Hospital

Chi St Lukes Health Memorial San Augustine

San Augustine, TX · CCN 451360 · Rates published

16,274 distinct procedures filed

22 distinct payers

186,215 rate rows

2026-08-01 last MRF observed

Data quality

185,839 of 186,215 rate rows are consumer-grade (99.8%)

376 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
placeholder amount (≤ $0.02) — excluded from medians	355
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	21

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

Source MRF file	https://www.stlukeshealth.org/content/dam/stlukeshealth/documents/752663604_st-lukes-health-memorial-san-augustine_standardcharges.csv
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-03
Content fingerprint	f15088ffdf387968… · 6,005,356 bytes · first seen 2026-07-31

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
84 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	$5,490.61	$272,162.37	$259,202.26	nat. median $10,605 outlier · 24.4×
74 OTHER	Allogeneic Bone Marrow Transplant	12	$5,816.35	$272,162.37	$259,202.26	nat. median $11,409 outlier · 22.7×
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	$245,195.59	$245,195.59	$245,195.59	nat. median $226,584 1.1× median
5884 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$241,996.52	$254,096.35	$241,996.52	nat. median $247,377 1.0× median
5834 OTHER	Neonate With Ecmo	7	$239,924.34	$251,920.56	$239,924.34	nat. median $376,382 0.6× median
24 OTHER	Heart And/or Lung Transplant	12	$23,371.54	$235,634.14	$224,413.47	nat. median $27,882 outlier · 8.0×
1614 OTHER	Implantable Heart Assist Systems	7	$210,480.22	$221,004.23	$210,480.22	nat. median $189,554 1.1× median
6304 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$207,792.48	$218,182.10	$207,792.48	nat. median $177,388 1.2× median
5914 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	$186,446.14	$195,768.45	$186,446.14	nat. median $167,487 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi…	1	$176,958.68	$176,958.68	$176,958.68	nat. median $2 outlier · 104093.3×
23 OTHER	Heart And/or Lung Transplant	12	$33,518.89	$176,086.17	$167,701.11	nat. median $60,080 outlier · 2.8×
6303 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$166,678.18	$175,012.09	$166,678.18	nat. median $90,458 1.8× median
5891 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	7	$166,206.92	$174,517.27	$166,206.92	nat. median $83,980 2.0× median
5934 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$163,375.63	$171,544.41	$163,375.63	nat. median $151,842 1.1× median
5833 OTHER	Neonate With Ecmo	7	$161,361.33	$169,429.40	$161,361.33	nat. median $246,994 0.7× median
3 OTHER	Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi…	5	$107,509.45	$172,490.98	$155,236.60	nat. median $206,020 0.8× median
8414 OTHER	Extensive Third Degree Burns With Skin Graft	7	$147,718.94	$155,104.89	$147,718.94	nat. median $140,709 1.0× median
83 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	$7,665.26	$154,804.21	$147,432.58	nat. median $15,058 outlier · 9.8×
73 OTHER	Allogeneic Bone Marrow Transplant	12	$8,563.18	$154,804.21	$147,432.58	nat. median $17,143 outlier · 8.6×
5883 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$146,059.40	$153,362.37	$146,059.40	nat. median $168,056 0.9× median
5892 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	7	$145,193.55	$152,453.23	$145,193.55	nat. median $75,507 1.9× median
6314 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	$142,582.47	$149,711.59	$142,582.47	nat. median $159,704 0.9× median
14 OTHER	Liver Transplant And/or Intestinal Transplant	8	$113,173.34	$148,574.38	$141,499.41	nat. median $114,463 1.2× median
64 OTHER	Pancreas Transplant	12	$10,787.85	$146,730.06	$139,742.91	nat. median $21,243 outlier · 6.6×
6094 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	$126,490.61	$132,815.14	$126,490.61	nat. median $167,902 0.8× median
5832 OTHER	Neonate With Ecmo	7	$124,940.05	$131,187.05	$124,940.05	nat. median $184,745 0.7× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	$124,343.56	$124,343.56	$124,343.56	nat. median $108,276 1.1× median
44 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	$123,714.93	$129,900.68	$123,714.93	nat. median $57,853 outlier · 2.1×
6024 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	$121,790.07	$127,879.57	$121,790.07	nat. median $113,815 1.1× median
22 OTHER	Heart And/or Lung Transplant	12	$34,874.31	$124,763.88	$118,822.74	nat. median $38,144 outlier · 3.1×
8634 OTHER	Neonatal Aftercare	7	$118,815.97	$124,756.77	$118,815.97	nat. median $81,016 1.5× median
3034 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	$115,474.34	$121,248.06	$115,474.34	nat. median $76,075 1.5× median
1604 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	$114,127.46	$119,833.83	$114,127.46	nat. median $37,082 outlier · 3.1×
215 OTHER	Other Heart Assist System Implant	5	$78,605.09	$126,116.06	$113,500.59	nat. median $76,591 1.5× median
5831 OTHER	Neonate With Ecmo	7	$112,445.37	$118,067.64	$112,445.37	nat. median $150,754 0.7× median
1624 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	$111,829.05	$117,420.50	$111,829.05	nat. median $13 outlier · 8602.2×
5933 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$107,786.17	$113,175.48	$107,786.17	nat. median $109,405 1.0× median
94 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	$20,819.91	$111,709.17	$106,389.69	nat. median $37,782 outlier · 2.8×
6034 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	$106,180.74	$111,489.78	$106,180.74	nat. median $102,445 1.0× median
4404 OTHER	Kidney Transplant	7	$99,911.60	$104,907.18	$99,911.60	nat. median $72,322 1.4× median
21 OTHER	Heart And/or Lung Transplant	12	$45,971.43	$104,728.04	$99,740.99	nat. median $57,281 1.7× median
82 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	$13,136.96	$103,797.59	$98,854.85	nat. median $24,132 outlier · 4.1×
72 OTHER	Allogeneic Bone Marrow Transplant	12	$4,637.22	$103,797.59	$98,854.85	nat. median $8,557 outlier · 11.6×
4 OTHER	Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosis Except…	5	$67,504.43	$108,305.88	$97,471.97	nat. median $141,447 0.7× median
9124 OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	$97,235.14	$102,096.90	$97,235.14	nat. median $50,332 1.9× median
54 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	$8,021.50	$101,370.06	$96,542.91	nat. median $16,362 outlier · 5.9×
7 OTHER	Lung Transplant	1	$95,706.84	$95,706.84	$95,706.84	nat. median $145,764 0.7× median
4474 OTHER	Other Kidney, Urinary Tract And Related Procedures	7	$95,308.02	$100,073.42	$95,308.02	nat. median $35,998 outlier · 2.6×
1634 OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	$93,798.80	$98,488.74	$93,798.80	nat. median $7,797 outlier · 12.0×
5882 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$93,550.77	$98,228.31	$93,550.77	nat. median $139,074 0.7× median

