Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

AVERA ST MARY'S HOSPITAL

Pierre, SD · CCN 430015 · Rates published

Your selected procedure

You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $3,088 across 5 payers · range $747-$3,735

Source: https://www.avera.org/app/files/public/985ab805-8b07-4669-a6de-6f9fa35484d3/460230199_avera-st-marys-hospital_standardcharges.csv · observed 2026-05-22

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,727 distinct procedures filed
6 distinct payers
60,216 rate rows
2026-05-22 last MRF observed
Data quality

59,642 of 60,216 rate rows are consumer-grade (99.0%)

574 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 — reasonRows
per-diem day rate — not a per-procedure price 440
placeholder amount (≤ $0.02) — excluded from medians 58
exceeds 10× this hospital's gross charge — excluded from medians 40
percent-of-charges filed in the dollar field — excluded from medians 20
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/985ab805-8b07-4669-a6de-6f9fa35484d3/460230199_avera-st-marys-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint 380000469e0def7c… · 11,007,214 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
OTHER 		Neonate With Ecmo 1 $741,476.56 $741,476.56 $741,476.56 nat. median
$372,748
2.0× median
5833
OTHER 		Neonate With Ecmo 1 $645,730.90 $645,730.90 $645,730.90 nat. median
$241,478
outlier · 2.7×
5894
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $611,516.04 $611,516.04 $611,516.04 nat. median
$2,022
outlier · 302.4×
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $595,698.28 $595,698.28 $595,698.28 nat. median
$243,175
outlier · 2.4×
1614
OTHER 		Implantable Heart Assist Systems 1 $593,135.69 $593,135.69 $593,135.69 nat. median
$188,156
outlier · 3.2×
5893
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $555,922.76 $555,922.76 $555,922.76 nat. median
$47,115
outlier · 11.8×
5892
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $505,384.33 $505,384.33 $505,384.33 nat. median
$70,935
outlier · 7.1×
5914
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $445,347.54 $445,347.54 $445,347.54 nat. median
$157,493
outlier · 2.8×
1613
OTHER 		Implantable Heart Assist Systems 1 $436,375.10 $436,375.10 $436,375.10 nat. median
$78
outlier · 5598.9×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $337,905.41 $483,172.35 $410,538.88 nat. median
$380,401
1.1× median
5832
OTHER 		Neonate With Ecmo 1 $405,211.91 $405,211.91 $405,211.91 nat. median
$183,648
outlier · 2.2×
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $399,498.82 $399,498.82 $399,498.82 nat. median
$163,006
outlier · 2.5×
5934
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $374,695.23 $374,695.23 $374,695.23 nat. median
$151,840
outlier · 2.5×
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $336,765.44 $336,765.44 $336,765.44 nat. median
$168,056
outlier · 2.0×
5831
OTHER 		Neonate With Ecmo 1 $328,146.41 $328,146.41 $328,146.41 nat. median
$144,202
outlier · 2.3×
5891
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $328,099.51 $328,099.51 $328,099.51 nat. median
$81,201
outlier · 4.0×
5882
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $327,809.75 $327,809.75 $327,809.75 nat. median
$138,777
outlier · 2.4×
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 1 $326,148.25 $326,148.25 $326,148.25 nat. median
$140,709
outlier · 2.3×
1612
OTHER 		Implantable Heart Assist Systems 1 $309,985.47 $309,985.47 $309,985.47 nat. median
$96,189
outlier · 3.2×
6024
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $307,099.61 $307,099.61 $307,099.61 nat. median
$119,134
outlier · 2.6×
44
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $299,380.00 $299,380.00 $299,380.00 nat. median
$57,853
outlier · 5.2×
5933
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $296,770.51 $296,770.51 $296,770.51 nat. median
$109,130
outlier · 2.7×
1611
OTHER 		Implantable Heart Assist Systems 1 $294,839.35 $294,839.35 $294,839.35 nat. median
$67,062
outlier · 4.4×
6074
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $279,319.72 $279,319.72 $279,319.72 nat. median
$81,519
outlier · 3.4×
6034
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $272,727.32 $272,727.32 $272,727.32 nat. median
$114,956
outlier · 2.4×
5913
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $269,563.43 $269,563.43 $269,563.43 nat. median
$96,248
outlier · 2.8×
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $219,287.02 $313,559.42 $266,423.22 nat. median
$225,321
1.2× median
4404
OTHER 		Kidney Transplant 1 $261,632.78 $261,632.78 $261,632.78 nat. median
$72,322
outlier · 3.6×
8424
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $256,075.46 $256,075.46 $256,075.46 nat. median
$71,111
outlier · 3.6×
