Hospital

LAREDO MEDICAL CENTER

Laredo, TX · CCN 450029 · Rates published

7,619 distinct procedures filed

68 distinct payers

475,262 rate rows

2026-05-08 last MRF observed

Data quality

405,478 of 475,262 rate rows are consumer-grade (85.3%)

69,784 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
per-diem day rate — not a per-procedure price	52,692
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	15,310
template filing: same amount across many unrelated codes — excluded	898
placeholder amount (≤ $0.02) — excluded from medians	882
exceeds 10× this hospital's gross charge — excluded from medians	2

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

Source MRF file	https://www.laredomedical.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/200175530_laredo-medical-center_standardcharges.csv
Found on page	https://www.laredomedical.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	14f1166134bf2e4b… · 271,474,204 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	30	$273,386.60	$741,981.12	$367,298.02	nat. median $386,529 1.0× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$294,840.63	$324,324.70	$309,582.67	nat. median $0
583-4 OTHER	Neonate With Ecmo	19	$286,086.53	$793,031.86	$300,390.86	nat. median $309,400 1.0× median
583-3 OTHER	Neonate With Ecmo	19	$242,247.56	$671,510.24	$254,359.94	nat. median $259,487 1.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	$12,078.86	$483,576.56	$241,826.96	nat. median $239,422 1.0× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	19	$200,000.00	$554,400.00	$210,000.00	nat. median $172,311 1.2× median
002-4 OTHER	Heart And/or Lung Transplant	15	$200,000.00	$554,400.00	$210,000.00	nat. median $216,800 1.0× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	19	$181,088.08	$501,976.16	$190,142.48	nat. median $267,493 0.7× median
161-4 OTHER	Implantable Heart Assist Systems	19	$175,848.95	$487,453.29	$184,641.40	nat. median $202,242 0.9× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	32	$15,438.95	$369,819.18	$183,077.85	nat. median $146,562 1.2× median
7 OTHER	Lung Transplant	28	$18,472.03	$355,684.50	$177,880.93	nat. median $169,933 1.0× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	32	$13,024.12	$367,683.24	$177,565.02	nat. median $181,005 1.0× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	19	$164,742.77	$456,666.96	$172,979.91	nat. median $150,954 1.1× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	19	$134,741.60	$373,503.72	$141,478.68	nat. median $210,669 0.7× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	19	$133,547.55	$370,193.81	$140,224.93	nat. median $169,856 0.8× median
583-2 OTHER	Neonate With Ecmo	19	$120,706.43	$334,598.22	$126,741.75	nat. median $191,347 0.7× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	19	$114,618.65	$317,722.90	$120,349.58	nat. median $105,647 1.1× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	32	$8,798.46	$464,760.03	$118,062.41	nat. median $134,983 0.9× median
200-4 OTHER	Cardiac Structural And Valvular Disorders	19	$106,512.29	$295,252.07	$111,837.90	nat. median $19,067 outlier · 5.9×
583-1 OTHER	Neonate With Ecmo	19	$106,284.41	$294,620.38	$111,598.63	nat. median $171,226 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	29	$7,989.59	$210,732.00	$105,366.00	nat. median $100,915 1.0× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	19	$98,203.29	$272,219.52	$103,113.45	nat. median $104,111 1.0× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	19	$97,165.93	$269,343.96	$102,024.23	nat. median $165,000 0.6× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	19	$96,721.84	$268,112.94	$101,557.93	nat. median $153,523 0.7× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	19	$96,471.73	$267,419.64	$101,295.32	nat. median $110,000 0.9× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	19	$96,057.01	$266,270.03	$100,859.86	nat. median $151,691 0.7× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	19	$95,097.63	$263,610.63	$99,852.51	nat. median $203,379 outlier · 0.5×
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	$18,588.35	$199,036.46	$99,556.91	nat. median $111,558 0.9× median
850-4 OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	19	$92,592.38	$256,666.08	$97,222.00	nat. median $54,797 1.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	19	$91,762.95	$254,366.90	$96,351.10	nat. median $156,696 0.6× median
161-3 OTHER	Implantable Heart Assist Systems	19	$91,654.84	$254,067.22	$96,237.58	nat. median $152,491 0.6× median
588-1 OTHER	Female Reproductive System Reconstructive Procedures	19	$91,170.44	$252,724.46	$95,728.96	nat. median $75,325 1.3× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	32	$7,701.15	$191,234.36	$94,678.37	nat. median $90,581 1.0× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	28	$10,267.99	$181,626.98	$90,852.17	nat. median $94,894 1.0× median
215 OTHER	Other Heart Assist System Implant	32	$76,074.58	$175,601.12	$88,227.70	nat. median $92,359 1.0× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	15	$83,477.30	$231,399.08	$87,651.17	nat. median $124,561 0.7× median
008-4 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	19	$83,142.81	$230,471.87	$87,299.95	nat. median $81,385 1.1× median
681-4 OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	19	$81,665.50	$226,376.77	$85,748.78	nat. median $52,952 1.6× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	19	$81,619.93	$226,250.45	$85,700.93	nat. median $106,926 0.8× median
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	19	$80,937.77	$224,359.50	$84,984.66	nat. median $87,912 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	$13,839.73	$172,631.62	$83,486.18	nat. median $90,130 0.9× median
246-4 OTHER	Gastrointestinal Vascular Insufficiency	19	$79,148.58	$219,399.86	$83,106.01	nat. median $14,775 outlier · 5.6×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	19	$78,740.27	$218,268.03	$82,677.28	nat. median $107,050 0.8× median
006-4 OTHER	Pancreas Transplant	15	$76,415.07	$211,822.57	$80,235.82	nat. median $92,449 0.9× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	19	$76,409.05	$211,805.89	$80,229.50	nat. median $86,371 0.9× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	19	$76,180.41	$211,172.10	$79,989.43	nat. median $151,250 0.5× median
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	19	$74,055.98	$205,283.18	$77,758.78	nat. median $49,980 1.6× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	32	$29,085.34	$191,558.93	$75,910.47	nat. median $65,342 1.2× median
162-4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	19	$71,199.67	$197,365.49	$74,759.65	nat. median $80,850 0.9× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	19	$70,031.23	$194,126.57	$73,532.79	nat. median $125,000 0.6× median

