Price Transparency 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

Select Specialty Hospital-north Knoxville

Powell, TN · CCN 442015 · Rates published

829 distinct procedures filed
35 distinct payers
70,465 rate rows
2026-05-18 last MRF observed
Data quality

46,424 of 70,465 rate rows are consumer-grade (65.9%)

24,041 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 24,041
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://resources.selectmedical.com/pricing-transparency/critical-illness-recovery/62-1684861_Select_Specialty_Hospital-North_Knoxville_standardcharges.csv
Found on page https://www.selectspecialtyhospitals.com/patients-and-caregivers/admissions/price-transparency/
Discovered viaDiscovered by HANK
Last fetch success · 2026-05-18
Content fingerprint 0af93dbef59b5e57… · 164,434,287 bytes · first seen 2026-05-18

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
10
OTHER 		Pancreas Transplant 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$62,879
outlier · 0.0×
100
OTHER 		Seizures With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$17,793
outlier · 0.1×
101
OTHER 		Seizures Without Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$7,470
outlier · 0.2×
102
OTHER 		Headaches With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,495
outlier · 0.2×
103
OTHER 		Headaches Without Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$7,617
outlier · 0.2×
11
OTHER 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$49,519
outlier · 0.0×
113
OTHER 		Orbital Procedures With Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$18,223
outlier · 0.1×
114
OTHER 		Orbital Procedures Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$10,012
outlier · 0.2×
115
OTHER 		Extraocular Procedures Except Orbit 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$14,295
outlier · 0.1×
116
OTHER 		Intraocular Procedures With Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$17,102
outlier · 0.1×
117
OTHER 		Intraocular Procedures Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$10,202
outlier · 0.2×
12
OTHER 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$39,504
outlier · 0.0×
121
OTHER 		Acute Major Eye Infections With Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$10,782
outlier · 0.1×
122
OTHER 		Acute Major Eye Infections Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$7,004
outlier · 0.2×
123
OTHER 		Neurological Eye Disorders 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$6,551
outlier · 0.2×
124
OTHER 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$12,277
outlier · 0.1×
125
OTHER 		Other Disorders Of The Eye Without Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$7,914
outlier · 0.2×
129
OTHER 		Major Head & Neck Procedures W Cc/mcc Or Major Device 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$1,931
0.8× median
13
OTHER 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$27,161
outlier · 0.1×
130
OTHER 		Major Head & Neck Procedures Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$1,931
0.8× median
131
OTHER 		Cranial/facial Procedures W Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$2,024
0.8× median
132
OTHER 		Cranial/facial Procedures Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$2,024
0.8× median
133
OTHER 		Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$2,024
0.8× median
134
OTHER 		Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$1,982
0.8× median
135
OTHER 		Sinus And Mastoid Procedures With Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$21,358
outlier · 0.1×
136
OTHER 		Sinus And Mastoid Procedures Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$10,177
outlier · 0.2×
137
OTHER 		Mouth Procedures With Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$14,173
outlier · 0.1×
138
OTHER 		Mouth Procedures Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,682
outlier · 0.2×
139
OTHER 		Salivary Gland Procedures 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$12,273
outlier · 0.1×
14
OTHER 		Allogeneic Bone Marrow Transplant 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$100,915
outlier · 0.0×
140
OTHER 		Major Head And Neck Procedures With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$37,242
outlier · 0.0×
141
OTHER 		Major Head And Neck Procedures With Cc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$20,468
outlier · 0.1×
142
OTHER 		Major Head And Neck Procedures Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$15,554
outlier · 0.1×
143
OTHER 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$31,981
outlier · 0.1×
144
OTHER 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$16,586
outlier · 0.1×
145
OTHER 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$11,588
outlier · 0.1×
146
OTHER 		Ear, Nose, Mouth And Throat Malignancy With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$20,031
outlier · 0.1×
147
OTHER 		Ear, Nose, Mouth And Throat Malignancy With Cc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$12,394
outlier · 0.1×
148
OTHER 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,470
outlier · 0.2×
149
OTHER 		Dysequilibrium 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$7,929
outlier · 0.2×
15
OTHER 		Autologous Bone Marrow Transplant 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$1,931
0.8× median
150
OTHER 		Epistaxis With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$12,874
outlier · 0.1×
151
OTHER 		Epistaxis Without Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$7,732
outlier · 0.2×
152
OTHER 		Otitis Media And Uri With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$11,127
outlier · 0.1×
153
OTHER 		Otitis Media And Uri Without Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$7,429
outlier · 0.2×
154
OTHER 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$15,473
outlier · 0.1×
155
OTHER 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$9,066
outlier · 0.2×
156
OTHER 		Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$7,257
outlier · 0.2×
157
OTHER 		Dental And Oral Diseases With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$16,192
outlier · 0.1×
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $1,608.50 $1,608.50 $1,608.50 nat. median
$239,422
outlier · 0.0×

