Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

INOVA ALEXANDRIA HOSPITAL

Alexandria, VA · CCN 490040 · Rates published

2,067 distinct procedures filed
10 distinct payers
396,744 rate rows
2026-05-22 last MRF observed
Data quality

394,999 of 396,744 rate rows are consumer-grade (99.6%)

1,745 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 — reasonRows
per-diem day rate — not a per-procedure price 1,122
exceeds 10× this hospital's gross charge — excluded from medians 514
percent-of-charges filed in the dollar field — excluded from medians 62
placeholder amount (≤ $0.02) — excluded from medians 32
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.inova.org/sites/default/files/patient_visitor/price_transparency/2026/540620889_inova-alexandria-hospital_standardcharges.csv
Found on page https://www.inova.org/patient-and-visitor-information/hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 3448aab3e6af931d… · 20,462,959 bytes · first seen 2026-05-09

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
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $297,666.40 $1,007,423.91 $681,432.58 nat. median
$386,529
1.8× median
583 SOI-4
OTHER 		Neonate With Ecmo 7 $548,047.21 $603,595.53 $565,184.91 nat. median
$578,384
1.0× median
891
OTHER 		Axicabtagene Ciloleucel 200000000 Cells Susp 1 Each Package 8 $55,195.16 $1,374,773.40 $549,227.07 nat. median
$30
outlier · 18592.7×
589 SOI-1
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $501,914.82 $552,787.31 $517,609.93 nat. median
$529,698
1.0× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $227,773.02 $752,461.21 $514,594.56 nat. median
$239,422
outlier · 2.1×
589 SOI-2
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $484,156.95 $533,229.55 $499,296.76 nat. median
$510,957
1.0× median
583 SOI-3
OTHER 		Neonate With Ecmo 7 $481,379.56 $530,170.66 $496,432.53 nat. median
$508,026
1.0× median
588 SOI-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $387,181.52 $426,425.01 $399,288.87 nat. median
$408,613
1.0× median
161 SOI-4
OTHER 		Implantable Heart Assist Systems 7 $374,990.23 $412,998.05 $386,716.36 nat. median
$395,747
1.0× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $159,264.44 $537,260.88 $361,507.81 nat. median
$146,562
outlier · 2.5×
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $169,638.79 $572,503.40 $350,449.52 nat. median
$181,005
1.9× median
630 SOI-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $339,382.99 $373,781.77 $349,995.66 nat. median
$358,169
1.0× median
583 SOI-2
OTHER 		Neonate With Ecmo 7 $331,220.54 $364,792.00 $341,577.96 nat. median
$349,555
1.0× median
609 SOI-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $323,977.49 $356,814.82 $334,108.42 nat. median
$341,911
1.0× median
841 SOI-4
OTHER 		Extensive Third Degree Burns With Skin Graft 7 $317,777.80 $349,986.75 $327,714.87 nat. median
$335,368
1.0× median
160 SOI-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 7 $301,197.59 $331,726.02 $310,616.18 nat. median
$317,870
1.0× median
591 SOI-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $286,298.28 $315,316.56 $295,250.96 nat. median
$302,146
1.0× median
631 SOI-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $270,702.40 $298,139.93 $279,167.39 nat. median
$285,687
1.0× median
593 SOI-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $249,926.59 $275,258.35 $257,741.91 nat. median
$263,761
1.0× median
009 SOI-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $226,817.60 $249,807.10 $233,910.29 nat. median
$239,373
1.0× median
589 SOI-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $225,012.74 $247,819.31 $232,048.99 nat. median
$237,468
1.0× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $112,222.48 $424,888.36 $231,053.76 nat. median
$134,983
1.7× median
603 SOI-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $223,582.72 $246,244.35 $230,574.26 nat. median
$235,959
1.0× median
004 SOI-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $217,672.28 $239,734.85 $224,479.00 nat. median
$229,721
1.0× median
7
OTHER 		Lung Transplant 9 $106,450.13 $349,107.51 $223,424.80 nat. median
$169,933
1.3× median
14
OTHER 		Allogeneic Bone Marrow Transplant 9 $106,715.28 $349,989.04 $219,623.96 nat. median
$100,915
outlier · 2.2×
583 SOI-1
OTHER 		Neonate With Ecmo 7 $207,321.27 $228,334.70 $213,804.31 nat. median
$218,797
1.0× median
212
OTHER 		Concomitant Aortic And Mitral Valve�procedures 9 $88,975.04 $291,009.30 $194,240.35 nat. median
$90,581
outlier · 2.1×
792 SOI-4
OTHER 		Extensive O.r. Procedures For Other Complications Of Treatment 7 $186,387.56 $205,279.21 $192,215.98 nat. median
$196,705
1.0× median
426
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $85,612.43 $279,829.88 $191,535.21 nat. median
$80,273
outlier · 2.4×
161 SOI-3
OTHER 		Implantable Heart Assist Systems 7 $181,846.63 $200,278.02 $187,533.06 nat. median
$191,912
1.0× median
215
OTHER 		Other Heart Assist System Implant 9 $84,423.35 $283,019.42 $184,518.42 nat. median
$92,359
2.0× median
