|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
46
|
12
|
—
|
—
|
$1,075.53
|
$353,882.54
|
$337,030.99
|
2026-05-22
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
46
|
12
|
—
|
—
|
$249.30
|
$212,519.50
|
$195,034.62
|
2026-05-22
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
46
|
12
|
—
|
—
|
$471.85
|
$141,196.86
|
$134,473.20
|
2026-05-22
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
46
|
12
|
—
|
—
|
$392.24
|
$121,232.77
|
$112,007.02
|
2026-05-22
|
|
212
|
OTHER
|
Concomitant Aortic And Mitral Valve�procedures
|
46
|
12
|
—
|
—
|
$297.88
|
$103,455.03
|
$98,528.60
|
2026-05-22
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
46
|
12
|
—
|
—
|
$1,216.64
|
$81,187.23
|
$77,321.17
|
2026-05-22
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
46
|
12
|
—
|
—
|
$816.37
|
$76,779.39
|
$73,123.23
|
2026-05-22
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
46
|
12
|
—
|
—
|
$1,578.50
|
$74,916.94
|
$71,349.47
|
2026-05-22
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
46
|
12
|
—
|
—
|
$87.97
|
$67,620.76
|
$63,713.77
|
2026-05-22
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
46
|
12
|
—
|
—
|
$1,081.73
|
$66,352.92
|
$63,193.25
|
2026-05-22
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
46
|
12
|
—
|
—
|
$11.74
|
$63,704.76
|
$60,671.20
|
2026-05-22
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
12
|
—
|
—
|
$1,027.80
|
$61,140.16
|
$58,228.72
|
2026-05-22
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
46
|
12
|
—
|
—
|
$1,947.49
|
$59,995.22
|
$57,138.30
|
2026-05-22
|
|
276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc
|
46
|
12
|
—
|
—
|
$1,496.14
|
$59,650.39
|
$56,809.89
|
2026-05-22
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
46
|
12
|
—
|
—
|
$540.13
|
$59,331.50
|
$56,506.19
|
2026-05-22
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
46
|
12
|
—
|
—
|
$352.13
|
$59,331.50
|
$56,506.19
|
2026-05-22
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
46
|
12
|
—
|
—
|
$1,718.01
|
$64,657.86
|
$56,180.52
|
2026-05-22
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
46
|
12
|
—
|
—
|
$93.96
|
$75,076.27
|
$55,314.22
|
2026-05-22
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
46
|
12
|
—
|
—
|
$2,499.42
|
$57,882.07
|
$55,125.78
|
2026-05-22
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
46
|
12
|
—
|
—
|
$1,698.60
|
$56,484.51
|
$53,794.77
|
2026-05-22
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
12
|
—
|
—
|
$2,745.04
|
$54,718.10
|
$52,112.48
|
2026-05-22
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
46
|
12
|
—
|
—
|
$109.67
|
$54,587.47
|
$51,988.07
|
2026-05-22
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
46
|
12
|
—
|
—
|
$1,538.83
|
$56,208.50
|
$51,857.26
|
2026-05-22
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
46
|
12
|
—
|
—
|
$4,624.33
|
$59,353.81
|
$51,810.60
|
2026-05-22
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
46
|
12
|
—
|
—
|
$121.05
|
$51,998.86
|
$49,522.73
|
2026-05-22
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
46
|
12
|
—
|
—
|
$430.87
|
$50,375.58
|
$47,976.74
|
2026-05-22
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
46
|
12
|
—
|
—
|
$1,116.24
|
$49,927.02
|
$47,549.54
|
2026-05-22
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
46
|
12
|
—
|
—
|
$1,605.58
|
$49,527.44
|
$47,168.99
|
2026-05-22
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
46
|
12
|
—
|
—
|
$102.77
|
$48,572.68
|
$46,259.69
|
2026-05-22
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
46
|
12
|
—
|
—
|
$2,479.35
|
$50,653.96
|
$46,093.20
|
2026-05-22
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
46
|
12
|
—
|
—
|
$127.81
|
$48,019.42
|
$45,732.78
|
2026-05-22
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
46
|
12
|
—
|
—
|
$26.91
|
$47,248.12
|
$44,998.21
|
2026-05-22
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
46
|
12
|
—
|
—
|
$2,092.67
|
$46,875.44
|
$44,643.27
|
2026-05-22
|
|
10
|
OTHER
|
Pancreas Transplant
|
46
|
12
|
—
|
—
|
$957.69
|
$46,235.73
|
$44,034.03
|
2026-05-22
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
46
|
12
|
—
|
—
|
$1,346.38
|
$46,170.41
|
$43,971.82
|
2026-05-22
|
|
277
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
46
|
12
|
—
|
—
|
$247.11
|
$46,679.37
|
$43,748.61
|
2026-05-22
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
46
|
12
|
—
|
—
|
$93.96
|
$44,450.11
|
$42,333.44
|
2026-05-22
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
46
|
12
|
—
|
—
|
$898.89
|
$43,875.35
|
$41,452.51
|
2026-05-22
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
12
|
—
|
—
|
$25.45
|
$47,733.21
|
$41,448.85
|
2026-05-22
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
46
|
12
|
—
|
—
|
$93.43
|
$43,384.90
|
$41,318.95
|
2026-05-22
