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 FAIR OAKS HOSPITAL

Fairfax, VA · CCN 490101 · Rates published

2,067 distinct procedures filed
10 distinct payers
516,056 rate rows
2026-05-22 last MRF observed
Data quality

513,590 of 516,056 rate rows are consumer-grade (99.5%)

2,466 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 1,676
exceeds 10× this hospital's gross charge — excluded from medians 676
percent-of-charges filed in the dollar field — excluded from medians 62
placeholder amount (≤ $0.02) — excluded from medians 46
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.inova.org/sites/default/files/patient_visitor/price_transparency/2025/june-2025/csv/540620889_inova-fair-oaks-hospital_standardcharges.csv
Found on page https://www.inova.org/patient-and-visitor-information/hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint dbc0d229dfc869ae… · 14,495,172 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 $278,851.51 $1,007,423.91 $717,259.59 nat. median
$386,529
1.9× median
583 SOI-4
OTHER 		Neonate With Ecmo 7 $536,059.61 $605,957.96 $567,397.00 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 $490,936.28 $554,950.88 $519,635.82 nat. median
$529,698
1.0× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $213,916.17 $752,461.21 $517,728.19 nat. median
$239,422
outlier · 2.2×
589 SOI-2
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $473,566.84 $535,316.58 $501,250.98 nat. median
$510,957
1.0× median
583 SOI-3
OTHER 		Neonate With Ecmo 7 $470,850.20 $532,245.71 $498,375.53 nat. median
$508,026
1.0× median
588 SOI-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $378,712.58 $428,094.01 $400,851.66 nat. median
$408,613
1.0× median
161 SOI-4
OTHER 		Implantable Heart Assist Systems 7 $366,787.96 $414,614.50 $388,229.94 nat. median
$395,747
1.0× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $149,100.27 $537,260.88 $369,969.73 nat. median
$146,562
outlier · 2.5×
630 SOI-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $331,959.57 $375,244.73 $351,365.52 nat. median
$358,169
1.0× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $158,826.17 $572,503.40 $350,449.52 nat. median
$181,005
1.9× median
583 SOI-2
OTHER 		Neonate With Ecmo 7 $323,975.65 $366,219.77 $342,914.88 nat. median
$349,555
1.0× median
609 SOI-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $316,891.03 $358,211.36 $335,416.10 nat. median
$341,911
1.0× median
841 SOI-4
OTHER 		Extensive Third Degree Burns With Skin Graft 7 $310,826.95 $351,356.57 $328,997.52 nat. median
$335,368
1.0× median
160 SOI-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 7 $294,609.41 $333,024.37 $311,831.91 nat. median
$317,870
1.0× median
591 SOI-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $280,035.99 $316,550.68 $296,406.55 nat. median
$302,146
1.0× median
631 SOI-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $264,781.24 $299,306.83 $280,260.03 nat. median
$285,687
1.0× median
593 SOI-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $244,459.87 $276,335.69 $258,750.69 nat. median
$263,761
1.0× median
009 SOI-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $221,856.35 $250,784.83 $234,825.80 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 $220,090.96 $248,789.26 $232,957.21 nat. median
$237,468
1.0× median
603 SOI-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $218,692.23 $247,208.14 $231,476.71 nat. median
$235,959
1.0× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $104,998.63 $424,888.36 $231,053.76 nat. median
$134,983
1.7× median
004 SOI-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $212,911.07 $240,673.16 $225,357.59 nat. median
$229,721
1.0× median
7
OTHER 		Lung Transplant 9 $99,824.64 $349,107.51 $221,893.34 nat. median
$169,933
1.3× median
14
OTHER 		Allogeneic Bone Marrow Transplant 9 $100,073.99 $349,989.04 $219,874.41 nat. median
$100,915
outlier · 2.2×
583 SOI-1
OTHER 		Neonate With Ecmo 7 $202,786.47 $229,228.38 $214,641.12 nat. median
$218,797
1.0× median
212
OTHER 		Concomitant Aortic And Mitral Valve�procedures 9 $83,391.14 $291,009.30 $198,369.14 nat. median
$90,581
outlier · 2.2×
426
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $80,228.96 $279,829.88 $195,505.38 nat. median
$80,273
outlier · 2.4×
792 SOI-4
OTHER 		Extensive O.r. Procedures For Other Complications Of Treatment 7 $182,310.64 $206,082.65 $192,968.30 nat. median
$196,705
1.0× median
215
OTHER 		Other Heart Assist System Implant 9 $78,937.06 $283,019.42 $189,077.27 nat. median
$92,359
outlier · 2.0×
161 SOI-3
OTHER 		Implantable Heart Assist Systems 7 $177,869.04 $201,061.90 $188,267.05 nat. median
$191,912
1.0× median
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $72,137.27 $654,484.00 $184,384.63 nat. median
$111,558
1.7× median
161 SOI-2
OTHER 		Implantable Heart Assist Systems 7 $173,652.62 $196,295.69 $183,804.15 nat. median
$187,363
1.0× median
5
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 9 $81,543.71 $284,477.95 $178,718.23 nat. median
