|
5834
|
OTHER
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$852,006.53
|
$937,207.18
|
$861,042.30
|
2026-05-23
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$721,447.81
|
$793,592.59
|
$729,098.98
|
2026-05-23
|
|
5884
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$539,306.15
|
$593,236.77
|
$545,025.65
|
2026-05-23
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$523,703.27
|
$576,073.60
|
$529,257.29
|
2026-05-23
|
|
74
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
11
|
—
|
—
|
$7,528.50
|
$911,716.01
|
$419,352.24
|
2026-05-23
|
|
6304
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
5
|
—
|
—
|
$401,279.73
|
$441,407.70
|
$405,535.42
|
2026-05-23
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$397,723.68
|
$437,496.04
|
$401,941.65
|
2026-05-23
|
|
24
|
OTHER
|
Heart And/or Lung Transplant
|
20
|
11
|
—
|
—
|
$36,091.97
|
$763,413.60
|
$381,220.58
|
2026-05-23
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$359,480.97
|
$395,429.07
|
$363,293.37
|
2026-05-23
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
6
|
—
|
—
|
$333,882.65
|
$395,395.71
|
$344,973.92
|
2026-05-23
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
6
|
—
|
—
|
$275,502.39
|
$373,661.60
|
$335,961.00
|
2026-05-23
|
|
2004
|
OTHER
|
Cardiac Structural And Valvular Disorders
|
10
|
5
|
—
|
—
|
$317,208.82
|
$348,929.70
|
$320,572.92
|
2026-05-23
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$316,530.14
|
$348,183.16
|
$319,887.04
|
2026-05-23
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$289,374.02
|
$318,311.42
|
$292,442.92
|
2026-05-23
|
|
5882
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$288,051.44
|
$316,856.58
|
$291,106.31
|
2026-05-23
|
|
44
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
5
|
—
|
—
|
$287,306.57
|
$316,037.23
|
$290,353.55
|
2026-05-23
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$286,071.49
|
$314,678.64
|
$289,105.36
|
2026-05-23
|
|
612
|
OTHER
|
Neonate, Birth Weight <750 Grams, Discharged Alive
|
6
|
3
|
—
|
—
|
$256,739.79
|
$320,797.95
|
$286,992.30
|
2026-05-23
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
5
|
—
|
—
|
$283,214.31
|
$311,535.74
|
$286,217.88
|
2026-05-23
|
|
8504
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
10
|
5
|
—
|
—
|
$275,753.33
|
$303,328.66
|
$278,677.78
|
2026-05-23
|
|
5914
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$273,283.17
|
$300,611.48
|
$276,181.41
|
2026-05-23
|
|
1613
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$272,961.21
|
$300,257.34
|
$275,856.05
|
2026-05-23
|
|
633
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…
|
6
|
3
|
—
|
—
|
$211,665.11
|
$350,077.83
|
$275,126.75
|
2026-05-23
|
|
5881
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$271,518.60
|
$298,670.46
|
$274,398.13
|
2026-05-23
|
|
94
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
11
|
—
|
—
|
$29,779.44
|
$539,690.25
|
$266,789.55
|
2026-05-23
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
10
|
6
|
—
|
—
|
$223,634.66
|
$274,529.70
|
$264,643.66
|
2026-05-23
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
10
|
6
|
—
|
—
|
$236,548.80
|
$300,989.64
|
$255,990.90
|
2026-05-23
|
|
6814
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
5
|
—
|
—
|
$243,211.53
|
$267,532.68
|
$245,790.86
|
2026-05-23
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
5
|
—
|
—
|
$243,075.79
|
$267,383.37
|
$245,653.68
|
2026-05-23
|
|
2464
|
OTHER
|
Gastrointestinal Vascular Insufficiency
|
10
|
5
|
—
|
—
|
$235,715.77
|
$259,287.35
|
$238,215.61
|
2026-05-23
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$234,499.76
|
$257,949.74
|
$236,986.70
|
2026-05-23
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
5
|
—
|
—
|
$227,557.05
|
$250,312.75
|
$229,970.35
|
2026-05-23
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$226,876.12
|
$249,563.74
|
$229,282.21
|
2026-05-23
|
|
631
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Discharged Alive
|
6
|
3
|
—
|
—
|
$206,197.89
|
$232,613.67
|
$227,963.22
|
2026-05-23
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
5
|
—
|
—
|
$220,549.27
|
$242,604.20
|
$222,888.26
|
2026-05-23
|
|
636
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…
|
6
|
3
|
—
|
—
|
$185,129.89
|
$261,769.08
|
$220,646.03
|
2026-05-23
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$212,042.79
|
$233,247.07
|
$214,291.56
|
2026-05-23
|
|
14
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
20
|
11
|
—
|
—
|
$108,745.32
|
$273,468.04
|
$213,297.00
|
2026-05-23
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$208,563.02
|
