Hospital

ST JOSEPH MEDICAL CENTER

Houston, TX · CCN 450035 · Rates published

11,274 distinct procedures filed

75 distinct payers

713,554 rate rows

2026-05-08 last MRF observed

Data quality

688,066 of 713,554 rate rows are consumer-grade (96.4%)

25,488 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	13,912
per-diem day rate — not a per-procedure price	9,905
template filing: same amount across many unrelated codes — excluded	933
placeholder amount (≤ $0.02) — excluded from medians	592
exceeds 10× this hospital's gross charge — excluded from medians	146

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

Source MRF file	https://sjmctx.org/pricetransparency/994785298_StJosephMedicalCenter_standardcharges.csv
Found on page	https://sjmctx.org/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	58563625d80afb4a… · 328,636,875 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	38	$281,274.02	$1,364,249.10	$512,873.99	nat. median $386,529 1.3× median
7 OTHER	Lung Transplant	33	$236,414.59	$577,830.76	$351,837.71	nat. median $169,933 outlier · 2.1×
583-4 OTHER	Neonate With Ecmo	14	$283,650.49	$370,396.52	$322,083.93	nat. median $309,400 1.0× median
583-3 OTHER	Neonate With Ecmo	14	$240,184.81	$313,638.16	$272,728.83	nat. median $259,487 1.1× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	33	$241,416.39	$509,564.55	$260,512.68	nat. median $239,422 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	37	$203,114.43	$313,445.76	$219,192.84	nat. median $146,562 1.5× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	$179,546.11	$234,454.91	$203,873.84	nat. median $267,493 0.8× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	37	$143,098.69	$387,697.65	$199,047.27	nat. median $181,005 1.1× median
002-4 OTHER	Heart And/or Lung Transplant	14	$180,320.00	$230,000.00	$198,000.00	nat. median $216,800 0.9× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	14	$180,320.00	$230,000.00	$198,000.00	nat. median $172,311 1.1× median
161-4 OTHER	Implantable Heart Assist Systems	14	$174,351.59	$227,671.81	$197,975.49	nat. median $202,242 1.0× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	$163,339.98	$213,292.64	$185,471.86	nat. median $150,954 1.2× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	$133,594.27	$174,450.09	$151,695.73	nat. median $210,669 0.7× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	$132,410.39	$172,904.14	$150,351.43	nat. median $169,856 0.9× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	37	$89,380.17	$255,611.70	$149,849.15	nat. median $134,983 1.1× median
583-2 OTHER	Neonate With Ecmo	14	$119,678.61	$156,278.73	$135,894.55	nat. median $191,347 0.7× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	$113,642.67	$148,396.88	$129,040.77	nat. median $105,647 1.2× median
14 OTHER	Allogeneic Bone Marrow Transplant	34	$25,273.33	$179,815.49	$125,745.10	nat. median $100,915 1.2× median
200-4 OTHER	Cardiac Structural And Valvular Disorders	14	$105,605.34	$137,901.58	$119,914.41	nat. median $19,067 outlier · 6.3×
583-1 OTHER	Neonate With Ecmo	14	$105,379.39	$137,606.53	$119,657.85	nat. median $171,226 0.7× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	33	$108,353.47	$199,346.38	$116,107.98	nat. median $111,558 1.0× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	14	$97,367.08	$127,143.89	$110,559.90	nat. median $104,111 1.1× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	$96,338.56	$125,800.83	$109,392.03	nat. median $165,000 0.7× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	14	$95,898.25	$125,225.86	$108,892.05	nat. median $153,523 0.7× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	$95,650.27	$124,902.03	$108,610.46	nat. median $110,000 1.0× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	14	$95,239.08	$124,365.11	$108,143.57	nat. median $151,691 0.7× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	$94,287.87	$123,122.99	$107,063.47	nat. median $203,379 0.5× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	39	$53,145.89	$152,036.37	$106,202.46	nat. median $90,581 1.2× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	33	$98,088.44	$192,647.64	$105,447.18	nat. median $94,894 1.1× median
850-4 OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	14	$91,803.96	$119,879.45	$104,243.00	nat. median $54,797 1.9× median
215 OTHER	Other Heart Assist System Implant	40	$18,105.00	$191,659.93	$103,631.20	nat. median $92,359 1.1× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	$90,981.58	$118,805.58	$103,309.20	nat. median $156,696 0.7× median