$94,894
1.9× median
593 SOI-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $168,552.79 $190,530.88 $178,406.19 nat. median
$181,861
1.0× median
680 SOI-4
OTHER 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $167,825.28 $189,708.50 $177,636.14 nat. median
$181,076
1.0× median
681 SOI-4
OTHER 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $165,665.83 $187,267.47 $175,350.45 nat. median
$178,746
1.0× median
161 SOI-1
OTHER 		Implantable Heart Assist Systems 7 $164,931.09 $186,436.93 $174,572.76 nat. median
$177,953
1.0× median
602 SOI-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $164,926.76 $186,432.04 $174,568.18 nat. median
$177,948
1.0× median
591 SOI-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $164,434.53 $185,875.62 $174,047.18 nat. median
$177,417
1.0× median
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $71,980.09 $257,810.32 $165,905.45 nat. median
$90,130
1.8× median
005 SOI-4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $155,187.57 $175,422.92 $164,259.65 nat. median
$167,440
1.0× median
842 SOI-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 7 $153,189.79 $173,164.65 $162,145.08 nat. median
$165,285
1.0× median
609 SOI-3
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $153,093.08 $173,055.32 $162,042.71 nat. median
$165,180
1.0× median
850
OTHER 		Acute Leukemia With Other Procedures 9 $70,681.98 $246,077.95 $158,379.96 nat. median
$407
outlier · 388.9×
602 SOI-3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $149,184.12 $168,636.67 $157,905.24 nat. median
$160,963
1.0× median
231
OTHER 		Coronary Bypass With Ptca With Mcc 9 $63,301.74 $226,363.71 $151,227.20 nat. median
$74,989
outlier · 2.0×
456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $63,267.10 $226,238.16 $151,143.32 nat. median
$76,493
2.0× median
588 SOI-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $139,638.36 $157,846.20 $147,801.45 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.

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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
             
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 108 9 — — $278,851.51 $1,007,423.91 $717,259.59 2026-05-22
583 SOI-4 OTHER Neonate With Ecmo 26 7 — — $536,059.61 $605,957.96 $567,397.00 2026-05-22
891 OTHER Axicabtagene Ciloleucel 200000000 Cells Susp 1 Each Package 40 8 $1,762,530.00 $881,265.00 50% off $55,195.16 $1,374,773.40 $549,227.07 2026-05-22
589 SOI-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 26 7 — — $490,936.28 $554,950.88 $519,635.82 2026-05-22
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 48 9 — — $213,916.17 $752,461.21 $517,728.19 2026-05-22
589 SOI-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 26 7 — — $473,566.84 $535,316.58 $501,250.98 2026-05-22
583 SOI-3 OTHER Neonate With Ecmo 26 7 — — $470,850.20 $532,245.71 $498,375.53 2026-05-22
588 SOI-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 26 7 — — $378,712.58 $428,094.01 $400,851.66 2026-05-22
161 SOI-4 OTHER Implantable Heart Assist Systems 26 7 — — $366,787.96 $414,614.50 $388,229.94 2026-05-22
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 108 9 — — $149,100.27 $537,260.88 $369,969.73 2026-05-22
630 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 7 — — $331,959.57 $375,244.73 $351,365.52 2026-05-22
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 66 8 — — $158,826.17 $572,503.40 $350,449.52 2026-05-22
583 SOI-2 OTHER Neonate With Ecmo 26 7 — — $323,975.65 $366,219.77 $342,914.88 2026-05-22
609 SOI-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 7 — — $316,891.03 $358,211.36 $335,416.10 2026-05-22
841 SOI-4 OTHER Extensive Third Degree Burns With Skin Graft 26 7 — — $310,826.95 $351,356.57 $328,997.52 2026-05-22
160 SOI-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 26 7 — — $294,609.41 $333,024.37 $311,831.91 2026-05-22
591 SOI-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 26 7 — — $280,035.99 $316,550.68 $296,406.55 2026-05-22
631 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 7 — — $264,781.24 $299,306.83 $280,260.03 2026-05-22
593 SOI-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 26 7 — — $244,459.87 $276,335.69 $258,750.69 2026-05-22
009 SOI-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 26 7 — — $221,856.35 $250,784.83 $234,825.80 2026-05-22
589 SOI-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 26 7 — — $220,090.96 $248,789.26 $232,957.21 2026-05-22
603 SOI-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 26 7 — — $218,692.23 $247,208.14 $231,476.71 2026-05-22
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 66 8 — — $104,998.63 $424,888.36 $231,053.76 2026-05-22
004 SOI-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 26 7 — — $212,911.07 $240,673.16 $225,357.59 2026-05-22
7 OTHER Lung Transplant 48 9 — — $99,824.64 $349,107.51 $221,893.34 2026-05-22
14 OTHER Allogeneic Bone Marrow Transplant 46 9 — — $100,073.99 $349,989.04 $219,874.41 2026-05-22
