Hospital

SHARON REGIONAL MEDICAL CENTER

Sharon, PA · CCN 390211 · Rates published

11,535 distinct procedures filed

46 distinct payers

460,611 rate rows

2026-05-18 last MRF observed

Data quality

453,184 of 460,611 rate rows are consumer-grade (98.4%)

7,427 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	3,060
per-diem day rate — not a per-procedure price	2,243
template filing: same amount across many unrelated codes — excluded	1,704
placeholder amount (≤ $0.02) — excluded from medians	360
exceeds 10× this hospital's gross charge — excluded from medians	60

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

Source MRF file	https://sharonregionalhealthsystem.org/wp-content/uploads/2025/05/332621724_SharonRegional_standardcharges.zip
Found on page	https://sharonregionalhealthsystem.org/information/transparency/
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-19
Content fingerprint	de87808c2b225635… · 4,373,732 bytes · first seen 2026-05-18

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
843-4 OTHER	Extensive Third Degree Burns Without Skin Graft	12	$1,486,229.07	$1,750,106.11	$1,560,540.52	nat. median $13,306 outlier · 117.3×
004-2 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	$1,012,399.96	$1,495,143.06	$1,063,019.96	nat. median $61,469 outlier · 17.3×
583-3 OTHER	Neonate With Ecmo	12	$611,241.38	$739,020.40	$641,803.45	nat. median $259,487 outlier · 2.5×
008-4 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	$603,160.68	$694,101.29	$633,318.71	nat. median $81,385 outlier · 7.8×
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	12	$540,714.12	$641,935.43	$567,749.83	nat. median $87,000 outlier · 6.5×
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	$5,196.00	$963,634.46	$555,539.56	nat. median $386,529 1.4× median
004-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	$428,453.67	$611,844.69	$449,876.35	nat. median $91,000 outlier · 4.9×
7 OTHER	Lung Transplant	21	$122,970.66	$679,172.64	$391,555.69	nat. median $169,933 outlier · 2.3×
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	12	$339,340.73	$400,636.45	$356,307.77	nat. median $99,157 outlier · 3.6×
405-4 OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	12	$327,854.30	$449,214.57	$344,247.02	nat. median $37,546 outlier · 9.2×
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	12	$300,773.15	$357,561.70	$315,811.81	nat. median $156,696 outlier · 2.0×
583-1 OTHER	Neonate With Ecmo	12	$294,079.14	$357,640.83	$308,783.10	nat. median $171,226 1.8× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	12	$293,476.30	$345,726.13	$308,150.11	nat. median $93,000 outlier · 3.3×
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	12	$271,182.70	$320,106.27	$284,741.84	nat. median $100,015 outlier · 2.8×
325-4 OTHER	Non-elective Or Complex Knee Joint Replacement	12	$270,860.39	$364,132.14	$284,403.41	nat. median $37,807 outlier · 7.5×
621-4 OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	12	$263,641.34	$309,849.97	$276,823.41	nat. median $80,035 outlier · 3.5×
029-4 OTHER	Other Percutaneous Intracranial Procedures	12	$246,317.85	$328,003.65	$258,633.74	nat. median $35,822 outlier · 7.2×
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	12	$243,175.28	$288,390.20	$255,334.04	nat. median $267,493 1.0× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	12	$241,708.04	$290,160.11	$253,793.44	nat. median $169,856 1.5× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	$240,528.67	$288,776.20	$252,555.10	nat. median $150,954 1.7× median
002-4 OTHER	Heart And/or Lung Transplant	12	$238,975.78	$265,995.80	$250,924.57	nat. median $216,800 1.2× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	12	$227,016.09	$270,264.66	$238,366.89	nat. median $165,000 1.4× median
500-4 OTHER	Malignancy, Male Reproductive System	12	$188,502.22	$243,702.49	$197,927.33	nat. median $16,370 outlier · 12.1×
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	12	$188,489.92	$223,376.65	$197,914.42	nat. median $151,250 1.3× median
161-3 OTHER	Implantable Heart Assist Systems	12	$178,987.92	$208,635.09	$187,937.32	nat. median $152,491 1.2× median
005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	$178,651.14	$235,882.56	$187,583.70	nat. median $88,000 outlier · 2.1×
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	22	$175,781.46	$355,807.87	$187,470.91	nat. median $239,422 0.8× median
583-2 OTHER	Neonate With Ecmo	12	$160,227.19	$203,951.58	$185,410.53	nat. median $191,347 1.0× median
680-4 OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	12	$176,483.94	$216,166.63	$185,308.14	nat. median $61,090 outlier · 3.0×
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	12	$174,263.02	$206,551.11	$182,976.17	nat. median $153,523 1.2× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	24	$5,196.00	$346,092.89	$182,340.66	nat. median $146,562 1.2× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	12	$169,776.84	$189,615.05	$177,907.16	nat. median $104,111 1.7× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	12	$114,853.94	$192,453.67	$174,957.88	nat. median $151,691 1.2× median
361-4 OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	12	$162,271.22	$196,117.26	$170,384.78	nat. median $46,651 outlier · 3.7×
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	12	$159,954.57	$186,690.89	$167,952.30	nat. median $125,000 1.3× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	25	$5,196.00	$288,675.40	$166,445.52	nat. median $134,983 1.2× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	12	$157,504.60	$182,735.79	$165,379.83	nat. median $99,067 1.7× median
264-4 OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	12	$157,005.87	$192,376.74	$164,856.16	nat. median $37,949 outlier · 4.3×
161-4 OTHER	Implantable Heart Assist Systems	12	$145,813.37	$179,715.55	$163,377.77	nat. median $202,242 0.8× median
320-4 OTHER	Other Musculoskeletal System And Connective Tissue Procedures	12	$148,688.42	$181,018.21	$156,122.84	nat. median $32,235 outlier · 4.8×
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	$142,212.94	$169,298.98	$149,323.59	nat. median $110,000 1.4× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	26	$5,196.00	$279,938.10	$147,560.76	nat. median $181,005 0.8× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	12	$129,808.59	$161,296.40	$146,633.09	nat. median $172,311 0.9× median
622-4 OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	12	$139,573.37	$159,490.95	$146,552.04	nat. median $47,571 outlier · 3.1×
612-3 OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	12	$137,017.06	$156,258.84	$143,867.91	nat. median $50,119 outlier · 2.9×
608-3 OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	12	$136,461.37	$155,794.95	$143,284.44	nat. median $58,190 outlier · 2.5×
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	12	$135,994.17	$157,483.69	$142,793.88	nat. median $112,711 1.3× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	12	$131,882.31	$153,933.77	$139,939.79	nat. median $124,561 1.1× median
002-2 OTHER	Heart And/or Lung Transplant	12	$130,705.05	$151,688.30	$137,898.45	nat. median $106,681 1.3× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	12	$132,495.16	$145,744.68	$137,794.97	nat. median $107,050 1.3× median

