|
94
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
27
|
24
|
—
|
—
|
$4,950.77
|
$64,123.24
|
$28,598.71
|
2026-05-08
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
27
|
24
|
—
|
—
|
$19,396.30
|
$64,247.97
|
$28,654.27
|
2026-05-08
|
|
279
|
OTHER
|
Cellulitis Age 0-17
|
25
|
23
|
—
|
—
|
$16,876.84
|
$65,630.68
|
$28,717.38
|
2026-05-08
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
27
|
24
|
—
|
—
|
$10,947.91
|
$65,835.17
|
$28,806.46
|
2026-05-08
|
|
176-4
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
20
|
19
|
—
|
—
|
$27,857.01
|
$72,247.16
|
$28,832.01
|
2026-05-08
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
27
|
24
|
—
|
—
|
$6,862.24
|
$65,965.12
|
$28,863.02
|
2026-05-08
|
|
1418037
|
OTHER
|
Genrate Neuro Rech 5
|
25
|
16
|
$87,488.00
|
$26,246.40
70% off
|
$8,748.80
|
$69,990.40
|
$28,871.04
|
2026-05-08
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
27
|
24
|
—
|
—
|
$19,594.30
|
$71,262.07
|
$28,932.14
|
2026-05-08
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
27
|
24
|
—
|
—
|
$5,148.56
|
$64,923.74
|
$28,955.29
|
2026-05-08
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
27
|
24
|
—
|
—
|
$5,658.37
|
$65,015.58
|
$28,996.21
|
2026-05-08
|
|
092-3
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
20
|
19
|
—
|
—
|
$28,022.28
|
$72,675.78
|
$29,003.06
|
2026-05-08
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
27
|
24
|
—
|
—
|
$9,034.75
|
$65,077.96
|
$29,023.99
|
2026-05-08
|
|
1414707
|
OTHER
|
Joint Device Implt 8
|
25
|
16
|
$88,135.00
|
$26,440.50
70% off
|
$8,813.50
|
$70,508.00
|
$29,084.55
|
2026-05-08
|
|
178-1
|
OTHER
|
External Heart Assist Systems
|
20
|
19
|
—
|
—
|
$28,122.82
|
$72,936.53
|
$29,107.12
|
2026-05-08
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
27
|
24
|
—
|
—
|
$7,962.26
|
$66,760.47
|
$29,209.39
|
2026-05-08
|
|
97
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
27
|
24
|
—
|
—
|
$5,985.08
|
$65,724.27
|
$29,311.90
|
2026-05-08
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
27
|
24
|
—
|
—
|
$7,659.57
|
$65,878.45
|
$29,380.58
|
2026-05-08
|
|
661-4
|
OTHER
|
Coagulation And Platelet Disorders
|
20
|
19
|
—
|
—
|
$28,414.52
|
$73,693.06
|
$29,409.03
|
2026-05-08
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
27
|
24
|
—
|
—
|
$6,456.38
|
$66,013.62
|
$29,440.79
|
2026-05-08
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
27
|
24
|
—
|
—
|
$19,575.60
|
$64,812.86
|
$29,539.95
|
2026-05-08
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
28
|
25
|
—
|
—
|
$11,400.00
|
$67,898.82
|
$29,636.66
|
2026-05-08
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$28,674.99
|
$74,368.59
|
$29,678.62
|
2026-05-08
|
|
163-3
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$28,731.73
|
$74,515.74
|
$29,737.34
|
2026-05-08
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
22
|
20
|
—
|
—
|
$3,507.95
|
$67,353.04
|
$29,752.44
|
2026-05-08
|
|
143
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
27
|
24
|
—
|
—
|
$7,372.83
|
$68,060.00
|
$29,775.33
|
2026-05-08
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
27
|
24
|
—
|
—
|
$20,202.05
|
$66,786.45
|
$29,785.05
|
2026-05-08
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
28
|
24
|
—
|
—
|
$5,062.11
|
$126,273.67
|
$29,912.72
|
2026-05-08
|
|
460
|
OTHER
|
Spinal Fusion Except Cervical Without Mcc
|
26
|
24
|
—
|
—
|
$25,222.25
|
$66,523.03
|
$29,952.72
|
2026-05-08
|
|
092-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
20
|
19
|
—
|
—
|
$29,052.76
|
$75,348.33
|
$30,069.61
|
2026-05-08
|
|
723-4
|
OTHER
|
Viral Illness
|
20
|
19
|
—
|
—
|
$29,368.45
|
$76,167.08
|
$30,396.35
|
2026-05-08
|
|
694-4
|
OTHER
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
20
|
19
|
—
|
—
|
$29,408.43
|
$76,270.76
|
$30,437.72
|
2026-05-08
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
27
|
24
|
—
|
—
|
$9,737.45
|
$68,344.17
|
$30,478.94
|
2026-05-08
|
|
008-2
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
19
|
—
|
—
|
$29,575.61
|
$76,704.34
|
$30,610.75
|
2026-05-08
|
|
40
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
27
|
24
|
—
|
—
|
$7,302.53
|
$70,045.68
|
$30,640.07
|
2026-05-08
|
|
691-4
|
OTHER
|
Lymphoma, Myeloma And Non-acute Leukemia
|
20
|
19
|
—
|
—
|
$29,709.27
|
$77,050.99
|
$30,749.10
|
2026-05-08
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
28
|
25
|
—
|
—
|
$8,255.95
|
$69,666.23
|
$30,771.34
|
2026-05-08
|
|
1417059
|
OTHER
|
Tissue Non-human 11
|
25
|
16
|
$93,592.00
|
$28,077.60
70% off
|
$9,359.20
|
$74,873.60
|
$30,885.36
|
2026-05-08
