|
583-4
|
OTHER
|
Neonate With Ecmo
|
20
|
19
|
—
|
—
|
$775,988.59
|
$994,041.38
|
$814,788.02
|
2026-05-07
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
20
|
19
|
—
|
—
|
$657,078.62
|
$841,717.71
|
$689,932.55
|
2026-05-07
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$491,188.04
|
$629,211.88
|
$515,747.44
|
2026-05-07
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
20
|
19
|
—
|
—
|
$365,476.65
|
$468,175.59
|
$383,750.48
|
2026-05-07
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$362,237.88
|
$464,026.72
|
$380,349.77
|
2026-05-07
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
20
|
19
|
—
|
—
|
$327,407.27
|
$419,408.71
|
$343,777.63
|
2026-05-07
|
|
011-4
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
19
|
—
|
—
|
$310,894.64
|
$398,256.03
|
$326,439.37
|
2026-05-07
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
25
|
24
|
—
|
—
|
$280,771.12
|
$552,871.39
|
$325,123.10
|
2026-05-07
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
3
|
3
|
—
|
—
|
$289,492.67
|
$341,296.62
|
$304,729.12
|
2026-05-07
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
20
|
19
|
—
|
—
|
$288,288.61
|
$369,297.71
|
$302,703.04
|
2026-05-07
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$263,555.42
|
$337,614.49
|
$276,733.19
|
2026-05-07
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$262,350.84
|
$336,071.43
|
$275,468.38
|
2026-05-07
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
20
|
19
|
—
|
—
|
$257,945.29
|
$330,427.92
|
$270,842.55
|
2026-05-07
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$248,900.23
|
$318,841.19
|
$261,345.24
|
2026-05-07
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
20
|
19
|
—
|
—
|
$213,577.17
|
$273,592.35
|
$224,256.03
|
2026-05-07
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
20
|
19
|
—
|
—
|
$207,253.90
|
$265,492.25
|
$217,616.60
|
2026-05-07
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$206,633.73
|
$264,697.81
|
$216,965.42
|
2026-05-07
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
24
|
23
|
—
|
—
|
$9,050.17
|
$359,236.40
|
$211,265.72
|
2026-05-07
|
|
589-2
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
20
|
19
|
—
|
—
|
$200,871.37
|
$257,316.22
|
$210,914.94
|
2026-05-07
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
246-4
|
OTHER
|
Gastrointestinal Vascular Insufficiency
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
850-4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
16
|
15
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
200-4
|
OTHER
|
Cardiac Structural And Valvular Disorders
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
16
|
15
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
588-1
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
16
|
15
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
20
|
19
|
—
|
—
|
$200,000.00
|
$256,200.00
|
$210,000.00
|
2026-05-07
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$193,123.85
|
$247,391.65
|
$202,780.04
|
2026-05-07
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$189,954.56
|
$243,331.79
|
$199,452.29
|
2026-05-07
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
20
|
19
|
—
|
—
|
$188,412.82
|
$241,356.82
|
$197,833.46
|
2026-05-07
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
20
|
19
|
—
|
—
|
$180,383.32
|
$231,071.03
|
$189,402.49
|
2026-05-07
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
19
|
—
|
—
|
$178,970.31
|
$229,260.97
|
$187,918.83
|
2026-05-07
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
20
|
19
|
—
|
—
|
$178,709.78
|
$228,927.23
|
$187,645.27
|
2026-05-07
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
19
|
—
|
—
|
$176,666.39
|
$226,309.65
|
$185,499.71
|
2026-05-07
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
20
|
19
|
—
|
—
|
$173,926.20
|
$222,799.46
|
$182,622.51
|
2026-05-07
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
20
|
19
|
—
|
—
|
$172,255.73
|
$220,659.59
|
$180,868.52
|
2026-05-07
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
20
|
19
|
—
|
—
|
$169,490.01
|
$217,116.70
|
$177,964.51
|
2026-05-07
|
|
440-4
|
OTHER
|
Kidney Transplant
|
16
|
15
|
—
|
—
|
$169,071.11
|
$216,580.09
|
$177,524.67
|
2026-05-07
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
19
|
—
|
—
|
$168,298.71
|
$215,590.65
|
$176,713.65
|
2026-05-07
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
19
|
—
|
—
|
$168,241.49
|
$215,517.35
|
$176,653.56
|
2026-05-07
