Hospital

MCLEOD HEALTH CLARENDON

Manning, SC · CCN 420109 · Rates published

13,675 distinct procedures filed

16 distinct payers

153,996 rate rows

2026-05-13 last MRF observed

Data quality

153,770 of 153,996 rate rows are consumer-grade (99.9%)

226 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
percent-of-charges filed in the dollar field — excluded from medians	100
placeholder amount (≤ $0.02) — excluded from medians	62
per-diem day rate — not a per-procedure price	46
exceeds 10× this hospital's gross charge — excluded from medians	18

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

Source MRF file	https://www.mcleodhealth.org/wp-content/uploads/price-transparency/81-2772554_mcleod-health-clarendon_standardcharges.csv
Found on page	https://www.mcleodhealth.org/about-us/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-18
Content fingerprint	c60a689c834aadb4… · 210,690,872 bytes · first seen 2026-05-13

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
9138 OTHER	Inj, Hemgenix, Per Tx Dose	10	$3,685,266.67	$3,943,235.33	$3,832,677.33	nat. median $3,746,358 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	11	$2,455,110.61	$4,787,465.68	$2,614,692.79	nat. median $2,588,981 1.0× median
583-4 OTHER	Neonate With Ecmo	5	$1,015,191.99	$1,167,470.79	$1,065,951.59	nat. median $309,400 outlier · 3.4×
2067 OTHER	Afamitresgene Autoleucel	11	$719,250.47	$1,402,538.42	$766,001.75	nat. median $786,032 1.0× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$641,639.39	$737,885.30	$673,721.36	nat. median $267,493 outlier · 2.5×
583-3 OTHER	Neonate With Ecmo	5	$612,946.71	$704,888.71	$643,594.04	nat. median $259,487 outlier · 2.5×
9194 OTHER	Tisagenlecleucel Car-pos T	11	$591,726.20	$1,153,866.09	$630,188.40	nat. median $566,531 1.1× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$574,956.51	$661,199.99	$603,704.34	nat. median $105,647 outlier · 5.7×
9498 OTHER	Ciltacabtagene Car-pos T	11	$565,868.95	$1,103,444.44	$602,650.43	nat. median $587,650 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	11	$562,538.19	$1,096,949.46	$599,103.17	nat. median $562,201 1.1× median
9422 OTHER	Idecabtagene Vicleucel Car	11	$557,317.93	$1,086,769.97	$593,543.60	nat. median $558,082 1.1× median
9035 OTHER	Axicabtagene Ciloleucel Car+	11	$533,230.17	$1,039,798.83	$567,890.13	nat. median $532,192 1.1× median
002-4 OTHER	Heart And/or Lung Transplant	5	$522,145.63	$600,467.48	$548,252.91	nat. median $216,800 outlier · 2.5×
9391 OTHER	Brexucabtagene Car Pos T	11	$489,304.61	$954,143.99	$521,109.41	nat. median $489,450 1.1× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$451,203.87	$518,884.45	$473,764.06	nat. median $169,856 outlier · 2.8×
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$448,753.25	$516,066.23	$471,190.91	nat. median $171,094 outlier · 2.8×
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$441,486.78	$507,709.80	$463,561.12	nat. median $156,696 outlier · 3.0×
161-4 OTHER	Implantable Heart Assist Systems	5	$434,153.49	$499,276.51	$455,861.16	nat. median $202,242 outlier · 2.3×
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	$315,482.64	$1,228,982.49	$441,010.70	nat. median $386,529 1.1× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	$417,830.87	$480,505.50	$438,722.41	nat. median $150,954 outlier · 2.9×
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$415,356.11	$477,659.53	$436,123.92	nat. median $165,000 outlier · 2.6×
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$400,585.55	$460,673.38	$420,614.83	nat. median $153,523 outlier · 2.7×
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$389,704.42	$448,160.09	$409,189.64	nat. median $151,250 outlier · 2.7×
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$385,100.23	$442,865.26	$404,355.24	nat. median $203,379 2.0× median
583-2 OTHER	Neonate With Ecmo	5	$384,637.95	$442,333.64	$403,869.85	nat. median $191,347 outlier · 2.1×
011-2 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$379,213.17	$436,095.14	$398,173.82	nat. median $52,878 outlier · 7.5×
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	5	$371,417.59	$427,130.23	$389,988.47	nat. median $151,691 outlier · 2.6×
161-3 OTHER	Implantable Heart Assist Systems	5	$349,352.72	$401,755.63	$366,820.36	nat. median $152,491 outlier · 2.4×
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$340,782.97	$391,900.42	$357,822.12	nat. median $87,000 outlier · 4.1×
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$340,782.97	$391,900.42	$357,822.12	nat. median $49,980 outlier · 7.2×
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$340,782.97	$391,900.42	$357,822.12	nat. median $86,371 outlier · 4.1×
