Hospital

EXCELA HEALTH LATROBE HOSPITAL

Latrobe, PA · CCN 390219 · Rates published

13,526 distinct procedures filed

31 distinct payers

298,218 rate rows

2026-05-08 last MRF observed

Data quality

297,573 of 298,218 rate rows are consumer-grade (99.8%)

645 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
template filing: same amount across many unrelated codes — excluded	306
exceeds 10× this hospital's gross charge — excluded from medians	269
placeholder amount (≤ $0.02) — excluded from medians	70

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

Source MRF file	https://www.independence.health/documents/content/250965414_LatrobeAreaHospital_StandardCharges.csv
Found on page	https://www.independence.health/patients-visitors/financial-services/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	20ec7cec11d839aa… · 15,599,740 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
5834 OTHER	Neonate With Ecmo	6	$438,565.60	$528,089.73	$462,706.82	nat. median $372,748 1.2× median
MS-018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	29	$297,146.67	$778,571.11	$356,154.87	nat. median $309,559 1.2× median
5884 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$268,613.13	$323,444.97	$283,399.17	nat. median $243,175 1.2× median
114 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$251,108.64	$302,367.29	$264,931.13	nat. median $10,012 outlier · 26.5×
24 OTHER	Heart &/or Lung Transplant	6	$250,942.30	$302,167.00	$264,755.64	nat. median $27,988 outlier · 9.5×
5833 OTHER	Neonate With Ecmo	6	$249,777.23	$300,764.11	$263,526.43	nat. median $252,069 1.0× median
MS-001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	29	$192,836.24	$505,261.33	$230,055.16	nat. median $224,278 1.0× median
5832 OTHER	Neonate With Ecmo	6	$191,783.15	$230,931.73	$202,340.02	nat. median $152,272 1.3× median
1614 OTHER	Implantable Heart Assist Systems	6	$187,265.04	$225,491.34	$197,573.20	nat. median $194,298 1.0× median
6094 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$187,149.88	$225,352.67	$197,451.71	nat. median $170,784 1.2× median
113 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$186,878.34	$225,025.70	$197,165.22	nat. median $18,223 outlier · 10.8×
94 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	$183,580.03	$221,054.11	$193,685.35	nat. median $34,661 outlier · 5.6×
6314 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$180,004.49	$216,748.70	$189,913.00	nat. median $163,675 1.2× median
5883 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$178,896.29	$215,414.28	$188,743.79	nat. median $163,694 1.2× median
5914 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$176,143.20	$212,099.20	$185,839.15	nat. median $149,152 1.2× median
5831 OTHER	Neonate With Ecmo	6	$172,148.97	$207,289.64	$181,625.06	nat. median $139,037 1.3× median
MS-927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	$146,915.67	$404,246.81	$176,090.58	nat. median $175,322 1.0× median
8414 OTHER	Extensive Third Degree Burns With Skin Graft	6	$166,576.68	$200,579.88	$175,746.04	nat. median $161,322 1.1× median
MS-003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	29	$146,053.47	$382,683.09	$174,242.94	nat. median $169,886 1.0× median
6304 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$163,245.67	$196,568.91	$172,231.67	nat. median $164,743 1.0× median
5934 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$154,864.13	$186,476.45	$163,388.76	nat. median $129,842 1.3× median
5882 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$153,294.59	$184,586.52	$161,732.82	nat. median $119,369 1.4× median
112 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$148,566.06	$178,892.77	$156,744.01	nat. median $3,671 outlier · 42.7×
74 OTHER	Allogeneic Bone Marrow Transplant	6	$147,745.04	$177,904.15	$155,877.80	nat. median $10,670 outlier · 14.6×
1613 OTHER	Implantable Heart Assist Systems	6	$146,632.57	$176,564.59	$154,704.09	nat. median $79 outlier · 1965.2×
44 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	$141,083.03	$169,882.22	$148,849.06	nat. median $33,835 outlier · 4.4×
14 OTHER	Liver Transplant &/or Intestinal Transplant	6	$139,679.82	$168,192.58	$147,368.62	nat. median $100,915 1.5× median
23 OTHER	Heart &/or Lung Transplant	6	$136,692.86	$164,595.90	$144,217.24	nat. median $56,822 outlier · 2.5×
5913 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$132,842.94	$159,960.09	$140,155.40	nat. median $115,252 1.2× median
5881 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$131,395.67	$158,217.38	$138,628.45	nat. median $14,014 outlier · 9.9×
5893 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$125,210.63	$150,769.80	$132,102.95	nat. median $90,227 1.5× median
5892 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$125,210.63	$150,769.80	$132,102.95	nat. median $92,089 1.4× median
5891 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$125,210.63	$150,769.80	$132,102.95	nat. median $77,714 1.7× median
93 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	$123,377.36	$148,562.31	$130,168.78	nat. median $8,548 outlier · 15.2×
6024 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	$116,664.17	$140,478.75	$123,086.05	nat. median $99,381 1.2× median
5912 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$113,940.93	$137,199.62	$120,212.91	nat. median $83,887 1.4× median
5933 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$113,287.67	$136,413.01	$119,523.68	nat. median $87,090 1.4× median
1611 OTHER	Implantable Heart Assist Systems	6	$107,893.08	$129,917.23	$113,832.15	nat. median $80,527 1.4× median
1612 OTHER	Implantable Heart Assist Systems	6	$107,893.08	$129,917.23	$113,832.15	nat. median $84,765 1.3× median
MS-004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	29	$95,313.35	$249,736.00	$113,709.58	nat. median $107,587 1.1× median
1604 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	$107,499.99	$129,443.90	$113,417.42	nat. median $44,507 outlier · 2.5×
22 OTHER	Heart &/or Lung Transplant	6	$103,508.61	$124,637.76	$109,206.33	nat. median $36,392 outlier · 3.0×
MS-007 OTHER	Lung Transplant	29	$89,112.07	$233,487.68	$106,808.19	nat. median $95,292 1.1× median
54 OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	$98,283.91	$118,346.55	$103,694.04	nat. median $14,610 outlier · 7.1×
43 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	$97,287.31	$117,146.52	$102,642.58	nat. median $48,509 outlier · 2.1×
73 OTHER	Allogeneic Bone Marrow Transplant	6	$93,967.68	$113,149.25	$99,140.21	nat. median $14,946 outlier · 6.6×
MS-014 OTHER	Allogeneic Bone Marrow Transplant	29	$82,696.79	$216,678.63	$99,115.48	nat. median $91,600 1.1× median
8424 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	$93,258.97	$112,295.87	$98,392.49	nat. median $91,349 1.1× median
21 OTHER	Heart &/or Lung Transplant	6	$91,485.42	$110,160.28	$96,521.31	nat. median $55,888 1.7× median
64 OTHER	Pancreas Transplant	6	$91,238.76	$109,863.27	$96,261.07	nat. median $19,110 outlier · 5.0×

