Hospital

MARSHALL MEDICAL CENTER

Placerville, CA · CCN 050254 · Rates published

Your selected procedure

You selected 93350 (CPT)

HC DOBUTAMINE ECHO

This hospital’s price: $1,552 across 24 payers · range $72-$3,242

Source: https://www.marshallmedical.org/03000009_Marshall_standardcharges.csv · observed 2026-02-19

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.

5,540 distinct procedures filed

25 distinct payers

136,918 rate rows

2026-07-31 last MRF observed

Data quality

116,002 of 136,918 rate rows are consumer-grade (84.7%)

20,916 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	18,317
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	1,943
per-diem day rate — not a per-procedure price	437
template filing: same amount across many unrelated codes — excluded	110
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	47
exceeds 10× this hospital's gross charge — excluded from medians	32
percent-of-charges filed in the dollar field — excluded from medians	21
placeholder amount (≤ $0.02) — excluded from medians	6
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	3

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

Source MRF file	https://www.marshallmedical.org/documents/standard_charges/941450151_marshall-medical-center_standardcharges.csv
Found on page	https://www.marshallmedical.org/patients-visitors/patient-information/insurance-billing-information/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-12
Content fingerprint	a4b098a26924de14… · 71,064,372 bytes · first seen 2026-05-06

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
5834 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	1	$1,690,208.00	$1,690,208.00	$1,690,208.00	nat. median $307,273 outlier · 5.5×
5884 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	1	$1,068,274.72	$1,068,274.72	$1,068,274.72	nat. median $247,214 outlier · 4.3×
5833 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	1	$1,020,504.52	$1,020,504.52	$1,020,504.52	nat. median $244,017 outlier · 4.2×
114 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$957,252.95	$957,252.95	$957,252.95	nat. median $124,042 outlier · 7.7×
24 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	1	$869,328.20	$869,328.20	$869,328.20	nat. median $241,915 outlier · 3.6×
6094 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	$751,217.45	$751,217.45	$751,217.45	nat. median $165,000 outlier · 4.6×
113 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$747,136.82	$747,136.82	$747,136.82	nat. median $67,766 outlier · 11.0×
5914 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$735,038.93	$735,038.93	$735,038.93	nat. median $162,514 outlier · 4.5×
1614 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	1	$722,827.37	$722,827.37	$722,827.37	nat. median $202,993 outlier · 3.6×
94 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	1	$695,653.52	$695,653.52	$695,653.52	nat. median $163,587 outlier · 4.3×
5883 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	1	$691,531.22	$691,531.22	$691,531.22	nat. median $175,429 outlier · 3.9×
5882 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	1	$666,941.39	$666,941.39	$666,941.39	nat. median $145,061 outlier · 4.6×
5934 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$648,826.76	$648,826.76	$648,826.76	nat. median $151,838 outlier · 4.3×
6314 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	$641,158.06	$641,158.06	$641,158.06	nat. median $133,164 outlier · 4.8×
5832 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	1	$640,388.92	$640,388.92	$640,388.92	nat. median $159,249 outlier · 4.0×
112 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$631,356.23	$631,356.23	$631,356.23	nat. median $68,020 outlier · 9.3×
8414 APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	1	$618,379.32	$618,379.32	$618,379.32	nat. median $156,153 outlier · 4.0×
1613 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	1	$581,642.34	$581,642.34	$581,642.34	nat. median $120,517 outlier · 4.8×
5892 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	1	$567,373.41	$567,373.41	$567,373.41	nat. median $89,188 outlier · 6.4×
5891 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	1	$567,373.41	$567,373.41	$567,373.41	nat. median $93,998 outlier · 6.0×
5893 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	1	$567,373.41	$567,373.41	$567,373.41	nat. median $71,350 outlier · 8.0×
5913 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$558,496.07	$558,496.07	$558,496.07	nat. median $101,541 outlier · 5.5×
6304 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	1	$544,814.42	$544,814.42	$544,814.42	nat. median $154,011 outlier · 3.5×
5831 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	1	$540,328.39	$540,328.39	$540,328.39	nat. median $146,591 outlier · 3.7×
74 APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	1	$535,524.09	$535,524.09	$535,524.09	nat. median $170,172 outlier · 3.1×
44 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$531,443.46	$531,443.46	$531,443.46	nat. median $122,016 outlier · 4.4×
14 APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	1	$492,868.88	$492,868.88	$492,868.88	nat. median $136,728 outlier · 3.6×
6024 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	1	$473,894.17	$473,894.17	$473,894.17	nat. median $118,589 outlier · 4.0×
23 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	1	$470,101.50	$470,101.50	$470,101.50	nat. median $111,046 outlier · 4.2×
5933 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$463,508.85	$463,508.85	$463,508.85	nat. median $108,798 outlier · 4.3×
5912 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$453,491.05	$453,491.05	$453,491.05	nat. median $82,224 outlier · 5.5×
5881 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	1	$443,590.70	$443,590.70	$443,590.70	nat. median $120,505 outlier · 3.7×
93 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	1	$393,543.39	$393,543.39	$393,543.39	nat. median $78,898 outlier · 5.0×
1611 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	1	$393,119.03	$393,119.03	$393,119.03	nat. median $76,852 outlier · 5.1×
1612 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	1	$393,119.03	$393,119.03	$393,119.03	nat. median $84,808 outlier · 4.6×
1604 APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	1	$382,161.59	$382,161.59	$382,161.59	nat. median $98,624 outlier · 3.9×
22 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	1	$362,853.46	$362,853.46	$362,853.46	nat. median $92,229 outlier · 3.9×
5932 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$360,386.90	$360,386.90	$360,386.90	nat. median $85,523 outlier · 4.2×
6074 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	1	$352,748.52	$352,748.52	$352,748.52	nat. median $96,883 outlier · 3.6×
43 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$352,282.48	$352,282.48	$352,282.48	nat. median $74,757 outlier · 4.7×
6034 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant…	1	$342,749.66	$342,749.66	$342,749.66	nat. median $107,657 outlier · 3.2×
54 APR_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	$321,233.12	$378,039.29	$336,255.34	nat. median $81,668 outlier · 4.1×
64 APR_DRG	Apr-DRG 42.00: Pancreas Transplant	1	$332,368.13	$332,368.13	$332,368.13	nat. median $91,239 outlier · 3.6×
8424 APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	1	$330,689.66	$330,689.66	$330,689.66	nat. median $82,002 outlier · 4.0×
6023 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	1	$330,333.50	$330,333.50	$330,333.50	nat. median $88,157 outlier · 3.7×
73 APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	1	$319,069.16	$319,069.16	$319,069.16	nat. median $89,273 outlier · 3.6×
6114 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	$297,256.58	$297,256.58	$297,256.58	nat. median $74,798 outlier · 4.0×
6303 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	1	$295,888.79	$295,888.79	$295,888.79	nat. median $75,282 outlier · 3.9×
1624 APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	$288,682.34	$288,682.34	$288,682.34	nat. median $80,771 outlier · 3.6×
8634 APR_DRG	Apr-DRG 42.00: Neonatal Aftercare	1	$283,612.82	$283,612.82	$283,612.82	nat. median $71,102 outlier · 4.0×