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$335,449.16	$385,766.53	$352,221.62	nat. median $99,157 outlier · 3.6×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$327,232.15	$376,316.98	$343,593.76	nat. median $210,669 1.6× median
583-1 OTHER	Neonate With Ecmo	5	$324,538.33	$373,219.08	$340,765.24	nat. median $171,226 2.0× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	5	$321,653.28	$369,901.27	$337,735.94	nat. median $172,311 2.0× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$319,200.80	$367,080.92	$335,160.84	nat. median $110,000 outlier · 3.0×
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	5	$296,031.29	$340,435.99	$310,832.86	nat. median $124,561 outlier · 2.5×
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$284,635.91	$327,331.29	$298,867.70	nat. median $125,000 outlier · 2.4×
002-3 OTHER	Heart And/or Lung Transplant	5	$282,357.94	$324,711.63	$296,475.84	nat. median $133,471 outlier · 2.2×
633 OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	1	$295,570.85	$295,570.85	$295,570.85	nat. median $4,769 outlier · 62.0×
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$278,397.96	$320,157.66	$292,317.86	nat. median $112,711 outlier · 2.6×
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	14	$268,730.71	$797,560.19	$287,541.85	nat. median $239,422 1.2× median
591-2 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$272,380.95	$313,238.09	$285,999.99	nat. median $80,000 outlier · 3.6×
588-1 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$266,434.48	$306,399.65	$279,756.20	nat. median $75,325 outlier · 3.7×
612 OTHER	Neonate, Birth Weight <750 Grams, Discharged Alive	1	$270,849.83	$270,849.83	$270,849.83	nat. median $2,164 outlier · 125.1×
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	$236,375.38	$271,831.69	$248,194.15	nat. median $87,912 outlier · 2.8×
161-2 OTHER	Implantable Heart Assist Systems	5	$236,119.18	$271,537.06	$247,925.14	nat. median $109,992 outlier · 2.3×
161-1 OTHER	Implantable Heart Assist Systems	5	$236,119.18	$271,537.06	$247,925.14	nat. median $101,352 outlier · 2.4×
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	$229,537.78	$263,968.45	$241,014.67	nat. median $106,926 outlier · 2.3×
005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	$227,063.02	$261,122.48	$238,416.18	nat. median $88,000 outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 13,675 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

9138	OTHER	Inj, Hemgenix, Per Tx Dose	11	10	—	—	$3,685,266.67	$3,943,235.33	$3,832,677.33	2026-05-13
9141	OTHER	Inj Onase Abepar-xioi Treat	13	11	—	—	$2,455,110.61	$4,787,465.68	$2,614,692.79	2026-05-13
583-4	OTHER	Neonate With Ecmo	5	5	—	—	$1,015,191.99	$1,167,470.79	$1,065,951.59	2026-05-13
2067	OTHER	Afamitresgene Autoleucel	13	11	—	—	$719,250.47	$1,402,538.42	$766,001.75	2026-05-13
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$641,639.39	$737,885.30	$673,721.36	2026-05-13
583-3	OTHER	Neonate With Ecmo	5	5	—	—	$612,946.71	$704,888.71	$643,594.04	2026-05-13
9194	OTHER	Tisagenlecleucel Car-pos T	13	11	—	—	$591,726.20	$1,153,866.09	$630,188.40	2026-05-13
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$574,956.51	$661,199.99	$603,704.34	2026-05-13
9498	OTHER	Ciltacabtagene Car-pos T	13	11	—	—	$565,868.95	$1,103,444.44	$602,650.43	2026-05-13
9413	OTHER	Lisocabtagene Car Pos T	13	11	—	—	$562,538.19	$1,096,949.46	$599,103.17	2026-05-13
9422	OTHER	Idecabtagene Vicleucel Car	13	11	—	—	$557,317.93	$1,086,769.97	$593,543.60	2026-05-13
9035	OTHER	Axicabtagene Ciloleucel Car+	13	11	—	—	$533,230.17	$1,039,798.83	$567,890.13	2026-05-13
002-4	OTHER	Heart And/or Lung Transplant	5	5	—	—	$522,145.63	$600,467.48	$548,252.91	2026-05-13
9391	OTHER	Brexucabtagene Car Pos T	13	11	—	—	$489,304.61	$954,143.99	$521,109.41	2026-05-13
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$451,203.87	$518,884.45	$473,764.06	2026-05-13
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$448,753.25	$516,066.23	$471,190.91	2026-05-13
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$441,486.78	$507,709.80	$463,561.12	2026-05-13
161-4	OTHER	Implantable Heart Assist Systems	5	5	—	—	$434,153.49	$499,276.51	$455,861.16	2026-05-13
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$417,830.87	$480,505.50	$438,722.41	2026-05-13
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$415,356.11	$477,659.53	$436,123.92	2026-05-13
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$400,585.55	$460,673.38	$420,614.83	2026-05-13
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$389,704.42	$448,160.09	$409,189.64	2026-05-13
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$385,100.23	$442,865.26	$404,355.24	2026-05-13
583-2	OTHER	Neonate With Ecmo	5	5	—	—	$384,637.95	$442,333.64	$403,869.85	2026-05-13