$229,419.32
|
$210,774.89
|
2026-05-23
|
|
5893
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
5
|
—
|
—
|
$206,870.25
|
$227,557.27
|
$209,064.16
|
2026-05-23
|
|
6214
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$198,054.15
|
$217,859.57
|
$200,154.58
|
2026-05-23
|
|
1612
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$196,216.67
|
$215,838.34
|
$198,297.61
|
2026-05-23
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
10
|
5
|
—
|
—
|
$190,964.49
|
$210,060.93
|
$192,989.72
|
2026-05-23
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
5
|
—
|
—
|
$189,130.37
|
$208,043.41
|
$191,136.15
|
2026-05-23
|
|
1611
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$186,093.70
|
$204,703.07
|
$188,067.28
|
2026-05-23
|
|
4404
|
OTHER
|
Kidney Transplant
|
10
|
5
|
—
|
—
|
$185,633.77
|
$204,197.15
|
$187,602.48
|
2026-05-23
|
|
43
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
5
|
—
|
—
|
$184,722.88
|
$203,195.17
|
$186,681.92
|
2026-05-23
|
|
5913
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$179,956.43
|
$197,952.07
|
$181,864.92
|
2026-05-23
|
|
6804
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
5
|
—
|
—
|
$179,956.43
|
$197,952.07
|
$181,864.92
|
2026-05-23
|
|
6084
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$179,446.02
|
$197,390.62
|
$181,349.10
|
2026-05-23
|
|
114
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
11
|
—
|
—
|
$8,799.30
|
$375,485.79
|
$178,554.96
|
2026-05-23
|
|
4414
|
OTHER
|
Major Bladder Procedures
|
10
|
5
|
—
|
—
|
$175,676.83
|
$193,244.51
|
$177,539.93
|
2026-05-23
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
10
|
6
|
—
|
—
|
$153,593.17
|
$174,714.35
|
$173,834.01
|
2026-05-23
|
|
1784
|
OTHER
|
External Heart Assist Systems
|
10
|
5
|
—
|
—
|
$164,540.89
|
$180,994.98
|
$166,285.89
|
2026-05-23
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$162,039.31
|
$178,243.24
|
$163,757.79
|
2026-05-23
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$161,853.09
|
$178,038.40
|
$163,569.60
|
2026-05-23
|
|
1674
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
5
|
—
|
—
|
$161,137.40
|
$177,251.14
|
$162,846.31
|
2026-05-23
|
|
6904
|
OTHER
|
Acute Leukemia
|
10
|
5
|
—
|
—
|
$159,690.30
|
$175,659.33
|
$161,383.85
|
2026-05-23
|
|
73
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
11
|
—
|
—
|
$8,608.50
|
$321,709.75
|
$156,778.82
|
2026-05-23
|
|
35871458
|
OTHER
|
Ors Autologous Cultured Chondronytes
|
12
|
12
|
$212,328.00
|
$42,465.60
80% off
|
$38,219.04
|
$169,862.40
|
$156,061.08
|
2026-05-23
|
|
6334
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$150,514.11
|
$165,565.52
|
$152,110.36
|
2026-05-23
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
5
|
—
|
—
|
$149,596.49
|
$164,556.14
|
$151,183.01
|
2026-05-23
|
|
5912
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$148,582.40
|
$163,440.64
|
$150,158.16
|
2026-05-23
|
|
6074
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$147,128.57
|
$161,841.43
|
$148,688.91
|
2026-05-23
|
|
2204
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
10
|
5
|
—
|
—
|
$140,200.44
|
$154,220.48
|
$141,687.30
|
2026-05-23
|
|
6134
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
5
|
—
|
—
|
$139,436.51
|
$153,380.16
|
$140,915.27
|
2026-05-23
|
|
4474
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
10
|
5
|
—
|
—
|
$139,110.07
|
$153,021.07
|
$140,585.37
|
2026-05-23
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
10
|
6
|
—
|
—
|
$103,435.50
|
$156,224.70
|
$139,511.54
|
2026-05-23
|
|
7
|
OTHER
|
Lung Transplant
|
10
|
6
|
—
|
—
|
$109,958.20
|
$143,298.90
|
$139,369.26
|
2026-05-23
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
10
|
6
|
—
|
—
|
$113,250.56
|
$181,875.60
|
$139,116.43
|
2026-05-23
|
|
9104
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$136,553.52
|
$150,208.88
|
$138,001.71
|
2026-05-23
|
|
6023
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$134,793.45
|
$148,272.79
|
$136,222.96
|
2026-05-23
|
|
84
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
11
|
—
|
—
|
$8,105.93
|
$272,372.28
|
$135,770.18
|
2026-05-23
|
|
112
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
16
|
8
|
—
|
—
|
$2,910.91
|
$148,278.96
|
$134,880.64
|
2026-05-23
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
6
|
3
|
—
|
—
|
$121,488.89
|
$140,107.67
|
$134,312.71
|
2026-05-23
|
|
9504
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
5
|
—
|
—
|
$132,499.40
|
$145,749.34
|
$133,904.60
|
2026-05-23
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
10
|
6
|
—
|
—
|
$107,331.52
|
$146,363.40
|
$133,308.57