Other procedures at this hospital

Browse this hospital's 16,274 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

33249	OTHER	Insert Two Leads Pm Or Aicd	20	16	$67,465.00	$23,612.75 65% off	$1,073.68	$58,289.60	$43,346.99	2026-08-01
84	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$5,490.61	$272,162.37	$259,202.26	2026-08-01
74	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$5,816.35	$272,162.37	$259,202.26	2026-08-01
24	OTHER	Heart And/or Lung Transplant	12	12	—	—	$23,371.54	$235,634.14	$224,413.47	2026-08-01
23	OTHER	Heart And/or Lung Transplant	12	12	—	—	$33,518.89	$176,086.17	$167,701.11	2026-08-01
83	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$7,665.26	$154,804.21	$147,432.58	2026-08-01
73	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$8,563.18	$154,804.21	$147,432.58	2026-08-01
64	OTHER	Pancreas Transplant	12	12	—	—	$10,787.85	$146,730.06	$139,742.91	2026-08-01
22	OTHER	Heart And/or Lung Transplant	12	12	—	—	$34,874.31	$124,763.88	$118,822.74	2026-08-01
94	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$20,819.91	$111,709.17	$106,389.69	2026-08-01
21	OTHER	Heart And/or Lung Transplant	12	12	—	—	$45,971.43	$104,728.04	$99,740.99	2026-08-01
72	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$4,637.22	$103,797.59	$98,854.85	2026-08-01
82	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$13,136.96	$103,797.59	$98,854.85	2026-08-01
54	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$8,021.50	$101,370.06	$96,542.91	2026-08-01
13	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$14,693.68	$96,634.94	$92,033.28	2026-08-01
63	OTHER	Pancreas Transplant	12	12	—	—	$9,863.09	$96,288.50	$91,703.33	2026-08-01
234	OTHER	Spinal Procedures	12	12	—	—	$30,845.26	$88,769.93	$84,542.79	2026-08-01
42	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	12	—	—	$11,654.05	$86,621.77	$82,496.92	2026-08-01
12	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$21,493.96	$84,975.52	$80,929.07	2026-08-01
204	OTHER	Open Craniotomy For Trauma	12	12	—	—	$4,673.82	$84,540.68	$80,514.93	2026-08-01
62	OTHER	Pancreas Transplant	12	12	—	—	$11,785.81	$83,429.50	$79,456.67	2026-08-01
93	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$4,446.90	$79,115.82	$75,348.40	2026-08-01
41	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	12	—	—	$14,219.71	$78,746.48	$74,996.65	2026-08-01
224	OTHER	Ventricular Shunt Procedures	12	12	—	—	$44,780.71	$77,854.71	$74,147.34	2026-08-01
11	OTHER	Liver Transplant And/or Intestinal Transplant	12	12	—	—	$30,006.51	$77,829.45	$74,123.29	2026-08-01
894	OTHER	Major Cranial Or Facial Bone Procedures	12	12	—	—	$656.00	$74,400.44	$70,857.56	2026-08-01
53	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$5,693.13	$73,930.08	$70,409.60	2026-08-01
81	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	12	12	—	—	$4,610.99	$71,152.16	$67,763.96	2026-08-01
71	OTHER	Allogeneic Bone Marrow Transplant	12	12	—	—	$6,036.56	$71,152.16	$67,763.96	2026-08-01
734	OTHER	Orbit And Eye Procedures	12	12	—	—	$13,269.70	$69,650.33	$66,333.65	2026-08-01
61	OTHER	Pancreas Transplant	12	12	—	—	$17,067.19	$68,728.57	$65,455.78	2026-08-01
52	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	12	—	—	$9,205.51	$68,487.87	$65,226.54	2026-08-01
264	OTHER	Other Nervous System And Related Procedures	12	12	—	—	$19,627.97	$67,209.39	$64,008.94	2026-08-01
244	OTHER	Open Extracranial Vascular Procedures	12	12	—	—	$13,050.95	$66,306.56	$63,149.10	2026-08-01
914	OTHER	Other Major Head And Neck Procedures	12	12	—	—	$5,064.22	$62,270.66	$59,305.39	2026-08-01
494	OTHER	Bacterial And Tuberculous Infections Of Nervous System	12	12	—	—	$10,712.82	$61,494.10	$58,565.81	2026-08-01
92	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$5,714.48	$54,538.23	$51,941.17	2026-08-01
233	OTHER	Spinal Procedures	12	12	—	—	$44,795.96	$71,871.81	$48,148.93	2026-08-01
203	OTHER	Open Craniotomy For Trauma	12	12	—	—	$4,303.55	$45,081.41	$42,934.68	2026-08-01
913	OTHER	Other Major Head And Neck Procedures	12	12	—	—	$8,416.17	$42,485.00	$40,461.90	2026-08-01
434	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	12	12	—	—	$3,832.02	$40,398.39	$38,474.66	2026-08-01
91	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	12	12	—	—	$9,394.00	$40,086.67	$38,177.78	2026-08-01
33270	OTHER	Ins/rep Subq Defibrillator	13	9	$98,566.00	$34,498.10 65% off	$2,826.00	$78,852.80	$66,532.05	2026-08-01
C1882	HCPCS	Crtd Cobalt Hf MRI Is1 Df1	207	9	$112,062.00	$39,221.70 65% off	$1,281.55	$147,647.20	$43,568.10	2026-08-01