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$379,213.17	$436,095.14	$398,173.82	2026-05-13
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$371,417.59	$427,130.23	$389,988.47	2026-05-13
161-3	OTHER	Implantable Heart Assist Systems	5	5	—	—	$349,352.72	$401,755.63	$366,820.36	2026-05-13
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$340,782.97	$391,900.42	$357,822.12	2026-05-13
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$340,782.97	$391,900.42	$357,822.12	2026-05-13
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$340,782.97	$391,900.42	$357,822.12	2026-05-13
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$335,449.16	$385,766.53	$352,221.62	2026-05-13
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$327,232.15	$376,316.98	$343,593.76	2026-05-13
583-1	OTHER	Neonate With Ecmo	5	5	—	—	$324,538.33	$373,219.08	$340,765.24	2026-05-13
007-4	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$321,653.28	$369,901.27	$337,735.94	2026-05-13
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$319,200.80	$367,080.92	$335,160.84	2026-05-13
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	16	13	—	—	$315,482.64	$1,228,982.49	$441,010.70	2026-05-13
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$296,031.29	$340,435.99	$310,832.86	2026-05-13
633	OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	1	1	—	—	$295,570.85	$295,570.85	$295,570.85	2026-05-13
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$284,635.91	$327,331.29	$298,867.70	2026-05-13
002-3	OTHER	Heart And/or Lung Transplant	5	5	—	—	$282,357.94	$324,711.63	$296,475.84	2026-05-13
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$278,397.96	$320,157.66	$292,317.86	2026-05-13
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$272,380.95	$313,238.09	$285,999.99	2026-05-13
612	OTHER	Neonate, Birth Weight <750 Grams, Discharged Alive	1	1	—	—	$270,849.83	$270,849.83	$270,849.83	2026-05-13
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	19	14	—	—	$268,730.71	$797,560.19	$287,541.85	2026-05-13
588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$266,434.48	$306,399.65	$279,756.20	2026-05-13
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$236,375.38	$271,831.69	$248,194.15	2026-05-13
161-2	OTHER	Implantable Heart Assist Systems	5	5	—	—	$236,119.18	$271,537.06	$247,925.14	2026-05-13
161-1	OTHER	Implantable Heart Assist Systems	5	5	—	—	$236,119.18	$271,537.06	$247,925.14	2026-05-13
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$229,537.78	$263,968.45	$241,014.67	2026-05-13
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$227,063.02	$261,122.48	$238,416.18	2026-05-13
002-2	OTHER	Heart And/or Lung Transplant	5	5	—	—	$217,941.89	$250,633.17	$228,838.98	2026-05-13
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$216,458.52	$248,927.30	$227,281.44	2026-05-13
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$211,871.03	$243,651.69	$222,464.58	2026-05-13
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$211,592.55	$243,331.43	$222,172.18	2026-05-13
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$205,865.15	$236,744.93	$216,158.41	2026-05-13
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	19	14	—	—	$203,535.66	$604,069.19	$217,783.16	2026-05-13
006-4	OTHER	Pancreas Transplant	5	5	—	—	$199,630.92	$229,575.56	$209,612.47	2026-05-13
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$198,622.83	$228,416.25	$208,553.97	2026-05-13
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$198,409.32	$228,170.72	$208,329.79	2026-05-13
631	OTHER	Neonate, Birth Weight 750-999 Grams, Discharged Alive	1	1	—	—	$196,395.81	$196,395.81	$196,395.81	2026-05-13
007-3	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$191,642.27	$220,388.61	$201,224.38	2026-05-13
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$178,542.59	$205,323.97	$187,469.72	2026-05-13
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$177,720.14	$204,378.16	$186,606.15	2026-05-13
636	OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	1	1	—	—	$173,672.49	$173,672.49	$173,672.49	2026-05-13
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$173,390.71	$199,399.32	$182,060.25	2026-05-13
863-4	OTHER	Neonatal Aftercare	5	5	—	—	$170,346.00	$195,897.90	$178,863.30	2026-05-13
006-3	OTHER	Pancreas Transplant	5	5	—	—	$169,900.43	$195,385.50	$178,395.46	2026-05-13
002-1	OTHER	Heart And/or Lung Transplant	5	5	—	—	$167,067.37	$192,127.47	$175,420.74	2026-05-13
440-4	OTHER	Kidney Transplant	5	5	—	—	$165,073.45	$189,834.47	$173,327.13	2026-05-13
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$163,482.41	$188,004.77	$171,656.53	2026-05-13
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$160,200.06	$184,230.07	$168,210.06	2026-05-13