|
2026-05-23
|
|
651
|
OTHER
|
Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu…
|
10
|
6
|
—
|
—
|
$95,912.10
|
$158,095.12
|
$131,563.75
|
2026-05-23
|
|
359
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
6
|
3
|
—
|
—
|
$116,787.36
|
$147,504.28
|
$131,258.79
|
2026-05-23
|
|
6093
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$127,937.11
|
$140,730.82
|
$129,293.92
|
2026-05-23
|
|
5932
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$127,307.79
|
$140,038.57
|
$128,657.92
|
2026-05-23
|
|
3033
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
5
|
—
|
—
|
$126,552.83
|
$139,208.11
|
$127,894.96
|
2026-05-23
|
|
1824
|
OTHER
|
Other Peripheral Vascular Procedures
|
10
|
5
|
—
|
—
|
$126,450.75
|
$139,095.82
|
$127,791.79
|
2026-05-23
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$126,375.59
|
$139,013.14
|
$127,715.84
|
2026-05-23
|
|
7924
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
5
|
—
|
—
|
$124,307.02
|
$136,737.72
|
$125,625.33
|
2026-05-23
|
|
3044
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
5
|
—
|
—
|
$124,276.73
|
$136,704.40
|
$125,594.72
|
2026-05-23
|
|
64
|
OTHER
|
Pancreas Transplant
|
20
|
11
|
—
|
—
|
$19,878.27
|
$250,332.49
|
$125,432.15
|
2026-05-23
|
|
93
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
11
|
—
|
—
|
$6,164.39
|
$265,148.67
|
$125,303.82
|
2026-05-23
|
|
2054
|
OTHER
|
Cardiomyopathy
|
10
|
5
|
—
|
—
|
$123,925.61
|
$136,318.17
|
$125,239.88
|
2026-05-23
|
|
6954
|
OTHER
|
Chemotherapy For Acute Leukemia
|
10
|
5
|
—
|
—
|
$123,766.32
|
$136,142.95
|
$125,078.89
|
2026-05-23
|
|
8413
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$123,639.56
|
$136,003.51
|
$124,950.79
|
2026-05-23
|
|
23
|
OTHER
|
Heart And/or Lung Transplant
|
20
|
11
|
—
|
—
|
$57,536.79
|
$188,028.55
|
$122,994.38
|
2026-05-23
|
|
6514
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
10
|
5
|
—
|
—
|
$121,154.81
|
$133,270.29
|
$122,439.68
|
2026-05-23
|
|
6144
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
10
|
5
|
—
|
—
|
$119,508.03
|
$131,458.83
|
$120,775.45
|
2026-05-23
|
|
1623
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$119,304.99
|
$131,235.49
|
$120,570.25
|
2026-05-23
|
|
2304
|
OTHER
|
Major Small Bowel Procedures
|
10
|
5
|
—
|
—
|
$118,592.66
|
$130,451.92
|
$119,850.36
|
2026-05-23
|
|
224
|
OTHER
|
Ventricular Shunt Procedures
|
10
|
5
|
—
|
—
|
$118,124.87
|
$129,937.36
|
$119,377.62
|
2026-05-23
|
|
214
|
OTHER
|
Open Craniotomy Except Trauma
|
16
|
8
|
—
|
—
|
$4,932.99
|
$130,924.53
|
$119,094.34
|
2026-05-23
|
|
4424
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
10
|
5
|
—
|
—
|
$117,477.60
|
$129,225.36
|
$118,723.49
|
2026-05-23
|
|
9524
|
OTHER
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
5
|
—
|
—
|
$116,756.30
|
$128,431.93
|
$117,994.53
|
2026-05-23
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
6
|
—
|
—
|
$92,907.51
|
$131,904.00
|
$117,481.79
|
2026-05-23
|
|
9114
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$115,689.48
|
$127,258.43
|
$116,916.40
|
2026-05-23
|
|
4403
|
OTHER
|
Kidney Transplant
|
10
|
5
|
—
|
—
|
$113,616.43
|
$124,978.07
|
$114,821.36
|
2026-05-23
|
|
3154
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
10
|
5
|
—
|
—
|
$113,608.57
|
$124,969.43
|
$114,813.42
|
2026-05-23
|
|
1694
|
OTHER
|
Major Abdominal Vascular Procedures
|
10
|
5
|
—
|
—
|
$113,222.68
|
$124,544.95
|
$114,423.43
|
2026-05-23
|
|
1204
|
OTHER
|
Major Respiratory And Chest Procedures
|
10
|
5
|
—
|
—
|
$112,762.75
|
$124,039.02
|
$113,958.63
|
2026-05-23
|
|
4834
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
10
|
5
|
—
|
—
|
$112,334.23
|
$123,567.65
|
$113,525.57
|
2026-05-23
|
|
22
|
OTHER
|
Heart And/or Lung Transplant
|
20
|
11
|
—
|
—
|
$35,671.63
|
$151,049.20
|
$113,114.68
|
2026-05-23
|
|
9124
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$110,982.48
|
$122,080.73
|
$112,159.48
|
2026-05-23
|
|
1304
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
5
|
—
|
—
|
$110,954.43
|
$122,049.88
|
$112,131.14
|
2026-05-23
|
|
1654
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$109,302.05
|
$120,232.25
|
$110,461.23
|
2026-05-23
|
|
634
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…
|
6
|
3
|
—
|
—
|
$95,299.94
|
$125,479.04
|
$109,409.99
|
2026-05-23
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
10
|
6
|
—
|
—
|
$95,979.53
|
$119,377.80
|
$108,568.34
|
2026-05-23
|
|
5911
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$107,129.15
|
$117,842.07
|
$108,265.29
|
2026-05-23
|
|
234
|
OTHER
|
Spinal Procedures
|
20
|
11
|
—
|
—
|
$56,481.31
|
