Hospital

Community Behavioral Health Center

Fresno, CA · CCN 054091 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $13,117 across 120 payers · range $1,489-$28,201

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8231/941156276-1104906569_fresno-community-hospital-and-medical-center_standardcharges.csv · observed 2026-06-18

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.

20,574 distinct procedures filed

140 distinct payers

3,412,605 rate rows

2026-06-18 last MRF observed

Data quality

2,559,721 of 3,412,605 rate rows are consumer-grade (75.0%)

852,884 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	783,445
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	63,392
placeholder amount (≤ $0.02) — excluded from medians	2,518
per-diem day rate — not a per-procedure price	1,290
exceeds 10× this hospital's gross charge — excluded from medians	1,066
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	613
template filing: same amount across many unrelated codes — excluded	197
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	190
percent-of-charges filed in the dollar field — excluded from medians	173

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

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8231/941156276-1104906569_fresno-community-hospital-and-medical-center_standardcharges.csv
Found on page	https://www.communitymedical.org/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-08-01
Content fingerprint	4afb2f066b5f4b9f… · 2,261,744,135 bytes · first seen 2026-08-01

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	Apc	78	$4,054,500.00	$4,955,500.00	$4,505,000.00	nat. median $4,505,000 1.0× median
J1414 HCPCS	Pharmacy	1	$4,200,000.00	$4,200,000.00	$4,200,000.00	nat. median $3,710,000 1.1× median
C9172 HCPCS	Pharmacy	1	$4,200,000.00	$4,200,000.00	$4,200,000.00	nat. median $3,605,000 1.2× median
J1411 HCPCS	Apc	80	$3,322,305.00	$4,798,885.00	$3,691,450.00	nat. median $3,710,000 1.0× median
J3389 HCPCS	Apc	80	$3,002,238.00	$4,336,566.00	$3,335,820.00	nat. median $3,335,820 1.0× median
J1413 HCPCS	Apc	80	$2,989,238.74	$4,317,789.29	$3,321,376.38	nat. median $3,324,572 1.0× median
J3394 HCPCS	Apc	80	$2,920,843.25	$4,218,995.81	$3,245,381.39	nat. median $3,286,000 1.0× median
J3387 HCPCS	Apc	80	$2,862,000.00	$4,134,000.00	$3,180,000.00	nat. median $3,180,000 1.0× median
J3393 HCPCS	Apc	80	$2,644,488.00	$3,819,816.00	$2,938,320.00	nat. median $2,997,086 1.0× median
C9309 HCPCS	Apc	80	$2,397,805.73	$3,463,497.17	$2,664,228.59	nat. median $2,664,229 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	80	$2,328,378.53	$3,363,213.43	$2,587,087.26	nat. median $2,460,273 1.1× median
J3392 HCPCS	Apc	81	$2,098,800.00	$4,664,000.00	$2,332,000.00	nat. median $2,405,851 1.0× median
C9073 HCPCS	Outpatient Services	1	$795,273.30	$795,273.30	$795,273.30	nat. median $27,071 outlier · 29.4×
Q2057 HCPCS	Apc	82	$693,558.00	$1,656,833.00	$770,620.00	nat. median $809,151 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	82	$552,762.73	$1,320,488.74	$614,180.81	nat. median $691,418 0.9× median
Q2056 HCPCS	Apc	82	$529,645.33	$1,265,263.84	$588,494.81	nat. median $631,793 0.9× median
J2326 HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	140	$1,153.63	$937,686.18	$577,529.44	nat. median $2,353 outlier · 245.4×