Other procedures at this hospital

Browse this hospital's 13,526 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

5834	OTHER	Neonate With Ecmo	6	6	—	—	$438,565.60	$528,089.73	$462,706.82	2026-05-08
MS-018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	36	29	—	—	$297,146.67	$778,571.11	$356,154.87	2026-05-08
5884	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$268,613.13	$323,444.97	$283,399.17	2026-05-08
114	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$251,108.64	$302,367.29	$264,931.13	2026-05-08
24	OTHER	Heart &/or Lung Transplant	6	6	—	—	$250,942.30	$302,167.00	$264,755.64	2026-05-08
5833	OTHER	Neonate With Ecmo	6	6	—	—	$249,777.23	$300,764.11	$263,526.43	2026-05-08
MS-001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	36	29	—	—	$192,836.24	$505,261.33	$230,055.16	2026-05-08
5832	OTHER	Neonate With Ecmo	6	6	—	—	$191,783.15	$230,931.73	$202,340.02	2026-05-08
1614	OTHER	Implantable Heart Assist Systems	6	6	—	—	$187,265.04	$225,491.34	$197,573.20	2026-05-08
6094	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$187,149.88	$225,352.67	$197,451.71	2026-05-08
113	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$186,878.34	$225,025.70	$197,165.22	2026-05-08
94	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$183,580.03	$221,054.11	$193,685.35	2026-05-08
6314	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$180,004.49	$216,748.70	$189,913.00	2026-05-08
5883	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$178,896.29	$215,414.28	$188,743.79	2026-05-08
5914	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$176,143.20	$212,099.20	$185,839.15	2026-05-08
5831	OTHER	Neonate With Ecmo	6	6	—	—	$172,148.97	$207,289.64	$181,625.06	2026-05-08
MS-927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	36	29	—	—	$146,915.67	$404,246.81	$176,090.58	2026-05-08
8414	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$166,576.68	$200,579.88	$175,746.04	2026-05-08
MS-003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	36	29	—	—	$146,053.47	$382,683.09	$174,242.94	2026-05-08
6304	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$163,245.67	$196,568.91	$172,231.67	2026-05-08
5934	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$154,864.13	$186,476.45	$163,388.76	2026-05-08
5882	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$153,294.59	$184,586.52	$161,732.82	2026-05-08
112	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$148,566.06	$178,892.77	$156,744.01	2026-05-08
74	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$147,745.04	$177,904.15	$155,877.80	2026-05-08
1613	OTHER	Implantable Heart Assist Systems	6	6	—	—	$146,632.57	$176,564.59	$154,704.09	2026-05-08
44	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	6	—	—	$141,083.03	$169,882.22	$148,849.06	2026-05-08
14	OTHER	Liver Transplant &/or Intestinal Transplant	6	6	—	—	$139,679.82	$168,192.58	$147,368.62	2026-05-08
23	OTHER	Heart &/or Lung Transplant	6	6	—	—	$136,692.86	$164,595.90	$144,217.24	2026-05-08
5913	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$132,842.94	$159,960.09	$140,155.40	2026-05-08
5881	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$131,395.67	$158,217.38	$138,628.45	2026-05-08
5892	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$125,210.63	$150,769.80	$132,102.95	2026-05-08
5893	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$125,210.63	$150,769.80	$132,102.95	2026-05-08
5891	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$125,210.63	$150,769.80	$132,102.95	2026-05-08
93	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$123,377.36	$148,562.31	$130,168.78	2026-05-08
6024	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$116,664.17	$140,478.75	$123,086.05	2026-05-08
5912	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$113,940.93	$137,199.62	$120,212.91	2026-05-08
5933	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$113,287.67	$136,413.01	$119,523.68	2026-05-08
1612	OTHER	Implantable Heart Assist Systems	6	6	—	—	$107,893.08	$129,917.23	$113,832.15	2026-05-08
1611	OTHER	Implantable Heart Assist Systems	6	6	—	—	$107,893.08	$129,917.23	$113,832.15	2026-05-08
MS-004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	36	29	—	—	$95,313.35	$249,736.00	$113,709.58	2026-05-08
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$107,499.99	$129,443.90	$113,417.42	2026-05-08
22	OTHER	Heart &/or Lung Transplant	6	6	—	—	$103,508.61	$124,637.76	$109,206.33	2026-05-08
MS-007	OTHER	Lung Transplant	36	29	—	—	$89,112.07	$233,487.68	$106,808.19	2026-05-08