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
46
|
12
|
—
|
—
|
$93.96
|
$66,981.16
|
$41,182.64
|
2026-05-22
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
46
|
12
|
—
|
—
|
$161.59
|
$43,199.51
|
$41,142.39
|
2026-05-22
|
|
278
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
46
|
12
|
—
|
—
|
$240.96
|
$42,843.16
|
$40,803.01
|
2026-05-22
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
46
|
12
|
—
|
—
|
$1,764.66
|
$42,416.69
|
$40,396.85
|
2026-05-22
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
46
|
12
|
—
|
—
|
$148.76
|
$41,329.38
|
$39,361.31
|
2026-05-22
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
46
|
12
|
—
|
—
|
$130.87
|
$46,525.35
|
$39,140.85
|
2026-05-22
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
46
|
12
|
—
|
—
|
$55.18
|
$39,944.30
|
$38,042.19
|
2026-05-22
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
46
|
12
|
—
|
—
|
$777.22
|
$38,976.10
|
$37,120.09
|
2026-05-22
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
46
|
12
|
—
|
—
|
$109.71
|
$38,560.19
|
$36,723.99
|
2026-05-22
|
|
323
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
44
|
11
|
—
|
—
|
$146.81
|
$39,765.65
|
$37,872.04
|
2026-05-22
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
42
|
11
|
—
|
—
|
$418.82
|
$57,137.66
|
$54,416.82
|
2026-05-22
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
42
|
11
|
—
|
—
|
$2,447.84
|
$41,224.54
|
$36,968.24
|
2026-05-22
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
36
|
12
|
—
|
—
|
$189.10
|
$52,821.63
|
$39,901.95
|
2026-05-22
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
32
|
11
|
—
|
—
|
$247,893.56
|
$260,288.24
|
$247,893.56
|
2026-05-22
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
32
|
11
|
—
|
—
|
$241,125.08
|
$265,108.48
|
$241,125.08
|
2026-05-22
|
|
7
|
OTHER
|
Lung Transplant
|
32
|
11
|
—
|
—
|
$109,843.21
|
$117,821.57
|
$112,211.02
|
2026-05-22
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
32
|
11
|
—
|
—
|
$104,842.44
|
$146,566.24
|
$104,842.44
|
2026-05-22
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
32
|
11
|
—
|
—
|
$71,648.05
|
$98,115.49
|
$93,443.32
|
2026-05-22
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
11
|
—
|
—
|
$88,782.50
|
$102,028.59
|
$88,782.50
|
2026-05-22
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
32
|
11
|
—
|
—
|
$77,376.88
|
$85,115.77
|
$81,062.64
|
2026-05-22
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
11
|
—
|
—
|
$54,328.62
|
$80,966.31
|
$77,110.77
|
2026-05-22
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
32
|
11
|
—
|
—
|
$74,236.52
|
$85,051.25
|
$74,236.52
|
2026-05-22
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
11
|
—
|
—
|
$57,294.77
|
$74,067.84
|
$70,540.80
|
2026-05-22
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
32
|
11
|
—
|
—
|
$66,161.73
|
$69,469.81
|
$66,161.73
|
2026-05-22
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
32
|
11
|
—
|
—
|
$46,090.03
|
$67,580.47
|
$64,362.35
|
2026-05-22
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
32
|
11
|
—
|
—
|
$53,688.21
|
$66,465.30
|
$63,300.28
|
2026-05-22
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
32
|
11
|
—
|
—
|
$62,869.42
|
$66,012.89
|
$62,869.42
|
2026-05-22
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
32
|
11
|
—
|
—
|
$52,824.06
|
$59,726.27
|
$56,882.16
|
2026-05-22
|
|
454
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
32
|
11
|
—
|
—
|
$50,418.88
|
$58,748.46
|
$55,950.91
|
2026-05-22
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
32
|
11
|
—
|
—
|
$55,712.15
|
$69,601.17
|
$55,712.15
|
2026-05-22
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
11
|
—
|
—
|
$44,260.41
|
$58,354.64
|
$55,575.85
|
2026-05-22
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
32
|
11
|
—
|
—
|
$5,660.73
|
$57,632.33
|
$54,887.93
|
2026-05-22
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
32
|
11
|
—
|
—
|
$51,218.74
|
$53,779.67
|
$51,218.74
|
2026-05-22
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
32
|
11
|
—
|
—
|
$48,133.17
|
$50,539.83
|
$48,133.17
|
2026-05-22
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
32
|
11
|
—
|
—
|
$33,922.25
|
$48,784.95
|
$46,461.86
|
2026-05-22
|
|
799
|
OTHER
|
Splenic Procedures With Mcc
|
32
|
11
|
—
|
—
|
$35,529.76
|
$47,590.06
|
$45,323.87
|
2026-05-22
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
32
|
11
|
—
|
—
|
$29,033.25
|
$46,527.73
|
$44,312.12
|
2026-05-22
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
32
|
11
|
—
|
—
|
$44,247.17
|
$51,577.29
|
$44,247.17
|
2026-05-22
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
32
|
11
|
—
|
—
|
$43,364.40
|
$45,868.73
|
$43,364.40
|
2026-05-22
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
32
|
11
|
—
|
—
|
$36,940.28
|
$45,275.20
|
$43,119.24