J3101	HCPCS	Tenecteplase Kit 50 Mg-ndc 50242012001	14	9	$60,873.35	$21,305.68 65% off	$173.17	$52,415.99	$41,850.43	2026-08-01
14	OTHER	Liver Transplant And/or Intestinal Transplant	8	8	—	—	$113,173.34	$148,574.38	$141,499.41	2026-08-01
92933	OTHER	Perc Baremetstent Atherect Inj	8	8	$53,776.00	$18,821.60 65% off	$16,501.00	$56,391.77	$40,332.00	2026-08-01
5884	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$241,996.52	$254,096.35	$241,996.52	2026-08-01
5834	OTHER	Neonate With Ecmo	7	7	—	—	$239,924.34	$251,920.56	$239,924.34	2026-08-01
1614	OTHER	Implantable Heart Assist Systems	7	7	—	—	$210,480.22	$221,004.23	$210,480.22	2026-08-01
6304	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$207,792.48	$218,182.10	$207,792.48	2026-08-01
5914	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$186,446.14	$195,768.45	$186,446.14	2026-08-01
6303	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$166,678.18	$175,012.09	$166,678.18	2026-08-01
5891	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$166,206.92	$174,517.27	$166,206.92	2026-08-01
5934	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$163,375.63	$171,544.41	$163,375.63	2026-08-01
5833	OTHER	Neonate With Ecmo	7	7	—	—	$161,361.33	$169,429.40	$161,361.33	2026-08-01
8414	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$147,718.94	$155,104.89	$147,718.94	2026-08-01
5883	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$146,059.40	$153,362.37	$146,059.40	2026-08-01
5892	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$145,193.55	$152,453.23	$145,193.55	2026-08-01
6314	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$142,582.47	$149,711.59	$142,582.47	2026-08-01
6094	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$126,490.61	$132,815.14	$126,490.61	2026-08-01
5832	OTHER	Neonate With Ecmo	7	7	—	—	$124,940.05	$131,187.05	$124,940.05	2026-08-01
44	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$123,714.93	$129,900.68	$123,714.93	2026-08-01
6024	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$121,790.07	$127,879.57	$121,790.07	2026-08-01
8634	OTHER	Neonatal Aftercare	7	7	—	—	$118,815.97	$124,756.77	$118,815.97	2026-08-01
3034	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$115,474.34	$121,248.06	$115,474.34	2026-08-01
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$114,127.46	$119,833.83	$114,127.46	2026-08-01
5831	OTHER	Neonate With Ecmo	7	7	—	—	$112,445.37	$118,067.64	$112,445.37	2026-08-01
1624	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$111,829.05	$117,420.50	$111,829.05	2026-08-01
5933	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$107,786.17	$113,175.48	$107,786.17	2026-08-01
6034	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$106,180.74	$111,489.78	$106,180.74	2026-08-01
4404	OTHER	Kidney Transplant	7	7	—	—	$99,911.60	$104,907.18	$99,911.60	2026-08-01
9124	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	7	—	—	$97,235.14	$102,096.90	$97,235.14	2026-08-01
4474	OTHER	Other Kidney, Urinary Tract And Related Procedures	7	7	—	—	$95,308.02	$100,073.42	$95,308.02	2026-08-01
1634	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$93,798.80	$98,488.74	$93,798.80	2026-08-01
5882	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$93,550.77	$98,228.31	$93,550.77	2026-08-01
3404	OTHER	Fracture Of Femur	7	7	—	—	$92,966.77	$97,615.11	$92,966.77	2026-08-01
8504	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	7	7	—	—	$92,808.19	$97,448.60	$92,808.19	2026-08-01
43	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$90,731.50	$95,268.08	$90,731.50	2026-08-01
924	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	7	7	—	—	$90,297.07	$94,811.92	$90,297.07	2026-08-01
6084	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$89,331.26	$93,797.82	$89,331.26	2026-08-01
9114	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	7	7	—	—	$88,087.35	$92,491.72	$88,087.35	2026-08-01
6074	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$87,787.46	$92,176.83	$87,787.46	2026-08-01
8424	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	7	—	—	$85,921.98	$90,218.08	$85,921.98	2026-08-01
3623	OTHER	Mastectomy Procedures	7	7	—	—	$84,897.54	$89,142.42	$84,897.54	2026-08-01
4054	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	7	7	—	—	$84,508.96	$88,734.41	$84,508.96	2026-08-01
5881	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$84,195.54	$88,405.32	$84,195.54	2026-08-01