583 SOI-1 OTHER Neonate With Ecmo 26 7 — — $202,786.47 $229,228.38 $214,641.12 2026-05-22
212 OTHER Concomitant Aortic And Mitral Valve�procedures 52 9 — — $83,391.14 $291,009.30 $198,369.14 2026-05-22
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 9 — — $80,228.96 $279,829.88 $195,505.38 2026-05-22
792 SOI-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 26 7 — — $182,310.64 $206,082.65 $192,968.30 2026-05-22
215 OTHER Other Heart Assist System Implant 108 9 — — $78,937.06 $283,019.42 $189,077.27 2026-05-22
161 SOI-3 OTHER Implantable Heart Assist Systems 26 7 — — $177,869.04 $201,061.90 $188,267.05 2026-05-22
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 9 — — $72,137.27 $654,484.00 $184,384.63 2026-05-22
161 SOI-2 OTHER Implantable Heart Assist Systems 26 7 — — $173,652.62 $196,295.69 $183,804.15 2026-05-22
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 46 9 — — $81,543.71 $284,477.95 $178,718.23 2026-05-22
593 SOI-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 26 7 — — $168,552.79 $190,530.88 $178,406.19 2026-05-22
680 SOI-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 26 7 — — $167,825.28 $189,708.50 $177,636.14 2026-05-22
681 SOI-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 26 7 — — $165,665.83 $187,267.47 $175,350.45 2026-05-22
161 SOI-1 OTHER Implantable Heart Assist Systems 26 7 — — $164,931.09 $186,436.93 $174,572.76 2026-05-22
602 SOI-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 7 — — $164,926.76 $186,432.04 $174,568.18 2026-05-22
591 SOI-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 26 7 — — $164,434.53 $185,875.62 $174,047.18 2026-05-22
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 110 9 — — $71,980.09 $257,810.32 $165,905.45 2026-05-22
005 SOI-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 26 7 — — $155,187.57 $175,422.92 $164,259.65 2026-05-22
842 SOI-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 26 7 — — $153,189.79 $173,164.65 $162,145.08 2026-05-22
609 SOI-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 7 — — $153,093.08 $173,055.32 $162,042.71 2026-05-22
850 OTHER Acute Leukemia With Other Procedures 54 9 — — $70,681.98 $246,077.95 $158,379.96 2026-05-22
602 SOI-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 7 — — $149,184.12 $168,636.67 $157,905.24 2026-05-22
231 OTHER Coronary Bypass With Ptca With Mcc 108 9 — — $63,301.74 $226,363.71 $151,227.20 2026-05-22
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 108 9 — — $63,267.10 $226,238.16 $151,143.32 2026-05-22
588 SOI-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 26 7 — — $139,638.36 $157,846.20 $147,801.45 2026-05-22
630 SOI-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 7 — — $136,930.38 $154,785.13 $144,935.16 2026-05-22
591 SOI-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 26 7 — — $135,778.48 $153,483.03 $143,715.92 2026-05-22
588 SOI-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 26 7 — — $133,805.24 $151,252.49 $141,627.33 2026-05-22
588 SOI-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 26 7 — — $133,805.24 $151,252.49 $141,627.33 2026-05-22
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 108 9 — — $58,454.64 $208,799.88 $139,493.30 2026-05-22
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 110 9 — — $60,258.57 $215,336.57 $138,661.57 2026-05-22
607 SOI-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 26 7 — — $129,359.30 $146,226.84 $136,921.49 2026-05-22
10 OTHER Pancreas Transplant 46 9 — — $61,320.88 $212,983.15 $133,802.89 2026-05-22
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 110 9 — — $57,872.99 $206,692.22 $133,116.83 2026-05-22
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 46 9 — — $60,975.57 $211,762.36 $133,035.95 2026-05-22
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 9 — — $54,744.91 $189,734.78 $130,419.21 2026-05-22
613 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 26 7 — — $122,563.38 $138,544.77 $129,728.28 2026-05-22
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 110 9 — — $55,858.22 $199,391.55 $128,433.98 2026-05-22
612 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 26 7 — — $120,992.87 $136,769.48 $128,065.96 2026-05-22
440 SOI-4 OTHER Kidney Transplant 26 7 — — $117,343.74 $132,644.53 $124,203.51 2026-05-22
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 108 9 — — $52,115.44 $185,829.33 $124,147.33 2026-05-22
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 108 9 — — $50,068.97 $178,413.79 $123,555.45 2026-05-22
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 52 9 — — $51,737.63 $179,102.99 $121,995.27 2026-05-22
955 OTHER Craniotomy For Multiple Significant Trauma 108 9 — — $51,170.35 $182,404.72 $121,859.43 2026-05-22
440 SOI-3 OTHER Kidney Transplant 26 7 — — $114,634.32 $129,581.82 $121,335.70 2026-05-22
593 SOI-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 26 7 — — $114,225.81 $129,120.04 $120,903.31 2026-05-22