Other procedures at this hospital

Browse this hospital's 5,540 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

5834	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	1	1	—	—	$1,690,208.00	$1,690,208.00	$1,690,208.00	2026-02-19
5884	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$1,068,274.72	$1,068,274.72	$1,068,274.72	2026-02-19
5833	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	1	1	—	—	$1,020,504.52	$1,020,504.52	$1,020,504.52	2026-02-19
114	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$957,252.95	$957,252.95	$957,252.95	2026-02-19
24	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	1	1	—	—	$869,328.20	$869,328.20	$869,328.20	2026-02-19
6094	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$751,217.45	$751,217.45	$751,217.45	2026-02-19
113	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$747,136.82	$747,136.82	$747,136.82	2026-02-19
5914	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$735,038.93	$735,038.93	$735,038.93	2026-02-19
1614	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	1	1	—	—	$722,827.37	$722,827.37	$722,827.37	2026-02-19
94	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$695,653.52	$695,653.52	$695,653.52	2026-02-19
5883	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$691,531.22	$691,531.22	$691,531.22	2026-02-19
5882	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$666,941.39	$666,941.39	$666,941.39	2026-02-19
5934	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$648,826.76	$648,826.76	$648,826.76	2026-02-19
6314	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	1	—	—	$641,158.06	$641,158.06	$641,158.06	2026-02-19
5832	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	1	1	—	—	$640,388.92	$640,388.92	$640,388.92	2026-02-19
112	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$631,356.23	$631,356.23	$631,356.23	2026-02-19
8414	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	1	1	—	—	$618,379.32	$618,379.32	$618,379.32	2026-02-19
1613	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	1	1	—	—	$581,642.34	$581,642.34	$581,642.34	2026-02-19
5892	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	1	1	—	—	$567,373.41	$567,373.41	$567,373.41	2026-02-19
5891	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	1	1	—	—	$567,373.41	$567,373.41	$567,373.41	2026-02-19
5893	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	1	1	—	—	$567,373.41	$567,373.41	$567,373.41	2026-02-19
5913	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$558,496.07	$558,496.07	$558,496.07	2026-02-19
6304	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	1	1	—	—	$544,814.42	$544,814.42	$544,814.42	2026-02-19
5831	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	1	1	—	—	$540,328.39	$540,328.39	$540,328.39	2026-02-19
74	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	1	1	—	—	$535,524.09	$535,524.09	$535,524.09	2026-02-19
44	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$531,443.46	$531,443.46	$531,443.46	2026-02-19
14	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	1	1	—	—	$492,868.88	$492,868.88	$492,868.88	2026-02-19
6024	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	1	1	—	—	$473,894.17	$473,894.17	$473,894.17	2026-02-19
23	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	1	1	—	—	$470,101.50	$470,101.50	$470,101.50	2026-02-19
5933	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$463,508.85	$463,508.85	$463,508.85	2026-02-19
5912	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$453,491.05	$453,491.05	$453,491.05	2026-02-19
5881	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$443,590.70	$443,590.70	$443,590.70	2026-02-19
93	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$393,543.39	$393,543.39	$393,543.39	2026-02-19
1612	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	1	1	—	—	$393,119.03	$393,119.03	$393,119.03	2026-02-19
1611	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	1	1	—	—	$393,119.03	$393,119.03	$393,119.03	2026-02-19
1604	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$382,161.59	$382,161.59	$382,161.59	2026-02-19
22	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	1	1	—	—	$362,853.46	$362,853.46	$362,853.46	2026-02-19
5932	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$360,386.90	$360,386.90	$360,386.90	2026-02-19
6074	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	1	1	—	—	$352,748.52	$352,748.52	$352,748.52	2026-02-19
43	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$352,282.48	$352,282.48	$352,282.48	2026-02-19
6034	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	1	1	—	—	$342,749.66	$342,749.66	$342,749.66	2026-02-19
54	APR_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	3	$1,014,730.46	—	$321,233.12	$378,039.29	$336,255.34	2026-02-19
64	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	1	1	—	—	$332,368.13	$332,368.13	$332,368.13	2026-02-19
8424	APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	1	1	—	—	$330,689.66	$330,689.66	$330,689.66	2026-02-19
6023	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	1	1	—	—	$330,333.50	$330,333.50	$330,333.50	2026-02-19