Other procedures at this hospital

Browse this hospital's 11,535 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

4818509330	OTHER	Is1 Momentum Df1	25	19	$65,064.00	$65,064.00	$12,557.35	$65,064.00	$36,826.22	2026-05-18
4818345561	OTHER	Df1 X4 Momentum Is4	25	19	$65,064.00	$65,064.00	$12,557.35	$65,064.00	$36,826.22	2026-05-18
4810033362	OTHER	Replac Aortic Valve Open 33362	25	18	$65,633.38	$65,633.38	$1,220.96	$65,633.38	$37,936.09	2026-05-18
4818349223	OTHER	20mm Watchman Flx Laa Closure	25	19	$68,000.00	$68,000.00	$13,124.00	$68,000.00	$38,488.00	2026-05-18
4818349224	OTHER	24mm Watchman Flx Laa Closure	25	19	$68,000.00	$68,000.00	$13,124.00	$68,000.00	$38,488.00	2026-05-18
4818349226	OTHER	31mm Watchman Flx Laa Closure	25	19	$68,000.00	$68,000.00	$13,124.00	$68,000.00	$38,488.00	2026-05-18
4818349227	OTHER	35mm Watchman Flx Laa Closure	25	19	$68,000.00	$68,000.00	$13,124.00	$68,000.00	$38,488.00	2026-05-18
4818349225	OTHER	27mm Watchman Flx Laa Closure	25	19	$68,000.00	$68,000.00	$13,124.00	$68,000.00	$38,488.00	2026-05-18
4810005148	OTHER	Amplia MRI Crtd Dev	25	19	$68,576.00	$68,576.00	$13,235.17	$68,576.00	$38,814.02	2026-05-18
4810003705	OTHER	Icd Unify Ngen Crtd40/df4	25	19	$68,715.44	$68,715.44	$13,262.08	$68,715.44	$38,892.94	2026-05-18
4810003704	OTHER	Icd Quadr Ngen Crtd40/df4 Cell	25	19	$68,715.44	$68,715.44	$13,262.08	$68,715.44	$38,892.94	2026-05-18
4810003695	OTHER	Defib Crt-d Dynagen X4 G156	25	19	$68,715.44	$68,715.44	$13,262.08	$68,715.44	$38,892.94	2026-05-18
4810003703	OTHER	Icd Quadr Ngen Crtd40/df4	25	19	$68,715.44	$68,715.44	$13,262.08	$68,715.44	$38,892.94	2026-05-18
4810003701	OTHER	Icd Crtd Energen Rf He N141	25	19	$68,715.44	$68,715.44	$13,262.08	$68,715.44	$38,892.94	2026-05-18
4810003706	OTHER	Icd Unify Ngen Crtd40/df4 Cell	25	19	$68,715.44	$68,715.44	$13,262.08	$68,715.44	$38,892.94	2026-05-18
4810003709	OTHER	Inogen X4 Df G148	25	19	$68,715.44	$68,715.44	$13,262.08	$68,715.44	$38,892.94	2026-05-18
4810003694	OTHER	Defib Crt-d Dynagen Df-4 G150	25	19	$68,715.44	$68,715.44	$13,262.08	$68,715.44	$38,892.94	2026-05-18
4810003692	OTHER	Consulta Crt-d D224trk	25	19	$68,715.44	$68,715.44	$13,262.08	$68,715.44	$38,892.94	2026-05-18
4810005171	OTHER	Claria MRI Crtd Dev	25	19	$69,776.00	$69,776.00	$13,466.77	$69,776.00	$39,493.22	2026-05-18
4810004971	OTHER	Evera MRI S Dr Ddmc3d4	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810004970	OTHER	Evera MRI Xt Vr Dvmb1d4	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001158	OTHER	Defib Fortify Assura Vr40	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001181	OTHER	Icd Medtronic Maximo 7232cx	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001170	OTHER	Icd Ellp Ngen Vr36/df4 Cell	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001154	OTHER	Defib Dynagen El Vr D151	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001156	OTHER	Defib Dynagen Mini Vr Df-4 020	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001159	OTHER	Defib Imp Frif Vr Icd 40j Is-1	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001155	OTHER	Defib Dynagen Mini Vr D021	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001173	OTHER	Icd Generator Med 7231cx	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001171	OTHER	Icd Fort Ngen Vr36/df4	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4810001161	OTHER	Defib MRI Emblem S Pulse Gen	25	19	$70,578.74	$70,578.74	$13,621.70	$70,578.74	$39,947.57	2026-05-18
4818035661	OTHER	Byp Graft Not Vein; Fem-fem	24	18	$85,020.00	$85,020.00	$2,001.01	$85,020.00	$49,736.70	2026-05-18
4818509329	OTHER	X4 Vigilant Is4 Df4	25	19	$90,936.00	$90,936.00	$15,733.99	$90,936.00	$51,469.78	2026-05-18
4810004272	OTHER	Cardiomems Pa Sens And Dev Sys	25	19	$94,816.51	$94,816.51	$18,299.59	$94,816.51	$53,666.14	2026-05-18
3400001856	OTHER	Y90 Ibritumomab Rx =< 40 Mci	28	22	$113,358.87	$113,358.87	$11,606.32	$113,358.87	$64,161.12	2026-05-18
4818346469	OTHER	20mm 3 Ultra Heart Valve Sapie	25	19	$130,000.00	$130,000.00	$25,090.00	$130,000.00	$73,580.00	2026-05-18
4818128978	OTHER	Valve Aor 29mm Edwrd Sapien 3	22	17	$130,000.00	$130,000.00	$25,090.00	$130,000.00	$73,580.00	2026-05-18
4818346470	OTHER	23mm 3 Ultra Heart Valve Sapie	25	19	$130,000.00	$130,000.00	$25,090.00	$130,000.00	$73,580.00	2026-05-18
4818346471	OTHER	26mm 3 Ultra Heart Valve Sapie	25	19	$130,000.00	$130,000.00	$25,090.00	$130,000.00	$73,580.00	2026-05-18
843-4	OTHER	Extensive Third Degree Burns Without Skin Graft	12	12	—	—	$1,486,229.07	$1,750,106.11	$1,560,540.52	2026-05-18