Other procedures at this hospital

Browse this hospital's 7,619 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

681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$294,840.63	$324,324.70	$309,582.67	2026-05-08
583-4	OTHER	Neonate With Ecmo	22	19	—	—	$286,086.53	$793,031.86	$300,390.86	2026-05-08
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	30	30	—	—	$273,386.60	$741,981.12	$367,298.02	2026-05-08
583-3	OTHER	Neonate With Ecmo	22	19	—	—	$242,247.56	$671,510.24	$254,359.94	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	22	19	—	—	$200,000.00	$554,400.00	$210,000.00	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	18	15	—	—	$200,000.00	$554,400.00	$210,000.00	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	22	19	—	—	$181,088.08	$501,976.16	$190,142.48	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	22	19	—	—	$175,848.95	$487,453.29	$184,641.40	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	22	19	—	—	$164,742.77	$456,666.96	$172,979.91	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	22	19	—	—	$134,741.60	$373,503.72	$141,478.68	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	22	19	—	—	$133,547.55	$370,193.81	$140,224.93	2026-05-08
583-2	OTHER	Neonate With Ecmo	22	19	—	—	$120,706.43	$334,598.22	$126,741.75	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	19	—	—	$114,618.65	$317,722.90	$120,349.58	2026-05-08
200-4	OTHER	Cardiac Structural And Valvular Disorders	22	19	—	—	$106,512.29	$295,252.07	$111,837.90	2026-05-08
583-1	OTHER	Neonate With Ecmo	22	19	—	—	$106,284.41	$294,620.38	$111,598.63	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	22	19	—	—	$98,203.29	$272,219.52	$103,113.45	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	22	19	—	—	$97,165.93	$269,343.96	$102,024.23	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	22	19	—	—	$96,721.84	$268,112.94	$101,557.93	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	22	19	—	—	$96,471.73	$267,419.64	$101,295.32	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	22	19	—	—	$96,057.01	$266,270.03	$100,859.86	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	22	19	—	—	$95,097.63	$263,610.63	$99,852.51	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	22	19	—	—	$92,592.38	$256,666.08	$97,222.00	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	22	19	—	—	$91,762.95	$254,366.90	$96,351.10	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	22	19	—	—	$91,654.84	$254,067.22	$96,237.58	2026-05-08
588-1	OTHER	Female Reproductive System Reconstructive Procedures	22	19	—	—	$91,170.44	$252,724.46	$95,728.96	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	18	15	—	—	$83,477.30	$231,399.08	$87,651.17	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	22	19	—	—	$83,142.81	$230,471.87	$87,299.95	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	22	19	—	—	$81,665.50	$226,376.77	$85,748.78	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	22	19	—	—	$81,619.93	$226,250.45	$85,700.93	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	22	19	—	—	$80,937.77	$224,359.50	$84,984.66	2026-05-08
246-4	OTHER	Gastrointestinal Vascular Insufficiency	22	19	—	—	$79,148.58	$219,399.86	$83,106.01	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	22	19	—	—	$78,740.27	$218,268.03	$82,677.28	2026-05-08
006-4	OTHER	Pancreas Transplant	18	15	—	—	$76,415.07	$211,822.57	$80,235.82	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	22	19	—	—	$76,409.05	$211,805.89	$80,229.50	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	22	19	—	—	$76,180.41	$211,172.10	$79,989.43	2026-05-08
215	OTHER	Other Heart Assist System Implant	36	32	—	—	$76,074.58	$175,601.12	$88,227.70	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	22	19	—	—	$74,055.98	$205,283.18	$77,758.78	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	22	19	—	—	$71,199.67	$197,365.49	$74,759.65	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	22	19	—	—	$70,031.23	$194,126.57	$73,532.79	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	22	19	—	—	$69,462.84	$192,550.99	$72,935.98	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	22	19	—	—	$66,502.57	$184,345.12	$69,827.70	2026-05-08
007-2	OTHER	Allogeneic Bone Marrow Transplant	22	19	—	—	$65,981.63	$182,901.08	$69,280.71	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	22	19	—	—	$65,885.58	$182,634.83	$69,179.86	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	19	—	—	$65,132.24	$180,546.57	$68,388.85	2026-05-08