Other procedures at this hospital

Browse this hospital's 829 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
289 OTHER Acute And Subacute Endocarditis With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
288 OTHER Acute And Subacute Endocarditis With Mcc 56 27 — — $1,608.50 $38,681.12 $1,608.50 2026-05-18
290 OTHER Acute And Subacute Endocarditis Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
121 OTHER Acute Major Eye Infections With Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
122 OTHER Acute Major Eye Infections Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
281 OTHER Acute Myocardial Infarction, Discharged Alive With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
280 OTHER Acute Myocardial Infarction, Discharged Alive With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
282 OTHER Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
284 OTHER Acute Myocardial Infarction, Expired With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
283 OTHER Acute Myocardial Infarction, Expired With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
285 OTHER Acute Myocardial Infarction, Expired Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
245 OTHER Aicd Generator Procedures 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
265 OTHER Aicd Lead Procedures 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
14 OTHER Allogeneic Bone Marrow Transplant 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And To 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And To 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
241 OTHER Amputation For Circulatory System Disorders Except Upper Limb And To 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
348 OTHER Anal And Stomal Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
347 OTHER Anal And Stomal Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
349 OTHER Anal And Stomal Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
311 OTHER Angina Pectoris 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
339 OTHER Appendectomy With Complicated Principal Diagnosis With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
338 OTHER Appendectomy With Complicated Principal Diagnosis With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
340 OTHER Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
342 OTHER Appendectomy Without Complicated Principal Diagnosis With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
341 OTHER Appendectomy Without Complicated Principal Diagnosis With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
343 OTHER Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
398 OTHER Appendix Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
397 OTHER Appendix Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
399 OTHER Appendix Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
302 OTHER Atherosclerosis With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
303 OTHER Atherosclerosis Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
15 OTHER Autologous Bone Marrow Transplant 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
202 OTHER Bronchitis And Asthma With Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
203 OTHER Bronchitis And Asthma Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
297 OTHER Cardiac Arrest, Unexplained With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
296 OTHER Cardiac Arrest, Unexplained With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
298 OTHER Cardiac Arrest, Unexplained Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
309 OTHER Cardiac Arrhythmia And Conduction Disorders With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
308 OTHER Cardiac Arrhythmia And Conduction Disorders With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
310 OTHER Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
306 OTHER Cardiac Congenital And Valvular Disorders With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
307 OTHER Cardiac Congenital And Valvular Disorders Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
223 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
224 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without A 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
225 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without A 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimula 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
226 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization With M 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
227 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization Withou 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
277 OTHER Cardiac Defibrillator Implant Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
259 OTHER Cardiac Pacemaker Device Replacement Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
261 OTHER Cardiac Pacemaker Revision Except Device Replacement With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
262 OTHER Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
35 OTHER Carotid Artery Stent Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
34 OTHER Carotid Artery Stent Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
36 OTHER Carotid Artery Stent Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
313 OTHER Chest Pain 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
191 OTHER Chronic Obstructive Pulmonary Disease With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
190 OTHER Chronic Obstructive Pulmonary Disease With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
192 OTHER Chronic Obstructive Pulmonary Disease Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
286 OTHER Circulatory Disorders Except Ami, With Cardiac Catheterization With 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
287 OTHER Circulatory Disorders Except Ami, With Cardiac Catheterization Witho 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
209 OTHER Complex Aortic Arch Procedures 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
381 OTHER Complicated Peptic Ulcer With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
380 OTHER Complicated Peptic Ulcer With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
382 OTHER Complicated Peptic Ulcer Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
212 OTHER Concomitant Aortic And Mitral Valve Procedures 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With M 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Withou 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
231 OTHER Coronary Bypass With Ptca With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
232 OTHER Coronary Bypass With Ptca Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
325 OTHER Coronary Intravascular Lithotripsy Without Intraluminal Device 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
131 OTHER Cranial/facial Procedures W Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
132 OTHER Cranial/facial Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
26 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
27 OTHER Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
294 OTHER Deep Vein Thrombophlebitis With Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
295 OTHER Deep Vein Thrombophlebitis Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
158 OTHER Dental And Oral Diseases With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
157 OTHER Dental And Oral Diseases With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
159 OTHER Dental And Oral Diseases Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
375 OTHER Digestive Malignancy With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