5881
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $229,647.21 $229,647.21 $229,647.21 nat. median
$14,030
outlier · 16.4×
1604
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 1 $228,759.52 $228,759.52 $228,759.52 nat. median
$2,886
outlier · 79.3×
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $166,087.19 $237,488.76 $201,787.98 nat. median
$204,908
1.0× median
3034
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $201,668.01 $201,668.01 $201,668.01 nat. median
$76,075
outlier · 2.7×
43
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $200,093.60 $200,093.60 $200,093.60 nat. median
$58,476
outlier · 3.4×
5932
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $199,550.94 $199,550.94 $199,550.94 nat. median
$82,954
outlier · 2.4×
6124
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $192,055.76 $192,055.76 $192,055.76 nat. median
$61,723
outlier · 3.1×
6023
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $191,925.12 $191,925.12 $191,925.12 nat. median
$95,081
outlier · 2.0×
1784
OTHER 		External Heart Assist Systems 1 $185,141.77 $185,141.77 $185,141.77 nat. median
$58,679
outlier · 3.2×
5931
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $181,410.09 $181,410.09 $181,410.09 nat. median
$13
outlier · 13954.6×
8514
OTHER 		Gender Related Procedures 1 $176,052.09 $176,052.09 $176,052.09 nat. median
$70,568
outlier · 2.5×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $144,216.32 $206,215.51 $175,215.92 nat. median
$2
outlier · 103678.1×
9114
OTHER 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 $172,839.63 $172,839.63 $172,839.63 nat. median
$24
outlier · 7195.7×
1624
OTHER 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $168,416.22 $168,416.22 $168,416.22 nat. median
$13
outlier · 12955.1×
6114
OTHER 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $167,409.60 $167,409.60 $167,409.60 nat. median
$70,034
outlier · 2.4×
6314
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $165,371.25 $165,371.25 $165,371.25 nat. median
$156,971
1.1× median
4403
OTHER 		Kidney Transplant 1 $163,488.66 $163,488.66 $163,488.66 nat. median
$44,545
outlier · 3.7×
8634
OTHER 		Neonatal Aftercare 1 $162,401.65 $162,401.65 $162,401.65 nat. median
$72,646
outlier · 2.2×
6304
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $159,140.62 $159,140.62 $159,140.62 nat. median
$177,388
0.9× median
1834
OTHER 		Percutaneous Structural Cardiac Procedures 1 $157,025.22 $157,025.22 $157,025.22 nat. median
$51,138
outlier · 3.1×
6904
OTHER 		Acute Leukemia 1 $154,826.08 $154,826.08 $154,826.08 nat. median
$44,543
outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 3,727 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 2 1 — — $741,476.56 $741,476.56 $741,476.56 2026-05-22
5833 OTHER Neonate With Ecmo 2 1 — — $645,730.90 $645,730.90 $645,730.90 2026-05-22
5894 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 1 — — $611,516.04 $611,516.04 $611,516.04 2026-05-22
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $595,698.28 $595,698.28 $595,698.28 2026-05-22
1614 OTHER Implantable Heart Assist Systems 2 1 — — $593,135.69 $593,135.69 $593,135.69 2026-05-22
5893 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 1 — — $555,922.76 $555,922.76 $555,922.76 2026-05-22
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 1 — — $505,384.33 $505,384.33 $505,384.33 2026-05-22
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $445,347.54 $445,347.54 $445,347.54 2026-05-22
1613 OTHER Implantable Heart Assist Systems 2 1 — — $436,375.10 $436,375.10 $436,375.10 2026-05-22
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $337,905.41 $483,172.35 $410,538.88 2026-05-22
5832 OTHER Neonate With Ecmo 2 1 — — $405,211.91 $405,211.91 $405,211.91 2026-05-22
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $399,498.82 $399,498.82 $399,498.82 2026-05-22
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $374,695.23 $374,695.23 $374,695.23 2026-05-22
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $336,765.44 $336,765.44 $336,765.44 2026-05-22
5831 OTHER Neonate With Ecmo 2 1 — — $328,146.41 $328,146.41 $328,146.41 2026-05-22
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 1 — — $328,099.51 $328,099.51 $328,099.51 2026-05-22
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $327,809.75 $327,809.75 $327,809.75 2026-05-22
8414 OTHER Extensive Third Degree Burns With Skin Graft 2 1 — — $326,148.25 $326,148.25 $326,148.25 2026-05-22
1612 OTHER Implantable Heart Assist Systems 2 1 — — $309,985.47 $309,985.47 $309,985.47 2026-05-22
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $307,099.61 $307,099.61 $307,099.61 2026-05-22
44 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $299,380.00 $299,380.00 $299,380.00 2026-05-22