|
2026-05-22
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
11
|
—
|
—
|
$37,550.70
|
$44,650.86
|
$42,524.63
|
2026-05-22
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
32
|
11
|
—
|
—
|
$29,830.11
|
$42,535.79
|
$40,510.28
|
2026-05-22
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
32
|
11
|
—
|
—
|
$39,590.01
|
$50,207.30
|
$39,590.01
|
2026-05-22
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
32
|
11
|
—
|
—
|
$38,007.90
|
$40,431.29
|
$38,505.99
|
2026-05-22
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
32
|
11
|
—
|
—
|
$18,423.53
|
$39,540.88
|
$37,657.98
|
2026-05-22
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
32
|
11
|
—
|
—
|
$2,162.80
|
$39,359.34
|
$37,485.09
|
2026-05-22
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
32
|
11
|
—
|
—
|
$37,001.17
|
$41,527.72
|
$37,001.17
|
2026-05-22
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
32
|
11
|
—
|
—
|
$36,636.17
|
$38,467.98
|
$36,636.17
|
2026-05-22
|
|
36005947
|
OTHER
|
Or Over 8 Hrs (4 Staff)
|
30
|
12
|
$139,058.00
|
$97,340.60
30% off
|
$102,207.63
|
$102,207.63
|
$102,207.63
|
2026-05-22
|
|
36005878
|
OTHER
|
Or 466-480 Mins 4 Staff
|
30
|
12
|
$130,878.25
|
$91,614.78
30% off
|
$96,195.51
|
$96,195.51
|
$96,195.51
|
2026-05-22
|
|
36005876
|
OTHER
|
Or 451-465 Mins 4 Staff
|
30
|
12
|
$126,788.50
|
$88,751.95
30% off
|
$93,189.55
|
$93,189.55
|
$93,189.55
|
2026-05-22
|
|
36005872
|
OTHER
|
Or 436-450 Mins 4 Staff
|
30
|
12
|
$122,701.50
|
$85,891.05
30% off
|
$90,185.60
|
$90,185.60
|
$90,185.60
|
2026-05-22
|
|
36005870
|
OTHER
|
Or 421-435 Mins 4 Staff
|
30
|
12
|
$118,609.50
|
$83,026.65
30% off
|
$87,177.99
|
$87,177.99
|
$87,177.99
|
2026-05-22
|
|
36005868
|
OTHER
|
Or 406-420 Mins 4 Staff
|
30
|
12
|
$114,521.50
|
$80,165.05
30% off
|
$84,173.30
|
$84,173.30
|
$84,173.30
|
2026-05-22
|
|
36005864
|
OTHER
|
Or 391-405 Mins 4 Staff
|
30
|
12
|
$110,429.75
|
$77,300.83
30% off
|
$81,165.87
|
$81,165.87
|
$81,165.87
|
2026-05-22
|
|
36005862
|
OTHER
|
Or 376-390 Mins 4 Staff
|
30
|
12
|
$106,339.25
|
$74,437.48
30% off
|
$78,159.35
|
$78,159.35
|
$78,159.35
|
2026-05-22
|
|
36005718
|
OTHER
|
Or Over 8 Hrs (3 Staff)
|
30
|
12
|
$104,293.75
|
$73,005.63
30% off
|
$76,655.91
|
$76,655.91
|
$76,655.91
|
2026-05-22
|
|
36005860
|
OTHER
|
Or 361-375 Mins 4 Staff
|
30
|
12
|
$102,252.25
|
$71,576.58
30% off
|
$75,155.40
|
$75,155.40
|
$75,155.40
|
2026-05-22
|
|
36005852
|
OTHER
|
Or 346-360 Mins 4 Staff
|
30
|
12
|
$98,162.50
|
$68,713.75
30% off
|
$72,149.44
|
$72,149.44
|
$72,149.44
|
2026-05-22
|
|
36005671
|
OTHER
|
Or 466-480 Mins 3 Staff
|
30
|
12
|
$98,162.50
|
$68,713.75
30% off
|
$72,149.44
|
$72,149.44
|
$72,149.44
|
2026-05-22
|
|
36005669
|
OTHER
|
Or 451-465 Mins 3 Staff
|
30
|
12
|
$95,093.75
|
$66,565.63
30% off
|
$69,893.91
|
$69,893.91
|
$69,893.91
|
2026-05-22
|
|
36005849
|
OTHER
|
Or 331-345 Mins 4 Staff
|
30
|
12
|
$94,070.00
|
$65,849.00
30% off
|
$69,141.45
|
$69,141.45
|
$69,141.45
|
2026-05-22
|
|
36005667
|
OTHER
|
Or 436-450 Mins 3 Staff
|
30
|
12
|
$92,025.75
|
$64,418.03
30% off
|
$67,638.93
|
$67,638.93
|
$67,638.93
|
2026-05-22
|
|
36005847
|
OTHER
|
Or 316-330 Mins 4 Staff
|
30
|
12
|
$89,981.50
|
$62,987.05
30% off
|
$66,136.40
|
$66,136.40
|
$66,136.40
|
2026-05-22
|
|
36005665
|
OTHER
|
Or 421-435 Mins 3 Staff
|
30
|
12
|
$88,961.75
|
$62,273.23
30% off
|
$65,386.89
|
$65,386.89
|
$65,386.89
|
2026-05-22
|
|
36005663
|
OTHER
|
Or 406-420 Mins 3 Staff
|
30
|
12
|
$85,893.00
|
$60,125.10
30% off
|
$63,131.36
|
$63,131.36
|
$63,131.36
|
2026-05-22
|
|
36005845
|
OTHER
|
Or 301-315 Mins 4 Staff
|
30
|
12
|
$85,893.00
|
$60,125.10
30% off
|
$63,131.36
|
$63,131.36
|
$63,131.36
|
2026-05-22
|
|
36005657
|
OTHER
|
Or 391-405 Mins 3 Staff
|
30
|
12
|
$82,821.75
|
$57,975.23
30% off
|
$60,873.99
|
$60,873.99
|
$60,873.99
|
2026-05-22
|
|
36005842
|
OTHER
|
Or 286-300 Mins 4 Staff
|
30
|
12
|
$81,802.50
|
$57,261.75
30% off
|
$60,124.84
|
$60,124.84
|
$60,124.84
|
2026-05-22
|
|
36005655
|
OTHER
|
Or 376-390mins 3 Staff
|
30
|
12
|
$79,756.50
|
$55,829.55
30% off
|
$58,621.03
|
$58,621.03
|
$58,621.03
|
2026-05-22
|
|
36005840
|
OTHER
|
Or 271-285 Mins 4 Staff
|
30
|
12
|
$77,714.50
|
$54,400.15
30% off
|
$57,120.16
|
$57,120.16
|
$57,120.16
|
2026-05-22
|
|
36005647
|
OTHER
|
Or 361-375mins 3 Staff
|
30
|
12
|
$76,690.25
|
$53,683.18
30% off
|
$56,367.33
|
$56,367.33
|
$56,367.33
|
2026-05-22
|
|
36005836
|
OTHER
|
Or 256-270 Mins 4 Staff
|
30
|
12
|
$73,625.50
|
$51,537.85
30% off
|
$54,114.75
|
$54,114.75
|
$54,114.75
|
2026-05-22
|
|
36005643
|
OTHER
|
Or 346-360 Mins 3 Staff
|
30
|
12
|
$73,625.50
|
$51,537.85
30% off
|
$54,114.75
|
$54,114.75
|
$54,114.75
|
2026-05-22
|
|
36005641
|
OTHER
|
Or 331-345 Mins 3 Staff
|
30
|
12
|
$70,553.25
|
$49,387.28
30% off
|
