Hospital

USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL

Mobile, AL · CCN 013301 · Rates published

Your selected procedure

You selected 302 (APR_DRG)

Inpatient APR-DRG

This hospital’s price: $16,769 across 4 payers · range $16,769-$18,446

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/12726/630477348_usa-health-children's-&-women's-hospital_standardcharges.csv · observed 2026-04-30

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

14,604 distinct procedures filed

20 distinct payers

461,445 rate rows

2026-04-30 last MRF observed

Data quality

453,361 of 461,445 rate rows are consumer-grade (98.2%)

8,084 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 — reason	Rows
professional (physician) fee — not the facility price	6,227
per-diem day rate — not a per-procedure price	1,272
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	269
percent-of-charges filed in the dollar field — excluded from medians	257
placeholder amount (≤ $0.02) — excluded from medians	28
exceeds 10× this hospital's gross charge — excluded from medians	21
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	10

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/12726/630477348_usa-health-children's-&-women's-hospital_standardcharges.csv
Found on page	https://www.usahealthsystem.com/price-index
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-08-04
Content fingerprint	25be46d7df28d14f… · 620,898,173 bytes · first seen 2026-05-05

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
J3391 HCPCS	Inj, Atidarsagene Autotemcel	8	$4,414,900.00	$4,955,500.00	$4,505,000.00	nat. median $4,505,000 1.0× median
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	4	$3,710,000.00	$4,081,000.00	$3,710,000.00	nat. median $3,710,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	10	$3,617,621.00	$4,983,457.50	$3,691,450.00	nat. median $3,710,000 1.0× median
J3389 HCPCS	Topi Adm Prad Zami Per Treat	10	$3,269,103.60	$4,503,357.00	$3,335,820.00	nat. median $3,335,820 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	14	$3,254,948.85	$4,483,858.11	$3,321,376.38	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	14	$3,180,473.76	$4,381,264.88	$3,245,381.39	nat. median $3,286,000 1.0× median
J3387 HCPCS	Inj Elivaldogene Autotemecel	10	$3,116,400.00	$4,293,000.00	$3,180,000.00	nat. median $3,180,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	14	$2,879,553.60	$3,966,732.00	$2,938,320.00	nat. median $2,997,086 1.0× median
C9309 HCPCS	Inj Onase Abepar-brve Treat	10	$2,610,944.02	$3,596,708.60	$2,664,228.59	nat. median $2,664,229 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	14	$2,302,784.67	$3,492,567.80	$2,587,087.26	nat. median $2,460,273 1.1× median
J3392 HCPCS	Inj, Exagamglogene Autotem	14	$2,285,360.00	$3,148,200.00	$2,332,000.00	nat. median $2,405,851 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	10	$755,207.60	$1,040,337.00	$770,620.00	nat. median $809,151 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	14	$511,072.50	$829,144.09	$614,180.81	nat. median $691,418 0.9× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	14	$478,950.00	$794,467.99	$588,494.81	nat. median $631,793 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	14	$473,853.52	$759,052.13	$562,260.84	nat. median $624,417 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	14	$484,690.30	$755,704.46	$559,781.08	nat. median $610,161 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	14	$449,440.00	$717,996.31	$531,849.12	nat. median $588,565 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	14	$449,440.00	$660,542.31	$489,290.60	nat. median $577,541 0.8× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	10	$272,685.00	$375,637.50	$278,250.00	nat. median $302,242 0.9× median
