Hospital

PUNXSUTAWNEY AREA HOSPITAL

Punxsutawney, PA · CCN 390199 · Rates published

6,779 distinct procedures filed

16 distinct payers

194,602 rate rows

2026-05-09 last MRF observed

Data quality

187,583 of 194,602 rate rows are consumer-grade (96.4%)

7,019 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	6,624
exceeds 10× this hospital's gross charge — excluded from medians	236
template filing: same amount across many unrelated codes — excluded	115
placeholder amount (≤ $0.02) — excluded from medians	33
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	11

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

Source MRF file	https://www.pah.org/download/?id=4490
Found on page	https://www.pah.org/about/financial-assistance
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	b31a9cf2cee154c8… · 82,169,809 bytes · first seen 2026-05-09

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
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	$1,385,246.13	$1,385,246.13	$1,385,246.13	nat. median $0
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	16	$329,840.59	$1,925,463.86	$1,197,072.05	nat. median $424,868 outlier · 2.8×
007 OTHER	Lung Transplant	13	$107,422.30	$1,400,176.74	$870,507.61	nat. median $141,082 outlier · 6.2×
633 OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	1	$588,038.66	$588,038.66	$588,038.66	nat. median $4,769 outlier · 123.3×
636 OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	1	$539,985.23	$539,985.23	$539,985.23	nat. median $53 outlier · 10281.5×
634 OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	1	$488,268.68	$488,268.68	$488,268.68	nat. median $414 outlier · 1179.4×
613 OTHER	Neonate, Birth Weight <750 Grams, Died	1	$385,546.84	$385,546.84	$385,546.84	nat. median $42,666 outlier · 9.0×
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	16	$58,051.22	$605,550.43	$374,643.70	nat. median $150,232 outlier · 2.5×
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	13	$225,969.84	$785,734.21	$356,129.94	nat. median $263,894 1.3× median
841-3 OTHER	Extensive Third Degree Burns With Skin Graft	5	$214,856.05	$368,579.94	$335,072.67	nat. median $61,016 outlier · 5.5×
161-4 OTHER	Implantable Heart Assist Systems	5	$211,672.86	$335,887.07	$305,351.88	nat. median $202,242 1.5× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	13	$27,200.00	$471,044.96	$292,893.10	nat. median $117,167 outlier · 2.5×
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	16	$25,654.37	$451,511.50	$279,351.37	nat. median $64,729 outlier · 4.3×
632 OTHER	Neonate, Birth Weight 750-999 Grams, Died	1	$277,871.04	$277,871.04	$277,871.04	nat. median $8,778 outlier · 31.7×
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	16	$88,954.81	$422,423.41	$261,356.75	nat. median $218,232 1.2× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$181,655.90	$249,515.53	$226,832.30	nat. median $203,379 1.1× median
006 OTHER	Liver Transplant Without Mcc	13	$38,464.05	$364,250.06	$226,790.84	nat. median $50,611 outlier · 4.5×
008 OTHER	Simultaneous Pancreas And Kidney Transplant	13	$27,200.00	$352,586.58	$219,515.51	nat. median $59,265 outlier · 3.7×
583-4 OTHER	Neonate With Ecmo	5	$181,524.34	$238,373.73	$216,703.39	nat. median $309,400 0.7× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	$140,211.62	$230,089.60	$209,172.36	nat. median $106,926 2.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	$89,479.95	$371,076.47	$206,191.73	nat. median $146,562 1.4× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	16	$26,967.83	$332,151.70	$206,047.55	nat. median $66,849 outlier · 3.1×
570 OTHER	Skin Debridement With Mcc	16	$12,326.15	$326,823.57	$202,216.30	nat. median $33,751 outlier · 6.0×
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	16	$11,800.83	$321,835.76	$199,130.71	nat. median $67,670 outlier · 2.9×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$164,727.91	$215,900.98	$196,273.62	nat. median $210,669 0.9× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$156,812.76	$204,071.40	$185,519.45	nat. median $267,493 0.7× median
583-3 OTHER	Neonate With Ecmo	5	$153,011.01	$200,269.65	$182,063.32	nat. median $259,487 0.7× median
002-4 OTHER	Heart And/or Lung Transplant	5	$152,901.39	$199,946.19	$181,769.26	nat. median $216,800 0.8× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	13	$85,525.91	$285,409.09	$178,362.71	nat. median $104,489 1.7× median
635 OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	1	$172,159.92	$172,159.92	$172,159.92	nat. median $677 outlier · 254.2×
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$137,717.54	$183,364.69	$170,862.55	nat. median $171,094 1.0× median
583-2 OTHER	Neonate With Ecmo	5	$140,616.21	$187,447.17	$170,406.52	nat. median $191,347 0.9× median