161-3 OTHER	Implantable Heart Assist Systems	14	$90,874.40	$118,665.62	$103,187.49	nat. median $152,491 0.7× median
588-1 OTHER	Female Reproductive System Reconstructive Procedures	14	$90,394.13	$118,038.46	$102,642.14	nat. median $75,325 1.4× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	39	$43,608.06	$144,971.64	$100,788.70	nat. median $64,729 1.6× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	42	$29,705.00	$174,588.40	$95,284.47	nat. median $90,130 1.1× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	14	$82,766.48	$108,078.14	$93,980.99	nat. median $124,561 0.8× median
008-4 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	14	$82,434.84	$107,645.08	$93,604.42	nat. median $81,385 1.2× median
681-4 OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	14	$80,970.12	$105,732.40	$91,941.22	nat. median $52,952 1.7× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	14	$80,924.93	$105,673.40	$91,889.91	nat. median $106,926 0.9× median
009-3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	$80,248.59	$104,790.22	$91,121.93	nat. median $87,912 1.0× median
246-4 OTHER	Gastrointestinal Vascular Insufficiency	14	$78,474.63	$102,473.74	$89,107.60	nat. median $14,775 outlier · 6.0×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	$78,069.80	$101,945.10	$88,647.92	nat. median $107,050 0.8× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	39	$69,273.78	$273,655.62	$88,436.42	nat. median $65,342 1.4× median
006-4 OTHER	Pancreas Transplant	14	$75,764.39	$98,934.67	$86,030.15	nat. median $92,449 0.9× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	14	$75,758.42	$98,926.87	$86,023.37	nat. median $86,371 1.0× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	$75,531.72	$98,630.85	$85,765.96	nat. median $151,250 0.6× median
231 OTHER	Coronary Bypass With Ptca With Mcc	42	$29,705.00	$153,292.86	$84,942.73	nat. median $74,989 1.1× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	39	$64,786.68	$153,207.83	$84,901.44	nat. median $76,493 1.1× median
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	14	$73,425.39	$95,880.35	$83,374.22	nat. median $49,980 1.7× median

Other procedures at this hospital

Browse this hospital's 11,274 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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	44	38	—	—	$281,274.02	$1,364,249.10	$512,873.99	2026-05-08
7	OTHER	Lung Transplant	35	33	—	—	$236,414.59	$577,830.76	$351,837.71	2026-05-08
583-4	OTHER	Neonate With Ecmo	17	14	—	—	$283,650.49	$370,396.52	$322,083.93	2026-05-08
583-3	OTHER	Neonate With Ecmo	17	14	—	—	$240,184.81	$313,638.16	$272,728.83	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	35	33	—	—	$241,416.39	$509,564.55	$260,512.68	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	39	37	—	—	$203,114.43	$313,445.76	$219,192.84	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	17	14	—	—	$179,546.11	$234,454.91	$203,873.84	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	43	37	—	—	$143,098.69	$387,697.65	$199,047.27	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	17	14	—	—	$180,320.00	$230,000.00	$198,000.00	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	16	14	—	—	$180,320.00	$230,000.00	$198,000.00	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	17	14	—	—	$174,351.59	$227,671.81	$197,975.49	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	14	—	—	$163,339.98	$213,292.64	$185,471.86	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	17	14	—	—	$133,594.27	$174,450.09	$151,695.73	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	17	14	—	—	$132,410.39	$172,904.14	$150,351.43	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	43	37	—	—	$89,380.17	$255,611.70	$149,849.15	2026-05-08
583-2	OTHER	Neonate With Ecmo	17	14	—	—	$119,678.61	$156,278.73	$135,894.55	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	14	—	—	$113,642.67	$148,396.88	$129,040.77	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	36	34	—	—	$25,273.33	$179,815.49	$125,745.10	2026-05-08
200-4	OTHER	Cardiac Structural And Valvular Disorders	17	14	—	—	$105,605.34	$137,901.58	$119,914.41	2026-05-08
583-1	OTHER	Neonate With Ecmo	17	14	—	—	$105,379.39	$137,606.53	$119,657.85	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	35	33	—	—	$108,353.47	$199,346.38	$116,107.98	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	16	14	—	—	$97,367.08	$127,143.89	$110,559.90	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	17	14	—	—	$96,338.56	$125,800.83	$109,392.03	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	17	14	—	—	$95,898.25	$125,225.86	$108,892.05	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	17	14	—	—	$95,650.27	$124,902.03	$108,610.46	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	17	14	—	—	$95,239.08	$124,365.11	$108,143.57	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	17	14	—	—	$94,287.87	$123,122.99	$107,063.47	2026-05-08