73	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	1	1	—	—	$319,069.16	$319,069.16	$319,069.16	2026-02-19
6114	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	1	—	—	$297,256.58	$297,256.58	$297,256.58	2026-02-19
6303	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	1	1	—	—	$295,888.79	$295,888.79	$295,888.79	2026-02-19
1624	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$288,682.34	$288,682.34	$288,682.34	2026-02-19
8634	APR_DRG	Apr-DRG 42.00: Neonatal Aftercare	1	1	—	—	$283,612.82	$283,612.82	$283,612.82	2026-02-19
63	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	1	1	—	—	$282,870.20	$282,870.20	$282,870.20	2026-02-19
21	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	1	1	—	—	$278,153.05	$278,153.05	$278,153.05	2026-02-19
4404	APR_DRG	Apr-DRG 42.00: Kidney Transplant	1	1	—	—	$274,833.99	$274,833.99	$274,833.99	2026-02-19
13	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	1	1	—	—	$272,185.56	$272,185.56	$272,185.56	2026-02-19
7104	APR_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	3	3	$646,660.73	—	$131,887.12	$279,056.26	$270,928.41	2026-02-19
111	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$266,718.21	$266,718.21	$266,718.21	2026-02-19
53	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$266,710.63	$266,710.63	$266,710.63	2026-02-19
3034	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$264,645.69	$264,645.69	$264,645.69	2026-02-19
1634	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	1	1	—	—	$253,779.18	$253,779.18	$253,779.18	2026-02-19
8514	APR_DRG	Apr-DRG 42.00: Gender Related Procedures	1	1	—	—	$248,774.07	$248,774.07	$248,774.07	2026-02-19
6073	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	1	1	—	—	$247,724.55	$247,724.55	$247,724.55	2026-02-19
6022	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	1	1	—	—	$241,491.84	$241,491.84	$241,491.84	2026-02-19
2994	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	1	1	—	—	$239,434.48	$239,434.48	$239,434.48	2026-02-19
62	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	1	1	—	—	$239,195.78	$239,195.78	$239,195.78	2026-02-19
72	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	1	1	—	—	$237,483.21	$237,483.21	$237,483.21	2026-02-19
1784	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	1	1	—	—	$236,706.49	$236,706.49	$236,706.49	2026-02-19
84	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	1	1	—	—	$232,701.64	$232,701.64	$232,701.64	2026-02-19
6093	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$230,689.75	$230,689.75	$230,689.75	2026-02-19
1654	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	1	1	—	—	$227,522.24	$227,522.24	$227,522.24	2026-02-19
3044	APR_DRG	Spinal Fusion Except Cervical With Mcc	4	4	$520,928.63	—	$194,524.89	$239,761.15	$225,714.15	2026-02-19
42	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$219,694.42	$219,694.42	$219,694.42	2026-02-19
12	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	1	1	—	—	$219,614.85	$219,614.85	$219,614.85	2026-02-19
6124	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	1	1	—	—	$217,841.66	$217,841.66	$217,841.66	2026-02-19
92	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$215,958.58	$215,958.58	$215,958.58	2026-02-19
6334	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly	1	1	—	—	$213,249.53	$213,249.53	$213,249.53	2026-02-19
1834	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	1	1	—	—	$210,044.14	$210,044.14	$210,044.14	2026-02-19
1623	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$206,774.34	$206,774.34	$206,774.34	2026-02-19
C1822	HCPCS	Neurostimulator System	8	6	$258,460.00	$147,244.66 43% off	$173,168.20	$232,614.00	$204,700.32	2026-02-19
9104	APR_DRG	Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma	1	1	—	—	$203,682.61	$203,682.61	$203,682.61	2026-02-19
6214	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly	1	1	—	—	$203,523.48	$203,523.48	$203,523.48	2026-02-19
71	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	1	1	—	—	$197,681.03	$197,681.03	$197,681.03	2026-02-19
1664	APR_DRG	Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis	1	1	—	—	$196,741.38	$196,741.38	$196,741.38	2026-02-19
1794	APR_DRG	Apr-DRG 42.00: Defibrillator Implants	1	1	—	—	$196,548.15	$196,548.15	$196,548.15	2026-02-19
9114	APR_DRG	Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa…	1	1	—	—	$195,566.83	$195,566.83	$195,566.83	2026-02-19
1674	APR_DRG	Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures	1	1	—	—	$193,104.06	$193,104.06	$193,104.06	2026-02-19
61	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	1	1	—	—	$193,020.70	$193,020.70	$193,020.70	2026-02-19
914	APR_DRG	Apr-DRG 42.00: Other Major Head And Neck Procedures	1	1	—	—	$192,448.58	$192,448.58	$192,448.58	2026-02-19
1783	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	1	1	—	—	$191,944.66	$191,944.66	$191,944.66	2026-02-19
6134	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…	1	1	—	—	$189,728.17	$189,728.17	$189,728.17	2026-02-19
6804	APR_DRG	Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…	1	1	—	—	$189,398.53	$189,398.53	$189,398.53	2026-02-19