$51,856.64
|
$51,856.64
|
$51,856.64
|
2026-05-22
|
|
36005834
|
OTHER
|
Or 241-255 Mins 4 Staff
|
30
|
12
|
$69,531.25
|
$48,671.88
30% off
|
$51,105.47
|
$51,105.47
|
$51,105.47
|
2026-05-22
|
|
36005467
|
OTHER
|
Or Over>481min 8 Hrs (2 Staff)
|
30
|
12
|
$69,531.25
|
$48,671.88
30% off
|
$51,105.47
|
$51,105.47
|
$51,105.47
|
2026-05-22
|
|
36005639
|
OTHER
|
Or 316-330 Mins 3 Staff
|
30
|
12
|
$67,488.25
|
$47,241.78
30% off
|
$49,603.86
|
$49,603.86
|
$49,603.86
|
2026-05-22
|
|
36005830
|
OTHER
|
Or 226-240 Mins 4 Staff
|
30
|
12
|
$65,440.00
|
$45,808.00
30% off
|
$48,098.40
|
$48,098.40
|
$48,098.40
|
2026-05-22
|
|
36005460
|
OTHER
|
Or 466-480 Min 2 Staff
|
30
|
12
|
$65,440.00
|
$45,808.00
30% off
|
$48,098.40
|
$48,098.40
|
$48,098.40
|
2026-05-22
|
|
36005632
|
OTHER
|
Or 301-315 Min 3 Staff
|
30
|
12
|
$64,422.25
|
$45,095.58
30% off
|
$47,350.36
|
$47,350.36
|
$47,350.36
|
2026-05-22
|
|
36005384
|
OTHER
|
Or 451-465 Mins 2 Staff
|
30
|
12
|
$63,398.75
|
$44,379.13
30% off
|
$46,598.08
|
$46,598.08
|
$46,598.08
|
2026-05-22
|
|
36005382
|
OTHER
|
Or 436-450 Mins 2 Staff
|
30
|
12
|
$61,352.25
|
$42,946.58
30% off
|
$45,093.90
|
$45,093.90
|
$45,093.90
|
2026-05-22
|
|
36005827
|
OTHER
|
Or 211-225 Mins 4 Staff
|
30
|
12
|
$61,352.25
|
$42,946.58
30% off
|
$45,093.90
|
$45,093.90
|
$45,093.90
|
2026-05-22
|
|
36005630
|
OTHER
|
Or 286-300 Min 3 Staff
|
30
|
12
|
$61,352.25
|
$42,946.58
30% off
|
$45,093.90
|
$45,093.90
|
$45,093.90
|
2026-05-22
|
|
36005380
|
OTHER
|
Or 421-435 Mins 2 Staff
|
30
|
12
|
$59,308.00
|
$41,515.60
30% off
|
$43,591.38
|
$43,591.38
|
$43,591.38
|
2026-05-22
|
|
36005612
|
OTHER
|
Or 271-285 Min 3 Staff
|
30
|
12
|
$58,285.00
|
$40,799.50
30% off
|
$42,839.47
|
$42,839.47
|
$42,839.47
|
2026-05-22
|
|
36005825
|
OTHER
|
Or 196-210 Mins 4 Staff
|
30
|
12
|
$57,263.00
|
$40,084.10
30% off
|
$42,088.31
|
$42,088.31
|
$42,088.31
|
2026-05-22
|
|
36005376
|
OTHER
|
Or 406-420 Mins 2 Staff
|
30
|
12
|
$57,263.00
|
$40,084.10
30% off
|
$42,088.31
|
$42,088.31
|
$42,088.31
|
2026-05-22
|
|
36005012
|
OTHER
|
Bilateral Eswl
|
30
|
12
|
$55,774.25
|
$39,041.98
30% off
|
$40,994.07
|
$40,994.07
|
$40,994.07
|
2026-05-22
|
|
36005374
|
OTHER
|
Or 391-405 Mins 2 Staff
|
30
|
12
|
$55,218.50
|
$38,652.95
30% off
|
$40,585.60
|
$40,585.60
|
$40,585.60
|
2026-05-22
|
|
36005600
|
OTHER
|
Or 256-270 Min 3 Staff
|
30
|
12
|
$55,218.50
|
$38,652.95
30% off
|
$40,585.60
|
$40,585.60
|
$40,585.60
|
2026-05-22
|
|
36005372
|
OTHER
|
Or 376-390 Mins 2 Staff
|
30
|
12
|
$53,173.25
|
$37,221.28
30% off
|
$39,082.34
|
$39,082.34
|
$39,082.34
|
2026-05-22
|
|
36005822
|
OTHER
|
Or 181-195 Mins 4 Staff
|
30
|
12
|
$53,173.25
|
$37,221.28
30% off
|
$39,082.34
|
$39,082.34
|
$39,082.34
|
2026-05-22
|
|
36005595
|
OTHER
|
Or 241-255 Mins 3 Staff
|
30
|
12
|
$52,148.50
|
$36,503.95
30% off
|
$38,329.15
|
$38,329.15
|
$38,329.15
|
2026-05-22
|
|
36005370
|
OTHER
|
Or 361-375 Mins 2 Staff
|
30
|
12
|
$51,128.00
|
$35,789.60
30% off
|
$37,579.08
|
$37,579.08
|
$37,579.08
|
2026-05-22
|
|
36005968
|
OTHER
|
Or 136-150 Mins 5 Staff
|
30
|
12
|
$51,128.00
|
$35,789.60
30% off
|
$37,579.08
|
$37,579.08
|
$37,579.08
|
2026-05-22
|
|
583-4
|
OTHER
|
Neonate W Ecmo
|
14
|
5
|
—
|
—
|
$149,296.59
|
$475,891.84
|
$179,155.91
|
2026-05-22
|
|
588-4
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
14
|
5
|
—
|
—
|
$146,672.27
|
$382,287.66
|
$176,006.72
|
2026-05-22
|
|
588-3
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
14
|
5
|
—
|
—
|
$146,672.27
|
$246,284.37
|
$176,006.72
|
2026-05-22
|
|
161-4
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
14
|
5
|
—
|
—
|
$134,155.77
|
$337,983.02
|
$160,986.92
|
2026-05-22
|
|
591-4
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
14
|
5
|
—
|
—
|
$112,613.12
|
$196,570.07
|
$135,135.74
|
2026-05-22
|
|
588-2
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
14
|
5
|
—
|
—
|
$112,206.25
|
$241,160.31
|
$134,647.50
|
2026-05-22
|
|
588-1
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
14
|
5
|
—
|
—
|
$112,206.25
|
$158,741.61
|
$134,647.50
|
2026-05-22
|
|
841-4
|
OTHER
|
Extensive 3rd Degree Burns W Skin Graft
|
14
|
5
|
—
|
—
|
$108,915.83
|
$215,918.03
|
$130,699.00
|
2026-05-22
|
|
593-4
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
14
|
5
|
—
|
—
|
$101,345.12
|
$173,053.19
|
$121,614.14
|
2026-05-22
|
|
609-4
|
OTHER
|
Neonate Bwt 1500-2499g W Major Procedure
|
14
|
5
|
—
|
—
|
$92,790.95
|
$264,129.71
|
$111,349.14
|
2026-05-22
|
|
602-4
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
14
|
5
|
—
|
—
|
$87,893.39
|
$144,305.60
|
$105,472.07
|
2026-05-22
|
|
841-3
|
OTHER
|
Extensive 3rd Degree Burns W Skin Graft
|
14
|
5
|
—
|
—
|
$85,110.98
|
$104,610.72
|
$102,133.18
|
2026-05-22
|
|
583-3
|
OTHER
|
Neonate W Ecmo
|
14
|
5
|
—
|
—