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
25
|
23
|
—
|
—
|
$11,058.68
|
$70,617.51
|
$30,889.09
|
2026-05-08
|
|
223-4
|
OTHER
|
Other Small And Large Bowel Procedures
|
20
|
19
|
—
|
—
|
$29,893.20
|
$77,528.02
|
$30,939.46
|
2026-05-08
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
27
|
24
|
—
|
—
|
$20,557.35
|
$276,633.03
|
$30,945.82
|
2026-05-08
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
24
|
22
|
—
|
—
|
$1,595.57
|
$70,109.82
|
$30,966.73
|
2026-05-08
|
|
162-2
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$30,242.03
|
$78,432.70
|
$31,300.50
|
2026-05-08
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
27
|
24
|
—
|
—
|
$10,991.91
|
$70,210.30
|
$31,310.21
|
2026-05-08
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
20
|
19
|
—
|
—
|
$30,357.79
|
$78,732.93
|
$31,420.32
|
2026-05-08
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
27
|
24
|
—
|
—
|
$14,467.94
|
$70,924.20
|
$31,628.22
|
2026-05-08
|
|
710-4
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
20
|
19
|
—
|
—
|
$30,626.64
|
$79,430.19
|
$31,698.57
|
2026-05-08
|
|
178-2
|
OTHER
|
External Heart Assist Systems
|
20
|
19
|
—
|
—
|
$30,678.82
|
$79,565.52
|
$31,752.58
|
2026-05-08
|
|
1414578
|
OTHER
|
Genratr Neurostm 5
|
25
|
16
|
$96,240.00
|
$28,872.00
70% off
|
$9,624.00
|
$76,992.00
|
$31,759.20
|
2026-05-08
|
|
050-4
|
OTHER
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
20
|
19
|
—
|
—
|
$30,855.13
|
$80,022.78
|
$31,935.06
|
2026-05-08
|
|
317
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
2
|
2
|
—
|
—
|
$31,233.05
|
$32,876.89
|
$32,054.97
|
2026-05-08
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
25
|
23
|
—
|
—
|
$2,069.36
|
$73,473.07
|
$32,132.65
|
2026-05-08
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
27
|
24
|
—
|
—
|
$5,533.96
|
$72,175.22
|
$32,185.50
|
2026-05-08
|
|
303-2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
20
|
19
|
—
|
—
|
$31,170.06
|
$80,839.55
|
$32,261.01
|
2026-05-08
|
|
951-4
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
20
|
19
|
—
|
—
|
$31,368.08
|
$81,353.12
|
$32,465.96
|
2026-05-08
|
|
183-3
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
20
|
19
|
—
|
—
|
$31,491.46
|
$81,673.10
|
$32,593.66
|
2026-05-08
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$31,658.64
|
$82,106.68
|
$32,766.69
|
2026-05-08
|
|
261-4
|
OTHER
|
Major Biliary Tract Procedures
|
20
|
19
|
—
|
—
|
$31,772.12
|
$82,400.99
|
$32,884.15
|
2026-05-08
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
27
|
24
|
—
|
—
|
$11,633.76
|
$75,389.46
|
$32,967.22
|
2026-05-08
|
|
1414904
|
OTHER
|
Watchman Atr App L1
|
25
|
16
|
$99,999.00
|
$29,999.70
70% off
|
$9,999.90
|
$79,999.20
|
$32,999.67
|
2026-05-08
|
|
1110865
|
OTHER
|
Bilat Lithotripsy
|
26
|
19
|
$99,999.00
|
$20,999.79
79% off
|
$5,056.00
|
$100,159.00
|
$32,999.67
|
2026-05-08
|
|
1414708
|
OTHER
|
Joint Device Implt 9
|
25
|
16
|
$99,999.00
|
$29,999.70
70% off
|
$9,999.90
|
$79,999.20
|
$32,999.67
|
2026-05-08
|
|
1414709
|
OTHER
|
Joint Device Implt10
|
25
|
16
|
$99,999.00
|
$29,999.70
70% off
|
$9,999.90
|
$79,999.20
|
$32,999.67
|
2026-05-08
|
|
1413125
|
OTHER
|
Genrate Neuro Rech 4
|
25
|
16
|
$99,999.00
|
$29,999.70
70% off
|
$9,999.90
|
$79,999.20
|
$32,999.67
|
2026-05-08
|
|
1417274
|
OTHER
|
Wireless Press Sens
|
25
|
16
|
$99,999.61
|
$29,999.88
70% off
|
$9,999.96
|
$79,999.69
|
$32,999.87
|
2026-05-08
|
|
1410730
|
OTHER
|
Lead Neurostimulat 7
|
25
|
16
|
$99,999.99
|
$30,000.00
70% off
|
$10,000.00
|
$79,999.99
|
$33,000.00
|
2026-05-08
|
|
1418038
|
OTHER
|
Genrate Neuro Rech 6
|
25
|
16
|
$99,999.99
|
$30,000.00
70% off
|
$10,000.00
|
$79,999.99
|
$33,000.00
|
2026-05-08
|
|
1414579
|
OTHER
|
Genratr Neurostm 6
|
25
|
16
|
$99,999.99
|
$30,000.00
70% off
|
$10,000.00
|
$79,999.99
|
$33,000.00
|
2026-05-08
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
27
|
24
|
—
|
—
|
$7,384.36
|
$76,193.46
|
$33,167.12
|
2026-05-08
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
27
|
24
|
—
|
—
|
$5,656.41
|
$75,943.92
|
$33,208.69
|
2026-05-08
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
27
|
24
|
—
|
—
|
$13,866.83
|
$74,625.30
|
$33,276.90
|
2026-05-08
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
27
|
24
|
—
|
—
|
$4,253.73
|
$76,318.19
|
$33,371.67
|
2026-05-08
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
27
|
24
|
—
|
—
|
$9,221.29
|
$76,157.07
|
$33,409.48
|
2026-05-08
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
20
|
19
|
—
|
—
|
$32,284.31
|
$83,729.36
|
$33,414.26
|
2026-05-08
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