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$160,194.49	$184,223.66	$168,204.21	2026-05-13
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$158,954.33	$182,797.48	$166,902.04	2026-05-13
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$152,428.62	$175,292.91	$160,050.05	2026-05-13
851-4	OTHER	Gender Related Procedures	5	5	—	—	$149,421.04	$171,834.20	$156,892.09	2026-05-13
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$148,791.68	$171,110.43	$156,231.26	2026-05-13
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$145,047.05	$166,804.11	$152,299.41	2026-05-13
299-4	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	5	5	—	—	$143,812.46	$165,384.33	$151,003.08	2026-05-13
006-2	OTHER	Pancreas Transplant	5	5	—	—	$143,669.51	$165,219.93	$150,852.98	2026-05-13
007-2	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$142,639.13	$164,035.00	$149,771.09	2026-05-13
178-4	OTHER	External Heart Assist Devices	5	5	—	—	$142,173.14	$163,499.12	$149,281.80	2026-05-13
008-4	OTHER	Autologous Bone Marrow Transplant	5	5	—	—	$139,767.08	$160,732.14	$146,755.43	2026-05-13
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$138,560.33	$159,344.38	$145,488.35	2026-05-13
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$136,657.39	$157,156.00	$143,490.26	2026-05-13
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	14	12	—	—	$133,288.33	$277,552.89	$149,807.39	2026-05-13
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	14	12	—	—	$133,288.33	$277,552.89	$149,807.39	2026-05-13
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	19	14	—	—	$132,825.78	$394,210.84	$142,123.59	2026-05-13
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$131,954.80	$151,748.02	$138,552.54	2026-05-13
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$131,906.53	$151,692.51	$138,501.85	2026-05-13
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$130,842.74	$150,469.15	$137,384.87	2026-05-13
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$129,712.11	$149,168.92	$136,197.71	2026-05-13
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	5	5	—	—	$128,083.93	$147,296.52	$134,488.13	2026-05-13
183-4	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$126,158.71	$145,082.51	$132,466.64	2026-05-13
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$124,194.50	$142,823.67	$130,404.22	2026-05-13
910-4	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$122,337.97	$140,688.66	$128,454.87	2026-05-13
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	5	5	—	—	$122,241.43	$140,577.64	$128,353.50	2026-05-13
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	14	12	—	—	$120,178.05	$250,252.70	$135,072.29	2026-05-13
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	14	12	—	—	$120,178.05	$250,252.70	$135,072.29	2026-05-13
007-1	OTHER	Allogeneic Bone Marrow Transplant	5	5	—	—	$118,732.58	$136,542.47	$124,669.21	2026-05-13
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	1	—	—	$118,292.96	$118,292.96	$118,292.96	2026-05-13
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$118,168.20	$135,893.43	$124,076.61	2026-05-13
179-4	OTHER	Defibrillator Implants	5	5	—	—	$118,053.09	$135,761.06	$123,955.75	2026-05-13
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	5	5	—	—	$117,464.57	$135,084.26	$123,337.80	2026-05-13
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$116,837.07	$134,362.63	$122,678.92	2026-05-13
167-4	OTHER	Other Cardiothoracic And Thoracic Circulatory Procedures	5	5	—	—	$115,984.92	$133,382.66	$121,784.16	2026-05-13
006-1	OTHER	Pancreas Transplant	5	5	—	—	$115,934.79	$133,325.01	$121,731.53	2026-05-13
091-4	OTHER	Other Major Head And Neck Procedures	5	5	—	—	$115,591.33	$132,930.03	$121,370.90	2026-05-13
178-3	OTHER	External Heart Assist Devices	5	5	—	—	$115,288.72	$132,582.03	$121,053.15	2026-05-13
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	5	5	—	—	$113,955.73	$131,049.09	$119,653.52	2026-05-13
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$113,758.94	$130,822.78	$119,446.88	2026-05-13
299-3	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	5	5	—	—	$112,748.98	$129,661.33	$118,386.43	2026-05-13
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$112,316.41	$129,163.87	$117,932.23	2026-05-13
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	5	5	—	—	$112,140.04	$128,961.05	$117,747.04	2026-05-13
440-3	OTHER	Kidney Transplant	5	5	—	—	$109,886.21	$126,369.15	$115,380.52	2026-05-13
300-4	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	5	5	—	—	$108,742.59	$125,053.98	$114,179.72	2026-05-13
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	5	5	—	—	$108,387.99	$124,646.19	$113,807.39	2026-05-13
593-1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$107,303.78	$123,399.35	$112,668.97	2026-05-13
