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 MOUNT VERNON HOSPITAL

Alexandria, VA · CCN 490122 · Rates published

2,067 distinct procedures filed
9 distinct payers
117,219 rate rows
2026-05-09 last MRF observed
Data quality

116,546 of 117,219 rate rows are consumer-grade (99.4%)

673 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 498
exceeds 10× this hospital's gross charge — excluded from medians 160
placeholder amount (≤ $0.02) — excluded from medians 14
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
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-mount-vernon-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 ef2b296f105b0a75… · 20,338,381 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 $296,296.45 $1,007,423.91 $733,362.53 nat. median
$386,529
1.9× median
583 SOI-4
OTHER 		Neonate With Ecmo 6 $567,042.76 $623,747.04 $586,889.26 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… 6 $519,311.40 $571,242.54 $537,487.29 nat. median
$529,698
1.0× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $221,744.64 $752,461.21 $519,685.31 nat. median
$239,422
outlier · 2.2×
589 SOI-2
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $500,938.03 $551,031.83 $518,470.86 nat. median
$510,957
1.0× median
583 SOI-3
OTHER 		Neonate With Ecmo 6 $498,064.38 $547,870.82 $515,496.63 nat. median
$508,026
1.0× median
588 SOI-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $400,601.40 $440,661.54 $414,622.45 nat. median
$408,613
1.0× median
161 SOI-4
OTHER 		Implantable Heart Assist Systems 6 $387,987.55 $426,786.31 $401,567.12 nat. median
$395,747
1.0× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $158,819.46 $537,260.88 $376,964.11 nat. median
$146,562
outlier · 2.6×
630 SOI-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $351,146.15 $386,260.77 $363,436.27 nat. median
$358,169
1.0× median
583 SOI-2
OTHER 		Neonate With Ecmo 6 $342,700.78 $376,970.86 $354,695.32 nat. median
$349,555
1.0× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $169,124.48 $572,503.40 $352,405.40 nat. median
$181,005
1.9× median
609 SOI-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $335,206.69 $368,727.35 $346,938.92 nat. median
$341,911
1.0× median
841 SOI-4
OTHER 		Extensive Third Degree Burns With Skin Graft 6 $328,792.12 $361,671.33 $340,299.84 nat. median
$335,368
1.0× median
160 SOI-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 6 $311,637.23 $342,800.95 $322,544.53 nat. median
$317,870
1.0× median
591 SOI-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $296,221.49 $325,843.64 $306,589.24 nat. median
$302,146
1.0× median
631 SOI-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $280,085.06 $308,093.56 $289,888.04 nat. median
$285,687
1.0× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $112,091.89 $424,888.36 $268,490.12 nat. median
$134,983
2.0× median
593 SOI-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $258,589.15 $284,448.06 $267,639.77 nat. median
$263,761
1.0× median
009 SOI-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 6 $234,679.19 $258,147.11 $242,892.96 nat. median
$239,373
1.0× median
589 SOI-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $232,811.77 $256,092.95 $240,960.18 nat. median
$237,468
1.0× median
603 SOI-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $231,332.19 $254,465.41 $239,428.82 nat. median
$235,959
1.0× median
004 SOI-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $225,216.90 $247,738.59 $233,099.48 nat. median
$229,721
1.0× median
7
OTHER 		Lung Transplant 9 $103,802.89 $349,107.51 $222,762.99 nat. median
$169,933
1.3× median
583 SOI-1
OTHER 		Neonate With Ecmo 6 $214,507.12 $235,957.83 $222,014.86 nat. median
$218,797
1.0× median
14
OTHER 		Allogeneic Bone Marrow Transplant 9 $104,060.65 $349,989.04 $219,623.96 nat. median
$100,915
outlier · 2.2×
792 SOI-4
OTHER 		Extensive O.r. Procedures For Other Complications Of Treatment 6 $192,847.83 $212,132.61 $199,597.50 nat. median
$196,705
1.0× median
212
OTHER 		Concomitant Aortic And Mitral Valve�procedures 9 $86,814.81 $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 $83,545.92 $279,829.88 $195,505.38 nat. median
$80,273
outlier · 2.4×
161 SOI-3
OTHER 		Implantable Heart Assist Systems 6 $188,149.51 $206,964.46 $194,734.74 nat. median
$191,912
1.0× median
161 SOI-2
OTHER 		Implantable Heart Assist Systems 6 $183,689.39 $202,058.33 $190,118.52 nat. median
$187,363
1.0× median
215
OTHER 		Other Heart Assist System Implant 9 $84,478.55 $283,019.42 $189,499.83 nat. median
$92,359
outlier · 2.1×
593 SOI-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $178,294.80 $196,124.28 $184,535.12 nat. median
$181,861
1.0× median
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $75,181.15 $643,159.00 $184,384.63 nat. median