27
|
24
|
—
|
—
|
$22,841.50
|
$75,101.82
|
$33,489.17
|
2026-05-08
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
24
|
—
|
—
|
$22,478.40
|
$75,441.46
|
$33,640.46
|
2026-05-08
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
27
|
24
|
—
|
—
|
$3,444.04
|
$77,047.67
|
$33,689.35
|
2026-05-08
|
|
001-1
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
16
|
16
|
—
|
—
|
$32,144.17
|
$83,365.90
|
$33,751.38
|
2026-05-08
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
27
|
24
|
—
|
—
|
$13,437.22
|
$75,722.09
|
$33,765.47
|
2026-05-08
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
27
|
24
|
—
|
—
|
$6,211.88
|
$75,857.26
|
$33,825.68
|
2026-05-08
|
|
323
|
OTHER
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
25
|
23
|
—
|
—
|
$8,426.03
|
$78,123.73
|
$34,157.94
|
2026-05-08
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
20
|
19
|
—
|
—
|
$33,128.95
|
$85,919.93
|
$34,288.46
|
2026-05-08
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
20
|
19
|
—
|
—
|
$33,166.27
|
$86,016.72
|
$34,327.09
|
2026-05-08
|
|
660-4
|
OTHER
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
20
|
19
|
—
|
—
|
$33,173.12
|
$86,034.49
|
$34,334.18
|
2026-05-08
|
|
227-4
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
20
|
19
|
—
|
—
|
$33,282.41
|
$86,317.93
|
$34,447.29
|
2026-05-08
|
|
181-4
|
OTHER
|
Lower Extremity Arterial Procedures
|
20
|
19
|
—
|
—
|
$33,384.47
|
$86,582.62
|
$34,552.93
|
2026-05-08
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
27
|
24
|
—
|
—
|
$6,555.21
|
$77,525.89
|
$34,568.98
|
2026-05-08
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
27
|
24
|
—
|
—
|
$7,363.08
|
$79,256.92
|
$34,651.46
|
2026-05-08
|
|
004-1
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
19
|
—
|
—
|
$33,644.94
|
$87,258.15
|
$34,822.51
|
2026-05-08
|
|
005-1
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
19
|
—
|
—
|
$33,709.68
|
$87,426.06
|
$34,889.51
|
2026-05-08
|
|
001-2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
16
|
16
|
—
|
—
|
$33,398.18
|
$86,618.18
|
$35,068.09
|
2026-05-08
|
|
020-4
|
OTHER
|
Open Craniotomy For Trauma
|
20
|
19
|
—
|
—
|
$33,940.45
|
$88,024.56
|
$35,128.37
|
2026-05-08
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
25
|
23
|
—
|
—
|
$8,186.52
|
$80,471.55
|
$35,180.41
|
2026-05-08
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
27
|
24
|
—
|
—
|
$6,084.97
|
$80,776.51
|
$35,313.22
|
2026-05-08
|
|
091-4
|
OTHER
|
Other Major Head And Neck Procedures
|
20
|
19
|
—
|
—
|
$34,290.42
|
$88,932.20
|
$35,490.59
|
2026-05-08
|
|
361-4
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
20
|
19
|
—
|
—
|
$34,475.87
|
$89,413.17
|
$35,682.53
|
2026-05-08
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$34,572.60
|
$89,664.04
|
$35,782.64
|
2026-05-08
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
27
|
24
|
—
|
—
|
$10,822.04
|
$81,923.60
|
$35,812.77
|
2026-05-08
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
27
|
24
|
—
|
—
|
$6,636.14
|
$81,958.25
|
$35,827.86
|
2026-05-08
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
27
|
24
|
—
|
—
|
$10,434.65
|
$80,799.01
|
$36,027.00
|
2026-05-08
|
|
224-4
|
OTHER
|
Peritoneal Adhesiolysis
|
20
|
19
|
—
|
—
|
$34,815.17
|
$90,293.14
|
$36,033.70
|
2026-05-08
|
|
160-3
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
20
|
19
|
—
|
—
|
$34,870.77
|
$90,437.34
|
$36,091.25
|
2026-05-08
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
28
|
24
|
—
|
—
|
$6,114.55
|
$82,786.48
|
$36,188.54
|
2026-05-08
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
25
|
23
|
—
|
—
|
$10,147.08
|
$83,167.68
|
$36,354.54
|
2026-05-08
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
27
|
24
|
—
|
—
|
$9,361.29
|
$81,615.19
|
$36,390.57
|
2026-05-08
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$35,204.74
|
$91,303.49
|
$36,436.90
|
2026-05-08
|
|
625-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
20
|
19
|
—
|
—
|
$35,306.42
|
$91,567.20
|
$36,542.15
|
2026-05-08
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
27
|
24
|
—
|
—
|
$14,034.27
|
$82,195.65
|
$36,649.15
|
2026-05-08
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
20
|
19
|
—
|
—
|
$35,593.93
|
$92,312.86
|
$36,839.72
|
2026-05-08
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
22
|
20
|
—
|
—
|
$11,189.60
|
$83,488.24
|
$36,859.54
|
2026-05-08
|
|
121-4
|
OTHER
|
Other Respiratory And Chest Procedures
|
20
|
19
|
—
|
—
|
$35,724.55
|
$92,651.62
|
$36,974.91
|
2026-05-08
|
|
178-3
|
OTHER
|
External Heart Assist Systems
|
20
|
19
|
—
|
—
|