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $77,007.86 $624,443.00 $184,384.63 nat. median
$111,558
1.7× median
161 SOI-2
OTHER 		Implantable Heart Assist Systems 7 $177,535.92 $195,530.40 $183,087.55 nat. median
$187,363
1.0× median
5
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 9 $87,010.50 $284,477.95 $178,514.66 nat. median
$94,894
1.9× median
593 SOI-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $172,322.05 $189,788.06 $177,710.64 nat. median
$181,861
1.0× median
680 SOI-4
OTHER 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $171,578.26 $188,968.89 $176,943.59 nat. median
$181,076
1.0× median
681 SOI-4
OTHER 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $169,370.52 $186,537.37 $174,666.81 nat. median
$178,746
1.0× median
161 SOI-1
OTHER 		Implantable Heart Assist Systems 7 $168,619.35 $185,710.07 $173,892.16 nat. median
$177,953
1.0× median
602 SOI-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $168,614.93 $185,705.20 $173,887.59 nat. median
$177,948
1.0× median
591 SOI-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $168,111.69 $185,150.96 $173,368.62 nat. median
$177,417
1.0× median
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $77,002.55 $257,810.32 $168,399.80 nat. median
$90,130
1.9× median
005 SOI-4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $158,657.94 $174,739.01 $163,619.25 nat. median
$167,440
1.0× median
842 SOI-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 7 $156,615.49 $172,489.53 $161,512.93 nat. median
$165,285
1.0× median
609 SOI-3
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $156,516.61 $172,380.64 $161,410.96 nat. median
$165,180
1.0× median
850
OTHER 		Acute Leukemia With Other Procedures 9 $75,460.34 $246,077.95 $160,769.14 nat. median
$407
outlier · 394.8×
602 SOI-3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $152,520.24 $167,979.21 $157,289.62 nat. median
$160,963
1.0× median
231
OTHER 		Coronary Bypass With Ptca With Mcc 9 $67,745.61 $226,363.71 $147,580.96 nat. median
$74,989
2.0× median
456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $67,708.65 $226,238.16 $147,499.10 nat. median
$76,493
1.9× median
588 SOI-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $142,761.01 $157,230.81 $147,225.22 nat. median
$150,663
1.0× median

Other procedures at this hospital

Browse this hospital's 2,067 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
690 SOI-4 OTHER Acute Leukemia 20 7 — — $108,518.85 $119,517.98 $111,912.29 2026-05-22
690 SOI-3 OTHER Acute Leukemia 20 7 — — $56,412.57 $62,130.36 $58,176.61 2026-05-22
850 OTHER Acute Leukemia With Other Procedures 27 9 — — $75,460.34 $246,077.95 $160,769.14 2026-05-09
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 82 9 — — $44,574.95 $147,651.04 $96,263.14 2026-05-22
401 SOI-4 OTHER Adrenal Procedures 20 7 — — $80,563.45 $88,729.10 $83,082.71 2026-05-22
245 OTHER Aicd Generator Procedures 82 9 — — $39,538.36 $130,541.33 $85,108.23 2026-05-22
265 OTHER Aicd Lead Procedures 82 9 — — $29,161.65 $95,290.79 $62,698.54 2026-05-22
14 OTHER Allogeneic Bone Marrow Transplant 23 9 — — $106,715.28 $349,989.04 $219,623.96 2026-05-09
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 82 9 — — $40,718.67 $134,550.96 $87,722.36 2026-05-22
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 82 9 — — $36,376.44 $119,800.02 $78,105.27 2026-05-22
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 83 9 — — $53,541.72 $178,111.93 $116,564.54 2026-05-22
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 82 9 — — $33,828.65 $111,144.99 $73,155.52 2026-05-22
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 23 9 — — $49,941.52 $161,237.30 $101,179.10 2026-05-09
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 23 9 — — $49,941.52 $161,237.30 $101,179.10 2026-05-09
891 OTHER Axicabtagene Ciloleucel 200000000 Cells Susp 1 Each Package 20 8 $1,762,530.00 $881,265.00 50% off $55,195.16 $1,374,773.40 $549,227.07 2026-05-09
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 82 9 — — $29,293.76 $95,739.57 $63,853.32 2026-05-22
049 SOI-4 OTHER Bacterial And Tuberculous Infections Of Nervous System 20 7 — — $60,572.75 $66,712.21 $62,466.88 2026-05-22
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 83 9 — — $29,802.53 $97,467.91 $64,114.26 2026-05-22
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 82 9 — — $48,219.69 $160,032.54 $104,335.43 2026-05-22
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 82 9 — — $28,643.45 $93,530.40 $61,660.19 2026-05-22
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 82 9 — — $28,153.55 $91,866.18 $60,162.56 2026-05-22
842 SOI-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 20 7 — — $156,615.49 $172,489.53 $161,512.93 2026-05-22
277 OTHER Cardiac Defibrillator Implant Without Mcc 26 9 — — $38,821.23 $124,266.44 $82,829.13 2026-05-09
177 SOI-4 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 20 7 — — $89,639.40 $98,724.96 $92,442.47 2026-05-22