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	117	$94,770.70	$1,208,860.80	$562,260.84	nat. median $624,417 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	117	$96,938.06	$1,203,529.32	$559,781.08	nat. median $610,161 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	117	$89,892.46	$1,143,475.60	$531,849.12	nat. median $588,565 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	117	$89,888.00	$1,051,974.79	$489,290.60	nat. median $577,541 0.8× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	81	$435,206.05	$1,039,658.90	$483,562.28	nat. median $370,165 1.3× median
5834 APR_DRG	Neonate With Ecmo	37	$472,907.43	$865,420.60	$472,907.43	nat. median $311,018 1.5× median
C9301 HCPCS	Pharmacy	1	$315,000.00	$315,000.00	$315,000.00	nat. median $459,112 0.7× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	82	$19,566.00	$675,267.96	$314,078.12	nat. median $261,939 1.2× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	37	$298,895.20	$546,978.22	$298,895.20	nat. median $254,667 1.2× median
5833 APR_DRG	Neonate With Ecmo	37	$285,529.45	$522,518.89	$285,529.45	nat. median $250,089 1.1× median
Q2058 HCPCS	Apc	82	$250,425.00	$598,237.50	$278,250.00	nat. median $302,242 0.9× median
114 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	$267,832.14	$490,132.82	$267,832.14	nat. median $119,243 outlier · 2.2×
J3403 HCPCS	Apc	82	$236,010.39	$563,802.61	$262,233.77	nat. median $265,000 1.0× median
24 APR_DRG	Heart And/or Lung Transplant	37	$243,231.46	$445,113.57	$243,231.46	nat. median $243,231 1.0× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	93	$215,519.51	$515,435.19	$239,466.12	nat. median $205,166 1.2× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	81	$214,258.68	$511,840.18	$238,065.20	nat. median $199,832 1.2× median
J9226 HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	140	$31,882.39	$376,729.75	$232,031.28	nat. median $55,200 outlier · 4.2×
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	37	$210,184.97	$384,638.50	$210,184.97	nat. median $168,174 1.2× median
113 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	$209,043.24	$382,549.13	$209,043.24	nat. median $67,603 outlier · 3.1×
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	37	$205,658.34	$376,354.76	$205,658.34	nat. median $168,361 1.2× median
J3402 HCPCS	Apc	82	$182,442.23	$435,834.21	$202,713.58	nat. median $209,736 1.0× median
1614 APR_DRG	Implantable Heart Assist Systems	37	$202,241.64	$370,102.20	$202,241.64	nat. median $209,486 1.0× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	37	$194,638.60	$356,188.64	$194,638.60	nat. median $165,599 1.2× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	37	$193,485.21	$354,077.93	$193,485.21	nat. median $180,995 1.1× median
90288 CPT	Botulism Ig IV	1	$168,519.30	$211,866.75	$190,193.02	nat. median $52,716 outlier · 3.6×
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	37	$186,605.16	$341,487.44	$186,605.16	nat. median $147,847 1.3× median
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	37	$181,536.82	$332,212.38	$181,536.82	nat. median $156,285 1.2× median
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	37	$179,391.18	$328,285.86	$179,391.18	nat. median $147,677 1.2× median
5832 APR_DRG	Neonate With Ecmo	37	$179,175.98	$327,892.04	$179,175.98	nat. median $169,230 1.1× median
112 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	$176,648.70	$323,267.12	$176,648.70	nat. median $63,564 outlier · 2.8×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	37	$5,587.00	$316,622.68	$173,017.86	nat. median $165,646 1.0× median
C9293 HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	131	$389.26	$271,984.90	$167,517.98	nat. median $24,377 outlier · 6.9×
1613 APR_DRG	Implantable Heart Assist Systems	37	$162,739.13	$297,812.61	$162,739.13	nat. median $127,938 1.3× median