$111,558
1.7× median
680 SOI-4
OTHER 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 $177,525.24 $195,277.76 $183,738.62 nat. median
$181,076
1.0× median
681 SOI-4
OTHER 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 $175,240.97 $192,765.07 $181,374.40 nat. median
$178,746
1.0× median
161 SOI-1
OTHER 		Implantable Heart Assist Systems 6 $174,463.77 $191,910.15 $180,570.01 nat. median
$177,953
1.0× median
602 SOI-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $174,459.19 $191,905.11 $180,565.27 nat. median
$177,948
1.0× median
591 SOI-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $173,938.51 $191,332.36 $180,026.36 nat. median
$177,417
1.0× median
5
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 9 $84,905.03 $284,477.95 $178,514.66 nat. median
$94,894
1.9× median
005 SOI-4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $164,157.10 $180,572.81 $169,902.60 nat. median
$167,440
1.0× median
842 SOI-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 6 $162,043.85 $178,248.23 $167,715.38 nat. median
$165,285
1.0× median
609 SOI-3
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $161,941.54 $178,135.70 $167,609.49 nat. median
$165,180
1.0× median
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $77,107.34 $257,810.32 $167,458.83 nat. median
$90,130
1.9× median
602 SOI-3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $157,806.66 $173,587.32 $163,329.89 nat. median
$160,963
1.0× median
850
OTHER 		Acute Leukemia With Other Procedures 9 $73,676.76 $246,077.95 $159,877.36 nat. median
$407
outlier · 392.6×
231
OTHER 		Coronary Bypass With Ptca With Mcc 9 $67,912.26 $226,363.71 $154,093.15 nat. median
$74,989
outlier · 2.1×
456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $67,875.55 $226,238.16 $154,007.68 nat. median
$76,493
outlier · 2.0×
588 SOI-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $147,709.17 $162,480.09 $152,878.99 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
             
583 SOI-4 OTHER Neonate With Ecmo 6 6 — — $567,042.76 $623,747.04 $586,889.26 2026-05-09
589 SOI-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $519,311.40 $571,242.54 $537,487.29 2026-05-09
589 SOI-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $500,938.03 $551,031.83 $518,470.86 2026-05-09
583 SOI-3 OTHER Neonate With Ecmo 6 6 — — $498,064.38 $547,870.82 $515,496.63 2026-05-09
588 SOI-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $400,601.40 $440,661.54 $414,622.45 2026-05-09
161 SOI-4 OTHER Implantable Heart Assist Systems 6 6 — — $387,987.55 $426,786.31 $401,567.12 2026-05-09
630 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $351,146.15 $386,260.77 $363,436.27 2026-05-09
583 SOI-2 OTHER Neonate With Ecmo 6 6 — — $342,700.78 $376,970.86 $354,695.32 2026-05-09
609 SOI-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $335,206.69 $368,727.35 $346,938.92 2026-05-09
841 SOI-4 OTHER Extensive Third Degree Burns With Skin Graft 6 6 — — $328,792.12 $361,671.33 $340,299.84 2026-05-09
160 SOI-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $311,637.23 $342,800.95 $322,544.53 2026-05-09
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 9 — — $296,296.45 $1,007,423.91 $733,362.53 2026-05-09
591 SOI-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $296,221.49 $325,843.64 $306,589.24 2026-05-09
631 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $280,085.06 $308,093.56 $289,888.04 2026-05-09
593 SOI-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $258,589.15 $284,448.06 $267,639.77 2026-05-09
009 SOI-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $234,679.19 $258,147.11 $242,892.96 2026-05-09
589 SOI-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $232,811.77 $256,092.95 $240,960.18 2026-05-09
603 SOI-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $231,332.19 $254,465.41 $239,428.82 2026-05-09
004 SOI-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $225,216.90 $247,738.59 $233,099.48 2026-05-09
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 24 9 — — $221,744.64 $752,461.21 $519,685.31 2026-05-09
583 SOI-1 OTHER Neonate With Ecmo 6 6 — — $214,507.12 $235,957.83 $222,014.86 2026-05-09
792 SOI-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $192,847.83 $212,132.61 $199,597.50 2026-05-09
161 SOI-3 OTHER Implantable Heart Assist Systems 6 6 — — $188,149.51 $206,964.46 $194,734.74 2026-05-09
161 SOI-2 OTHER Implantable Heart Assist Systems 6 6 — — $183,689.39 $202,058.33 $190,118.52 2026-05-09
593 SOI-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $178,294.80 $196,124.28 $184,535.12 2026-05-09
680 SOI-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $177,525.24 $195,277.76 $183,738.62 2026-05-09
681 SOI-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $175,240.97 $192,765.07 $181,374.40 2026-05-09