863-4	OTHER	Neonatal Aftercare	22	19	—	—	$64,122.00	$177,746.18	$67,328.10	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	22	19	—	—	$63,506.15	$176,039.05	$66,681.46	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	22	19	—	—	$62,486.49	$173,212.55	$65,610.81	2026-05-08
440-4	OTHER	Kidney Transplant	18	15	—	—	$62,332.06	$172,784.47	$65,448.66	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	22	19	—	—	$62,047.30	$171,995.12	$65,149.67	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	22	19	—	—	$62,026.20	$171,936.63	$65,127.51	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	22	19	—	—	$60,425.72	$167,500.10	$63,447.01	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	22	19	—	—	$60,425.72	$167,500.10	$63,447.01	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	22	19	—	—	$60,254.34	$167,025.03	$63,267.06	2026-05-08
441-4	OTHER	Major Bladder Procedures	22	19	—	—	$58,988.72	$163,516.73	$61,938.16	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	18	15	—	—	$57,396.53	$159,103.18	$60,266.36	2026-05-08
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	22	19	—	—	$56,198.33	$155,781.77	$59,008.25	2026-05-08
178-4	OTHER	External Heart Assist Systems	22	19	—	—	$55,249.50	$153,151.61	$58,011.98	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	22	19	—	—	$54,409.52	$150,823.19	$57,130.00	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	22	19	—	—	$54,346.99	$150,649.86	$57,064.34	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	22	19	—	—	$54,106.67	$149,983.69	$56,812.00	2026-05-08
690-4	OTHER	Acute Leukemia	22	19	—	—	$53,620.77	$148,636.77	$56,301.81	2026-05-08
043-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	22	19	—	—	$53,292.31	$147,726.28	$55,956.93	2026-05-08
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	22	19	—	—	$53,232.42	$147,560.27	$55,894.04	2026-05-08
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$52,686.87	$57,955.55	$55,321.21	2026-05-08
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	22	19	—	—	$51,624.78	$143,103.89	$54,206.02	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	22	19	—	—	$50,539.59	$140,095.74	$53,066.57	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	22	19	—	—	$50,231.47	$139,241.63	$52,743.04	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	22	19	—	—	$49,890.96	$138,297.74	$52,385.51	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	22	19	—	—	$49,402.79	$136,944.53	$51,872.93	2026-05-08
006-3	OTHER	Pancreas Transplant	18	15	—	—	$49,382.45	$136,888.15	$51,851.57	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	36	32	—	—	$49,377.78	$110,337.30	$54,309.12	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	22	19	—	—	$47,076.47	$130,495.97	$49,430.29	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	22	19	—	—	$46,819.95	$129,784.90	$49,160.95	2026-05-08
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	22	19	—	—	$46,710.34	$129,481.06	$49,045.86	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	18	15	—	—	$46,108.42	$127,812.54	$48,413.84	2026-05-08
023-4	OTHER	Spinal Procedures	22	19	—	—	$46,018.39	$127,562.98	$48,319.31	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	22	19	—	—	$45,851.91	$127,101.49	$48,144.51	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	19	—	—	$45,262.79	$125,468.45	$47,525.93	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	22	19	—	—	$45,260.91	$125,463.24	$47,523.96	2026-05-08
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$44,895.44	$49,384.98	$47,140.21	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	22	19	—	—	$44,696.65	$123,899.11	$46,931.48	2026-05-08
006-2	OTHER	Pancreas Transplant	18	15	—	—	$44,665.77	$123,813.51	$46,899.06	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	22	19	—	—	$44,490.61	$123,327.97	$46,715.14	2026-05-08
006-1	OTHER	Pancreas Transplant	18	15	—	—	$44,089.08	$122,214.93	$46,293.53	2026-05-08
007-1	OTHER	Allogeneic Bone Marrow Transplant	22	19	—	—	$43,325.94	$120,099.51	$45,492.24	2026-05-08
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	18	15	—	—	$43,009.54	$119,222.44	$45,160.02	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	22	19	—	—	$42,958.69	$119,081.49	$45,106.62	2026-05-08