$150,754.29
|
$107,933.43
|
2026-05-23
|
|
2604
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
10
|
5
|
—
|
—
|
$106,544.71
|
$117,199.18
|
$107,674.65
|
2026-05-23
|
|
113
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
11
|
—
|
—
|
$11,881.80
|
$213,370.42
|
$107,038.33
|
2026-05-23
|
|
21
|
OTHER
|
Heart And/or Lung Transplant
|
20
|
11
|
—
|
—
|
$50,408.58
|
$116,998.04
|
$106,490.61
|
2026-05-23
|
|
1783
|
OTHER
|
External Heart Assist Systems
|
10
|
5
|
—
|
—
|
$105,297.28
|
$115,827.01
|
$106,413.99
|
2026-05-23
|
|
1214
|
OTHER
|
Other Respiratory And Chest Procedures
|
10
|
5
|
—
|
—
|
$105,236.71
|
$115,760.38
|
$106,352.77
|
2026-05-23
|
|
6313
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
5
|
—
|
—
|
$104,851.94
|
$115,337.13
|
$105,963.92
|
2026-05-23
|
|
6254
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
10
|
5
|
—
|
—
|
$104,004.99
|
$114,405.49
|
$105,107.99
|
2026-05-23
|
|
72
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
11
|
—
|
—
|
$8,122.59
|
$216,153.00
|
$105,061.67
|
2026-05-23
|
|
6124
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$103,705.47
|
$114,076.02
|
$104,805.30
|
2026-05-23
|
|
1603
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
5
|
—
|
—
|
$102,721.67
|
$112,993.84
|
$103,811.06
|
2026-05-23
|
|
2244
|
OTHER
|
Peritoneal Adhesiolysis
|
10
|
5
|
—
|
—
|
$102,557.89
|
$112,813.68
|
$103,645.54
|
2026-05-23
|
|
6022
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$101,843.31
|
$112,027.64
|
$102,923.39
|
2026-05-23
|
|
35865641
|
OTHER
|
Ors Vns Sentiva Generator
|
22
|
11
|
$137,008.00
|
$27,401.60
80% off
|
$20,551.20
|
$109,606.40
|
$102,756.00
|
2026-05-23
|
|
3614
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
10
|
5
|
—
|
—
|
$101,558.38
|
$111,714.22
|
$102,635.43
|
2026-05-23
|
|
51
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
5
|
—
|
—
|
$99,301.35
|
$109,231.49
|
$100,354.47
|
2026-05-23
|
|
54
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
11
|
—
|
—
|
$11,023.32
|
$203,264.28
|
$99,819.29
|
2026-05-23
|
|
1814
|
OTHER
|
Lower Extremity Arterial Procedures
|
10
|
5
|
—
|
—
|
$98,343.35
|
$108,177.69
|
$99,386.31
|
2026-05-23
|
|
2274
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
10
|
5
|
—
|
—
|
$98,042.71
|
$107,846.98
|
$99,082.49
|
2026-05-23
|
|
83
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
11
|
—
|
—
|
$11,757.53
|
$184,103.32
|
$98,819.08
|
2026-05-23
|
|
6604
|
OTHER
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
10
|
5
|
—
|
—
|
$97,720.76
|
$107,492.84
|
$98,757.12
|
2026-05-23
|
|
6234
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
10
|
5
|
—
|
—
|
$97,700.57
|
$107,470.63
|
$98,736.71
|
2026-05-23
|
|
8424
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
5
|
—
|
—
|
$97,590.63
|
$107,349.70
|
$98,625.61
|
2026-05-23
|
|
365
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
3
|
3
|
—
|
—
|
$89,508.67
|
$99,454.08
|
$98,459.54
|
2026-05-23
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
10
|
6
|
—
|
—
|
$72,196.20
|
$129,397.50
|
$97,311.79
|
2026-05-23
|
|
1834
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
10
|
5
|
—
|
—
|
$95,102.52
|
$104,612.77
|
$96,111.11
|
2026-05-23
|
|
2614
|
OTHER
|
Major Biliary Tract Procedures
|
10
|
5
|
—
|
—
|
$93,593.72
|
$102,953.09
|
$94,586.31
|
2026-05-23
|
|
46040325
|
OTHER
|
Sodium Benzoate-sodium Phenylacetate 10%-10% Inj 50 Ml
|
47
|
12
|
$164,378.46
|
$32,875.69
80% off
|
$7,884.00
|
$131,503.20
|
$94,345.20
|
2026-05-23
|
|
6073
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$93,259.43
|
$102,585.37
|
$94,248.48
|
2026-05-23
|
|
632
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Died
|
6
|
3
|
—
|
—
|
$76,533.64
|
$114,161.92
|
$93,891.55
|
2026-05-23
|
|
1833
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
10
|
5
|
—
|
—
|
$92,766.97
|
$102,043.66
|
$93,750.79
|
2026-05-23
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
6
|
—
|
—
|
$48,627.22
|
$102,656.54
|
$93,534.30
|
2026-05-23
|
|
9514
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
5
|
—
|
—
|
$92,403.51
|
$101,643.86
|
$93,383.48
|
2026-05-23
|
|
3032
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
5
|
—
|
—
|
$91,820.18
|
$101,002.20
|
$92,793.96
|
2026-05-23
|
|
35865666
|
OTHER
|
Ors Vns Aspiresr Generator
|
22
|
11
|
$121,776.00
|
$24,355.20
80% off
|
$18,266.40
|
$97,420.80
|
$91,332.00
|
2026-05-23
|
|
1782
|
OTHER
|
External Heart Assist Systems
|
10
|
5
|
—
|
—
|
$90,373.08
|
$99,410.39
|
$91,331.51
|
2026-05-23
|
|
7104
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
10
|
5
|
—
|
—
|
$90,219.40
|