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	12	—	—	$1,012,399.96	$1,495,143.06	$1,063,019.96	2026-05-18
583-3	OTHER	Neonate With Ecmo	12	12	—	—	$611,241.38	$739,020.40	$641,803.45	2026-05-18
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$603,160.68	$694,101.29	$633,318.71	2026-05-18
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	12	12	—	—	$540,714.12	$641,935.43	$567,749.83	2026-05-18
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	34	24	—	—	$5,196.00	$963,634.46	$555,539.56	2026-05-18
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	12	—	—	$428,453.67	$611,844.69	$449,876.35	2026-05-18
7	OTHER	Lung Transplant	29	21	—	—	$122,970.66	$679,172.64	$391,555.69	2026-05-18
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	12	12	—	—	$339,340.73	$400,636.45	$356,307.77	2026-05-18
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	12	12	—	—	$327,854.30	$449,214.57	$344,247.02	2026-05-18
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	12	12	—	—	$300,773.15	$357,561.70	$315,811.81	2026-05-18
583-1	OTHER	Neonate With Ecmo	12	12	—	—	$294,079.14	$357,640.83	$308,783.10	2026-05-18
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	12	12	—	—	$293,476.30	$345,726.13	$308,150.11	2026-05-18
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$271,182.70	$320,106.27	$284,741.84	2026-05-18
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	12	12	—	—	$270,860.39	$364,132.14	$284,403.41	2026-05-18
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	12	12	—	—	$263,641.34	$309,849.97	$276,823.41	2026-05-18
029-4	OTHER	Other Percutaneous Intracranial Procedures	12	12	—	—	$246,317.85	$328,003.65	$258,633.74	2026-05-18
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	12	12	—	—	$243,175.28	$288,390.20	$255,334.04	2026-05-18
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	12	12	—	—	$241,708.04	$290,160.11	$253,793.44	2026-05-18
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$240,528.67	$288,776.20	$252,555.10	2026-05-18
002-4	OTHER	Heart And/or Lung Transplant	12	12	—	—	$238,975.78	$265,995.80	$250,924.57	2026-05-18
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	12	12	—	—	$227,016.09	$270,264.66	$238,366.89	2026-05-18
500-4	OTHER	Malignancy, Male Reproductive System	12	12	—	—	$188,502.22	$243,702.49	$197,927.33	2026-05-18
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	12	12	—	—	$188,489.92	$223,376.65	$197,914.42	2026-05-18
161-3	OTHER	Implantable Heart Assist Systems	12	12	—	—	$178,987.92	$208,635.09	$187,937.32	2026-05-18
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$178,651.14	$235,882.56	$187,583.70	2026-05-18
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	22	—	—	$175,781.46	$355,807.87	$187,470.91	2026-05-18
583-2	OTHER	Neonate With Ecmo	12	12	—	—	$160,227.19	$203,951.58	$185,410.53	2026-05-18
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	12	12	—	—	$176,483.94	$216,166.63	$185,308.14	2026-05-18
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	12	12	—	—	$174,263.02	$206,551.11	$182,976.17	2026-05-18
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	34	24	—	—	$5,196.00	$346,092.89	$182,340.66	2026-05-18
007-3	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$169,776.84	$189,615.05	$177,907.16	2026-05-18
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	12	12	—	—	$114,853.94	$192,453.67	$174,957.88	2026-05-18
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	12	12	—	—	$162,271.22	$196,117.26	$170,384.78	2026-05-18
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$159,954.57	$186,690.89	$167,952.30	2026-05-18
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	35	25	—	—	$5,196.00	$288,675.40	$166,445.52	2026-05-18
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$157,504.60	$182,735.79	$165,379.83	2026-05-18
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	12	12	—	—	$157,005.87	$192,376.74	$164,856.16	2026-05-18
161-4	OTHER	Implantable Heart Assist Systems	12	12	—	—	$145,813.37	$179,715.55	$163,377.77	2026-05-18
320-4	OTHER	Other Musculoskeletal System And Connective Tissue Procedures	12	12	—	—	$148,688.42	$181,018.21	$156,122.84	2026-05-18
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	12	—	—	$142,212.94	$169,298.98	$149,323.59	2026-05-18
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	36	26	—	—	$5,196.00	$279,938.10	$147,560.76	2026-05-18
007-4	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$129,808.59	$161,296.40	$146,633.09	2026-05-18
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$139,573.37	$159,490.95	$146,552.04	2026-05-18