177 SOI-3 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 20 7 — — $64,104.25 $70,601.65 $66,108.82 2026-05-22
200 SOI-4 OTHER Cardiac Structural And Valvular Disorders 20 7 — — $58,199.72 $64,098.65 $60,019.65 2026-05-22
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 83 9 — — $77,002.55 $257,810.32 $168,399.80 2026-05-22
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 9 — — $51,892.74 $172,510.21 $113,717.79 2026-05-22
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 9 — — $47,893.35 $158,923.95 $107,497.90 2026-05-22
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 83 9 — — $61,954.91 $206,692.22 $135,152.96 2026-05-22
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 83 9 — — $42,761.62 $141,491.01 $92,746.57 2026-05-22
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 9 — — $37,224.91 $122,682.35 $82,983.69 2026-05-22
162 SOI-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 7 — — $108,383.08 $119,368.45 $111,772.27 2026-05-22
162 SOI-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 7 — — $85,972.13 $94,685.99 $88,660.51 2026-05-22
162 SOI-2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 7 — — $55,473.98 $61,096.65 $57,208.68 2026-05-22
163 SOI-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 20 7 — — $95,393.40 $105,062.18 $98,376.40 2026-05-22
163 SOI-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 20 7 — — $64,499.75 $71,037.24 $66,516.69 2026-05-22
34 OTHER Carotid Artery Stent Procedures With Mcc 82 9 — — $31,689.78 $103,879.04 $67,729.56 2026-05-22
695 SOI-4 OTHER Chemotherapy For Acute Leukemia 20 7 — — $65,487.04 $72,124.60 $67,534.85 2026-05-22
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 82 9 — — $40,485.13 $133,757.58 $87,205.11 2026-05-22
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 82 9 — — $297,666.40 $1,007,423.91 $681,432.58 2026-05-22
263 SOI-4 OTHER Cholecystectomy 20 7 — — $65,433.91 $72,066.09 $67,480.06 2026-05-22
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 82 9 — — $28,663.11 $93,597.18 $61,657.51 2026-05-22
212 OTHER Concomitant Aortic And Mitral Valve�procedures 26 9 — — $88,975.04 $291,009.30 $194,240.35 2026-05-09
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 9 — — $51,150.77 $165,257.61 $114,610.99 2026-05-09
165 SOI-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 20 7 — — $74,465.59 $82,013.19 $76,794.17 2026-05-22
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 82 9 — — $62,575.34 $208,799.88 $136,129.97 2026-05-22
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 82 9 — — $42,946.41 $142,118.77 $94,069.48 2026-05-22
231 OTHER Coronary Bypass With Ptca With Mcc 82 9 — — $67,745.61 $226,363.71 $147,580.96 2026-05-22
232 OTHER Coronary Bypass With Ptca Without Mcc 82 9 — — $49,146.80 $163,182.01 $106,388.76 2026-05-22
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 82 9 — — $47,381.44 $157,184.93 $102,583.22 2026-05-22
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 82 9 — — $33,446.49 $109,846.73 $72,426.74 2026-05-22
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 83 9 — — $36,278.93 $191,498.60 $80,809.99 2026-05-22
955 OTHER Craniotomy For Multiple Significant Trauma 82 9 — — $54,805.39 $182,404.72 $118,921.28 2026-05-22
910 SOI-4 OTHER Craniotomy For Multiple Significant Trauma 20 7 — — $105,809.35 $116,533.85 $109,118.06 2026-05-22
910 SOI-3 OTHER Craniotomy For Multiple Significant Trauma 20 7 — — $55,870.96 $61,533.86 $57,618.07 2026-05-22
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 87 9 — — $45,973.08 $152,400.62 $95,633.93 2026-05-22
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 83 9 — — $31,005.65 $101,555.00 $66,772.48 2026-05-22
179 SOI-4 OTHER Defibrillator Implants 20 7 — — $72,188.49 $79,505.28 $74,445.85 2026-05-22
179 SOI-3 OTHER Defibrillator Implants 20 7 — — $56,489.31 $62,214.88 $58,255.75 2026-05-22
042 SOI-4 OTHER Degenerative Nervous System Disorders Except Multiple Sclerosis 20 7 — — $56,349.11 $62,060.47 $58,111.17 2026-05-22
304 SOI-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 20 7 — — $100,685.50 $110,890.66 $103,833.98 2026-05-22
303 SOI-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 20 7 — — $114,600.48 $126,216.02 $118,184.09 2026-05-22
303 SOI-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 20 7 — — $61,253.07 $67,461.49 $63,168.49 2026-05-22
303 SOI-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 20 7 — — $58,729.52 $64,682.15 $60,566.02 2026-05-22
303 SOI-1 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 20 7 — — $55,317.55 $60,924.36 $57,047.36 2026-05-22
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 51 8 — — $169,638.79 $572,503.40 $350,449.52 2026-05-22
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 82 9 — — $48,219.69 $160,032.54 $105,734.21 2026-05-22
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 82 9 — — $38,106.41 $125,676.89 $82,597.68 2026-05-22
911 SOI-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 20 7 — — $84,003.46 $92,517.78 $86,630.28 2026-05-22