J3403 HCPCS	Revakinagene, Per Implant	10	$256,989.10	$354,015.59	$262,233.77	nat. median $265,000 1.0× median
24 APR_DRG	Inpatient Apr-DRG	4	$230,314.83	$253,346.31	$230,314.83	nat. median $243,231 0.9× median
5834 APR_DRG	Inpatient Apr-DRG	4	$202,870.77	$223,157.85	$202,870.77	nat. median $311,018 0.7× median
J3402 HCPCS	Inj. Remestemcel-l-rknd/ Td	10	$198,659.31	$273,663.34	$202,713.58	nat. median $209,736 1.0× median
5884 APR_DRG	Inpatient Apr-DRG	4	$166,409.02	$183,049.92	$166,409.02	nat. median $254,667 0.7× median
5833 APR_DRG	Inpatient Apr-DRG	4	$160,677.62	$176,745.38	$160,677.62	nat. median $250,089 0.6× median
1614 APR_DRG	Inpatient Apr-DRG	4	$159,106.81	$175,017.49	$159,106.81	nat. median $209,486 0.8× median
74 APR_DRG	Inpatient Apr-DRG	4	$150,990.21	$166,089.23	$150,990.21	nat. median $175,480 0.9× median
14 APR_DRG	Inpatient Apr-DRG	4	$147,230.98	$161,954.08	$147,230.98	nat. median $137,901 1.1× median
23 APR_DRG	Inpatient Apr-DRG	4	$142,422.67	$156,664.94	$142,422.67	nat. median $116,111 1.2× median
64 APR_DRG	Inpatient Apr-DRG	4	$130,021.91	$143,024.10	$130,021.91	nat. median $92,994 1.4× median
J3404 HCPCS	Inj Zopapogene Per Ther Dose	10	$119,462.00	$164,565.00	$121,900.00	nat. median $121,900 1.0× median
1613 APR_DRG	Inpatient Apr-DRG	4	$121,892.47	$134,081.72	$121,892.47	nat. median $127,938 1.0× median
6304 APR_DRG	Inpatient Apr-DRG	4	$120,785.83	$132,864.41	$120,785.83	nat. median $160,171 0.8× median
5832 APR_DRG	Inpatient Apr-DRG	4	$118,484.47	$130,332.92	$118,484.47	nat. median $169,230 0.7× median
J9029 HCPCS	Nadofaragene Firadenovecvncg (Adstiladrin) 3 X 10^11 vp/mL Intravesical Suspensi…	20	$62,996.65	$147,446.78	$114,107.43	nat. median $69,291 1.6× median
8414 APR_DRG	Inpatient Apr-DRG	4	$112,202.77	$123,423.05	$112,202.77	nat. median $165,646 0.7× median
5934 APR_DRG	Inpatient Apr-DRG	4	$108,530.53	$119,383.58	$108,530.53	nat. median $156,285 0.7× median
5883 APR_DRG	Inpatient Apr-DRG	4	$107,207.10	$117,927.81	$107,207.10	nat. median $180,995 0.6× median
22 APR_DRG	Inpatient Apr-DRG	4	$105,693.05	$116,262.36	$105,693.05	nat. median $94,014 1.1× median
5882 APR_DRG	Inpatient Apr-DRG	4	$104,976.20	$115,473.82	$104,976.20	nat. median $147,847 0.7× median
5914 APR_DRG	Inpatient Apr-DRG	4	$104,804.09	$115,284.50	$104,804.09	nat. median $168,361 0.6× median
114 APR_DRG	Inpatient Apr-DRG	4	$104,669.22	$115,136.14	$104,669.22	nat. median $119,243 0.9× median
6094 APR_DRG	Inpatient Apr-DRG	4	$104,135.66	$114,549.23	$104,135.66	nat. median $168,174 0.6× median
5831 APR_DRG	Inpatient Apr-DRG	4	$102,391.94	$112,631.13	$102,391.94	nat. median $154,685 0.7× median
6314 APR_DRG	Inpatient Apr-DRG	4	$99,974.33	$109,971.76	$99,974.33	nat. median $147,677 0.7× median
44 APR_DRG	Inpatient Apr-DRG	4	$99,704.21	$109,674.63	$99,704.21	nat. median $127,600 0.8× median
1612 APR_DRG	Inpatient Apr-DRG	4	$97,868.83	$107,655.71	$97,868.83	nat. median $93,192 1.1× median
94 APR_DRG	Inpatient Apr-DRG	4	$97,613.37	$107,374.71	$97,613.37	nat. median $165,599 0.6× median
1611 APR_DRG	Inpatient Apr-DRG	4	$92,975.40	$102,272.94	$92,975.40	nat. median $82,164 1.1× median
63 APR_DRG	Inpatient Apr-DRG	4	$91,424.55	$100,567.01	$91,424.55	nat. median $75,474 1.2× median