Other procedures at this hospital

Browse this hospital's 20,574 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	Apc	81	78	—	—	$4,054,500.00	$4,955,500.00	$4,505,000.00	2026-06-18
C9172	HCPCS	Pharmacy	1	1	—	—	$4,200,000.00	$4,200,000.00	$4,200,000.00	2026-06-18
J1414	HCPCS	Pharmacy	1	1	—	—	$4,200,000.00	$4,200,000.00	$4,200,000.00	2026-06-18
J1411	HCPCS	Apc	84	80	—	—	$3,322,305.00	$4,798,885.00	$3,691,450.00	2026-06-18
J3389	HCPCS	Apc	84	80	—	—	$3,002,238.00	$4,336,566.00	$3,335,820.00	2026-06-18
J1413	HCPCS	Apc	84	80	—	—	$2,989,238.74	$4,317,789.29	$3,321,376.38	2026-06-18
J3394	HCPCS	Apc	84	80	—	—	$2,920,843.25	$4,218,995.81	$3,245,381.39	2026-06-18
J3387	HCPCS	Apc	84	80	—	—	$2,862,000.00	$4,134,000.00	$3,180,000.00	2026-06-18
J3393	HCPCS	Apc	84	80	—	—	$2,644,488.00	$3,819,816.00	$2,938,320.00	2026-06-18
C9309	HCPCS	Apc	83	80	—	—	$2,397,805.73	$3,463,497.17	$2,664,228.59	2026-06-18
J3399	HCPCS	Inj Onase Abepar-xioi Treat	85	80	—	—	$2,328,378.53	$3,363,213.43	$2,587,087.26	2026-06-18
J3392	HCPCS	Apc	85	81	—	—	$2,098,800.00	$4,664,000.00	$2,332,000.00	2026-06-18
C9073	HCPCS	Outpatient Services	1	1	—	—	$795,273.30	$795,273.30	$795,273.30	2026-06-18
Q2057	HCPCS	Apc	86	82	—	—	$693,558.00	$1,656,833.00	$770,620.00	2026-06-18
Q2042	HCPCS	Tisagenlecleucel Car-pos T	88	82	—	—	$552,762.73	$1,320,488.74	$614,180.81	2026-06-18
Q2056	HCPCS	Apc	86	82	—	—	$529,645.33	$1,265,263.84	$588,494.81	2026-06-18
J2326	HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	301	140	$852,441.98	$681,953.59	$1,153.63	$937,686.18	$577,529.44	2026-06-18
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	124	117	—	—	$94,770.70	$1,208,860.80	$562,260.84	2026-06-18
Q2055	HCPCS	Idecabtagene Vicleucel Car	126	117	—	—	$96,938.06	$1,203,529.32	$559,781.08	2026-06-18
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	124	117	—	—	$89,892.46	$1,143,475.60	$531,849.12	2026-06-18
Q2053	HCPCS	Brexucabtagene Car Pos T	125	117	—	—	$89,888.00	$1,051,974.79	$489,290.60	2026-06-18
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	84	81	—	—	$435,206.05	$1,039,658.90	$483,562.28	2026-06-18
5834	APR_DRG	Neonate With Ecmo	37	37	—	—	$472,907.43	$865,420.60	$472,907.43	2026-06-18
C9301	HCPCS	Pharmacy	1	1	—	—	$315,000.00	$315,000.00	$315,000.00	2026-06-18
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	89	82	—	—	$19,566.00	$675,267.96	$314,078.12	2026-06-18
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	37	37	—	—	$298,895.20	$546,978.22	$298,895.20	2026-06-18
5833	APR_DRG	Neonate With Ecmo	37	37	—	—	$285,529.45	$522,518.89	$285,529.45	2026-06-18
Q2058	HCPCS	Apc	86	82	—	—	$250,425.00	$598,237.50	$278,250.00	2026-06-18
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	37	—	—	$267,832.14	$490,132.82	$267,832.14	2026-06-18
J3403	HCPCS	Apc	86	82	—	—	$236,010.39	$563,802.61	$262,233.77	2026-06-18
24	APR_DRG	Heart And/or Lung Transplant	37	37	—	—	$243,231.46	$445,113.57	$243,231.46	2026-06-18
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	100	93	—	—	$215,519.51	$515,435.19	$239,466.12	2026-06-18
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	84	81	—	—	$214,258.68	$511,840.18	$238,065.20	2026-06-18
J9226	HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	301	140	$342,481.59	$273,985.28	$31,882.39	$376,729.75	$232,031.28	2026-06-18
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	37	37	—	—	$210,184.97	$384,638.50	$210,184.97	2026-06-18
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	37	—	—	$209,043.24	$382,549.13	$209,043.24	2026-06-18
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	37	37	—	—	$205,658.34	$376,354.76	$205,658.34	2026-06-18
J3402	HCPCS	Apc	86	82	—	—	$182,442.23	$435,834.21	$202,713.58	2026-06-18
1614	APR_DRG	Implantable Heart Assist Systems	37	37	—	—	$202,241.64	$370,102.20	$202,241.64	2026-06-18
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	37	37	—	—	$194,638.60	$356,188.64	$194,638.60	2026-06-18
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	37	37	—	—	$193,485.21	$354,077.93	$193,485.21	2026-06-18