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 82 9 — — $159,264.44 $537,260.88 $361,507.81 2026-05-22
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 82 9 — — $35,135.57 $115,584.70 $75,357.04 2026-05-22
950 SOI-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 20 7 — — $91,070.89 $100,301.55 $93,918.72 2026-05-22
792 SOI-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 20 7 — — $186,387.56 $205,279.21 $192,215.98 2026-05-22
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 86 9 — — $38,493.30 $126,991.17 $79,718.63 2026-05-22
841 SOI-4 OTHER Extensive Third Degree Burns With Skin Graft 20 7 — — $317,777.80 $349,986.75 $327,714.87 2026-05-22
841 SOI-3 OTHER Extensive Third Degree Burns With Skin Graft 20 7 — — $106,182.72 $116,945.06 $109,503.10 2026-05-22
841 SOI-1 OTHER Extensive Third Degree Burns With Skin Graft 20 7 — — $69,000.84 $75,994.54 $71,158.52 2026-05-22
841 SOI-2 OTHER Extensive Third Degree Burns With Skin Graft 20 7 — — $69,000.84 $75,994.54 $71,158.52 2026-05-22
178 SOI-4 OTHER External Heart Assist Systems 20 7 — — $80,616.58 $88,787.62 $83,137.50 2026-05-22
178 SOI-3 OTHER External Heart Assist Systems 20 7 — — $76,469.68 $84,220.40 $78,860.92 2026-05-22
178 SOI-2 OTHER External Heart Assist Systems 20 7 — — $74,375.57 $81,914.04 $76,701.33 2026-05-22
178 SOI-1 OTHER External Heart Assist Systems 20 7 — — $59,691.71 $65,741.88 $61,558.30 2026-05-22
009 SOI-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 20 7 — — $226,817.60 $249,807.10 $233,910.29 2026-05-22
009 SOI-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 20 7 — — $109,839.66 $120,972.66 $113,274.40 2026-05-22
009 SOI-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 20 7 — — $68,059.30 $74,957.57 $70,187.54 2026-05-22
009 SOI-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 20 7 — — $68,059.30 $74,957.57 $70,187.54 2026-05-22
37 OTHER Extracranial Procedures With Mcc 83 9 — — $27,224.87 $256,763.18 $60,005.34 2026-05-22
092 SOI-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 20 7 — — $76,872.56 $84,664.12 $79,276.40 2026-05-22
514 SOI-4 OTHER Female Reproductive System Reconstructive Procedures 20 7 — — $56,855.30 $62,617.97 $58,633.19 2026-05-22
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 82 9 — — $53,630.58 $178,413.79 $120,681.04 2026-05-22
232 SOI-4 OTHER Gastric Fundoplication 20 7 — — $70,444.13 $77,584.13 $72,646.95 2026-05-22
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 24 9 — — $227,773.02 $752,461.21 $514,594.56 2026-05-09
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 9 — — $77,007.86 $624,443.00 $184,384.63 2026-05-09
969 OTHER HIV With Extensive O.r. Procedures With Mcc 82 9 — — $50,842.18 $168,941.34 $110,143.64 2026-05-22
890 SOI-4 OTHER HIV With Multiple Major HIV Related Conditions 20 7 — — $99,814.79 $109,931.70 $102,936.05 2026-05-22
161 SOI-4 OTHER Implantable Heart Assist Systems 20 7 — — $374,990.23 $412,998.05 $386,716.36 2026-05-22
161 SOI-3 OTHER Implantable Heart Assist Systems 20 7 — — $181,846.63 $200,278.02 $187,533.06 2026-05-22
161 SOI-2 OTHER Implantable Heart Assist Systems 20 7 — — $177,535.92 $195,530.40 $183,087.55 2026-05-22
161 SOI-1 OTHER Implantable Heart Assist Systems 20 7 — — $168,619.35 $185,710.07 $173,892.16 2026-05-22
710 SOI-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 20 7 — — $65,982.90 $72,670.71 $68,046.21 2026-05-22
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 87 9 — — $40,438.73 $133,599.98 $83,838.40 2026-05-22
176 SOI-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 20 7 — — $66,053.73 $72,748.73 $68,119.27 2026-05-22
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 83 9 — — $43,109.19 $142,671.73 $93,514.50 2026-05-22
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 83 9 — — $64,499.54 $215,336.57 $140,775.18 2026-05-22
442 SOI-4 OTHER Kidney And Urinary Tract Procedures For Malignancy 20 7 — — $62,156.24 $68,456.20 $64,099.90 2026-05-22
440 SOI-4 OTHER Kidney Transplant 20 7 — — $119,967.83 $132,127.39 $123,719.28 2026-05-22
440 SOI-3 OTHER Kidney Transplant 20 7 — — $117,197.82 $129,076.62 $120,862.65 2026-05-22
440 SOI-2 OTHER Kidney Transplant 20 7 — — $94,872.46 $104,488.43 $97,839.17 2026-05-22
440 SOI-1 OTHER Kidney Transplant 20 7 — — $57,472.17 $63,297.36 $59,269.35 2026-05-22
650 OTHER Kidney Transplant With Hemodialysis With Mcc 24 9 — — $38,462.87 $123,075.04 $79,977.32 2026-05-09
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 23 9 — — $29,344.87 $92,761.07 $62,416.79 2026-05-09
313 SOI-4 OTHER Knee And Lower Leg Procedures Except Foot 20 7 — — $56,504.06 $62,231.14 $58,270.97 2026-05-22
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 83 9 — — $31,168.42 $102,107.96 $67,132.12 2026-05-22
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 23 9 — — $87,010.50 $284,477.95 $178,514.66 2026-05-09
6 OTHER Liver Transplant Without Mcc 23 9 — — $40,406.51 $129,536.92 $81,286.58 2026-05-09
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 82 9 — — $28,795.21 $94,045.96 $62,340.69 2026-05-22