374 OTHER Digestive Malignancy With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
376 OTHER Digestive Malignancy Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
149 OTHER Dysequilibrium 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
147 OTHER Ear, Nose, Mouth And Throat Malignancy With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
146 OTHER Ear, Nose, Mouth And Throat Malignancy With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
148 OTHER Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
150 OTHER Epistaxis With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
151 OTHER Epistaxis Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
391 OTHER Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
392 OTHER Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
38 OTHER Extracranial Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
37 OTHER Extracranial Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
39 OTHER Extracranial Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
115 OTHER Extraocular Procedures Except Orbit 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
378 OTHER Gastrointestinal Hemorrhage With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
377 OTHER Gastrointestinal Hemorrhage With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
379 OTHER Gastrointestinal Hemorrhage Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
389 OTHER Gastrointestinal Obstruction With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
388 OTHER Gastrointestinal Obstruction With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
390 OTHER Gastrointestinal Obstruction Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
102 OTHER Headaches With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
103 OTHER Headaches Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
292 OTHER Heart Failure And Shock With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
291 OTHER Heart Failure And Shock With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
293 OTHER Heart Failure And Shock Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
354 OTHER Hernia Procedures Except Inguinal And Femoral With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
353 OTHER Hernia Procedures Except Inguinal And Femoral With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
355 OTHER Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
304 OTHER Hypertension With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
305 OTHER Hypertension Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
386 OTHER Inflammatory Bowel Disease With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
385 OTHER Inflammatory Bowel Disease With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
387 OTHER Inflammatory Bowel Disease Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
351 OTHER Inguinal And Femoral Hernia Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
350 OTHER Inguinal And Femoral Hernia Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
352 OTHER Inguinal And Femoral Hernia Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
197 OTHER Interstitial Lung Disease With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
196 OTHER Interstitial Lung Disease With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
198 OTHER Interstitial Lung Disease Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
116 OTHER Intraocular Procedures With Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
117 OTHER Intraocular Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
237 OTHER Major Cardiovasc Procedures W Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
238 OTHER Major Cardiovasc Procedures Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
164 OTHER Major Chest Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
163 OTHER Major Chest Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
165 OTHER Major Chest Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
184 OTHER Major Chest Trauma With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
183 OTHER Major Chest Trauma With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
185 OTHER Major Chest Trauma Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
369 OTHER Major Esophageal Disorders With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
368 OTHER Major Esophageal Disorders With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
370 OTHER Major Esophageal Disorders Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
372 OTHER Major Gastrointestinal Disorders And Peritoneal Infections With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
371 OTHER Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
373 OTHER Major Gastrointestinal Disorders And Peritoneal Infections Without C 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
129 OTHER Major Head & Neck Procedures W Cc/mcc Or Major Device 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
130 OTHER Major Head & Neck Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
141 OTHER Major Head And Neck Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
140 OTHER Major Head And Neck Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
142 OTHER Major Head And Neck Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
330 OTHER Major Small And Large Bowel Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
329 OTHER Major Small And Large Bowel Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
331 OTHER Major Small And Large Bowel Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
345 OTHER Minor Small And Large Bowel Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
344 OTHER Minor Small And Large Bowel Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
346 OTHER Minor Small And Large Bowel Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
137 OTHER Mouth Procedures With Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
138 OTHER Mouth Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
123 OTHER Neurological Eye Disorders 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
113 OTHER Orbital Procedures With Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
114 OTHER Orbital Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
230 OTHER Other Cardiothoracic Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
228 OTHER Other Cardiothoracic Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
229 OTHER Other Cardiothoracic Procedures Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
315 OTHER Other Circulatory System Diagnoses With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
314 OTHER Other Circulatory System Diagnoses With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
316 OTHER Other Circulatory System Diagnoses Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
264 OTHER Other Circulatory System O.r. Procedures 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
394 OTHER Other Digestive System Diagnoses With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
393 OTHER Other Digestive System Diagnoses With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
395 OTHER Other Digestive System Diagnoses Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
357 OTHER Other Digestive System O.r. Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
356 OTHER Other Digestive System O.r. Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
358 OTHER Other Digestive System O.r. Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
124 OTHER Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
125 OTHER Other Disorders Of The Eye Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