Other procedures at this hospital

Browse this hospital's 14,604 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3391	HCPCS	Inj, Atidarsagene Autotemcel	10	8	—	—	$4,414,900.00	$4,955,500.00	$4,505,000.00	2026-04-30
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	4	4	—	—	$3,710,000.00	$4,081,000.00	$3,710,000.00	2026-04-30
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	12	10	—	—	$3,617,621.00	$4,983,457.50	$3,691,450.00	2026-04-30
J3389	HCPCS	Topi Adm Prad Zami Per Treat	12	10	—	—	$3,269,103.60	$4,503,357.00	$3,335,820.00	2026-04-30
J1413	HCPCS	Inj Delandistrogene Mox Rokl	16	14	—	—	$3,254,948.85	$4,483,858.11	$3,321,376.38	2026-04-30
J3394	HCPCS	Inj, Lovotibeglogene Autotem	16	14	—	—	$3,180,473.76	$4,381,264.88	$3,245,381.39	2026-04-30
J3387	HCPCS	Inj Elivaldogene Autotemecel	12	10	—	—	$3,116,400.00	$4,293,000.00	$3,180,000.00	2026-04-30
J3393	HCPCS	Inj, Betibeglogene Autotemce	16	14	—	—	$2,879,553.60	$3,966,732.00	$2,938,320.00	2026-04-30
C9309	HCPCS	Inj Onase Abepar-brve Treat	12	10	—	—	$2,610,944.02	$3,596,708.60	$2,664,228.59	2026-04-30
J3399	HCPCS	Inj Onase Abepar-xioi Treat	16	14	—	—	$2,302,784.67	$3,492,567.80	$2,587,087.26	2026-04-30
J3392	HCPCS	Inj, Exagamglogene Autotem	16	14	—	—	$2,285,360.00	$3,148,200.00	$2,332,000.00	2026-04-30
Q2057	HCPCS	Afamitresgene Autoleucel	12	10	—	—	$755,207.60	$1,040,337.00	$770,620.00	2026-04-30
Q2042	HCPCS	Tisagenlecleucel Car-pos T	16	14	—	—	$511,072.50	$829,144.09	$614,180.81	2026-04-30
Q2056	HCPCS	Ciltacabtagene Car-pos T	16	14	—	—	$478,950.00	$794,467.99	$588,494.81	2026-04-30
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	16	14	—	—	$473,853.52	$759,052.13	$562,260.84	2026-04-30
Q2055	HCPCS	Idecabtagene Vicleucel Car	16	14	—	—	$484,690.30	$755,704.46	$559,781.08	2026-04-30
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	16	14	—	—	$449,440.00	$717,996.31	$531,849.12	2026-04-30
Q2053	HCPCS	Brexucabtagene Car Pos T	16	14	—	—	$449,440.00	$660,542.31	$489,290.60	2026-04-30
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	12	10	—	—	$272,685.00	$375,637.50	$278,250.00	2026-04-30
J3403	HCPCS	Revakinagene, Per Implant	12	10	—	—	$256,989.10	$354,015.59	$262,233.77	2026-04-30
24	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$230,314.83	$253,346.31	$230,314.83	2026-04-30
5834	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$202,870.77	$223,157.85	$202,870.77	2026-04-30
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	12	10	—	—	$198,659.31	$273,663.34	$202,713.58	2026-04-30
5884	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$166,409.02	$183,049.92	$166,409.02	2026-04-30
5833	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$160,677.62	$176,745.38	$160,677.62	2026-04-30
1614	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$159,106.81	$175,017.49	$159,106.81	2026-04-30
74	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$150,990.21	$166,089.23	$150,990.21	2026-04-30
14	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$147,230.98	$161,954.08	$147,230.98	2026-04-30
23	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$142,422.67	$156,664.94	$142,422.67	2026-04-30
64	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$130,021.91	$143,024.10	$130,021.91	2026-04-30
J3404	HCPCS	Inj Zopapogene Per Ther Dose	12	10	—	—	$119,462.00	$164,565.00	$121,900.00	2026-04-30
1613	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$121,892.47	$134,081.72	$121,892.47	2026-04-30
6304	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$120,785.83	$132,864.41	$120,785.83	2026-04-30
5832	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$118,484.47	$130,332.92	$118,484.47	2026-04-30
J9029	HCPCS	Nadofaragene Firadenovecvncg (Adstiladrin) 3 X 10^11 vp/mL Intravesical Suspensi…	47	20	$163,829.75	$163,829.75	$62,996.65	$147,446.78	$114,107.43	2026-04-30
8414	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$112,202.77	$123,423.05	$112,202.77	2026-04-30
5934	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$108,530.53	$119,383.58	$108,530.53	2026-04-30
5883	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$107,207.10	$117,927.81	$107,207.10	2026-04-30
22	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$105,693.05	$116,262.36	$105,693.05	2026-04-30
5882	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$104,976.20	$115,473.82	$104,976.20	2026-04-30
5914	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$104,804.09	$115,284.50	$104,804.09	2026-04-30
114	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$104,669.22	$115,136.14	$104,669.22	2026-04-30
6094	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$104,135.66	$114,549.23	$104,135.66	2026-04-30
5831	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$102,391.94	$112,631.13	$102,391.94	2026-04-30
6314	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$99,974.33	$109,971.76	$99,974.33	2026-04-30
44	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$99,704.21	$109,674.63	$99,704.21	2026-04-30
1612	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$97,868.83	$107,655.71	$97,868.83	2026-04-30
94	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$97,613.37	$107,374.71	$97,613.37	2026-04-30