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	45	39	—	—	$53,145.89	$152,036.37	$106,202.46	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	35	33	—	—	$98,088.44	$192,647.64	$105,447.18	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	17	14	—	—	$91,803.96	$119,879.45	$104,243.00	2026-05-08
215	OTHER	Other Heart Assist System Implant	46	40	—	—	$18,105.00	$191,659.93	$103,631.20	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	17	14	—	—	$90,981.58	$118,805.58	$103,309.20	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	17	14	—	—	$90,874.40	$118,665.62	$103,187.49	2026-05-08
588-1	OTHER	Female Reproductive System Reconstructive Procedures	17	14	—	—	$90,394.13	$118,038.46	$102,642.14	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	45	39	—	—	$43,608.06	$144,971.64	$100,788.70	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	50	42	—	—	$29,705.00	$174,588.40	$95,284.47	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	16	14	—	—	$82,766.48	$108,078.14	$93,980.99	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	14	—	—	$82,434.84	$107,645.08	$93,604.42	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	17	14	—	—	$80,970.12	$105,732.40	$91,941.22	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	17	14	—	—	$80,924.93	$105,673.40	$91,889.91	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	14	—	—	$80,248.59	$104,790.22	$91,121.93	2026-05-08
246-4	OTHER	Gastrointestinal Vascular Insufficiency	17	14	—	—	$78,474.63	$102,473.74	$89,107.60	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	17	14	—	—	$78,069.80	$101,945.10	$88,647.92	2026-05-08
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	45	39	—	—	$69,273.78	$273,655.62	$88,436.42	2026-05-08
006-4	OTHER	Pancreas Transplant	16	14	—	—	$75,764.39	$98,934.67	$86,030.15	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	17	14	—	—	$75,758.42	$98,926.87	$86,023.37	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	17	14	—	—	$75,531.72	$98,630.85	$85,765.96	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	50	42	—	—	$29,705.00	$153,292.86	$84,942.73	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	39	—	—	$64,786.68	$153,207.83	$84,901.44	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	17	14	—	—	$73,425.39	$95,880.35	$83,374.22	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	45	39	—	—	$75,040.78	$145,825.29	$81,686.85	2026-05-08
10	OTHER	Pancreas Transplant	35	33	—	—	$75,077.11	$144,231.57	$80,619.93	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	39	37	—	—	$5,843.70	$114,711.50	$80,217.83	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	17	14	—	—	$70,593.41	$92,182.28	$80,158.51	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	50	42	—	—	$29,705.00	$140,022.43	$79,166.60	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	17	14	—	—	$69,434.92	$90,669.51	$78,843.06	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	50	42	—	—	$29,705.00	$139,971.38	$78,473.44	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	17	14	—	—	$68,871.36	$89,933.60	$78,203.13	2026-05-08
6	OTHER	Liver Transplant Without Mcc	35	33	—	—	$72,678.93	$109,724.16	$76,730.18	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	45	39	—	—	$55,915.73	$116,652.73	$76,072.52	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	17	14	—	—	$65,936.30	$86,100.94	$74,870.38	2026-05-08
007-2	OTHER	Allogeneic Bone Marrow Transplant	16	14	—	—	$65,419.80	$85,426.48	$74,283.90	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	49	41	—	—	$23,850.00	$120,616.88	$74,274.51	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	35	33	—	—	$70,084.81	$106,180.55	$74,252.13	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	17	14	—	—	$65,324.57	$85,302.14	$74,175.77	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	14	—	—	$64,577.64	$84,326.77	$73,327.63	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	45	39	—	—	$43,148.42	$116,991.65	$73,147.52	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	45	39	—	—	$53,200.71	$103,887.47	$72,583.11	2026-05-08
863-4	OTHER	Neonatal Aftercare	17	14	—	—	$63,576.01	$83,018.83	$72,190.29	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	45	39	—	—	$48,410.87	$125,843.09	$71,612.36	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	17	14	—	—	$62,965.39	$82,221.47	$71,496.93	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	45	39	—	—	$47,380.08	$123,523.95	$70,486.11	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	17	14	—	—	$61,954.42	$80,901.33	$70,348.98	2026-05-08