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 82 9 — — $29,035.84 $94,863.38 $63,003.69 2026-05-22
181 SOI-4 OTHER Lower Extremity Arterial Procedures 20 7 — — $67,910.25 $74,793.41 $70,033.83 2026-05-22
7 OTHER Lung Transplant 24 9 — — $106,450.13 $349,107.51 $223,424.80 2026-05-09
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 82 9 — — $46,894.69 $155,531.39 $101,991.99 2026-05-22
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 82 9 — — $37,908.25 $125,003.72 $81,497.90 2026-05-22
169 SOI-4 OTHER Major Abdominal Vascular Procedures 20 7 — — $84,869.73 $93,471.85 $87,523.65 2026-05-22
261 SOI-4 OTHER Major Biliary Tract Procedures 20 7 — — $70,994.59 $78,190.38 $73,214.63 2026-05-22
441 SOI-4 OTHER Major Bladder Procedures 20 7 — — $87,413.95 $96,273.95 $90,147.42 2026-05-22
653 OTHER Major Bladder Procedures With Mcc 82 9 — — $44,946.89 $148,914.57 $97,086.92 2026-05-22
160 SOI-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 20 7 — — $301,197.59 $331,726.02 $310,616.18 2026-05-22
160 SOI-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 20 7 — — $74,958.50 $82,556.05 $77,302.48 2026-05-22
163 OTHER Major Chest Procedures With Mcc 83 9 — — $37,355.45 $123,125.79 $80,801.96 2026-05-22
089 SOI-4 OTHER Major Cranial Or Facial Bone Procedures 20 7 — — $75,122.31 $82,736.46 $77,471.42 2026-05-22
140 OTHER Major Head And Neck Procedures With Mcc 82 9 — — $34,367.31 $112,974.83 $74,128.93 2026-05-22
660 SOI-4 OTHER Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 20 7 — — $59,526.43 $65,559.84 $61,387.85 2026-05-22
231 SOI-4 OTHER Major Large Bowel Procedures 20 7 — — $61,250.12 $67,458.24 $63,165.44 2026-05-22
680 SOI-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 20 7 — — $171,578.26 $188,968.89 $176,943.59 2026-05-22
260 SOI-4 OTHER Major Pancreas, Liver And Shunt Procedures 20 7 — — $65,267.15 $71,882.42 $67,308.09 2026-05-22
120 SOI-4 OTHER Major Respiratory And Chest Procedures 20 7 — — $80,894.02 $89,093.18 $83,423.61 2026-05-22
230 SOI-4 OTHER Major Small Bowel Procedures 20 7 — — $80,408.49 $88,558.44 $82,922.91 2026-05-22
220 SOI-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 20 7 — — $64,592.73 $71,139.64 $66,612.57 2026-05-22
951 SOI-4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 20 7 — — $67,058.73 $73,855.59 $69,155.69 2026-05-22
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $85,612.43 $279,829.88 $191,535.21 2026-05-09
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $58,513.14 $189,734.78 $127,727.29 2026-05-09
428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $45,668.56 $147,031.30 $99,216.32 2026-05-09
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 9 — — $55,315.26 $179,102.99 $119,454.19 2026-05-09
448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 26 9 — — $34,254.19 $109,082.74 $74,196.80 2026-05-09
912 SOI-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 20 7 — — $79,114.25 $87,133.02 $81,588.19 2026-05-22
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 82 9 — — $38,663.15 $127,568.17 $83,169.83 2026-05-22
863 SOI-4 OTHER Neonatal Aftercare 20 7 — — $107,239.36 $118,108.81 $110,592.79 2026-05-22
863 SOI-3 OTHER Neonatal Aftercare 20 7 — — $63,388.50 $69,813.36 $65,370.69 2026-05-22
603 SOI-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 20 7 — — $223,582.72 $246,244.35 $230,574.26 2026-05-22
603 SOI-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 20 7 — — $111,666.66 $122,984.83 $115,158.53 2026-05-22
603 SOI-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 20 7 — — $64,952.81 $71,536.22 $66,983.92 2026-05-22
602 SOI-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 7 — — $168,614.93 $185,705.20 $173,887.59 2026-05-22
602 SOI-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 7 — — $152,520.24 $167,979.21 $157,289.62 2026-05-22
602 SOI-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 7 — — $115,109.62 $126,776.76 $118,709.15 2026-05-22
608 SOI-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 20 7 — — $94,798.67 $104,407.16 $97,763.07 2026-05-22
608 SOI-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 20 7 — — $72,405.42 $79,744.21 $74,669.58 2026-05-22
607 SOI-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 7 — — $132,252.09 $145,656.75 $136,387.68 2026-05-22
607 SOI-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 7 — — $98,491.03 $108,473.77 $101,570.90 2026-05-22
607 SOI-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 7 — — $72,430.51 $79,771.84 $74,695.45 2026-05-22
613 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 20 7 — — $125,304.20 $138,004.63 $129,222.52 2026-05-22
613 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 20 7 — — $67,345.03 $74,170.91 $69,450.94 2026-05-22
611 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 20 7 — — $106,157.63 $116,917.43 $109,477.23 2026-05-22
611 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 20 7 — — $72,961.79 $80,356.96 $75,243.34 2026-05-22