2993	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	1	1	—	—	$187,716.27	$187,716.27	$187,716.27	2026-02-19
8413	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	1	1	—	—	$186,996.38	$186,996.38	$186,996.38	2026-02-19
9124	APR_DRG	Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…	1	1	—	—	$186,704.64	$186,704.64	$186,704.64	2026-02-19
4403	APR_DRG	Apr-DRG 42.00: Kidney Transplant	1	1	—	—	$182,949.86	$182,949.86	$182,949.86	2026-02-19
3004	APR_DRG	Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except…	1	1	—	—	$181,047.84	$181,047.84	$181,047.84	2026-02-19
11	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	1	1	—	—	$180,456.78	$180,456.78	$180,456.78	2026-02-19
5931	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$178,653.27	$178,653.27	$178,653.27	2026-02-19
52	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$178,604.01	$178,604.01	$178,604.01	2026-02-19
1694	APR_DRG	Apr-DRG 42.00: Major Abdominal Vascular Procedures	1	1	—	—	$177,637.85	$177,637.85	$177,637.85	2026-02-19
214	APR_DRG	Apr-DRG 42.00: Open Craniotomy Except Trauma	1	1	—	—	$177,421.88	$177,421.88	$177,421.88	2026-02-19
6313	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	1	—	—	$177,315.80	$177,315.80	$177,315.80	2026-02-19
3033	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$176,675.47	$176,675.47	$176,675.47	2026-02-19
91	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$174,727.99	$174,727.99	$174,727.99	2026-02-19
C2624	HCPCS	System Cardiomems Pa Sensor-delivery-	8	6	$219,500.00	$125,049.15 43% off	$147,065.00	$197,550.00	$173,844.00	2026-02-19
1633	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	1	1	—	—	$173,477.66	$173,477.66	$173,477.66	2026-02-19
6084	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	1	1	—	—	$172,738.83	$172,738.83	$172,738.83	2026-02-19
6083	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	1	1	—	—	$172,738.83	$172,738.83	$172,738.83	2026-02-19
1304	APR_DRG	Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours	1	1	—	—	$171,336.94	$171,336.94	$171,336.94	2026-02-19
234	APR_DRG	Apr-DRG 42.00: Spinal Procedures	1	1	—	—	$171,185.39	$171,185.39	$171,185.39	2026-02-19
6072	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	1	1	—	—	$168,733.98	$168,733.98	$168,733.98	2026-02-19
8504	APR_DRG	Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co…	1	1	—	—	$168,552.12	$168,552.12	$168,552.12	2026-02-19
1603	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$167,976.21	$167,976.21	$167,976.21	2026-02-19
2604	APR_DRG	Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures	1	1	—	—	$167,843.60	$167,843.60	$167,843.60	2026-02-19
1653	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	1	1	—	—	$167,737.51	$167,737.51	$167,737.51	2026-02-19
894	APR_DRG	Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures	1	1	—	—	$163,823.59	$163,823.59	$163,823.59	2026-02-19
J9281	HCPCS	Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit	11	8	$208,265.00	$118,648.57 43% off	$318.53	$187,438.50	$163,279.76	2026-02-19
2204	APR_DRG	Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures	1	1	—	—	$163,149.17	$163,149.17	$163,149.17	2026-02-19
7404	APR_DRG	Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure	1	1	—	—	$162,743.76	$162,743.76	$162,743.76	2026-02-19
4014	APR_DRG	Apr-DRG 42.00: Adrenal Procedures	1	1	—	—	$161,887.48	$161,887.48	$161,887.48	2026-02-19
6904	APR_DRG	Apr-DRG 42.00: Acute Leukemia	1	1	—	—	$161,114.54	$161,114.54	$161,114.54	2026-02-19
1204	APR_DRG	Apr-DRG 42.00: Major Respiratory And Chest Procedures	1	1	—	—	$160,803.86	$160,803.86	$160,803.86	2026-02-19
9504	APR_DRG	Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis	1	1	—	—	$159,921.05	$159,921.05	$159,921.05	2026-02-19
1622	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$158,246.36	$158,246.36	$158,246.36	2026-02-19
4402	APR_DRG	Apr-DRG 42.00: Kidney Transplant	1	1	—	—	$157,912.94	$157,912.94	$157,912.94	2026-02-19
204	APR_DRG	Apr-DRG 42.00: Open Craniotomy For Trauma	1	1	—	—	$157,200.63	$157,200.63	$157,200.63	2026-02-19
41	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$155,650.98	$155,650.98	$155,650.98	2026-02-19
3124	APR_DRG	Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	1	1	—	—	$155,381.97	$155,381.97	$155,381.97	2026-02-19
C1820	HCPCS	Medtronic Charge Sys Neurostim	24	6	$200,140.50	$114,020.04 43% off	$22,818.53	$206,550.00	$155,337.58	2026-02-19
4414	APR_DRG	Apr-DRG 42.00: Major Bladder Procedures	1	1	—	—	$155,309.98	$155,309.98	$155,309.98	2026-02-19
1782	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	1	1	—	—	$154,734.07	$154,734.07	$154,734.07	2026-02-19
5204	APR_DRG	Apr-DRG 42.00: Other GYN Procedures For Malignancy	1	1	—	—	$153,612.56	$153,612.56	$153,612.56	2026-02-19
6814	APR_DRG	Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop…	1	1	—	—	$153,097.27	$153,097.27	$153,097.27	2026-02-19
83	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	1	1	—	—	$152,631.24	$152,631.24	$152,631.24	2026-02-19