$35,745.11
|
$92,704.94
|
$36,996.19
|
2026-05-08
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
28
|
24
|
—
|
—
|
$4,583.24
|
$82,583.73
|
$37,180.04
|
2026-05-08
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
22
|
20
|
—
|
—
|
$2,799.80
|
$84,604.15
|
$37,351.07
|
2026-05-08
|
|
260-4
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
20
|
19
|
—
|
—
|
$36,168.57
|
$93,803.19
|
$37,434.47
|
2026-05-08
|
|
455
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
26
|
24
|
—
|
—
|
$34,532.35
|
$82,944.20
|
$37,452.17
|
2026-05-08
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
27
|
24
|
—
|
—
|
$8,774.92
|
$84,195.19
|
$37,539.85
|
2026-05-08
|
|
591-1
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$36,366.97
|
$94,317.74
|
$37,639.82
|
2026-05-08
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
16
|
16
|
—
|
—
|
$36,106.50
|
$93,642.21
|
$37,911.83
|
2026-05-08
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
27
|
24
|
—
|
—
|
$10,632.36
|
$86,809.89
|
$37,940.69
|
2026-05-08
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
28
|
24
|
—
|
—
|
$6,416.63
|
$84,437.80
|
$38,014.37
|
2026-05-08
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
27
|
24
|
—
|
—
|
$3,172.71
|
$85,633.37
|
$38,180.49
|
2026-05-08
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
27
|
24
|
—
|
—
|
$4,303.56
|
$86,387.11
|
$38,345.69
|
2026-05-08
|
|
165-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$37,104.60
|
$96,230.78
|
$38,403.26
|
2026-05-08
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
27
|
24
|
—
|
—
|
$7,254.84
|
$88,066.13
|
$38,487.76
|
2026-05-08
|
|
130-4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
20
|
19
|
—
|
—
|
$37,665.54
|
$97,685.58
|
$38,983.83
|
2026-05-08
|
|
912-4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
20
|
19
|
—
|
—
|
$37,675.06
|
$97,710.27
|
$38,993.68
|
2026-05-08
|
|
089-4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
20
|
19
|
—
|
—
|
$37,724.94
|
$97,839.63
|
$39,045.32
|
2026-05-08
|
|
213
|
OTHER
|
Splenic Procedures Age 0-17
|
2
|
2
|
—
|
—
|
$38,117.21
|
$40,123.37
|
$39,120.29
|
2026-05-08
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
28
|
25
|
—
|
—
|
$10,920.11
|
$88,714.17
|
$39,161.40
|
2026-05-08
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
27
|
24
|
—
|
—
|
$17,422.15
|
$88,421.34
|
$39,422.41
|
2026-05-08
|
|
483-4
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
20
|
19
|
—
|
—
|
$38,133.93
|
$98,900.35
|
$39,468.62
|
2026-05-08
|
|
120-4
|
OTHER
|
Major Respiratory And Chest Procedures
|
20
|
19
|
—
|
—
|
$38,279.40
|
$99,277.62
|
$39,619.18
|
2026-05-08
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
27
|
24
|
—
|
—
|
$11,863.63
|
$88,866.64
|
$39,620.77
|
2026-05-08
|
|
169-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
20
|
19
|
—
|
—
|
$38,435.53
|
$99,682.55
|
$39,780.77
|
2026-05-08
|
|
315-4
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
20
|
19
|
—
|
—
|
$38,566.53
|
$100,022.30
|
$39,916.36
|
2026-05-08
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
25
|
—
|
—
|
$10,393.00
|
$90,474.64
|
$39,936.85
|
2026-05-08
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
28
|
24
|
—
|
—
|
$7,487.95
|
$89,559.73
|
$40,319.24
|
2026-05-08
|
|
440-3
|
OTHER
|
Kidney Transplant
|
16
|
16
|
—
|
—
|
$38,569.20
|
$100,029.22
|
$40,497.66
|
2026-05-08
|
|
911-4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
20
|
19
|
—
|
—
|
$39,272.94
|
$101,854.37
|
$40,647.49
|
2026-05-08
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
27
|
24
|
—
|
—
|
$11,329.37
|
$93,337.07
|
$40,783.19
|
2026-05-08
|
|
952-4
|
OTHER
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
20
|
19
|
—
|
—
|
$39,635.09
|
$102,793.61
|
$41,022.32
|
2026-05-08
|
|
442-4
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
20
|
19
|
—
|
—
|
$39,879.95
|
$103,428.65
|
$41,275.75
|
2026-05-08
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
27
|
24
|
—
|
—
|
$3,929.55
|
$94,565.58
|
$41,318.21
|
2026-05-08
|
|
022-4
|
OTHER
|
Ventricular Shunt Procedures
|
20
|
19
|
—
|
—
|
$40,099.67
|
$103,998.49
|
$41,503.15
|
2026-05-08
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
27
|
24
|
—
|
—
|
$6,395.11
|
$93,181.15
|
$41,542.69
|
2026-05-08
|
|
230-4
|
OTHER
|
Major Small Bowel Procedures
|
20
|
19
|
—
|
—
|
$40,258.47
|
$104,410.34
|
$41,667.51
|
2026-05-08
|
|
021-4
|
OTHER
|
Open Craniotomy Except Trauma
|
20
|
19
|
—
|
—
|
$40,404.32
|
$104,788.60
|
$41,818.48
|
2026-05-08
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$40,500.29
|
$105,037.50
|
$41,917.80
|
2026-05-08