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $296,770.51 $296,770.51 $296,770.51 2026-05-22
1611 OTHER Implantable Heart Assist Systems 2 1 — — $294,839.35 $294,839.35 $294,839.35 2026-05-22
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $279,319.72 $279,319.72 $279,319.72 2026-05-22
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $272,727.32 $272,727.32 $272,727.32 2026-05-22
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $269,563.43 $269,563.43 $269,563.43 2026-05-22
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 4 2 — — $219,287.02 $313,559.42 $266,423.22 2026-05-22
4404 OTHER Kidney Transplant 2 1 — — $261,632.78 $261,632.78 $261,632.78 2026-05-22
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $256,075.46 $256,075.46 $256,075.46 2026-05-22
5881 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $229,647.21 $229,647.21 $229,647.21 2026-05-22
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $228,759.52 $228,759.52 $228,759.52 2026-05-22
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 2 — — $166,087.19 $237,488.76 $201,787.98 2026-05-22
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $201,668.01 $201,668.01 $201,668.01 2026-05-22
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $200,093.60 $200,093.60 $200,093.60 2026-05-22
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $199,550.94 $199,550.94 $199,550.94 2026-05-22
6124 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $192,055.76 $192,055.76 $192,055.76 2026-05-22
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $191,925.12 $191,925.12 $191,925.12 2026-05-22
1784 OTHER External Heart Assist Systems 2 1 — — $185,141.77 $185,141.77 $185,141.77 2026-05-22
5931 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $181,410.09 $181,410.09 $181,410.09 2026-05-22
8514 OTHER Gender Related Procedures 2 1 — — $176,052.09 $176,052.09 $176,052.09 2026-05-22
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 2 — — $144,216.32 $206,215.51 $175,215.92 2026-05-22
9114 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 1 — — $172,839.63 $172,839.63 $172,839.63 2026-05-22
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $168,416.22 $168,416.22 $168,416.22 2026-05-22
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $167,409.60 $167,409.60 $167,409.60 2026-05-22
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $165,371.25 $165,371.25 $165,371.25 2026-05-22
4403 OTHER Kidney Transplant 2 1 — — $163,488.66 $163,488.66 $163,488.66 2026-05-22
8634 OTHER Neonatal Aftercare 2 1 — — $162,401.65 $162,401.65 $162,401.65 2026-05-22
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $159,140.62 $159,140.62 $159,140.62 2026-05-22
1834 OTHER Percutaneous Structural Cardiac Procedures 2 1 — — $157,025.22 $157,025.22 $157,025.22 2026-05-22
6904 OTHER Acute Leukemia 2 1 — — $154,826.08 $154,826.08 $154,826.08 2026-05-22
9104 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $153,707.25 $153,707.25 $153,707.25 2026-05-22
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $152,703.98 $152,703.98 $152,703.98 2026-05-22
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $148,893.59 $148,893.59 $148,893.59 2026-05-22
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $148,865.11 $148,865.11 $148,865.11 2026-05-22
4402 OTHER Kidney Transplant 2 1 — — $144,728.11 $144,728.11 $144,728.11 2026-05-22
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 1 — — $143,716.47 $143,716.47 $143,716.47 2026-05-22
9504 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $143,502.08 $143,502.08 $143,502.08 2026-05-22
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $143,227.40 $143,227.40 $143,227.40 2026-05-22
2244 OTHER Peritoneal Adhesiolysis 2 1 — — $140,210.90 $140,210.90 $140,210.90 2026-05-22
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $139,296.41 $139,296.41 $139,296.41 2026-05-22
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 2 1 — — $138,445.56 $138,445.56 $138,445.56 2026-05-22
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $136,856.08 $136,856.08 $136,856.08 2026-05-22
214 OTHER Open Craniotomy Except Trauma 2 1 — — $135,541.28 $135,541.28 $135,541.28 2026-05-22
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $135,415.67 $135,415.67 $135,415.67 2026-05-22
14 OTHER Allogeneic Bone Marrow Transplant 6 3 — — $94,040.07 $310,164.68 $134,468.28 2026-05-22
4414 OTHER Major Bladder Procedures 2 1 — — $132,275.23 $132,275.23 $132,275.23 2026-05-22
6073 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $131,990.49 $131,990.49 $131,990.49 2026-05-22
6033 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $131,692.36 $131,692.36 $131,692.36 2026-05-22
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 2 — — $108,387.21 $154,983.31 $131,685.26 2026-05-22