6123	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	1	1	—	—	$150,729.22	$150,729.22	$150,729.22	2026-02-19
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	29	24	$688,431.00	$100,058.21 85% off	$59.41	$619,587.90	$149,288.19	2026-02-19
2614	APR_DRG	Apr-DRG 42.00: Major Biliary Tract Procedures	1	1	—	—	$148,671.86	$148,671.86	$148,671.86	2026-02-19
J7189	HCPCS	Coagulation Factor Viia Recomb 1 Mg (1,000 Mcg) Intravenous Solution	48	13	$169,743.00	—	$2.43	$611,075.70	$148,525.12	2024-04-30
4854	APR_DRG	Apr-DRG 42.00: Prostatectomy Procedures	1	1	—	—	$148,220.99	$148,220.99	$148,220.99	2026-02-19
1833	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	1	1	—	—	$147,997.44	$147,997.44	$147,997.44	2026-02-19
6092	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$147,720.85	$147,720.85	$147,720.85	2026-02-19
3614	APR_DRG	Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses	1	1	—	—	$146,311.39	$146,311.39	$146,311.39	2026-02-19
1793	APR_DRG	Apr-DRG 42.00: Defibrillator Implants	1	1	—	—	$145,098.95	$145,098.95	$145,098.95	2026-02-19
4401	APR_DRG	Apr-DRG 42.00: Kidney Transplant	1	1	—	—	$144,269.18	$144,269.18	$144,269.18	2026-02-19
6144	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…	1	1	—	—	$143,617.50	$143,617.50	$143,617.50	2026-02-19
3214	APR_DRG	Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc …	1	1	—	—	$143,215.88	$143,215.88	$143,215.88	2026-02-19
1663	APR_DRG	Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis	1	1	—	—	$142,825.62	$142,825.62	$142,825.62	2026-02-19
1781	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	1	1	—	—	$141,965.54	$141,965.54	$141,965.54	2026-02-19
6021	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	1	1	—	—	$141,605.60	$141,605.60	$141,605.60	2026-02-19
C1882	HCPCS	Defibrillator Cardiac Quadra Assura Implantable Quadripolar Biventricular Df-4 C…	64	6	$174,507.90	$99,417.15 43% off	$83,311.63	$215,382.24	$141,520.57	2026-02-19
3174	APR_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	4	4	$969,942.28	—	$96,942.28	$149,468.50	$140,711.51	2026-02-19
2992	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	1	1	—	—	$140,643.23	$140,643.23	$140,643.23	2026-02-19
6033	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	1	1	—	—	$140,275.70	$140,275.70	$140,275.70	2026-02-19
924	APR_DRG	Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced…	1	1	—	—	$140,040.79	$140,040.79	$140,040.79	2026-02-19
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	3	3	$1,037,610.78	—	$140,005.31	$140,005.31	$140,005.31	2024-04-30
6133	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…	1	1	—	—	$139,908.18	$139,908.18	$139,908.18	2026-02-19
2304	APR_DRG	Apr-DRG 42.00: Major Small Bowel Procedures	1	1	—	—	$139,536.87	$139,536.87	$139,536.87	2026-02-19
6954	APR_DRG	Apr-DRG 42.00: Chemotherapy For Acute Leukemia	1	1	—	—	$139,480.04	$139,480.04	$139,480.04	2026-02-19
274	APR_DRG	Apr-DRG 42.00: Other Open Craniotomy	1	1	—	—	$139,377.74	$139,377.74	$139,377.74	2026-02-19
1814	APR_DRG	Apr-DRG 42.00: Lower Extremity Vascular Procedures	1	1	—	—	$139,256.50	$139,256.50	$139,256.50	2026-02-19
3043	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	1	1	—	—	$138,949.60	$138,949.60	$138,949.60	2026-02-19
7924	APR_DRG	Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment	1	1	—	—	$138,487.35	$138,487.35	$138,487.35	2026-02-19
C1721	HCPCS	Defibrillator Cardiac Ellipse Dr Implantable 31.3ml 2-chamber Cd2411-36q	40	6	$172,439.82	$98,238.96 43% off	$79,435.20	$233,019.18	$138,314.79	2026-02-19
1652	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	1	1	—	—	$137,839.45	$137,839.45	$137,839.45	2026-02-19
6514	APR_DRG	Apr-DRG 42.00: Other Procedures Of Blood And Blood-forming Organs	1	1	—	—	$137,687.90	$137,687.90	$137,687.90	2026-02-19
5114	APR_DRG	Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	1	1	—	—	$137,017.27	$137,017.27	$137,017.27	2026-02-19
5124	APR_DRG	Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal…	1	1	—	—	$136,346.64	$136,346.64	$136,346.64	2026-02-19
1621	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$135,967.75	$135,967.75	$135,967.75	2026-02-19
1214	APR_DRG	Apr-DRG 42.00: Other Respiratory And Chest Procedures	1	1	—	—	$135,956.38	$135,956.38	$135,956.38	2026-02-19
304	APR_DRG	Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures	1	1	—	—	$133,910.39	$133,910.39	$133,910.39	2026-02-19
3032	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$132,053.83	$132,053.83	$132,053.83	2026-02-19
1632	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	1	1	—	—	$131,853.02	$131,853.02	$131,853.02	2026-02-19
8633	APR_DRG	Apr-DRG 42.00: Neonatal Aftercare	1	1	—	—	$131,288.48	$131,288.48	$131,288.48	2026-02-19
4054	APR_DRG	Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde…	1	1	—	—	$131,280.90	$131,280.90	$131,280.90	2026-02-19
1602	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$131,133.14	$131,133.14	$131,133.14	2026-02-19
3134	APR_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	4	4	$454,417.80	—	$117,000.61	$138,829.40	$130,695.74	2026-02-19
1704	APR_DRG	Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh…	1	1	—	—	$130,360.21	$130,360.21	$130,360.21	2026-02-19