1611	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$92,975.40	$102,272.94	$92,975.40	2026-04-30
63	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$91,424.55	$100,567.01	$91,424.55	2026-04-30
21	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$90,607.28	$99,668.01	$90,607.28	2026-04-30
73	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$88,982.43	$97,880.67	$88,982.43	2026-04-30
6034	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$87,240.04	$95,964.04	$87,240.04	2026-04-30
4404	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$86,505.43	$95,155.97	$86,505.43	2026-04-30
13	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$85,118.61	$93,630.47	$85,118.61	2026-04-30
J9226	HCPCS	Histrelin 50 Mg SubCutaneous Implant	47	20	$115,859.75	$115,859.75	$40,349.96	$104,273.78	$80,696.32	2026-04-30
62	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$79,365.81	$87,302.39	$79,365.81	2026-04-30
6024	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$77,794.67	$85,574.14	$77,794.67	2026-04-30
84	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$76,379.70	$84,017.67	$76,379.70	2026-04-30
J9183	HCPCS	Gemcitabine Intravesical Sys	12	10	—	—	$71,626.49	$98,669.15	$73,088.26	2026-04-30
Q2043	HCPCS	sipuleucelT Injection 250 Ml Sd	51	20	$104,811.00	$104,811.00	$49,890.04	$94,329.90	$73,000.86	2026-04-30
12	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$71,339.63	$78,473.59	$71,339.63	2026-04-30
120	EAPG	Outpatient Eapg	1	1	—	—	$70,399.74	$70,399.74	$70,399.74	2026-04-30
5933	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$69,792.36	$76,771.60	$69,792.36	2026-04-30
72	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$69,603.07	$76,563.38	$69,603.07	2026-04-30
5881	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$69,099.69	$76,009.66	$69,099.69	2026-04-30
43	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$68,230.32	$75,053.35	$68,230.32	2026-04-30
1604	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$67,325.15	$74,057.67	$67,325.15	2026-04-30
54	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$65,707.10	$72,277.81	$65,707.10	2026-04-30
1624	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$63,452.66	$69,797.93	$63,452.66	2026-04-30
11	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$63,339.83	$69,673.81	$63,339.83	2026-04-30
61	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$62,385.17	$68,623.69	$62,385.17	2026-04-30
246	EAPG	Outpatient Eapg	1	1	—	—	$62,021.52	$62,021.52	$62,021.52	2026-04-30
71	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$61,975.63	$68,173.19	$61,975.63	2026-04-30
5913	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$61,399.44	$67,539.38	$61,399.44	2026-04-30
6023	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$61,343.47	$67,477.82	$61,343.47	2026-04-30
3034	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$60,663.06	$66,729.37	$60,663.06	2026-04-30
6074	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$59,753.19	$65,728.51	$59,753.19	2026-04-30
6303	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$58,361.06	$64,197.17	$58,361.06	2026-04-30
4403	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$57,021.26	$62,723.39	$57,021.26	2026-04-30
7404	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$56,834.60	$62,518.06	$56,834.60	2026-04-30
A9543	HCPCS	Y90 Ibritumomab, Rx	16	14	—	—	$55,688.06	$76,713.14	$56,824.55	2026-04-30
8424	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$56,703.95	$62,374.35	$56,703.95	2026-04-30
5932	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$55,316.75	$60,848.43	$55,316.75	2026-04-30
1634	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$53,994.50	$59,393.95	$53,994.50	2026-04-30
1784	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$53,634.29	$58,997.72	$53,634.29	2026-04-30
7594	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$53,182.16	$58,500.38	$53,182.16	2026-04-30
6093	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$51,880.72	$57,068.79	$51,880.72	2026-04-30
113	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$51,520.77	$56,672.85	$51,520.77	2026-04-30
C1826	HCPCS	Implant Neurostimulator Inceptive MRI--977119	35	20	$73,600.00	$73,600.00	$16,928.00	$66,240.00	$51,262.40	2026-04-30
J9269	HCPCS	Tagraxofusperzs (Elzonris) 100 mcg/mL Injection 10 Ml Sd	51	20	$78,148.75	$78,148.75	$325.56	$70,333.88	$50,796.69	2026-04-30
1654	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$49,376.86	$54,314.55	$49,376.86	2026-04-30
4402	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$48,904.78	$53,795.26	$48,904.78	2026-04-30
1674	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$48,568.21	$53,425.03	$48,568.21	2026-04-30
53	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$48,385.94	$53,224.53	$48,385.94	2026-04-30
83	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$48,094.90	$52,904.39	$48,094.90	2026-04-30
J9298	HCPCS	Nivolumabrelatlimab Rmbw (Opdualag) 240 Mg80 Mg/20 Ml Injection Sd	51	20	$73,740.75	$73,740.75	$180.38	$66,366.68	$47,931.49	2026-04-30
42	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$46,909.12	$51,600.03	$46,909.12	2026-04-30
6022	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$46,806.62	$51,487.28	$46,806.62	2026-04-30