837 OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	16	$20,134.82	$269,645.71	$166,844.65	nat. median $38,617 outlier · 4.3×
163 OTHER	Major Chest Procedures With Mcc	16	$18,783.22	$263,470.83	$163,024.71	nat. median $47,944 outlier · 3.4×
360 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	$162,991.40	$162,991.40	$162,991.40	nat. median $7,392 outlier · 22.1×
480-4 OTHER	Major Male Pelvic Procedures	1	$159,793.43	$159,793.43	$159,793.43	nat. median $27,837 outlier · 5.7×
583-1 OTHER	Neonate With Ecmo	5	$131,118.47	$173,728.32	$158,863.67	nat. median $171,226 0.9× median
653 OTHER	Major Bladder Procedures With Mcc	16	$21,778.11	$247,099.12	$152,896.76	nat. median $54,646 outlier · 2.8×
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	5	$125,529.94	$166,159.54	$151,054.13	nat. median $151,691 1.0× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	5	$125,176.90	$149,100.50	$142,323.21	nat. median $172,311 0.8× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$121,062.73	$156,346.33	$142,133.03	nat. median $169,856 0.8× median
161-3 OTHER	Implantable Heart Assist Systems	5	$124,952.37	$147,977.83	$141,251.57	nat. median $152,491 0.9× median
609-3 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$83,179.12	$155,235.07	$141,122.79	nat. median $83,785 1.7× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	16	$32,978.14	$223,247.26	$138,141.41	nat. median $82,426 1.7× median
950-4 OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	5	$86,265.49	$150,838.17	$137,125.61	nat. median $47,465 outlier · 2.9×
608 OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	1	$136,058.22	$136,058.22	$136,058.22	nat. median $12,228 outlier · 11.1×
471 OTHER	Cervical Spinal Fusion With Mcc	16	$20,237.08	$217,860.06	$134,808.75	nat. median $399 outlier · 337.6×
030-4 OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	5	$83,475.79	$146,957.88	$133,598.07	nat. median $38,541 outlier · 3.5×
326 OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	16	$20,902.19	$212,796.67	$131,676.41	nat. median $45,545 outlier · 2.9×
461 OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	16	$23,146.89	$209,333.68	$129,534.11	nat. median $53,999 outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 6,779 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

681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	1	—	—	$1,385,246.13	$1,385,246.13	$1,385,246.13	2026-05-09
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	16	—	—	$329,840.59	$1,925,463.86	$1,197,072.05	2026-05-09
007	OTHER	Lung Transplant	20	13	—	—	$107,422.30	$1,400,176.74	$870,507.61	2026-05-09
633	OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	1	1	—	—	$588,038.66	$588,038.66	$588,038.66	2026-05-09
636	OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	1	1	—	—	$539,985.23	$539,985.23	$539,985.23	2026-05-09
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	1	1	—	—	$488,268.68	$488,268.68	$488,268.68	2026-05-09
613	OTHER	Neonate, Birth Weight <750 Grams, Died	1	1	—	—	$385,546.84	$385,546.84	$385,546.84	2026-05-09
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	25	16	—	—	$58,051.22	$605,550.43	$374,643.70	2026-05-09
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	13	—	—	$225,969.84	$785,734.21	$356,129.94	2026-05-09
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	7	5	—	—	$214,856.05	$368,579.94	$335,072.67	2026-05-09
161-4	OTHER	Implantable Heart Assist Systems	7	5	—	—	$211,672.86	$335,887.07	$305,351.88	2026-05-09
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	13	—	—	$27,200.00	$471,044.96	$292,893.10	2026-05-09
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	25	16	—	—	$25,654.37	$451,511.50	$279,351.37	2026-05-09
632	OTHER	Neonate, Birth Weight 750-999 Grams, Died	1	1	—	—	$277,871.04	$277,871.04	$277,871.04	2026-05-09
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	25	16	—	—	$88,954.81	$422,423.41	$261,356.75	2026-05-09
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	5	—	—	$181,655.90	$249,515.53	$226,832.30	2026-05-09
006	OTHER	Liver Transplant Without Mcc	20	13	—	—	$38,464.05	$364,250.06	$226,790.84	2026-05-09
008	OTHER	Simultaneous Pancreas And Kidney Transplant	20	13	—	—	$27,200.00	$352,586.58	$219,515.51	2026-05-09
583-4	OTHER	Neonate With Ecmo	7	5	—	—	$181,524.34	$238,373.73	$216,703.39	2026-05-09
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	5	—	—	$140,211.62	$230,089.60	$209,172.36	2026-05-09
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	25	16	—	—	$89,479.95	$371,076.47	$206,191.73	2026-05-09
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	25	16	—	—	$26,967.83	$332,151.70	$206,047.55	2026-05-09
570	OTHER	Skin Debridement With Mcc	25	16	—	—	$12,326.15	$326,823.57	$202,216.30	2026-05-09
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	25	16	—	—	$11,800.83	$321,835.76	$199,130.71	2026-05-09