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$163,900.31
|
$209,956.30
|
$172,095.33
|
2026-05-07
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
20
|
19
|
—
|
—
|
$163,900.31
|
$209,956.30
|
$172,095.33
|
2026-05-07
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
20
|
19
|
—
|
—
|
$163,435.44
|
$209,360.80
|
$171,607.21
|
2026-05-07
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
20
|
19
|
—
|
—
|
$160,002.55
|
$204,963.27
|
$168,002.68
|
2026-05-07
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
16
|
15
|
—
|
—
|
$155,683.84
|
$199,431.00
|
$163,468.03
|
2026-05-07
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
26
|
25
|
—
|
—
|
$12,346.32
|
$273,992.49
|
$161,142.31
|
2026-05-07
|
|
008-3
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
19
|
—
|
—
|
$152,433.83
|
$195,267.74
|
$160,055.52
|
2026-05-07
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
31
|
26
|
—
|
—
|
$10,266.92
|
$572,597.56
|
$158,765.59
|
2026-05-07
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
20
|
19
|
—
|
—
|
$149,860.18
|
$191,970.89
|
$157,353.19
|
2026-05-07
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$147,581.80
|
$189,052.29
|
$154,960.89
|
2026-05-07
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
20
|
19
|
—
|
—
|
$147,412.20
|
$188,835.03
|
$154,782.81
|
2026-05-07
|
|
167-4
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
20
|
19
|
—
|
—
|
$146,760.36
|
$188,000.02
|
$154,098.38
|
2026-05-07
|
|
690-4
|
OTHER
|
Acute Leukemia
|
20
|
19
|
—
|
—
|
$145,442.37
|
$186,311.68
|
$152,714.49
|
2026-05-07
|
|
043-4
|
OTHER
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
20
|
19
|
—
|
—
|
$144,551.45
|
$185,170.41
|
$151,779.02
|
2026-05-07
|
|
009-2
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
19
|
—
|
—
|
$144,389.00
|
$184,962.31
|
$151,608.45
|
2026-05-07
|
|
009-1
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
19
|
—
|
—
|
$140,028.41
|
$179,376.39
|
$147,029.83
|
2026-05-07
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
20
|
19
|
—
|
—
|
$137,084.90
|
$175,605.76
|
$143,939.14
|
2026-05-07
|
|
7
|
OTHER
|
Lung Transplant
|
23
|
22
|
—
|
—
|
$26,004.59
|
$208,557.55
|
$143,105.20
|
2026-05-07
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
20
|
19
|
—
|
—
|
$136,249.16
|
$174,535.17
|
$143,061.62
|
2026-05-07
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$135,325.55
|
$173,352.03
|
$142,091.83
|
2026-05-07
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$134,001.43
|
$171,655.83
|
$140,701.50
|
2026-05-07
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
16
|
15
|
—
|
—
|
$133,946.26
|
$171,585.16
|
$140,643.57
|
2026-05-07
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
20
|
19
|
—
|
—
|
$127,691.44
|
$163,572.73
|
$134,076.01
|
2026-05-07
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
20
|
19
|
—
|
—
|
$126,995.67
|
$162,681.45
|
$133,345.45
|
2026-05-07
|
|
447-4
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
20
|
19
|
—
|
—
|
$126,698.35
|
$162,300.59
|
$133,033.27
|
2026-05-07
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
16
|
15
|
—
|
—
|
$125,065.68
|
$160,209.14
|
$131,318.96
|
2026-05-07
|
|
023-4
|
OTHER
|
Spinal Procedures
|
20
|
19
|
—
|
—
|
$124,821.50
|
$159,896.34
|
$131,062.58
|
2026-05-07
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
20
|
19
|
—
|
—
|
$124,369.91
|
$159,317.85
|
$130,588.41
|
2026-05-07
|
|
011-2
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
19
|
—
|
—
|
$122,771.98
|
$157,270.91
|
$128,910.58
|
2026-05-07
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$122,766.87
|
$157,264.36
|
$128,905.21
|
2026-05-07
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
19
|
—
|
—
|
$121,236.37
|
$155,303.79
|
$127,298.19
|
2026-05-07
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
16
|
15
|
—
|
—
|
$121,152.59
|
$155,196.47
|
$127,210.22
|
2026-05-07
|
|
950-4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
20
|
19
|
—
|
—
|
$120,677.50
|
$154,587.88
|
$126,711.38
|
2026-05-07
|
|
006-1
|
OTHER
|
Pancreas Transplant
|
16
|
15
|
—
|
—
|
$119,588.38
|
$153,192.71
|
$125,567.80
|
2026-05-07
|
|
007-1
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
19
|
—
|
—
|
$117,518.42
|
$150,541.10
|
$123,394.34
|
2026-05-07
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
16
|
15
|
—
|
—
|
$116,660.20
|
$149,441.72
|
$122,493.21
|
2026-05-07
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$116,522.27
|
$149,265.03