|
|
614-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
20
|
19
|
—
|
—
|
$40,569.21
|
$105,216.25
|
$41,989.13
|
2026-05-08
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
25
|
—
|
—
|
$10,393.00
|
$95,544.60
|
$42,170.02
|
2026-05-08
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
27
|
24
|
—
|
—
|
$7,675.96
|
$94,868.86
|
$42,294.49
|
2026-05-08
|
|
004-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
19
|
—
|
—
|
$40,999.91
|
$106,333.27
|
$42,434.91
|
2026-05-08
|
|
651-4
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
20
|
19
|
—
|
—
|
$41,128.24
|
$106,666.09
|
$42,567.73
|
2026-05-08
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
27
|
24
|
—
|
—
|
$9,128.65
|
$97,646.40
|
$42,659.85
|
2026-05-08
|
|
005-2
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
19
|
—
|
—
|
$41,266.48
|
$107,024.62
|
$42,710.81
|
2026-05-08
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
27
|
24
|
—
|
—
|
$7,577.34
|
$97,930.57
|
$42,783.62
|
2026-05-08
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
22
|
20
|
—
|
—
|
$8,782.96
|
$97,268.66
|
$42,929.43
|
2026-05-08
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
20
|
19
|
—
|
—
|
$41,971.74
|
$108,853.71
|
$43,440.75
|
2026-05-08
|
|
695-4
|
OTHER
|
Chemotherapy For Acute Leukemia
|
20
|
19
|
—
|
—
|
$42,014.77
|
$108,965.31
|
$43,485.29
|
2026-05-08
|
|
278
|
OTHER
|
Cellulitis Age >17 Without Cc
|
25
|
23
|
—
|
—
|
$13,557.50
|
$99,588.81
|
$43,505.75
|
2026-05-08
|
|
205-4
|
OTHER
|
Cardiomyopathy
|
20
|
19
|
—
|
—
|
$42,068.84
|
$109,105.54
|
$43,541.25
|
2026-05-08
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
27
|
24
|
—
|
—
|
$13,724.38
|
$97,795.44
|
$43,598.15
|
2026-05-08
|
|
304-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
20
|
19
|
—
|
—
|
$42,188.04
|
$109,414.68
|
$43,664.62
|
2026-05-08
|
|
792-4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
20
|
19
|
—
|
—
|
$42,198.32
|
$109,441.34
|
$43,675.26
|
2026-05-08
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
27
|
24
|
—
|
—
|
$5,436.38
|
$98,266.72
|
$43,808.08
|
2026-05-08
|
|
613
|
OTHER
|
Neonate, Birth Weight <750 Grams, Died
|
2
|
2
|
—
|
—
|
$42,693.30
|
$44,940.31
|
$43,816.81
|
2026-05-08
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
27
|
24
|
—
|
—
|
$13,767.56
|
$98,840.28
|
$44,063.57
|
2026-05-08
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
22
|
20
|
—
|
—
|
$10,496.56
|
$100,254.17
|
$44,244.46
|
2026-05-08
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$42,900.53
|
$111,262.52
|
$44,402.05
|
2026-05-08
|
|
182-4
|
OTHER
|
Other Peripheral Vascular And Related Procedures
|
20
|
19
|
—
|
—
|
$42,926.05
|
$111,328.71
|
$44,428.46
|
2026-05-08
|
|
303-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
20
|
19
|
—
|
—
|
$42,960.70
|
$111,418.58
|
$44,464.32
|
2026-05-08
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$43,216.98
|
$112,083.24
|
$44,729.57
|
2026-05-08
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
27
|
24
|
—
|
—
|
$8,337.06
|
$102,432.21
|
$44,744.02
|
2026-05-08
|
|
026-4
|
OTHER
|
Other Nervous System And Related Procedures
|
20
|
19
|
—
|
—
|
$43,404.34
|
$112,569.16
|
$44,923.49
|
2026-05-08
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$43,430.62
|
$112,637.31
|
$44,950.69
|
2026-05-08
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
25
|
—
|
—
|
$6,472.23
|
$101,898.51
|
$45,079.57
|
2026-05-08
|
|
007-1
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
19
|
—
|
—
|
$43,801.91
|
$113,600.25
|
$45,334.98
|
2026-05-08
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
16
|
16
|
—
|
—
|
$43,482.03
|
$112,770.64
|
$45,656.13
|
2026-05-08
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
27
|
24
|
—
|
—
|
$14,522.75
|
$104,828.60
|
$45,787.62
|
2026-05-08
|
|
318
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
2
|
2
|
—
|
—
|
$44,944.10
|
$47,309.58
|
$46,126.84
|
2026-05-08
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
28
|
25
|
—
|
—
|
$3,171.24
|
$106,126.39
|
$46,352.80
|
2026-05-08
|
|
950-4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
20
|
19
|
—
|
—
|
$44,979.37
|
$116,654.00
|
$46,553.65
|
2026-05-08
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
27
|
24
|
—
|
—
|
$7,527.59
|
$104,762.74
|
$46,701.76
|
2026-05-08
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
22
|
20
|
—
|
—
|
$4,950.14
|
$105,887.28
|
$46,725.68
|
2026-05-08
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
19
|
—
|
—
|
$45,187.68
|
$117,194.25
|
$46,769.24
|
2026-05-08
|
|
006-1
|
OTHER
|
Pancreas Transplant
|
16
|
16
|
—
|