004 SOI-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 26 7 — — $113,723.48 $128,552.21 $120,371.62 2026-05-22
850 SOI-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 26 7 — — $113,691.72 $128,516.31 $120,338.00 2026-05-22
631 SOI-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 7 — — $113,457.88 $128,251.98 $120,090.49 2026-05-22
602 SOI-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 7 — — $112,591.79 $127,272.96 $119,173.77 2026-05-22
303 SOI-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 26 7 — — $112,093.79 $126,710.02 $118,646.65 2026-05-22
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 52 9 — — $47,821.37 $165,257.61 $116,955.64 2026-05-22
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 108 9 — — $48,439.75 $172,510.21 $116,434.85 2026-05-22
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 110 9 — — $49,985.66 $178,111.93 $115,844.47 2026-05-22
603 SOI-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 26 7 — — $109,224.14 $123,466.19 $115,609.25 2026-05-22
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 108 9 — — $48,508.31 $172,758.64 $115,415.16 2026-05-22
009 SOI-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 26 7 — — $107,437.11 $121,446.14 $113,717.75 2026-05-22
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 108 9 — — $46,230.36 $164,504.30 $113,399.83 2026-05-22
969 OTHER HIV With Extensive O.r. Procedures With Mcc 108 9 — — $47,454.85 $168,941.34 $112,864.93 2026-05-22
690 SOI-4 OTHER Acute Leukemia 26 7 — — $106,145.19 $119,985.76 $112,350.31 2026-05-22
162 SOI-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 26 7 — — $106,012.39 $119,835.65 $112,209.74 2026-05-22
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 108 9 — — $44,690.34 $158,923.95 $111,625.91 2026-05-22
863 SOI-4 OTHER Neonatal Aftercare 26 7 — — $104,893.69 $118,571.07 $111,025.64 2026-05-22
841 SOI-3 OTHER Extensive Third Degree Burns With Skin Graft 26 7 — — $103,860.15 $117,402.77 $109,931.69 2026-05-22
611 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 26 7 — — $103,835.61 $117,375.04 $109,905.72 2026-05-22
910 SOI-4 OTHER Craniotomy For Multiple Significant Trauma 26 7 — — $103,494.95 $116,989.95 $109,545.14 2026-05-22
232 OTHER Coronary Bypass With Ptca Without Mcc 108 9 — — $45,865.44 $163,182.01 $109,017.29 2026-05-22
28 OTHER Spinal Procedures With Mcc 108 9 — — $45,650.18 $162,401.99 $108,496.18 2026-05-22
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 108 9 — — $44,996.28 $160,032.54 $108,254.74 2026-05-22
630 SOI-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 7 — — $102,133.74 $115,451.26 $108,104.36 2026-05-22
312 SOI-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 26 7 — — $100,644.07 $113,767.34 $106,527.60 2026-05-22
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 108 9 — — $44,996.28 $160,032.54 $106,125.67 2026-05-22
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 108 9 — — $44,210.42 $157,184.93 $105,058.90 2026-05-22
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 108 9 — — $43,142.95 $153,316.88 $104,485.62 2026-05-22
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 108 9 — — $43,754.09 $155,531.39 $104,441.62 2026-05-22
304 SOI-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 26 7 — — $98,483.17 $111,324.67 $104,240.38 2026-05-22
004 SOI-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 26 7 — — $98,024.14 $110,805.79 $103,754.52 2026-05-22
625 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 26 7 — — $97,998.16 $110,776.42 $103,727.01 2026-05-22
591 SOI-1 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 26 7 — — $97,895.67 $110,660.57 $103,618.53 2026-05-22
020 SOI-4 OTHER Open Craniotomy For Trauma 26 7 — — $97,725.34 $110,468.03 $103,438.25 2026-05-22
890 SOI-4 OTHER HIV With Multiple Major HIV Related Conditions 26 7 — — $97,631.52 $110,361.97 $103,338.93 2026-05-22
607 SOI-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 26 7 — — $96,336.71 $108,898.33 $101,968.44 2026-05-22
428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 9 — — $42,665.92 $147,031.30 $101,302.37 2026-05-22
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 46 9 — — $46,684.19 $161,237.30 $101,294.47 2026-05-22
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 46 9 — — $46,684.19 $161,237.30 $101,294.47 2026-05-22
633 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 26 7 — — $94,151.27 $106,427.93 $99,655.24 2026-05-22
653 OTHER Major Bladder Procedures With Mcc 108 9 — — $41,928.05 $148,914.57 $99,330.26 2026-05-22
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 108 9 — — $40,648.26 $144,277.18 $99,066.05 2026-05-22
163 SOI-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 26 7 — — $93,306.84 $105,473.38 $98,761.44 2026-05-22
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 108 9 — — $41,579.35 $147,651.04 $98,641.49 2026-05-22
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 110 9 — — $42,890.09 $152,400.62 $98,292.65 2026-05-22