161 SOI-1 OTHER Implantable Heart Assist Systems 6 6 — — $174,463.77 $191,910.15 $180,570.01 2026-05-09
602 SOI-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $174,459.19 $191,905.11 $180,565.27 2026-05-09
591 SOI-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $173,938.51 $191,332.36 $180,026.36 2026-05-09
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 8 — — $169,124.48 $572,503.40 $352,405.40 2026-05-09
005 SOI-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $164,157.10 $180,572.81 $169,902.60 2026-05-09
842 SOI-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $162,043.85 $178,248.23 $167,715.38 2026-05-09
609 SOI-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $161,941.54 $178,135.70 $167,609.49 2026-05-09
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 9 — — $158,819.46 $537,260.88 $376,964.11 2026-05-09
602 SOI-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $157,806.66 $173,587.32 $163,329.89 2026-05-09
588 SOI-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $147,709.17 $162,480.09 $152,878.99 2026-05-09
630 SOI-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $144,844.68 $159,329.14 $149,914.24 2026-05-09
591 SOI-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $143,626.20 $157,988.82 $148,653.11 2026-05-09
588 SOI-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $141,538.91 $155,692.80 $146,492.77 2026-05-09
588 SOI-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $141,538.91 $155,692.80 $146,492.77 2026-05-09
607 SOI-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $136,836.01 $150,519.61 $141,625.27 2026-05-09
613 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $129,647.29 $142,612.02 $134,184.95 2026-05-09
612 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $127,986.01 $140,784.61 $132,465.52 2026-05-09
440 SOI-4 OTHER Kidney Transplant 6 6 — — $124,125.97 $136,538.56 $128,470.38 2026-05-09
440 SOI-3 OTHER Kidney Transplant 6 6 — — $121,259.95 $133,385.94 $125,504.05 2026-05-09
593 SOI-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $120,827.83 $132,910.61 $125,056.80 2026-05-09
004 SOI-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $120,296.47 $132,326.11 $124,506.84 2026-05-09
850 SOI-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $120,262.87 $132,289.16 $124,472.07 2026-05-09
631 SOI-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $120,015.51 $132,017.06 $124,216.05 2026-05-09
602 SOI-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $119,099.36 $131,009.30 $123,267.84 2026-05-09
303 SOI-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $118,572.58 $130,429.84 $122,722.62 2026-05-09
603 SOI-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $115,537.07 $127,090.78 $119,580.86 2026-05-09
009 SOI-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $113,646.75 $125,011.43 $117,624.38 2026-05-09
690 SOI-4 OTHER Acute Leukemia 6 6 — — $112,280.16 $123,508.18 $116,209.97 2026-05-09
162 SOI-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $112,139.69 $123,353.65 $116,064.58 2026-05-09
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 8 — — $112,091.89 $424,888.36 $268,490.12 2026-05-09
863 SOI-4 OTHER Neonatal Aftercare 6 6 — — $110,956.33 $122,051.96 $114,839.80 2026-05-09
841 SOI-3 OTHER Extensive Third Degree Burns With Skin Graft 6 6 — — $109,863.06 $120,849.36 $113,708.26 2026-05-09
611 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $109,837.10 $120,820.81 $113,681.40 2026-05-09
910 SOI-4 OTHER Craniotomy For Multiple Significant Trauma 6 6 — — $109,476.75 $120,424.42 $113,308.43 2026-05-09
630 SOI-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $108,036.87 $118,840.55 $111,818.15 2026-05-09
312 SOI-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $106,461.09 $117,107.20 $110,187.23 2026-05-09
304 SOI-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $104,175.30 $114,592.83 $107,821.43 2026-05-09
14 OTHER Allogeneic Bone Marrow Transplant 23 9 — — $104,060.65 $349,989.04 $219,623.96 2026-05-09
7 OTHER Lung Transplant 24 9 — — $103,802.89 $349,107.51 $222,762.99 2026-05-09
004 SOI-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $103,689.74 $114,058.71 $107,318.88 2026-05-09
625 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $103,662.25 $114,028.48 $107,290.43 2026-05-09
591 SOI-1 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $103,553.84 $113,909.23 $107,178.23 2026-05-09
020 SOI-4 OTHER Open Craniotomy For Trauma 6 6 — — $103,373.67 $113,711.03 $106,991.74 2026-05-09
890 SOI-4 OTHER HIV With Multiple Major HIV Related Conditions 6 6 — — $103,274.42 $113,601.86 $106,889.02 2026-05-09
607 SOI-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $101,904.77 $112,095.25 $105,471.45 2026-05-09