—
|
$44,573.43
|
$115,601.19
|
$46,802.10
|
2026-05-08
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
25
|
23
|
—
|
—
|
$19,493.74
|
$107,219.75
|
$46,828.93
|
2026-05-08
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
27
|
24
|
—
|
—
|
$8,005.42
|
$107,249.21
|
$46,841.76
|
2026-05-08
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$45,758.13
|
$118,673.71
|
$47,359.67
|
2026-05-08
|
|
011-2
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
19
|
—
|
—
|
$45,760.03
|
$118,678.64
|
$47,361.63
|
2026-05-08
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
16
|
16
|
—
|
—
|
$45,156.45
|
$117,113.25
|
$47,414.27
|
2026-05-08
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
24
|
—
|
—
|
$16,368.95
|
$106,466.01
|
$47,460.49
|
2026-05-08
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
20
|
19
|
—
|
—
|
$46,355.62
|
$120,223.30
|
$47,978.07
|
2026-05-08
|
|
023-4
|
OTHER
|
Spinal Procedures
|
20
|
19
|
—
|
—
|
$46,523.94
|
$120,659.84
|
$48,152.28
|
2026-05-08
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
27
|
24
|
—
|
—
|
$13,291.84
|
$108,190.06
|
$48,228.47
|
2026-05-08
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
27
|
24
|
—
|
—
|
$14,087.32
|
$109,207.19
|
$48,563.14
|
2026-05-08
|
|
447-4
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
20
|
19
|
—
|
—
|
$47,223.49
|
$122,474.12
|
$48,876.31
|
2026-05-08
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
16
|
16
|
—
|
—
|
$46,614.95
|
$120,895.87
|
$48,945.70
|
2026-05-08
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
20
|
19
|
—
|
—
|
$47,334.30
|
$122,761.51
|
$48,991.00
|
2026-05-08
|
|
454
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
26
|
24
|
—
|
—
|
$28,669.02
|
$109,120.55
|
$49,121.60
|
2026-05-08
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
20
|
19
|
—
|
—
|
$47,593.63
|
$123,434.08
|
$49,259.40
|
2026-05-08
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
27
|
24
|
—
|
—
|
$33,706.20
|
$109,330.23
|
$49,775.12
|
2026-05-08
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
27
|
24
|
—
|
—
|
$7,109.97
|
$116,659.67
|
$50,939.92
|
2026-05-08
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
27
|
24
|
—
|
—
|
$6,625.33
|
$114,637.57
|
$51,100.55
|
2026-05-08
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
25
|
—
|
—
|
$10,393.00
|
$117,073.81
|
$51,653.02
|
2026-05-08
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
25
|
—
|
—
|
$10,393.00
|
$117,073.81
|
$51,653.02
|
2026-05-08
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$49,945.52
|
$129,533.71
|
$51,693.62
|
2026-05-08
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$50,439.05
|
$130,813.68
|
$52,204.42
|
2026-05-08
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
16
|
16
|
—
|
—
|
$49,924.95
|
$129,480.36
|
$52,421.20
|
2026-05-08
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
20
|
19
|
—
|
—
|
$50,783.30
|
$131,706.49
|
$52,560.72
|
2026-05-08
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
20
|
19
|
—
|
—
|
$51,094.80
|
$132,514.36
|
$52,883.12
|
2026-05-08
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
26
|
24
|
—
|
—
|
$16,605.24
|
$118,061.46
|
$52,965.02
|
2026-05-08
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
27
|
24
|
—
|
—
|
$5,040.24
|
$122,317.03
|
$53,403.62
|
2026-05-08
|
|
009-1
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
19
|
—
|
—
|
$52,191.91
|
$135,359.72
|
$54,018.63
|
2026-05-08
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
27
|
24
|
—
|
—
|
$37,021.05
|
$119,773.43
|
$54,522.03
|
2026-05-08
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
27
|
24
|
—
|
—
|
$7,169.44
|
$122,904.45
|
$54,783.07
|
2026-05-08
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
25
|
23
|
—
|
—
|
$11,194.77
|
$126,692.19
|
$55,308.96
|
2026-05-08
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
25
|
23
|
—
|
—
|
$5,011.13
|
$127,425.17
|
$55,628.16
|
2026-05-08
|
|
009-2
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
19
|
—
|
—
|
$53,817.21
|
$139,574.93
|
$55,700.81
|
2026-05-08
|
|
043-4
|
OTHER
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
20
|
19
|
—
|
—
|
$53,877.76
|
$139,731.97
|
$55,763.49
|
2026-05-08
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
22
|
20
|
—
|
—
|
$11,225.51
|
$126,764.94
|
$55,921.68
|
2026-05-08
|
|
690-4
|
OTHER
|
Acute Leukemia
|
20
|
19
|
—
|
—
|
$54,209.83
|
$140,593.19
|
$56,107.18
|
2026-05-08
|
|
10
|
OTHER
|
Pancreas Transplant
|
22
|
20
|
—
|
—
|
$22,830.09
|
$127,477.12
|
$56,235.38
|
2026-05-08
|
|
167-4
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
20