440 SOI-2 OTHER Kidney Transplant 26 7 — — $92,797.29 $104,897.39 $98,222.10 2026-05-22
608 SOI-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 26 7 — — $92,725.11 $104,815.81 $98,145.71 2026-05-22
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 108 9 — — $40,852.47 $145,017.13 $97,399.44 2026-05-22
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 108 9 — — $40,610.67 $144,140.95 $96,951.20 2026-05-22
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 108 9 — — $40,052.60 $142,118.77 $96,307.86 2026-05-22
361 SOI-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 26 7 — — $90,321.71 $102,099.02 $95,601.81 2026-05-22
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 108 9 — — $40,606.24 $144,124.92 $94,840.24 2026-05-22
621 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 26 7 — — $89,282.40 $100,924.19 $94,501.74 2026-05-22
8 OTHER Simultaneous Pancreas And Kidney Transplant 46 9 — — $42,189.89 $145,348.38 $94,398.28 2026-05-22
950 SOI-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 26 7 — — $89,078.87 $100,694.12 $94,286.31 2026-05-22
005 SOI-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 26 7 — — $88,995.15 $100,599.48 $94,197.70 2026-05-22
177 SOI-4 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 26 7 — — $87,678.69 $99,111.37 $92,804.28 2026-05-22
651 SOI-4 OTHER Other Procedures Of Blood And Blood-forming Organs 26 7 — — $87,095.52 $98,452.16 $92,187.02 2026-05-22
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 110 9 — — $40,205.20 $142,671.73 $92,052.26 2026-05-22
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 108 9 — — $38,389.48 $136,092.30 $92,007.91 2026-05-22
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 110 9 — — $39,879.36 $141,491.01 $91,294.91 2026-05-22
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 108 9 — — $38,274.47 $135,675.58 $90,641.02 2026-05-22
441 SOI-4 OTHER Major Bladder Procedures 26 7 — — $85,501.92 $96,650.76 $90,500.25 2026-05-22
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 108 9 — — $37,964.11 $134,550.96 $89,889.70 2026-05-22
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 108 9 — — $37,745.16 $133,757.58 $89,359.66 2026-05-22
183 SOI-4 OTHER Percutaneous Structural Cardiac Procedures 26 7 — — $84,410.64 $95,417.19 $89,345.18 2026-05-22
162 SOI-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 26 7 — — $84,091.63 $95,056.58 $89,007.53 2026-05-22
228 OTHER Other Cardiothoracic Procedures With Mcc 108 9 — — $37,568.97 $133,119.14 $88,933.14 2026-05-22
169 SOI-4 OTHER Major Abdominal Vascular Procedures 26 7 — — $83,013.35 $93,837.70 $87,866.21 2026-05-22
245 OTHER Aicd Generator Procedures 108 9 — — $36,857.57 $130,541.33 $87,146.97 2026-05-22
911 SOI-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 26 7 — — $82,166.02 $92,879.89 $86,969.35 2026-05-22
167 SOI-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 26 7 — — $81,506.35 $92,134.20 $86,271.11 2026-05-22
614 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 26 7 — — $81,168.58 $91,752.38 $85,913.59 2026-05-22
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 108 9 — — $34,688.72 $122,682.35 $85,870.15 2026-05-22
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 108 9 — — $36,037.06 $127,568.17 $85,224.69 2026-05-22
130 SOI-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 26 7 — — $80,410.75 $90,895.73 $85,111.46 2026-05-22
799 OTHER Splenic Procedures With Mcc 108 9 — — $35,884.46 $127,015.21 $84,855.27 2026-05-22
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 108 9 — — $35,877.83 $126,991.17 $84,839.21 2026-05-22
277 OTHER Cardiac Defibrillator Implant Without Mcc 52 9 — — $36,226.71 $124,266.44 $84,636.67 2026-05-22
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 108 9 — — $35,515.12 $125,676.89 $84,577.11 2026-05-22
023 SOI-4 OTHER Spinal Procedures 26 7 — — $79,533.11 $89,903.66 $84,182.52 2026-05-22
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 114 9 — — $37,701.67 $133,599.98 $83,931.82 2026-05-22
612 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 26 7 — — $79,192.44 $89,518.58 $83,821.94 2026-05-22
120 SOI-4 OTHER Major Respiratory And Chest Procedures 26 7 — — $79,124.60 $89,441.89 $83,750.13 2026-05-22
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 108 9 — — $35,329.35 $125,003.72 $83,511.45 2026-05-22
178 SOI-4 OTHER External Heart Assist Systems 26 7 — — $78,853.23 $89,135.12 $83,462.89 2026-05-22
401 SOI-4 OTHER Adrenal Procedures 26 7 — — $78,801.26 $89,076.38 $83,407.89 2026-05-22
230 SOI-4 OTHER Major Small Bowel Procedures 26 7 — — $78,649.69 $88,905.05 $83,247.46 2026-05-22
091 SOI-4 OTHER Other Major Head And Neck Procedures 26 7 — — $78,528.44 $88,767.99 $83,119.12 2026-05-22
027 SOI-4 OTHER Other Open Craniotomy 26 7 — — $77,829.80 $87,978.25 $82,379.63 2026-05-22
912 SOI-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 26 7 — — $77,383.76 $87,474.05 $81,907.52 2026-05-22
021 SOI-4 OTHER Open Craniotomy Except Trauma 26 7 — — $76,975.25 $87,012.28 $81,475.13 2026-05-22