|
$84,817.45
|
$388,443.88
|
$101,780.94
|
2026-05-22
|
|
583-1
|
OTHER
|
Neonate W Ecmo
|
14
|
5
|
—
|
—
|
$83,231.23
|
$230,271.09
|
$99,877.48
|
2026-05-22
|
|
583-2
|
OTHER
|
Neonate W Ecmo
|
14
|
5
|
—
|
—
|
$83,231.23
|
$287,475.94
|
$99,877.48
|
2026-05-22
|
|
603-4
|
OTHER
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
14
|
5
|
—
|
—
|
$80,966.13
|
$215,759.23
|
$97,159.36
|
2026-05-22
|
|
593-3
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
14
|
5
|
—
|
—
|
$79,153.81
|
$134,801.68
|
$94,984.57
|
2026-05-22
|
|
607-4
|
OTHER
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
14
|
5
|
—
|
—
|
$71,758.06
|
$156,951.03
|
$86,109.67
|
2026-05-22
|
|
630-4
|
OTHER
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
14
|
5
|
—
|
—
|
$71,083.23
|
$239,948.02
|
$85,299.88
|
2026-05-22
|
|
589-2
|
OTHER
|
Neonate Bwt <500g Or Ga <24 Weeks
|
14
|
5
|
—
|
—
|
$70,556.63
|
$96,101.03
|
$84,667.96
|
2026-05-22
|
|
589-1
|
OTHER
|
Neonate Bwt <500g Or Ga <24 Weeks
|
14
|
5
|
—
|
—
|
$70,556.63
|
$115,761.83
|
$84,667.96
|
2026-05-22
|
|
591-3
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
14
|
5
|
—
|
—
|
$68,672.82
|
$124,047.55
|
$82,407.38
|
2026-05-22
|
|
602-3
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
14
|
5
|
—
|
—
|
$64,879.04
|
$124,171.97
|
$77,854.85
|
2026-05-22
|
|
593-2
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
14
|
5
|
—
|
—
|
$64,762.79
|
$104,340.53
|
$77,715.35
|
2026-05-22
|
|
591-2
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
14
|
5
|
—
|
—
|
$64,064.13
|
$81,177.97
|
$76,876.96
|
2026-05-22
|
|
303-4
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
14
|
5
|
—
|
—
|
$63,323.63
|
$126,819.33
|
$75,988.36
|
2026-05-22
|
|
631-4
|
OTHER
|
Neonate Birthwt >2499g W Other Major Procedure
|
14
|
5
|
—
|
—
|
$61,108.51
|
$150,590.99
|
$73,330.21
|
2026-05-22
|
|
440-4
|
OTHER
|
Kidney Transplant
|
14
|
5
|
—
|
—
|
$60,356.96
|
$111,146.15
|
$72,428.35
|
2026-05-22
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
14
|
5
|
—
|
—
|
$57,798.32
|
$209,215.51
|
$69,357.98
|
2026-05-22
|
|
161-3
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
14
|
5
|
—
|
—
|
$57,192.08
|
$258,928.62
|
$68,630.50
|
2026-05-22
|
|
361-4
|
OTHER
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
14
|
5
|
—
|
—
|
$55,802.33
|
$83,288.51
|
$66,962.80
|
2026-05-22
|
|
602-2
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
14
|
5
|
—
|
—
|
$55,125.18
|
$106,381.15
|
$66,150.22
|
2026-05-22
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
14
|
5
|
—
|
—
|
$54,548.01
|
$87,686.15
|
$65,457.61
|
2026-05-22
|
|
304-4
|
OTHER
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
14
|
5
|
—
|
—
|
$53,370.99
|
$70,811.35
|
$64,045.19
|
2026-05-22
|
|
607-3
|
OTHER
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
14
|
5
|
—
|
—
|
$53,178.59
|
$68,275.39
|
$63,814.31
|
2026-05-22
|
|
593-1
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
14
|
5
|
—
|
—
|
$2,486.19
|
$75,348.76
|
$62,790.63
|
2026-05-22
|
|
312-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
14
|
5
|
—
|
—
|
$52,325.33
|
$89,266.97
|
$62,790.40
|
2026-05-22
|
|
603-3
|
OTHER
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
14
|
5
|
—
|
—
|
$52,186.99
|
$102,917.31
|
$62,624.39
|
2026-05-22
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
14
|
5
|
—
|
—
|
$52,144.56
|
$65,257.12
|
$62,573.47
|
2026-05-22
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
14
|
5
|
—
|
—
|
$51,999.83
|
$94,740.62
|
$62,399.80
|
2026-05-22
|
|
690-4
|
OTHER
|
Acute Leukemia
|
14
|
5
|
—
|
—
|
$50,876.87
|
$93,408.65
|
$61,052.24
|
2026-05-22
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
14
|
5
|
—
|
—
|
$50,206.11
|
$118,057.23
|
$60,247.33
|
2026-05-22
|
|
612-4
|
OTHER
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
14
|
5
|
—
|
—
|
$49,252.29
|
$79,438.35
|
$59,102.75
|
2026-05-22
|
|
405-4
|
OTHER
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
14
|
5
|
—
|
—
|
$48,755.33
|
$62,107.32
|
$58,506.40
|
2026-05-22
|
|
611-4
|
OTHER
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
14
|
5
|
—
|
—
|
$47,741.64
|
$104,288.39
|
$57,289.97
|
2026-05-22
|
|
950-4
|
OTHER
|
Extensive Procedure Unrelated To Principal Diagnosis
|
14
|
5
|
—
|
—
|
$47,163.88
|
$68,552.68
|
$56,596.66
|
2026-05-22
|
|
850-4
|
OTHER
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
14
|
5
|
—
|
—
|
$44,329.74
|
$62,390.54
|
$53,195.69
|
2026-05-22
|
|
912-4
|
OTHER
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
14
|
5
|
—
|
—
|
$44,038.53
|
$59,960.05
|
$52,846.24
|
2026-05-22
|
|
23-4
|
OTHER
|
Spinal Procedures
|
14
|
5
|
—
|
—
|
$46,976.72
|
$56,372.06
|
$52,810.77
|
2026-05-22
|
|
512-4
|
OTHER
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
14
|
5
|
—
|
—
|
$43,613.06
|
$63,745.03