6023	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$84,070.78	$88,274.32	$84,070.78	2026-08-01
1674	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	7	7	—	—	$83,803.96	$87,994.16	$83,803.96	2026-08-01
5913	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$83,750.59	$87,938.12	$83,750.59	2026-08-01
214	OTHER	Open Craniotomy Except Trauma	7	7	—	—	$83,179.37	$87,338.34	$83,179.37	2026-08-01
6344	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	7	7	—	—	$82,438.29	$86,560.20	$82,438.29	2026-08-01
3044	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	7	—	—	$80,057.96	$84,060.86	$80,057.96	2026-08-01
6093	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$79,766.34	$83,754.66	$79,766.34	2026-08-01
5932	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$78,977.15	$82,926.01	$78,977.15	2026-08-01
9104	OTHER	Craniotomy For Multiple Significant Trauma	7	7	—	—	$76,883.18	$80,727.34	$76,883.18	2026-08-01
6814	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$76,481.07	$80,305.12	$76,481.07	2026-08-01
1694	OTHER	Major Abdominal Vascular Procedures	7	7	—	—	$75,997.79	$79,797.68	$75,997.79	2026-08-01
404	OTHER	Spinal Disorders And Injuries	7	7	—	—	$73,482.92	$77,157.07	$73,482.92	2026-08-01
6302	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$73,315.31	$76,981.08	$73,315.31	2026-08-01
1613	OTHER	Implantable Heart Assist Systems	7	7	—	—	$73,087.57	$76,741.95	$73,087.57	2026-08-01
4034	OTHER	Procedures For Obesity	7	7	—	—	$72,467.50	$76,090.88	$72,467.50	2026-08-01
8413	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$71,524.99	$75,101.24	$71,524.99	2026-08-01
4834	OTHER	Penis, Testes And Scrotal Procedures	7	7	—	—	$70,936.48	$74,483.30	$70,936.48	2026-08-01
5912	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$70,691.46	$74,226.03	$70,691.46	2026-08-01
2604	OTHER	Major Pancreas, Liver And Shunt Procedures	7	7	—	—	$70,461.47	$73,984.54	$70,461.47	2026-08-01
6033	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$70,384.80	$73,904.04	$70,384.80	2026-08-01
3614	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	7	7	—	—	$70,341.96	$73,859.06	$70,341.96	2026-08-01
9504	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$70,039.06	$73,541.01	$70,039.06	2026-08-01
6114	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$69,982.69	$73,481.82	$69,982.69	2026-08-01
6334	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	7	7	—	—	$69,138.64	$72,595.57	$69,138.64	2026-08-01
6124	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$68,780.88	$72,219.92	$68,780.88	2026-08-01
2644	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	7	7	—	—	$68,698.95	$72,133.90	$68,698.95	2026-08-01
6313	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$68,078.88	$71,482.82	$68,078.88	2026-08-01
6804	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$67,658.73	$71,041.67	$67,658.73	2026-08-01
3033	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$66,831.96	$70,173.56	$66,831.96	2026-08-01
6073	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$66,605.73	$69,936.02	$66,605.73	2026-08-01
3214	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	7	7	—	—	$66,593.71	$69,923.40	$66,593.71	2026-08-01
5104	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	7	7	—	—	$66,469.69	$69,793.17	$66,469.69	2026-08-01
1204	OTHER	Major Respiratory And Chest Procedures	7	7	—	—	$66,194.60	$69,504.33	$66,194.60	2026-08-01
1654	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$65,909.75	$69,205.24	$65,909.75	2026-08-01
4403	OTHER	Kidney Transplant	7	7	—	—	$65,606.10	$68,886.41	$65,606.10	2026-08-01
2324	OTHER	Gastric Fundoplication	7	7	—	—	$65,361.07	$68,629.12	$65,361.07	2026-08-01
2304	OTHER	Major Small Bowel Procedures	7	7	—	—	$65,361.07	$68,629.12	$65,361.07	2026-08-01
2314	OTHER	Major Large Bowel Procedures	7	7	—	—	$65,361.07	$68,629.12	$65,361.07	2026-08-01
3024	OTHER	No Active Code Description	7	7	—	—	$64,737.99	$67,974.89	$64,737.99	2026-08-01
5114	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	7	7	—	—	$64,419.31	$67,640.28	$64,419.31	2026-08-01
8412	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$64,371.96	$67,590.56	$64,371.96	2026-08-01
6022	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$64,342.65	$67,559.78	$64,342.65	2026-08-01
6904	OTHER	Acute Leukemia	7	7	—	—	$64,043.51	$67,245.69	$64,043.51	2026-08-01
6364	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	7	7	—	—	$63,389.61	$66,559.09	$63,389.61	2026-08-01