|
19
|
—
|
—
|
$54,701.07
|
$141,867.23
|
$56,615.60
|
2026-05-08
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
20
|
19
|
—
|
—
|
$54,944.03
|
$142,497.34
|
$56,867.07
|
2026-05-08
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$55,007.24
|
$142,661.28
|
$56,932.49
|
2026-05-08
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
20
|
19
|
—
|
—
|
$55,856.45
|
$144,863.70
|
$57,811.43
|
2026-05-08
|
|
008-3
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
19
|
—
|
—
|
$56,815.71
|
$147,351.54
|
$58,804.26
|
2026-05-08
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
27
|
24
|
—
|
—
|
$9,237.94
|
$135,173.96
|
$59,002.68
|
2026-05-08
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
28
|
25
|
—
|
—
|
$13,682.48
|
$137,588.28
|
$60,049.93
|
2026-05-08
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
25
|
—
|
—
|
$10,393.00
|
$136,185.84
|
$60,071.33
|
2026-05-08
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
16
|
16
|
—
|
—
|
$58,027.07
|
$150,493.21
|
$60,928.42
|
2026-05-08
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
20
|
19
|
—
|
—
|
$59,636.75
|
$154,667.91
|
$61,724.04
|
2026-05-08
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
27
|
24
|
—
|
—
|
$9,018.14
|
$139,486.70
|
$62,169.71
|
2026-05-08
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
20
|
19
|
—
|
—
|
$60,916.27
|
$157,986.35
|
$63,048.34
|
2026-05-08
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$61,089.54
|
$158,435.72
|
$63,227.68
|
2026-05-08
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
20
|
19
|
—
|
—
|
$61,089.54
|
$158,435.72
|
$63,227.68
|
2026-05-08
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
19
|
—
|
—
|
$62,707.60
|
$162,632.16
|
$64,902.36
|
2026-05-08
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
19
|
—
|
—
|
$62,728.93
|
$162,687.48
|
$64,924.45
|
2026-05-08
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
20
|
19
|
—
|
—
|
$63,172.95
|
$163,839.05
|
$65,384.01
|
2026-05-08
|
|
440-4
|
OTHER
|
Kidney Transplant
|
16
|
16
|
—
|
—
|
$63,016.82
|
$163,434.12
|
$66,167.66
|
2026-05-08
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
24
|
—
|
—
|
$13,988.50
|
$148,749.88
|
$66,296.03
|
2026-05-08
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
20
|
19
|
—
|
—
|
$64,203.80
|
$166,512.56
|
$66,450.93
|
2026-05-08
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
27
|
24
|
—
|
—
|
$13,029.81
|
$149,209.08
|
$66,500.58
|
2026-05-08
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
20
|
19
|
—
|
—
|
$64,826.43
|
$168,127.35
|
$67,095.36
|
2026-05-08
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
19
|
—
|
—
|
$65,847.76
|
$170,776.17
|
$68,152.43
|
2026-05-08
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
20
|
19
|
—
|
—
|
$66,609.38
|
$172,751.43
|
$68,940.71
|
2026-05-08
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
19
|
—
|
—
|
$66,706.49
|
$173,003.28
|
$69,041.21
|
2026-05-08
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
20
|
19
|
—
|
—
|
$67,233.15
|
$174,369.17
|
$69,586.31
|
2026-05-08
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
26
|
24
|
—
|
—
|
$24,046.80
|
$156,685.78
|
$70,525.96
|
2026-05-08
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
20
|
19
|
—
|
—
|
$70,225.93
|
$182,130.95
|
$72,683.84
|
2026-05-08
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$70,800.58
|
$183,621.30
|
$73,278.60
|
2026-05-08
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$71,981.85
|
$186,684.93
|
$74,501.21
|
2026-05-08
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
25
|
—
|
—
|
$10,393.00
|
$172,651.19
|
$76,133.27
|
2026-05-08
|
|
589-2
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
20
|
19
|
—
|
—
|
$74,869.53
|
$194,174.13
|
$77,489.96
|
2026-05-08
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
27
|
24
|
—
|
—
|
$54,763.50
|
$181,297.65
|
$78,287.53
|
2026-05-08
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$77,017.30
|
$199,744.37
|
$79,712.91
|
2026-05-08
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
20
|
19
|
—
|
—
|
$77,248.45
|
$200,343.86
|
$79,952.14
|
2026-05-08
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
22
|
20
|
—
|
—
|
$7,749.18
|
$181,794.82
|
$80,160.77
|
2026-05-08
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
16
|
16
|
—
|
—
|
$77,254.54
|
$200,359.65
|
$81,117.27
|
2026-05-08
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
20
|
19
|
—
|
—
|
$79,605.28
|
$206,456.29
|
$82,391.46
|
2026-05-08
|
|
246-4
|
OTHER
|
Gastrointestinal Vascular Insufficiency
|
20
|
19
|
—
|
—
|
$80,018.08
|
$207,526.89
|
$82,818.71