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$107,275.93	$123,367.32	$112,639.73	2026-05-13
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	14	12	—	—	$107,067.76	$222,952.50	$120,337.18	2026-05-13
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	14	12	—	—	$107,067.76	$222,952.50	$120,337.18	2026-05-13
169-4	OTHER	Major Abdominal Vascular Procedures	5	5	—	—	$106,694.84	$122,699.06	$112,029.58	2026-05-13
021-4	OTHER	Open Craniotomy Except Trauma	5	5	—	—	$106,564.88	$122,549.61	$111,893.12	2026-05-13
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$106,501.76	$122,477.02	$111,826.85	2026-05-13
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	19	14	—	—	$106,241.66	$444,362.24	$116,271.00	2026-05-13
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$106,117.46	$122,035.07	$111,423.33	2026-05-13
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	1	1	—	—	$105,942.01	$105,942.01	$105,942.01	2026-05-13
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$104,947.84	$120,690.02	$110,195.23	2026-05-13
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	19	13	—	—	$104,275.44	$309,476.89	$111,574.72	2026-05-13
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$104,195.95	$119,825.34	$109,405.74	2026-05-13
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$103,752.23	$119,315.07	$108,939.85	2026-05-13
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$103,752.23	$119,315.07	$108,939.85	2026-05-13
7	OTHER	Lung Transplant	19	14	—	—	$103,153.05	$368,562.69	$132,876.74	2026-05-13
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$102,909.37	$118,345.78	$108,054.84	2026-05-13
023-4	OTHER	Spinal Procedures	5	5	—	—	$102,820.26	$118,243.29	$107,961.27	2026-05-13
14	OTHER	Allogeneic Bone Marrow Transplant	19	14	—	—	$102,015.24	$342,029.43	$123,310.79	2026-05-13
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$101,346.17	$116,548.10	$106,413.48	2026-05-13
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	5	5	—	—	$101,238.49	$116,424.27	$106,300.42	2026-05-13
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$100,891.32	$116,025.02	$105,935.89	2026-05-13
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	5	5	—	—	$100,811.49	$115,933.21	$105,852.06	2026-05-13
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$100,748.37	$115,860.62	$105,785.79	2026-05-13
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	19	14	—	—	$98,870.89	$293,436.83	$105,791.85	2026-05-13
089-4	OTHER	Major Cranial Or Facial Bone Procedures	5	5	—	—	$98,398.00	$113,157.70	$103,317.90	2026-05-13
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	5	5	—	—	$97,991.42	$112,690.13	$102,890.99	2026-05-13
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	5	5	—	—	$97,748.21	$112,410.45	$102,635.62	2026-05-13
401-4	OTHER	Adrenal Procedures	5	5	—	—	$97,233.95	$111,819.05	$102,095.65	2026-05-13
690-4	OTHER	Acute Leukemia	5	5	—	—	$96,769.82	$111,285.30	$101,608.31	2026-05-13
120-4	OTHER	Major Respiratory And Chest Procedures	5	5	—	—	$96,584.17	$111,071.79	$101,413.38	2026-05-13
632	OTHER	Neonate, Birth Weight 750-999 Grams, Died	1	1	—	—	$96,386.95	$96,386.95	$96,386.95	2026-05-13
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	5	5	—	—	$96,053.20	$110,461.18	$100,855.86	2026-05-13
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$95,046.96	$109,304.01	$99,799.31	2026-05-13
440-2	OTHER	Kidney Transplant	5	5	—	—	$94,848.31	$109,075.56	$99,590.73	2026-05-13
020-4	OTHER	Open Craniotomy For Trauma	5	5	—	—	$94,419.45	$108,582.37	$99,140.43	2026-05-13
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	14	12	—	—	$93,957.48	$195,652.31	$105,602.08	2026-05-13
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	14	12	—	—	$93,957.48	$195,652.31	$105,602.08	2026-05-13
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	20	14	—	—	$93,810.60	$278,418.49	$100,377.34	2026-05-13
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$93,489.33	$107,512.73	$98,163.80	2026-05-13
312-4	OTHER	Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	5	5	—	—	$93,327.81	$107,326.99	$97,994.20	2026-05-13
441-4	OTHER	Major Bladder Procedures	5	5	—	—	$93,283.26	$107,275.75	$97,947.42	2026-05-13
178-2	OTHER	External Heart Assist Devices	5	5	—	—	$92,937.94	$106,878.63	$97,584.84	2026-05-13
520-4	OTHER	Other GYN Procedures For Malignancy	5	5	—	—	$92,264.02	$106,103.62	$96,877.22	2026-05-13
215	OTHER	Other Heart Assist System Implant	20	14	—	—	$92,124.92	$327,714.25	$102,164.73	2026-05-13
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$91,955.84	$105,749.21	$96,553.63	2026-05-13
008-3	OTHER	Autologous Bone Marrow Transplant	5	5	—	—	$91,675.50	$105,426.83	$96,259.28	2026-05-13