3044	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$46,561.37	$51,217.51	$46,561.37	2026-04-30
6073	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$46,485.03	$51,133.53	$46,485.03	2026-04-30
3033	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$45,931.46	$50,524.61	$45,931.46	2026-04-30
1834	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$45,768.02	$50,344.82	$45,768.02	2026-04-30
6114	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$45,407.75	$49,948.53	$45,407.75	2026-04-30
93	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$44,989.17	$49,488.09	$44,989.17	2026-04-30
8634	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$44,516.39	$48,968.03	$44,516.39	2026-04-30
1664	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$44,508.68	$48,959.55	$44,508.68	2026-04-30
9104	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$43,969.94	$48,366.93	$43,969.94	2026-04-30
J9118	HCPCS	Calaspargase Pegolmknl (Asparlas) 750 units/mL Injection 5mL Sd	51	20	$67,392.00	$67,392.00	$72.88	$60,652.80	$43,804.80	2026-04-30
1794	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$43,696.98	$48,066.68	$43,696.98	2026-04-30
250	EAPG	Outpatient Eapg	1	1	—	—	$43,687.75	$43,687.75	$43,687.75	2026-04-30
4401	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$43,668.73	$48,035.60	$43,668.73	2026-04-30
6804	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$43,516.04	$47,867.64	$43,516.04	2026-04-30
1623	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$43,459.98	$47,805.98	$43,459.98	2026-04-30
J2507	HCPCS	Pegloticase (Krystexxa) 8 mg/mL 1 Ml Vial Sd	51	20	$66,842.75	$66,842.75	$3,371.08	$60,158.48	$43,447.79	2026-04-30
6124	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$43,421.46	$47,763.61	$43,421.46	2026-04-30
J9281	HCPCS	mitoMYcin (Jelmyto) 80 Mg Kit Sd	51	20	$65,854.75	$65,854.75	$300.75	$59,269.28	$42,805.59	2026-04-30
C2616	HCPCS	Ir Ph Y-90 Per Source Bo	60	20	$71,006.00	$71,006.00	$13,357.19	$63,905.40	$42,693.00	2026-04-30
6134	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$42,601.30	$46,861.43	$42,601.30	2026-04-30
6033	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$42,453.59	$46,698.95	$42,453.59	2026-04-30
1694	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$41,658.26	$45,824.09	$41,658.26	2026-04-30
9114	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$41,540.02	$45,694.02	$41,540.02	2026-04-30
3124	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$41,359.14	$45,495.05	$41,359.14	2026-04-30
8413	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$41,177.13	$45,294.84	$41,177.13	2026-04-30
914	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$41,142.57	$45,256.83	$41,142.57	2026-04-30
J9359	HCPCS	Loncastuximab Tesirinelpyl (Zynlonta) 5 mg/mL Injection 2 Ml Sd	51	20	$63,218.50	$63,218.50	$200.63	$56,896.65	$41,092.03	2026-04-30
C1735	HCPCS	Catheter Symplicity Spiral Rdn 117cm X 4fr X 014in X 4rf--rdn016	35	20	$58,880.00	$58,880.00	$13,542.40	$52,992.00	$41,009.92	2026-04-30
9124	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$40,359.76	$44,395.74	$40,359.76	2026-04-30
82	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$40,240.51	$44,264.56	$40,240.51	2026-04-30
1783	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$39,678.22	$43,646.04	$39,678.22	2026-04-30
8504	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$39,516.60	$43,468.26	$39,516.60	2026-04-30
234	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$39,415.86	$43,357.45	$39,415.86	2026-04-30
214	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$38,875.56	$42,763.12	$38,875.56	2026-04-30
4414	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$38,868.39	$42,755.23	$38,868.39	2026-04-30
97	EAPG	Outpatient Eapg	1	1	—	—	$38,757.82	$38,757.82	$38,757.82	2026-04-30
466	EAPG	Outpatient Eapg	1	1	—	—	$38,652.54	$38,652.54	$38,652.54	2026-04-30
6313	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$38,392.83	$42,232.11	$38,392.83	2026-04-30
2604	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$38,380.95	$42,219.05	$38,380.95	2026-04-30
J9266	HCPCS	Pegaspargase 750 units/mL Injection 5 Ml Sd	51	20	$54,718.50	$54,718.50	$23,577.01	$49,246.65	$38,111.43	2026-04-30
6084	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$37,833.43	$41,616.77	$37,833.43	2026-04-30
C1767	HCPCS	Battery Brain Stimulator--37601	203	20	$56,060.00	$56,060.00	$627.67	$112,954.27	$37,714.50	2026-04-30
7524	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$37,269.87	$40,996.86	$37,269.87	2026-04-30
6814	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$37,106.53	$40,817.18	$37,106.53	2026-04-30
6302	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$37,027.99	$40,730.79	$37,027.99	2026-04-30
1782	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$36,967.64	$40,664.40	$36,967.64	2026-04-30
2204	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$36,822.98	$40,505.28	$36,822.98	2026-04-30
894	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$36,573.51	$40,230.86	$36,573.51	2026-04-30
1653	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$36,467.74	$40,114.51	$36,467.74	2026-04-30