$99,241.34
|
$91,176.20
|
2026-05-23
|
|
6033
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$89,427.42
|
$98,370.16
|
$90,375.82
|
2026-05-23
|
|
1622
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$89,086.40
|
$97,995.04
|
$90,031.18
|
2026-05-23
|
|
2234
|
OTHER
|
Other Small And Large Bowel Procedures
|
10
|
5
|
—
|
—
|
$88,058.84
|
$96,864.73
|
$88,992.74
|
2026-05-23
|
|
6914
|
OTHER
|
Lymphoma, Myeloma And Non-acute Leukemia
|
10
|
5
|
—
|
—
|
$87,517.02
|
$96,268.72
|
$88,445.17
|
2026-05-23
|
|
6944
|
OTHER
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
10
|
5
|
—
|
—
|
$86,630.81
|
$95,293.90
|
$87,549.56
|
2026-05-23
|
|
7234
|
OTHER
|
Viral Illness
|
10
|
5
|
—
|
—
|
$86,513.03
|
$95,164.33
|
$87,430.52
|
2026-05-23
|
|
91
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
11
|
—
|
—
|
$14,661.00
|
$169,120.57
|
$87,295.11
|
2026-05-23
|
|
61
|
OTHER
|
Pancreas Transplant
|
20
|
11
|
—
|
—
|
$24,663.12
|
$144,433.94
|
$87,165.39
|
2026-05-23
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
7
|
6
|
—
|
—
|
$86,601.60
|
$98,675.33
|
$86,601.60
|
2026-05-23
|
|
924
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
10
|
5
|
—
|
—
|
$85,583.07
|
$94,141.38
|
$86,490.70
|
2026-05-23
|
|
63
|
OTHER
|
Pancreas Transplant
|
20
|
11
|
—
|
—
|
$12,594.51
|
$161,774.79
|
$85,553.49
|
2026-05-23
|
|
1633
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$84,637.41
|
$93,101.15
|
$85,535.01
|
2026-05-23
|
|
1664
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$84,470.26
|
$92,917.29
|
$85,366.10
|
2026-05-23
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
10
|
6
|
—
|
—
|
$81,469.41
|
$91,277.69
|
$85,338.00
|
2026-05-23
|
|
635
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Died
|
6
|
3
|
—
|
—
|
$62,854.02
|
$111,559.22
|
$85,120.55
|
2026-05-23
|
|
92
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
20
|
11
|
—
|
—
|
$8,771.62
|
$174,387.11
|
$84,738.71
|
2026-05-23
|
|
6614
|
OTHER
|
Coagulation And Platelet Disorders
|
10
|
5
|
—
|
—
|
$83,702.96
|
$92,073.26
|
$84,590.65
|
2026-05-23
|
|
264
|
OTHER
|
Other Nervous System And Related Procedures
|
20
|
11
|
—
|
—
|
$21,278.17
|
$140,645.67
|
$84,577.61
|
2026-05-23
|
|
1781
|
OTHER
|
External Heart Assist Systems
|
10
|
5
|
—
|
—
|
$82,843.67
|
$91,128.04
|
$83,722.26
|
2026-05-23
|
|
834
|
OTHER
|
Acute Leukemia With Mcc
|
10
|
6
|
—
|
—
|
$78,442.77
|
$93,682.87
|
$83,075.35
|
2026-05-23
|
|
52
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
11
|
—
|
—
|
$14,514.74
|
$133,718.22
|
$83,005.30
|
2026-05-23
|
|
1764
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
10
|
5
|
—
|
—
|
$82,060.67
|
$90,266.74
|
$82,930.95
|
2026-05-23
|
|
434
|
OTHER
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
20
|
11
|
—
|
—
|
$5,187.61
|
$174,583.31
|
$82,874.15
|
2026-05-23
|
|
11
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
20
|
11
|
—
|
—
|
$54,055.55
|
$104,158.67
|
$82,029.50
|
2026-05-23
|
|
62
|
OTHER
|
Pancreas Transplant
|
20
|
11
|
—
|
—
|
$16,285.92
|
$146,323.13
|
$81,986.46
|
2026-05-23
|
|
5134
|
OTHER
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
10
|
5
|
—
|
—
|
$80,897.38
|
$88,987.12
|
$81,755.32
|
2026-05-23
|
|
1794
|
OTHER
|
Defibrillator Implants
|
10
|
5
|
—
|
—
|
$80,848.02
|
$88,932.82
|
$81,705.44
|
2026-05-23
|
|
3124
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
10
|
5
|
—
|
—
|
$80,738.09
|
$88,811.90
|
$81,594.34
|
2026-05-23
|
|
8412
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$80,345.46
|
$88,380.01
|
$81,197.55
|
2026-05-23
|
|
1714
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
10
|
5
|
—
|
—
|
$79,920.31
|
$87,912.34
|
$80,767.89
|
2026-05-23
|
|
8411
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$79,720.63
|
$87,692.69
|
$80,566.09
|
2026-05-23
|
|
2644
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
10
|
5
|
—
|
—
|
$79,301.08
|
$87,231.19
|
$80,142.10
|
2026-05-23
|
|
1621
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$79,045.32
|
$86,949.85
|
$79,883.61
|
2026-05-23
|
|
13
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
20
|
11
|
—
|
—
|
$25,926.92
|
$140,897.40
|
$79,378.10
|
2026-05-23
|
|
5104
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
10
|
5
|
—
|
—
|
$78,195.01
|
$86,014.51
|
$79,024.29
|
2026-05-23
|
|
7404
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
10
|
5
|
—
|
—
|
$78,117.60
|
$85,929.36
|
$78,946.06
|
2026-05-23
|
|
4013
|
OTHER
|
Adrenal Procedures
|
10
|
5
|
—
|
—
|
$77,824.82
|
$85,607.30
|
$78,650.17
|
2026-05-23
|
|
3043
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
5
|
—
|
—
|
$77,816.96