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$90,533.73	$104,113.79	$95,060.42	2026-05-13
261-4	OTHER	Major Biliary Tract Procedures	5	5	—	—	$89,297.28	$102,691.88	$93,762.15	2026-05-13
485-4	OTHER	Prostatectomy Procedures	5	5	—	—	$89,026.23	$102,380.17	$93,477.54	2026-05-13
183-3	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$88,892.56	$102,226.44	$93,337.19	2026-05-13
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$88,725.47	$102,034.29	$93,161.75	2026-05-13
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	5	5	—	—	$87,878.89	$101,060.73	$92,272.84	2026-05-13
179-3	OTHER	Defibrillator Implants	5	5	—	—	$87,151.13	$100,223.80	$91,508.69	2026-05-13
440-1	OTHER	Kidney Transplant	5	5	—	—	$86,653.58	$99,651.62	$90,986.26	2026-05-13
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	5	5	—	—	$86,260.00	$99,199.00	$90,573.00	2026-05-13
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	5	5	—	—	$86,020.51	$98,923.58	$90,321.53	2026-05-13
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$85,784.73	$98,652.44	$90,073.96	2026-05-13
178-1	OTHER	External Heart Assist Devices	5	5	—	—	$85,268.61	$98,058.90	$89,532.04	2026-05-13
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$85,053.25	$97,811.24	$89,305.92	2026-05-13
299-2	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	5	5	—	—	$84,474.02	$97,145.12	$88,697.72	2026-05-13
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$84,254.95	$96,893.19	$88,467.69	2026-05-13
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	5	5	—	—	$84,111.99	$96,728.79	$88,317.59	2026-05-13
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	5	5	—	—	$84,032.16	$96,636.99	$88,233.77	2026-05-13
365	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$83,969.12	$83,969.12	$83,969.12	2026-05-13
230-4	OTHER	Major Small Bowel Procedures	5	5	—	—	$83,809.38	$96,380.79	$87,999.85	2026-05-13
695-4	OTHER	Chemotherapy For Acute Leukemia	5	5	—	—	$83,775.96	$96,342.36	$87,964.76	2026-05-13
027-4	OTHER	Other Open Craniotomy	5	5	—	—	$83,714.70	$96,271.90	$87,900.43	2026-05-13
181-4	OTHER	Lower Extremity Vascular Procedures	5	5	—	—	$83,642.29	$96,188.63	$87,824.41	2026-05-13
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$83,456.64	$95,975.13	$87,629.47	2026-05-13
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	5	5	—	—	$83,180.01	$95,657.02	$87,339.02	2026-05-13
850	OTHER	Acute Leukemia With Other Procedures	19	13	—	—	$83,038.89	$246,449.37	$88,436.42	2026-05-13
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	14	12	—	—	$83,032.24	$172,902.14	$93,322.82	2026-05-13
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	14	12	—	—	$83,032.24	$172,902.14	$93,322.82	2026-05-13
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$82,790.14	$95,208.66	$86,929.65	2026-05-13
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	5	5	—	—	$82,699.17	$95,104.05	$86,834.13	2026-05-13
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	5	5	—	—	$82,296.31	$94,640.75	$86,411.12	2026-05-13
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	5	5	—	—	$81,893.44	$94,177.45	$85,988.11	2026-05-13
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$81,666.94	$93,916.98	$85,750.29	2026-05-13
121-4	OTHER	Other Respiratory And Chest Procedures	5	5	—	—	$81,659.52	$93,908.44	$85,742.49	2026-05-13
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	5	5	—	—	$80,430.49	$92,495.07	$84,452.02	2026-05-13
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	19	13	—	—	$80,412.36	$256,413.22	$92,443.85	2026-05-13
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$79,316.57	$91,214.06	$83,282.40	2026-05-13
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	5	5	—	—	$79,216.32	$91,098.77	$83,177.14	2026-05-13
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$79,194.04	$91,073.15	$83,153.75	2026-05-13
863-3	OTHER	Neonatal Aftercare	5	5	—	—	$78,856.15	$90,684.58	$82,798.96	2026-05-13
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	5	5	—	—	$78,850.58	$90,678.17	$82,793.11	2026-05-13
160-2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$78,763.33	$90,577.83	$82,701.49	2026-05-13
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	5	5	—	—	$78,299.19	$90,044.07	$82,214.15	2026-05-13
428-4	OTHER	Genetic Disorders	5	5	—	—	$78,258.35	$89,997.10	$82,171.27	2026-05-13
403-4	OTHER	Procedures For Obesity	5	5	—	—	$78,243.50	$89,980.02	$82,155.67	2026-05-13
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$77,615.99	$89,258.39	$81,496.79	2026-05-13
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	5	5	—	—	$77,404.35	$89,015.00	$81,274.56	2026-05-13
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	5	5	—	—	$77,137.01	$88,707.56	$80,993.86	2026-05-13