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	5	—	—	$164,727.91	$215,900.98	$196,273.62	2026-05-09
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	5	—	—	$156,812.76	$204,071.40	$185,519.45	2026-05-09
583-3	OTHER	Neonate With Ecmo	7	5	—	—	$153,011.01	$200,269.65	$182,063.32	2026-05-09
002-4	OTHER	Heart And/or Lung Transplant	7	5	—	—	$152,901.39	$199,946.19	$181,769.26	2026-05-09
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	20	13	—	—	$85,525.91	$285,409.09	$178,362.71	2026-05-09
635	OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	1	1	—	—	$172,159.92	$172,159.92	$172,159.92	2026-05-09
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	4	—	—	$137,717.54	$183,364.69	$170,862.55	2026-05-09
583-2	OTHER	Neonate With Ecmo	7	5	—	—	$140,616.21	$187,447.17	$170,406.52	2026-05-09
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	25	16	—	—	$20,134.82	$269,645.71	$166,844.65	2026-05-09
163	OTHER	Major Chest Procedures With Mcc	25	16	—	—	$18,783.22	$263,470.83	$163,024.71	2026-05-09
360	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	1	—	—	$162,991.40	$162,991.40	$162,991.40	2026-05-09
480-4	OTHER	Major Male Pelvic Procedures	1	1	—	—	$159,793.43	$159,793.43	$159,793.43	2026-05-09
583-1	OTHER	Neonate With Ecmo	7	5	—	—	$131,118.47	$173,728.32	$158,863.67	2026-05-09
653	OTHER	Major Bladder Procedures With Mcc	25	16	—	—	$21,778.11	$247,099.12	$152,896.76	2026-05-09
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	7	5	—	—	$125,529.94	$166,159.54	$151,054.13	2026-05-09
007-4	OTHER	Allogeneic Bone Marrow Transplant	7	5	—	—	$125,176.90	$149,100.50	$142,323.21	2026-05-09
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	5	—	—	$121,062.73	$156,346.33	$142,133.03	2026-05-09
161-3	OTHER	Implantable Heart Assist Systems	7	5	—	—	$124,952.37	$147,977.83	$141,251.57	2026-05-09
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	5	—	—	$83,179.12	$155,235.07	$141,122.79	2026-05-09
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	25	16	—	—	$32,978.14	$223,247.26	$138,141.41	2026-05-09
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	5	—	—	$86,265.49	$150,838.17	$137,125.61	2026-05-09
608	OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	1	1	—	—	$136,058.22	$136,058.22	$136,058.22	2026-05-09
471	OTHER	Cervical Spinal Fusion With Mcc	25	16	—	—	$20,237.08	$217,860.06	$134,808.75	2026-05-09
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	7	5	—	—	$83,475.79	$146,957.88	$133,598.07	2026-05-09
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	25	16	—	—	$20,902.19	$212,796.67	$131,676.41	2026-05-09
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	25	16	—	—	$23,146.89	$209,333.68	$129,534.11	2026-05-09
010	OTHER	Pancreas Transplant	20	13	—	—	$27,200.00	$206,418.64	$128,688.51	2026-05-09
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	5	—	—	$111,377.82	$141,101.58	$128,274.16	2026-05-09
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	25	16	—	—	$22,186.32	$205,843.12	$127,374.77	2026-05-09
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	7	5	—	—	$77,609.65	$138,266.98	$125,697.25	2026-05-09
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	5	—	—	$108,018.99	$136,245.87	$123,859.88	2026-05-09
023-4	OTHER	Spinal Procedures	7	5	—	—	$76,289.46	$134,403.56	$122,185.05	2026-05-09
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	5	—	—	$98,429.50	$126,359.34	$120,615.74	2026-05-09
215	OTHER	Other Heart Assist System Implant	25	16	—	—	$41,729.79	$392,066.40	$120,376.81	2026-05-09
002-3	OTHER	Heart And/or Lung Transplant	7	5	—	—	$102,259.15	$132,196.75	$120,178.86	2026-05-09
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	25	16	—	—	$13,316.48	$193,336.11	$119,637.62	2026-05-09
020-4	OTHER	Open Craniotomy For Trauma	7	5	—	—	$74,335.96	$131,471.90	$119,519.91	2026-05-09
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	5	—	—	$65,763.36	$124,509.26	$118,849.75	2026-05-09
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	5	—	—	$102,162.12	$129,961.32	$118,146.65	2026-05-09
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	5	—	—	$103,325.92	$128,986.72	$117,260.65	2026-05-09
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	7	5	—	—	$66,903.32	$128,864.80	$117,149.82	2026-05-09
647	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	1	1	—	—	$114,493.50	$114,493.50	$114,493.50	2026-05-09
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	5	—	—	$99,375.85	$125,250.49	$113,864.08	2026-05-09
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	16	—	—	$35,218.65	$183,955.12	$113,834.30	2026-05-09
323-4	OTHER	Non-elective Or Complex Hip Joint Replacement	7	5	—	—	$68,620.48	$124,011.26	$112,737.51	2026-05-09
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	1	1	—	—	$112,419.44	$112,419.44	$112,419.44	2026-05-09