633 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $99,593.03 $109,552.33 $103,078.79 2026-05-09
163 SOI-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $98,699.78 $108,569.76 $102,154.27 2026-05-09
440 SOI-2 OTHER Kidney Transplant 6 6 — — $98,160.78 $107,976.86 $101,596.40 2026-05-09
608 SOI-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $98,084.43 $107,892.88 $101,517.39 2026-05-09
361 SOI-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $95,542.12 $105,096.33 $98,886.10 2026-05-09
621 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $94,442.74 $103,887.02 $97,748.24 2026-05-09
950 SOI-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $94,227.45 $103,650.19 $97,525.40 2026-05-09
005 SOI-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $94,138.89 $103,552.77 $97,433.74 2026-05-09
177 SOI-4 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 6 — — $92,746.34 $102,020.97 $95,992.46 2026-05-09
651 SOI-4 OTHER Other Procedures Of Blood And Blood-forming Organs 6 6 — — $92,129.47 $101,342.41 $95,353.99 2026-05-09
441 SOI-4 OTHER Major Bladder Procedures 6 6 — — $90,443.75 $99,488.13 $93,609.28 2026-05-09
183 SOI-4 OTHER Percutaneous Structural Cardiac Procedures 6 6 — — $89,289.40 $98,218.34 $92,414.54 2026-05-09
162 SOI-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $88,951.96 $97,847.15 $92,065.27 2026-05-09
169 SOI-4 OTHER Major Abdominal Vascular Procedures 6 6 — — $87,811.35 $96,592.49 $90,884.74 2026-05-09
911 SOI-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $86,915.05 $95,606.56 $89,957.07 2026-05-09
212 OTHER Concomitant Aortic And Mitral Valve�procedures 26 9 — — $86,814.81 $291,009.30 $198,369.14 2026-05-09
167 SOI-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 6 6 — — $86,217.25 $94,838.98 $89,234.86 2026-05-09
614 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $85,859.95 $94,445.95 $88,865.05 2026-05-09
130 SOI-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $85,058.32 $93,564.15 $88,035.37 2026-05-09
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 23 9 — — $84,905.03 $284,477.95 $178,514.66 2026-05-09
215 OTHER Other Heart Assist System Implant 26 9 — — $84,478.55 $283,019.42 $189,499.83 2026-05-09
023 SOI-4 OTHER Spinal Procedures 6 6 — — $84,129.96 $92,542.95 $87,074.51 2026-05-09
612 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $83,769.61 $92,146.57 $86,701.54 2026-05-09
120 SOI-4 OTHER Major Respiratory And Chest Procedures 6 6 — — $83,697.84 $92,067.63 $86,627.27 2026-05-09
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $83,545.92 $279,829.88 $195,505.38 2026-05-09
178 SOI-4 OTHER External Heart Assist Systems 6 6 — — $83,410.78 $91,751.86 $86,330.15 2026-05-09
401 SOI-4 OTHER Adrenal Procedures 6 6 — — $83,355.81 $91,691.39 $86,273.26 2026-05-09
230 SOI-4 OTHER Major Small Bowel Procedures 6 6 — — $83,195.49 $91,515.03 $86,107.33 2026-05-09
091 SOI-4 OTHER Other Major Head And Neck Procedures 6 6 — — $83,067.23 $91,373.95 $85,974.58 2026-05-09
027 SOI-4 OTHER Other Open Craniotomy 6 6 — — $82,328.20 $90,561.02 $85,209.68 2026-05-09
912 SOI-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $81,856.38 $90,042.02 $84,721.36 2026-05-09
021 SOI-4 OTHER Open Craniotomy Except Trauma 6 6 — — $81,424.27 $89,566.69 $84,274.12 2026-05-09
004 SOI-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $80,230.22 $88,253.24 $83,038.27 2026-05-09
092 SOI-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $79,537.00 $87,490.70 $82,320.79 2026-05-09
005 SOI-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $79,336.97 $87,270.67 $82,113.76 2026-05-09
178 SOI-3 OTHER External Heart Assist Systems 6 6 — — $79,120.15 $87,032.17 $81,889.36 2026-05-09
089 SOI-4 OTHER Major Cranial Or Facial Bone Procedures 6 6 — — $77,726.08 $85,498.68 $80,446.49 2026-05-09
160 SOI-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $77,556.59 $85,312.25 $80,271.07 2026-05-09
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 9 — — $77,107.34 $257,810.32 $167,458.83 2026-05-09
165 SOI-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $77,046.60 $84,751.26 $79,743.23 2026-05-09
178 SOI-2 OTHER External Heart Assist Systems 6 6 — — $76,953.46 $84,648.80 $79,646.83 2026-05-09
022 SOI-4 OTHER Ventricular Shunt Procedures 6 6 — — $76,415.98 $84,057.58 $79,090.54 2026-05-09
404 SOI-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 6 6 — — $76,341.17 $83,975.28 $79,013.10 2026-05-09
405 SOI-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 6 — — $76,145.72 $83,760.29 $78,810.82 2026-05-09
121 SOI-4 OTHER Other Respiratory And Chest Procedures 6 6 — — $75,513.58 $83,064.94 $78,156.55 2026-05-09
611 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $75,490.67 $83,039.74 $78,132.85 2026-05-09