|
$122,348.38
|
2026-05-07
|
|
026-4
|
OTHER
|
Other Nervous System And Related Procedures
|
20
|
19
|
—
|
—
|
$116,451.77
|
$149,174.72
|
$122,274.36
|
2026-05-07
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$115,949.10
|
$148,530.80
|
$121,746.56
|
2026-05-07
|
|
303-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
20
|
19
|
—
|
—
|
$115,261.50
|
$147,649.98
|
$121,024.58
|
2026-05-07
|
|
182-4
|
OTHER
|
Other Peripheral Vascular And Related Procedures
|
20
|
19
|
—
|
—
|
$115,168.53
|
$147,530.89
|
$120,926.96
|
2026-05-07
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$115,100.07
|
$147,443.19
|
$120,855.07
|
2026-05-07
|
|
792-4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
20
|
19
|
—
|
—
|
$113,216.07
|
$145,029.79
|
$118,876.87
|
2026-05-07
|
|
304-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
20
|
19
|
—
|
—
|
$113,188.48
|
$144,994.44
|
$118,847.90
|
2026-05-07
|
|
205-4
|
OTHER
|
Cardiomyopathy
|
20
|
19
|
—
|
—
|
$112,868.69
|
$144,584.79
|
$118,512.12
|
2026-05-07
|
|
695-4
|
OTHER
|
Chemotherapy For Acute Leukemia
|
20
|
19
|
—
|
—
|
$112,723.61
|
$144,398.94
|
$118,359.79
|
2026-05-07
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
20
|
19
|
—
|
—
|
$112,608.16
|
$144,251.05
|
$118,238.57
|
2026-05-07
|
|
005-2
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
19
|
—
|
—
|
$110,715.98
|
$141,827.17
|
$116,251.78
|
2026-05-07
|
|
651-4
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
20
|
19
|
—
|
—
|
$110,345.10
|
$141,352.07
|
$115,862.36
|
2026-05-07
|
|
004-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
19
|
—
|
—
|
$110,000.79
|
$140,911.01
|
$115,500.83
|
2026-05-07
|
|
614-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
20
|
19
|
—
|
—
|
$108,845.26
|
$139,430.78
|
$114,287.52
|
2026-05-07
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$108,660.33
|
$139,193.88
|
$114,093.35
|
2026-05-07
|
|
021-4
|
OTHER
|
Open Craniotomy Except Trauma
|
20
|
19
|
—
|
—
|
$108,402.86
|
$138,864.06
|
$113,823.00
|
2026-05-07
|
|
230-4
|
OTHER
|
Major Small Bowel Procedures
|
20
|
19
|
—
|
—
|
$108,011.55
|
$138,362.80
|
$113,412.13
|
2026-05-07
|
|
022-4
|
OTHER
|
Ventricular Shunt Procedures
|
20
|
19
|
—
|
—
|
$107,585.51
|
$137,817.04
|
$112,964.79
|
2026-05-07
|
|
442-4
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
20
|
19
|
—
|
—
|
$106,995.99
|
$137,061.86
|
$112,345.79
|
2026-05-07
|
|
952-4
|
OTHER
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
20
|
19
|
—
|
—
|
$106,339.04
|
$136,220.31
|
$111,655.99
|
2026-05-07
|
|
911-4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
20
|
19
|
—
|
—
|
$105,367.41
|
$134,975.65
|
$110,635.78
|
2026-05-07
|
|
440-3
|
OTHER
|
Kidney Transplant
|
16
|
15
|
—
|
—
|
$103,479.31
|
$132,557.00
|
$108,653.28
|
2026-05-07
|
|
315-4
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
20
|
19
|
—
|
—
|
$103,472.16
|
$132,547.84
|
$108,645.77
|
2026-05-07
|
|
169-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
20
|
19
|
—
|
—
|
$103,120.70
|
$132,097.62
|
$108,276.74
|
2026-05-07
|
|
120-4
|
OTHER
|
Major Respiratory And Chest Procedures
|
20
|
19
|
—
|
—
|
$102,701.80
|
$131,561.01
|
$107,836.89
|
2026-05-07
|
|
483-4
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
20
|
19
|
—
|
—
|
$102,311.52
|
$131,061.06
|
$107,427.10
|
2026-05-07
|
|
089-4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
20
|
19
|
—
|
—
|
$101,214.22
|
$129,655.42
|
$106,274.93
|
2026-05-07
|
|
912-4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
20
|
19
|
—
|
—
|
$101,080.37
|
$129,483.95
|
$106,134.39
|
2026-05-07
|
|
130-4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
20
|
19
|
—
|
—
|
$101,054.83
|
$129,451.24
|
$106,107.57
|
2026-05-07
|
|
165-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$99,549.87
|
$127,523.38
|
$104,527.36
|
2026-05-07
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
30
|
26
|
—
|
—
|
$6,834.70
|
$178,201.40
|
$103,842.59
|
2026-05-07
|
|
591-1
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
20
|
19
|
—
|
—
|
$97,570.85
|
$124,988.26
|
$102,449.39
|
2026-05-07
|
|
260-4
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
20
|
19
|
—
|
—
|
$97,038.55
|
$124,306.38
|
$101,890.48
|
2026-05-07
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
16
|
15
|
—
|
—
|
$96,872.01
|
$124,093.04
|
$101,715.61
|
2026-05-07
|
|
178-3
|
OTHER
|
External Heart Assist Systems
|
20
|
19
|
—
|
—
|
$95,902.42
|
$122,851.00
|
$100,697.54