90288	CPT	Botulism Ig IV	2	1	—	—	$168,519.30	$211,866.75	$190,193.02	2026-06-18
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	37	37	—	—	$186,605.16	$341,487.44	$186,605.16	2026-06-18
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	37	37	—	—	$181,536.82	$332,212.38	$181,536.82	2026-06-18
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	37	37	—	—	$179,391.18	$328,285.86	$179,391.18	2026-06-18
5832	APR_DRG	Neonate With Ecmo	37	37	—	—	$179,175.98	$327,892.04	$179,175.98	2026-06-18
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	37	—	—	$176,648.70	$323,267.12	$176,648.70	2026-06-18
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	37	37	—	—	$5,587.00	$316,622.68	$173,017.86	2026-06-18
C9293	HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	291	131	$247,259.00	$197,807.20	$389.26	$271,984.90	$167,517.98	2026-06-18
1613	APR_DRG	Implantable Heart Assist Systems	37	37	—	—	$162,739.13	$297,812.61	$162,739.13	2026-06-18
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	37	37	—	—	$158,746.79	$290,506.63	$158,746.79	2026-06-18
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	37	37	—	—	$158,746.79	$290,506.63	$158,746.79	2026-06-18
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	37	37	—	—	$158,746.79	$290,506.63	$158,746.79	2026-06-18
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	37	37	—	—	$156,262.98	$285,961.25	$156,262.98	2026-06-18
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	84	81	—	—	$140,060.15	$334,588.14	$155,622.39	2026-06-18
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	37	37	—	—	$152,434.96	$278,955.98	$152,434.96	2026-06-18
5831	APR_DRG	Neonate With Ecmo	37	37	—	—	$151,179.80	$276,659.03	$151,179.80	2026-06-18
74	APR_DRG	Allogeneic Bone Marrow Transplant	37	37	—	—	$149,835.59	$274,199.13	$149,835.59	2026-06-18
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	37	37	—	—	$148,693.87	$272,109.78	$148,693.87	2026-06-18
J7330	HCPCS	Cultured Chondrocytes Implnt	4	2	—	—	$83,726.00	$262,837.18	$146,393.65	2026-06-18
7	MS_DRG	Lung Transplant	84	81	—	—	$130,991.88	$312,925.04	$145,546.53	2026-06-18
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	37	37	—	—	$137,900.99	$252,358.81	$137,900.99	2026-06-18
14	MS_DRG	Allogeneic Bone Marrow Transplant	84	81	—	—	$121,610.65	$290,514.32	$135,122.94	2026-06-18
J9043	HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	301	140	$199,106.42	$159,285.14	$207.94	$219,017.06	$134,894.60	2026-06-18
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	37	37	—	—	$132,592.01	$242,643.38	$132,592.01	2026-06-18
23	APR_DRG	Heart And/or Lung Transplant	37	37	—	—	$131,530.85	$240,701.46	$131,530.85	2026-06-18
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	37	37	—	—	$129,686.27	$237,325.87	$129,686.27	2026-06-18
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	89	82	—	—	$19,566.00	$274,021.78	$127,451.99	2026-06-18
209	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$114,575.99	$273,709.32	$127,306.66	2026-06-18
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	37	37	—	—	$126,883.37	$232,196.57	$126,883.37	2026-06-18
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	37	37	—	—	$124,113.33	$227,127.39	$124,113.33	2026-06-18
426	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$111,581.40	$266,555.56	$123,979.33	2026-06-18
212	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$110,101.20	$263,019.54	$122,334.67	2026-06-18
J3404	HCPCS	Apc	85	82	—	—	$109,710.00	$262,085.00	$121,900.00	2026-06-18
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	84	81	—	—	$104,430.02	$249,471.70	$116,033.35	2026-06-18
J3357	HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe	225	140	$167,272.10	$133,817.68 20% off	$158.42	$183,999.31	$113,326.85	2026-06-18
215	MS_DRG	Other Heart Assist System Implant	94	85	—	—	$19,566.00	$240,974.21	$112,081.03	2026-06-18
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	94	85	—	—	$19,566.00	$236,786.77	$110,133.38	2026-06-18