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $129,637.26 $129,637.26 $129,637.26 2026-05-22
5911 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $126,632.49 $126,632.49 $126,632.49 2026-05-22
1824 OTHER Other Peripheral Vascular And Related Procedures 2 1 — — $126,456.62 $126,456.62 $126,456.62 2026-05-22
1783 OTHER External Heart Assist Systems 2 1 — — $126,185.29 $126,185.29 $126,185.29 2026-05-22
6134 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $126,014.45 $126,014.45 $126,014.45 2026-05-22
2604 OTHER Major Pancreas, Liver And Shunt Procedures 2 1 — — $124,848.72 $124,848.72 $124,848.72 2026-05-22
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 2 1 — — $123,420.03 $123,420.03 $123,420.03 2026-05-22
7 OTHER Lung Transplant 4 2 — — $101,335.32 $144,899.79 $123,117.56 2026-05-22
1694 OTHER Major Abdominal Vascular Procedures 2 1 — — $121,800.40 $121,800.40 $121,800.40 2026-05-22
6224 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $119,237.81 $119,237.81 $119,237.81 2026-05-22
1304 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $118,556.12 $118,556.12 $118,556.12 2026-05-22
8413 OTHER Extensive Third Degree Burns With Skin Graft 2 1 — — $118,073.75 $118,073.75 $118,073.75 2026-05-22
1794 OTHER Defibrillator Implants 2 1 — — $115,718.84 $115,718.84 $115,718.84 2026-05-22
6804 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $114,702.18 $114,702.18 $114,702.18 2026-05-22
3124 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 1 — — $113,189.74 $113,189.74 $113,189.74 2026-05-22
6113 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $112,933.48 $112,933.48 $112,933.48 2026-05-22
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 1 — — $111,702.43 $111,702.43 $111,702.43 2026-05-22
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $111,375.83 $111,375.83 $111,375.83 2026-05-22
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $111,179.86 $111,179.86 $111,179.86 2026-05-22
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $111,173.16 $111,173.16 $111,173.16 2026-05-22
3254 OTHER Non-elective Or Complex Knee Joint Replacement 2 1 — — $111,082.72 $111,082.72 $111,082.72 2026-05-22
6214 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $110,014.13 $110,014.13 $110,014.13 2026-05-22
1782 OTHER External Heart Assist Systems 2 1 — — $109,973.93 $109,973.93 $109,973.93 2026-05-22
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 1 — — $109,796.39 $109,796.39 $109,796.39 2026-05-22
1814 OTHER Lower Extremity Arterial Procedures 2 1 — — $109,540.13 $109,540.13 $109,540.13 2026-05-22
6083 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $108,891.95 $108,891.95 $108,891.95 2026-05-22
3094 OTHER Other Significant Hip And Femur Surgery 2 1 — — $108,026.03 $108,026.03 $108,026.03 2026-05-22
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 — — $88,671.34 $126,791.51 $107,731.42 2026-05-22
209 OTHER Complex Aortic Arch Procedures 4 2 — — $88,569.61 $126,646.05 $107,607.83 2026-05-22
7114 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 1 — — $106,922.27 $106,922.27 $106,922.27 2026-05-22
3032 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $105,719.69 $105,719.69 $105,719.69 2026-05-22
6144 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $105,533.77 $105,533.77 $105,533.77 2026-05-22
294 OTHER Other Percutaneous Intracranial Procedures 2 1 — — $105,245.69 $105,245.69 $105,245.69 2026-05-22
9103 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $105,245.69 $105,245.69 $105,245.69 2026-05-22
2614 OTHER Major Biliary Tract Procedures 2 1 — — $105,198.79 $105,198.79 $105,198.79 2026-05-22
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $86,240.89 $123,316.21 $104,778.55 2026-05-22
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $104,374.74 $104,374.74 $104,374.74 2026-05-22
1214 OTHER Other Respiratory And Chest Procedures 2 1 — — $103,865.57 $103,865.57 $103,865.57 2026-05-22
7404 OTHER Mental Illness Diagnosis With O.r. Procedure 2 1 — — $103,574.14 $103,574.14 $103,574.14 2026-05-22
1781 OTHER External Heart Assist Systems 2 1 — — $103,485.37 $103,485.37 $103,485.37 2026-05-22
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $103,465.27 $103,465.27 $103,465.27 2026-05-22
924 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 1 — — $103,398.28 $103,398.28 $103,398.28 2026-05-22
1204 OTHER Major Respiratory And Chest Procedures 2 1 — — $103,070.00 $103,070.00 $103,070.00 2026-05-22
4014 OTHER Adrenal Procedures 2 1 — — $102,359.84 $102,359.84 $102,359.84 2026-05-22
1714 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 1 — — $101,584.36 $101,584.36 $101,584.36 2026-05-22
3234 OTHER Non-elective Or Complex Hip Joint Replacement 2 1 — — $101,415.20 $101,415.20 $101,415.20 2026-05-22