|
2026-05-07
|
|
121-4
|
OTHER
|
Other Respiratory And Chest Procedures
|
20
|
19
|
—
|
—
|
$95,847.25
|
$122,780.33
|
$100,639.61
|
2026-05-07
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
20
|
19
|
—
|
—
|
$95,496.81
|
$122,331.41
|
$100,271.65
|
2026-05-07
|
|
625-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
20
|
19
|
—
|
—
|
$94,725.43
|
$121,343.28
|
$99,461.70
|
2026-05-07
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$94,452.64
|
$120,993.83
|
$99,175.27
|
2026-05-07
|
|
160-3
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
20
|
19
|
—
|
—
|
$93,556.61
|
$119,846.02
|
$98,234.44
|
2026-05-07
|
|
224-4
|
OTHER
|
Peritoneal Adhesiolysis
|
20
|
19
|
—
|
—
|
$93,407.44
|
$119,654.93
|
$98,077.81
|
2026-05-07
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$92,756.62
|
$118,821.23
|
$97,394.45
|
2026-05-07
|
|
361-4
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
20
|
19
|
—
|
—
|
$92,497.11
|
$118,488.80
|
$97,121.97
|
2026-05-07
|
|
091-4
|
OTHER
|
Other Major Head And Neck Procedures
|
20
|
19
|
—
|
—
|
$91,999.55
|
$117,851.42
|
$96,599.53
|
2026-05-07
|
|
020-4
|
OTHER
|
Open Craniotomy For Trauma
|
20
|
19
|
—
|
—
|
$91,060.61
|
$116,648.64
|
$95,613.64
|
2026-05-07
|
|
005-1
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
19
|
—
|
—
|
$90,441.46
|
$115,855.51
|
$94,963.53
|
2026-05-07
|
|
004-1
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
19
|
—
|
—
|
$90,267.77
|
$115,633.01
|
$94,781.16
|
2026-05-07
|
|
001-2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
16
|
15
|
—
|
—
|
$89,605.72
|
$114,784.93
|
$94,086.01
|
2026-05-07
|
|
181-4
|
OTHER
|
Lower Extremity Arterial Procedures
|
20
|
19
|
—
|
—
|
$89,568.94
|
$114,737.81
|
$94,047.39
|
2026-05-07
|
|
227-4
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
20
|
19
|
—
|
—
|
$89,295.12
|
$114,387.05
|
$93,759.88
|
2026-05-07
|
|
660-4
|
OTHER
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
20
|
19
|
—
|
—
|
$89,001.89
|
$114,011.42
|
$93,451.98
|
2026-05-07
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
20
|
19
|
—
|
—
|
$88,983.50
|
$113,987.86
|
$93,432.68
|
2026-05-07
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
20
|
19
|
—
|
—
|
$88,883.38
|
$113,859.61
|
$93,327.55
|
2026-05-07
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
25
|
24
|
—
|
—
|
$6,395.25
|
$154,780.83
|
$91,045.85
|
2026-05-07
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
20
|
19
|
—
|
—
|
$86,617.26
|
$110,956.71
|
$90,948.12
|
2026-05-07
|
|
001-1
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
16
|
15
|
—
|
—
|
$86,241.27
|
$110,475.07
|
$90,553.33
|
2026-05-07
|
|
261-4
|
OTHER
|
Major Biliary Tract Procedures
|
20
|
19
|
—
|
—
|
$85,243.08
|
$109,196.39
|
$89,505.23
|
2026-05-07
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$84,938.61
|
$108,806.36
|
$89,185.54
|
2026-05-07
|
|
183-3
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
20
|
19
|
—
|
—
|
$84,490.09
|
$108,231.81
|
$88,714.59
|
2026-05-07
|
|
951-4
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
20
|
19
|
—
|
—
|
$84,159.06
|
$107,807.76
|
$88,367.01
|
2026-05-07
|
|
303-2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
20
|
19
|
—
|
—
|
$83,627.78
|
$107,127.19
|
$87,809.17
|
2026-05-07
|
|
050-4
|
OTHER
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
20
|
19
|
—
|
—
|
$82,782.84
|
$106,044.82
|
$86,921.98
|
2026-05-07
|
|
178-2
|
OTHER
|
External Heart Assist Systems
|
20
|
19
|
—
|
—
|
$82,309.79
|
$105,438.84
|
$86,425.28
|
2026-05-07
|
|
710-4
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
20
|
19
|
—
|
—
|
$82,169.82
|
$105,259.54
|
$86,278.31
|
2026-05-07
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
24
|
23
|
—
|
—
|
$15,512.45
|
$146,016.82
|
$85,892.61
|
2026-05-07
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
20
|
19
|
—
|
—
|
$81,448.50
|
$104,335.53
|
$85,520.93
|
2026-05-07
|
|
162-2
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$81,137.91
|
$103,937.66
|
$85,194.81
|
2026-05-07
|
|
223-4
|
OTHER
|
Other Small And Large Bowel Procedures
|
20
|
19
|
—
|
—
|
$80,202.04
|
$102,738.81
|
$84,212.14
|
2026-05-07
|
|
691-4
|
OTHER
|
Lymphoma, Myeloma And Non-acute Leukemia
|
20
|
19
|
—
|
—
|
$79,708.56
|
$102,106.67
|
$83,693.99
|
2026-05-07
|
|
008-2
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
19
|
—
|
—
|
$79,349.94
|
$101,647.27
|
$83,317.44
|
2026-05-07
|
|
694-4
|
OTHER
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