|
$85,598.66
|
$78,642.24
|
2026-05-23
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
6
|
—
|
—
|
$70,429.43
|
$98,919.00
|
$78,455.01
|
2026-05-23
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
10
|
6
|
—
|
—
|
$61,750.39
|
$88,765.51
|
$78,397.20
|
2026-05-23
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
10
|
6
|
—
|
—
|
$64,995.54
|
$114,311.70
|
$78,085.76
|
2026-05-23
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
10
|
6
|
—
|
—
|
$43,660.89
|
$81,629.10
|
$77,958.84
|
2026-05-23
|
|
3104
|
OTHER
|
Intervertebral Disc Excision And Decompression
|
10
|
5
|
—
|
—
|
$76,992.45
|
$84,691.70
|
$77,808.98
|
2026-05-23
|
|
2334
|
OTHER
|
Appendectomy With Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$76,939.73
|
$84,633.70
|
$77,755.70
|
2026-05-23
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
7
|
6
|
—
|
—
|
$77,709.60
|
$95,241.41
|
$77,709.60
|
2026-05-23
|
|
5114
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
10
|
5
|
—
|
—
|
$76,828.67
|
$84,511.54
|
$77,643.46
|
2026-05-23
|
|
6344
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
10
|
5
|
—
|
—
|
$76,545.98
|
$84,200.58
|
$77,357.77
|
2026-05-23
|
|
4804
|
OTHER
|
Major Male Pelvic Procedures
|
10
|
5
|
—
|
—
|
$76,221.79
|
$83,843.97
|
$77,030.14
|
2026-05-23
|
|
111
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
16
|
8
|
—
|
—
|
$17,053.46
|
$84,325.21
|
$76,705.68
|
2026-05-23
|
|
35862390
|
OTHER
|
Ch Ors Cochlear Implant Ci632
|
22
|
11
|
$102,200.00
|
$20,440.00
80% off
|
$15,330.00
|
$81,760.00
|
$76,650.00
|
2026-05-23
|
|
35811140
|
OTHER
|
Ch Ors Cochlear Implant Ci532
|
22
|
11
|
$102,200.00
|
$20,440.00
80% off
|
$15,330.00
|
$81,760.00
|
$76,650.00
|
2026-05-23
|
|
35862309
|
OTHER
|
Ch Ors Cochlear Implant Ci624
|
22
|
11
|
$102,200.00
|
$20,440.00
80% off
|
$15,330.00
|
$81,760.00
|
$76,650.00
|
2026-05-23
|
|
7114
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
10
|
5
|
—
|
—
|
$75,766.35
|
$83,342.98
|
$76,569.87
|
2026-05-23
|
|
1303
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
5
|
—
|
—
|
$75,338.95
|
$82,872.84
|
$76,137.94
|
2026-05-23
|
|
3464
|
OTHER
|
Connective Tissue Disorders
|
10
|
5
|
—
|
—
|
$75,319.88
|
$82,851.86
|
$76,118.67
|
2026-05-23
|
|
4044
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
10
|
5
|
—
|
—
|
$75,084.30
|
$82,592.73
|
$75,880.60
|
2026-05-23
|
|
4434
|
OTHER
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
10
|
5
|
—
|
—
|
$74,516.68
|
$81,968.35
|
$75,306.95
|
2026-05-23
|
|
1804
|
OTHER
|
Other Circulatory System Procedures
|
10
|
5
|
—
|
—
|
$74,479.66
|
$81,927.63
|
$75,269.54
|
2026-05-23
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
6
|
—
|
—
|
$69,481.34
|
$78,354.71
|
$75,143.70
|
2026-05-23
|
|
366
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
3
|
3
|
—
|
—
|
$68,123.10
|
$75,692.34
|
$74,935.41
|
2026-05-23
|
|
4684
|
OTHER
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
10
|
5
|
—
|
—
|
$73,899.70
|
$81,289.67
|
$74,683.43
|
2026-05-23
|
|
71
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
20
|
11
|
—
|
—
|
$8,614.22
|
$141,933.93
|
$74,651.68
|
2026-05-23
|
|
3134
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
10
|
5
|
—
|
—
|
$73,692.17
|
$81,061.39
|
$74,473.70
|
2026-05-23
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
10
|
6
|
—
|
—
|
$61,391.16
|
$74,986.62
|
$74,225.70
|
2026-05-23
|
|
53
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
20
|
11
|
—
|
—
|
$9,878.03
|
$146,424.32
|
$74,040.90
|
2026-05-23
|
|
4402
|
OTHER
|
Kidney Transplant
|
10
|
5
|
—
|
—
|
$73,076.31
|
$80,383.94
|
$73,851.30
|
2026-05-23
|
|
8154
|
OTHER
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
10
|
5
|
—
|
—
|
$73,035.93
|
$80,339.52
|
$73,810.49
|
2026-05-23
|
|
35868934
|
OTHER
|
Ors Medpor Plus Xl
|
11
|
11
|
$97,692.00
|
$19,538.40
80% off
|
$17,584.56
|
$78,153.60
|
$73,269.00
|
2026-05-23
|
|
317
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
10
|
6
|
—
|
—
|
$51,790.89
|
$98,181.00
|
$73,255.43
|
2026-05-23
|
|
1754
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
10
|
5
|
—
|
—
|
$72,359.49
|
$79,595.44
|
$73,126.88
|
2026-05-23
|
|
6924
|
OTHER
|
Radiotherapy
|
10
|
5
|
—
|
—
|
$72,309.01
|
$79,539.91
|
$73,075.87
|
2026-05-23
|
|
984
|
OTHER
|
Other Ear, Nose, Mouth And Throat Procedures
|
10
|
5
|
—
|
—
|
$72,214.78
|
$79,436.26
|
$72,980.64
|
2026-05-23
|
|
2314
|
OTHER
|
Major Large Bowel Procedures
|
10
|
5
|
—
|
—
|
$71,939.94
|
$79,133.94
|
$72,702.89
|
2026-05-23
|
|
1653
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$71,863.66
|
$79,050.03
|
$72,625.80
|