5104 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 1 — — $100,741.89 $100,741.89 $100,741.89 2026-05-22
4034 OTHER Procedures For Obesity 2 1 — — $99,492.41 $99,492.41 $99,492.41 2026-05-22
3043 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $98,631.51 $98,631.51 $98,631.51 2026-05-22
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 4 2 — — $80,679.66 $115,364.18 $98,021.92 2026-05-22
1764 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 1 — — $97,618.20 $97,618.20 $97,618.20 2026-05-22
1303 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $96,648.43 $96,648.43 $96,648.43 2026-05-22
5114 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 1 — — $96,589.81 $96,589.81 $96,589.81 2026-05-22
6344 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 1 — — $96,527.84 $96,527.84 $96,527.84 2026-05-22
1833 OTHER Percutaneous Structural Cardiac Procedures 2 1 — — $96,353.65 $96,353.65 $96,353.65 2026-05-22
6123 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $95,690.39 $95,690.39 $95,690.39 2026-05-22
215 OTHER Other Heart Assist System Implant 4 2 — — $77,913.52 $111,408.87 $94,661.20 2026-05-22
2324 OTHER Gastric Fundoplication 2 1 — — $94,156.18 $94,156.18 $94,156.18 2026-05-22
2644 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 2 1 — — $93,435.97 $93,435.97 $93,435.97 2026-05-22
4401 OTHER Kidney Transplant 2 1 — — $93,087.59 $93,087.59 $93,087.59 2026-05-22
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $76,550.41 $109,459.75 $93,005.08 2026-05-22
6072 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $92,487.98 $92,487.98 $92,487.98 2026-05-22
1704 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 1 — — $92,040.78 $92,040.78 $92,040.78 2026-05-22
6302 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $91,977.13 $91,977.13 $91,977.13 2026-05-22
6082 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $91,662.25 $91,662.25 $91,662.25 2026-05-22
5184 OTHER Other Female Reproductive System And Related Procedures 2 1 — — $91,397.62 $91,397.62 $91,397.62 2026-05-22
8423 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $91,389.24 $91,389.24 $91,389.24 2026-05-22
6133 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $90,412.78 $90,412.78 $90,412.78 2026-05-22
6313 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $90,401.05 $90,401.05 $90,401.05 2026-05-22
4474 OTHER Other Kidney, Urinary Tract And Related Procedures 2 1 — — $89,575.33 $89,575.33 $89,575.33 2026-05-22
4044 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 2 1 — — $89,570.30 $89,570.30 $89,570.30 2026-05-22
4054 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 1 — — $89,528.43 $89,528.43 $89,528.43 2026-05-22
9514 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 1 — — $66,362.00 $112,474.56 $89,418.28 2026-05-22
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 2 1 — — $89,156.60 $89,156.60 $89,156.60 2026-05-22
3214 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 2 1 — — $88,907.04 $88,907.04 $88,907.04 2026-05-22
5124 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 1 — — $88,459.84 $88,459.84 $88,459.84 2026-05-22
51 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $87,974.12 $87,974.12 $87,974.12 2026-05-22
3104 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 2 1 — — $87,922.20 $87,922.20 $87,922.20 2026-05-22
2304 OTHER Major Small Bowel Procedures 2 1 — — $87,329.29 $87,329.29 $87,329.29 2026-05-22
6092 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $87,317.56 $87,317.56 $87,317.56 2026-05-22
6112 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $87,166.82 $87,166.82 $87,166.82 2026-05-22
1793 OTHER Defibrillator Implants 2 1 — — $86,629.18 $86,629.18 $86,629.18 2026-05-22
1653 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $86,473.41 $86,473.41 $86,473.41 2026-05-22
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 2 — — $70,500.12 $100,808.41 $85,654.26 2026-05-22
5144 OTHER Female Reproductive System Reconstructive Procedures 2 1 — — $85,644.34 $85,644.34 $85,644.34 2026-05-22
212 OTHER Concomitant Aortic And Mitral Valve Procedures 6 3 — — $41,828.95 $121,670.30 $85,089.83 2026-05-22
1633 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $85,041.37 $85,041.37 $85,041.37 2026-05-22
3031 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $84,828.66 $84,828.66 $84,828.66 2026-05-22
6143 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $84,344.61 $84,344.61 $84,344.61 2026-05-22
8633 OTHER Neonatal Aftercare 2 1 — — $84,053.18 $84,053.18 $84,053.18 2026-05-22
7934 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $83,761.75 $83,761.75 $83,761.75 2026-05-22
1622 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $83,202.33 $83,202.33 $83,202.33 2026-05-22