026-4	OTHER	Other Nervous System And Related Procedures	22	19	—	—	$42,932.70	$119,009.44	$45,079.33	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	22	19	—	—	$42,747.38	$118,495.74	$44,884.75	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	22	19	—	—	$42,493.88	$117,793.04	$44,618.57	2026-05-08
182-4	OTHER	Other Peripheral Vascular And Related Procedures	22	19	—	—	$42,459.60	$117,698.01	$44,582.58	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	22	19	—	—	$42,434.36	$117,628.05	$44,556.08	2026-05-08
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	22	19	—	—	$41,739.78	$115,702.67	$43,826.77	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	22	19	—	—	$41,729.61	$115,674.48	$43,816.09	2026-05-08
205-4	OTHER	Cardiomyopathy	22	19	—	—	$41,611.71	$115,347.66	$43,692.30	2026-05-08
695-4	OTHER	Chemotherapy For Acute Leukemia	22	19	—	—	$41,558.22	$115,199.39	$43,636.13	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	22	19	—	—	$41,515.66	$115,081.41	$43,591.44	2026-05-08
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$41,289.74	$45,418.72	$43,354.23	2026-05-08
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	22	19	—	—	$40,818.06	$113,147.66	$42,858.96	2026-05-08
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	22	19	—	—	$40,681.33	$112,768.65	$42,715.40	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	22	19	—	—	$40,554.39	$112,416.77	$42,582.11	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	22	19	—	—	$40,128.37	$111,235.84	$42,134.79	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	22	19	—	—	$40,060.20	$111,046.87	$42,063.21	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	22	19	—	—	$39,965.28	$110,783.76	$41,963.54	2026-05-08
230-4	OTHER	Major Small Bowel Procedures	22	19	—	—	$39,821.01	$110,383.84	$41,812.06	2026-05-08
022-4	OTHER	Ventricular Shunt Procedures	22	19	—	—	$39,663.94	$109,948.44	$41,647.14	2026-05-08
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	22	19	—	—	$39,446.60	$109,345.98	$41,418.93	2026-05-08
952-4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	22	19	—	—	$39,204.40	$108,674.60	$41,164.62	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	22	19	—	—	$38,846.18	$107,681.61	$40,788.49	2026-05-08
440-3	OTHER	Kidney Transplant	18	15	—	—	$38,150.09	$105,752.05	$40,057.59	2026-05-08
315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	22	19	—	—	$38,147.46	$105,744.76	$40,054.83	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	22	19	—	—	$38,017.88	$105,385.56	$39,918.77	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	22	19	—	—	$37,863.45	$104,957.48	$39,756.62	2026-05-08
483-4	OTHER	Penis, Testes And Scrotal Procedures	22	19	—	—	$37,719.56	$104,558.62	$39,605.54	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	36	32	—	—	$37,337.64	$102,310.85	$41,427.42	2026-05-08
089-4	OTHER	Major Cranial Or Facial Bone Procedures	22	19	—	—	$37,315.01	$103,437.21	$39,180.76	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	22	19	—	—	$37,265.67	$103,300.44	$39,128.95	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	22	19	—	—	$37,256.25	$103,274.33	$39,119.06	2026-05-08
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$36,864.61	$40,551.07	$38,707.84	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	22	19	—	—	$36,701.41	$101,736.31	$38,536.48	2026-05-08
591-1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	22	19	—	—	$35,971.80	$99,713.83	$37,770.39	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	22	19	—	—	$35,775.55	$99,169.82	$37,564.33	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	18	15	—	—	$35,714.16	$98,999.65	$37,499.87	2026-05-08
178-3	OTHER	External Heart Assist Systems	22	19	—	—	$35,356.69	$98,008.74	$37,124.52	2026-05-08
121-4	OTHER	Other Respiratory And Chest Procedures	22	19	—	—	$35,336.35	$97,952.36	$37,103.17	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	22	19	—	—	$35,207.16	$97,594.25	$36,967.52	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	22	19	—	—	$34,922.77	$96,805.92	$36,668.91	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	22	19	—	—	$34,822.20	$96,527.14	$36,563.31	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	22	19	—	—	$34,491.86	$95,611.44	$36,216.45	2026-05-08