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 9 — — $75,181.15 $643,159.00 $184,384.63 2026-05-09
607 SOI-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $74,940.98 $82,435.08 $77,563.92 2026-05-09
608 SOI-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $74,915.03 $82,406.53 $77,537.05 2026-05-09
179 SOI-4 OTHER Defibrillator Implants 6 6 — — $74,690.57 $82,159.63 $77,304.74 2026-05-09
026 SOI-4 OTHER Other Nervous System And Related Procedures 6 6 — — $73,885.89 $81,274.47 $76,471.89 2026-05-09
850 OTHER Acute Leukemia With Other Procedures 27 9 — — $73,676.76 $246,077.95 $159,877.36 2026-05-09
261 SOI-4 OTHER Major Biliary Tract Procedures 6 6 — — $73,455.30 $80,800.83 $76,026.23 2026-05-09
232 SOI-4 OTHER Gastric Fundoplication 6 6 — — $72,885.76 $80,174.33 $75,436.76 2026-05-09
447 SOI-4 OTHER Other Kidney, Urinary Tract And Related Procedures 6 6 — — $72,675.04 $79,942.55 $75,218.66 2026-05-09
623 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 — — $72,291.79 $79,520.97 $74,822.00 2026-05-09
229 SOI-4 OTHER Other Digestive System And Abdominal Procedures 6 6 — — $71,871.89 $79,059.07 $74,387.40 2026-05-09
841 SOI-1 OTHER Extensive Third Degree Burns With Skin Graft 6 6 — — $71,392.43 $78,531.68 $73,891.17 2026-05-09
841 SOI-2 OTHER Extensive Third Degree Burns With Skin Graft 6 6 — — $71,392.43 $78,531.68 $73,891.17 2026-05-09
009 SOI-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $70,418.26 $77,460.09 $72,882.90 2026-05-09
009 SOI-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $70,418.26 $77,460.09 $72,882.90 2026-05-09
181 SOI-4 OTHER Lower Extremity Arterial Procedures 6 6 — — $70,264.04 $77,290.45 $72,723.29 2026-05-09
613 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $69,679.24 $76,647.16 $72,118.01 2026-05-09
951 SOI-4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $69,383.01 $76,321.32 $71,811.42 2026-05-09
176 SOI-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $68,343.18 $75,177.50 $70,735.20 2026-05-09
710 SOI-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 6 — — $68,269.89 $75,096.88 $70,659.34 2026-05-09
231 OTHER Coronary Bypass With Ptca With Mcc 26 9 — — $67,912.26 $226,363.71 $154,093.15 2026-05-09
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 9 — — $67,875.55 $226,238.16 $154,007.68 2026-05-09
695 SOI-4 OTHER Chemotherapy For Acute Leukemia 6 6 — — $67,756.85 $74,532.53 $70,128.34 2026-05-09
263 SOI-4 OTHER Cholecystectomy 6 6 — — $67,701.88 $74,472.07 $70,071.45 2026-05-09
260 SOI-4 OTHER Major Pancreas, Liver And Shunt Procedures 6 6 — — $67,529.34 $74,282.27 $69,892.86 2026-05-09
603 SOI-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $67,204.11 $73,924.52 $69,556.25 2026-05-09
220 SOI-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $66,831.54 $73,514.69 $69,170.65 2026-05-09
163 SOI-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $66,735.34 $73,408.88 $69,071.08 2026-05-09
177 SOI-3 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 6 — — $66,326.13 $72,958.74 $68,647.54 2026-05-09
167 SOI-3 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 6 6 — — $66,326.13 $72,958.74 $68,647.54 2026-05-09
511 SOI-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 6 — — $66,315.44 $72,946.99 $68,636.49 2026-05-09
510 SOI-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 6 — — $66,300.17 $72,930.19 $68,620.68 2026-05-09
863 SOI-3 OTHER Neonatal Aftercare 6 6 — — $65,585.58 $72,144.13 $67,881.07 2026-05-09
029 SOI-4 OTHER Other Percutaneous Intracranial Procedures 6 6 — — $65,579.47 $72,137.42 $67,874.75 2026-05-09
609 SOI-1 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $64,994.66 $71,494.13 $67,269.48 2026-05-09
609 SOI-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $64,994.66 $71,494.13 $67,269.48 2026-05-09
589 SOI-4 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $64,864.87 $71,351.36 $67,135.15 2026-05-09
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 9 — — $64,687.89 $215,336.57 $140,012.23 2026-05-09
442 SOI-4 OTHER Kidney And Urinary Tract Procedures For Malignancy 6 6 — — $64,310.60 $70,741.66 $66,561.48 2026-05-09
10 OTHER Pancreas Transplant 23 9 — — $63,999.75 $212,983.15 $133,650.48 2026-05-09
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 9 — — $63,642.79 $211,762.36 $132,884.42 2026-05-09
303 SOI-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $63,376.13 $69,713.74 $65,594.29 2026-05-09
231 SOI-4 OTHER Major Large Bowel Procedures 6 6 — — $63,373.08 $69,710.38 $65,591.13 2026-05-09
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 9 — — $62,776.55 $208,799.88 $142,136.88 2026-05-09
049 SOI-4 OTHER Bacterial And Tuberculous Infections Of Nervous System 6 6 — — $62,672.22 $68,939.45 $64,865.75 2026-05-09
325 SOI-4 OTHER Non-elective Or Complex Knee Joint Replacement 6 6 — — $62,453.87 $68,699.26 $64,639.76 2026-05-09