2026-05-23
|
|
8104
|
OTHER
|
Hemorrhage Or Hematoma Due To Complication
|
10
|
5
|
—
|
—
|
$71,835.62
|
$79,019.18
|
$72,597.46
|
2026-05-23
|
|
35862374
|
OTHER
|
Ch Ors Cochlear Implant Ci612
|
22
|
11
|
$96,775.00
|
$19,355.00
80% off
|
$14,516.25
|
$77,420.00
|
$72,581.25
|
2026-05-23
|
|
35862382
|
OTHER
|
Ch Ors Cochlear Implant Ci622
|
22
|
11
|
$96,775.00
|
$19,355.00
80% off
|
$14,516.25
|
$77,420.00
|
$72,581.25
|
2026-05-23
|
|
35862358
|
OTHER
|
Ch Ors Cochlear Implant Ci522
|
22
|
11
|
$96,775.00
|
$19,355.00
80% off
|
$14,516.25
|
$77,420.00
|
$72,581.25
|
2026-05-23
|
|
35862408
|
OTHER
|
Ch Ors Cochlear Implant Ci512
|
22
|
11
|
$96,775.00
|
$19,355.00
80% off
|
$14,516.25
|
$77,420.00
|
$72,581.25
|
2026-05-23
|
|
6032
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$71,632.58
|
$78,795.83
|
$72,392.26
|
2026-05-23
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
10
|
6
|
—
|
—
|
$65,790.86
|
$89,827.17
|
$72,383.40
|
2026-05-23
|
|
1602
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
5
|
—
|
—
|
$71,373.44
|
$78,510.79
|
$72,130.38
|
2026-05-23
|
|
4844
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
10
|
5
|
—
|
—
|
$71,176.01
|
$78,293.61
|
$71,930.85
|
2026-05-23
|
|
6083
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$71,118.80
|
$78,230.68
|
$71,873.03
|
2026-05-23
|
|
35862341
|
OTHER
|
Ch Ors Cochlear Implant L24
|
22
|
11
|
$95,725.00
|
$19,145.00
80% off
|
$14,358.75
|
$76,580.00
|
$71,793.75
|
2026-05-23
|
|
12
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
20
|
11
|
—
|
—
|
$32,821.82
|
$108,222.11
|
$71,724.79
|
2026-05-23
|
|
1704
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
10
|
5
|
—
|
—
|
$70,562.39
|
$77,618.63
|
$71,310.73
|
2026-05-23
|
|
233
|
OTHER
|
Spinal Procedures
|
20
|
11
|
—
|
—
|
$66,720.29
|
$87,320.70
|
$71,191.41
|
2026-05-23
|
|
6903
|
OTHER
|
Acute Leukemia
|
10
|
5
|
—
|
—
|
$70,286.44
|
$77,315.08
|
$71,031.84
|
2026-05-23
|
|
42
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
11
|
—
|
—
|
$15,594.30
|
$132,854.44
|
$70,764.49
|
2026-05-23
|
|
1673
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
5
|
—
|
—
|
$69,994.77
|
$76,994.25
|
$70,737.09
|
2026-05-23
|
|
4054
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
10
|
5
|
—
|
—
|
$69,845.57
|
$76,830.13
|
$70,586.31
|
2026-05-23
|
|
4014
|
OTHER
|
Adrenal Procedures
|
10
|
5
|
—
|
—
|
$69,594.30
|
$76,553.73
|
$70,332.36
|
2026-05-23
|
|
3254
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
10
|
5
|
—
|
—
|
$69,448.46
|
$76,393.31
|
$70,184.98
|
2026-05-23
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
10
|
6
|
—
|
—
|
$62,030.93
|
$79,164.00
|
$70,182.60
|
2026-05-23
|
|
35865526
|
OTHER
|
Ors Antegrade Femur
|
22
|
11
|
$92,551.00
|
$18,510.20
80% off
|
$13,882.65
|
$74,040.80
|
$69,413.25
|
2026-05-23
|
|
6613
|
OTHER
|
Coagulation And Platelet Disorders
|
10
|
5
|
—
|
—
|
$68,627.32
|
$75,490.05
|
$69,355.13
|
2026-05-23
|
|
4401
|
OTHER
|
Kidney Transplant
|
10
|
5
|
—
|
—
|
$68,500.56
|
$75,350.61
|
$69,227.02
|
2026-05-23
|
|
6302
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
5
|
—
|
—
|
$68,269.47
|
$75,096.42
|
$68,993.49
|
2026-05-23
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
6
|
—
|
—
|
$61,194.88
|
$96,056.10
|
$68,836.58
|
2026-05-23
|
|
274
|
OTHER
|
Other Open Craniotomy
|
20
|
11
|
—
|
—
|
$33,142.17
|
$77,666.40
|
$68,628.41
|
2026-05-23
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
6
|
—
|
—
|
$56,667.41
|
$72,968.24
|
$68,455.80
|
2026-05-23
|
|
7934
|
OTHER
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
5
|
—
|
—
|
$67,686.14
|
$74,454.76
|
$68,403.98
|
2026-05-23
|
|
3214
|
OTHER
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
10
|
5
|
—
|
—
|
$67,663.71
|
$74,430.08
|
$68,381.30
|
2026-05-23
|
|
3031
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
5
|
—
|
—
|
$67,641.27
|
$74,405.40
|
$68,358.63
|
2026-05-23
|
|
1801
|
OTHER
|
Other Circulatory System Procedures
|
10
|
5
|
—
|
—
|
$67,476.37
|
$74,224.01
|
$68,191.98
|
2026-05-23
|
|
213
|
OTHER
|
Open Craniotomy Except Trauma
|
16
|
8
|
—
|
—
|
$16,171.11
|
$74,931.07
|
$68,160.38
|
2026-05-23
|
|
647
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
6
|
3
|
—
|
—
|
$61,555.04
|
$69,983.88
|
$68,052.51
|
2026-05-23
|
|
613
|
OTHER
|
Neonate, Birth Weight <750 Grams, Died
|
6
|
3
|
—
|
—
|
$40,478.70
|
$101,178.24
|
$68,018.38
|
2026-05-23
|
|
3084
|
OTHER
|
Hip And Femur Fracture Repair
|
10
|
5
|
—
|
—
|
$67,249.77
|
$73,974.75
|
$67,962.97
|
2026-05-23
|
|
6072
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$67,096.08
|
$73,805.69
|