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	37	37	—	—	$110,110.47	$201,502.16	$110,110.47	2026-06-18
1612	APR_DRG	Implantable Heart Assist Systems	37	37	—	—	$109,991.74	$201,284.88	$109,991.74	2026-06-18
1611	APR_DRG	Implantable Heart Assist Systems	37	37	—	—	$109,991.74	$201,284.88	$109,991.74	2026-06-18
Q0480	HCPCS	Driver Pneumatic Vad, Rep	88	82	—	—	$97,419.02	$301,417.02	$108,243.35	2026-06-18
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	37	37	—	—	$106,925.93	$195,674.45	$106,925.93	2026-06-18
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	37	37	—	—	$105,772.54	$193,563.75	$105,772.54	2026-06-18
22	APR_DRG	Heart And/or Lung Transplant	37	37	—	—	$101,523.66	$185,788.30	$101,523.66	2026-06-18
429	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$91,339.76	$218,200.53	$101,488.62	2026-06-18
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	37	37	—	—	$100,833.53	$184,525.36	$100,833.53	2026-06-18
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	37	37	—	—	$98,696.37	$180,614.36	$98,696.37	2026-06-18
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	37	37	—	—	$98,565.98	$180,375.74	$98,565.98	2026-06-18
850	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$87,816.88	$209,784.77	$97,574.31	2026-06-18
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	37	37	—	—	$95,898.77	$175,494.75	$95,898.77	2026-06-18
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	87	82	—	—	$85,572.93	$204,424.21	$95,081.03	2026-06-18
J9347	HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	263	140	$140,285.00	$112,228.00 20% off	$128.91	$154,313.50	$95,043.09	2026-06-18
231	MS_DRG	Coronary Bypass With Ptca With Mcc	97	87	—	—	$19,566.00	$204,265.63	$95,007.27	2026-06-18
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	84	81	—	—	$85,239.91	$203,628.67	$94,711.01	2026-06-18
64	APR_DRG	Pancreas Transplant	37	37	—	—	$92,994.09	$170,179.18	$92,994.09	2026-06-18
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	37	37	—	—	$5,587.00	$169,319.78	$92,524.47	2026-06-18
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	37	37	—	—	$92,424.82	$169,137.42	$92,424.82	2026-06-18
73	APR_DRG	Allogeneic Bone Marrow Transplant	37	37	—	—	$89,273.14	$163,369.85	$89,273.14	2026-06-18
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	84	81	—	—	$79,860.51	$190,777.89	$88,733.90	2026-06-18
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	94	85	—	—	$19,566.00	$186,198.62	$86,604.01	2026-06-18
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	96	85	—	—	$19,566.00	$185,402.97	$86,233.94	2026-06-18
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	97	92	—	—	$77,355.97	$773,577.19	$85,951.08	2026-06-18
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	37	37	—	—	$83,170.15	$152,201.37	$83,170.15	2026-06-18
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	37	37	—	—	$82,787.45	$151,501.03	$82,787.45	2026-06-18
427	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$73,317.91	$175,148.33	$81,464.34	2026-06-18
10	MS_DRG	Pancreas Transplant	84	81	—	—	$72,886.21	$174,117.06	$80,984.68	2026-06-18
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	100	93	—	—	$65,201.10	$958,640.84	$80,951.14	2026-06-18
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	37	37	—	—	$80,771.14	$147,811.19	$80,771.14	2026-06-18
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	84	81	—	—	$72,472.65	$173,129.12	$80,525.17	2026-06-18
275	MS_DRG	Inpatient Ms-DRG	88	81	—	—	$18,731.00	$173,028.13	$80,478.20	2026-06-18
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	301	140	$118,501.28	$94,801.03	$53.64	$130,351.41	$80,284.62	2026-06-18
8634	APR_DRG	Neonatal Aftercare	37	37	—	—	$79,352.73	$145,215.50	$79,352.73	2026-06-18
63	APR_DRG	Pancreas Transplant	37	37	—	—	$79,144.95	$144,835.26	$79,144.95	2026-06-18
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	84	81	—	—	$70,230.74	$167,773.44	$78,034.16	2026-06-18
21	APR_DRG	Heart And/or Lung Transplant	37	37	—	—	$77,825.12	$142,419.97	$77,825.12	2026-06-18
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	94	85	—	—	$19,566.00	$166,958.53	$77,655.13	2026-06-18