224 SOI-4 OTHER Peritoneal Adhesiolysis 6 6 — — $62,305.76 $68,536.34 $64,486.46 2026-05-09
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 9 — — $62,160.26 $206,692.22 $134,426.24 2026-05-09
952 SOI-4 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $61,881.28 $68,069.41 $64,047.12 2026-05-09
178 SOI-1 OTHER External Heart Assist Systems 6 6 — — $61,760.65 $67,936.72 $63,922.28 2026-05-09
660 SOI-4 OTHER Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 6 6 — — $61,589.64 $67,748.60 $63,745.28 2026-05-09
518 SOI-4 OTHER Other Female Reproductive System And Related Procedures 6 6 — — $61,479.70 $67,627.67 $63,631.49 2026-05-09
170 SOI-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 6 — — $61,207.91 $67,328.70 $63,350.19 2026-05-09
303 SOI-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $60,765.11 $66,841.62 $62,891.88 2026-05-09
180 SOI-4 OTHER Other Circulatory System Procedures 6 6 — — $60,441.40 $66,485.54 $62,556.85 2026-05-09
030 SOI-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 6 6 — — $60,371.16 $66,408.28 $62,484.15 2026-05-09
200 SOI-4 OTHER Cardiac Structural And Valvular Disorders 6 6 — — $60,216.94 $66,238.64 $62,324.54 2026-05-09
634 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 6 — — $60,204.73 $66,225.20 $62,311.90 2026-05-09
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 9 — — $60,025.53 $199,391.55 $129,708.54 2026-05-09
440 SOI-1 OTHER Kidney Transplant 6 6 — — $59,464.17 $65,410.59 $61,545.42 2026-05-09
130 SOI-3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $59,380.19 $65,318.21 $61,458.50 2026-05-09
623 SOI-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 — — $59,284.00 $65,212.40 $61,358.94 2026-05-09
073 SOI-4 OTHER Orbit And Eye Procedures 6 6 — — $59,122.15 $65,034.36 $61,191.42 2026-05-09
631 SOI-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $59,080.92 $64,989.01 $61,148.76 2026-05-09
711 SOI-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 6 — — $58,966.40 $64,863.04 $61,030.22 2026-05-09
514 SOI-4 OTHER Female Reproductive System Reconstructive Procedures 6 6 — — $58,825.92 $64,708.52 $60,884.83 2026-05-09
313 SOI-4 OTHER Knee And Lower Leg Procedures Except Foot 6 6 — — $58,462.52 $64,308.77 $60,508.71 2026-05-09
179 SOI-3 OTHER Defibrillator Implants 6 6 — — $58,447.25 $64,291.97 $60,492.90 2026-05-09
690 SOI-3 OTHER Acute Leukemia 6 6 — — $58,367.85 $64,204.63 $60,410.72 2026-05-09
223 SOI-4 OTHER Other Small And Large Bowel Procedures 6 6 — — $58,344.95 $64,179.44 $60,387.01 2026-05-09
042 SOI-4 OTHER Degenerative Nervous System Disorders Except Multiple Sclerosis 6 6 — — $58,302.19 $64,132.41 $60,342.77 2026-05-09
403 SOI-4 OTHER Procedures For Obesity 6 6 — — $58,094.53 $63,903.99 $60,127.84 2026-05-09
320 SOI-4 OTHER Other Musculoskeletal System And Connective Tissue Procedures 6 6 — — $57,935.73 $63,729.31 $59,963.48 2026-05-09
910 SOI-3 OTHER Craniotomy For Multiple Significant Trauma 6 6 — — $57,807.47 $63,588.22 $59,830.74 2026-05-09
621 SOI-3 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $57,783.04 $63,561.35 $59,805.44 2026-05-09
183 SOI-3 OTHER Percutaneous Structural Cardiac Procedures 6 6 — — $57,431.85 $63,175.04 $59,441.96 2026-05-09
162 SOI-2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $57,396.73 $63,136.41 $59,405.61 2026-05-09
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $57,201.86 $189,734.78 $130,419.21 2026-05-09
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 26 9 — — $56,059.90 $185,829.33 $126,500.08 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
955 OTHER Craniotomy For Multiple Significant Trauma 26 9 — — $55,058.53 $182,404.72 $124,168.83 2026-05-09
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 9 — — $54,093.09 $179,102.99 $121,995.27 2026-05-09
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 9 — — $53,891.57 $178,413.79 $125,878.15 2026-05-09
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 9 — — $53,803.31 $178,111.93 $115,957.62 2026-05-09
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 26 9 — — $52,237.99 $172,758.64 $117,602.42 2026-05-09
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 — — $52,165.35 $172,510.21 $118,680.68 2026-05-09
969 OTHER HIV With Extensive O.r. Procedures With Mcc 26 9 — — $51,121.80 $168,941.34 $114,914.52 2026-05-09
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 9 — — $50,044.67 $165,257.61 $116,955.64 2026-05-09
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 9 — — $49,824.40 $164,504.30 $115,541.45 2026-05-09
232 OTHER Coronary Bypass With Ptca Without Mcc 26 9 — — $49,437.76 $163,182.01 $111,083.30 2026-05-09
28 OTHER Spinal Procedures With Mcc 26 9 — — $49,209.68 $162,401.99 $110,552.32 2026-05-09