20
|
19
|
—
|
—
|
$78,901.42
|
$101,072.72
|
$82,846.49
|
2026-05-07
|
|
723-4
|
OTHER
|
Viral Illness
|
20
|
19
|
—
|
—
|
$78,794.14
|
$100,935.29
|
$82,733.85
|
2026-05-07
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
30
|
26
|
—
|
—
|
$71,969.82
|
$128,455.53
|
$82,684.08
|
2026-05-07
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
26
|
25
|
—
|
—
|
$6,607.89
|
$140,170.29
|
$82,454.85
|
2026-05-07
|
|
092-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
20
|
19
|
—
|
—
|
$77,947.15
|
$99,850.30
|
$81,844.51
|
2026-05-07
|
|
163-3
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$77,085.87
|
$98,747.00
|
$80,940.16
|
2026-05-07
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$76,933.63
|
$98,551.98
|
$80,780.31
|
2026-05-07
|
|
661-4
|
OTHER
|
Coagulation And Platelet Disorders
|
20
|
19
|
—
|
—
|
$76,234.79
|
$97,656.77
|
$80,046.53
|
2026-05-07
|
|
178-1
|
OTHER
|
External Heart Assist Systems
|
20
|
19
|
—
|
—
|
$75,452.18
|
$96,654.24
|
$79,224.79
|
2026-05-07
|
|
092-3
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
20
|
19
|
—
|
—
|
$75,182.45
|
$96,308.72
|
$78,941.57
|
2026-05-07
|
|
176-4
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
20
|
19
|
—
|
—
|
$74,739.03
|
$95,740.70
|
$78,475.98
|
2026-05-07
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
23
|
22
|
—
|
—
|
$8,364.39
|
$132,971.05
|
$78,221.70
|
2026-05-07
|
|
513-4
|
OTHER
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
20
|
19
|
—
|
—
|
$73,679.53
|
$94,383.48
|
$77,363.51
|
2026-05-07
|
|
179-4
|
OTHER
|
Defibrillator Implants
|
20
|
19
|
—
|
—
|
$73,634.58
|
$94,325.90
|
$77,316.31
|
2026-05-07
|
|
312-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
20
|
19
|
—
|
—
|
$73,534.45
|
$94,197.63
|
$77,211.17
|
2026-05-07
|
|
841-2
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
20
|
19
|
—
|
—
|
$73,176.86
|
$93,739.56
|
$76,835.70
|
2026-05-07
|
|
171-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
20
|
19
|
—
|
—
|
$72,789.64
|
$93,243.53
|
$76,429.12
|
2026-05-07
|
|
841-1
|
OTHER
|
Chemotherapy For Acute Leukemia
|
20
|
19
|
—
|
—
|
$72,607.78
|
$93,010.57
|
$76,238.17
|
2026-05-07
|
|
264-4
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
20
|
19
|
—
|
—
|
$72,225.66
|
$92,521.07
|
$75,836.94
|
2026-05-07
|
|
162-1
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$71,992.72
|
$92,222.67
|
$75,592.36
|
2026-05-07
|
|
510-4
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
20
|
19
|
—
|
—
|
$71,218.27
|
$91,230.60
|
$74,779.18
|
2026-05-07
|
|
740-4
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
20
|
19
|
—
|
—
|
$71,147.77
|
$91,140.29
|
$74,705.16
|
2026-05-07
|
|
401-3
|
OTHER
|
Adrenal Procedures
|
20
|
19
|
—
|
—
|
$70,881.11
|
$90,798.70
|
$74,425.17
|
2026-05-07
|
|
304-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
20
|
19
|
—
|
—
|
$70,873.96
|
$90,789.54
|
$74,417.66
|
2026-05-07
|
|
310-4
|
OTHER
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
20
|
19
|
—
|
—
|
$70,123.01
|
$89,827.58
|
$73,629.16
|
2026-05-07
|
|
233-4
|
OTHER
|
Appendectomy With Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$70,074.99
|
$89,766.06
|
$73,578.74
|
2026-05-07
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
30
|
26
|
—
|
—
|
$11,506.57
|
$126,230.37
|
$73,562.78
|
2026-05-07
|
|
511-4
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
20
|
19
|
—
|
—
|
$69,973.85
|
$89,636.50
|
$73,472.54
|
2026-05-07
|
|
011-1
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
19
|
—
|
—
|
$69,819.57
|
$89,438.87
|
$73,310.55
|
2026-05-07
|
|
634-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
20
|
19
|
—
|
—
|
$69,716.38
|
$89,306.68
|
$73,202.20
|
2026-05-07
|
|
480-4
|
OTHER
|
Major Male Pelvic Procedures
|
20
|
19
|
—
|
—
|
$69,421.11
|
$88,928.44
|
$72,892.17
|
2026-05-07
|
|
711-4
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
20
|
19
|
—
|
—
|
$69,006.30
|
$88,397.07
|
$72,456.62
|
2026-05-07
|
|
030-4
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
20
|
19
|
—
|
—
|
$68,826.48
|
$88,166.72
|
$72,267.80
|
2026-05-07
|
|
130-3
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
20
|
19
|
—
|
—
|
$68,617.04
|
$87,898.43
|
$72,047.89
|
2026-05-07
|
|
346-4
|
OTHER
|
Connective Tissue Disorders
|
20
|
19
|
—
|
—
|
$68,599.67
|
$87,876.18
|
$72,029.65
|
2026-05-07
|
|
404-4
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
20
|
19
|
—
|
—
|
$68,385.11
|
$87,601.33
|
$71,804.37
|