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	7	5	—	—	$95,966.34	$121,627.14	$110,570.13	2026-05-09
440-3	OTHER	Kidney Transplant	7	5	—	—	$62,313.80	$121,428.79	$110,389.81	2026-05-09
356	OTHER	Other Digestive System O.r. Procedures With Mcc	25	16	—	—	$18,410.22	$178,158.51	$110,248.38	2026-05-09
231	OTHER	Coronary Bypass With Ptca With Mcc	25	16	—	—	$35,329.71	$175,518.93	$109,223.84	2026-05-09
440-2	OTHER	Kidney Transplant	7	5	—	—	$61,473.96	$120,068.07	$109,152.79	2026-05-09
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	7	5	—	—	$61,315.66	$119,811.59	$108,919.63	2026-05-09
055-4	OTHER	Head Trauma With Coma > 1 Hour Or Hemorrhage	7	5	—	—	$65,395.80	$119,576.07	$108,705.52	2026-05-09
232-4	OTHER	Gastric Fundoplication	7	5	—	—	$65,744.76	$119,040.98	$108,219.07	2026-05-09
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	16	—	—	$40,999.71	$172,800.61	$107,590.75	2026-05-09
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	5	—	—	$92,801.72	$116,324.12	$105,749.20	2026-05-09
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	16	—	—	$32,179.76	$167,189.33	$104,131.45	2026-05-09
161-2	OTHER	Implantable Heart Assist Systems	7	5	—	—	$91,743.67	$108,882.93	$103,933.70	2026-05-09
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	5	—	—	$64,082.43	$113,862.86	$103,511.69	2026-05-09
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	7	5	—	—	$62,258.24	$113,227.20	$102,933.82	2026-05-09
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	7	5	—	—	$61,842.98	$111,755.21	$101,595.65	2026-05-09
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	7	5	—	—	$60,565.15	$110,742.62	$100,675.11	2026-05-09
161-1	OTHER	Implantable Heart Assist Systems	7	5	—	—	$87,135.58	$108,882.93	$100,130.50	2026-05-09
027-1	OTHER	Other Open Craniotomy	7	5	—	—	$58,799.47	$109,831.11	$99,846.46	2026-05-09
002-2	OTHER	Heart And/or Lung Transplant	7	5	—	—	$94,871.83	$104,458.22	$99,710.12	2026-05-09
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	19	16	—	—	$92,489.60	$273,655.62	$98,963.87	2026-05-09
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	7	5	—	—	$61,264.80	$108,669.85	$98,790.77	2026-05-09
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	4	—	—	$94,328.92	$105,025.40	$98,392.24	2026-05-09
362	OTHER	Cardiac Defibrillator Implant Without Mcc	1	1	—	—	$98,283.54	$98,283.54	$98,283.54	2026-05-09
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$84,425.30	$105,809.30	$96,190.27	2026-05-09
446-4	OTHER	Urethral And Transurethral Procedures	7	5	—	—	$56,648.65	$105,203.68	$95,639.71	2026-05-09
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	25	16	—	—	$24,015.69	$157,568.08	$95,281.71	2026-05-09
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	5	—	—	$83,399.02	$104,569.18	$95,062.89	2026-05-09
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	5	—	—	$83,847.31	$104,047.12	$94,588.29	2026-05-09
131-1	OTHER	Cystic Fibrosis - Pulmonary Disease	7	5	—	—	$54,430.75	$103,488.57	$94,080.52	2026-05-09
240-4	OTHER	Digestive Malignancy	7	5	—	—	$54,987.96	$103,172.74	$93,793.40	2026-05-09
324-3	OTHER	Elective Hip Joint Replacement	7	5	—	—	$54,821.51	$102,770.66	$93,427.87	2026-05-09
650-4	OTHER	Splenectomy	7	5	—	—	$55,865.57	$102,691.12	$93,355.56	2026-05-09
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	5	—	—	$55,725.32	$102,501.70	$93,183.36	2026-05-09
347	OTHER	Anal And Stomal Procedures With Mcc	25	16	—	—	$9,620.86	$150,265.49	$92,993.05	2026-05-09
197	OTHER	Interstitial Lung Disease With Cc	25	16	—	—	$3,977.68	$148,023.85	$91,606.33	2026-05-09
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	25	16	—	—	$11,053.34	$147,963.26	$91,568.84	2026-05-09
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	5	—	—	$80,100.97	$100,272.15	$91,156.50	2026-05-09
384-4	OTHER	Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue	7	5	—	—	$52,817.29	$99,971.86	$90,883.51	2026-05-09
007-3	OTHER	Allogeneic Bone Marrow Transplant	7	5	—	—	$78,214.19	$94,829.77	$90,519.32	2026-05-09
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	5	—	—	$85,351.30	$94,114.56	$89,836.62	2026-05-09
027-4	OTHER	Other Open Craniotomy	7	5	—	—	$53,929.21	$98,604.23	$89,640.21	2026-05-09
178-3	OTHER	External Heart Assist Systems	7	5	—	—	$54,386.55	$98,419.63	$89,472.39	2026-05-09
014	OTHER	Allogeneic Bone Marrow Transplant	22	15	—	—	$14,906.36	$174,112.67	$89,393.31	2026-05-09
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	5	—	—	$77,411.32	$96,870.76	$88,064.33	2026-05-09
178-4	OTHER	External Heart Assist Systems	7	5	—	—	$60,665.31	$96,659.37	$87,872.15	2026-05-09
648	OTHER	Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…	1	1	—	—	$87,438.70	$87,438.70	$87,438.70	2026-05-09
183-3	OTHER	Percutaneous Structural Cardiac Procedures	7	5	—	—	$52,229.17	$96,074.68	$87,340.62	2026-05-09