|
$52,335.67
|
2026-05-22
|
|
607-2
|
OTHER
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
14
|
5
|
—
|
—
|
$43,467.75
|
$53,122.44
|
$52,161.30
|
2026-05-22
|
|
260-4
|
OTHER
|
Major Pancreas, Liver & Shunt Procedures
|
14
|
5
|
—
|
—
|
$43,166.09
|
$65,149.28
|
$51,799.31
|
2026-05-22
|
|
591-1
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
14
|
5
|
—
|
—
|
$2,153.20
|
$62,002.92
|
$51,669.10
|
2026-05-22
|
|
695-4
|
OTHER
|
Chemotherapy For Acute Leukemia #
|
14
|
5
|
—
|
—
|
$42,935.33
|
$71,767.67
|
$51,522.40
|
2026-05-22
|
|
92-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
14
|
5
|
—
|
—
|
$42,741.20
|
$80,157.66
|
$51,289.44
|
2026-05-22
|
|
609-3
|
OTHER
|
Neonate Bwt 1500-2499g W Major Procedure
|
14
|
5
|
—
|
—
|
$42,332.58
|
$142,115.67
|
$50,799.10
|
2026-05-22
|
|
21-4
|
OTHER
|
Craniotomy Except For Trauma
|
14
|
5
|
—
|
—
|
$42,090.20
|
$74,275.18
|
$50,508.24
|
2026-05-22
|
|
169-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
14
|
5
|
—
|
—
|
$41,750.18
|
$65,195.50
|
$50,100.22
|
2026-05-22
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
14
|
5
|
—
|
—
|
$41,747.85
|
$86,296.11
|
$50,097.42
|
2026-05-22
|
|
608-4
|
OTHER
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
14
|
5
|
—
|
—
|
$41,747.27
|
$91,765.01
|
$50,096.72
|
2026-05-22
|
|
447-4
|
OTHER
|
Other Kidney, Urinary Tract & Related Procedures
|
14
|
5
|
—
|
—
|
$44,352.40
|
$53,222.88
|
$50,005.81
|
2026-05-22
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal & Duodenal Procedures
|
14
|
5
|
—
|
—
|
$41,196.83
|
$101,808.13
|
$49,436.20
|
2026-05-22
|
|
165-4
|
OTHER
|
Coronary Bypass W Ami Or Complex Pdx
|
14
|
5
|
—
|
—
|
$41,132.31
|
$63,327.90
|
$49,358.77
|
2026-05-22
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
14
|
5
|
—
|
—
|
$40,960.26
|
$80,043.90
|
$49,152.31
|
2026-05-22
|
|
303-3
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
14
|
5
|
—
|
—
|
$40,617.33
|
$86,009.33
|
$48,740.80
|
2026-05-22
|
|
401-4
|
OTHER
|
Pituitary & Adrenal Procedures
|
14
|
5
|
—
|
—
|
$40,615.59
|
$70,652.55
|
$48,738.71
|
2026-05-22
|
|
608-3
|
OTHER
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
14
|
5
|
—
|
—
|
$39,661.77
|
$83,097.72
|
$47,594.12
|
2026-05-22
|
|
89-4
|
OTHER
|
Major Cranial/facial Bone Procedures
|
14
|
5
|
—
|
—
|
$39,632.70
|
$70,747.36
|
$47,559.24
|
2026-05-22
|
|
621-4
|
OTHER
|
Neonate Bwt 2000-2499g W Major Anomaly
|
14
|
5
|
—
|
—
|
$39,478.67
|
$91,264.93
|
$47,374.40
|
2026-05-22
|
|
603-2
|
OTHER
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
14
|
5
|
—
|
—
|
$40,097.12
|
$48,116.54
|
$47,243.51
|
2026-05-22
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
14
|
5
|
—
|
—
|
$39,311.28
|
$75,846.53
|
$47,173.54
|
2026-05-22
|
|
310-4
|
OTHER
|
Intervertebral Disc Excision & Decompression
|
14
|
5
|
—
|
—
|
$39,769.88
|
$47,723.86
|
$46,929.48
|
2026-05-22
|
|
20-4
|
OTHER
|
Craniotomy For Trauma
|
14
|
5
|
—
|
—
|
$38,885.22
|
$60,201.79
|
$46,662.26
|
2026-05-22
|
|
167-4
|
OTHER
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
14
|
5
|
—
|
—
|
$38,543.45
|
$95,406.60
|
$46,252.14
|
2026-05-22
|
|
181-4
|
OTHER
|
Lower Extremity Arterial Procedures #
|
14
|
5
|
—
|
—
|
$38,458.01
|
$55,187.94
|
$46,149.61
|
2026-05-22
|
|
403-4
|
OTHER
|
Procedures For Obesity
|
14
|
5
|
—
|
—
|
$38,226.67
|
$49,876.64
|
$45,872.00
|
2026-05-22
|
|
24-4
|
OTHER
|
Extracranial Vascular Procedures
|
14
|
5
|
—
|
—
|
$39,487.39
|
$47,384.87
|
$45,520.48
|
2026-05-22
|
|
911-4
|
OTHER
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
14
|
5
|
—
|
—
|
$37,724.48
|
$64,316.21
|
$45,269.38
|
2026-05-22
|
|
313-4
|
OTHER
|
Knee & Lower Leg Procedures Except Foot
|
14
|
5
|
—
|
—
|
$37,614.04
|
$47,168.85
|
$45,136.85
|
2026-05-22
|
|
510-4
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
14
|
5
|
—
|
—
|
$37,253.67
|
$80,020.20
|
$44,704.40
|
2026-05-22
|
|
612-3
|
OTHER
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
14
|
5
|
—
|
—
|
$36,868.31
|
$63,165.55
|
$44,241.97
|
2026-05-22
|
|
710-4
|
OTHER
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
14
|
5
|
—
|
—
|
$36,736.95
|
$52,111.61
|
$44,084.34
|
2026-05-22
|
|
317-4
|
OTHER
|
Tendon, Muscle & Other Soft Tissue Procedures
|
14
|
5
|
—
|
—
|
$36,723.00
|
$53,648.59
|
$44,067.60
|
2026-05-22
|
|
305-4
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
14
|
5
|
—
|
—
|
$36,628.83
|
$46,314.45
|
$43,954.60
|
2026-05-22
|
|
26-4
|
OTHER
|
Other Nervous System & Related Procedures
|
14
|
5
|
—
|
—
|
$36,478.29
|
$65,971.69
|
$43,773.95
|
2026-05-22
|
|
951-4
|
OTHER
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
14
|
5
|
—
|
—
|
$36,473.64
|
$50,390.95
|
$43,768.37
|
2026-05-22
|
|
182-4
|
OTHER
|
Other Peripheral Vascular Procedures #
|
14
|
5
|
—
|
—
|
$36,455.62
|
$51,834.31