|
2026-05-08
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
25
|
23
|
—
|
—
|
$6,569.41
|
$191,560.51
|
$83,558.34
|
2026-05-08
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
19
|
—
|
—
|
$81,826.93
|
$212,218.14
|
$84,690.88
|
2026-05-08
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
20
|
19
|
—
|
—
|
$82,516.58
|
$214,006.75
|
$85,404.66
|
2026-05-08
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
20
|
19
|
—
|
—
|
$82,562.65
|
$214,126.23
|
$85,452.34
|
2026-05-08
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
19
|
—
|
—
|
$84,056.19
|
$217,999.73
|
$86,998.15
|
2026-05-08
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
24
|
22
|
—
|
—
|
$14,866.86
|
$199,491.21
|
$87,955.52
|
2026-05-08
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
16
|
16
|
—
|
—
|
$84,394.35
|
$218,876.75
|
$88,614.07
|
2026-05-08
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
23
|
21
|
—
|
—
|
$5,773.49
|
$211,379.48
|
$92,189.27
|
2026-05-08
|
|
588-1
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
20
|
19
|
—
|
—
|
$92,172.01
|
$239,048.11
|
$95,398.03
|
2026-05-08
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
20
|
19
|
—
|
—
|
$92,661.74
|
$240,318.22
|
$95,904.90
|
2026-05-08
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$92,771.03
|
$240,601.67
|
$96,018.01
|
2026-05-08
|
|
850-4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
20
|
19
|
—
|
—
|
$93,609.57
|
$242,776.42
|
$96,885.90
|
2026-05-08
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
20
|
19
|
—
|
—
|
$96,142.34
|
$249,345.16
|
$99,507.33
|
2026-05-08
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
20
|
19
|
—
|
—
|
$97,112.26
|
$251,860.65
|
$100,511.19
|
2026-05-08
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
19
|
—
|
—
|
$97,531.53
|
$252,948.02
|
$100,945.14
|
2026-05-08
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$97,784.39
|
$253,603.82
|
$101,206.85
|
2026-05-08
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$98,233.37
|
$254,768.25
|
$101,671.54
|
2026-05-08
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
19
|
—
|
—
|
$99,282.12
|
$257,488.18
|
$102,756.99
|
2026-05-08
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
27
|
24
|
—
|
—
|
$5,886.96
|
$243,149.13
|
$106,024.59
|
2026-05-08
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
20
|
19
|
—
|
—
|
$107,452.02
|
$278,676.81
|
$111,212.84
|
2026-05-08
|
|
200-4
|
OTHER
|
Cardiac Structural And Valvular Disorders
|
20
|
19
|
—
|
—
|
$107,682.41
|
$279,274.33
|
$111,451.29
|
2026-05-08
|
|
011-4
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
19
|
—
|
—
|
$115,877.82
|
$300,529.13
|
$119,933.55
|
2026-05-08
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
20
|
19
|
—
|
—
|
$122,032.47
|
$316,491.21
|
$126,303.60
|
2026-05-08
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$135,014.66
|
$350,160.52
|
$139,740.17
|
2026-05-08
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
20
|
19
|
—
|
—
|
$136,221.83
|
$353,291.32
|
$140,989.60
|
2026-05-08
|
|
7
|
OTHER
|
Lung Transplant
|
22
|
20
|
—
|
—
|
$25,276.18
|
$332,518.49
|
$148,328.49
|
2026-05-08
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
27
|
24
|
—
|
—
|
$9,053.30
|
$370,917.36
|
$161,666.15
|
2026-05-08
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
25
|
23
|
—
|
—
|
$11,129.96
|
$373,088.50
|
$162,611.66
|
2026-05-08
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
19
|
—
|
—
|
$166,552.58
|
$431,954.12
|
$172,381.92
|
2026-05-08
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
20
|
19
|
—
|
—
|
$177,780.77
|
$461,074.43
|
$184,003.10
|
2026-05-08
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$183,077.45
|
$474,811.37
|
$189,485.16
|
2026-05-08
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
19
|
—
|
—
|
$200,000.00
|
$518,700.00
|
$207,000.00
|
2026-05-08
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
16
|
16
|
—
|
—
|
$200,000.00
|
$518,700.00
|
$210,000.00
|
2026-05-08
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
24
|
22
|
—
|
—
|
$7,328.28
|
$488,720.65
|
$215,352.83
|
2026-05-08
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
20
|
19
|
—
|
—
|
$244,908.81
|
$635,171.00
|
$253,480.62
|
2026-05-08
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
2
|
2
|
—
|
—
|
$288,894.73
|
$304,099.72
|
$296,497.22
|
2026-05-08
|
|
583-4
|
OTHER
|
Neonate With Ecmo
|
20
|
19
|
—
|
—
|
$289,229.38
|
$750,116.40
|
$299,352.41
|
2026-05-08
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
23
|
21
|
—
|
—
|
$237,505.40
|
$751,383.88
|
$327,354.85
|
2026-05-08
|