850 OTHER Acute Leukemia With Other Procedures 4 2 — — $67,760.59 $96,891.15 $82,325.87 2026-05-22
3134 OTHER Knee And Lower Leg Procedures Except Foot 2 1 — — $81,929.41 $81,929.41 $81,929.41 2026-05-22
2224 OTHER Other Stomach, Esophageal And Duodenal Procedures 2 1 — — $81,698.27 $81,698.27 $81,698.27 2026-05-22
3154 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 2 1 — — $81,314.72 $81,314.72 $81,314.72 2026-05-22
9524 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $81,021.61 $81,021.61 $81,021.61 2026-05-22
4804 OTHER Major Male Pelvic Procedures 2 1 — — $80,775.40 $80,775.40 $80,775.40 2026-05-22
6504 OTHER Splenic Procedures 2 1 — — $80,738.55 $80,738.55 $80,738.55 2026-05-22
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 3 — — $59,823.69 $85,542.14 $80,705.06 2026-05-22
1754 OTHER Percutaneous Cardiac Intervention Without Ami 2 1 — — $80,517.47 $80,517.47 $80,517.47 2026-05-22
4424 OTHER Kidney And Urinary Tract Procedures For Malignancy 2 1 — — $80,170.76 $80,170.76 $80,170.76 2026-05-22
6254 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 1 — — $80,036.77 $80,036.77 $80,036.77 2026-05-22
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $65,756.60 $94,025.64 $79,891.12 2026-05-22
6234 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 1 — — $79,686.72 $79,686.72 $79,686.72 2026-05-22
6903 OTHER Acute Leukemia 2 1 — — $79,365.14 $79,365.14 $79,365.14 2026-05-22
984 OTHER Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 2 1 — — $79,334.99 $79,334.99 $79,334.99 2026-05-22
1832 OTHER Percutaneous Structural Cardiac Procedures 2 1 — — $79,293.12 $79,293.12 $79,293.12 2026-05-22
6091 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $78,584.63 $78,584.63 $78,584.63 2026-05-22
4844 OTHER Other Male Reproductive System And Related Procedures 2 1 — — $78,430.54 $78,430.54 $78,430.54 2026-05-22
4444 OTHER Renal Dialysis Access Device Procedures 2 1 — — $78,137.43 $78,137.43 $78,137.43 2026-05-22
224 OTHER Ventricular Shunt Procedures 2 1 — — $78,067.09 $78,067.09 $78,067.09 2026-05-22
1831 OTHER Percutaneous Structural Cardiac Procedures 2 1 — — $77,604.82 $77,604.82 $77,604.82 2026-05-22
3084 OTHER Hip And Femur Fracture Repair 2 1 — — $77,480.87 $77,480.87 $77,480.87 2026-05-22
8503 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 1 — — $77,110.72 $77,110.72 $77,110.72 2026-05-22
7924 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $77,080.57 $77,080.57 $77,080.57 2026-05-22
2314 OTHER Major Large Bowel Procedures 2 1 — — $76,834.36 $76,834.36 $76,834.36 2026-05-22
5194 OTHER Uterine And Adnexa Procedures For Leiomyoma 2 1 — — $76,769.04 $76,769.04 $76,769.04 2026-05-22
3224 OTHER Shoulder And Elbow Joint Replacement 2 1 — — $76,748.94 $76,748.94 $76,748.94 2026-05-22
2274 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 2 1 — — $76,583.13 $76,583.13 $76,583.13 2026-05-22
3244 OTHER Elective Hip Joint Replacement 2 1 — — $76,442.44 $76,442.44 $76,442.44 2026-05-22
7524 OTHER Disorders Of Personality And Impulse Control 2 1 — — $75,573.16 $75,573.16 $75,573.16 2026-05-22
7754 OTHER Alcohol Abuse And Dependence 2 1 — — $75,263.31 $75,263.31 $75,263.31 2026-05-22
7594 OTHER Eating Disorders 2 1 — — $75,147.74 $75,147.74 $75,147.74 2026-05-22
6122 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $74,983.60 $74,983.60 $74,983.60 2026-05-22
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 2 — — $61,573.36 $88,044.00 $74,808.68 2026-05-22
4234 OTHER Inborn Errors Of Metabolism 2 1 — — $74,494.53 $74,494.53 $74,494.53 2026-05-22
1792 OTHER Defibrillator Implants 2 1 — — $74,387.33 $74,387.33 $74,387.33 2026-05-22
3634 OTHER Breast Procedures Except Mastectomy 2 1 — — $74,300.24 $74,300.24 $74,300.24 2026-05-22
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $74,265.07 $74,265.07 $74,265.07 2026-05-22
3624 OTHER Mastectomy Procedures 2 1 — — $74,204.77 $74,204.77 $74,204.77 2026-05-22
330 OTHER Major Small And Large Bowel Procedures With Cc 8 3 — — $18,758.09 $121,235.12 $74,028.69 2026-05-22
3204 OTHER Other Musculoskeletal System And Connective Tissue Procedures 2 1 — — $73,668.80 $73,668.80 $73,668.80 2026-05-22
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 2 — — $60,082.70 $85,912.50 $72,997.60 2026-05-22
1791 OTHER Defibrillator Implants 2 1 — — $72,945.24 $72,945.24 $72,945.24 2026-05-22
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 2 — — $59,625.72 $85,259.06 $72,442.39 2026-05-22
1621 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $72,250.16 $72,250.16 $72,250.16 2026-05-22
1823 OTHER Other Peripheral Vascular And Related Procedures 2 1 — — $71,982.18 $71,982.18 $71,982.18 2026-05-22