224-4	OTHER	Peritoneal Adhesiolysis	22	19	—	—	$34,436.86	$95,458.98	$36,158.70	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	22	19	—	—	$34,196.92	$94,793.86	$35,906.77	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	22	19	—	—	$34,101.25	$94,528.67	$35,806.31	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	22	19	—	—	$33,917.81	$94,020.17	$35,613.70	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	36	32	—	—	$33,909.69	$110,131.04	$53,340.42	2026-05-08
020-4	OTHER	Open Craniotomy For Trauma	22	19	—	—	$33,571.65	$93,060.61	$35,250.23	2026-05-08
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	22	19	—	—	$33,343.38	$92,427.85	$35,010.55	2026-05-08
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	22	19	—	—	$33,279.35	$92,250.36	$34,943.32	2026-05-08
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	18	15	—	—	$33,035.26	$91,573.74	$34,687.02	2026-05-08
181-4	OTHER	Lower Extremity Arterial Procedures	22	19	—	—	$33,021.70	$91,536.15	$34,672.78	2026-05-08
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	22	19	—	—	$32,920.76	$91,256.35	$34,566.80	2026-05-08
660-4	OTHER	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	22	19	—	—	$32,812.65	$90,956.67	$34,453.28	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	22	19	—	—	$32,805.87	$90,937.87	$34,446.16	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	22	19	—	—	$32,768.96	$90,835.56	$34,407.41	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	36	32	—	—	$32,262.37	$120,611.16	$59,507.03	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	22	19	—	—	$31,933.50	$88,519.66	$33,530.18	2026-05-08
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	18	15	—	—	$31,794.88	$88,135.41	$33,384.62	2026-05-08
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	36	32	—	—	$29,085.34	$191,558.93	$75,910.47	2026-05-08
10	OTHER	Pancreas Transplant	28	28	—	—	$27,334.61	$128,189.94	$63,965.00	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	36	32	—	—	$26,545.42	$76,997.94	$37,059.81	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	36	32	—	—	$24,242.54	$117,955.32	$57,114.29	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	37	32	—	—	$24,225.42	$234,360.94	$44,837.62	2026-05-08
460	OTHER	Spinal Fusion Except Cervical Without Mcc	36	32	—	—	$23,469.64	$68,224.16	$33,128.99	2026-05-08
276	OTHER	Non-maligant Breast Disorders	32	32	—	—	$23,008.61	$108,261.06	$53,258.68	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	37	33	—	—	$20,921.12	$302,092.34	$34,131.12	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	36	32	—	—	$20,248.13	$76,663.84	$36,892.83	2026-05-08
279	OTHER	Cellulitis Age 0-17	32	32	—	—	$19,836.25	$67,346.26	$33,026.49	2026-05-08
459	OTHER	Spinal Fusion Except Cervical With Mcc	36	32	—	—	$19,807.69	$123,881.72	$57,582.93	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	36	32	—	—	$19,567.38	$107,519.52	$52,080.81	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	36	32	—	—	$18,606.64	$96,775.20	$46,898.52	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	30	—	—	$18,588.35	$199,036.46	$99,556.91	2026-05-08
7	OTHER	Lung Transplant	28	28	—	—	$18,472.03	$355,684.50	$177,880.93	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	35	31	—	—	$17,518.68	$105,908.64	$50,810.53	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	36	32	—	—	$17,249.04	$72,553.96	$34,878.18	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	36	32	—	—	$17,020.70	$69,577.66	$33,457.81	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	36	32	—	—	$16,946.80	$149,117.84	$72,144.83	2026-05-08
245	OTHER	Aicd Generator Procedures	36	32	—	—	$16,821.24	$83,642.66	$40,380.70	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	36	31	—	—	$16,765.04	$431,888.69	$65,910.94	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	36	32	—	—	$16,625.52	$100,017.38	$48,462.32	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	38	33	—	—	$16,600.07	$449,605.80	$48,483.66	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	36	32	—	—	$16,453.73	$76,195.08	$36,658.55	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	36	32	—	—	$16,433.65	$136,757.50	$66,183.10	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	36	32	—	—	$16,137.49	$109,215.64	$52,898.89	2026-05-08