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$79,080.22	$91,009.09	$86,872.32	2026-05-09
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	5	—	—	$76,578.12	$95,396.04	$86,723.67	2026-05-09
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	5	—	—	$73,763.27	$90,810.38	$86,131.27	2026-05-09
324-4	OTHER	Elective Hip Joint Replacement	7	5	—	—	$50,305.17	$94,490.48	$85,900.44	2026-05-09
091-4	OTHER	Other Major Head And Neck Procedures	7	5	—	—	$52,028.25	$94,451.68	$85,865.16	2026-05-09
051-4	OTHER	Viral Meningitis	7	5	—	—	$49,460.33	$94,327.13	$85,751.94	2026-05-09
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	5	—	—	$75,529.75	$94,087.17	$85,533.79	2026-05-09
548-3	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	7	5	—	—	$48,842.51	$93,789.56	$85,263.24	2026-05-09
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	7	5	—	—	$50,057.94	$92,972.03	$84,520.03	2026-05-09
165-1	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	5	—	—	$49,591.12	$92,904.69	$84,458.81	2026-05-09
181-3	OTHER	Lower Extremity Arterial Procedures	7	5	—	—	$49,131.13	$92,781.12	$84,346.47	2026-05-09
097-4	OTHER	Tonsil And Adenoid Procedures	7	5	—	—	$48,766.00	$92,762.24	$84,329.31	2026-05-09
518-3	OTHER	Other Female Reproductive System And Related Procedures	7	5	—	—	$48,608.93	$92,728.35	$84,298.50	2026-05-09
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	7	5	—	—	$59,470.18	$92,466.24	$84,060.22	2026-05-09
519-3	OTHER	Uterine And Adnexa Procedures For Leiomyoma	7	5	—	—	$48,384.31	$92,409.44	$84,008.58	2026-05-09
006-4	OTHER	Pancreas Transplant	7	5	—	—	$74,121.81	$92,075.81	$83,705.28	2026-05-09
200-4	OTHER	Cardiac Structural And Valvular Disorders	7	5	—	—	$47,896.06	$91,702.90	$83,366.27	2026-05-09
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	5	—	—	$48,893.04	$91,490.22	$83,172.93	2026-05-09
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	5	—	—	$63,796.60	$91,476.90	$83,160.82	2026-05-09
023-3	OTHER	Spinal Procedures	7	5	—	—	$48,289.20	$90,772.32	$82,520.29	2026-05-09
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	1	1	—	—	$82,114.33	$82,114.33	$82,114.33	2026-05-09
849	OTHER	Radiotherapy	25	16	—	—	$11,355.51	$132,230.83	$81,836.37	2026-05-09
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	5	—	—	$72,029.28	$88,922.64	$80,838.76	2026-05-09
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	5	—	—	$71,205.20	$86,112.37	$79,780.97	2026-05-09
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	7	5	—	—	$51,833.13	$87,150.16	$79,227.42	2026-05-09
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	4	—	—	$73,625.01	$84,317.01	$78,625.92	2026-05-09
213	OTHER	Splenic Procedures Age 0-17	1	1	—	—	$78,068.43	$78,068.43	$78,068.43	2026-05-09
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$74,141.52	$81,745.05	$78,029.36	2026-05-09
179-2	OTHER	Defibrillator Implants	7	5	—	—	$45,268.75	$85,780.13	$77,981.94	2026-05-09
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	7	5	—	—	$45,733.24	$85,690.03	$77,900.03	2026-05-09
160-2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	5	—	—	$45,619.24	$85,613.63	$77,830.57	2026-05-09
443-4	OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	7	5	—	—	$44,669.55	$85,133.11	$77,393.74	2026-05-09
401-3	OTHER	Adrenal Procedures	7	5	—	—	$44,304.83	$84,998.86	$77,271.69	2026-05-09
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	25	16	—	—	$5,835.27	$132,778.51	$77,130.11	2026-05-09
044-4	OTHER	Intracranial Hemorrhage	7	5	—	—	$43,157.07	$83,851.03	$76,228.21	2026-05-09
405-2	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	7	5	—	—	$41,954.06	$82,753.80	$75,230.73	2026-05-09
022-4	OTHER	Ventricular Shunt Procedures	7	5	—	—	$43,824.70	$82,600.90	$75,091.73	2026-05-09
140-4	OTHER	Chronic Obstructive Pulmonary Disease	7	5	—	—	$41,670.72	$82,312.54	$74,829.58	2026-05-09
279-4	OTHER	Hepatic Coma And Other Major Acute Liver Disorders	7	5	—	—	$42,123.00	$82,182.11	$74,711.01	2026-05-09
692-3	OTHER	Radiotherapy	7	5	—	—	$42,163.92	$82,107.09	$74,642.81	2026-05-09
518-4	OTHER	Other Female Reproductive System And Related Procedures	7	5	—	—	$43,022.27	$82,096.12	$74,632.84	2026-05-09
162	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age 0-17	1	1	—	—	$74,327.05	$74,327.05	$74,327.05	2026-05-09
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	7	5	—	—	$51,779.32	$81,627.67	$74,206.97	2026-05-09
242-4	OTHER	Major Esophageal Disorders	7	5	—	—	$41,526.76	$81,226.40	$73,842.18	2026-05-09
588-1	OTHER	Female Reproductive System Reconstructive Procedures	7	5	—	—	$69,985.30	$80,851.42	$73,501.29	2026-05-09
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	23	15	—	—	$38,998.25	$117,348.50	$73,342.81	2026-05-09
029-2	OTHER	Other Percutaneous Intracranial Procedures	7	5	—	—	$40,848.28	$80,280.71	$72,982.46	2026-05-09