9504	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$36,213.24	$39,834.56	$36,213.24	2026-04-30
1603	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$36,140.59	$39,754.65	$36,140.59	2026-04-30
6083	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$36,031.82	$39,635.00	$36,031.82	2026-04-30
6072	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$35,994.43	$39,593.87	$35,994.43	2026-04-30
1633	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$35,945.42	$39,539.96	$35,945.42	2026-04-30
204	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$35,865.49	$39,452.04	$35,865.49	2026-04-30
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg Inj Sd	51	20	$54,981.75	$54,981.75	$2,580.15	$49,483.58	$35,738.14	2026-04-30
1204	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$35,700.18	$39,270.20	$35,700.18	2026-04-30
6214	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$35,623.19	$39,185.51	$35,623.19	2026-04-30
6904	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$35,518.60	$39,070.46	$35,518.60	2026-04-30
52	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$35,417.37	$38,959.11	$35,417.37	2026-04-30
33249	CPT	Ins Rep Icd System With Leads	51	20	$50,482.00	$50,482.00	$781.99	$45,433.80	$35,337.40	2026-04-30
33264	CPT	Rem And Rep Icd Mult Lead Sys	51	20	$50,482.00	$50,482.00	$348.28	$45,433.80	$35,337.40	2026-04-30
33231	CPT	Ins Icd Gen Exist Mult Leads	51	20	$50,482.00	$50,482.00	$347.95	$45,433.80	$35,337.40	2026-04-30
3614	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$35,025.59	$38,528.15	$35,025.59	2026-04-30
1622	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$34,443.84	$37,888.22	$34,443.84	2026-04-30
1814	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$34,443.84	$37,888.22	$34,443.84	2026-04-30
274	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$34,266.43	$37,693.07	$34,266.43	2026-04-30
6144	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$34,235.13	$37,658.64	$34,235.13	2026-04-30
1304	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$33,878.82	$37,266.70	$33,878.82	2026-04-30
1764	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$33,837.57	$37,221.33	$33,837.57	2026-04-30
J9274	HCPCS	Tebentafusptebn (Kimmtrak) 100 Mcg/0.5 Ml Injection Sd	51	20	$51,975.00	$51,975.00	$198.86	$46,777.50	$33,783.75	2026-04-30
2614	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$33,735.82	$37,109.40	$33,735.82	2026-04-30
104	EAPG	Outpatient Eapg	1	1	—	—	$33,631.96	$33,631.96	$33,631.96	2026-04-30
6954	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$33,428.35	$36,771.19	$33,428.35	2026-04-30
3032	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$33,371.43	$36,708.57	$33,371.43	2026-04-30
C1882	HCPCS	Amplia MRI Quad Crt-d Sure Scan--ampliamriqdcrtmmqm	323	20	$55,829.00	$55,829.00	$176.18	$74,488.50	$33,369.70	2026-04-30
2304	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$33,003.94	$36,304.33	$33,003.94	2026-04-30
5104	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,991.52	$36,290.67	$32,991.52	2026-04-30
1781	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,972.00	$36,269.20	$32,972.00	2026-04-30
92	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,813.32	$36,094.65	$32,813.32	2026-04-30
5912	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,671.86	$35,939.05	$32,671.86	2026-04-30
5484	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,558.76	$35,814.64	$32,558.76	2026-04-30
924	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,547.31	$35,802.04	$32,547.31	2026-04-30
5891	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,512.54	$35,763.79	$32,512.54	2026-04-30
7924	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,389.76	$35,628.74	$32,389.76	2026-04-30
6334	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,377.88	$35,615.67	$32,377.88	2026-04-30
4014	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,322.29	$35,554.52	$32,322.29	2026-04-30
224	EAPG	Outpatient Eapg	1	1	—	—	$32,172.01	$32,172.01	$32,172.01	2026-04-30
1833	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,150.61	$35,365.67	$32,150.61	2026-04-30
6514	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$32,118.46	$35,330.31	$32,118.46	2026-04-30
1793	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$31,861.60	$35,047.76	$31,861.60	2026-04-30
4044	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$31,763.59	$34,939.95	$31,763.59	2026-04-30
3043	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$31,466.19	$34,612.81	$31,466.19	2026-04-30
41	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$31,324.68	$34,457.15	$31,324.68	2026-04-30
3214	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$30,555.29	$33,610.82	$30,555.29	2026-04-30
6123	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$30,536.94	$33,590.63	$30,536.94	2026-04-30
304	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$30,331.77	$33,364.95	$30,331.77	2026-04-30
1652	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$30,330.92	$33,364.01	$30,330.92	2026-04-30
1663	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$30,319.36	$33,351.30	$30,319.36	2026-04-30
1673	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$30,250.45	$33,275.50	$30,250.45	2026-04-30