54	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	6	—	—	$98,283.91	$118,346.55	$103,694.04	2026-05-08
43	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	6	—	—	$97,287.31	$117,146.52	$102,642.58	2026-05-08
73	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$93,967.68	$113,149.25	$99,140.21	2026-05-08
MS-014	OTHER	Allogeneic Bone Marrow Transplant	36	29	—	—	$82,696.79	$216,678.63	$99,115.48	2026-05-08
8424	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	6	—	—	$93,258.97	$112,295.87	$98,392.49	2026-05-08
21	OTHER	Heart &/or Lung Transplant	6	6	—	—	$91,485.42	$110,160.28	$96,521.31	2026-05-08
64	OTHER	Pancreas Transplant	6	6	—	—	$91,238.76	$109,863.27	$96,261.07	2026-05-08
5932	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$91,120.76	$109,721.18	$96,136.58	2026-05-08
6074	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$90,181.73	$108,590.48	$95,145.87	2026-05-08
6303	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$89,984.83	$108,353.38	$94,938.12	2026-05-08
MS-002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	36	29	—	—	$77,975.65	$236,555.93	$93,460.26	2026-05-08
MS-209	OTHER	Complex Aortic Arch Procedures	32	26	—	—	$77,886.19	$204,074.09	$92,050.44	2026-05-08
8514	OTHER	Gender Related Procedures	6	6	—	—	$86,055.29	$103,621.71	$90,792.28	2026-05-08
8513	OTHER	Gender Related Procedures	6	6	—	—	$86,055.29	$103,621.71	$90,792.28	2026-05-08
6034	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$85,329.52	$102,747.79	$90,026.56	2026-05-08
MS-212	OTHER	Concomitant Aortic And Mitral Valve Procedures	36	29	—	—	$74,826.15	$201,266.32	$89,685.33	2026-05-08
MS-426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	36	29	—	—	$52,818.15	$198,708.47	$88,784.63	2026-05-08
6023	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$81,001.91	$97,536.79	$85,460.74	2026-05-08
MS-005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	36	29	—	—	$70,947.94	$197,819.34	$85,036.98	2026-05-08
MS-215	OTHER	Other Heart Assist System Implant	36	29	—	—	$54,794.86	$179,521.30	$80,975.57	2026-05-08
MS-216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	36	29	—	—	$67,316.77	$176,380.54	$80,309.44	2026-05-08
6114	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$75,005.25	$90,316.02	$79,133.98	2026-05-08
6134	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	6	—	—	$74,315.73	$89,485.76	$78,406.50	2026-05-08
8634	OTHER	Neonatal Aftercare	6	6	—	—	$73,358.23	$88,332.80	$77,396.29	2026-05-08
111	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$73,169.14	$88,105.12	$77,196.80	2026-05-08
13	OTHER	Liver Transplant &/or Intestinal Transplant	6	6	—	—	$72,518.72	$87,321.92	$76,510.58	2026-05-08
1624	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$72,244.34	$86,991.53	$76,221.09	2026-05-08
3034	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$71,895.31	$86,571.26	$75,852.85	2026-05-08
53	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	6	—	—	$71,327.35	$85,887.36	$75,253.63	2026-05-08
4404	OTHER	Kidney Transplant	6	6	—	—	$70,740.90	$85,181.20	$74,634.90	2026-05-08
MS-429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	36	29	—	—	$61,996.27	$162,440.01	$74,307.67	2026-05-08
63	OTHER	Pancreas Transplant	6	6	—	—	$70,313.69	$84,666.78	$74,184.17	2026-05-08
5931	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$69,346.23	$83,501.84	$73,163.46	2026-05-08
MS-850	OTHER	Acute Leukemia With Other Procedures	36	29	—	—	$59,587.19	$171,622.30	$71,420.18	2026-05-08
72	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$66,172.32	$79,680.04	$69,814.83	2026-05-08
MS-231	OTHER	Coronary Bypass With Ptca With Mcc	36	29	—	—	$58,007.28	$151,988.21	$69,526.52	2026-05-08
84	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherap	6	6	—	—	$65,712.40	$79,126.24	$69,329.60	2026-05-08
MS-456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	36	29	—	—	$57,824.93	$151,510.43	$69,307.96	2026-05-08
6093	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$64,920.53	$78,172.72	$68,494.13	2026-05-08
6022	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$64,725.04	$77,937.33	$68,287.89	2026-05-08
1634	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$63,216.64	$76,121.01	$66,696.45	2026-05-08
42	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	6	—	—	$62,170.28	$74,861.06	$65,592.49	2026-05-08
2994	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$61,941.39	$74,585.44	$65,351.00	2026-05-08
92	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$61,922.90	$74,563.19	$65,331.50	2026-05-08