440-4	OTHER	Kidney Transplant	17	14	—	—	$61,801.30	$80,701.38	$70,175.11	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	14	—	—	$61,518.96	$80,332.70	$69,854.52	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	17	14	—	—	$61,498.05	$80,305.38	$69,830.77	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	39	37	—	—	$37,898.93	$99,004.51	$69,233.92	2026-05-08
459	OTHER	Spinal Fusion Except Cervical With Mcc	45	39	—	—	$50,724.11	$176,973.88	$68,764.25	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	17	14	—	—	$59,911.20	$78,233.25	$68,028.91	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	17	14	—	—	$59,911.20	$78,233.25	$68,028.91	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	17	14	—	—	$59,741.27	$78,011.35	$67,835.96	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	50	42	—	—	$29,705.00	$105,318.23	$67,243.03	2026-05-08
441-4	OTHER	Major Bladder Procedures	17	14	—	—	$58,486.43	$76,372.75	$66,411.09	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	45	39	—	—	$45,784.17	$111,012.91	$65,355.40	2026-05-08
276	OTHER	Non-maligant Breast Disorders	45	39	—	—	$25,103.27	$92,908.67	$64,917.30	2026-05-08
570	OTHER	Skin Debridement With Mcc	45	39	—	—	$21,371.52	$93,116.88	$64,803.39	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	16	14	—	—	$56,907.79	$74,311.34	$64,618.56	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	45	39	—	—	$38,785.84	$92,453.22	$64,599.28	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	45	39	—	—	$45,949.18	$91,926.06	$64,267.66	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	50	42	—	—	$29,705.00	$110,506.39	$64,164.42	2026-05-08
28	OTHER	Spinal Procedures With Mcc	45	39	—	—	$43,853.70	$91,463.04	$63,907.91	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	36	34	—	—	$12,283.78	$90,914.47	$63,576.55	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	35	33	—	—	$59,329.52	$109,189.43	$63,576.55	2026-05-08
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	16	14	—	—	$55,719.80	$72,760.03	$63,269.59	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	49	41	—	—	$23,850.00	$108,373.58	$63,174.53	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	49	41	—	—	$29,705.00	$89,824.89	$62,813.05	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	45	39	—	—	$1,829.64	$89,768.28	$62,724.56	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	45	39	—	—	$41,059.72	$100,844.51	$62,354.20	2026-05-08
178-4	OTHER	External Heart Assist Systems	17	14	—	—	$54,779.05	$71,531.58	$62,201.37	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	50	42	—	—	$21,655.00	$89,005.83	$62,192.19	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	45	39	—	—	$42,853.81	$103,768.16	$61,697.23	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	17	14	—	—	$53,946.22	$70,444.06	$61,255.71	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	17	14	—	—	$53,884.22	$70,363.10	$61,185.31	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	39	—	—	$47,975.11	$87,183.99	$60,967.83	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	17	14	—	—	$53,645.95	$70,051.96	$60,914.75	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	45	39	—	—	$42,665.43	$103,205.26	$60,666.04	2026-05-08
690-4	OTHER	Acute Leukemia	17	14	—	—	$53,164.19	$69,422.86	$60,367.71	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	45	39	—	—	$51,453.64	$99,988.86	$60,337.18	2026-05-08
043-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	17	14	—	—	$52,838.53	$68,997.61	$59,997.92	2026-05-08
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	14	—	—	$52,779.14	$68,920.07	$59,930.49	2026-05-08
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	45	39	—	—	$25,880.14	$84,515.42	$59,101.69	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	45	39	—	—	$42,943.47	$90,580.25	$58,631.22	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	45	39	—	—	$43,179.32	$98,205.18	$58,234.17	2026-05-08