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$137,017.06	$156,258.84	$143,867.91	2026-05-18
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	12	12	—	—	$136,461.37	$155,794.95	$143,284.44	2026-05-18
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	12	12	—	—	$135,994.17	$157,483.69	$142,793.88	2026-05-18
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$131,882.31	$153,933.77	$139,939.79	2026-05-18
002-2	OTHER	Heart And/or Lung Transplant	12	12	—	—	$130,705.05	$151,688.30	$137,898.45	2026-05-18
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	12	12	—	—	$132,495.16	$145,744.68	$137,794.97	2026-05-18
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$127,719.91	$146,392.84	$134,105.91	2026-05-18
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$127,345.05	$145,394.58	$133,712.30	2026-05-18
794-4	OTHER	Non-extensive O.r. Procedures For Other Complications Of Treatment	12	12	—	—	$126,344.74	$149,627.31	$132,661.98	2026-05-18
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	22	—	—	$122,192.60	$218,909.99	$128,752.36	2026-05-18
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	12	12	—	—	$121,182.22	$133,483.93	$127,184.44	2026-05-18
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	12	12	—	—	$87,669.82	$139,439.82	$126,763.47	2026-05-18
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	12	12	—	—	$119,316.60	$138,186.09	$125,282.43	2026-05-18
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	12	12	—	—	$99,234.12	$134,590.61	$122,355.10	2026-05-18
054-4	OTHER	Migraine And Other Headaches	12	12	—	—	$115,472.35	$135,773.31	$121,245.97	2026-05-18
002-3	OTHER	Heart And/or Lung Transplant	12	12	—	—	$79,789.22	$133,012.18	$120,920.16	2026-05-18
046-4	OTHER	Nonspecific Cva And Precerebral Occlusion Without Infarction	12	12	—	—	$113,700.07	$131,594.17	$119,385.07	2026-05-18
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	12	12	—	—	$114,418.86	$126,572.36	$119,328.77	2026-05-18
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	12	12	—	—	$114,467.37	$125,914.11	$119,224.24	2026-05-18
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	34	24	—	—	$5,196.00	$202,558.42	$116,801.61	2026-05-18
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$107,977.64	$122,859.81	$113,376.52	2026-05-18
441-4	OTHER	Major Bladder Procedures	12	12	—	—	$108,333.76	$119,167.14	$113,105.67	2026-05-18
440-4	OTHER	Kidney Transplant	12	12	—	—	$97,655.97	$123,734.63	$112,486.03	2026-05-18
630-1	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	12	12	—	—	$106,511.17	$120,254.73	$111,836.73	2026-05-18
091-3	OTHER	Other Major Head And Neck Procedures	12	12	—	—	$106,183.28	$117,481.95	$111,492.44	2026-05-18
007-2	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$98,515.88	$122,049.00	$110,953.64	2026-05-18
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	12	12	—	—	$63,636.02	$118,444.67	$107,676.97	2026-05-18
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$90,441.06	$116,549.16	$105,953.78	2026-05-18
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	12	12	—	—	$100,375.52	$111,723.17	$105,394.30	2026-05-18
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	12	12	—	—	$99,871.63	$112,295.67	$104,865.21	2026-05-18
006-3	OTHER	Pancreas Transplant	12	12	—	—	$86,823.55	$113,604.71	$103,277.01	2026-05-18
089-4	OTHER	Major Cranial Or Facial Bone Procedures	12	12	—	—	$98,030.09	$107,833.10	$101,951.29	2026-05-18
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	12	12	—	—	$97,754.08	$107,529.49	$101,664.24	2026-05-18
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	12	12	—	—	$96,809.27	$107,350.82	$101,649.73	2026-05-18
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	12	12	—	—	$96,830.26	$107,230.52	$101,039.26	2026-05-18
006-4	OTHER	Pancreas Transplant	12	12	—	—	$80,225.72	$107,254.30	$97,503.91	2026-05-18
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$79,932.90	$106,389.88	$96,718.07	2026-05-18
6	OTHER	Liver Transplant Without Mcc	29	21	—	—	$48,489.92	$156,106.24	$90,023.30	2026-05-18
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	12	12	—	—	$85,365.91	$97,421.87	$89,634.21	2026-05-18
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	12	12	—	—	$49,086.81	$98,562.21	$89,602.01	2026-05-18
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	12	12	—	—	$84,916.00	$93,407.60	$88,999.01	2026-05-18
519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	12	12	—	—	$84,355.35	$95,981.40	$88,573.12	2026-05-18
8	OTHER	Simultaneous Pancreas And Kidney Transplant	29	21	—	—	$52,748.54	$150,213.61	$86,626.37	2026-05-18