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 23 9 — — $48,869.12 $161,237.30 $101,179.10 2026-05-09
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 23 9 — — $48,869.12 $161,237.30 $101,179.10 2026-05-09
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 9 — — $48,516.84 $160,032.54 $110,338.13 2026-05-09
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 9 — — $48,516.84 $160,032.54 $106,068.40 2026-05-09
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 — — $48,192.69 $158,923.95 $113,694.88 2026-05-09
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 26 9 — — $47,684.19 $157,184.93 $107,105.23 2026-05-09
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 9 — — $47,200.69 $155,531.39 $106,466.42 2026-05-09
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 9 — — $46,553.16 $153,316.88 $106,481.58 2026-05-09
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 9 — — $46,285.25 $152,400.62 $99,342.93 2026-05-09
653 OTHER Major Bladder Procedures With Mcc 26 9 — — $45,265.92 $148,914.57 $99,276.98 2026-05-09
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 26 9 — — $44,896.46 $147,651.04 $100,510.87 2026-05-09
428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $44,715.24 $147,031.30 $101,302.37 2026-05-09
8 OTHER Simultaneous Pancreas And Kidney Transplant 23 9 — — $44,223.15 $145,348.38 $94,398.28 2026-05-09
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 26 9 — — $44,126.30 $145,017.13 $99,287.36 2026-05-09
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 9 — — $43,909.93 $144,277.18 $100,944.35 2026-05-09
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 9 — — $43,870.10 $144,140.95 $98,827.71 2026-05-09
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 9 — — $43,865.41 $144,124.92 $94,788.68 2026-05-09
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 9 — — $43,440.49 $142,671.73 $93,056.11 2026-05-09
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 9 — — $43,278.81 $142,118.77 $98,158.05 2026-05-09
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 9 — — $43,095.25 $141,491.01 $92,293.13 2026-05-09
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 26 9 — — $41,516.65 $136,092.30 $93,779.64 2026-05-09
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 26 9 — — $41,394.80 $135,675.58 $92,358.78 2026-05-09
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 9 — — $41,065.96 $134,550.96 $91,593.21 2026-05-09
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 9 — — $40,833.97 $133,757.58 $90,555.85 2026-05-09
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 9 — — $40,787.89 $133,599.98 $83,836.22 2026-05-09
228 OTHER Other Cardiothoracic Procedures With Mcc 26 9 — — $40,647.29 $133,119.14 $90,618.53 2026-05-09
245 OTHER Aicd Generator Procedures 26 9 — — $39,893.53 $130,541.33 $87,100.26 2026-05-09
6 OTHER Liver Transplant Without Mcc 23 9 — — $39,599.84 $129,536.92 $81,286.58 2026-05-09
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 9 — — $39,024.17 $127,568.17 $86,839.80 2026-05-09
799 OTHER Splenic Procedures With Mcc 26 9 — — $38,862.48 $127,015.21 $85,655.11 2026-05-09
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 9 — — $38,855.45 $126,991.17 $86,447.02 2026-05-09
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 9 — — $38,471.15 $125,676.89 $86,213.25 2026-05-09
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 9 — — $38,274.32 $125,003.72 $85,094.10 2026-05-09
277 OTHER Cardiac Defibrillator Implant Without Mcc 26 9 — — $38,058.73 $124,266.44 $84,592.20 2026-05-09
163 OTHER Major Chest Procedures With Mcc 27 9 — — $37,725.21 $123,125.79 $80,425.50 2026-05-09
650 OTHER Kidney Transplant With Hemodialysis With Mcc 24 9 — — $37,710.36 $123,075.04 $79,789.19 2026-05-09
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 9 — — $37,595.54 $122,682.35 $87,467.30 2026-05-09
329 OTHER Major Small And Large Bowel Procedures With Mcc 26 9 — — $37,590.08 $122,663.65 $83,723.82 2026-05-09
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 9 — — $36,962.85 $120,518.60 $82,534.09 2026-05-09
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 9 — — $36,752.74 $119,800.02 $81,004.50 2026-05-09
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 27 9 — — $36,655.88 $119,468.77 $78,062.32 2026-05-09
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 26 9 — — $36,034.91 $117,345.09 $80,646.93 2026-05-09
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 9 — — $35,520.17 $115,584.70 $75,649.65 2026-05-09
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 9 — — $35,450.65 $115,346.95 $75,398.80 2026-05-09
356 OTHER Other Digestive System O.r. Procedures With Mcc 26 9 — — $35,042.14 $113,949.86 $78,810.62 2026-05-09
140 OTHER Major Head And Neck Procedures With Mcc 26 9 — — $34,757.04 $112,974.83 $77,379.07 2026-05-09