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	16	14	—	—	$51,185.20	$66,838.66	$58,120.57	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	45	39	—	—	$40,428.29	$82,926.34	$57,990.45	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	45	39	—	—	$37,798.57	$97,611.83	$57,945.60	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	45	39	—	—	$8,274.79	$82,854.63	$57,897.19	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	50	42	—	—	$29,705.00	$96,242.42	$57,237.46	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	50	42	—	—	$29,705.00	$81,614.09	$57,031.00	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	17	14	—	—	$50,109.25	$65,433.66	$56,898.83	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	45	39	—	—	$40,520.97	$91,879.11	$56,852.50	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	17	14	—	—	$49,803.75	$65,034.74	$56,551.95	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	17	14	—	—	$49,466.14	$64,593.88	$56,168.59	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	17	14	—	—	$48,982.13	$63,961.84	$55,618.99	2026-05-08
006-3	OTHER	Pancreas Transplant	16	14	—	—	$48,961.96	$63,935.51	$55,596.09	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	49	41	—	—	$23,850.00	$79,554.46	$55,592.89	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	45	39	—	—	$40,274.57	$79,071.32	$55,294.63	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	45	39	—	—	$37,801.59	$87,868.56	$55,243.08	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	45	39	—	—	$37,370.59	$83,380.42	$55,112.91	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	46	40	—	—	$7,426.00	$91,117.52	$54,767.82	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	45	39	—	—	$37,257.56	$77,897.43	$54,473.73	2026-05-08
278	OTHER	Cellulitis Age >17 Without Cc	45	39	—	—	$5,151.85	$77,922.61	$54,453.48	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	49	41	—	—	$29,528.00	$77,670.96	$54,315.36	2026-05-08
245	OTHER	Aicd Generator Procedures	45	39	—	—	$40,794.49	$76,456.84	$53,466.32	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	17	14	—	—	$46,675.61	$60,949.95	$52,999.96	2026-05-08
277	OTHER	Cellulitis Age >17 W Cc	45	39	—	—	$43,304.54	$125,073.74	$52,809.69	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	17	14	—	—	$46,421.28	$60,617.84	$52,711.16	2026-05-08
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	17	14	—	—	$46,312.61	$60,475.92	$52,587.76	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	45	39	—	—	$37,952.29	$86,388.79	$52,487.06	2026-05-08
799	OTHER	Splenectomy With Mcc	45	39	—	—	$38,759.29	$74,796.05	$52,304.93	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	45	39	—	—	$34,719.77	$74,784.75	$52,297.03	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	16	14	—	—	$45,715.80	$59,696.62	$51,910.11	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	46	40	—	—	$40,889.00	$85,108.02	$51,864.14	2026-05-08
023-4	OTHER	Spinal Procedures	17	14	—	—	$45,626.55	$59,580.06	$51,808.75	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	45	39	—	—	$33,885.65	$84,652.15	$51,642.42	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	17	14	—	—	$45,461.47	$59,364.51	$51,621.31	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	38	36	—	—	$42,889.36	$84,483.16	$51,065.62	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	45	39	—	—	$36,100.19	$146,158.35	$50,992.20	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	14	—	—	$44,877.37	$58,601.78	$50,958.07	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	17	14	—	—	$44,875.51	$58,599.35	$50,955.95	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	49	41	—	—	$29,705.00	$83,080.13	$50,877.82	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	45	39	—	—	$36,547.01	$83,067.47	$50,871.67	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	14	—	—	$44,316.06	$57,868.81	$50,320.70	2026-05-08
006-2	OTHER	Pancreas Transplant	16	14	—	—	$44,285.43	$57,828.81	$50,285.92	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	45	39	—	—	$34,251.85	$71,736.19	$50,133.89	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	17	14	—	—	$44,111.78	$57,602.04	$50,088.73	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	45	39	—	—	$30,688.55	$71,397.75	$49,897.58	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	45	39	—	—	$33,844.96	$71,241.73	$49,819.39	2026-05-08
006-1	OTHER	Pancreas Transplant	16	14	—	—	$43,713.66	$57,082.18	$49,636.68	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	45	39	—	—	$32,115.68	$70,715.80	$49,451.61	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	46	40	—	—	$24,792.00	$79,465.75	$49,105.07	2026-05-08
007-1	OTHER	Allogeneic Bone Marrow Transplant	16	14	—	—	$42,957.02	$56,094.15	$48,777.52	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	45	39	—	—	$32,335.70	$77,166.52	$48,744.54	2026-05-08
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	39	37	—	—	$40,279.11	$78,273.62	$48,540.11	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	45	39	—	—	$37,806.11	$69,666.10	$48,461.80	2026-05-08