6 OTHER Liver Transplant Without Mcc 46 9 — — $37,717.51 $129,536.92 $81,379.27 2026-05-22
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 108 9 — — $34,091.59 $120,518.60 $80,965.11 2026-05-22
004 SOI-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 26 7 — — $75,846.45 $85,736.28 $80,280.34 2026-05-22
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 108 9 — — $33,893.28 $119,800.02 $80,035.01 2026-05-22
092 SOI-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 26 7 — — $75,191.11 $84,995.49 $79,586.69 2026-05-22
163 OTHER Major Chest Procedures With Mcc 110 9 — — $34,811.10 $123,125.79 $79,514.93 2026-05-22
005 SOI-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 26 7 — — $75,002.01 $84,781.74 $79,386.54 2026-05-22
650 OTHER Kidney Transplant With Hemodialysis With Mcc 48 9 — — $35,889.72 $123,075.04 $79,334.03 2026-05-22
178 SOI-3 OTHER External Heart Assist Systems 26 7 — — $74,797.03 $84,550.03 $79,169.58 2026-05-22
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 108 9 — — $33,215.79 $117,345.09 $79,119.26 2026-05-22
089 SOI-4 OTHER Major Cranial Or Facial Bone Procedures 26 7 — — $73,479.13 $83,060.29 $77,774.63 2026-05-22
160 SOI-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 26 7 — — $73,318.91 $82,879.17 $77,605.04 2026-05-22
31 OTHER Ventricular Shunt Procedures With Mcc 108 9 — — $31,725.17 $111,943.71 $77,355.63 2026-05-22
356 OTHER Other Digestive System O.r. Procedures With Mcc 108 9 — — $32,278.81 $113,949.86 $77,327.15 2026-05-22
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 110 9 — — $33,801.87 $119,468.77 $77,169.21 2026-05-22
165 SOI-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 26 7 — — $72,836.78 $82,334.18 $77,094.73 2026-05-22
178 SOI-2 OTHER External Heart Assist Systems 26 7 — — $72,748.73 $82,234.65 $77,001.53 2026-05-22
022 SOI-4 OTHER Ventricular Shunt Procedures 26 7 — — $72,240.62 $81,660.29 $76,463.72 2026-05-22
404 SOI-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 26 7 — — $72,169.89 $81,580.33 $76,388.86 2026-05-22
405 SOI-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 26 7 — — $71,985.13 $81,371.47 $76,193.29 2026-05-22
140 OTHER Major Head And Neck Procedures With Mcc 108 9 — — $32,009.73 $112,974.83 $75,908.30 2026-05-22
448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 52 9 — — $31,931.90 $109,082.74 $75,744.45 2026-05-22
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 108 9 — — $32,729.98 $115,584.70 $75,691.01 2026-05-22
121 SOI-4 OTHER Other Respiratory And Chest Procedures 26 7 — — $71,387.52 $80,695.95 $75,560.75 2026-05-22
611 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 26 7 — — $71,365.87 $80,671.47 $75,537.83 2026-05-22
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 108 9 — — $31,717.80 $111,916.99 $74,997.42 2026-05-22
607 SOI-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 26 7 — — $70,846.22 $80,084.06 $74,987.80 2026-05-22
608 SOI-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 26 7 — — $70,821.68 $80,056.32 $74,961.83 2026-05-22
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 108 9 — — $31,504.75 $111,144.99 $74,906.07 2026-05-22
179 SOI-4 OTHER Defibrillator Implants 26 7 — — $70,609.49 $79,816.46 $74,737.23 2026-05-22
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 110 9 — — $32,664.36 $115,346.95 $74,525.36 2026-05-22
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 108 9 — — $31,129.51 $109,785.29 $74,346.48 2026-05-22
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 108 9 — — $31,084.54 $109,622.34 $74,306.49 2026-05-22
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 108 9 — — $31,146.47 $109,846.73 $74,156.85 2026-05-22
026 SOI-4 OTHER Other Nervous System And Related Procedures 26 7 — — $69,848.77 $78,956.55 $73,932.04 2026-05-22
261 SOI-4 OTHER Major Biliary Tract Procedures 26 7 — — $69,441.71 $78,496.41 $73,501.18 2026-05-22
232 SOI-4 OTHER Gastric Fundoplication 26 7 — — $68,903.29 $77,887.79 $72,931.29 2026-05-22
447 SOI-4 OTHER Other Kidney, Urinary Tract And Related Procedures 26 7 — — $68,704.09 $77,662.61 $72,720.44 2026-05-22
623 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 26 7 — — $68,341.77 $77,253.05 $72,336.95 2026-05-22
229 SOI-4 OTHER Other Digestive System And Abdominal Procedures 26 7 — — $67,944.81 $76,804.33 $71,916.78 2026-05-22
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 108 9 — — $29,658.79 $104,456.04 $71,715.70 2026-05-22
841 SOI-1 OTHER Extensive Third Degree Burns With Skin Graft 26 7 — — $67,491.56 $76,291.98 $71,437.03 2026-05-22
841 SOI-2 OTHER Extensive Third Degree Burns With Skin Graft 26 7 — — $67,491.56 $76,291.98 $71,437.03 2026-05-22
907 OTHER Other O.r. Procedures For Injuries With Mcc 108 9 — — $30,199.90 $106,416.78 $71,094.04 2026-05-22
009 SOI-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 26 7 — — $66,570.62 $75,250.95 $70,462.25 2026-05-22
009 SOI-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 26 7 — — $66,570.62 $75,250.95 $70,462.25 2026-05-22