614 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 20 7 — — $82,983.70 $91,394.67 $85,578.64 2026-05-22
612 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 20 7 — — $123,698.56 $136,236.26 $127,566.68 2026-05-22
612 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 20 7 — — $80,963.38 $89,169.57 $83,495.14 2026-05-22
609 SOI-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 20 7 — — $323,977.49 $356,814.82 $334,108.42 2026-05-22
609 SOI-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 20 7 — — $156,516.61 $172,380.64 $161,410.96 2026-05-22
609 SOI-1 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 20 7 — — $62,817.38 $69,184.35 $64,781.71 2026-05-22
609 SOI-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 20 7 — — $62,817.38 $69,184.35 $64,781.71 2026-05-22
623 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 20 7 — — $69,870.06 $76,951.87 $72,054.93 2026-05-22
623 SOI-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 20 7 — — $57,298.03 $63,105.57 $59,089.76 2026-05-22
621 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 20 7 — — $91,278.97 $100,530.72 $94,133.31 2026-05-22
621 SOI-3 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 20 7 — — $55,847.35 $61,507.86 $57,593.72 2026-05-22
625 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 20 7 — — $100,189.64 $110,344.54 $103,322.62 2026-05-22
591 SOI-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 20 7 — — $286,298.28 $315,316.56 $295,250.96 2026-05-22
591 SOI-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 20 7 — — $168,111.69 $185,150.96 $173,368.62 2026-05-22
591 SOI-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 20 7 — — $138,814.82 $152,884.65 $143,155.62 2026-05-22
591 SOI-1 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 20 7 — — $100,084.86 $110,229.14 $103,214.56 2026-05-22
593 SOI-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 20 7 — — $249,926.59 $275,258.35 $257,741.91 2026-05-22
593 SOI-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 20 7 — — $172,322.05 $189,788.06 $177,710.64 2026-05-22
593 SOI-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 20 7 — — $116,780.18 $128,616.65 $120,431.95 2026-05-22
588 SOI-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 20 7 — — $387,181.52 $426,425.01 $399,288.87 2026-05-22
588 SOI-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 20 7 — — $142,761.01 $157,230.81 $147,225.22 2026-05-22
588 SOI-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 20 7 — — $136,797.45 $150,662.80 $141,075.17 2026-05-22
588 SOI-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 20 7 — — $136,797.45 $150,662.80 $141,075.17 2026-05-22
589 SOI-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 7 — — $501,914.82 $552,787.31 $517,609.93 2026-05-22
589 SOI-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 7 — — $484,156.95 $533,229.55 $499,296.76 2026-05-22
589 SOI-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 7 — — $225,012.74 $247,819.31 $232,048.99 2026-05-22
589 SOI-4 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 7 — — $62,691.94 $69,046.20 $64,652.35 2026-05-22
633 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 20 7 — — $96,256.73 $106,013.00 $99,266.72 2026-05-22
630 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 20 7 — — $339,382.99 $373,781.77 $349,995.66 2026-05-22
630 SOI-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 20 7 — — $139,992.48 $154,181.67 $144,370.11 2026-05-22
630 SOI-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 20 7 — — $104,417.70 $115,001.15 $107,682.89 2026-05-22
631 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 20 7 — — $270,702.40 $298,139.93 $279,167.39 2026-05-22
631 SOI-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 20 7 — — $115,995.07 $127,751.97 $119,622.30 2026-05-22
631 SOI-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 20 7 — — $57,101.75 $62,889.40 $58,887.35 2026-05-22
634 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 20 7 — — $58,187.91 $64,085.65 $60,007.47 2026-05-22
583 SOI-4 OTHER Neonate With Ecmo 20 7 — — $548,047.21 $603,595.53 $565,184.91 2026-05-22
583 SOI-3 OTHER Neonate With Ecmo 20 7 — — $481,379.56 $530,170.66 $496,432.53 2026-05-22
583 SOI-2 OTHER Neonate With Ecmo 20 7 — — $331,220.54 $364,792.00 $341,577.96 2026-05-22
583 SOI-1 OTHER Neonate With Ecmo 20 7 — — $207,321.27 $228,334.70 $213,804.31 2026-05-22
97 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 86 9 — — $29,298.48 $95,755.60 $60,247.14 2026-05-22
325 SOI-4 OTHER Non-elective Or Complex Knee Joint Replacement 20 7 — — $60,361.71 $66,479.78 $62,249.25 2026-05-22
952 SOI-4 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 20 7 — — $59,808.30 $65,870.28 $61,678.53 2026-05-22
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 83 9 — — $28,654.46 $93,567.80 $61,577.66 2026-05-22
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 82 9 — — $26,069.72 $84,787.22 $57,351.01 2026-05-22
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 73 9 — — $32,011.39 $104,971.60 $65,302.09 2026-05-22