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	16	14	—	—	$42,643.31	$55,684.49	$48,421.30	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	17	14	—	—	$42,592.90	$55,618.65	$48,364.04	2026-05-08
026-4	OTHER	Other Nervous System And Related Procedures	17	14	—	—	$42,567.13	$55,585.01	$48,334.79	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	17	14	—	—	$42,383.39	$55,345.07	$48,126.15	2026-05-08
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	45	39	—	—	$18,978.62	$68,563.08	$47,918.30	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	17	14	—	—	$42,132.03	$55,016.86	$47,840.75	2026-05-08
182-4	OTHER	Other Peripheral Vascular And Related Procedures	17	14	—	—	$42,098.06	$54,972.48	$47,802.16	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	17	14	—	—	$42,073.03	$54,939.81	$47,773.75	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	45	39	—	—	$29,993.82	$88,063.94	$47,680.50	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	45	39	—	—	$32,898.56	$75,807.95	$47,340.89	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	45	39	—	—	$26,094.46	$75,789.86	$47,332.09	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	45	39	—	—	$3,048.14	$67,444.56	$47,137.31	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	46	40	—	—	$26,332.00	$75,267.07	$47,077.83	2026-05-08
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	17	14	—	—	$41,384.37	$54,040.53	$46,991.77	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	17	14	—	—	$41,374.28	$54,027.37	$46,980.32	2026-05-08
205-4	OTHER	Cardiomyopathy	17	14	—	—	$41,257.39	$53,874.72	$46,847.58	2026-05-08
695-4	OTHER	Chemotherapy For Acute Leukemia	17	14	—	—	$41,204.35	$53,805.48	$46,787.37	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	17	14	—	—	$41,162.15	$53,750.36	$46,739.44	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	45	39	—	—	$31,687.69	$66,680.84	$46,629.96	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	50	42	—	—	$21,655.00	$66,709.79	$46,624.26	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	45	39	—	—	$28,873.37	$74,235.93	$46,576.30	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	45	39	—	—	$31,488.77	$73,579.27	$46,256.92	2026-05-08
791	OTHER	Prematurity With Major Problems	45	39	—	—	$2,998.35	$66,053.03	$46,165.69	2026-05-08
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	14	—	—	$40,470.50	$52,847.19	$45,954.08	2026-05-08
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	17	14	—	—	$40,334.93	$52,670.15	$45,800.13	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	17	14	—	—	$40,209.07	$52,505.81	$45,657.23	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	45	39	—	—	$29,816.75	$65,094.32	$45,520.50	2026-05-08
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	45	39	—	—	$28,796.51	$68,114.28	$45,495.85	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	17	14	—	—	$39,786.68	$51,954.25	$45,177.61	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	45	39	—	—	$27,865.18	$64,616.20	$45,162.44	2026-05-08
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	45	39	—	—	$32,085.54	$71,231.18	$45,114.89	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	17	14	—	—	$39,719.09	$51,865.97	$45,100.85	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	17	14	—	—	$39,624.97	$51,743.08	$44,993.99	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	49	41	—	—	$21,655.00	$70,737.33	$44,851.46	2026-05-08
230-4	OTHER	Major Small Bowel Procedures	17	14	—	—	$39,481.93	$51,556.30	$44,831.57	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	45	39	—	—	$29,948.61	$63,899.02	$44,684.63	2026-05-08
022-4	OTHER	Ventricular Shunt Procedures	17	14	—	—	$39,326.20	$51,352.94	$44,654.73	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	45	39	—	—	$30,055.61	$69,917.85	$44,476.12	2026-05-08
904	OTHER	Skin Grafts For Injuries With Cc/mcc	45	39	—	—	$28,040.75	$69,847.30	$44,441.81	2026-05-08
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	17	14	—	—	$39,110.71	$51,071.55	$44,410.04	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	45	39	—	—	$28,555.39	$63,415.92	$44,346.80	2026-05-08
952-4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	17	14	—	—	$38,870.57	$50,757.97	$44,137.37	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	45	39	—	—	$29,000.71	$67,303.09	$44,101.32	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	45	39	—	—	$29,631.39	$62,804.44	$43,919.19	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	17	14	—	—	$38,515.41	$50,294.19	$43,734.08	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	45	39	—	—	$29,822.02	$68,237.29	$43,658.75	2026-05-08