6073	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$61,830.49	$74,451.92	$65,234.01	2026-05-08
MS-020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	36	29	—	—	$54,146.27	$143,133.48	$64,898.79	2026-05-08
62	OTHER	Pancreas Transplant	6	6	—	—	$60,618.51	$72,992.53	$63,955.31	2026-05-08
1784	OTHER	External Heart Assist Devices	6	6	—	—	$60,113.81	$72,384.81	$63,422.83	2026-05-08
MS-219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	36	29	—	—	$48,536.98	$138,437.12	$63,033.07	2026-05-08
MS-233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	36	29	—	—	$50,083.53	$137,840.34	$62,761.35	2026-05-08
MS-957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	36	29	—	—	$52,433.56	$137,384.19	$62,553.65	2026-05-08
6124	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$59,084.51	$71,145.40	$62,336.87	2026-05-08
6334	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	6	6	—	—	$58,929.55	$70,958.80	$62,173.37	2026-05-08
71	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$58,413.48	$70,337.38	$61,628.90	2026-05-08
6214	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	6	—	—	$57,942.90	$69,770.75	$61,132.41	2026-05-08
1654	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$56,793.47	$68,386.68	$59,919.71	2026-05-08
12	OTHER	Liver Transplant &/or Intestinal Transplant	6	6	—	—	$56,042.82	$67,482.80	$59,127.74	2026-05-08
MS-010	OTHER	Pancreas Transplant	36	29	—	—	$49,376.96	$129,375.42	$58,907.10	2026-05-08
MS-019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	36	29	—	—	$49,094.15	$141,028.03	$58,843.39	2026-05-08
MS-275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	36	29	—	—	$49,065.24	$128,558.67	$58,808.76	2026-05-08
1674	OTHER	Other Cardiothoracic And Thoracic Circulatory Procedures	6	6	—	—	$55,646.88	$67,006.04	$58,710.01	2026-05-08
MS-427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	36	29	—	—	$41,234.41	$130,148.89	$58,705.46	2026-05-08
MS-928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	36	29	—	—	$24,119.98	$129,321.33	$57,781.87	2026-05-08
8413	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$54,172.59	$65,230.81	$57,154.57	2026-05-08
1834	OTHER	Percutaneous Structural Cardiac Procedures	6	6	—	—	$54,102.93	$65,146.93	$57,081.07	2026-05-08
9104	OTHER	Craniotomy For Multiple Significant Trauma	6	6	—	—	$53,943.70	$64,955.19	$56,913.08	2026-05-08
MS-870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	36	29	—	—	$47,561.03	$124,617.39	$56,740.68	2026-05-08
MS-268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	36	29	—	—	$47,327.76	$124,006.18	$56,462.39	2026-05-08
6313	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$52,905.87	$63,705.51	$55,818.12	2026-05-08
1623	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$52,846.87	$63,634.47	$55,755.87	2026-05-08
MS-955	OTHER	Craniotomy For Multiple Significant Trauma	36	29	—	—	$46,317.61	$121,359.43	$55,515.49	2026-05-08
6804	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	6	—	—	$52,433.87	$63,137.16	$55,320.14	2026-05-08
MS-317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	36	29	—	—	$46,010.71	$120,555.31	$55,147.64	2026-05-08
MS-447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	36	29	—	—	$43,221.37	$120,466.96	$54,850.91	2026-05-08
6084	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$51,436.56	$61,936.27	$54,267.93	2026-05-08
6254	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	6	6	—	—	$51,361.92	$61,846.40	$54,189.18	2026-05-08
9114	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	6	—	—	$51,308.61	$61,782.20	$54,132.93	2026-05-08
MS-573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	36	29	—	—	$45,081.07	$118,119.50	$54,033.39	2026-05-08
MS-218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	36	29	—	—	$41,848.93	$118,550.41	$53,978.27	2026-05-08
MS-217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	36	29	—	—	$45,245.53	$118,550.41	$53,978.27	2026-05-08
3044	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$50,703.68	$61,053.79	$53,494.71	2026-05-08
1664	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	6	—	—	$50,631.17	$60,966.48	$53,418.21	2026-05-08
MS-207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	36	29	—	—	$44,278.04	$116,015.44	$53,070.89	2026-05-08
1794	OTHER	Defibrillator Implants	6	6	—	—	$49,970.80	$60,171.31	$52,721.49	2026-05-08
3033	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$49,894.74	$60,079.72	$52,641.24	2026-05-08
1603	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$49,826.50	$59,997.55	$52,569.24	2026-05-08