309-3	OTHER	Other Significant Hip And Femur Surgery	7	5	—	—	$40,635.57	$79,478.69	$72,253.35	2026-05-09
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	5	—	—	$68,812.15	$75,693.37	$72,252.76	2026-05-09
895	OTHER	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	25	16	—	—	$5,932.78	$116,023.89	$71,810.34	2026-05-09
133-4	OTHER	Respiratory Failure	7	5	—	—	$39,774.35	$78,899.84	$71,727.13	2026-05-09
277	OTHER	Cellulitis Age >17 W Cc	25	16	—	—	$8,413.65	$114,711.04	$71,694.40	2026-05-09
863-4	OTHER	Neonatal Aftercare	7	5	—	—	$59,672.29	$74,031.23	$70,666.18	2026-05-09
745	OTHER	D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc	25	16	—	—	$4,767.26	$113,699.81	$70,372.61	2026-05-09
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	5	—	—	$66,279.21	$73,398.07	$70,255.96	2026-05-09
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	25	16	—	—	$13,524.78	$198,292.08	$70,150.18	2026-05-09
432	OTHER	Cirrhosis And Alcoholic Hepatitis With Mcc	25	16	—	—	$8,248.73	$113,264.70	$70,103.44	2026-05-09
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	5	—	—	$48,143.72	$76,932.29	$69,938.45	2026-05-09
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	5	—	—	$65,959.00	$77,060.53	$69,916.54	2026-05-09
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	7	5	—	—	$61,966.55	$73,184.03	$69,857.49	2026-05-09
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	5	—	—	$50,352.49	$76,753.27	$69,775.70	2026-05-09
530-4	OTHER	Female Reproductive System Malignancy	7	5	—	—	$38,605.70	$76,737.73	$69,761.57	2026-05-09
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	25	16	—	—	$22,858.13	$196,798.53	$69,676.12	2026-05-09
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	25	16	—	—	$16,697.36	$111,478.29	$69,673.93	2026-05-09
651-1	OTHER	Other Procedures Of Blood And Blood-forming Organs	7	5	—	—	$37,700.98	$76,189.66	$69,263.33	2026-05-09
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	25	16	—	—	$32,041.03	$160,286.19	$69,059.91	2026-05-09
651-3	OTHER	Other Procedures Of Blood And Blood-forming Organs	7	5	—	—	$38,228.58	$75,869.81	$68,972.55	2026-05-09
351-4	OTHER	Other Musculoskeletal System And Connective Tissue Diagnoses	7	5	—	—	$37,753.22	$75,638.43	$68,762.21	2026-05-09
440-1	OTHER	Kidney Transplant	7	5	—	—	$38,708.96	$75,637.88	$68,761.71	2026-05-09
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	5	—	—	$40,318.72	$75,611.27	$68,737.52	2026-05-09
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	5	—	—	$57,017.39	$71,981.72	$68,709.83	2026-05-09
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	5	—	—	$42,591.33	$75,571.42	$68,701.29	2026-05-09
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	7	5	—	—	$62,776.11	$74,997.53	$68,179.57	2026-05-09
440-4	OTHER	Kidney Transplant	7	5	—	—	$64,899.91	$71,389.90	$68,144.91	2026-05-09
006-3	OTHER	Pancreas Transplant	7	5	—	—	$64,507.97	$70,958.77	$67,733.37	2026-05-09
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	7	5	—	—	$38,467.46	$74,305.88	$67,550.80	2026-05-09
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	5	—	—	$38,015.26	$74,236.37	$67,487.61	2026-05-09
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	7	5	—	—	$41,771.38	$74,090.31	$67,354.83	2026-05-09
326-4	OTHER	Elective Knee Joint Replacement	7	5	—	—	$36,994.93	$73,095.45	$66,450.41	2026-05-09
444-4	OTHER	Renal Dialysis Access Device Procedures	7	5	—	—	$37,326.06	$72,870.61	$66,246.01	2026-05-09
002-1	OTHER	Heart And/or Lung Transplant	7	5	—	—	$61,337.53	$72,796.15	$66,178.32	2026-05-09
180-4	OTHER	Other Circulatory System Procedures	7	5	—	—	$37,037.02	$72,558.29	$65,962.08	2026-05-09
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	5	—	—	$41,386.16	$72,464.07	$65,876.43	2026-05-09
955	OTHER	Craniotomy For Multiple Significant Trauma	25	16	—	—	$28,210.04	$457,604.07	$65,796.44	2026-05-09
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	5	—	—	$37,181.08	$72,355.04	$65,777.31	2026-05-09
007-1	OTHER	Allogeneic Bone Marrow Transplant	7	5	—	—	$52,245.84	$72,126.54	$65,569.58	2026-05-09
623-1	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	7	5	—	—	$31,871.97	$72,106.50	$65,551.36	2026-05-09
131-2	OTHER	Cystic Fibrosis - Pulmonary Disease	7	5	—	—	$35,296.46	$71,802.37	$65,274.88	2026-05-09
911-2	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	7	5	—	—	$35,679.47	$71,757.15	$65,233.77	2026-05-09
910-4	OTHER	Craniotomy For Multiple Significant Trauma	7	5	—	—	$54,438.59	$71,549.07	$65,044.61	2026-05-09
183-1	OTHER	Percutaneous Structural Cardiac Procedures	7	5	—	—	$36,168.02	$71,341.29	$64,855.72	2026-05-09
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	23	15	—	—	$30,739.72	$193,303.22	$64,771.27	2026-05-09
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	5	—	—	$57,566.44	$70,304.21	$64,629.03	2026-05-09