4284	APR_DRG	Apr-DRG 42.00: Genetic Disorders	1	1	—	—	$130,292.01	$130,292.01	$130,292.01	2026-02-19
4034	APR_DRG	Apr-DRG 42.00: Procedures For Obesity	1	1	—	—	$130,269.27	$130,269.27	$130,269.27	2026-02-19
2644	APR_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	4	4	$997,294.68	—	$127,044.15	$136,974.83	$129,641.68	2026-02-19
6113	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	1	—	—	$129,223.54	$129,223.54	$129,223.54	2026-02-19
1754	APR_DRG	Apr-DRG 42.00: Percutaneous Cardiac Intervention Without Ami	1	1	—	—	$128,871.18	$128,871.18	$128,871.18	2026-02-19
1303	APR_DRG	Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours	1	1	—	—	$128,128.55	$128,128.55	$128,128.55	2026-02-19
294	APR_DRG	Apr-DRG 42.00: Other Percutaneous Intracranial Procedures	1	1	—	—	$128,030.04	$128,030.04	$128,030.04	2026-02-19
224	APR_DRG	Apr-DRG 42.00: Ventricular Shunt Procedures	1	1	—	—	$127,935.32	$127,935.32	$127,935.32	2026-02-19
694	MS_DRG	Urinary Stones Without Mcc	3	3	$128,896.78	—	$127,594.78	$127,594.78	$127,594.78	2024-04-30
7114	APR_DRG	Apr-DRG 42.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr…	1	1	—	—	$127,507.18	$127,507.18	$127,507.18	2026-02-19
6224	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy…	1	1	—	—	$127,226.80	$127,226.80	$127,226.80	2026-02-19
C1767	HCPCS	Neurostimulator Vanta 977006	24	6	$160,020.00	$91,163.39 43% off	$53,868.00	$206,550.00	$126,735.84	2026-02-19
J2783	HCPCS	Rasburicase 7.5 Mg Intravenous Solution	15	13	$188,396.00	—	$367.27	$169,556.40	$126,225.32	2024-04-30
1651	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	1	1	—	—	$125,840.07	$125,840.07	$125,840.07	2026-02-19
4044	APR_DRG	Apr-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures	1	1	—	—	$125,741.56	$125,741.56	$125,741.56	2026-02-19
6504	APR_DRG	Apr-DRG 42.00: Splenic Procedures	1	1	—	—	$125,267.95	$125,267.95	$125,267.95	2026-02-19
4474	APR_DRG	Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Non-percutaneous Procedur…	1	1	—	—	$124,468.50	$124,468.50	$124,468.50	2026-02-19
4424	APR_DRG	Apr-DRG 42.00: Kidney And Urinary Tract Procedures For Malignancy	1	1	—	—	$124,146.44	$124,146.44	$124,146.44	2026-02-19
3003	APR_DRG	Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except…	1	1	—	—	$123,684.20	$123,684.20	$123,684.20	2026-02-19
82	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	1	1	—	—	$123,528.85	$123,528.85	$123,528.85	2026-02-19
6234	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…	1	1	—	—	$122,293.68	$122,293.68	$122,293.68	2026-02-19
913	APR_DRG	Apr-DRG 42.00: Other Major Head And Neck Procedures	1	1	—	—	$122,236.85	$122,236.85	$122,236.85	2026-02-19
2314	APR_DRG	Apr-DRG 42.00: Major Large Bowel Procedures	1	1	—	—	$122,104.24	$122,104.24	$122,104.24	2026-02-19
3204	APR_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	3	3	$253,206.14	—	$104,910.30	$127,550.34	$121,852.03	2026-02-19
9514	APR_DRG	Apr-DRG 42.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno…	1	1	—	—	$121,581.37	$121,581.37	$121,581.37	2026-02-19
1764	APR_DRG	Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi…	1	1	—	—	$121,274.47	$121,274.47	$121,274.47	2026-02-19
1832	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	1	1	—	—	$121,054.72	$121,054.72	$121,054.72	2026-02-19
213	APR_DRG	Apr-DRG 42.00: Open Craniotomy Except Trauma	1	1	—	—	$120,888.01	$120,888.01	$120,888.01	2026-02-19
4484	APR_DRG	Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Percutaneous Procedures	1	1	—	—	$120,857.69	$120,857.69	$120,857.69	2026-02-19
6344	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr…	1	1	—	—	$120,793.28	$120,793.28	$120,793.28	2026-02-19
1693	APR_DRG	Apr-DRG 42.00: Major Abdominal Vascular Procedures	1	1	—	—	$120,732.66	$120,732.66	$120,732.66	2026-02-19
6032	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	1	1	—	—	$120,687.19	$120,687.19	$120,687.19	2026-02-19
9103	APR_DRG	Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma	1	1	—	—	$120,615.21	$120,615.21	$120,615.21	2026-02-19
1673	APR_DRG	Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures	1	1	—	—	$119,853.64	$119,853.64	$119,853.64	2026-02-19
2991	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	1	1	—	—	$119,686.93	$119,686.93	$119,686.93	2026-02-19
3254	APR_DRG	Apr-DRG 42.00: Non-elective Or Complex Knee Joint Replacement	1	1	—	—	$119,573.26	$119,573.26	$119,573.26	2026-02-19
C1772	HCPCS	Synchromed Iii 20ml Pump 8667-20	8	6	$150,960.50	$86,002.20 43% off	$101,143.54	$135,864.45	$119,560.71	2026-02-19
1792	APR_DRG	Apr-DRG 42.00: Defibrillator Implants	1	1	—	—	$119,277.73	$119,277.73	$119,277.73	2026-02-19
7524	APR_DRG	Apr-DRG 42.00: Personality Disorders	1	1	—	—	$119,065.55	$119,065.55	$119,065.55	2026-02-19
6143	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…	1	1	—	—	$119,039.03	$119,039.03	$119,039.03	2026-02-19
6091	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$118,902.63	$118,902.63	$118,902.63	2026-02-19
1662	APR_DRG	Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis	1	1	—	—	$118,171.38	$118,171.38	$118,171.38	2026-02-19