1664	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	7	—	—	$63,254.33	$66,417.05	$63,254.33	2026-08-01
3154	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	7	7	—	—	$63,200.21	$66,360.22	$63,200.21	2026-08-01
7104	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	7	7	—	—	$62,310.31	$65,425.83	$62,310.31	2026-08-01
4234	OTHER	Inborn Errors Of Metabolism	7	7	—	—	$61,313.68	$64,379.36	$61,313.68	2026-08-01
2294	OTHER	Other Digestive System And Abdominal Procedures	7	7	—	—	$61,216.72	$64,277.56	$61,216.72	2026-08-01
4424	OTHER	Kidney And Urinary Tract Procedures For Malignancy	7	7	—	—	$60,979.97	$64,028.97	$60,979.97	2026-08-01
6144	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	7	7	—	—	$60,148.69	$63,156.12	$60,148.69	2026-08-01
6514	OTHER	Other Procedures Of Blood And Blood-forming Organs	7	7	—	—	$59,264.05	$62,227.25	$59,264.05	2026-08-01
1714	OTHER	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	7	7	—	—	$58,892.01	$61,836.61	$58,892.01	2026-08-01
8444	OTHER	Partial Thickness Burns Without Skin Graft	7	7	—	—	$58,386.93	$61,306.28	$58,386.93	2026-08-01
1214	OTHER	Other Respiratory And Chest Procedures	7	7	—	—	$58,342.59	$61,259.72	$58,342.59	2026-08-01
8434	OTHER	Extensive Third Degree Burns Without Skin Graft	7	7	—	—	$58,293.73	$61,208.42	$58,293.73	2026-08-01
8411	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$57,934.47	$60,831.19	$57,934.47	2026-08-01
2204	OTHER	Major Stomach, Esophageal And Duodenal Procedures	7	7	—	—	$57,555.66	$60,433.44	$57,555.66	2026-08-01
9103	OTHER	Craniotomy For Multiple Significant Trauma	7	7	—	—	$57,483.50	$60,357.68	$57,483.50	2026-08-01
51	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	7	—	—	$56,554.52	$59,382.25	$56,554.52	2026-08-01
4014	OTHER	Adrenal Procedures	7	7	—	—	$55,763.83	$58,552.02	$55,763.83	2026-08-01
3134	OTHER	Knee And Lower Leg Procedures Except Foot	7	7	—	—	$55,282.80	$58,046.94	$55,282.80	2026-08-01
9514	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$54,837.10	$57,578.96	$54,837.10	2026-08-01
6214	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	7	—	—	$54,506.39	$57,231.71	$54,506.39	2026-08-01
6032	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$54,087.00	$56,791.35	$54,087.00	2026-08-01
1304	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	7	—	—	$54,048.67	$56,751.10	$54,048.67	2026-08-01
7234	OTHER	Viral Illness	7	7	—	—	$53,964.49	$56,662.71	$53,964.49	2026-08-01
3032	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$53,962.23	$56,660.34	$53,962.23	2026-08-01
7114	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	7	7	—	—	$53,959.98	$56,657.98	$53,959.98	2026-08-01
1623	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$53,875.80	$56,569.59	$53,875.80	2026-08-01
2224	OTHER	Other Stomach, Esophageal And Duodenal Procedures	7	7	—	—	$53,101.64	$55,756.72	$53,101.64	2026-08-01
4414	OTHER	Major Bladder Procedures	7	7	—	—	$53,089.62	$55,744.10	$53,089.62	2026-08-01
6083	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$52,927.27	$55,573.63	$52,927.27	2026-08-01
5464	OTHER	No Active Code Description	7	7	—	—	$52,484.35	$55,108.57	$52,484.35	2026-08-01
4402	OTHER	Kidney Transplant	7	7	—	—	$52,247.82	$54,860.21	$52,247.82	2026-08-01
2244	OTHER	Peritoneal Adhesiolysis	7	7	—	—	$52,106.52	$54,711.85	$52,106.52	2026-08-01
1603	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$52,006.56	$54,606.89	$52,006.56	2026-08-01
3014	OTHER	No Active Code Description	7	7	—	—	$51,823.92	$54,415.12	$51,823.92	2026-08-01
1653	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$51,397.76	$53,967.65	$51,397.76	2026-08-01
6224	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$51,167.01	$53,725.36	$51,167.01	2026-08-01
3814	OTHER	Major Skin Disorders	7	7	—	—	$51,088.10	$53,642.50	$51,088.10	2026-08-01
3124	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	7	7	—	—	$50,923.49	$53,469.66	$50,923.49	2026-08-01
6254	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	7	7	—	—	$50,035.85	$52,537.64	$50,035.85	2026-08-01
3043	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	7	—	—	$49,934.38	$52,431.10	$49,934.38	2026-08-01
1612	OTHER	Implantable Heart Assist Systems	7	7	—	—	$49,406.00	$51,876.30	$49,406.00	2026-08-01
2284	OTHER	Inguinal, Femoral And Umbilical Hernia Procedures	7	7	—	—	$49,369.93	$51,838.43	$49,369.93	2026-08-01
984	OTHER	Other Ear, Nose, Mouth And Throat Procedures	7	7	—	—	$49,140.69	$51,597.72	$49,140.69	2026-08-01