133 OTHER Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
134 OTHER Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
155 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
154 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
156 OTHER Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
144 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
145 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
320 OTHER Other Endovascular Cardiac Valve Procedures Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
215 OTHER Other Heart Assist System Implant 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
271 OTHER Other Major Cardiovascular Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
270 OTHER Other Major Cardiovascular Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
272 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
205 OTHER Other Respiratory System Diagnoses With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
206 OTHER Other Respiratory System Diagnoses Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
167 OTHER Other Respiratory System O.r. Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
166 OTHER Other Respiratory System O.r. Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
168 OTHER Other Respiratory System O.r. Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
253 OTHER Other Vascular Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
252 OTHER Other Vascular Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
254 OTHER Other Vascular Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
152 OTHER Otitis Media And Uri With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
153 OTHER Otitis Media And Uri Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
10 OTHER Pancreas Transplant 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
246 OTHER Percutaneous Cardiovascular Procedures With Drug-eluting Stent With 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
247 OTHER Percutaneous Cardiovascular Procedures With Drug-eluting Stent Witho 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
321 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device With 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
322 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device With 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
248 OTHER Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
249 OTHER Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
250 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device W 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
251 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device W 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
359 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without M 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
318 OTHER Percutaneous Coronary Atherectomy Without Intraluminal Device 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
300 OTHER Peripheral Vascular Disorders With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
299 OTHER Peripheral Vascular Disorders With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
301 OTHER Peripheral Vascular Disorders Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
336 OTHER Peritoneal Adhesiolysis With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
335 OTHER Peritoneal Adhesiolysis With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
337 OTHER Peritoneal Adhesiolysis Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
243 OTHER Permanent Cardiac Pacemaker Implant With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
244 OTHER Permanent Cardiac Pacemaker Implant Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
187 OTHER Pleural Effusion With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
186 OTHER Pleural Effusion With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
188 OTHER Pleural Effusion Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
200 OTHER Pneumothorax With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
199 OTHER Pneumothorax With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
201 OTHER Pneumothorax Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
189 OTHER Pulmonary Edema And Respiratory Failure 56 27 — — $1,608.50 $37,995.51 $1,608.50 2026-05-18
175 OTHER Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
176 OTHER Pulmonary Embolism Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
333 OTHER Rectal Resection With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
332 OTHER Rectal Resection With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
334 OTHER Rectal Resection Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
178 OTHER Respiratory Infections And Inflammations With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
177 OTHER Respiratory Infections And Inflammations With Mcc 56 27 — — $1,608.50 $28,859.27 $1,608.50 2026-05-18
179 OTHER Respiratory Infections And Inflammations Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
181 OTHER Respiratory Neoplasms With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
180 OTHER Respiratory Neoplasms With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
182 OTHER Respiratory Neoplasms Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
204 OTHER Respiratory Signs And Symptoms 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 56 27 — — $1,608.50 $44,823.02 $1,608.50 2026-05-18
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 56 27 — — $1,608.50 $445,821.59 $1,608.50 2026-05-18
139 OTHER Salivary Gland Procedures 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
100 OTHER Seizures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
101 OTHER Seizures Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
194 OTHER Simple Pneumonia And Pleurisy With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
193 OTHER Simple Pneumonia And Pleurisy With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
195 OTHER Simple Pneumonia And Pleurisy Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
135 OTHER Sinus And Mastoid Procedures With Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
136 OTHER Sinus And Mastoid Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
29 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
28 OTHER Spinal Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
30 OTHER Spinal Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
327 OTHER Stomach, Esophageal And Duodenal Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
328 OTHER Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
312 OTHER Syncope And Collapse 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
13 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, M 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnos 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
383 OTHER Uncomplicated Peptic Ulcer With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
384 OTHER Uncomplicated Peptic Ulcer Without Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
256 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
257 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders Witho 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
263 OTHER Vein Ligation And Stripping 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
32 OTHER Ventricular Shunt Procedures With Cc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
31 OTHER Ventricular Shunt Procedures With Mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
33 OTHER Ventricular Shunt Procedures Without Cc/mcc 56 27 — — $1,608.50 $1,608.50 $1,608.50 2026-05-18
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