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	45	39	—	—	$32,864.49	$63,864.93	$43,403.62	2026-05-08
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	45	39	—	—	$27,222.45	$62,053.32	$43,372.94	2026-05-08
7987024S	OTHER	Defib Card 12.7mm 83.1x69.1mm	54	37	$81,400.00	$81,400.00	$7,032.96	$81,400.00	$43,182.70	2026-05-08
440-3	OTHER	Kidney Transplant	17	14	—	—	$37,825.25	$49,392.97	$42,950.41	2026-05-08
315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	17	14	—	—	$37,822.63	$49,389.55	$42,947.44	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	17	14	—	—	$37,694.16	$49,221.78	$42,801.55	2026-05-08
8141200S	OTHER	34mmx34mmx20cm Gore Tag Confor	54	37	$80,580.00	$80,580.00	$6,962.11	$80,580.00	$42,747.69	2026-05-08
460	OTHER	Spinal Fusion Except Cervical Without Mcc	45	39	—	—	$29,632.89	$79,728.89	$42,653.98	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	17	14	—	—	$37,541.04	$49,021.84	$42,627.69	2026-05-08
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	45	39	—	—	$27,375.41	$66,004.98	$42,573.03	2026-05-08
483-4	OTHER	Penis, Testes And Scrotal Procedures	17	14	—	—	$37,398.38	$48,835.55	$42,465.69	2026-05-08
335	OTHER	Peritoneal Adhesiolysis With Mcc	45	39	—	—	$29,314.16	$60,561.10	$42,350.42	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	45	39	—	—	$27,179.99	$64,849.03	$42,010.82	2026-05-08
089-4	OTHER	Major Cranial Or Facial Bone Procedures	17	14	—	—	$36,997.27	$48,311.78	$42,010.24	2026-05-08
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	45	39	—	—	$28,275.84	$60,072.94	$42,009.05	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	45	39	—	—	$27,007.70	$63,632.59	$42,003.78	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	17	14	—	—	$36,948.35	$48,247.90	$41,954.70	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	17	14	—	—	$36,939.01	$48,235.71	$41,944.09	2026-05-08
265	OTHER	Aicd Lead Procedures	45	39	—	—	$25,337.94	$63,287.51	$41,855.97	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	45	39	—	—	$26,132.89	$59,652.72	$41,715.19	2026-05-08
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	45	39	—	—	$14,191.57	$59,379.69	$41,506.12	2026-05-08
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	45	39	—	—	$27,383.70	$63,687.65	$41,445.96	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	17	14	—	—	$36,388.90	$47,517.36	$41,319.44	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	45	39	—	—	$27,318.14	$59,056.35	$41,280.35	2026-05-08
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	48	40	—	—	$3,000.00	$59,042.51	$41,270.69	2026-05-08
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	45	39	—	—	$28,252.48	$59,024.89	$41,258.38	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	45	39	—	—	$24,472.17	$58,946.89	$41,203.92	2026-05-08
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	38	36	—	—	$32,325.50	$78,235.57	$41,131.28	2026-05-08
332	OTHER	Rectal Resection With Mcc	45	39	—	—	$30,107.16	$62,748.78	$40,989.33	2026-05-08
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	45	39	—	—	$24,475.94	$58,566.92	$40,955.89	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	46	40	—	—	$21,196.00	$62,309.20	$40,767.02	2026-05-08
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	45	39	—	—	$25,294.24	$58,241.05	$40,728.01	2026-05-08
665	OTHER	Prostatectomy With Mcc	45	39	—	—	$22,881.53	$62,113.82	$40,680.50	2026-05-08
252	OTHER	Other Vascular Procedures With Mcc	46	40	—	—	$13,973.00	$62,055.94	$40,643.92	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	45	39	—	—	$26,946.67	$58,067.41	$40,589.83	2026-05-08
591-1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	17	14	—	—	$35,665.50	$46,572.72	$40,498.02	2026-05-08
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	46	40	—	—	$6,775.00	$61,618.16	$40,431.17	2026-05-08
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	47	41	—	—	$7,426.00	$61,361.28	$40,314.49	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	17	14	—	—	$35,470.93	$46,318.64	$40,277.08	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	16	14	—	—	$35,410.05	$46,239.15	$40,207.96	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	45	39	—	—	$24,827.83	$57,205.59	$39,988.08	2026-05-08
178-3	OTHER	External Heart Assist Systems	17	14	—	—	$35,055.63	$45,776.34	$39,805.51	2026-05-08
121-4	OTHER	Other Respiratory And Chest Procedures	17	14	—	—	$35,035.47	$45,750.01	$39,782.62	2026-05-08