81	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$30,238.47	$33,262.32	$30,238.47	2026-04-30
J2327	HCPCS	Risankizumab Rzaa (Skyrizi) 360 Mg/2.4 Ml Injection Kit Sd	64	20	$59,986.00	$59,986.00	$14.31	$53,987.40	$29,993.00	2026-04-30
2644	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,966.10	$32,962.71	$29,966.10	2026-04-30
264	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,887.19	$32,875.91	$29,887.19	2026-04-30
7104	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,870.01	$32,857.01	$29,870.01	2026-04-30
5114	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,782.59	$32,760.85	$29,782.59	2026-04-30
3254	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,769.17	$32,746.09	$29,769.17	2026-04-30
224	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,707.64	$32,678.40	$29,707.64	2026-04-30
4054	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,641.51	$32,605.66	$29,641.51	2026-04-30
6113	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,575.87	$32,533.46	$29,575.87	2026-04-30
33270	CPT	Impl/repl Of Subq Defib Sysem	51	20	$42,228.00	$42,228.00	$483.14	$38,005.20	$29,559.60	2026-04-30
51	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,410.82	$32,351.90	$29,410.82	2026-04-30
1621	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,392.95	$32,332.25	$29,392.95	2026-04-30
1704	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,374.66	$32,312.13	$29,374.66	2026-04-30
C1772	HCPCS	Pump Infusion 20cc Intrathecal--8667-20	71	20	$45,035.84	$45,035.84	$7,541.93	$40,532.40	$29,273.30	2026-04-30
1824	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,263.32	$32,189.65	$29,263.32	2026-04-30
1214	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,189.33	$32,108.26	$29,189.33	2026-04-30
6504	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,147.66	$32,062.43	$29,147.66	2026-04-30
2314	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$29,039.16	$31,943.08	$29,039.16	2026-04-30
4474	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$28,705.59	$31,576.15	$28,705.59	2026-04-30
8633	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$28,562.90	$31,419.19	$28,562.90	2026-04-30
1632	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$28,447.39	$31,292.13	$28,447.39	2026-04-30
7114	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$28,176.58	$30,994.24	$28,176.58	2026-04-30
6224	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$28,117.51	$30,929.26	$28,117.51	2026-04-30
122	EAPG	Outpatient Eapg	1	1	—	—	$27,850.54	$27,850.54	$27,850.54	2026-04-30
3031	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,784.05	$30,562.46	$27,784.05	2026-04-30
294	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,780.57	$30,558.63	$27,780.57	2026-04-30
6133	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,779.88	$30,557.87	$27,779.88	2026-04-30
1832	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,611.56	$30,372.72	$27,611.56	2026-04-30
3094	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,560.74	$30,316.81	$27,560.74	2026-04-30
1754	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,482.79	$30,231.07	$27,482.79	2026-04-30
4424	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,411.05	$30,152.16	$27,411.05	2026-04-30
112	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,290.62	$30,019.68	$27,290.62	2026-04-30
2324	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,112.78	$29,824.06	$27,112.78	2026-04-30
2224	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,048.53	$29,753.38	$27,048.53	2026-04-30
2294	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$27,035.26	$29,738.79	$27,035.26	2026-04-30
5892	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,990.54	$29,689.59	$26,990.54	2026-04-30
91	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,929.81	$29,622.79	$26,929.81	2026-04-30
9514	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,915.48	$29,607.03	$26,915.48	2026-04-30
1831	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,842.72	$29,526.99	$26,842.72	2026-04-30
0823T	CPT	Insertion Of Leadless Pacemaker, Rt Atria	37	20	$38,143.00	$38,143.00	$4,300.00	$34,328.70	$26,700.10	2026-04-30
0796T	CPT	Leadless Dual Chamber Pacemaker, Rt Atrial	37	20	$38,143.00	$38,143.00	$4,300.00	$34,328.70	$26,700.10	2026-04-30
0795T	CPT	Leadless Dual Chamber Pacemaker 0795t	37	20	$38,143.00	$38,143.00	$4,300.00	$34,328.70	$26,700.10	2026-04-30
C2622	HCPCS	Lgx Preconnect Tenacio 15cm Ps Iz--72404451	59	20	$47,176.00	$47,176.00	$465.15	$42,458.40	$26,654.44	2026-04-30
6082	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,599.40	$29,259.34	$26,599.40	2026-04-30
5124	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,446.39	$29,091.03	$26,446.39	2026-04-30
3054	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,288.03	$28,916.83	$26,288.03	2026-04-30
33263	CPT	Rem And Rep Icd Dual Lead Sys	51	20	$37,538.00	$37,538.00	$335.51	$33,784.20	$26,276.60	2026-04-30
33262	CPT	Rem And Rep Icd Sgl Lead Sys	51	20	$37,538.00	$37,538.00	$322.75	$33,784.20	$26,276.60	2026-04-30
33240	CPT	Insert Icd Gen Exist Sgl Lead	51	20	$37,538.00	$37,538.00	$313.91	$33,784.20	$26,276.60	2026-04-30
33230	CPT	Ins Icd Gen Exist Dual Leads	51	20	$37,538.00	$37,538.00	$326.35	$33,784.20	$26,276.60	2026-04-30