4404	APR_DRG	Kidney Transplant	37	37	—	—	$76,896.47	$140,720.54	$76,896.47	2026-06-18
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	37	37	—	—	$76,155.46	$139,364.49	$76,155.46	2026-06-18
955	MS_DRG	Craniotomy For Multiple Significant Trauma	84	81	—	—	$68,412.44	$163,429.71	$76,013.82	2026-06-18
317	MS_DRG	Inpatient Ms-DRG	86	81	—	—	$26,258.00	$162,357.66	$75,515.19	2026-06-18
447	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$67,914.35	$162,239.84	$75,460.39	2026-06-18
J1303	HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution	320	136	$143,920.76	$115,136.61	$201.31	$158,312.84	$75,457.65	2026-06-18
111	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	37	—	—	$74,625.74	$136,565.10	$74,625.74	2026-06-18
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	37	37	—	—	$74,623.62	$136,561.22	$74,623.62	2026-06-18
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	94	85	—	—	$19,566.00	$159,684.63	$74,271.92	2026-06-18
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	94	85	—	—	$19,566.00	$159,684.63	$74,271.92	2026-06-18
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	37	37	—	—	$74,045.86	$135,503.92	$74,045.86	2026-06-18
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	84	81	—	—	$66,604.23	$159,110.11	$74,004.70	2026-06-18
230	MS_DRG	Other Cardiovascular Procedures	3	2	—	—	$19,566.00	$94,579.00	$73,876.00	2026-06-18
J9183	HCPCS	Apc	85	82	—	—	$65,779.43	$157,139.76	$73,088.26	2026-06-18
C1825	HCPCS	Sys Barostim Neo	177	140	$108,025.00	$86,420.00 20% off	$27,006.25	$118,827.50	$72,916.88	2026-06-18
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	84	81	—	—	$65,429.95	$156,304.87	$72,699.94	2026-06-18
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	37	37	—	—	$71,005.50	$129,940.07	$71,005.50	2026-06-18
J3245	HCPCS	Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe	291	131	$103,639.82	$82,911.86	$106.38	$114,003.80	$70,215.98	2026-06-18
8514	APR_DRG	Gender Related Procedures	37	37	—	—	$69,605.11	$127,377.35	$69,605.11	2026-06-18
J9118	HCPCS	Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution	263	140	$102,681.49	$82,145.20	$73.87	$112,949.64	$69,566.71	2026-06-18
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	37	37	—	—	$69,311.46	$126,839.97	$69,311.46	2026-06-18
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	89	82	—	—	$19,566.00	$148,941.98	$69,275.34	2026-06-18
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	84	81	—	—	$62,276.37	$148,771.34	$69,195.97	2026-06-18
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	87	82	—	—	$61,921.54	$206,310.58	$68,801.71	2026-06-18
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	97	87	—	—	$19,566.00	$147,360.29	$68,539.67	2026-06-18
28	MS_DRG	Spinal Procedures With Mcc	84	81	—	—	$61,139.31	$146,055.03	$67,932.57	2026-06-18
276	MS_DRG	Inpatient Ms-DRG	88	81	—	—	$18,731.00	$146,014.18	$67,913.57	2026-06-18
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	37	37	—	—	$67,567.59	$123,648.69	$67,567.59	2026-06-18
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	84	81	—	—	$60,684.49	$144,968.50	$67,427.21	2026-06-18
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	84	81	—	—	$60,487.26	$144,497.35	$67,208.07	2026-06-18
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	84	81	—	—	$60,348.41	$144,165.65	$67,053.79	2026-06-18
2994	APR_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	37	37	—	—	$66,991.96	$122,595.29	$66,991.96	2026-06-18
62	APR_DRG	Pancreas Transplant	37	37	—	—	$66,925.17	$122,473.06	$66,925.17	2026-06-18
J9359	HCPCS	Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution	295	135	$98,237.40	$78,589.92 20% off	$199.34	$108,061.14	$66,555.84	2026-06-18
72	APR_DRG	Allogeneic Bone Marrow Transplant	37	37	—	—	$66,446.01	$121,596.20	$66,446.01	2026-06-18
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	96	85	—	—	$19,566.00	$142,696.90	$66,370.65	2026-06-18
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	84	81	—	—	$59,695.36	$142,605.59	$66,328.18	2026-06-18