021 SOI-4 OTHER Open Craniotomy Except Trauma 20 7 — — $78,696.61 $86,673.04 $81,157.49 2026-05-22
020 SOI-4 OTHER Open Craniotomy For Trauma 20 7 — — $99,910.72 $110,037.35 $103,034.97 2026-05-22
073 SOI-4 OTHER Orbit And Eye Procedures 20 7 — — $57,141.59 $62,933.28 $58,928.44 2026-05-22
681 SOI-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 20 7 — — $169,370.52 $186,537.37 $174,666.81 2026-05-22
167 SOI-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 20 7 — — $83,329.03 $91,775.00 $85,934.77 2026-05-22
167 SOI-3 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 20 7 — — $64,104.25 $70,601.65 $66,108.82 2026-05-22
228 OTHER Other Cardiothoracic Procedures With Mcc 82 9 — — $40,297.19 $133,119.14 $86,788.86 2026-05-22
264 OTHER Other Circulatory System O.r. Procedures 82 9 — — $28,594.69 $93,364.78 $60,870.46 2026-05-22
180 SOI-4 OTHER Other Circulatory System Procedures 20 7 — — $58,416.65 $64,337.58 $60,243.37 2026-05-22
229 SOI-4 OTHER Other Digestive System And Abdominal Procedures 20 7 — — $69,464.23 $76,504.90 $71,636.41 2026-05-22
356 OTHER Other Digestive System O.r. Procedures With Mcc 82 9 — — $34,654.32 $113,949.86 $75,532.43 2026-05-22
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 82 9 — — $27,075.46 $88,203.82 $59,662.03 2026-05-22
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 82 9 — — $32,138.00 $105,401.68 $68,718.08 2026-05-22
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 82 9 — — $35,653.78 $117,345.09 $77,271.06 2026-05-22
518 SOI-4 OTHER Other Female Reproductive System And Related Procedures 20 7 — — $59,420.17 $65,442.81 $61,278.27 2026-05-22
215 OTHER Other Heart Assist System Implant 82 9 — — $84,423.35 $283,019.42 $184,518.42 2026-05-22
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 83 9 — — $34,055.91 $111,916.99 $70,767.55 2026-05-22
447 SOI-4 OTHER Other Kidney, Urinary Tract And Related Procedures 20 7 — — $70,240.48 $77,359.83 $72,436.93 2026-05-22
091 SOI-4 OTHER Other Major Head And Neck Procedures 20 7 — — $80,284.53 $88,421.91 $82,795.06 2026-05-22
320 SOI-4 OTHER Other Musculoskeletal System And Connective Tissue Procedures 20 7 — — $55,994.93 $61,670.39 $57,745.91 2026-05-22
026 SOI-4 OTHER Other Nervous System And Related Procedures 20 7 — — $71,410.76 $78,648.73 $73,643.81 2026-05-22
907 OTHER Other O.r. Procedures For Injuries With Mcc 82 9 — — $32,436.81 $106,416.78 $69,379.89 2026-05-22
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 82 9 — — $33,428.40 $109,785.29 $72,617.35 2026-05-22
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 83 9 — — $59,805.81 $199,391.55 $130,404.65 2026-05-22
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 82 9 — — $29,300.05 $95,760.94 $64,773.75 2026-05-22
027 SOI-4 OTHER Other Open Craniotomy 20 7 — — $79,570.26 $87,635.25 $82,058.46 2026-05-22
029 SOI-4 OTHER Other Percutaneous Intracranial Procedures 20 7 — — $63,382.60 $69,806.86 $65,364.61 2026-05-22
405 SOI-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 20 7 — — $73,594.89 $81,054.23 $75,896.24 2026-05-22
651 SOI-4 OTHER Other Procedures Of Blood And Blood-forming Organs 20 7 — — $89,043.19 $98,068.33 $91,827.61 2026-05-22
121 SOI-4 OTHER Other Respiratory And Chest Procedures 20 7 — — $72,983.92 $80,381.34 $75,266.17 2026-05-22
166 OTHER Other Respiratory System O.r. Procedures With Mcc 83 9 — — $31,387.82 $102,853.26 $67,616.85 2026-05-22
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 82 9 — — $26,741.26 $87,068.52 $56,765.52 2026-05-22
223 SOI-4 OTHER Other Small And Large Bowel Procedures 20 7 — — $56,390.43 $62,105.98 $58,153.79 2026-05-22
252 OTHER Other Vascular Procedures With Mcc 82 9 — — $28,085.92 $91,636.45 $60,368.67 2026-05-22
10 OTHER Pancreas Transplant 23 9 — — $65,505.91 $212,983.15 $133,650.48 2026-05-09
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 86 9 — — $43,799.60 $145,017.13 $90,978.12 2026-05-22
510 SOI-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 20 7 — — $64,079.16 $70,574.02 $66,082.95 2026-05-22
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 82 9 — — $31,859.63 $104,456.04 $70,070.51 2026-05-22
030 SOI-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 20 7 — — $58,348.77 $64,262.81 $60,173.36 2026-05-22
183 SOI-4 OTHER Percutaneous Structural Cardiac Procedures 20 7 — — $86,298.27 $95,045.19 $88,996.86 2026-05-22
183 SOI-3 OTHER Percutaneous Structural Cardiac Procedures 20 7 — — $55,507.92 $61,134.03 $57,243.68 2026-05-22
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 82 9 — — $30,772.89 $100,764.30 $66,596.13 2026-05-22
224 SOI-4 OTHER Peritoneal Adhesiolysis 20 7 — — $60,218.56 $66,322.12 $62,101.63 2026-05-22
170 SOI-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 20 7 — — $59,157.49 $65,153.50 $61,007.37 2026-05-22
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 82 9 — — $27,783.96 $90,610.67 $59,074.88 2026-05-22
711 SOI-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 20 7 — — $56,991.07 $62,767.50 $58,773.20 2026-05-22