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 108 9 — — $29,919.76 $105,401.68 $70,415.89 2026-05-22
181 SOI-4 OTHER Lower Extremity Arterial Procedures 26 7 — — $66,424.82 $75,086.15 $70,307.94 2026-05-22
613 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 26 7 — — $65,871.97 $74,461.21 $69,722.77 2026-05-22
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 108 9 — — $30,179.26 $106,341.98 $69,638.38 2026-05-22
951 SOI-4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 26 7 — — $65,591.93 $74,144.65 $69,426.36 2026-05-22
34 OTHER Carotid Artery Stent Procedures With Mcc 108 9 — — $29,499.56 $103,879.04 $69,398.65 2026-05-22
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 108 9 — — $29,860.05 $105,185.31 $69,191.11 2026-05-22
176 SOI-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 26 7 — — $64,608.92 $73,033.46 $68,385.88 2026-05-22
710 SOI-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 26 7 — — $64,539.63 $72,955.14 $68,312.54 2026-05-22
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 108 9 — — $28,639.98 $100,764.30 $68,183.18 2026-05-22
695 SOI-4 OTHER Chemotherapy For Acute Leukemia 26 7 — — $64,054.62 $72,406.89 $67,799.18 2026-05-22
263 SOI-4 OTHER Cholecystectomy 26 7 — — $64,002.66 $72,348.15 $67,744.18 2026-05-22
260 SOI-4 OTHER Major Pancreas, Liver And Shunt Procedures 26 7 — — $63,839.54 $72,163.77 $67,571.53 2026-05-22
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 108 9 — — $27,259.20 $95,760.94 $67,447.22 2026-05-22
603 SOI-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 26 7 — — $63,532.08 $71,816.21 $67,246.09 2026-05-22
220 SOI-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 26 7 — — $63,179.87 $71,418.08 $66,873.29 2026-05-22
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 108 9 — — $28,418.08 $99,960.23 $66,780.60 2026-05-22
163 SOI-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 26 7 — — $63,088.93 $71,315.28 $66,777.03 2026-05-22
166 OTHER Other Respiratory System O.r. Procedures With Mcc 110 9 — — $29,216.47 $102,853.26 $66,511.55 2026-05-22
177 SOI-3 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 26 7 — — $62,702.08 $70,877.98 $66,367.57 2026-05-22
167 SOI-3 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 26 7 — — $62,702.08 $70,877.98 $66,367.57 2026-05-22
511 SOI-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 26 7 — — $62,691.97 $70,866.56 $66,356.87 2026-05-22
510 SOI-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 26 7 — — $62,677.54 $70,850.24 $66,341.59 2026-05-22
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 110 9 — — $29,010.79 $102,107.96 $66,033.49 2026-05-22
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 110 9 — — $28,858.19 $101,555.00 $65,888.13 2026-05-22
863 SOI-3 OTHER Neonatal Aftercare 26 7 — — $62,001.99 $70,086.61 $65,626.55 2026-05-22
029 SOI-4 OTHER Other Percutaneous Intracranial Procedures 26 7 — — $61,996.21 $70,080.08 $65,620.44 2026-05-22
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 96 9 — — $29,801.07 $104,971.60 $65,586.76 2026-05-22
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 108 9 — — $27,253.30 $95,739.57 $65,361.23 2026-05-22
609 SOI-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 7 — — $61,443.36 $69,455.14 $65,035.26 2026-05-22
609 SOI-1 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 7 — — $61,443.36 $69,455.14 $65,035.26 2026-05-22
589 SOI-4 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 26 7 — — $61,320.66 $69,316.44 $64,905.39 2026-05-22
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 108 9 — — $27,011.50 $94,863.38 $64,497.81 2026-05-22
442 SOI-4 OTHER Kidney And Urinary Tract Procedures For Malignancy 26 7 — — $60,796.68 $68,724.13 $64,350.78 2026-05-22
97 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 108 9 — — $27,257.72 $95,755.60 $64,310.01 2026-05-22
265 OTHER Aicd Lead Procedures 108 9 — — $27,129.45 $95,290.79 $64,199.38 2026-05-22
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 108 9 — — $26,785.92 $94,045.96 $63,821.93 2026-05-22
303 SOI-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 26 7 — — $59,913.27 $67,725.53 $63,415.72 2026-05-22
231 SOI-4 OTHER Major Large Bowel Procedures 26 7 — — $59,910.38 $67,722.27 $63,412.67 2026-05-22
332 OTHER Rectal Resection With Mcc 108 9 — — $26,403.31 $92,659.56 $63,289.10 2026-05-22
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 108 9 — — $26,643.64 $93,530.40 $63,133.31 2026-05-22
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 108 9 — — $26,662.07 $93,597.18 $63,131.68 2026-05-22
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 110 9 — — $27,730.27 $97,467.91 $63,057.23 2026-05-22
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 108 9 — — $25,173.65 $88,203.82 $62,772.23 2026-05-22
049 SOI-4 OTHER Bacterial And Tuberculous Infections Of Nervous System 26 7 — — $59,247.82 $66,973.31 $62,711.38 2026-05-22
325 SOI-4 OTHER Non-elective Or Complex Knee Joint Replacement 26 7 — — $59,041.40 $66,739.98 $62,492.89 2026-05-22