J2327	HCPCS	Risankizumab-rzaa 360 Mg/2.4 Ml (150 Mg/ml) Subcut Wearable Injector	237	96	$126,319.16	$101,055.33	$13.14	$138,951.08	$66,229.14	2026-06-18
1784	APR_DRG	External Heart Assist Devices	37	37	—	—	$66,228.69	$121,198.50	$66,228.69	2026-06-18
J9334	HCPCS	Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln	263	140	$96,745.75	$77,396.60	$30.89	$106,420.33	$65,545.25	2026-06-18
430	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$58,712.25	$140,257.03	$65,235.83	2026-06-18
84	APR_DRG	Autologous Bone Marrow Transplant	37	37	—	—	$65,108.16	$119,147.93	$65,108.16	2026-06-18
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	84	81	—	—	$58,341.97	$139,372.48	$64,824.41	2026-06-18
213	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$58,106.48	$138,809.91	$64,562.75	2026-06-18
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	37	37	—	—	$64,545.25	$118,117.81	$64,545.25	2026-06-18
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	84	81	—	—	$58,032.04	$138,632.09	$64,480.04	2026-06-18
S2066	HCPCS	Breast Gap Flap Reconst	2	1	—	—	$57,003.15	$71,665.82	$64,334.49	2026-06-18
J9266	HCPCS	Pegaspargase 750 Unit/ml Injection Solution	301	140	$94,908.03	$75,926.43	$5,538.08	$117,756.81	$64,300.19	2026-06-18
J9029	HCPCS	Apc	88	82	—	—	$57,854.07	$275,798.87	$64,282.30	2026-06-18
38240	CPT	Transplt Allo Hct/donor	134	119	—	—	$104.24	$138,166.57	$64,263.52	2026-06-18
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	37	37	—	—	$63,659.00	$116,495.97	$63,659.00	2026-06-18
428	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$57,252.19	$136,769.11	$63,613.54	2026-06-18
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	84	81	—	—	$57,077.09	$136,350.83	$63,418.99	2026-06-18
33289	CPT	Tcat Impl Wrls P-art Prs Snr	312	140	$98,160.03	$78,528.03	$275.87	$107,976.03	$63,085.01	2026-06-18
278	MS_DRG	Inpatient Ms-DRG	86	81	—	—	$56,690.70	$135,427.79	$62,989.67	2026-06-18
C1816	HCPCS	Receiver/transmitter, Neuro	2	1	—	—	$55,761.36	$70,104.60	$62,932.98	2026-06-18
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	90	82	—	—	$11,374.00	$134,389.34	$62,506.67	2026-06-18
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	84	81	—	—	$55,922.94	$133,593.69	$62,136.60	2026-06-18
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	84	81	—	—	$55,727.72	$133,127.33	$61,919.69	2026-06-18
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	96	85	—	—	$19,566.00	$132,939.83	$61,832.48	2026-06-18
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	84	81	—	—	$55,562.69	$132,733.09	$61,736.32	2026-06-18
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	84	81	—	—	$55,343.33	$132,209.07	$61,492.59	2026-06-18
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	37	37	—	—	$61,468.84	$112,487.98	$61,468.84	2026-06-18
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	37	37	—	—	$61,446.58	$112,447.24	$61,446.58	2026-06-18
A9545	HCPCS	Outpatient Services	1	1	—	—	$61,311.25	$61,311.25	$61,311.25	2026-06-18
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	37	37	—	—	$60,950.45	$111,539.32	$60,950.45	2026-06-18
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	37	37	—	—	$60,423.58	$110,575.15	$60,423.58	2026-06-18
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	94	85	—	—	$19,566.00	$129,817.30	$60,380.14	2026-06-18
450	MS_DRG	Inpatient Ms-DRG	84	81	—	—	$54,309.92	$129,740.35	$60,344.35	2026-06-18
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	84	81	—	—	$53,949.68	$128,879.79	$59,944.09	2026-06-18
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	94	85	—	—	$19,566.00	$128,459.15	$59,748.44	2026-06-18
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	37	37	—	—	$59,665.61	$109,188.07	$59,665.61	2026-06-18
S0590	HCPCS	Misc Integral Lens Serv	2	1	—	—	$52,760.29	$66,331.58	$59,545.93	2026-06-18
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	95	85	—	—	$11,374.00	$126,754.84	$58,955.74	2026-06-18
653	MS_DRG	Major Bladder Procedures With Mcc	84	81	—	—	$52,969.60	$126,538.49	$58,855.11	2026-06-18