2026-05-07
|
|
443-4
|
OTHER
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
20
|
19
|
—
|
—
|
$67,868.13
|
$86,939.07
|
$71,261.54
|
2026-05-07
|
|
180-4
|
OTHER
|
Other Circulatory System Procedures
|
20
|
19
|
—
|
—
|
$67,834.42
|
$86,895.89
|
$71,226.14
|
2026-05-07
|
|
029-4
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
20
|
19
|
—
|
—
|
$67,783.33
|
$86,830.45
|
$71,172.50
|
2026-05-07
|
|
073-4
|
OTHER
|
Orbit And Eye Procedures
|
20
|
19
|
—
|
—
|
$67,647.45
|
$86,656.38
|
$71,029.82
|
2026-05-07
|
|
468-4
|
OTHER
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
20
|
19
|
—
|
—
|
$67,306.20
|
$86,219.24
|
$70,671.51
|
2026-05-07
|
|
313-4
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
20
|
19
|
—
|
—
|
$67,117.19
|
$85,977.12
|
$70,473.05
|
2026-05-07
|
|
440-2
|
OTHER
|
Kidney Transplant
|
16
|
15
|
—
|
—
|
$66,556.28
|
$85,258.59
|
$69,884.09
|
2026-05-07
|
|
815-4
|
OTHER
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
20
|
19
|
—
|
—
|
$66,519.50
|
$85,211.48
|
$69,845.48
|
2026-05-07
|
|
008-1
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
19
|
—
|
—
|
$66,460.24
|
$85,135.57
|
$69,783.25
|
2026-05-07
|
|
091-3
|
OTHER
|
Other Major Head And Neck Procedures
|
20
|
19
|
—
|
—
|
$66,008.65
|
$84,557.08
|
$69,309.08
|
2026-05-07
|
|
175-4
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
20
|
19
|
—
|
—
|
$65,903.41
|
$84,422.27
|
$69,198.58
|
2026-05-07
|
|
692-4
|
OTHER
|
Radiotherapy
|
20
|
19
|
—
|
—
|
$65,857.44
|
$84,363.38
|
$69,150.31
|
2026-05-07
|
|
098-4
|
OTHER
|
Other Ear, Nose, Mouth And Throat Procedures
|
20
|
19
|
—
|
—
|
$65,771.62
|
$84,253.45
|
$69,060.20
|
2026-05-07
|
|
231-4
|
OTHER
|
Major Large Bowel Procedures
|
20
|
19
|
—
|
—
|
$65,521.30
|
$83,932.79
|
$68,797.37
|
2026-05-07
|
|
165-3
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$65,451.83
|
$83,843.79
|
$68,724.42
|
2026-05-07
|
|
810-4
|
OTHER
|
Hemorrhage Or Hematoma Due To Complication
|
20
|
19
|
—
|
—
|
$65,426.28
|
$83,811.06
|
$68,697.59
|
2026-05-07
|
|
603-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
20
|
19
|
—
|
—
|
$65,241.36
|
$83,574.18
|
$68,503.43
|
2026-05-07
|
|
160-2
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
20
|
19
|
—
|
—
|
$65,005.34
|
$83,271.84
|
$68,255.61
|
2026-05-07
|
|
484-4
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
20
|
19
|
—
|
—
|
$64,825.53
|
$83,041.50
|
$68,066.81
|
2026-05-07
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
20
|
19
|
—
|
—
|
$64,773.42
|
$82,974.75
|
$68,012.09
|
2026-05-07
|
|
049-4
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System
|
20
|
19
|
—
|
—
|
$64,650.82
|
$82,817.70
|
$67,883.36
|
2026-05-07
|
|
170-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
20
|
19
|
—
|
—
|
$64,266.66
|
$82,325.59
|
$67,479.99
|
2026-05-07
|
|
690-3
|
OTHER
|
Acute Leukemia
|
20
|
19
|
—
|
—
|
$64,015.32
|
$82,003.62
|
$67,216.09
|
2026-05-07
|
|
167-3
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
20
|
19
|
—
|
—
|
$63,749.68
|
$81,663.34
|
$66,937.16
|
2026-05-07
|
|
405-4
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
20
|
19
|
—
|
—
|
$63,613.80
|
$81,489.28
|
$66,794.49
|
2026-05-07
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
29
|
25
|
—
|
—
|
$24,618.88
|
$114,460.71
|
$66,696.64
|
2026-05-07
|
|
401-4
|
OTHER
|
Adrenal Procedures
|
20
|
19
|
—
|
—
|
$63,384.94
|
$81,196.11
|
$66,554.19
|
2026-05-07
|
|
325-4
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
20
|
19
|
—
|
—
|
$63,252.12
|
$81,025.97
|
$66,414.73
|
2026-05-07
|
|
661-3
|
OTHER
|
Coagulation And Platelet Disorders
|
20
|
19
|
—
|
—
|
$62,504.24
|
$80,067.93
|
$65,629.45
|
2026-05-07
|
|
027-4
|
OTHER
|
Other Open Craniotomy
|
20
|
19
|
—
|
—
|
$62,429.65
|
$79,972.38
|
$65,551.13
|
2026-05-07
|
|
440-1
|
OTHER
|
Kidney Transplant
|
16
|
15
|
—
|
—
|
$62,388.78
|
$79,920.03
|
$65,508.22
|
2026-05-07
|
|
630-2
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
20
|
19
|
—
|
—
|
$62,178.31
|
$79,650.42
|
$65,287.23
|
2026-05-07
|
|
021-3
|
OTHER
|
Open Craniotomy Except Trauma
|
20
|
19
|
—
|
—
|
$62,041.41
|
$79,475.05
|
$65,143.48
|
2026-05-07
|
|
793-4
|
OTHER
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
20
|
19
|
—
|
—
|
$61,647.03
|
$78,969.85
|
$64,729.38
|
2026-05-07
|
|
321-4
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
20
|
19
|
—
|
—
|
$61,626.60
|
$78,943.67
|
$64,707.93
|
2026-05-07
|
|
303-1
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