131-4	OTHER	Cystic Fibrosis - Pulmonary Disease	12	12	—	—	$82,266.41	$92,162.80	$86,338.81	2026-05-18
183-4	OTHER	Percutaneous Structural Cardiac Procedures	12	12	—	—	$78,759.45	$93,960.67	$85,418.79	2026-05-18
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	12	12	—	—	$77,781.84	$93,538.81	$85,035.28	2026-05-18
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	12	12	—	—	$44,876.18	$93,173.38	$84,703.07	2026-05-18
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	35	25	—	—	$5,196.00	$142,940.03	$82,433.36	2026-05-18
608-1	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	12	12	—	—	$79,208.36	$87,129.20	$82,397.85	2026-05-18
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	12	12	—	—	$60,213.57	$89,504.06	$81,367.33	2026-05-18
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	12	12	—	—	$33,571.95	$87,569.93	$79,609.03	2026-05-18
14	OTHER	Allogeneic Bone Marrow Transplant	33	23	—	—	$5,196.00	$150,482.99	$79,463.62	2026-05-18
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$75,862.93	$83,449.22	$79,378.12	2026-05-18
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	34	24	—	—	$5,196.00	$137,194.05	$79,120.97	2026-05-18
161-2	OTHER	Implantable Heart Assist Systems	12	12	—	—	$75,245.28	$118,648.65	$79,007.54	2026-05-18
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	12	—	—	$32,461.86	$86,670.01	$78,790.92	2026-05-18
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$58,232.92	$86,061.89	$78,238.08	2026-05-18
570	OTHER	Skin Debridement With Mcc	34	24	—	—	$5,196.00	$134,949.99	$77,827.34	2026-05-18
636-3	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	12	12	—	—	$74,327.29	$81,760.02	$77,300.38	2026-05-18
177-4	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	12	12	—	—	$71,960.60	$85,022.15	$77,292.86	2026-05-18
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	12	12	—	—	$59,590.42	$84,566.47	$76,878.61	2026-05-18
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	12	12	—	—	$72,294.06	$79,523.47	$75,708.37	2026-05-18
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	34	24	—	—	$5,196.00	$148,868.05	$74,697.44	2026-05-18
613-1	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	12	12	—	—	$70,788.47	$77,867.32	$73,620.01	2026-05-18
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	29	21	—	—	$69,542.83	$145,068.20	$73,583.26	2026-05-18
445-4	OTHER	Other Bladder Procedures	12	12	—	—	$62,515.13	$78,221.30	$71,110.27	2026-05-18
073-4	OTHER	Orbit And Eye Procedures	12	12	—	—	$62,666.75	$78,045.90	$70,950.82	2026-05-18
215	OTHER	Other Heart Assist System Implant	34	24	—	—	$5,196.00	$134,121.55	$70,858.65	2026-05-18
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	12	12	—	—	$67,975.43	$74,772.97	$70,694.45	2026-05-18
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	12	12	—	—	$57,271.92	$77,643.49	$70,584.99	2026-05-18
110-4	OTHER	Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies	12	12	—	—	$59,359.92	$74,166.88	$67,424.44	2026-05-18
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	25	—	—	$5,196.00	$127,431.75	$67,340.28	2026-05-18
161-1	OTHER	Implantable Heart Assist Systems	12	12	—	—	$63,914.13	$118,648.65	$67,109.84	2026-05-18
229-4	OTHER	Other Digestive System And Abdominal Procedures	12	12	—	—	$54,596.60	$72,367.09	$65,788.26	2026-05-18
863-4	OTHER	Neonatal Aftercare	12	12	—	—	$39,480.76	$70,850.40	$64,409.45	2026-05-18
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$23,828.84	$69,164.65	$62,876.95	2026-05-18
029-3	OTHER	Other Percutaneous Intracranial Procedures	12	12	—	—	$52,531.01	$69,125.65	$62,841.50	2026-05-18
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	34	24	—	—	$5,196.00	$108,894.52	$62,807.13	2026-05-18
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	12	—	—	$32,461.86	$68,426.75	$62,206.14	2026-05-18
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	12	12	—	—	$27,139.66	$67,813.13	$61,648.30	2026-05-18
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	34	24	—	—	$5,196.00	$116,351.25	$61,512.71	2026-05-18
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	12	12	—	—	$34,221.67	$67,355.45	$61,232.23	2026-05-18
163	OTHER	Major Chest Procedures With Mcc	34	24	—	—	$5,196.00	$105,880.90	$61,069.86	2026-05-18
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	12	12	—	—	$41,942.59	$65,668.92	$59,699.02	2026-05-18
588-1	OTHER	Female Reproductive System Reconstructive Procedures	12	12	—	—	$56,610.53	$80,592.99	$59,441.06	2026-05-18
006-2	OTHER	Pancreas Transplant	12	12	—	—	$36,599.57	$65,264.13	$59,331.03	2026-05-18