6143	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,263.52	$28,889.87	$26,263.52	2026-04-30
913	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,260.37	$28,886.41	$26,260.37	2026-04-30
9103	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,199.22	$28,819.14	$26,199.22	2026-04-30
3134	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,175.62	$28,793.18	$26,175.62	2026-04-30
8604	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,159.90	$28,775.89	$26,159.90	2026-04-30
1303	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$26,154.97	$28,770.47	$26,154.97	2026-04-30
J3241	HCPCS	Teprotumumab Trbw 500 Mg Injection Sd	51	20	$40,082.75	$40,082.75	$328.00	$36,074.48	$26,053.79	2026-04-30
2234	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,996.99	$28,596.69	$25,996.99	2026-04-30
244	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,995.49	$28,595.04	$25,995.49	2026-04-30
1792	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,960.07	$28,556.08	$25,960.07	2026-04-30
6234	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,804.92	$28,385.41	$25,804.92	2026-04-30
3624	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,723.76	$28,296.14	$25,723.76	2026-04-30
1631	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,708.14	$28,278.95	$25,708.14	2026-04-30
1693	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,606.65	$28,167.32	$25,606.65	2026-04-30
4034	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,589.96	$28,148.96	$25,589.96	2026-04-30
1662	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,531.32	$28,084.45	$25,531.32	2026-04-30
7934	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,503.93	$28,054.32	$25,503.93	2026-04-30
82	EAPG	Outpatient Eapg	1	1	—	—	$25,455.34	$25,455.34	$25,455.34	2026-04-30
2274	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,446.95	$27,991.65	$25,446.95	2026-04-30
893	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,400.09	$27,940.10	$25,400.09	2026-04-30
5144	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,387.09	$27,925.80	$25,387.09	2026-04-30
C1721	HCPCS	Cobalt Dr MRI Surescan System Is1 Df4--cobaltdrmrimmem	335	20	$44,746.00	$44,746.00	$7,496.16	$68,890.50	$25,318.30	2026-04-30
2244	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$25,247.02	$27,771.72	$25,247.02	2026-04-30
C9797	HCPCS	Ir Vasc Embo Or Occl W Pressure Gen	37	20	$35,914.00	$35,914.00	$4,300.00	$32,322.60	$25,139.80	2026-04-30
465	EAPG	Outpatient Eapg	1	1	—	—	$25,035.83	$25,035.83	$25,035.83	2026-04-30
7504	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,957.05	$27,452.76	$24,957.05	2026-04-30
213	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,916.98	$27,408.68	$24,916.98	2026-04-30
3154	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,916.93	$27,408.62	$24,916.93	2026-04-30
1651	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,907.62	$27,398.38	$24,907.62	2026-04-30
4844	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,895.48	$27,385.03	$24,895.48	2026-04-30
1744	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,871.83	$27,359.01	$24,871.83	2026-04-30
6344	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,815.39	$27,296.93	$24,815.39	2026-04-30
1804	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,786.98	$27,265.68	$24,786.98	2026-04-30
6092	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,642.90	$27,107.19	$24,642.90	2026-04-30
4804	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,545.00	$26,999.50	$24,545.00	2026-04-30
0686T	CPT	Ir Histotripsy Malig Hepatocell W Imag	37	20	$35,000.00	$35,000.00	$8,050.00	$31,500.00	$24,500.00	2026-04-30
5184	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,358.66	$26,794.53	$24,358.66	2026-04-30
3204	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,323.03	$26,755.33	$24,323.03	2026-04-30
504	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,312.75	$26,744.03	$24,312.75	2026-04-30
J9350	HCPCS	Mosunetuzumabaxgb (Lunsumio) 1 mg/mL Injection 30 Ml Sd	64	20	$48,477.50	$48,477.50	$611.88	$43,629.75	$24,238.75	2026-04-30
233	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,220.47	$26,642.52	$24,220.47	2026-04-30
C1820	HCPCS	Adapter Pocket Legacy Mdt--2303	167	20	$49,088.00	$49,088.00	$996.36	$80,073.90	$24,200.38	2026-04-30
3104	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$24,064.09	$26,470.50	$24,064.09	2026-04-30
5194	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$23,802.95	$26,183.25	$23,802.95	2026-04-30
7403	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$23,796.80	$26,176.48	$23,796.80	2026-04-30
6254	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$23,772.51	$26,149.76	$23,772.51	2026-04-30
6122	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$23,647.96	$26,012.76	$23,647.96	2026-04-30
J1628	HCPCS	Guselkumab (Tremfya) 100 mg/mL Injection Syringe 1 Ml Sd	64	20	$36,345.00	$36,345.00	$66.46	$35,101.58	$23,624.25	2026-04-30
6312	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$23,546.31	$25,900.94	$23,546.31	2026-04-30
1714	APR_DRG	Inpatient Apr-DRG	4	4	—	—	$23,458.25	$25,804.08	$23,458.25	2026-04-30

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