1774	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	7	7	—	—	$49,114.38	$51,570.10	$49,114.38	2026-08-01
2614	OTHER	Major Biliary Tract Procedures	7	7	—	—	$49,070.79	$51,524.33	$49,070.79	2026-08-01
213	OTHER	Open Craniotomy Except Trauma	7	7	—	—	$48,761.88	$51,199.97	$48,761.88	2026-08-01
9123	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	7	—	—	$48,736.32	$51,173.14	$48,736.32	2026-08-01
1622	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$48,488.29	$50,912.70	$48,488.29	2026-08-01
3094	OTHER	Other Significant Hip And Femur Surgery	7	7	—	—	$48,437.18	$50,859.04	$48,437.18	2026-08-01
5893	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$48,225.23	$50,636.49	$48,225.23	2026-08-01
9524	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$48,193.66	$50,603.34	$48,193.66	2026-08-01
7924	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	7	7	—	—	$48,082.43	$50,486.55	$48,082.43	2026-08-01
7944	OTHER	Non-extensive O.r. Procedures For Other Complications Of Treatment	7	7	—	—	$48,082.43	$50,486.55	$48,082.43	2026-08-01
7934	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	7	7	—	—	$48,082.43	$50,486.55	$48,082.43	2026-08-01
8104	OTHER	Hemorrhage Or Hematoma Due To Complication	7	7	—	—	$48,082.43	$50,486.55	$48,082.43	2026-08-01
1633	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$48,005.01	$50,405.26	$48,005.01	2026-08-01
9304	OTHER	Multiple Significant Trauma Without O.r. Procedure	7	7	—	—	$47,903.54	$50,298.72	$47,903.54	2026-08-01
6954	OTHER	Chemotherapy For Acute Leukemia	7	7	—	—	$47,860.70	$50,253.74	$47,860.70	2026-08-01
1632	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$47,860.70	$50,253.74	$47,860.70	2026-08-01
4401	OTHER	Kidney Transplant	7	7	—	—	$47,714.89	$50,100.63	$47,714.89	2026-08-01
1704	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	7	7	—	—	$47,306.02	$49,671.32	$47,306.02	2026-08-01
2004	OTHER	Cardiac Structural And Valvular Disorders	7	7	—	—	$46,981.33	$49,330.40	$46,981.33	2026-08-01
6234	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	7	7	—	—	$46,978.32	$49,327.24	$46,978.32	2026-08-01
6914	OTHER	Lymphoma, Myeloma And Non-acute Leukemia	7	7	—	—	$46,927.96	$49,274.36	$46,927.96	2026-08-01
1744	OTHER	Percutaneous Cardiac Intervention With Ami	7	7	—	—	$46,737.05	$49,073.90	$46,737.05	2026-08-01
6123	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$46,377.79	$48,696.68	$46,377.79	2026-08-01
6113	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$46,029.04	$48,330.49	$46,029.04	2026-08-01
4013	OTHER	Adrenal Procedures	7	7	—	—	$45,617.91	$47,898.81	$45,617.91	2026-08-01
1303	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	7	—	—	$45,571.31	$47,849.88	$45,571.31	2026-08-01
7404	OTHER	Mental Illness Diagnosis With O.r. Procedure	7	7	—	—	$45,508.93	$47,784.38	$45,508.93	2026-08-01
4044	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	7	7	—	—	$45,481.12	$47,755.18	$45,481.12	2026-08-01
1693	OTHER	Major Abdominal Vascular Procedures	7	7	—	—	$45,460.83	$47,733.87	$45,460.83	2026-08-01
6133	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	7	7	—	—	$45,250.38	$47,512.90	$45,250.38	2026-08-01
6072	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$45,218.06	$47,478.96	$45,218.06	2026-08-01
1764	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	7	7	—	—	$44,992.58	$47,242.21	$44,992.58	2026-08-01
3054	OTHER	Amputation Of Lower Limb Except Toes	7	7	—	—	$44,640.83	$46,872.87	$44,640.83	2026-08-01
2234	OTHER	Other Small And Large Bowel Procedures	7	7	—	—	$44,279.31	$46,493.28	$44,279.31	2026-08-01
4804	OTHER	Major Male Pelvic Procedures	7	7	—	—	$44,208.65	$46,419.08	$44,208.65	2026-08-01
1814	OTHER	Lower Extremity Arterial Procedures	7	7	—	—	$44,031.28	$46,232.84	$44,031.28	2026-08-01
1302	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	7	—	—	$43,787.76	$45,977.15	$43,787.76	2026-08-01
1621	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$43,768.97	$45,957.42	$43,768.97	2026-08-01
5124	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	7	7	—	—	$43,553.25	$45,730.91	$43,553.25	2026-08-01
1631	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$43,509.66	$45,685.14	$43,509.66	2026-08-01
6504	OTHER	Splenectomy	7	7	—	—	$42,991.81	$45,141.40	$42,991.81	2026-08-01
3084	OTHER	Hip And Femur Fracture Repair	7	7	—	—	$42,960.24	$45,108.25	$42,960.24	2026-08-01
2274	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	7	7	—	—	$42,924.91	$45,071.16	$42,924.91	2026-08-01