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	34	24	—	—	$5,196.00	$110,981.03	$58,688.38	2026-05-18
178-4	OTHER	External Heart Assist Systems	12	12	—	—	$39,467.79	$64,546.97	$58,679.06	2026-05-18
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	24	—	—	$5,196.00	$110,679.03	$58,529.53	2026-05-18
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$33,789.41	$64,188.29	$58,352.99	2026-05-18
653	OTHER	Major Bladder Procedures With Mcc	34	24	—	—	$5,196.00	$98,565.64	$57,416.31	2026-05-18
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	12	12	—	—	$24,672.65	$62,903.49	$57,184.99	2026-05-18
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$54,432.45	$60,383.21	$56,847.35	2026-05-18
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	12	12	—	—	$48,997.36	$62,447.89	$56,770.81	2026-05-18
182-4	OTHER	Other Peripheral Vascular And Related Procedures	12	12	—	—	$40,226.74	$62,157.50	$56,506.82	2026-05-18
231	OTHER	Coronary Bypass With Ptca With Mcc	35	25	—	—	$5,196.00	$106,553.55	$56,359.82	2026-05-18
178-1	OTHER	External Heart Assist Systems	12	12	—	—	$39,609.89	$61,546.87	$55,951.70	2026-05-18
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	34	24	—	—	$5,196.00	$104,955.61	$55,519.43	2026-05-18
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	12	12	—	—	$43,114.06	$60,903.48	$55,366.80	2026-05-18
007-1	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$43,296.48	$60,053.40	$54,594.00	2026-05-18
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	35	25	—	—	$5,196.00	$102,409.68	$54,180.45	2026-05-18
480-4	OTHER	Major Male Pelvic Procedures	12	12	—	—	$36,136.39	$59,330.91	$53,937.19	2026-05-18
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	35	25	—	—	$5,196.00	$101,248.98	$53,570.00	2026-05-18
690-4	OTHER	Acute Leukemia	12	12	—	—	$39,316.06	$58,530.85	$53,209.86	2026-05-18
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	12	12	—	—	$35,816.34	$57,972.33	$52,702.12	2026-05-18
910-4	OTHER	Craniotomy For Multiple Significant Trauma	12	12	—	—	$28,259.26	$56,941.48	$51,764.98	2026-05-18
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	12	12	—	—	$48,045.90	$56,654.53	$51,504.12	2026-05-18
002-1	OTHER	Heart And/or Lung Transplant	12	12	—	—	$49,005.69	$60,109.76	$51,455.97	2026-05-18
894-3	OTHER	HIV With One Significant HIV Condition Or Without Significant Related Conditions	12	12	—	—	$38,188.41	$56,039.91	$50,945.37	2026-05-18
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	12	12	—	—	$25,972.07	$55,856.82	$50,778.93	2026-05-18
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	12	12	—	—	$29,906.21	$55,426.87	$50,388.06	2026-05-18
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	34	24	—	—	$5,196.00	$94,963.59	$50,264.33	2026-05-18
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	12	12	—	—	$22,789.21	$55,085.66	$50,077.87	2026-05-18
091-4	OTHER	Other Major Head And Neck Procedures	12	12	—	—	$29,326.12	$53,957.24	$49,052.04	2026-05-18
471	OTHER	Cervical Spinal Fusion With Mcc	34	24	—	—	$5,196.00	$83,290.55	$49,008.14	2026-05-18
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	34	24	—	—	$5,196.00	$149,021.59	$48,906.01	2026-05-18
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	34	24	—	—	$5,196.00	$89,527.72	$48,788.29	2026-05-18
911-1	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	12	12	—	—	$33,941.76	$53,632.96	$48,757.24	2026-05-18
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	12	12	—	—	$24,374.38	$53,402.01	$48,547.28	2026-05-18
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$46,182.18	$52,326.90	$48,491.29	2026-05-18
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	12	12	—	—	$29,191.68	$53,318.79	$48,471.63	2026-05-18
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	34	24	—	—	$5,196.00	$91,449.97	$48,416.42	2026-05-18
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	12	12	—	—	$33,571.95	$53,154.19	$48,321.99	2026-05-18
021-4	OTHER	Open Craniotomy Except Trauma	12	12	—	—	$27,092.11	$53,076.32	$48,251.20	2026-05-18
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	34	24	—	—	$5,196.00	$90,856.49	$48,097.25	2026-05-18
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	34	24	—	—	$5,196.00	$80,966.63	$47,641.67	2026-05-18
179-4	OTHER	Defibrillator Implants	12	12	—	—	$27,314.30	$52,310.90	$47,555.36	2026-05-18
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	12	—	—	$32,461.86	$52,286.73	$47,533.39	2026-05-18
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	12	12	—	—	$27,372.49	$52,161.19	$47,419.26	2026-05-18
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	12	12	—	—	$33,683.48	$51,848.19	$47,134.72	2026-05-18