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	5	5	—	—	$76,958.78	$88,502.60	$80,806.72	2026-05-13
029-4	OTHER	Other Percutaneous Intracranial Procedures	5	5	—	—	$76,899.37	$88,434.28	$80,744.34	2026-05-13
022-4	OTHER	Ventricular Shunt Procedures	5	5	—	—	$76,841.82	$88,368.09	$80,683.91	2026-05-13
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	5	5	—	—	$76,583.76	$88,071.32	$80,412.95	2026-05-13
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$76,416.67	$87,879.17	$80,237.51	2026-05-13
165-1	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$75,583.09	$86,920.55	$79,362.24	2026-05-13
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	5	5	—	—	$75,523.68	$86,852.23	$79,299.87	2026-05-13
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	20	14	—	—	$75,456.60	$223,946.05	$80,738.56	2026-05-13
650-4	OTHER	Splenic Procedures	5	5	—	—	$75,239.63	$86,525.58	$79,001.61	2026-05-13
447-4	OTHER	Other Kidney, Urinary Tract And Related Non-percutaneous Procedures	5	5	—	—	$74,758.79	$85,972.61	$78,496.73	2026-05-13
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	5	5	—	—	$74,565.71	$85,750.57	$78,294.00	2026-05-13
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	14	12	—	—	$74,292.05	$154,702.02	$83,499.42	2026-05-13
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	14	12	—	—	$74,292.05	$154,702.02	$83,499.42	2026-05-13
300-3	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	5	5	—	—	$74,289.09	$85,432.45	$78,003.54	2026-05-13
008-2	OTHER	Autologous Bone Marrow Transplant	5	5	—	—	$74,194.40	$85,323.57	$77,904.13	2026-05-13
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	5	5	—	—	$73,453.65	$84,471.70	$77,126.33	2026-05-13
091-3	OTHER	Other Major Head And Neck Procedures	5	5	—	—	$73,420.23	$84,433.27	$77,091.24	2026-05-13
231-4	OTHER	Major Large Bowel Procedures	5	5	—	—	$73,338.54	$84,339.33	$77,005.47	2026-05-13
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	5	5	—	—	$73,024.79	$83,978.51	$76,676.03	2026-05-13
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	5	5	—	—	$72,840.99	$83,767.14	$76,483.04	2026-05-13
183-2	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$72,709.18	$83,615.56	$76,344.64	2026-05-13
021-3	OTHER	Open Craniotomy Except Trauma	5	5	—	—	$72,608.93	$83,500.27	$76,239.37	2026-05-13
448-4	OTHER	Other Kidney, Urinary Tract And Related Percutaneous Procedures	5	5	—	—	$72,590.36	$83,478.92	$76,219.88	2026-05-13
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	5	5	—	—	$72,553.23	$83,436.22	$76,180.89	2026-05-13
169-3	OTHER	Major Abdominal Vascular Procedures	5	5	—	—	$72,516.10	$83,393.52	$76,141.91	2026-05-13
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$72,488.25	$83,361.49	$76,112.67	2026-05-13
910-3	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$72,445.55	$83,312.39	$76,067.83	2026-05-13
167-3	OTHER	Other Cardiothoracic And Thoracic Circulatory Procedures	5	5	—	—	$71,986.99	$82,785.04	$75,586.34	2026-05-13
299-1	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	5	5	—	—	$71,886.74	$82,669.75	$75,481.07	2026-05-13
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	5	5	—	—	$71,819.90	$82,592.89	$75,410.90	2026-05-13
179-2	OTHER	Defibrillator Implants	5	5	—	—	$71,641.67	$82,387.93	$75,223.76	2026-05-13
752-4	OTHER	Personality Disorders	5	5	—	—	$71,513.57	$82,240.61	$75,089.25	2026-05-13
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	5	5	—	—	$71,498.72	$82,223.53	$75,073.66	2026-05-13
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$71,417.03	$82,129.59	$74,987.89	2026-05-13
166-2	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$70,977.04	$81,623.59	$74,525.89	2026-05-13
026-4	OTHER	Other Nervous System And Related Procedures	5	5	—	—	$70,388.52	$80,946.79	$73,907.94	2026-05-13
313-4	OTHER	Knee And Lower Leg Procedures Except Foot	5	5	—	—	$70,273.41	$80,814.42	$73,787.08	2026-05-13
043-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	5	5	—	—	$70,163.88	$80,688.46	$73,672.07	2026-05-13
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$70,004.21	$80,504.85	$73,504.43	2026-05-13
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$69,981.94	$80,479.23	$73,481.03	2026-05-13
174-4	OTHER	Percutaneous Cardiac Intervention With Ami	5	5	—	—	$69,848.27	$80,325.51	$73,340.68	2026-05-13
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	5	5	—	—	$69,774.00	$80,240.11	$73,262.70	2026-05-13
229-4	OTHER	Other Digestive System And Abdominal Procedures	5	5	—	—	$69,458.39	$79,877.15	$72,931.31	2026-05-13
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$69,274.60	$79,665.79	$72,738.33	2026-05-13
10	OTHER	Pancreas Transplant	19	14	—	—	$68,810.23	$204,220.42	$73,626.94	2026-05-13
224-4	OTHER	Peritoneal Adhesiolysis	5	5	—	—	$68,793.76	$79,112.82	$72,233.44	2026-05-13