37	OTHER	Extracranial Procedures With Mcc	45	39	—	—	$24,674.86	$56,755.16	$39,673.57	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	17	14	—	—	$34,907.37	$45,582.74	$39,637.16	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	45	39	—	—	$22,332.23	$59,731.37	$39,521.77	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	17	14	—	—	$34,625.40	$45,214.54	$39,316.99	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	45	39	—	—	$23,240.95	$57,692.43	$39,214.99	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	17	14	—	—	$34,525.69	$45,084.33	$39,203.76	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	45	39	—	—	$22,060.97	$55,981.40	$39,147.83	2026-05-08
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	45	39	—	—	$24,727.61	$58,937.22	$39,135.50	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	17	14	—	—	$34,198.15	$44,656.64	$38,831.86	2026-05-08
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	45	39	—	—	$25,676.27	$58,237.14	$38,794.99	2026-05-08
224-4	OTHER	Peritoneal Adhesiolysis	17	14	—	—	$34,143.63	$44,585.44	$38,769.94	2026-05-08
279	OTHER	Cellulitis Age 0-17	45	39	—	—	$7,544.82	$55,289.39	$38,650.12	2026-05-08
324	OTHER	Urinary Stones Without Cc	45	39	—	—	$7,518.73	$55,172.39	$38,568.42	2026-05-08
8137040S	OTHER	Acticor Hf-t Dx Df4 High Energ	69	45	$96,330.00	$96,330.00	$7,906.76	$96,330.00	$38,532.00	2026-05-08
8137041S	OTHER	Rivacor Hf-t Qp Df4 High Energ	69	45	$96,330.00	$96,330.00	$7,906.76	$96,330.00	$38,532.00	2026-05-08
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	45	39	—	—	$21,942.85	$55,095.61	$38,514.81	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	17	14	—	—	$33,905.74	$44,274.78	$38,499.81	2026-05-08
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	39	37	—	—	$29,606.34	$57,533.44	$38,452.74	2026-05-08
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	45	39	—	—	$25,515.02	$57,417.66	$38,396.45	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	17	14	—	—	$33,810.88	$44,150.92	$38,392.10	2026-05-08
500	OTHER	Soft Tissue Procedures With Mcc	45	39	—	—	$23,764.64	$57,321.78	$38,349.81	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	17	14	—	—	$33,628.99	$43,913.41	$38,185.58	2026-05-08
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	49	41	—	—	$14,783.00	$54,240.10	$37,917.46	2026-05-08
662	OTHER	Minor Bladder Procedures With Mcc	45	39	—	—	$21,537.22	$54,222.47	$37,905.15	2026-05-08
020-4	OTHER	Open Craniotomy For Trauma	17	14	—	—	$33,285.78	$43,465.24	$37,795.86	2026-05-08
229	OTHER	Other Cardiothoracic Procedures Without Mcc	49	41	—	—	$28,916.55	$56,192.97	$37,788.30	2026-05-08
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	45	39	—	—	$23,637.30	$53,880.23	$37,678.48	2026-05-08
7962532S	OTHER	Implla Cp With Smrt Asst 3.5 14f	59	45	$100,000.00	$100,000.00	$1,750.00	$100,000.00	$37,600.00	2026-05-08
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	45	39	—	—	$24,154.95	$53,772.05	$37,590.65	2026-05-08
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	16	14	—	—	$33,059.47	$43,169.71	$37,538.88	2026-05-08
652	OTHER	Kidney Transplant	35	33	—	—	$35,229.76	$55,561.63	$37,493.73	2026-05-08
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	17	14	—	—	$32,995.98	$43,086.81	$37,466.79	2026-05-08
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	45	39	—	—	$5,869.82	$53,580.80	$37,457.11	2026-05-08
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	45	39	—	—	$23,042.03	$53,454.97	$37,381.10	2026-05-08
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	16	14	—	—	$32,753.97	$42,770.79	$37,191.99	2026-05-08
181-4	OTHER	Lower Extremity Arterial Procedures	17	14	—	—	$32,740.53	$42,753.24	$37,176.73	2026-05-08
7995749S	OTHER	Ipg	54	37	$70,000.00	$70,000.00	$6,048.00	$70,000.00	$37,135.00	2026-05-08
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	17	14	—	—	$32,640.44	$42,622.54	$37,063.08	2026-05-08
660-4	OTHER	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	17	14	—	—	$32,533.25	$42,482.57	$36,941.36	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	17	14	—	—	$32,526.53	$42,473.79	$36,933.73	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	17	14	—	—	$32,489.93	$42,426.00	$36,892.17	2026-05-08
974	OTHER	HIV With Major Related Condition With Mcc	45	39	—	—	$20,236.75	$52,544.05	$36,733.22	2026-05-08
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	45	39	—	—	$22,412.86	$52,070.99	$36,402.91	2026-05-08
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	45	39	—	—	$22,789.61	$51,975.38	$36,346.42	2026-05-08
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	45	39	—	—	$22,667.54	$51,874.71	$36,276.02	2026-05-08
668	OTHER	Transurethral Procedures With Mcc	45	39	—	—	$20,759.68	$52,755.87	$36,129.09	2026-05-08

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