6903	OTHER	Acute Leukemia	7	7	—	—	$42,921.16	$45,067.22	$42,921.16	2026-08-01
3213	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	7	7	—	—	$42,006.45	$44,106.77	$42,006.45	2026-08-01
3624	OTHER	Mastectomy Procedures	7	7	—	—	$41,708.06	$43,793.46	$41,708.06	2026-08-01
8604	OTHER	Rehabilitation	7	7	—	—	$41,370.59	$43,439.12	$41,370.59	2026-08-01
1203	OTHER	Major Respiratory And Chest Procedures	7	7	—	—	$41,363.83	$43,432.02	$41,363.83	2026-08-01
3174	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	7	7	—	—	$40,733.23	$42,769.89	$40,733.23	2026-08-01
8904	OTHER	HIV With Multiple Major HIV Related Conditions	7	7	—	—	$40,700.91	$42,735.96	$40,700.91	2026-08-01
1611	OTHER	Implantable Heart Assist Systems	7	7	—	—	$40,652.81	$42,685.45	$40,652.81	2026-08-01
6614	OTHER	Coagulation And Platelet Disorders	7	7	—	—	$40,593.43	$42,623.10	$40,593.43	2026-08-01
5184	OTHER	Other Female Reproductive System And Related Procedures	7	7	—	—	$40,390.50	$42,410.02	$40,390.50	2026-08-01
9102	OTHER	Craniotomy For Multiple Significant Trauma	7	7	—	—	$40,360.44	$42,378.46	$40,360.44	2026-08-01
1824	OTHER	Other Peripheral Vascular Procedures	7	7	—	—	$40,174.79	$42,183.53	$40,174.79	2026-08-01
6813	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$39,953.82	$41,951.51	$39,953.82	2026-08-01
5424	OTHER	Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c	7	7	—	—	$39,766.37	$41,754.69	$39,766.37	2026-08-01
6143	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	7	7	—	—	$39,708.04	$41,693.44	$39,708.04	2026-08-01
893	OTHER	Major Cranial Or Facial Bone Procedures	7	7	—	—	$39,628.37	$41,609.79	$39,628.37	2026-08-01
6924	OTHER	Radiotherapy	7	7	—	—	$39,424.69	$41,395.92	$39,424.69	2026-08-01
1934	OTHER	Acute And Subacute Endocarditis	7	7	—	—	$39,344.27	$41,311.48	$39,344.27	2026-08-01
1652	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$39,263.09	$41,226.24	$39,263.09	2026-08-01
6082	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$38,712.17	$40,647.78	$38,712.17	2026-08-01
4444	OTHER	Renal Dialysis Access Device Procedures And Vessel Repair	7	7	—	—	$38,552.83	$40,480.47	$38,552.83	2026-08-01
1651	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$38,234.90	$40,146.65	$38,234.90	2026-08-01
3	OTHER	Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi…	5	5	—	—	$107,509.45	$172,490.98	$155,236.60	2026-08-01
215	OTHER	Other Heart Assist System Implant	5	5	—	—	$78,605.09	$126,116.06	$113,500.59	2026-08-01
4	OTHER	Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosis Except…	5	5	—	—	$67,504.43	$108,305.88	$97,471.97	2026-08-01
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Of Hemorrhage With Mcc	5	5	—	—	$60,994.51	$97,861.19	$88,072.07	2026-08-01
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	5	—	—	$57,947.56	$92,972.59	$83,672.48	2026-08-01
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature/malignancy/infection Or Exte…	5	5	—	—	$56,146.84	$90,083.46	$80,577.49	2026-08-01
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	5	5	—	—	$46,405.75	$74,454.60	$67,006.86	2026-08-01
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	5	5	—	—	$47,290.25	$75,873.72	$64,493.05	2026-08-01
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	5	5	—	—	$44,550.13	$71,477.40	$64,327.47	2026-08-01
226	OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	5	5	—	—	$41,463.53	$66,525.18	$59,339.96	2026-08-01
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature/malignancy/infection Or Exte…	5	5	—	—	$41,517.82	$66,612.28	$57,792.51	2026-08-01
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	5	5	—	—	$39,813.48	$63,877.79	$57,488.05	2026-08-01
228	OTHER	Other Cardiothoracic Procedures With Mcc	5	5	—	—	$40,238.04	$64,558.97	$55,778.34	2026-08-01
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	5	—	—	$38,325.69	$61,490.74	$55,339.78	2026-08-01
870	OTHER	Septicemia Or Severe Sepsis With Mechanical Ventilation >96 Hours	5	5	—	—	$37,146.56	$59,598.92	$53,637.20	2026-08-01
459	OTHER	Spinal Fusion Except Cervical With Mcc	5	5	—	—	$36,832.41	$60,797.80	$53,183.58	2026-08-01
955	OTHER	Craniotomy For Multiple Significant Trauma	5	5	—	—	$36,784.22	$59,017.57	$53,114.00	2026-08-01
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	5	5	—	—	$35,249.46	$56,555.16	$50,897.91	2026-08-01
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	5	5	—	—	$37,250.26	$59,765.29	$50,800.81	2026-08-01
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	5	5	—	—	$34,792.57	$55,822.11	$50,238.19	2026-08-01