089-3	OTHER	Major Cranial Or Facial Bone Procedures	5	5	—	—	$68,626.67	$78,920.67	$72,058.00	2026-05-13
183-1	OTHER	Percutaneous Structural Cardiac Procedures	5	5	—	—	$68,609.96	$78,901.45	$72,040.46	2026-05-13
163-1	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$68,559.83	$78,843.81	$71,987.82	2026-05-13
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	5	5	—	—	$68,509.71	$78,786.16	$71,935.19	2026-05-13
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	19	14	—	—	$68,416.11	$203,050.72	$73,205.23	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	20	14	—	—	$68,160.42	$217,582.39	$78,444.29	2026-05-13
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	5	5	—	—	$68,082.70	$78,295.11	$71,486.84	2026-05-13
171-4	OTHER	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	5	5	—	—	$68,047.43	$78,254.55	$71,449.80	2026-05-13
309-4	OTHER	Other Significant Hip And Femur Surgery	5	5	—	—	$67,960.17	$78,154.20	$71,358.18	2026-05-13
182-4	OTHER	Other Peripheral Vascular And Related Procedures	5	5	—	—	$67,477.48	$77,599.10	$70,851.35	2026-05-13
180-4	OTHER	Other Circulatory System Procedures	5	5	—	—	$67,386.51	$77,494.48	$70,755.83	2026-05-13
519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	5	5	—	—	$67,254.69	$77,342.90	$70,617.43	2026-05-13
305-4	OTHER	Amputation Of Lower Limb Except Toes	5	5	—	—	$67,018.91	$77,071.75	$70,369.86	2026-05-13
023-3	OTHER	Spinal Procedures	5	5	—	—	$66,903.81	$76,939.38	$70,249.00	2026-05-13
912-3	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	5	5	—	—	$66,578.91	$76,565.75	$69,907.86	2026-05-13
444-4	OTHER	Renal Dialysis Access Device Procedures	5	5	—	—	$66,551.07	$76,533.73	$69,878.62	2026-05-13
518-4	OTHER	Other Female Reproductive System And Related Procedures	5	5	—	—	$66,228.03	$76,162.23	$69,539.43	2026-05-13
223-4	OTHER	Other Small And Large Bowel Procedures	5	5	—	—	$66,163.05	$76,087.51	$69,471.20	2026-05-13
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	20	14	—	—	$66,070.66	$218,524.42	$78,783.92	2026-05-13
315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	5	5	—	—	$65,968.12	$75,863.33	$69,266.52	2026-05-13
484-4	OTHER	Other Male Reproductive System And Related Procedures	5	5	—	—	$65,801.03	$75,671.18	$69,091.08	2026-05-13
513-4	OTHER	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	5	5	—	—	$65,723.05	$75,581.51	$69,009.21	2026-05-13
098-4	OTHER	Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures	5	5	—	—	$65,706.35	$75,562.30	$68,991.66	2026-05-13
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	14	12	—	—	$65,551.86	$136,501.89	$73,676.02	2026-05-13
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	14	12	—	—	$65,551.86	$136,501.89	$73,676.02	2026-05-13
323-4	OTHER	Non-elective Or Complex Hip Joint Replacement	5	5	—	—	$65,541.11	$75,372.28	$68,818.17	2026-05-13
952-4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	5	5	—	—	$65,000.86	$74,750.99	$68,250.91	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	20	14	—	—	$64,546.81	$191,567.11	$69,065.08	2026-05-13
024-4	OTHER	Open Extracranial Vascular Procedures	5	5	—	—	$64,406.77	$74,067.79	$67,627.11	2026-05-13
322-4	OTHER	Shoulder And Elbow Joint Replacement	5	5	—	—	$64,308.38	$73,954.63	$67,523.80	2026-05-13
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	19	13	—	—	$64,072.13	$190,158.34	$68,557.18	2026-05-13
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	19	13	—	—	$62,160.39	$190,297.79	$68,607.46	2026-05-13
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	14	—	—	$61,607.12	$239,160.76	$86,223.87	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	20	14	—	—	$57,928.76	$216,862.35	$78,184.70	2026-05-13
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	19	13	—	—	$56,560.77	$208,663.34	$73,162.14	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Mcc	20	14	—	—	$51,456.23	$239,914.95	$86,495.78	2026-05-13
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	20	14	—	—	$45,617.76	$207,014.07	$67,466.48	2026-05-13
278L869901	OTHER	Impl Uro Impl Crtdg Urolift 2	5	5	$210,097.00	$149,168.87 29% off	$41,179.01	$199,592.15	$163,875.66	2026-05-13
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	13	—	—	$17,637.89	$313,663.35	$113,084.06	2026-05-13
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	13	—	—	$13,222.12	$205,441.36	$74,067.12	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	20	14	—	—	$13,105.74	$195,745.03	$70,571.34	2026-05-13
209	OTHER	Complex Aortic Arch Procedures	19	13	—	—	$4,620.75	$322,133.05	$116,137.61	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	32	14	—	—	$1.70	$204,135.04	$69,297.32	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	32	14	—	—	$1.61	$607,635.23	$208,831.95	2026-05-13

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