026-05-24
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	52	17	—	—	$17,980.00	$91,615.14	$34,144.77	2026-05-24
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	14	6	—	—	$32,197.90	$48,296.85	$34,129.77	2026-05-24
652	OTHER	Kidney Transplant	46	15	—	—	$20,494.61	$177,139.02	$34,078.98	2026-05-24
799	OTHER	Splenectomy With Mcc	52	17	—	—	$15,761.12	$101,529.57	$34,011.10	2026-05-24
029-4	OTHER	Other Percutaneous Intracranial Procedures	14	6	—	—	$31,982.04	$47,973.06	$33,900.96	2026-05-24
443-4	OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	14	6	—	—	$31,692.55	$48,151.79	$33,706.25	2026-05-24
026-4	OTHER	Other Nervous System And Related Procedures	14	6	—	—	$31,783.79	$47,675.68	$33,690.82	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	42	17	—	—	$29,028.93	$146,158.35	$33,671.97	2026-05-24
484-4	OTHER	Other Male Reproductive System And Related Procedures	14	6	—	—	$30,907.95	$47,969.15	$33,578.40	2026-05-24
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	52	17	—	—	$23,212.98	$67,420.69	$33,557.81	2026-05-24

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