278	OTHER	Cellulitis Age >17 Without Cc	32	32	—	—	$16,120.79	$100,753.82	$49,460.50	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	36	32	—	—	$16,113.70	$149,569.56	$72,362.71	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	36	32	—	—	$16,088.47	$413,461.53	$37,492.60	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	37	33	—	—	$15,707.22	$89,767.42	$43,783.44	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	32	32	—	—	$15,438.95	$369,819.18	$183,077.85	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	37	33	—	—	$15,129.21	$146,784.67	$57,663.46	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	36	32	—	—	$14,372.56	$90,205.48	$44,441.44	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	32	32	—	—	$13,981.64	$127,417.76	$62,950.73	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	28	28	—	—	$13,867.22	$127,489.38	$63,607.04	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	36	32	—	—	$13,839.73	$172,631.62	$83,486.18	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	35	31	—	—	$13,651.91	$94,603.44	$45,410.14	2026-05-08
6	OTHER	Liver Transplant Without Mcc	28	28	—	—	$13,563.28	$84,914.30	$42,049.94	2026-05-08
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	32	32	—	—	$13,290.15	$72,252.22	$35,422.96	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	36	32	—	—	$13,209.91	$71,851.64	$34,543.02	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	36	32	—	—	$13,024.12	$367,683.24	$177,565.02	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	36	32	—	—	$13,005.76	$83,375.02	$40,246.94	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	28	28	—	—	$12,840.47	$101,408.38	$50,281.35	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	36	32	—	—	$12,716.65	$88,182.08	$42,649.42	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	37	32	—	—	$12,567.04	$82,268.66	$39,870.09	2026-05-08
277	OTHER	Cellulitis Age >17 W Cc	32	32	—	—	$12,386.11	$84,598.96	$41,454.13	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	36	32	—	—	$12,121.49	$70,015.78	$33,666.90	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	30	—	—	$12,078.86	$483,576.56	$241,826.96	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	36	32	—	—	$11,620.75	$135,762.00	$65,702.94	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	36	32	—	—	$11,516.08	$140,004.82	$67,749.37	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	36	32	—	—	$11,401.18	$98,842.90	$47,895.83	2026-05-08
799	OTHER	Splenectomy With Mcc	36	32	—	—	$11,396.13	$83,071.58	$40,095.29	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	36	32	—	—	$11,165.42	$77,701.96	$37,411.66	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	36	32	—	—	$11,140.20	$110,216.24	$53,381.51	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	28	28	—	—	$10,832.13	$98,471.28	$48,780.69	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	36	32	—	—	$10,705.38	$85,609.78	$41,363.83	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	37	33	—	—	$10,401.08	$135,924.19	$50,649.10	2026-05-08
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	32	32	—	—	$10,335.56	$79,636.74	$39,030.17	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	28	28	—	—	$10,267.99	$181,626.98	$90,852.17	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	32	32	—	—	$10,025.45	$81,946.56	$40,158.48	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	36	32	—	—	$9,980.47	$71,316.36	$34,287.57	2026-05-08
28	OTHER	Spinal Procedures With Mcc	36	32	—	—	$9,771.88	$108,289.98	$52,452.42	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	36	32	—	—	$9,539.57	$96,110.40	$46,577.87	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	42	37	—	—	$9,378.93	$147,815.53	$43,585.71	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	36	32	—	—	$9,355.41	$99,122.46	$48,030.67	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	37	33	—	—	$9,160.43	$267,161.89	$60,456.75	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	37	33	—	—	$9,145.17	$90,887.34	$43,635.00	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	36	32	—	—	$9,023.73	$117,547.90	$56,917.77	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	36	32	—	—	$9,023.54	$77,737.76	$37,429.56	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	36	32	—	—	$8,996.48	$89,417.96	$43,267.08	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	36	32	—	—	$8,896.32	$80,751.56	$38,935.79	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	36	32	—	—	$8,813.71	$71,689.70	$34,465.74	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	37	32	—	—	$8,798.46	$464,760.03	$118,062.41	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	