914	OTHER	Other Major Head And Neck Procedures	6	6	—	—	$49,679.35	$59,820.37	$52,414.00	2026-05-08
6144	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	6	—	—	$49,586.23	$59,708.24	$52,315.75	2026-05-08
11	OTHER	Liver Transplant &/or Intestinal Transplant	6	6	—	—	$49,235.08	$59,285.41	$51,945.27	2026-05-08
8504	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	6	6	—	—	$48,915.91	$58,901.09	$51,608.53	2026-05-08
214	OTHER	Open Craniotomy Except Trauma	6	6	—	—	$48,846.96	$58,818.06	$51,535.78	2026-05-08
1783	OTHER	External Heart Assist Devices	6	6	—	—	$48,505.04	$58,406.35	$51,175.05	2026-05-08
2993	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$48,435.38	$58,322.47	$51,101.55	2026-05-08
6033	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$48,318.09	$58,181.23	$50,977.80	2026-05-08
6021	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$48,215.73	$58,057.98	$50,869.81	2026-05-08
4403	OTHER	Kidney Transplant	6	6	—	—	$48,095.60	$57,913.32	$50,743.06	2026-05-08
MS-969	OTHER	HIV With Extensive O.r. Procedures With Mcc	36	29	—	—	$42,121.49	$123,103.74	$50,486.09	2026-05-08
9124	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	6	—	—	$47,706.06	$57,444.26	$50,332.08	2026-05-08
MS-266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	36	29	—	—	$42,170.35	$110,492.96	$50,309.56	2026-05-08
52	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	6	—	—	$47,560.33	$57,268.80	$50,178.33	2026-05-08
3004	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$47,253.96	$56,899.88	$49,855.10	2026-05-08
MS-232	OTHER	Coronary Bypass With Ptca Without Mcc	36	29	—	—	$41,717.57	$109,306.60	$49,769.39	2026-05-08
MS-276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	36	29	—	—	$41,332.23	$108,296.94	$49,540.09	2026-05-08
6904	OTHER	Acute Leukemia	6	6	—	—	$46,869.39	$56,436.82	$49,449.36	2026-05-08
MS-028	OTHER	Spinal Procedures With Mcc	36	29	—	—	$41,343.92	$108,327.59	$49,323.63	2026-05-08
MS-457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	36	29	—	—	$41,032.90	$107,512.65	$49,181.32	2026-05-08
MS-790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	36	29	—	—	$40,898.03	$121,575.89	$49,019.67	2026-05-08
83	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherap	6	6	—	—	$46,251.67	$55,693.00	$48,797.64	2026-05-08
6072	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$46,180.59	$55,607.40	$48,722.64	2026-05-08
MS-820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	36	29	—	—	$40,356.48	$105,740.34	$48,370.58	2026-05-08
MS-016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	36	29	—	—	$31,012.87	$106,910.46	$48,223.44	2026-05-08
MS-235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	36	29	—	—	$38,274.47	$105,808.85	$48,176.80	2026-05-08
2604	OTHER	Major Pancreas, Liver And Shunt Procedures	6	6	—	—	$45,575.66	$54,878.99	$48,084.41	2026-05-08
1633	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$45,446.29	$54,723.21	$47,947.92	2026-05-08
91	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$45,344.64	$54,600.81	$47,840.67	2026-05-08
1694	OTHER	Major Abdominal Vascular Procedures	6	6	—	—	$45,141.34	$54,356.01	$47,626.18	2026-05-08
MS-430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	36	29	—	—	$38,479.31	$103,978.84	$47,343.56	2026-05-08
MS-023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	36	29	—	—	$39,430.97	$103,315.35	$47,041.46	2026-05-08
235	OTHER	Spinal Procedures	6	6	—	—	$44,538.54	$53,630.17	$46,990.20	2026-05-08
7404	OTHER	Mental Illness Diagnosis With O.r. Procedure	6	6	—	—	$44,416.99	$53,483.80	$46,861.96	2026-05-08
6083	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$44,400.64	$53,464.11	$46,844.71	2026-05-08
MS-463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	36	29	—	—	$37,373.17	$102,760.04	$46,788.61	2026-05-08
MS-213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	32	26	—	—	$39,269.95	$102,893.45	$46,411.51	2026-05-08
1204	OTHER	Major Respiratory And Chest Procedures	6	6	—	—	$43,938.59	$52,907.75	$46,357.23	2026-05-08
6814	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	6	—	—	$43,867.51	$52,822.15	$46,282.23	2026-05-08
MS-008	OTHER	Simultaneous Pancreas And Kidney Transplant	36	29	—	—	$38,566.01	$101,049.02	$46,224.55	2026-05-08
3124	OTHER	Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	6	6	—	—	$43,785.05	$52,722.87	$46,195.24	2026-05-08
MS-428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	36	29	—	—	$36,267.03	$101,362.74	$46,152.40	2026-05-08
MS-278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	36	29	—	—	$38,301.77	$100,356.68	$45,907.85	2026-05-08