31 OTHER Ventricular Shunt Procedures With Mcc 26 9 — — $34,455.53 $111,943.71 $78,812.98 2026-05-09
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 26 9 — — $34,447.72 $111,916.99 $76,454.43 2026-05-09
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 9 — — $34,221.99 $111,144.99 $76,353.02 2026-05-09
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 26 9 — — $33,842.37 $109,846.73 $75,586.90 2026-05-09
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 26 9 — — $33,824.41 $109,785.29 $75,775.73 2026-05-09
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 9 — — $33,776.76 $109,622.34 $75,733.61 2026-05-09
448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 26 9 — — $33,618.98 $109,082.74 $75,744.45 2026-05-09
907 OTHER Other O.r. Procedures For Injuries With Mcc 26 9 — — $32,839.44 $106,416.78 $72,217.91 2026-05-09
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 9 — — $32,817.57 $106,341.98 $69,600.33 2026-05-09
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 9 — — $32,542.63 $105,401.68 $70,761.64 2026-05-09
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 9 — — $32,479.36 $105,185.31 $69,153.47 2026-05-09
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 26 9 — — $32,416.87 $104,971.60 $69,791.43 2026-05-09
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 26 9 — — $32,266.12 $104,456.04 $73,075.57 2026-05-09
34 OTHER Carotid Artery Stent Procedures With Mcc 26 9 — — $32,097.40 $103,879.04 $70,718.02 2026-05-09
166 OTHER Other Respiratory System O.r. Procedures With Mcc 27 9 — — $31,797.46 $102,853.26 $67,325.36 2026-05-09
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 9 — — $31,579.53 $102,107.96 $66,843.74 2026-05-09
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 9 — — $31,417.85 $101,555.00 $66,486.43 2026-05-09
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 9 — — $31,186.64 $100,764.30 $69,494.99 2026-05-09
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 9 — — $30,951.53 $99,960.23 $67,359.32 2026-05-09
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 9 — — $30,222.77 $97,467.91 $63,845.34 2026-05-09
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 9 — — $29,723.65 $95,760.94 $68,693.89 2026-05-09
97 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 9 — — $29,722.09 $95,755.60 $65,556.61 2026-05-09
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 9 — — $29,717.40 $95,739.57 $66,607.62 2026-05-09
265 OTHER Aicd Lead Procedures 26 9 — — $29,586.17 $95,290.79 $65,439.93 2026-05-09
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 9 — — $29,461.20 $94,863.38 $65,732.79 2026-05-09
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 9 — — $29,222.18 $94,045.96 $65,046.28 2026-05-09
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 9 — — $29,090.96 $93,597.18 $64,350.18 2026-05-09
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 9 — — $29,082.37 $93,567.80 $61,325.08 2026-05-09
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 9 — — $29,071.43 $93,530.40 $64,350.95 2026-05-09
264 OTHER Other Circulatory System O.r. Procedures 26 9 — — $29,023.00 $93,364.78 $63,079.14 2026-05-09
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 23 9 — — $28,846.48 $92,761.07 $62,416.79 2026-05-09
332 OTHER Rectal Resection With Mcc 26 9 — — $28,816.79 $92,659.56 $64,495.39 2026-05-09
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 9 — — $28,787.11 $92,558.05 $63,200.81 2026-05-09
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 9 — — $28,584.81 $91,866.18 $62,805.43 2026-05-09
665 OTHER Prostatectomy With Mcc 26 9 — — $28,542.63 $91,721.93 $60,344.78 2026-05-09
252 OTHER Other Vascular Procedures With Mcc 26 9 — — $28,517.63 $91,636.45 $63,004.93 2026-05-09
467 OTHER Revision Of Hip Or Knee Replacement With Cc 26 9 — — $28,477.02 $91,497.54 $63,276.49 2026-05-09
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 26 9 — — $28,217.69 $90,610.67 $60,720.24 2026-05-09
29 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 26 9 — — $27,941.96 $89,667.69 $61,636.52 2026-05-09
37 OTHER Extracranial Procedures With Mcc 26 9 — — $27,662.33 $88,711.37 $60,388.71 2026-05-09
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 9 — — $27,513.92 $88,203.82 $63,920.51 2026-05-09
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 9 — — $27,181.96 $87,068.52 $59,270.38 2026-05-09
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 26 9 — — $27,171.02 $87,031.12 $59,244.92 2026-05-09
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 9 — — $26,752.35 $85,599.30 $61,784.04 2026-05-09
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 9 — — $26,514.90 $84,787.22 $61,672.14 2026-05-09
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