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	4	—	—	$58,407.28	$69,099.28	$64,387.97	2026-05-09
007-2	OTHER	Allogeneic Bone Marrow Transplant	7	5	—	—	$60,708.55	$66,779.41	$64,351.06	2026-05-09
323-1	OTHER	Non-elective Or Complex Hip Joint Replacement	7	5	—	—	$34,533.28	$70,765.27	$64,332.06	2026-05-09
7300100687	OTHER	Adstiladren 4x20ml	45	15	$180,025.00	$64,809.00 64% off	$38,564.87	$180,025.00	$64,274.79	2026-05-09
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	7	5	—	—	$60,286.61	$86,133.88	$63,903.81	2026-05-09
677	OTHER	Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With…	1	1	—	—	$63,852.04	$63,852.04	$63,852.04	2026-05-09
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	25	16	—	—	$28,967.35	$130,378.35	$63,806.60	2026-05-09
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	7	5	—	—	$45,993.78	$70,063.76	$63,694.33	2026-05-09
445-2	OTHER	Other Bladder Procedures	7	5	—	—	$34,008.01	$69,961.73	$63,601.57	2026-05-09
040-3	OTHER	Spinal Disorders And Injuries	7	5	—	—	$34,204.24	$69,773.34	$63,430.31	2026-05-09
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$59,380.78	$65,318.86	$62,349.82	2026-05-09
131-3	OTHER	Cystic Fibrosis - Pulmonary Disease	7	5	—	—	$33,551.53	$68,384.35	$62,167.59	2026-05-09
333	OTHER	Rectal Resection With Cc	25	16	—	—	$9,816.16	$98,935.34	$61,834.59	2026-05-09
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	25	16	—	—	$10,243.64	$98,355.65	$61,472.28	2026-05-09
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	5	—	—	$37,486.57	$67,214.40	$61,104.00	2026-05-09
224-3	OTHER	Peritoneal Adhesiolysis	7	5	—	—	$32,700.44	$66,895.07	$60,813.70	2026-05-09
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	25	16	—	—	$954.45	$101,023.26	$60,748.58	2026-05-09
091-2	OTHER	Other Major Head And Neck Procedures	7	5	—	—	$32,775.14	$66,694.68	$60,631.53	2026-05-09
566-3	OTHER	Antepartum Without O.r. Procedure	7	5	—	—	$31,449.88	$66,527.47	$60,479.52	2026-05-09
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	5	—	—	$57,036.95	$62,740.65	$60,459.17	2026-05-09
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	25	16	—	—	$16,182.29	$97,278.72	$60,214.12	2026-05-09
322-4	OTHER	Shoulder And Elbow Joint Replacement	7	5	—	—	$32,608.08	$65,855.50	$59,868.64	2026-05-09
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	5	—	—	$41,062.56	$62,491.00	$59,650.50	2026-05-09
815-4	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses	7	5	—	—	$31,910.60	$65,607.88	$59,643.53	2026-05-09
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$54,850.30	$62,397.74	$59,561.48	2026-05-09
181-4	OTHER	Lower Extremity Arterial Procedures	7	5	—	—	$37,491.59	$65,477.58	$59,525.07	2026-05-09
098-4	OTHER	Other Ear, Nose, Mouth And Throat Procedures	7	5	—	—	$32,507.37	$65,187.95	$59,261.77	2026-05-09
006-2	OTHER	Pancreas Transplant	7	5	—	—	$55,613.31	$61,174.64	$58,950.11	2026-05-09
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	25	16	—	—	$31,935.00	$172,705.51	$58,202.62	2026-05-09
232	OTHER	Coronary Bypass With Ptca Without Mcc	25	16	—	—	$25,408.36	$92,707.84	$57,942.40	2026-05-09
396	OTHER	Major Head And Neck Procedures With Mcc	1	1	—	—	$57,716.38	$57,716.38	$57,716.38	2026-05-09
344-4	OTHER	Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections	7	5	—	—	$30,296.60	$63,137.71	$57,397.92	2026-05-09
631	OTHER	Neonate, Birth Weight 750-999 Grams, Discharged Alive	1	1	—	—	$57,388.86	$57,388.86	$57,388.86	2026-05-09
894-4	OTHER	HIV With One Significant HIV Condition Or Without Significant Related Conditions	7	5	—	—	$29,985.93	$63,111.41	$57,374.01	2026-05-09
503	OTHER	Foot Procedures With Mcc	25	16	—	—	$11,697.50	$99,674.33	$57,355.07	2026-05-09
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	25	16	—	—	$20,626.84	$238,847.54	$56,943.34	2026-05-09
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	5	—	—	$54,205.97	$59,626.57	$56,916.27	2026-05-09
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	5	—	—	$53,334.03	$58,667.43	$56,534.07	2026-05-09
540-4	OTHER	Cesarean Section Without Sterilization	7	5	—	—	$29,757.07	$62,131.07	$56,482.79	2026-05-09
171-2	OTHER	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	7	5	—	—	$29,264.25	$61,964.63	$56,331.48	2026-05-09
264-2	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	7	5	—	—	$29,122.14	$61,883.26	$56,257.51	2026-05-09
304-1	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	5	—	—	$29,548.60	$61,781.46	$56,164.96	2026-05-09
176-3	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	7	5	—	—	$29,980.52	$61,765.04	$56,150.04	2026-05-09
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	5	—	—	$36,621.43	$61,759.76	$56,145.24	2026-05-09
346-4	OTHER	Connective Tissue Disorders	7	5	—	—	$29,819.54	$61,671.42	$56,064.93	2026-05-09