1304	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$43,421.81	$52,285.48	$45,812.00	2026-05-08
2204	OTHER	Major Stomach, Esophageal And Duodenal Procedures	6	6	—	—	$43,278.93	$52,113.43	$45,661.26	2026-05-08
MS-461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	36	29	—	—	$38,004.51	$119,023.26	$45,551.54	2026-05-08
6954	OTHER	Chemotherapy For Acute Leukemia	6	6	—	—	$43,137.47	$51,943.10	$45,512.01	2026-05-08
41	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	6	—	—	$43,013.07	$51,793.31	$45,380.77	2026-05-08
MS-834	OTHER	Acute Leukemia With Mcc	36	29	—	—	$37,776.74	$126,867.47	$45,278.55	2026-05-08
204	OTHER	Open Craniotomy For Trauma	6	6	—	—	$42,674.00	$51,385.02	$45,023.03	2026-05-08
894	OTHER	Major Cranial Or Facial Bone Procedures	6	6	—	—	$42,648.41	$51,354.21	$44,996.03	2026-05-08
3614	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	6	—	—	$42,600.79	$51,296.86	$44,945.78	2026-05-08
MS-405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	36	29	—	—	$37,643.25	$98,631.24	$44,908.69	2026-05-08
4284	OTHER	Genetic Disorders	6	6	—	—	$42,548.89	$51,234.37	$44,891.04	2026-05-08
MS-234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	36	29	—	—	$37,589.58	$98,490.61	$44,844.66	2026-05-08
MS-011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	36	29	—	—	$37,530.40	$98,335.56	$44,774.06	2026-05-08
2614	OTHER	Major Biliary Tract Procedures	6	6	—	—	$42,377.58	$51,028.09	$44,710.29	2026-05-08
9504	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$42,371.18	$51,020.39	$44,703.54	2026-05-08
6092	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$42,361.23	$51,008.40	$44,693.04	2026-05-08
1653	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$42,204.14	$50,819.24	$44,527.30	2026-05-08
61	OTHER	Pancreas Transplant	6	6	—	—	$42,104.62	$50,699.41	$44,422.30	2026-05-08
MS-220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	36	29	—	—	$36,695.72	$96,148.56	$43,778.28	2026-05-08
MS-017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	36	29	—	—	$25,820.16	$97,942.51	$43,761.55	2026-05-08
MS-450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	36	29	—	—	$36,359.21	$96,090.86	$43,752.01	2026-05-08
6234	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	6	—	—	$41,391.64	$49,840.89	$43,670.08	2026-05-08
MS-021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	36	29	—	—	$36,427.35	$108,235.15	$43,661.19	2026-05-08
274	OTHER	Other Open Craniotomy	6	6	—	—	$41,110.86	$49,502.80	$43,373.84	2026-05-08
MS-270	OTHER	Other Major Cardiovascular Procedures With Mcc	36	29	—	—	$36,306.93	$95,129.88	$43,314.46	2026-05-08
6302	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$41,009.92	$49,381.25	$43,267.35	2026-05-08
4402	OTHER	Kidney Transplant	6	6	—	—	$40,987.17	$49,353.86	$43,243.35	2026-05-08
6123	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$40,915.38	$49,267.41	$43,167.60	2026-05-08
924	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	6	6	—	—	$40,654.50	$48,953.28	$42,892.36	2026-05-08
MS-653	OTHER	Major Bladder Procedures With Mcc	36	29	—	—	$35,757.13	$102,067.85	$42,857.88	2026-05-08
MS-466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	36	29	—	—	$33,010.06	$93,851.58	$42,732.42	2026-05-08
4014	OTHER	Adrenal Procedures	6	6	—	—	$40,322.54	$48,553.55	$42,542.12	2026-05-08
5204	OTHER	Other GYN Procedures For Malignancy	6	6	—	—	$40,173.97	$48,374.66	$42,385.38	2026-05-08
6133	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	6	—	—	$40,158.33	$48,355.83	$42,368.88	2026-05-08
6113	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$40,000.52	$48,165.81	$42,202.39	2026-05-08
1622	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$39,952.19	$48,107.60	$42,151.39	2026-05-08
4414	OTHER	Major Bladder Procedures	6	6	—	—	$39,768.08	$47,885.91	$41,957.15	2026-05-08
1782	OTHER	External Heart Assist Devices	6	6	—	—	$39,493.69	$47,555.52	$41,667.66	2026-05-08
6032	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$39,424.03	$47,471.63	$41,594.16	2026-05-08
1833	OTHER	Percutaneous Structural Cardiac Procedures	6	6	—	—	$39,314.56	$47,339.82	$41,478.67	2026-05-08
MS-221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	36	29	—	—	$30,306.17	$90,873.08	$40,989.56	2026-05-08
MS-326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	36	29	—	—	$34,318.97	$89,921.12	$40,942.81	2026-05-08
MS-228	OTHER	Other Cardiothoracic Procedures With Mcc	36	29	—	—	$34,043.73	$95,453.38	$40,804.23	2026-05-08
5114	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	6	6	—	—	$38,482.88	$46,338.36	$40,601.20	2026-05-08