$67,807.66
|
2026-05-23
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
6
|
—
|
—
|
$58,545.06
|
$70,868.70
|
$67,594.96
|
2026-05-23
|
|
5144
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
10
|
5
|
—
|
—
|
$66,735.99
|
$73,409.59
|
$67,443.74
|
2026-05-23
|
|
2224
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
10
|
5
|
—
|
—
|
$66,677.66
|
$73,345.43
|
$67,384.80
|
2026-05-23
|
|
5124
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
10
|
5
|
—
|
—
|
$66,599.13
|
$73,259.05
|
$67,305.44
|
2026-05-23
|
|
4012
|
OTHER
|
Adrenal Procedures
|
10
|
5
|
—
|
—
|
$66,318.69
|
$72,950.56
|
$67,022.01
|
2026-05-23
|
|
275
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
10
|
6
|
—
|
—
|
$48,265.21
|
$107,118.00
|
$66,656.33
|
2026-05-23
|
|
1302
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
5
|
—
|
—
|
$65,865.49
|
$72,452.04
|
$66,564.01
|
2026-05-23
|
|
6803
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
5
|
—
|
—
|
$65,830.71
|
$72,413.78
|
$66,528.87
|
2026-05-23
|
|
360
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
6
|
3
|
—
|
—
|
$59,962.55
|
$70,640.21
|
$66,291.93
|
2026-05-23
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
10
|
6
|
—
|
—
|
$59,454.25
|
$80,332.20
|
$66,266.54
|
2026-05-23
|
|
404
|
OTHER
|
Spinal Disorders And Injuries
|
13
|
8
|
—
|
—
|
$36,215.11
|
$72,412.55
|
$65,909.28
|
2026-05-23
|
|
7923
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
5
|
—
|
—
|
$64,817.74
|
$71,299.52
|
$65,505.15
|
2026-05-23
|
|
6813
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
5
|
—
|
—
|
$64,569.83
|
$71,026.81
|
$65,254.61
|
2026-05-23
|
|
35861105
|
OTHER
|
Ors Mesh Group B
|
22
|
11
|
$86,776.00
|
$17,355.20
80% off
|
$13,016.40
|
$69,420.80
|
$65,082.00
|
2026-05-23
|
|
4444
|
OTHER
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
10
|
5
|
—
|
—
|
$64,123.36
|
$70,535.70
|
$64,803.41
|
2026-05-23
|
|
2454
|
OTHER
|
Inflammatory Bowel Disease
|
10
|
5
|
—
|
—
|
$64,031.37
|
$70,434.51
|
$64,710.44
|
2026-05-23
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
10
|
6
|
—
|
—
|
$55,448.05
|
$82,339.20
|
$64,570.25
|
2026-05-23
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
10
|
6
|
—
|
—
|
$45,686.68
|
$64,730.70
|
$64,185.38
|
2026-05-23
|
|
6113
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$63,390.84
|
$69,729.92
|
$64,063.11
|
2026-05-23
|
|
82
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
20
|
11
|
—
|
—
|
$16,772.00
|
$95,835.60
|
$63,804.44
|
2026-05-23
|
|
3224
|
OTHER
|
Shoulder And Elbow Joint Replacement
|
10
|
5
|
—
|
—
|
$62,702.06
|
$68,972.27
|
$63,367.04
|
2026-05-23
|
|
1632
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$62,658.31
|
$68,924.14
|
$63,322.82
|
2026-05-23
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
10
|
6
|
—
|
—
|
$55,990.60
|
$81,290.70
|
$63,262.10
|
2026-05-23
|
|
72131816
|
OTHER
|
Neuro Stent Group F
|
22
|
11
|
$84,000.00
|
$16,800.00
80% off
|
$12,600.00
|
$67,200.00
|
$63,000.00
|
2026-05-23
|
|
2824
|
OTHER
|
Disorders Of Pancreas Except Malignancy
|
10
|
5
|
—
|
—
|
$62,335.24
|
$68,568.76
|
$62,996.32
|
2026-05-23
|
|
4624
|
OTHER
|
Nephritis And Nephrosis
|
10
|
5
|
—
|
—
|
$62,193.89
|
$68,413.28
|
$62,853.47
|
2026-05-23
|
|
7594
|
OTHER
|
Eating Disorders
|
10
|
5
|
—
|
—
|
$62,140.05
|
$68,354.05
|
$62,799.06
|
2026-05-23
|
|
6504
|
OTHER
|
Splenectomy
|
10
|
5
|
—
|
—
|
$61,995.34
|
$68,194.87
|
$62,652.82
|
2026-05-23
|
|
1793
|
OTHER
|
Defibrillator Implants
|
10
|
5
|
—
|
—
|
$61,993.09
|
$68,192.40
|
$62,650.55
|
2026-05-23
|
|
2634
|
OTHER
|
Cholecystectomy
|
10
|
5
|
—
|
—
|
$61,961.68
|
$68,157.85
|
$62,618.81
|
2026-05-23
|
|
2613
|
OTHER
|
Major Biliary Tract Procedures
|
10
|
5
|
—
|
—
|
$61,865.21
|
$68,051.73
|
$62,521.31
|
2026-05-23
|
|
2264
|
OTHER
|
Anal Procedures
|
10
|
5
|
—
|
—
|
$61,781.08
|
$67,959.18
|
$62,436.29
|
2026-05-23
|
|
41
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
20
|
11
|
—
|
—
|
$21,931.83
|
$109,021.71
|
$62,393.95
|
2026-05-23
|
|
273
|
OTHER
|
Other Open Craniotomy
|
20
|
11
|
—
|
—
|
$43,085.93
|
$108,335.70
|
$62,234.37
|
2026-05-23
|
|
2074
|
OTHER
|
Other Circulatory System Diagnoses
|
10
|
5
|
—
|
—
|
$61,245.99
|
$67,370.59
|
$61,895.52
|
2026-05-23
|
|
3054
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
10
|
5
|
—
|
—
|
$61,204.48
|
$67,324.93
|
$61,853.57
|
2026-05-23
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
10
|
6
|
—
|
—
|
$54,074.99
|
$76,716.90
|
$61,820.88
|
2026-05-23
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
7
|
6
|
—
|
—
|
$61,502.40
|
$110,232.15
|
$61,502.40
|
2026-05-23
|