36	32	—	—	$8,761.65	$79,048.64	$38,084.71	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	36	32	—	—	$8,715.43	$105,843.86	$51,272.58	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	33	32	—	—	$8,702.21	$69,736.20	$34,205.46	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	36	32	—	—	$8,385.28	$323,010.65	$55,958.27	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	36	32	—	—	$8,056.88	$83,409.12	$40,263.99	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	36	32	—	—	$8,034.78	$103,026.06	$49,913.48	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	29	29	—	—	$7,989.59	$210,732.00	$105,366.00	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	36	32	—	—	$7,965.76	$85,848.44	$41,483.11	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	36	32	—	—	$7,852.91	$94,450.06	$45,777.04	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	36	32	—	—	$7,703.14	$77,407.02	$37,264.26	2026-05-08
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	32	32	—	—	$7,701.15	$191,234.36	$94,678.37	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	36	32	—	—	$7,585.59	$73,784.68	$35,465.52	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	37	32	—	—	$7,475.89	$84,223.94	$40,890.46	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	36	32	—	—	$7,399.65	$82,246.54	$39,682.95	2026-05-08
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	36	32	—	—	$7,044.63	$99,453.18	$48,190.18	2026-05-08
1414578	OTHER	Genratr Neurostm 5	33	22	$99,999.99	$35,000.00 65% off	$7,000.00	$94,999.99	$64,999.99	2026-05-08
1418038	OTHER	Genrate Neuro Rech 6	33	22	$99,999.99	$35,000.00 65% off	$7,000.00	$94,999.99	$64,999.99	2026-05-08
1410730	OTHER	Lead Neurostimulat 7	33	22	$99,999.99	$35,000.00 65% off	$7,000.00	$94,999.99	$64,999.99	2026-05-08
1414706	OTHER	Joint Device Implt 7	33	22	$99,999.99	$35,000.00 65% off	$7,000.00	$94,999.99	$64,999.99	2026-05-08
1418037	OTHER	Genrate Neuro Rech 5	33	22	$99,999.99	$35,000.00 65% off	$7,000.00	$94,999.99	$64,999.99	2026-05-08
1414707	OTHER	Joint Device Implt 8	33	22	$99,999.96	$34,999.99 65% off	$7,000.00	$94,999.96	$64,999.97	2026-05-08
1414705	OTHER	Joint Device Implt 6	33	22	$99,999.92	$34,999.97 65% off	$6,999.99	$94,999.92	$64,999.95	2026-05-08
1418020	OTHER	Impl/insert Noc Lv10	33	22	$99,999.82	$34,999.94 65% off	$6,999.99	$94,999.83	$64,999.88	2026-05-08
1417227	OTHER	Lead Neurostimulat 4	33	22	$99,999.72	$34,999.90 65% off	$6,999.98	$94,999.73	$64,999.82	2026-05-08
1413283	OTHER	Lead Neurostm Tst K2	33	22	$99,999.72	$34,999.90 65% off	$6,999.98	$94,999.73	$64,999.82	2026-05-08
1413182	OTHER	Lead Neurostm Tst K1	33	22	$99,999.72	$34,999.90 65% off	$6,999.98	$94,999.73	$64,999.82	2026-05-08
1414017	OTHER	Anchor/scrw Level 17	33	22	$99,999.70	$34,999.90 65% off	$6,999.98	$94,999.72	$64,999.80	2026-05-08
1414607	OTHER	Graft Vascular 8	33	22	$99,999.69	$34,999.89 65% off	$6,999.98	$94,999.71	$64,999.80	2026-05-08
1414763	OTHER	Mesh Implantable 14	33	22	$99,999.31	$34,999.76 65% off	$6,999.95	$94,999.34	$64,999.55	2026-05-08
1413125	OTHER	Genrate Neuro Rech 4	34	22	$99,999.00	$34,999.65 65% off	$6,999.93	$94,999.05	$64,499.35	2026-05-08
1411702	OTHER	Impella Device L3	34	22	$99,999.00	$34,999.65 65% off	$6,999.93	$94,999.05	$64,499.35	2026-05-08
1414907	OTHER	Tavr L2	34	22	$99,999.00	$34,999.65 65% off	$6,999.93	$94,999.05	$64,499.35	2026-05-08
1414906	OTHER	Tavr L1	34	22	$99,999.00	$34,999.65 65% off	$6,999.93	$94,999.05	$64,499.35	2026-05-08
1411701	OTHER	Impella Device L2	34	22	$99,999.00	$34,999.65 65% off	$6,999.93	$94,999.05	$64,499.35	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	36	32	—	—	$6,987.54	$77,492.32	$37,306.88	2026-05-08
1414577	OTHER	Genratr Neurostm 4	33	22	$98,050.00	$34,317.50 65% off	$6,863.50	$93,147.50	$63,732.50	2026-05-08
1414576	OTHER	Genratr Neurostm 3	33	22	$94,685.77	$33,140.02 65% off	$6,628.00	$89,951.48	$61,545.75	2026-05-08
1414481	OTHER	Conn Tissue Human 7	33	22	$94,154.03	$32,953.91 65% off	$6,590.78	$89,446.33	$61,200.12	2026-05-08
1414016	OTHER	Anchor/scrw Level 16	33	22	$93,943.15	$32,880.10 65% off	$6,576.02	$89,245.99	$61,063.05	2026-05-08
1414704	OTHER	Joint Device Implt 5	33	22	$93,931.65	$32,876.08 65% off	$6,575.22	$89,235.07	$61,055.57	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	28	28	—	—	$6,392.80	$106,950.18	$53,112.85	2026-05-08