264	APR_DRG	Apr-DRG 42.00: Other Nervous System And Related Procedures	1	1	—	—	$117,190.06	$117,190.06	$117,190.06	2026-02-19
434	APR_DRG	Apr-DRG 42.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory …	1	1	—	—	$116,818.75	$116,818.75	$116,818.75	2026-02-19
6302	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	1	1	—	—	$116,549.74	$116,549.74	$116,549.74	2026-02-19
3031	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$116,515.64	$116,515.64	$116,515.64	2026-02-19
1744	APR_DRG	Apr-DRG 42.00: Percutaneous Cardiac Intervention With Ami	1	1	—	—	$116,292.09	$116,292.09	$116,292.09	2026-02-19
C1778	HCPCS	Specify SureScan MRI Lead Kit 2 X 8, 65cm	8	6	$146,740.00	$83,597.78 43% off	$98,315.80	$132,066.00	$116,218.08	2026-02-19
6254	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi…	1	1	—	—	$116,167.06	$116,167.06	$116,167.06	2026-02-19
2294	APR_DRG	Apr-DRG 42.00: Other Digestive System And Abdominal Procedures	1	1	—	—	$115,644.20	$115,644.20	$115,644.20	2026-02-19
8423	APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	1	1	—	—	$115,337.30	$115,337.30	$115,337.30	2026-02-19
2244	APR_DRG	Apr-DRG 42.00: Peritoneal Adhesiolysis	1	1	—	—	$114,534.05	$114,534.05	$114,534.05	2026-02-19
893	APR_DRG	Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures	1	1	—	—	$114,257.47	$114,257.47	$114,257.47	2026-02-19
1831	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	1	1	—	—	$114,230.94	$114,230.94	$114,230.94	2026-02-19
1631	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	1	1	—	—	$114,147.59	$114,147.59	$114,147.59	2026-02-19
2224	APR_DRG	Apr-DRG 42.00: Other Stomach, Esophageal And Duodenal Procedures	1	1	—	—	$114,064.23	$114,064.23	$114,064.23	2026-02-19
2844	APR_DRG	Disorders Of The Biliary Tract With Mcc	4	4	$568,251.15	—	$60,970.66	$120,575.73	$113,511.50	2026-02-19
2274	APR_DRG	Apr-DRG 42.00: Hernia Procedures Except Inguinal, Femoral And Umbilical	1	1	—	—	$113,351.92	$113,351.92	$113,351.92	2026-02-19
1714	APR_DRG	Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or…	1	1	—	—	$113,295.09	$113,295.09	$113,295.09	2026-02-19
3094	APR_DRG	Apr-DRG 42.00: Other Significant Hip And Femur Surgery	1	1	—	—	$113,147.32	$113,147.32	$113,147.32	2026-02-19
1824	APR_DRG	Apr-DRG 42.00: Other Peripheral Vascular And Related Procedures	1	1	—	—	$112,344.08	$112,344.08	$112,344.08	2026-02-19
1804	APR_DRG	Apr-DRG 42.00: Other Circulatory System Procedures	1	1	—	—	$112,192.53	$112,192.53	$112,192.53	2026-02-19
5194	APR_DRG	Apr-DRG 42.00: Uterine And Adnexa Procedures For Leiomyoma	1	1	—	—	$111,972.77	$111,972.77	$111,972.77	2026-02-19
3054	APR_DRG	Apr-DRG 42.00: Amputation Of Lower Limb Except Toes	1	1	—	—	$111,582.52	$111,582.52	$111,582.52	2026-02-19
233	APR_DRG	Apr-DRG 42.00: Spinal Procedures	1	1	—	—	$111,389.28	$111,389.28	$111,389.28	2026-02-19
9123	APR_DRG	Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…	1	1	—	—	$110,847.47	$110,847.47	$110,847.47	2026-02-19
4444	APR_DRG	Apr-DRG 42.00: Renal Dialysis Access Device Procedures	1	1	—	—	$110,802.01	$110,802.01	$110,802.01	2026-02-19
5184	APR_DRG	Apr-DRG 42.00: Other Female Reproductive System And Related Procedures	1	1	—	—	$110,263.99	$110,263.99	$110,263.99	2026-02-19
2234	APR_DRG	Apr-DRG 42.00: Other Small And Large Bowel Procedures	1	1	—	—	$110,154.11	$110,154.11	$110,154.11	2026-02-19
3154	APR_DRG	Apr-DRG 42.00: Shoulder, Upper Arm And Forearm Procedures Except Joint Replaceme…	1	1	—	—	$109,832.05	$109,832.05	$109,832.05	2026-02-19
4844	APR_DRG	Apr-DRG 42.00: Other Male Reproductive System And Related Procedures	1	1	—	—	$109,551.68	$109,551.68	$109,551.68	2026-02-19
5134	APR_DRG	Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	1	1	—	—	$109,422.85	$109,422.85	$109,422.85	2026-02-19
984	APR_DRG	Apr-DRG 42.00: Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures	1	1	—	—	$109,396.33	$109,396.33	$109,396.33	2026-02-19
3234	APR_DRG	Apr-DRG 42.00: Non-elective Or Complex Hip Joint Replacement	1	1	—	—	$109,119.74	$109,119.74	$109,119.74	2026-02-19
9524	APR_DRG	Apr-DRG 42.00: Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	1	1	—	—	$108,221.78	$108,221.78	$108,221.78	2026-02-19
244	APR_DRG	Apr-DRG 42.00: Open Extracranial Vascular Procedures	1	1	—	—	$107,232.88	$107,232.88	$107,232.88	2026-02-19
3224	APR_DRG	Apr-DRG 42.00: Shoulder And Elbow Joint Replacement	1	1	—	—	$107,066.17	$107,066.17	$107,066.17	2026-02-19
1661	APR_DRG	Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis	1	1	—	—	$106,395.54	$106,395.54	$106,395.54	2026-02-19
6071	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	1	1	—	—	$105,467.26	$105,467.26	$105,467.26	2026-02-19
7934	APR_DRG	Apr-DRG 42.00: Moderately Extensive O.r. Procedures For Other Complications Of T…	1	1	—	—	$105,455.90	$105,455.90	$105,455.90	2026-02-19
3244	APR_DRG	Apr-DRG 42.00: Elective Hip Joint Replacement	1	1	—	—	$104,766.32	$104,766.32	$104,766.32	2026-02-19
1302	APR_DRG	Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours	1	1	—	—	$104,550.35	$104,550.35	$104,550.35	2026-02-19