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	34	24	—	—	$5,196.00	$82,043.27	$46,854.26	2026-05-18
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	12	12	—	—	$8,559.92	$51,160.24	$46,509.31	2026-05-18
120-4	OTHER	Major Respiratory And Chest Procedures	12	12	—	—	$26,942.11	$50,917.05	$46,288.23	2026-05-18
459	OTHER	Spinal Fusion Except Cervical With Mcc	34	24	—	—	$5,196.00	$87,082.89	$46,119.64	2026-05-18
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	12	12	—	—	$22,702.32	$50,508.16	$45,916.51	2026-05-18
130-2	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	12	12	—	—	$26,929.78	$50,155.31	$45,595.74	2026-05-18
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	12	12	—	—	$22,053.47	$49,938.57	$45,398.70	2026-05-18
027-4	OTHER	Other Open Craniotomy	12	12	—	—	$22,477.54	$49,751.34	$45,228.49	2026-05-18
323-3	OTHER	Non-elective Or Complex Hip Joint Replacement	12	12	—	—	$27,718.01	$49,476.91	$44,979.01	2026-05-18
232-4	OTHER	Gastric Fundoplication	12	12	—	—	$12,614.25	$49,413.46	$44,921.33	2026-05-18
695-4	OTHER	Chemotherapy For Acute Leukemia	12	12	—	—	$34,498.76	$49,170.28	$44,700.25	2026-05-18
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	12	—	—	$20,960.68	$48,917.76	$44,470.69	2026-05-18
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	12	12	—	—	$25,306.37	$48,864.67	$44,422.43	2026-05-18
10	OTHER	Pancreas Transplant	29	21	—	—	$42,046.19	$74,746.69	$44,415.56	2026-05-18
023-4	OTHER	Spinal Procedures	12	12	—	—	$23,728.98	$48,729.81	$44,299.83	2026-05-18
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	25	—	—	$5,196.00	$86,778.00	$44,275.85	2026-05-18
169-4	OTHER	Major Abdominal Vascular Procedures	12	12	—	—	$22,440.80	$48,545.45	$44,132.23	2026-05-18
612-1	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	12	12	—	—	$41,400.17	$48,292.57	$43,902.34	2026-05-18
042-4	OTHER	Degenerative Nervous System Disorders Except Multiple Sclerosis	12	12	—	—	$26,182.99	$48,276.70	$43,887.91	2026-05-18
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	34	24	—	—	$5,196.00	$82,012.04	$43,452.72	2026-05-18
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	34	24	—	—	$5,196.00	$81,644.40	$43,259.37	2026-05-18
020-4	OTHER	Open Craniotomy For Trauma	12	12	—	—	$22,961.69	$47,551.19	$43,228.35	2026-05-18
178-3	OTHER	External Heart Assist Systems	12	12	—	—	$23,682.30	$47,544.73	$43,222.48	2026-05-18
276	OTHER	Non-maligant Breast Disorders	34	24	—	—	$5,196.00	$81,540.67	$43,204.82	2026-05-18
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	32	22	—	—	$5,196.00	$81,104.75	$42,975.56	2026-05-18
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	33	23	—	—	$5,196.00	$81,104.75	$42,975.56	2026-05-18
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	12	12	—	—	$31,013.30	$46,934.97	$42,668.15	2026-05-18
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	34	24	—	—	$5,196.00	$80,307.75	$42,556.39	2026-05-18
955	OTHER	Craniotomy For Multiple Significant Trauma	34	24	—	—	$5,196.00	$79,965.06	$42,376.15	2026-05-18
690-3	OTHER	Acute Leukemia	12	12	—	—	$25,153.77	$46,530.77	$42,300.70	2026-05-18
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	24	—	—	$5,196.00	$79,769.42	$42,273.26	2026-05-18
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	34	24	—	—	$5,196.00	$79,393.90	$42,075.75	2026-05-18
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	12	12	—	—	$38,893.95	$46,266.08	$42,060.07	2026-05-18
28	OTHER	Spinal Procedures With Mcc	34	24	—	—	$5,196.00	$79,123.42	$41,933.51	2026-05-18
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	32	24	—	—	$39,128.99	$82,190.18	$41,753.97	2026-05-18
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	12	12	—	—	$21,391.86	$45,905.50	$41,732.27	2026-05-18
440-3	OTHER	Kidney Transplant	12	12	—	—	$17,184.30	$45,794.36	$41,631.24	2026-05-18
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	12	12	—	—	$15,153.45	$45,767.10	$41,606.45	2026-05-18
178-2	OTHER	External Heart Assist Systems	12	12	—	—	$23,682.30	$45,704.69	$41,549.72	2026-05-18
232	OTHER	Coronary Bypass With Ptca Without Mcc	35	25	—	—	$5,196.00	$78,105.83	$41,398.32	2026-05-18
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$14,358.93	$45,476.22	$41,342.02	2026-05-18
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	34	24	—	—	$5,196.00	$70,626.50	$41,145.87	2026-05-18
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	35	25	—	—	$5,196.00	$77,212.98	$40,928.76	2026-05-18
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	12	12	—	—	$20,358.32	$44,315.88	$40,287.16	2026-05-18