530-1	OTHER	Female Reproductive System Malignancy	7	5	—	—	$28,343.37	$61,579.68	$55,981.53	2026-05-09
027-2	OTHER	Other Open Craniotomy	7	5	—	—	$29,343.82	$61,430.29	$55,845.72	2026-05-09
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	5	—	—	$52,416.48	$58,474.48	$55,816.55	2026-05-09
402	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures Age >17 Without Cc/mcc	1	1	—	—	$55,716.53	$55,716.53	$55,716.53	2026-05-09
547-4	OTHER	Antepartum With O.r. Procedure	7	5	—	—	$29,654.47	$61,241.93	$55,674.48	2026-05-09
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	25	16	—	—	$25,684.12	$456,883.63	$55,374.70	2026-05-09
681-3	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	5	—	—	$29,108.43	$60,782.12	$55,256.47	2026-05-09
166-2	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	5	—	—	$30,016.66	$60,357.02	$54,870.02	2026-05-09
691	OTHER	Kidney Transplant With Hemodialysis With Mcc	1	1	—	—	$54,799.70	$54,799.70	$54,799.70	2026-05-09
459	OTHER	Spinal Fusion Except Cervical With Mcc	19	16	—	—	$51,194.98	$176,973.88	$54,778.63	2026-05-09
098-3	OTHER	Other Ear, Nose, Mouth And Throat Procedures	7	5	—	—	$28,498.55	$60,144.41	$54,676.74	2026-05-09
248-3	OTHER	Major Gastrointestinal And Peritoneal Infections	7	5	—	—	$27,686.07	$60,075.38	$54,613.98	2026-05-09
890-4	OTHER	HIV With Multiple Major HIV Related Conditions	7	5	—	—	$28,908.07	$59,811.38	$54,373.98	2026-05-09
179-4	OTHER	Defibrillator Implants	7	5	—	—	$48,137.01	$59,637.80	$54,216.18	2026-05-09
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	25	16	—	—	$12,338.72	$87,447.41	$54,132.22	2026-05-09
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	7	5	—	—	$50,364.82	$56,556.97	$53,986.20	2026-05-09
908	OTHER	Other O.r. Procedures For Injuries With Cc	25	16	—	—	$8,361.88	$86,595.95	$53,605.49	2026-05-09
176-2	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	7	5	—	—	$27,299.49	$58,235.95	$52,941.77	2026-05-09
280-4	OTHER	Alcoholic Liver Disease	7	5	—	—	$27,410.14	$58,209.66	$52,917.87	2026-05-09
841	OTHER	Lymphoma And Non-acute Leukemia With Cc	25	16	—	—	$1,310.50	$85,449.20	$52,896.08	2026-05-09
314	OTHER	Other Circulatory System Diagnoses With Mcc	25	16	—	—	$8,739.07	$146,030.67	$52,810.07	2026-05-09
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	25	16	—	—	$5,360.30	$115,333.99	$52,803.41	2026-05-09
183-4	OTHER	Percutaneous Structural Cardiac Procedures	7	5	—	—	$49,635.71	$54,599.28	$52,613.85	2026-05-09
110-2	OTHER	Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies	7	5	—	—	$26,241.04	$57,837.19	$52,579.26	2026-05-09
951-3	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	5	—	—	$27,024.04	$57,649.77	$52,408.88	2026-05-09
401-2	OTHER	Adrenal Procedures	7	5	—	—	$26,468.97	$57,558.67	$52,326.06	2026-05-09
183-2	OTHER	Percutaneous Structural Cardiac Procedures	7	5	—	—	$31,802.89	$57,521.50	$52,292.27	2026-05-09
104	OTHER	Craniotomy, Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17	1	1	—	—	$51,967.71	$51,967.71	$51,967.71	2026-05-09
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	24	16	—	—	$7,387.10	$93,038.38	$51,837.84	2026-05-09
145-4	OTHER	Acute Bronchitis And Related Symptoms	7	5	—	—	$25,948.41	$56,960.65	$51,782.41	2026-05-09
179-1	OTHER	Defibrillator Implants	7	5	—	—	$27,028.50	$56,836.29	$51,669.35	2026-05-09
721-4	OTHER	Post-operative, Post-traumatic, Other Device Infections	7	5	—	—	$26,289.67	$56,429.49	$51,299.54	2026-05-09
403-4	OTHER	Procedures For Obesity	7	5	—	—	$35,993.01	$56,284.89	$51,168.08	2026-05-09
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	5	—	—	$48,104.47	$59,807.93	$50,990.74	2026-05-09
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	5	—	—	$47,722.31	$53,391.24	$50,964.36	2026-05-09
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	21	14	—	—	$34,242.65	$81,496.90	$50,950.60	2026-05-09
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	5	—	—	$47,287.32	$53,331.71	$50,907.54	2026-05-09
140	OTHER	Major Head And Neck Procedures With Mcc	25	16	—	—	$1,804.18	$82,221.86	$50,899.56	2026-05-09
341-4	OTHER	Fracture Of Pelvis Or Dislocation Of Hip	7	5	—	—	$25,617.78	$55,971.16	$50,882.87	2026-05-09
561-4	OTHER	Postpartum And Post Abortion Diagnoses Without Procedure	7	5	—	—	$25,392.39	$55,822.47	$50,747.70	2026-05-09
326-2	OTHER	Elective Knee Joint Replacement	7	5	—	—	$25,177.90	$55,679.71	$50,617.92	2026-05-09
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	25	16	—	—	$1,493.35	$81,751.12	$50,608.35	2026-05-09
288	OTHER	Acute And Subacute Endocarditis With Mcc	25	16	—	—	$11,341.68	$180,810.59	$50,481.98	2026-05-09
160-1	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	5	—	—	$26,641.46	$55,218.81	$50,198.92	2026-05-09
910-2	OTHER	Craniotomy For Multiple Significant Trauma	7	5	—	—	$25,551.43	$55,122.87	$50,111.70	2026-05-09

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