|
$43,746.74
|
2026-05-22
|
|
611-3
|
OTHER
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
14
|
5
|
—
|
—
|
$36,419.59
|
$69,193.78
|
$43,703.51
|
2026-05-22
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Pdx
|
14
|
5
|
—
|
—
|
$36,218.48
|
$59,298.80
|
$43,462.18
|
2026-05-22
|
|
511-4
|
OTHER
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
14
|
5
|
—
|
—
|
$36,190.58
|
$67,291.81
|
$43,428.70
|
2026-05-22
|
|
444-4
|
OTHER
|
Renal Dialysis Access Device Procedure Only
|
14
|
5
|
—
|
—
|
$35,955.17
|
$46,553.82
|
$43,146.20
|
2026-05-22
|
|
321-4
|
OTHER
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
14
|
5
|
—
|
—
|
$41,060.24
|
$49,272.29
|
$43,004.67
|
2026-05-22
|
|
264-4
|
OTHER
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
14
|
5
|
—
|
—
|
$35,773.24
|
$58,673.11
|
$42,927.89
|
2026-05-22
|
|
261-4
|
OTHER
|
Major Biliary Tract Procedures
|
14
|
5
|
—
|
—
|
$35,691.87
|
$53,993.43
|
$42,830.24
|
2026-05-22
|
|
161-2
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
14
|
5
|
—
|
—
|
$35,616.31
|
$207,897.76
|
$42,739.57
|
2026-05-22
|
|
120-4
|
OTHER
|
Major Respiratory & Chest Procedures
|
14
|
5
|
—
|
—
|
$35,402.41
|
$73,074.75
|
$42,482.89
|
2026-05-22
|
|
130-4
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
14
|
5
|
—
|
—
|
$35,297.79
|
$61,670.04
|
$42,357.35
|
2026-05-22
|
|
690-3
|
OTHER
|
Acute Leukemia
|
14
|
5
|
—
|
—
|
$35,240.24
|
$54,879.83
|
$42,288.29
|
2026-05-22
|
|
121-4
|
OTHER
|
Other Respiratory & Chest Procedures
|
14
|
5
|
—
|
—
|
$35,206.53
|
$48,657.25
|
$42,247.84
|
2026-05-22
|
|
442-4
|
OTHER
|
Kidney & Urinary Tract Procedures For Malignancy
|
14
|
5
|
—
|
—
|
$37,059.54
|
$44,471.45
|
$42,229.66
|
2026-05-22
|
|
519-4
|
OTHER
|
Uterine & Adnexa Procedures For Leiomyoma
|
14
|
5
|
—
|
—
|
$35,158.29
|
$52,691.08
|
$42,189.95
|
2026-05-22
|
|
711-4
|
OTHER
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
14
|
5
|
—
|
—
|
$35,083.31
|
$57,471.49
|
$42,099.97
|
2026-05-22
|
|
607-1
|
OTHER
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
14
|
5
|
—
|
—
|
$35,114.11
|
$42,136.93
|
$41,889.55
|
2026-05-22
|
|
691-4
|
OTHER
|
Lymphoma, Myeloma & Non-acute Leukemia
|
14
|
5
|
—
|
—
|
$36,809.02
|
$44,170.82
|
$41,867.04
|
2026-05-22
|
|
518-4
|
OTHER
|
Other Female Reproductive System & Related Procedures
|
14
|
5
|
—
|
—
|
$34,746.19
|
$51,372.15
|
$41,695.43
|
2026-05-22
|
|
49-4
|
OTHER
|
Bacterial & Tuberculous Infections Of Nervous System
|
14
|
5
|
—
|
—
|
$34,685.74
|
$47,580.06
|
$41,622.89
|
2026-05-22
|
|
952-4
|
OTHER
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
14
|
5
|
—
|
—
|
$34,477.07
|
$47,059.83
|
$41,372.48
|
2026-05-22
|
|
630-3
|
OTHER
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
14
|
5
|
—
|
—
|
$34,441.61
|
$119,435.42
|
$41,329.93
|
2026-05-22
|
|
43-4
|
OTHER
|
Multiple Sclerosis & Other Demyelinating Diseases
|
14
|
5
|
—
|
—
|
$34,396.28
|
$45,497.97
|
$41,275.54
|
2026-05-22
|
|
381-4
|
OTHER
|
Major Skin Disorders
|
14
|
5
|
—
|
—
|
$34,309.67
|
$44,973.00
|
$41,171.60
|
2026-05-22
|
|
841-2
|
OTHER
|
Extensive 3rd Degree Burns W Skin Graft
|
14
|
5
|
—
|
—
|
$29,238.20
|
$49,395.74
|
$41,163.12
|
2026-05-22
|
|
229-4
|
OTHER
|
Other Digestive System & Abdominal Procedures
|
14
|
5
|
—
|
—
|
$33,635.43
|
$48,940.47
|
$40,362.52
|
2026-05-22
|
|
309-4
|
OTHER
|
Other Significant Hip And Femur Surgery
|
14
|
5
|
—
|
—
|
$33,393.05
|
$54,213.85
|
$40,071.66
|
2026-05-22
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
14
|
5
|
—
|
—
|
$33,344.22
|
$57,529.55
|
$40,013.06
|
2026-05-22
|
|
650-4
|
OTHER
|
Splenectomy
|
14
|
5
|
—
|
—
|
$33,148.35
|
$53,086.88
|
$39,778.02
|
2026-05-22
|
|
440-3
|
OTHER
|
Kidney Transplant
|
14
|
5
|
—
|
—
|
$32,970.48
|
$86,479.79
|
$39,564.58
|
2026-05-22
|
|
222-4
|
OTHER
|
Other Stomach, Esophageal & Duodenal Procedures
|
14
|
5
|
—
|
—
|
$32,166.04
|
$55,843.26
|
$38,599.25
|
2026-05-22
|
|
224-4
|
OTHER
|
Peritoneal Adhesiolysis
|
14
|
5
|
—
|
—
|
$32,367.15
|
$38,840.58
|
$38,014.51
|
2026-05-22
|
|
423-4
|
OTHER
|
Inborn Errors Of Metabolism
|
14
|
5
|
—
|
—
|
$31,609.79
|
$68,718.59
|
$37,931.75
|
2026-05-22
|
|
171-4
|
OTHER
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
14
|
5
|
—
|
—
|
$34,664.23
|
$41,597.08
|
$37,773.95
|
2026-05-22
|
|
602-1
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
14
|
5
|
—
|
—
|
$23,583.24
|
$45,286.12
|
$37,738.43
|
2026-05-22
|
|
22-4
|
OTHER
|
Ventricular Shunt Procedures
|
14
|
5
|
—
|
—
|
$31,314.52
|
$62,763.82
|
$37,577.42
|
2026-05-22
|
|
633-4
|
OTHER
|
Neonate Birthwt >2499g W Major Anomaly
|
14
|
5
|
—
|
—
|
$31,119.22
|
$90,233.96
|
$37,343.06
|
2026-05-22
|
|
50-4
|
OTHER
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
14
|
5
|
—
|
—
|
$31,076.21
|
$46,127.21
|
$37,291.45
|
2026-05-22
|