310-4	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	12	12	—	—	$17,409.61	$44,249.02	$40,226.38	2026-05-18
179-3	OTHER	Defibrillator Implants	12	12	—	—	$20,255.20	$44,193.20	$40,175.64	2026-05-18
006-1	OTHER	Pancreas Transplant	12	12	—	—	$14,106.04	$43,897.64	$39,906.95	2026-05-18
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	12	12	—	—	$37,988.98	$107,350.82	$39,888.43	2026-05-18
841-1	OTHER	Chemotherapy For Acute Leukemia	12	12	—	—	$37,988.98	$107,350.82	$39,888.43	2026-05-18
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$38,031.44	$42,391.08	$39,813.24	2026-05-18
261-4	OTHER	Major Biliary Tract Procedures	12	12	—	—	$16,878.24	$43,780.72	$39,800.65	2026-05-18
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	25	—	—	$5,196.00	$78,517.00	$39,658.83	2026-05-18
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	34	24	—	—	$5,196.00	$74,619.78	$39,564.91	2026-05-18
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	12	12	—	—	$20,293.67	$43,457.18	$39,506.53	2026-05-18
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	34	24	—	—	$5,196.00	$74,432.02	$39,466.16	2026-05-18
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	34	24	—	—	$5,196.00	$74,365.06	$39,430.95	2026-05-18
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	12	12	—	—	$9,432.25	$43,104.25	$39,185.68	2026-05-18
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	12	12	—	—	$20,553.47	$42,983.73	$39,076.12	2026-05-18
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	34	24	—	—	$5,196.00	$99,218.53	$38,984.17	2026-05-18
514-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	12	12	—	—	$4,901.55	$42,578.42	$38,707.65	2026-05-18
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	12	12	—	—	$31,893.85	$42,490.90	$38,628.09	2026-05-18
325-3	OTHER	Non-elective Or Complex Knee Joint Replacement	12	12	—	—	$17,526.20	$42,467.54	$38,606.85	2026-05-18
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	12	12	—	—	$6,671.29	$42,409.84	$38,554.40	2026-05-18
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$16,432.56	$42,382.58	$38,529.62	2026-05-18
181-4	OTHER	Lower Extremity Arterial Procedures	12	12	—	—	$21,790.65	$42,259.19	$38,417.45	2026-05-18
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	34	24	—	—	$5,196.00	$72,283.94	$38,336.43	2026-05-18
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	12	12	—	—	$17,865.57	$42,097.07	$38,270.06	2026-05-18
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	12	12	—	—	$8,192.91	$42,051.87	$38,228.97	2026-05-18
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$23,828.84	$41,726.91	$37,933.55	2026-05-18
171-4	OTHER	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	12	12	—	—	$17,724.64	$41,681.31	$37,892.10	2026-05-18
611-1	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	12	12	—	—	$33,866.68	$41,627.78	$37,843.44	2026-05-18
022-4	OTHER	Ventricular Shunt Procedures	12	12	—	—	$32,930.89	$41,130.06	$37,390.96	2026-05-18
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$32,766.62	$40,790.75	$37,082.50	2026-05-18
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	12	12	—	—	$24,854.20	$40,679.55	$36,981.41	2026-05-18
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	12	12	—	—	$33,729.08	$40,597.68	$36,906.98	2026-05-18
356	OTHER	Other Digestive System O.r. Procedures With Mcc	34	24	—	—	$5,196.00	$62,551.59	$36,813.62	2026-05-18
363-4	OTHER	Breast Procedures Except Mastectomy	12	12	—	—	$11,492.92	$40,485.15	$36,804.68	2026-05-18
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	12	12	—	—	$10,049.55	$40,409.83	$36,736.21	2026-05-18
026-4	OTHER	Other Nervous System And Related Procedures	12	12	—	—	$24,212.70	$40,372.52	$36,702.29	2026-05-18
121-4	OTHER	Other Respiratory And Chest Procedures	12	12	—	—	$19,806.06	$40,356.75	$36,687.95	2026-05-18
049-4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	12	12	—	—	$17,092.22	$40,298.08	$36,634.62	2026-05-18
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	12	12	—	—	$21,644.97	$40,292.18	$36,629.25	2026-05-18
230-4	OTHER	Major Small Bowel Procedures	12	12	—	—	$23,023.51	$40,283.57	$36,621.43	2026-05-18
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	35	25	—	—	$5,196.00	$68,862.23	$36,536.85	2026-05-18
440-2	OTHER	Kidney Transplant	12	12	—	—	$9,728.36	$40,027.47	$36,388.61	2026-05-18
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	35	25	—	—	$5,196.00	$68,249.05	$36,214.35	2026-05-18
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	35	25	—	—	$5,196.00	$68,100.68	$36,136.33	2026-05-18

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