20
|
19
|
—
|
—
|
$61,606.17
|
$78,917.50
|
$64,686.48
|
2026-05-07
|
|
024-4
|
OTHER
|
Open Extracranial Vascular Procedures
|
20
|
19
|
—
|
—
|
$61,500.93
|
$78,782.69
|
$64,575.98
|
2026-05-07
|
|
180-1
|
OTHER
|
Other Circulatory System Procedures
|
20
|
19
|
—
|
—
|
$61,455.98
|
$78,725.11
|
$64,528.78
|
2026-05-07
|
|
308-4
|
OTHER
|
Hip And Femur Fracture Repair
|
20
|
19
|
—
|
—
|
$61,249.59
|
$78,460.72
|
$64,312.07
|
2026-05-07
|
|
607-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$61,109.62
|
$78,281.42
|
$64,165.10
|
2026-05-07
|
|
514-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
20
|
19
|
—
|
—
|
$60,781.66
|
$77,861.31
|
$63,820.74
|
2026-05-07
|
|
023-3
|
OTHER
|
Spinal Procedures
|
20
|
19
|
—
|
—
|
$60,767.35
|
$77,842.98
|
$63,805.72
|
2026-05-07
|
|
222-4
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
20
|
19
|
—
|
—
|
$60,728.53
|
$77,793.25
|
$63,764.96
|
2026-05-07
|
|
512-4
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
20
|
19
|
—
|
—
|
$60,657.01
|
$77,701.63
|
$63,689.86
|
2026-05-07
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
30
|
26
|
—
|
—
|
$13,510.07
|
$108,948.88
|
$63,494.08
|
2026-05-07
|
|
401-2
|
OTHER
|
Adrenal Procedures
|
20
|
19
|
—
|
—
|
$60,401.59
|
$77,374.44
|
$63,421.67
|
2026-05-07
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
30
|
26
|
—
|
—
|
$14,334.43
|
$108,610.34
|
$63,296.85
|
2026-05-07
|
|
043-3
|
OTHER
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
20
|
19
|
—
|
—
|
$60,158.42
|
$77,062.94
|
$63,166.34
|
2026-05-07
|
|
130-2
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
20
|
19
|
—
|
—
|
$59,988.82
|
$76,845.68
|
$62,988.26
|
2026-05-07
|
|
680-3
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
20
|
19
|
—
|
—
|
$59,957.15
|
$76,805.11
|
$62,955.01
|
2026-05-07
|
|
040-4
|
OTHER
|
Spinal Disorders And Injuries
|
20
|
19
|
—
|
—
|
$59,956.13
|
$76,803.80
|
$62,953.94
|
2026-05-07
|
|
029-3
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
20
|
19
|
—
|
—
|
$59,735.44
|
$76,521.10
|
$62,722.21
|
2026-05-07
|
|
792-3
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
20
|
19
|
—
|
—
|
$59,034.56
|
$75,623.27
|
$61,986.29
|
2026-05-07
|
|
681-3
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
20
|
19
|
—
|
—
|
$58,808.76
|
$75,334.02
|
$61,749.20
|
2026-05-07
|
|
444-4
|
OTHER
|
Renal Dialysis Access Device Procedures
|
20
|
19
|
—
|
—
|
$58,402.13
|
$74,813.13
|
$61,322.24
|
2026-05-07
|
|
245-4
|
OTHER
|
Inflammatory Bowel Disease
|
20
|
19
|
—
|
—
|
$58,318.35
|
$74,705.81
|
$61,234.27
|
2026-05-07
|
|
611-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
20
|
19
|
—
|
—
|
$57,734.96
|
$73,958.48
|
$60,621.71
|
2026-05-07
|
|
020-3
|
OTHER
|
Open Craniotomy For Trauma
|
20
|
19
|
—
|
—
|
$57,249.66
|
$73,336.81
|
$60,112.14
|
2026-05-07
|
|
322-4
|
OTHER
|
Shoulder And Elbow Joint Replacement
|
20
|
19
|
—
|
—
|
$57,107.64
|
$73,154.89
|
$59,963.02
|
2026-05-07
|
|
163-2
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$57,067.80
|
$73,103.85
|
$59,921.19
|
2026-05-07
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
30
|
26
|
—
|
—
|
$9,525.52
|
$101,781.54
|
$59,882.27
|
2026-05-07
|
|
282-4
|
OTHER
|
Disorders Of Pancreas Except Malignancy
|
20
|
19
|
—
|
—
|
$56,773.55
|
$72,726.92
|
$59,612.23
|
2026-05-07
|
|
462-4
|
OTHER
|
Nephritis And Nephrosis
|
20
|
19
|
—
|
—
|
$56,644.81
|
$72,562.00
|
$59,477.05
|
2026-05-07
|
|
027-3
|
OTHER
|
Other Open Craniotomy
|
20
|
19
|
—
|
—
|
$56,613.14
|
$72,521.43
|
$59,443.80
|
2026-05-07
|
|
759-4
|
OTHER
|
Eating Disorders
|
20
|
19
|
—
|
—
|
$56,595.77
|
$72,499.18
|
$59,425.56
|
2026-05-07
|
|
059-4
|
OTHER
|
Anoxic And Other Severe Brain Damage
|
20
|
19
|
—
|
—
|
$56,553.88
|
$72,445.52
|
$59,381.57
|
2026-05-07
|
|
650-4
|
OTHER
|
Splenectomy
|
20
|
19
|
—
|
—
|
$56,463.97
|
$72,330.35
|
$59,287.17
|
2026-05-07
|
|
179-3
|
OTHER
|
Defibrillator Implants
|
20
|
19
|
—
|
—
|
$56,461.93
|
$72,327.73
|
$59,285.03
|
2026-05-07
|
|
263-4
|
OTHER
|
Cholecystectomy
|
20
|
19
|
—
|
—
|
$56,433.32
|
$72,291.08
|
$59,254.99
|
2026-05-07
|
|
261-3
|
OTHER
|
Major Biliary Tract Procedures
|
20
|
19
|
—
|
—
|
$56,345.46
|
$72,178.53
|
$59,162.73
|
2026-05-07
|
|
226-4
|
OTHER
|
Anal And Perineal Procedures
|
20
|
19
|
—
|
—
|
$56,268.83
|
$72,080.37
|
$59,082.27
|
2026-05-07
|
|
207-4
|
OTHER
|
Other Circulatory System Diagnoses
|
20
|
19
|
—
|
—
|
$55,781.48
|
$71,456.08
|
$58,570.55
|
2026-05-07