|
304-3
|
OTHER
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
14
|
5
|
—
|
—
|
$30,966.36
|
$47,517.25
|
$37,159.63
|
2026-05-22
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
14
|
5
|
—
|
—
|
$30,800.12
|
$113,756.76
|
$36,960.14
|
2026-05-22
|
|
303-2
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
14
|
5
|
—
|
—
|
$30,738.51
|
$71,701.30
|
$36,886.21
|
2026-05-22
|
|
177-4
|
OTHER
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
14
|
5
|
—
|
—
|
$27,961.92
|
$44,183.38
|
$36,819.48
|
2026-05-22
|
|
227-4
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
14
|
5
|
—
|
—
|
$30,653.06
|
$43,438.39
|
$36,783.67
|
2026-05-22
|
|
608-2
|
OTHER
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
14
|
5
|
—
|
—
|
$33,049.53
|
$39,659.44
|
$36,519.01
|
2026-05-22
|
|
223-4
|
OTHER
|
Other Small & Large Bowel Procedures
|
14
|
5
|
—
|
—
|
$32,424.70
|
$38,909.64
|
$36,318.74
|
2026-05-22
|
|
90-4
|
OTHER
|
Major Larynx & Trachea Procedures
|
10
|
3
|
—
|
—
|
$65,276.03
|
$78,331.24
|
$65,276.03
|
2026-05-22
|
|
791-4
|
OTHER
|
O.r. Procedure For Other Complications Of Treatment
|
10
|
3
|
—
|
—
|
$38,424.30
|
$46,109.16
|
$38,424.30
|
2026-05-22
|
|
221-4
|
OTHER
|
Major Small & Large Bowel Procedures
|
10
|
3
|
—
|
—
|
$38,410.35
|
$46,092.42
|
$38,410.35
|
2026-05-22
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$100,234.41
|
$100,234.41
|
$100,234.41
|
2026-05-22
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$84,334.89
|
$84,334.89
|
$84,334.89
|
2026-05-22
|
|
179-4
|
OTHER
|
Defibrillator Implants
|
4
|
2
|
—
|
—
|
$83,582.39
|
$83,582.39
|
$83,582.39
|
2026-05-22
|
|
178-3
|
OTHER
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$74,153.13
|
$74,153.13
|
$74,153.13
|
2026-05-22
|
|
178-2
|
OTHER
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$69,087.13
|
$69,087.13
|
$69,087.13
|
2026-05-22
|
|
792-4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
2
|
—
|
—
|
$65,879.26
|
$65,879.26
|
$65,879.26
|
2026-05-22
|
|
232-4
|
OTHER
|
Gastric Fundoplication
|
4
|
2
|
—
|
—
|
$65,761.94
|
$65,761.94
|
$65,761.94
|
2026-05-22
|
|
183-3
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$62,436.76
|
$62,436.76
|
$62,436.76
|
2026-05-22
|
|
178-1
|
OTHER
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$61,620.27
|
$61,620.27
|
$61,620.27
|
2026-05-22
|
|
179-3
|
OTHER
|
Defibrillator Implants
|
4
|
2
|
—
|
—
|
$60,553.75
|
$60,553.75
|
$60,553.75
|
2026-05-22
|
|
230-4
|
OTHER
|
Major Small Bowel Procedures
|
4
|
2
|
—
|
—
|
$59,715.93
|
$59,715.93
|
$59,715.93
|
2026-05-22
|
|
29-4
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
4
|
2
|
—
|
—
|
$57,876.77
|
$57,876.77
|
$57,876.77
|
2026-05-22
|
|
120
|
OTHER
|
Immunotherapy
|
4
|
2
|
—
|
—
|
$55,027.46
|
$55,027.46
|
$55,027.46
|
2026-05-22
|
|
183-2
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$50,610.18
|
$50,610.18
|
$50,610.18
|
2026-05-22
|
|
30-4
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
2
|
—
|
—
|
$49,762.88
|
$49,762.88
|
$49,762.88
|
2026-05-22
|
|
183-1
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$48,176.13
|
$48,176.13
|
$48,176.13
|
2026-05-22
|
|
246
|
OTHER
|
Class IV Therapeutic Radiopharmaceuticals
|
4
|
2
|
—
|
—
|
$45,780.28
|
$45,780.28
|
$45,780.28
|
2026-05-22
|
|
325-4
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
4
|
2
|
—
|
—
|
$45,771.71
|
$45,771.71
|
$45,771.71
|
2026-05-22
|
|
793-4
|
OTHER
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
2
|
—
|
—
|
$44,453.96
|
$44,453.96
|
$44,453.96
|
2026-05-22
|
|
179-2
|
OTHER
|
Defibrillator Implants
|
4
|
2
|
—
|
—
|
$43,958.61
|
$43,958.61
|
$43,958.61
|
2026-05-22
|
|
548-4
|
OTHER
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
4
|
2
|
—
|
—
|
$43,377.95
|
$43,377.95
|
$43,377.95
|
2026-05-22
|
|
794-4
|
OTHER
|
Non-extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
2
|
—
|
—
|
$42,387.27
|
$42,387.27
|
$42,387.27
|
2026-05-22
|
|
179-1
|
OTHER
|
Defibrillator Implants
|
4
|
2
|
—
|
—
|
$38,969.65
|
$38,969.65
|
$38,969.65
|
2026-05-22
|
|
231-4
|
OTHER
|
Major Large Bowel Procedures
|
4
|
2
|
—
|
—
|
$38,767.01
|
$38,767.01
|
$38,767.01
|
2026-05-22
|
|
323-4
|
OTHER
|
Non-elective Or Complex Hip Joint Replacement
|
4
|
2
|
—
|
—
|
$37,731.29
|
$37,731.29
|
$37,731.29
|
2026-05-22
|
|
30-3
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
2
|
—
|
—
|
$37,508.51
|
$37,508.51
|
$37,508.51
|
2026-05-22
|
|
547-4
|
OTHER
|
Antepartum With O.r. Procedure
|
4
|
2
|
—
|
—
|
$37,367.49
|
$37,367.49
|
$37,367.49
|
2026-05-22
|
|
233-4
|
OTHER
|
Appendectomy With Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$37,221.73
|
$37,221.73
|
$37,221.73
|
2026-05-22
|
|
3060
|
OTHER
|
Ventricular Assist Device Procedures
|
4
|
2
|
—
|
—
|
$36,206.50
|
$36,206.50
|
$36,206.50
|
2026-05-22
|