2234 OTHER Other Small And Large Bowel Procedures 2 1 — — $71,523.25 $71,523.25 $71,523.25 2026-05-22
3054 OTHER Amputation Of Lower Limb Except Toes 2 1 — — $70,999.01 $70,999.01 $70,999.01 2026-05-22
3042 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $69,645.69 $69,645.69 $69,645.69 2026-05-22
1663 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $69,630.62 $69,630.62 $69,630.62 2026-05-22
3103 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 2 1 — — $69,297.31 $69,297.31 $69,297.31 2026-05-22
6954 OTHER Chemotherapy For Acute Leukemia 2 1 — — $68,975.73 $68,975.73 $68,975.73 2026-05-22
2294 OTHER Other Digestive System And Abdominal Procedures 2 1 — — $68,684.30 $68,684.30 $68,684.30 2026-05-22
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $56,485.54 $80,768.92 $68,627.23 2026-05-22
3123 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 1 — — $68,580.46 $68,580.46 $68,580.46 2026-05-22
1302 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $68,262.22 $68,262.22 $68,262.22 2026-05-22
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 2 — — $56,126.38 $80,255.34 $68,190.86 2026-05-22
6253 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 1 — — $68,004.29 $68,004.29 $68,004.29 2026-05-22
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 2 — — $55,795.38 $79,782.05 $67,788.71 2026-05-22
4233 OTHER Inborn Errors Of Metabolism 2 1 — — $67,722.91 $67,722.91 $67,722.91 2026-05-22
4694 OTHER Acute Kidney Injury 2 1 — — $67,711.18 $67,711.18 $67,711.18 2026-05-22
1203 OTHER Major Respiratory And Chest Procedures 2 1 — — $67,692.76 $67,692.76 $67,692.76 2026-05-22
1652 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $67,443.20 $67,443.20 $67,443.20 2026-05-22
6233 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 1 — — $67,337.68 $67,337.68 $67,337.68 2026-05-22
1774 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 2 1 — — $67,252.26 $67,252.26 $67,252.26 2026-05-22
4434 OTHER Kidney And Urinary Tract Procedures For Non-malignancy 2 1 — — $67,212.06 $67,212.06 $67,212.06 2026-05-22
1632 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $67,208.71 $67,208.71 $67,208.71 2026-05-22
6914 OTHER Lymphoma, Myeloma And Non-acute Leukemia 2 1 — — $67,021.12 $67,021.12 $67,021.12 2026-05-22
4454 OTHER Other Bladder Procedures 2 1 — — $67,016.10 $67,016.10 $67,016.10 2026-05-22
7104 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 1 — — $34,570.00 $98,929.64 $66,749.82 2026-05-22
7234 OTHER Viral Illness 2 1 — — $66,135.10 $66,135.10 $66,135.10 2026-05-22
5484 OTHER Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 1 — — $66,125.05 $66,125.05 $66,125.05 2026-05-22
6032 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $66,048.01 $66,048.01 $66,048.01 2026-05-22
4834 OTHER Penis, Testes And Scrotal Procedures 2 1 — — $65,994.41 $65,994.41 $65,994.41 2026-05-22
231 OTHER Coronary Bypass With Ptca With Mcc 6 3 — — $30,496.58 $94,322.15 $65,963.97 2026-05-22
6142 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $65,843.67 $65,843.67 $65,843.67 2026-05-22
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 4 2 — — $54,084.83 $77,336.13 $65,710.48 2026-05-22
6924 OTHER Radiotherapy 2 1 — — $65,689.58 $65,689.58 $65,689.58 2026-05-22
893 OTHER Major Cranial Or Facial Bone Procedures 2 1 — — $65,473.52 $65,473.52 $65,473.52 2026-05-22
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 2 — — $53,819.57 $76,956.82 $65,388.20 2026-05-22
9123 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 1 — — $65,347.90 $65,347.90 $65,347.90 2026-05-22
3644 OTHER Other Skin, Subcutaneous Tissue And Related Procedures 2 1 — — $64,907.40 $64,907.40 $64,907.40 2026-05-22
2794 OTHER Hepatic Coma And Other Major Acute Liver Disorders 2 1 — — $64,500.40 $64,500.40 $64,500.40 2026-05-22
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $44,839.60 $183,118.49 $64,116.33 2026-05-22
955 OTHER Craniotomy For Multiple Significant Trauma 4 2 — — $52,670.86 $75,314.28 $63,992.57 2026-05-22
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 6 3 — — $44,656.49 $77,891.22 $63,854.50 2026-05-22
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 2 — — $52,321.86 $74,815.25 $63,568.56 2026-05-22
9113 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 1 — — $63,535.66 $63,535.66 $63,535.66 2026-05-22
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 2 — — $52,283.52 $74,760.42 $63,521.97 2026-05-22
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 2 — — $51,857.84 $74,151.74 $63,004.79 2026-05-22
3264 OTHER Elective Knee Joint Replacement 2 1 — — $62,900.87 $62,900.87 $62,900.87 2026-05-22
1301 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $62,765.20 $62,765.20 $62,765.20 2026-05-22
8904 OTHER HIV With Multiple Major HIV Related Conditions 2 1 — — $62,515.64 $62,515.64 $62,515.64 2026-05-22