MS-853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	36	29	—	—	$33,983.17	$89,041.27	$40,542.19	2026-05-08
4401	OTHER	Kidney Transplant	6	6	—	—	$38,357.06	$46,186.86	$40,468.45	2026-05-08
6224	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$38,315.12	$46,136.36	$40,424.21	2026-05-08
MS-576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	36	29	—	—	$33,725.82	$101,974.69	$40,423.18	2026-05-08
MS-239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	36	29	—	—	$32,661.83	$88,736.57	$40,403.46	2026-05-08
3214	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	6	6	—	—	$38,194.98	$45,991.70	$40,297.46	2026-05-08
225	OTHER	Ventricular Shunt Procedures	6	6	—	—	$38,170.10	$45,961.75	$40,271.21	2026-05-08
7924	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	6	6	—	—	$38,056.37	$45,824.79	$40,151.22	2026-05-08
1793	OTHER	Defibrillator Implants	6	6	—	—	$38,054.95	$45,823.08	$40,149.72	2026-05-08
8423	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	6	—	—	$37,669.67	$45,359.16	$39,743.23	2026-05-08
6514	OTHER	Other Procedures Of Blood And Blood-forming Organs	6	6	—	—	$37,663.27	$45,351.46	$39,736.48	2026-05-08
MS-471	OTHER	Cervical Spinal Fusion With Mcc	37	30	—	—	$30,644.15	$87,059.81	$39,640.00	2026-05-08
8633	OTHER	Neonatal Aftercare	6	6	—	—	$37,526.79	$45,187.11	$39,592.49	2026-05-08
MS-837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	36	29	—	—	$32,303.36	$86,619.89	$39,439.69	2026-05-08
3043	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$37,378.23	$45,008.22	$39,435.74	2026-05-08
1602	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$37,329.89	$44,950.02	$39,384.75	2026-05-08
304	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	6	6	—	—	$37,261.65	$44,867.85	$39,312.75	2026-05-08
1704	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	6	6	—	—	$37,233.21	$44,833.61	$39,282.75	2026-05-08
MS-267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	36	29	—	—	$32,759.71	$85,835.60	$39,265.22	2026-05-08
1814	OTHER	Lower Extremity Vascular Procedures	6	6	—	—	$37,150.76	$44,734.32	$39,195.75	2026-05-08
1663	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	6	—	—	$37,145.78	$44,728.33	$39,190.50	2026-05-08
1214	OTHER	Other Respiratory And Chest Procedures	6	6	—	—	$36,830.17	$44,348.29	$38,857.52	2026-05-08
5124	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	6	6	—	—	$36,815.24	$44,330.31	$38,841.77	2026-05-08
MS-650	OTHER	Kidney Transplant With Hemodialysis With Mcc	36	29	—	—	$32,350.97	$84,907.48	$38,775.31	2026-05-08
MS-981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	36	29	—	—	$32,284.91	$84,591.55	$38,696.14	2026-05-08
2304	OTHER	Major Small Bowel Procedures	6	6	—	—	$36,609.09	$44,082.09	$38,624.27	2026-05-08
MS-826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	36	29	—	—	$32,188.57	$90,012.74	$38,580.67	2026-05-08
82	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherap	6	6	—	—	$36,302.01	$43,712.32	$38,300.29	2026-05-08
3032	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$36,288.51	$43,696.06	$38,286.04	2026-05-08
MS-006	OTHER	Liver Transplant Without Mcc	36	29	—	—	$31,907.82	$89,714.62	$38,244.17	2026-05-08
4054	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	6	6	—	—	$36,198.94	$43,588.21	$38,191.54	2026-05-08
2644	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	6	6	—	—	$36,127.85	$43,502.61	$38,116.54	2026-05-08
MS-277	OTHER	Cardiac Defibrillator Implant Without Mcc	36	29	—	—	$31,780.52	$83,269.97	$38,091.58	2026-05-08
7104	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	6	6	—	—	$35,997.77	$43,345.97	$37,979.30	2026-05-08
1764	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	6	—	—	$35,851.34	$43,169.65	$37,824.81	2026-05-08
4044	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	6	6	—	—	$35,766.04	$43,066.94	$37,734.81	2026-05-08
MS-329	OTHER	Major Small And Large Bowel Procedures With Mcc	36	29	—	—	$29,497.05	$82,873.32	$37,733.81	2026-05-08
6344	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	6	6	—	—	$35,744.71	$43,041.26	$37,712.31	2026-05-08
MS-823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	36	29	—	—	$31,548.63	$82,662.38	$37,637.76	2026-05-08
4034	OTHER	Procedures For Obesity	6	6	—	—	$35,665.81	$42,946.25	$37,629.06	2026-05-08
MS-245	OTHER	Aicd Generator Procedures	36	29	—	—	$31,394.49	$89,714.62	$37,628.90	2026-05-08
2992	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$35,623.16	$42,894.89	$37,584.06	2026-05-08