225	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization Without Acute Myocard…	5	5	—	—	$34,533.32	$55,406.16	$49,863.85	2026-08-01
28	OTHER	Spinal Procedures With Mcc	5	5	—	—	$33,907.46	$54,402.02	$48,960.15	2026-08-01
653	OTHER	Major Bladder Procedures With Mcc	5	5	—	—	$33,733.00	$54,122.11	$48,708.24	2026-08-01
834	OTHER	Acute Leukemia Without Major O.r. Procedure With Mcc	5	5	—	—	$33,512.79	$53,768.80	$48,390.27	2026-08-01
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	5	5	—	—	$33,455.45	$53,676.80	$48,307.48	2026-08-01
969	OTHER	HIV With Extensive O.r. Procedure With Mcc	5	5	—	—	$33,208.40	$53,280.43	$47,950.75	2026-08-01
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	5	—	—	$34,672.40	$55,629.31	$47,926.62	2026-08-01
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedure With Mcc	5	5	—	—	$33,047.36	$53,022.05	$47,718.22	2026-08-01
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	5	5	—	—	$32,253.14	$51,747.78	$46,571.42	2026-08-01
227	OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	5	5	—	—	$32,969.89	$52,897.76	$46,398.69	2026-08-01
245	OTHER	Aicd Generator Procedures	5	5	—	—	$33,259.64	$53,362.64	$46,208.81	2026-08-01
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	5	5	—	—	$31,355.83	$50,308.12	$45,275.76	2026-08-01
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedure With Mcc	5	5	—	—	$31,280.19	$50,186.76	$45,166.54	2026-08-01
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature/malignancy/infection Or Exte…	5	5	—	—	$32,730.77	$52,514.11	$44,637.26	2026-08-01
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	5	5	—	—	$31,810.89	$51,038.23	$44,498.09	2026-08-01
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	5	5	—	—	$30,762.30	$49,355.84	$44,418.74	2026-08-01
270	OTHER	Other Major Cardiovascular Procedures With Mcc	5	5	—	—	$30,140.71	$48,358.55	$43,521.21	2026-08-01
329	OTHER	Major Small And Large Bowel Procedures With Mcc	5	5	—	—	$29,971.13	$48,086.47	$43,276.35	2026-08-01
163	OTHER	Major Chest Procedures With Mcc	5	5	—	—	$30,147.42	$48,369.31	$43,244.34	2026-08-01
799	OTHER	Splenectomy With Mcc	5	5	—	—	$29,749.09	$47,730.22	$42,955.74	2026-08-01
455	OTHER	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	5	5	—	—	$30,977.02	$49,700.34	$42,708.41	2026-08-01
38240	OTHER	Transplt Allo Hct/donor	5	5	—	—	$2,826.00	$48,709.47	$41,403.05	2026-08-01
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	5	5	—	—	$28,338.16	$45,466.49	$40,918.44	2026-08-01
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	5	5	—	—	$27,741.58	$46,765.15	$40,057.02	2026-08-01
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	5	5	—	—	$27,650.69	$44,363.49	$39,925.78	2026-08-01
856	OTHER	Postoperative Or Posttraumatic Infections With O.r. Procedure With Mcc	5	5	—	—	$27,152.93	$43,564.87	$39,207.05	2026-08-01
229	OTHER	Other Cardiothoracic Procedures Without Mcc	5	5	—	—	$27,963.62	$44,865.57	$38,135.96	2026-08-01
625034252	OTHER	Impella Cp Pump Set	4	4	$131,239.00	$45,933.65 65% off	$88,586.33	$104,991.20	$91,867.30	2026-08-01
625086706	OTHER	Impella 2.5 Pumpset	4	4	$97,214.00	$34,024.90 65% off	$65,619.45	$77,771.20	$68,049.80	2026-08-01
33289	OTHER	Tcat Impl Wrls P-art Prs Snr	4	4	—	—	$18,484.66	$46,945.17	$41,077.02	2026-08-01
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	1	—	—	$245,195.59	$245,195.59	$245,195.59	2026-08-01
927	OTHER	Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi…	1	1	—	—	$176,958.68	$176,958.68	$176,958.68	2026-08-01
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	1	—	—	$124,343.56	$124,343.56	$124,343.56	2026-08-01
7	OTHER	Lung Transplant	1	1	—	—	$95,706.84	$95,706.84	$95,706.84	2026-08-01
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	1	1	—	—	$91,504.59	$91,504.59	$91,504.59	2026-08-01
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	1	1	—	—	$61,092.38	$61,092.38	$61,092.38	2026-08-01
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	1	1	—	—	$54,967.35	$54,967.35	$54,967.35	2026-08-01
8	OTHER	Simultaneous Pancreas/kidney Transplant	1	1	—	—	$49,831.66	$49,831.66	$49,831.66	2026-08-01
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	1	1	—	—	$49,449.23	$49,449.23	$49,449.23	2026-08-01
6	OTHER	Liver Transplant Without Mcc	1	1	—	—	$43,228.37	$43,228.37	$43,228.37	2026-08-01
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	1	1	—	—	$39,461.78	$39,461.78	$39,461.78	2026-08-01

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