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $51,451.72 $73,571.03 $62,511.38 2026-05-22
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $51,451.72 $73,571.03 $62,511.38 2026-05-22
1673 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $62,289.53 $62,289.53 $62,289.53 2026-05-22
3174 OTHER Tendon, Muscle And Other Soft Tissue Procedures 2 1 — — $61,917.70 $61,917.70 $61,917.70 2026-05-22
4013 OTHER Adrenal Procedures 2 1 — — $61,869.13 $61,869.13 $61,869.13 2026-05-22
5474 OTHER Antepartum With O.r. Procedure 2 1 — — $61,522.43 $61,522.43 $61,522.43 2026-05-22
2284 OTHER Inguinal, Femoral And Umbilical Hernia Procedures 2 1 — — $61,435.33 $61,435.33 $61,435.33 2026-05-22
3164 OTHER Hand And Wrist Procedures 2 1 — — $61,433.66 $61,433.66 $61,433.66 2026-05-22
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 4 2 — — $50,351.53 $71,997.86 $61,174.69 2026-05-22
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 3 — — $42,745.63 $146,676.02 $61,122.15 2026-05-22
6364 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 2 1 — — $61,045.08 $61,045.08 $61,045.08 2026-05-22
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 3 — — $42,678.33 $131,236.79 $61,025.92 2026-05-22
1703 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 1 — — $60,745.27 $60,745.27 $60,745.27 2026-05-22
7504 OTHER Schizophrenia 2 1 — — $60,584.48 $60,584.48 $60,584.48 2026-05-22
4473 OTHER Other Kidney, Urinary Tract And Related Procedures 2 1 — — $60,093.74 $60,093.74 $60,093.74 2026-05-22
6031 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $60,043.49 $60,043.49 $60,043.49 2026-05-22
6312 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $60,033.44 $60,033.44 $60,033.44 2026-05-22
1744 OTHER Percutaneous Cardiac Intervention With Ami 2 1 — — $59,723.58 $59,723.58 $59,723.58 2026-05-22
1693 OTHER Major Abdominal Vascular Procedures 2 1 — — $59,619.74 $59,619.74 $59,619.74 2026-05-22
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 3 — — $41,423.99 $108,349.28 $59,232.33 2026-05-22
6132 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $59,144.07 $59,144.07 $59,144.07 2026-05-22
1692 OTHER Major Abdominal Vascular Procedures 2 1 — — $58,996.68 $58,996.68 $58,996.68 2026-05-22
9304 OTHER Multiple Significant Trauma Without O.r. Procedure 2 1 — — $58,840.91 $58,840.91 $58,840.91 2026-05-22
2414 OTHER Peptic Ulcer And Gastritis 2 1 — — $58,706.92 $58,706.92 $58,706.92 2026-05-22
6614 OTHER Coagulation And Platelet Disorders 2 1 — — $58,690.17 $58,690.17 $58,690.17 2026-05-22
1631 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $58,576.28 $58,576.28 $58,576.28 2026-05-22
4264 OTHER Non-hypovolemic Sodium Disorders 2 1 — — $58,497.56 $58,497.56 $58,497.56 2026-05-22
6213 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $58,459.03 $58,459.03 $58,459.03 2026-05-22
1763 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 1 — — $58,408.79 $58,408.79 $58,408.79 2026-05-22
5134 OTHER Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 2 1 — — $58,368.59 $58,368.59 $58,368.59 2026-05-22
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 2 — — $47,954.73 $68,570.67 $58,262.70 2026-05-22
2613 OTHER Major Biliary Tract Procedures 2 1 — — $58,204.45 $58,204.45 $58,204.45 2026-05-22
969 OTHER HIV With Extensive O.r. Procedures With Mcc 4 2 — — $47,899.17 $68,491.23 $58,195.20 2026-05-22
1651 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $58,082.18 $58,082.18 $58,082.18 2026-05-22
1691 OTHER Major Abdominal Vascular Procedures 2 1 — — $57,913.02 $57,913.02 $57,913.02 2026-05-22
1974 OTHER Peripheral And Other Vascular Disorders 2 1 — — $57,613.21 $57,613.21 $57,613.21 2026-05-22
4464 OTHER Urethral And Transurethral Procedures 2 1 — — $57,584.74 $57,584.74 $57,584.74 2026-05-22
3253 OTHER Non-elective Or Complex Knee Joint Replacement 2 1 — — $57,405.52 $57,405.52 $57,405.52 2026-05-22
6803 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $57,348.58 $57,348.58 $57,348.58 2026-05-22
28 OTHER Spinal Procedures With Mcc 4 2 — — $47,014.95 $67,226.87 $57,120.91 2026-05-22
1934 OTHER Acute And Subacute Endocarditis 2 1 — — $56,770.74 $56,770.74 $56,770.74 2026-05-22
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $46,661.26 $66,721.13 $56,691.20 2026-05-22
4824 OTHER Transurethral Prostatectomy 2 1 — — $56,578.12 $56,578.12 $56,578.12 2026-05-22
7944 OTHER Non-extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $56,522.85 $56,522.85 $56,522.85 2026-05-22
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 2 — — $46,507.89 $66,501.82 $56,504.86 2026-05-22
9503 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $56,467.58 $56,467.58 $56,467.58 2026-05-22
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