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 82 9 — — $36,587.97 $120,518.60 $79,066.93 2026-05-22
850 SOI-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 20 7 — — $116,234.15 $128,015.27 $119,868.84 2026-05-22
403 SOI-4 OTHER Procedures For Obesity 20 7 — — $56,148.40 $61,839.43 $57,904.19 2026-05-22
665 OTHER Prostatectomy With Mcc 82 9 — — $28,111.09 $91,721.93 $59,799.38 2026-05-22
332 OTHER Rectal Resection With Mcc 82 9 — — $28,387.10 $92,659.56 $61,829.69 2026-05-22
812 OTHER Red Blood Cell Disorders Without Mcc 187 9 $145,272.00 $72,636.00 50% off $8,368.14 $328,071.12 $63,430.50 2026-05-22
130 SOI-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 20 7 — — $82,208.93 $90,541.36 $84,779.64 2026-05-22
130 SOI-3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 20 7 — — $57,391.00 $63,207.97 $59,185.64 2026-05-22
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 82 9 — — $51,965.87 $172,758.64 $112,632.38 2026-05-22
467 OTHER Revision Of Hip Or Knee Replacement With Cc 82 9 — — $28,045.03 $91,497.54 $60,644.23 2026-05-22
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 82 9 — — $41,172.40 $136,092.30 $89,864.44 2026-05-22
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 87 9 — — $55,813.50 $185,829.33 $116,396.91 2026-05-22
8 OTHER Simultaneous Pancreas And Kidney Transplant 23 9 — — $45,162.36 $145,348.38 $94,398.28 2026-05-09
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 9 — — $65,138.72 $211,762.36 $132,884.42 2026-05-09
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 82 9 — — $43,536.96 $144,124.92 $93,964.23 2026-05-22
361 SOI-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 20 7 — — $92,341.52 $101,700.97 $95,229.09 2026-05-22
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 82 9 — — $28,357.21 $92,558.05 $60,538.04 2026-05-22
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 82 9 — — $49,536.04 $164,504.30 $110,808.88 2026-05-22
312 SOI-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 20 7 — — $102,894.71 $113,323.80 $106,112.28 2026-05-22
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 86 9 — — $30,536.20 $99,960.23 $62,868.21 2026-05-22
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 82 9 — — $67,708.65 $226,238.16 $147,499.10 2026-05-22
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 82 9 — — $46,242.80 $153,316.88 $102,070.86 2026-05-22
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 83 9 — — $35,065.59 $115,346.95 $75,742.66 2026-05-22
023 SOI-4 OTHER Spinal Procedures 20 7 — — $81,311.66 $89,553.15 $83,854.32 2026-05-22
29 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 82 9 — — $27,506.38 $89,667.69 $59,056.90 2026-05-22
28 OTHER Spinal Procedures With Mcc 82 9 — — $48,917.18 $162,401.99 $105,880.23 2026-05-22
799 OTHER Splenic Procedures With Mcc 82 9 — — $38,500.37 $127,015.21 $82,809.32 2026-05-22
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 86 9 — — $41,049.73 $135,675.58 $85,132.29 2026-05-22
404 SOI-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 20 7 — — $73,783.79 $81,262.28 $76,091.04 2026-05-22
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 82 9 — — $33,380.43 $109,622.34 $72,579.92 2026-05-22
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 82 9 — — $43,541.68 $144,140.95 $94,680.96 2026-05-22
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 8 — — $112,222.48 $424,888.36 $231,053.76 2026-05-22
004 SOI-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 20 7 — — $217,672.28 $239,734.85 $224,479.00 2026-05-22
004 SOI-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 20 7 — — $116,266.62 $128,051.03 $119,902.33 2026-05-22
004 SOI-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 20 7 — — $100,216.20 $110,373.80 $103,350.01 2026-05-22
004 SOI-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 20 7 — — $77,542.56 $85,402.03 $79,967.35 2026-05-22
005 SOI-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 7 — — $158,657.94 $174,739.01 $163,619.25 2026-05-22
005 SOI-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 7 — — $90,985.30 $100,207.28 $93,830.45 2026-05-22
005 SOI-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 7 — — $76,679.24 $84,451.20 $79,077.03 2026-05-22
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 9 — — $27,190.72 $85,599.30 $60,396.53 2026-05-09
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 82 9 — — $32,414.79 $106,341.98 $69,331.12 2026-05-22
511 SOI-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 20 7 — — $64,093.92 $70,590.28 $66,098.17 2026-05-22
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 82 9 — — $32,074.30 $105,185.31 $68,577.01 2026-05-22
022 SOI-4 OTHER Ventricular Shunt Procedures 20 7 — — $73,856.10 $81,341.92 $76,165.62 2026-05-22
31 OTHER Ventricular Shunt Procedures With Mcc 82 9 — — $34,063.77 $111,943.71 $75,592.51 2026-05-22
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 82 9 — — $43,581.78 $144,277.18 $96,793.67 2026-05-22
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