812 OTHER Red Blood Cell Disorders Without Mcc 238 9 $168,442.00 $84,221.00 50% off $7,635.62 $328,071.12 $62,489.26 2026-05-22
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 46 9 — — $27,315.19 $92,761.07 $62,416.79 2026-05-22
264 OTHER Other Circulatory System O.r. Procedures 108 9 — — $26,597.93 $93,364.78 $62,374.37 2026-05-22
224 SOI-4 OTHER Peritoneal Adhesiolysis 26 7 — — $58,901.38 $66,581.70 $62,344.69 2026-05-22
467 OTHER Revision Of Hip Or Knee Replacement With Cc 108 9 — — $26,082.62 $91,497.54 $62,085.32 2026-05-22
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 108 9 — — $26,375.29 $92,558.05 $61,995.83 2026-05-22
952 SOI-4 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 26 7 — — $58,500.09 $66,128.09 $61,919.94 2026-05-22
252 OTHER Other Vascular Procedures With Mcc 108 9 — — $26,120.96 $91,636.45 $61,811.96 2026-05-22
178 SOI-1 OTHER External Heart Assist Systems 26 7 — — $58,386.06 $65,999.19 $61,799.24 2026-05-22
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 9 — — $25,289.43 $85,599.30 $61,784.04 2026-05-22
660 SOI-4 OTHER Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 26 7 — — $58,224.39 $65,816.43 $61,628.12 2026-05-22
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 108 9 — — $26,184.36 $91,866.18 $61,609.46 2026-05-22
518 SOI-4 OTHER Other Female Reproductive System And Related Procedures 26 7 — — $58,120.46 $65,698.95 $61,518.11 2026-05-22
170 SOI-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 26 7 — — $57,863.52 $65,408.51 $61,246.15 2026-05-22
303 SOI-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 26 7 — — $57,444.91 $64,935.31 $60,803.07 2026-05-22
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 110 9 — — $26,653.96 $93,567.80 $60,555.59 2026-05-22
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 108 9 — — $25,837.87 $90,610.67 $60,534.43 2026-05-22
180 SOI-4 OTHER Other Circulatory System Procedures 26 7 — — $57,138.89 $64,589.39 $60,479.16 2026-05-22
29 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 108 9 — — $25,577.64 $89,667.69 $60,469.18 2026-05-22
030 SOI-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 26 7 — — $57,072.49 $64,514.33 $60,408.88 2026-05-22
665 OTHER Prostatectomy With Mcc 108 9 — — $26,144.55 $91,721.93 $60,377.60 2026-05-22
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 108 9 — — $24,230.77 $84,787.22 $60,366.29 2026-05-22
200 SOI-4 OTHER Cardiac Structural And Valvular Disorders 26 7 — — $56,926.70 $64,349.53 $60,254.56 2026-05-22
634 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 26 7 — — $56,915.15 $64,336.48 $60,242.34 2026-05-22
440 SOI-1 OTHER Kidney Transplant 26 7 — — $56,215.06 $63,545.10 $59,501.32 2026-05-22
130 SOI-3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 26 7 — — $56,135.67 $63,455.36 $59,417.29 2026-05-22
623 SOI-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 26 7 — — $56,044.73 $63,352.56 $59,321.03 2026-05-22
37 OTHER Extracranial Procedures With Mcc 108 9 — — $25,313.72 $88,711.37 $59,265.55 2026-05-22
073 SOI-4 OTHER Orbit And Eye Procedures 26 7 — — $55,891.72 $63,179.60 $59,159.08 2026-05-22
631 SOI-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 7 — — $55,852.74 $63,135.54 $59,117.83 2026-05-22
711 SOI-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 26 7 — — $55,744.48 $63,013.17 $59,003.24 2026-05-22
514 SOI-4 OTHER Female Reproductive System Reconstructive Procedures 26 7 — — $55,611.68 $62,863.05 $58,862.67 2026-05-22
313 SOI-4 OTHER Knee And Lower Leg Procedures Except Foot 26 7 — — $55,268.13 $62,474.70 $58,499.04 2026-05-22
179 SOI-3 OTHER Defibrillator Implants 26 7 — — $55,253.70 $62,458.39 $58,483.76 2026-05-22
690 SOI-3 OTHER Acute Leukemia 26 7 — — $55,178.64 $62,373.54 $58,404.31 2026-05-22
223 SOI-4 OTHER Other Small And Large Bowel Procedures 26 7 — — $55,156.98 $62,349.06 $58,381.40 2026-05-22
042 SOI-4 OTHER Degenerative Nervous System Disorders Except Multiple Sclerosis 26 7 — — $55,116.57 $62,303.38 $58,338.61 2026-05-22
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 108 9 — — $24,860.34 $87,068.52 $58,168.01 2026-05-22
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 108 9 — — $24,850.02 $87,031.12 $58,143.03 2026-05-22
403 SOI-4 OTHER Procedures For Obesity 26 7 — — $54,920.25 $62,081.46 $58,130.82 2026-05-22
320 SOI-4 OTHER Other Musculoskeletal System And Connective Tissue Procedures 26 7 — — $54,770.13 $61,911.77 $57,971.93 2026-05-22
910 SOI-3 OTHER Craniotomy For Multiple Significant Trauma 26 7 — — $54,648.88 $61,774.70 $57,843.59 2026-05-22
621 SOI-3 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 26 7 — — $54,625.78 $61,748.60 $57,819.14 2026-05-22
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 9 — — $22,452.00 $185,598.68 $57,623.30 2026-05-22
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 108 9 — — $24,564.73 $85,997.32 $57,616.26 2026-05-22
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