1414904	OTHER	Watchman Atr App L1	33	22	$90,100.00	$31,535.00 65% off	$6,307.00	$85,595.00	$58,565.00	2026-05-08
1414905	OTHER	Watchman Atr App L2	33	22	$90,100.00	$31,535.00 65% off	$6,307.00	$85,595.00	$58,565.00	2026-05-08
1410741	OTHER	Impella Device L1	33	22	$90,100.00	$31,535.00 65% off	$6,307.00	$85,595.00	$58,565.00	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	32	32	—	—	$6,244.88	$128,138.84	$63,315.54	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	36	32	—	—	$6,162.44	$69,398.68	$33,372.41	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	36	32	—	—	$6,037.92	$123,113.52	$59,602.22	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	36	32	—	—	$5,875.78	$84,024.46	$40,571.52	2026-05-08
1414018	OTHER	Anchor/scrw Level 18	33	22	$83,430.96	$29,200.84 65% off	$5,840.17	$79,259.41	$54,230.12	2026-05-08
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	28	28	—	—	$5,834.19	$69,040.68	$34,192.49	2026-05-08
1418036	OTHER	Genrate Neuro Rech 3	33	22	$79,500.00	$27,825.00 65% off	$5,565.00	$75,525.00	$51,675.00	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	36	32	—	—	$5,333.78	$87,766.16	$42,441.54	2026-05-08
1413353	OTHER	Interspinous Impl L3	33	22	$74,429.70	$26,050.40 65% off	$5,210.08	$70,708.22	$48,379.30	2026-05-08
1413192	OTHER	Inf Pump Program Lv6	33	22	$73,602.40	$25,760.84 65% off	$5,152.17	$69,922.28	$47,841.56	2026-05-08
1414015	OTHER	Anchor/scrw Level 15	33	22	$73,071.56	$25,575.05 65% off	$5,115.01	$69,417.98	$47,496.51	2026-05-08
1413005	OTHER	Aicd Single Chamber1	45	32	$99,999.99	$24,000.00 76% off	$5,040.00	$94,999.99	$45,000.00	2026-05-08
1411002	OTHER	Aicd Ohr Thn Sgl/du2	45	32	$99,999.90	$23,999.98 76% off	$5,039.99	$94,999.90	$44,999.96	2026-05-08
1413177	OTHER	Lead Aicd End Dul L1	45	32	$99,999.13	$23,999.79 76% off	$5,039.96	$94,999.17	$44,999.61	2026-05-08
1410018	OTHER	Oth Ster Supp Lvl 18	45	32	$99,999.00	$23,999.76 76% off	$5,039.95	$94,999.05	$48,999.51	2026-05-08
1411003	OTHER	Aicd Ohr Thn Sgl/du3	46	32	$99,999.00	$23,999.76 76% off	$5,039.95	$94,999.05	$43,749.56	2026-05-08
1410039	OTHER	Aicd Dual Chamber L5	46	32	$99,999.00	$23,999.76 76% off	$5,039.95	$94,999.05	$43,749.56	2026-05-08
1410068	OTHER	Pmkr Dual Rate-rs L4	46	32	$99,999.00	$23,999.76 76% off	$5,039.95	$94,999.05	$43,749.56	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	36	32	—	—	$4,986.54	$77,860.50	$37,490.90	2026-05-08
1417054	OTHER	Tissue Non-human 6	33	22	$70,474.65	$24,666.13 65% off	$4,933.23	$66,950.92	$45,808.52	2026-05-08
1414480	OTHER	Conn Tissue Human 6	33	22	$67,477.07	$23,616.97 65% off	$4,723.39	$64,103.22	$43,860.10	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	36	32	—	—	$4,606.52	$95,812.04	$46,433.96	2026-05-08
1414703	OTHER	Joint Device Implt 4	33	22	$64,612.50	$22,614.38 65% off	$4,522.88	$61,381.88	$41,998.12	2026-05-08
1414276	OTHER	Cath Trns Arthr Dir2	33	22	$62,518.90	$21,881.62 65% off	$4,376.32	$59,392.96	$40,637.29	2026-05-08
1410016	OTHER	Oth Ster Supp Lvl 16	44	32	$85,988.24	$25,366.53 71% off	$4,333.81	$81,688.83	$44,412.93	2026-05-08
1413124	OTHER	Evnt Rcrdr Crdc Lvl1	33	22	$60,355.15	$21,124.30 65% off	$4,224.86	$57,337.39	$39,230.85	2026-05-08
1410048	OTHER	Pmkr Singl Rate-rsl3	45	32	$82,073.21	$19,697.57 76% off	$4,136.49	$77,969.55	$36,932.94	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	29	29	—	—	$4,129.42	$71,752.78	$35,876.39	2026-05-08
1414953	OTHER	Stnt Coat/cov W/del3	33	22	$58,846.29	$20,596.20 65% off	$4,119.24	$55,903.98	$38,250.09	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	36	36	—	—	$4,062.21	$76,946.82	$37,393.25	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	32	32	—	—	$4,047.97	$78,578.14	$38,513.07	2026-05-08
1414575	OTHER	Genratr Neurostm 2	33	22	$55,650.00	$19,477.50 65% off	$3,895.50	$52,867.50	$36,172.50	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	34	32	—	—	$3,758.87	$122,865.17	$52,714.47	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	36	32	—	—	$3,721.24	$87,024.64	$42,070.96	2026-05-08
1414014	OTHER	Anchor/scrw Level 14	33	22	$52,196.16	$18,268.66 65% off	$3,653.73	$49,586.35	$33,927.50	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	28	28	—	—	$3,485.28	$86,012.12	$42,593.36	2026-05-08
791	OTHER	Prematurity With Major Problems	34	34	—	—	$2,433.51	$126,736.11	$36,795.26	2026-05-08

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