1781	OTHER	External Heart Assist Devices	6	6	—	—	$35,544.25	$42,799.88	$37,500.82	2026-05-08
8411	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$35,495.92	$42,741.68	$37,449.82	2026-05-08
8412	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$35,495.92	$42,741.68	$37,449.82	2026-05-08
MS-025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	36	29	—	—	$31,286.46	$81,975.45	$37,324.99	2026-05-08
1673	OTHER	Other Cardiothoracic And Thoracic Circulatory Procedures	6	6	—	—	$35,321.76	$42,531.97	$37,266.08	2026-05-08
MS-856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	36	29	—	—	$28,114.37	$82,011.50	$37,199.86	2026-05-08
MS-799	OTHER	Splenic Procedures With Mcc	36	29	—	—	$30,941.17	$81,654.52	$37,178.87	2026-05-08
7114	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	6	6	—	—	$35,095.71	$42,259.78	$37,027.59	2026-05-08
MS-319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	36	29	—	—	$30,709.82	$80,882.90	$36,808.26	2026-05-08
MS-163	OTHER	Major Chest Procedures With Mcc	36	29	—	—	$30,839.87	$80,805.32	$36,792.21	2026-05-08
MS-031	OTHER	Ventricular Shunt Procedures With Mcc	36	29	—	—	$28,216.79	$80,781.88	$36,781.54	2026-05-08
294	OTHER	Other Percutaneous Intracranial Procedures	6	6	—	—	$34,860.42	$41,976.46	$36,779.34	2026-05-08
4844	OTHER	Other Male Reproductive System And Related Procedures	6	6	—	—	$34,857.58	$41,973.04	$36,776.35	2026-05-08
9103	OTHER	Craniotomy For Multiple Significant Trauma	6	6	—	—	$34,822.04	$41,930.24	$36,738.85	2026-05-08
4854	OTHER	Prostatectomy Procedures	6	6	—	—	$34,775.83	$41,874.60	$36,690.10	2026-05-08
264	OTHER	Other Nervous System And Related Procedures	6	6	—	—	$34,644.33	$41,716.25	$36,551.35	2026-05-08
213	OTHER	Open Craniotomy Except Trauma	6	6	—	—	$34,375.63	$41,392.70	$36,267.86	2026-05-08
1754	OTHER	Percutaneous Cardiac Intervention Without Ami	6	6	—	—	$34,271.13	$41,266.88	$36,157.62	2026-05-08
MS-356	OTHER	Other Digestive System O.r. Procedures With Mcc	36	29	—	—	$28,585.51	$79,200.68	$36,061.59	2026-05-08
1652	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$34,030.16	$40,976.71	$35,903.38	2026-05-08
6091	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$34,027.32	$40,973.29	$35,900.38	2026-05-08
4474	OTHER	Other Kidney, Urinary Tract And Related Non-percutaneous Procedures	6	6	—	—	$33,944.86	$40,874.00	$35,813.38	2026-05-08
4424	OTHER	Kidney And Urinary Tract Procedures For Malignancy	6	6	—	—	$33,838.23	$40,745.61	$35,700.89	2026-05-08
MS-323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	36	29	—	—	$29,777.42	$78,021.54	$35,690.71	2026-05-08
4484	OTHER	Other Kidney, Urinary Tract And Related Percutaneous Procedures	6	6	—	—	$33,659.81	$40,530.77	$35,512.64	2026-05-08
1632	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$33,541.10	$40,387.82	$35,387.40	2026-05-08
6504	OTHER	Splenic Procedures	6	6	—	—	$33,525.46	$40,368.99	$35,370.90	2026-05-08
6143	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	6	—	—	$33,489.92	$40,326.20	$35,333.40	2026-05-08
MS-474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	36	29	—	—	$29,281.96	$77,399.52	$35,241.48	2026-05-08
MS-140	OTHER	Major Head And Neck Procedures With Mcc	36	29	—	—	$29,350.10	$76,901.90	$35,178.53	2026-05-08
1621	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$33,290.88	$40,086.53	$35,123.41	2026-05-08
9514	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$33,223.35	$40,005.22	$35,052.16	2026-05-08
913	OTHER	Other Major Head And Neck Procedures	6	6	—	—	$33,194.92	$39,970.98	$35,022.16	2026-05-08
3003	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$33,039.96	$39,784.38	$34,858.67	2026-05-08
6071	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$33,013.65	$39,752.71	$34,830.92	2026-05-08
MS-448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	36	29	—	—	$27,243.80	$76,460.17	$34,813.78	2026-05-08
MS-012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	36	29	—	—	$29,010.86	$76,013.04	$34,701.18	2026-05-08
MS-269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	36	29	—	—	$29,060.41	$76,142.85	$34,669.30	2026-05-08
MS-958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	36	29	—	—	$28,996.41	$75,975.18	$34,592.95	2026-05-08
1303	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$32,757.75	$39,444.57	$34,560.93	2026-05-08
434	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	6	6	—	—	$32,712.97	$39,390.65	$34,513.68	2026-05-08
MS-901	OTHER	Wound Debridements For Injuries With Mcc	36	29	—	—	$28,877.37	$75,663.26	$34,450.93	2026-05-08

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