|
|
305-4
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
20
|
19
|
—
|
—
|
$55,743.68
|
$71,407.65
|
$58,530.86
|
2026-05-07
|
|
193-4
|
OTHER
|
Acute And Subacute Endocarditis
|
20
|
19
|
—
|
—
|
$55,300.26
|
$70,839.63
|
$58,065.27
|
2026-05-07
|
|
612-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
20
|
19
|
—
|
—
|
$55,203.20
|
$70,715.30
|
$57,963.36
|
2026-05-07
|
|
445-4
|
OTHER
|
Other Bladder Procedures
|
20
|
19
|
—
|
—
|
$55,163.36
|
$70,664.26
|
$57,921.53
|
2026-05-07
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
30
|
26
|
—
|
—
|
$13,887.50
|
$99,348.17
|
$57,900.44
|
2026-05-07
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
30
|
26
|
—
|
—
|
$14,111.80
|
$98,925.33
|
$57,654.08
|
2026-05-07
|
|
183-2
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
20
|
19
|
—
|
—
|
$54,851.74
|
$70,265.08
|
$57,594.33
|
2026-05-07
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
30
|
26
|
—
|
—
|
$9,672.96
|
$98,602.17
|
$57,465.81
|
2026-05-07
|
|
166-3
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$54,704.62
|
$70,076.62
|
$57,439.85
|
2026-05-07
|
|
690-2
|
OTHER
|
Acute Leukemia
|
20
|
19
|
—
|
—
|
$54,699.51
|
$70,070.07
|
$57,434.49
|
2026-05-07
|
|
381-4
|
OTHER
|
Major Skin Disorders
|
20
|
19
|
—
|
—
|
$54,551.36
|
$69,880.29
|
$57,278.93
|
2026-05-07
|
|
316-4
|
OTHER
|
Hand And Wrist Procedures
|
20
|
19
|
—
|
—
|
$54,470.65
|
$69,776.90
|
$57,194.18
|
2026-05-07
|
|
165-2
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
20
|
19
|
—
|
—
|
$53,981.26
|
$69,149.99
|
$56,680.32
|
2026-05-07
|
|
621-3
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
20
|
19
|
—
|
—
|
$53,932.21
|
$69,087.16
|
$56,628.82
|
2026-05-07
|
|
089-3
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
20
|
19
|
—
|
—
|
$53,864.78
|
$69,000.78
|
$56,558.02
|
2026-05-07
|
|
518-4
|
OTHER
|
Other Female Reproductive System And Related Procedures
|
20
|
19
|
—
|
—
|
$53,773.85
|
$68,884.30
|
$56,462.54
|
2026-05-07
|
|
229-4
|
OTHER
|
Other Digestive System And Abdominal Procedures
|
20
|
19
|
—
|
—
|
$53,735.03
|
$68,834.57
|
$56,421.78
|
2026-05-07
|
|
131-4
|
OTHER
|
Cystic Fibrosis - Pulmonary Disease
|
20
|
19
|
—
|
—
|
$53,441.80
|
$68,458.95
|
$56,113.89
|
2026-05-07
|
|
613-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
20
|
19
|
—
|
—
|
$53,313.07
|
$68,294.04
|
$55,978.72
|
2026-05-07
|
|
169-3
|
OTHER
|
Major Abdominal Vascular Procedures
|
20
|
19
|
—
|
—
|
$53,123.03
|
$68,050.60
|
$55,779.18
|
2026-05-07
|
|
461-4
|
OTHER
|
Kidney And Urinary Tract Malignancy
|
20
|
19
|
—
|
—
|
$53,043.34
|
$67,948.52
|
$55,695.51
|
2026-05-07
|
|
850-3
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
20
|
19
|
—
|
—
|
$52,954.45
|
$67,834.65
|
$55,602.17
|
2026-05-07
|
|
343-4
|
OTHER
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…
|
20
|
19
|
—
|
—
|
$52,941.17
|
$67,817.64
|
$55,588.23
|
2026-05-07
|
|
320-4
|
OTHER
|
Other Musculoskeletal System And Connective Tissue Procedures
|
20
|
19
|
—
|
—
|
$52,900.30
|
$67,765.28
|
$55,545.32
|
2026-05-07
|
|
180-2
|
OTHER
|
Other Circulatory System Procedures
|
20
|
19
|
—
|
—
|
$52,679.62
|
$67,482.59
|
$55,313.60
|
2026-05-07
|
|
183-1
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
20
|
19
|
—
|
—
|
$52,178.99
|
$66,841.29
|
$54,787.94
|
2026-05-07
|
|
10
|
OTHER
|
Pancreas Transplant
|
23
|
22
|
—
|
—
|
$23,238.89
|
$92,928.10
|
$54,676.44
|
2026-05-07
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
26
|
25
|
—
|
—
|
$5,218.80
|
$92,889.79
|
$54,653.92
|
2026-05-07
|
|
404-3
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
20
|
19
|
—
|
—
|
$51,981.80
|
$66,588.69
|
$54,580.89
|
2026-05-07
|
|
517-4
|
OTHER
|
Dilation And Curettage For Non-obstetric Diagnoses
|
20
|
19
|
—
|
—
|
$51,904.15
|
$66,489.22
|
$54,499.36
|
2026-05-07
|
|
121-3
|
OTHER
|
Other Respiratory And Chest Procedures
|
20
|
19
|
—
|
—
|
$51,836.72
|
$66,402.84
|
$54,428.56
|
2026-05-07
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
24
|
23
|
—
|
—
|
$11,631.98
|
$92,403.10
|
$54,367.74
|
2026-05-07
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
26
|
25
|
—
|
—
|
$11,673.48
|
$92,349.44
|
$54,336.19
|
2026-05-07
|
|
309-4
|
OTHER
|
Other Significant Hip And Femur Surgery
|
20
|
19
|
—
|
—
|
$51,702.88
|
$66,231.39
|
$54,288.02
|
2026-05-07
|
|
421-4
|
OTHER
|
Malnutrition, Failure To Thrive And Other Nutritional Disorders
|
20
|
19
|
—
|
—
|
$51,671.20
|
$66,190.81
|
$54,254.76
|
2026-05-07
|