9113	APR_DRG	Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa…	1	1	—	—	$104,512.47	$104,512.47	$104,512.47	2026-02-19
81	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	1	1	—	—	$104,269.98	$104,269.98	$104,269.98	2026-02-19
6082	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	1	1	—	—	$104,197.99	$104,197.99	$104,197.99	2026-02-19
203	APR_DRG	Apr-DRG 42.00: Open Craniotomy For Trauma	1	1	—	—	$104,046.43	$104,046.43	$104,046.43	2026-02-19
3644	APR_DRG	Skin Debridement With Mcc	4	4	$597,303.90	—	$83,533.44	$109,231.65	$102,832.04	2026-02-19
3213	APR_DRG	Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc …	1	1	—	—	$102,773.37	$102,773.37	$102,773.37	2026-02-19
C1722	HCPCS	Defibrillator Cardiac Ellipse Vr Implantable 30.6ml Cd1411-36c	72	6	$124,345.71	$70,839.75 43% off	$69,505.80	$150,830.55	$102,706.21	2026-02-19
1774	APR_DRG	Apr-DRG 42.00: Cardiac Pacemaker And Defibrillator Revision Except Device Replac…	1	1	—	—	$101,507.88	$101,507.88	$101,507.88	2026-02-19
504	APR_DRG	Apr-DRG 42.00: Non-bacterial Infections Of Nervous System Except Viral Meningiti…	1	1	—	—	$101,439.68	$101,439.68	$101,439.68	2026-02-19
3104	APR_DRG	Apr-DRG 42.00: Vertebral And Intervertebral Spinal Procedures Including Disc Pro…	1	1	—	—	$101,212.35	$101,212.35	$101,212.35	2026-02-19
4434	APR_DRG	Apr-DRG 42.00: Kidney And Urinary Tract Procedures For Non-malignancy	1	1	—	—	$101,166.88	$101,166.88	$101,166.88	2026-02-19
5144	APR_DRG	Apr-DRG 42.00: Female Reproductive System Reconstructive Procedures	1	1	—	—	$100,829.67	$100,829.67	$100,829.67	2026-02-19
3042	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	1	1	—	—	$100,640.23	$100,640.23	$100,640.23	2026-02-19
6803	APR_DRG	Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…	1	1	—	—	$100,545.51	$100,545.51	$100,545.51	2026-02-19
1791	APR_DRG	Apr-DRG 42.00: Defibrillator Implants	1	1	—	—	$100,458.36	$100,458.36	$100,458.36	2026-02-19
734	APR_DRG	Apr-DRG 42.00: Orbit And Eye Procedures	1	1	—	—	$99,499.78	$99,499.78	$99,499.78	2026-02-19
4413	APR_DRG	Apr-DRG 42.00: Major Bladder Procedures	1	1	—	—	$99,477.04	$99,477.04	$99,477.04	2026-02-19
2324	APR_DRG	Apr-DRG 42.00: Gastric Fundoplication	1	1	—	—	$99,336.86	$99,336.86	$99,336.86	2026-02-19
6122	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	1	1	—	—	$99,234.56	$99,234.56	$99,234.56	2026-02-19
1203	APR_DRG	Apr-DRG 42.00: Major Respiratory And Chest Procedures	1	1	—	—	$98,950.39	$98,950.39	$98,950.39	2026-02-19
J3357	HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe	29	24	$129,502.00	$137,635.36	$149.40	$217,433.43	$98,939.53	2026-02-19
273	APR_DRG	Apr-DRG 42.00: Other Open Craniotomy	1	1	—	—	$98,457.84	$98,457.84	$98,457.84	2026-02-19
1692	APR_DRG	Apr-DRG 42.00: Major Abdominal Vascular Procedures	1	1	—	—	$98,272.18	$98,272.18	$98,272.18	2026-02-19
303	APR_DRG	Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures	1	1	—	—	$98,018.33	$98,018.33	$98,018.33	2026-02-19
4834	APR_DRG	Apr-DRG 42.00: Penis, Testes And Scrotal Procedures	1	1	—	—	$98,014.54	$98,014.54	$98,014.54	2026-02-19
7944	APR_DRG	Apr-DRG 42.00: Non-extensive O.r. Procedures For Other Complications Of Treatmen…	1	1	—	—	$97,916.03	$97,916.03	$97,916.03	2026-02-19
8412	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	1	1	—	—	$97,616.70	$97,616.70	$97,616.70	2026-02-19
8503	APR_DRG	Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co…	1	1	—	—	$97,465.15	$97,465.15	$97,465.15	2026-02-19
J1628	HCPCS	Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution	11	8	$123,937.86	$70,607.40 43% off	$75.97	$111,544.07	$97,167.28	2026-02-19
3634	APR_DRG	Apr-DRG 42.00: Breast Procedures Except Mastectomy	1	1	—	—	$97,052.16	$97,052.16	$97,052.16	2026-02-19
2634	APR_DRG	Apr-DRG 42.00: Cholecystectomy	1	1	—	—	$96,631.60	$96,631.60	$96,631.60	2026-02-19
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	2	2	$454,318.44	—	$96,452.24	$96,452.24	$96,452.24	2024-04-30
2603	APR_DRG	Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures	1	1	—	—	$96,404.26	$96,404.26	$96,404.26	2026-02-19
3002	APR_DRG	Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except…	1	1	—	—	$95,915.50	$95,915.50	$95,915.50	2026-02-19
6914	APR_DRG	Apr-DRG 42.00: Lymphoma, Myeloma And Non-acute Leukemia	1	1	—	—	$95,055.42	$95,055.42	$95,055.42	2026-02-19
3624	APR_DRG	Apr-DRG 42.00: Mastectomy Procedures	1	1	—	—	$95,009.95	$95,009.95	$95,009.95	2026-02-19
1601	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$94,634.86	$94,634.86	$94,634.86	2026-02-19
1703	APR_DRG	Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh…	1	1	—	—	$94,248.39	$94,248.39	$94,248.39	2026-02-19
6312	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	1	—	—	$93,960.44	$93,960.44	$93,960.44	2026-02-19
3084	APR_DRG	Apr-DRG 42.00: Hip And Femur Fracture Repair	1	1	—	—	$93,846.77	$93,846.77	$93,846.77	2026-02-19
1813	APR_DRG	Apr-DRG 42.00: Lower Extremity Vascular Procedures	1	1	—	—	$93,452.73	$93,452.73	$93,452.73	2026-02-19
9503	APR_DRG	Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis	1	1	—	—	$93,123.09	$93,123.09	$93,123.09	2026-02-19

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