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	37	37	—	—	$58,768.76	$107,546.83	$58,768.76	2026-06-18
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	37	37	—	—	$57,853.90	$105,872.64	$57,853.90	2026-06-18
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	94	85	—	—	$19,566.00	$122,783.79	$57,108.74	2026-06-18
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	37	37	—	—	$5,587.00	$104,289.61	$56,988.86	2026-06-18
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	37	37	—	—	$56,944.33	$104,208.12	$56,944.33	2026-06-18
A9543	HCPCS	Y90 Ibritumomab, Rx	126	117	—	—	$51,142.09	$281,007.61	$56,824.55	2026-06-18
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	87	84	—	—	$19,773.00	$121,514.56	$56,518.40	2026-06-18
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	128	117	—	—	$50,642.27	$241,583.78	$56,269.19	2026-06-18
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	91	83	—	—	$19,566.00	$120,553.04	$56,071.18	2026-06-18
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	84	81	—	—	$50,375.50	$120,341.48	$55,972.78	2026-06-18
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	84	81	—	—	$50,205.44	$119,935.21	$55,783.82	2026-06-18
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	84	81	—	—	$49,999.17	$119,442.45	$55,554.63	2026-06-18
71	APR_DRG	Allogeneic Bone Marrow Transplant	37	37	—	—	$55,309.66	$101,216.68	$55,309.66	2026-06-18
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	37	37	—	—	$55,046.75	$100,735.55	$55,046.75	2026-06-18
1794	APR_DRG	Defibrillator Implants	37	37	—	—	$54,992.69	$100,636.62	$54,992.69	2026-06-18
471	MS_DRG	Cervical Spinal Fusion With Mcc	84	81	—	—	$49,269.65	$117,699.71	$54,744.05	2026-06-18
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	37	37	—	—	$5,587.00	$100,134.16	$54,718.12	2026-06-18
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	84	81	—	—	$49,024.12	$117,113.17	$54,471.24	2026-06-18
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	37	37	—	—	$54,426.59	$99,600.66	$54,426.59	2026-06-18
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln	295	135	$80,046.57	$64,037.26	$2,535.09	$88,051.23	$54,231.56	2026-06-18
1674	APR_DRG	Other Cardiothoracic And Thoracic Circulatory Procedures	37	37	—	—	$54,029.06	$98,873.18	$54,029.06	2026-06-18
61	APR_DRG	Pancreas Transplant	37	37	—	—	$54,005.73	$98,830.49	$54,005.73	2026-06-18
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	89	82	—	—	$19,566.00	$116,067.49	$53,984.88	2026-06-18
914	APR_DRG	Other Major Head And Neck Procedures	37	37	—	—	$53,845.66	$98,537.56	$53,845.66	2026-06-18
1783	APR_DRG	External Heart Assist Devices	37	37	—	—	$53,704.67	$98,279.55	$53,704.67	2026-06-18
33231	CPT	Insrt Pulse Gen W/multi Leads	307	140	$80,895.00	$64,716.00 20% off	$324.53	$88,984.50	$53,589.25	2026-06-18
33249	CPT	Implt Dfib Sys Impl Dual Gen+lea	307	135	$80,895.00	$64,716.00 20% off	$895.01	$88,984.50	$53,589.25	2026-06-18
33270	CPT	Subq Icd Insert W/sub Electrode	303	136	$80,895.00	$64,716.00 20% off	$508.93	$88,984.50	$53,589.25	2026-06-18
33264	CPT	Rmv&rpl Implt Dfib Gen Mult Lead	303	136	$80,895.00	$64,716.00 20% off	$325.13	$88,984.50	$53,589.25	2026-06-18
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	84	81	—	—	$47,988.69	$114,639.66	$53,320.77	2026-06-18
93656	CPT	Compre Ep Eval Abltj Atr Fib	311	140	$80,340.00	$64,272.00 20% off	$880.47	$88,374.00	$53,284.00	2026-06-18
93654	CPT	Compre Ep Eval Tx Vt	307	140	$80,340.00	$64,272.00 20% off	$880.22	$88,374.00	$53,284.00	2026-06-18
93653	CPT	Compre Ep Eval Tx Svt	311	140	$80,340.00	$64,272.00 20% off	$659.46	$88,374.00	$53,284.00	2026-06-18
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	84	81	—	—	$47,892.10	$114,408.90	$53,213.44	2026-06-18
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	37	37	—	—	$53,084.51	$97,144.65	$53,084.51	2026-06-18
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	84	81	—	—	$47,751.20	$114,072.31	$53,056.89	2026-06-18
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	37	37	—	—	$52,992.28	$96,975.87	$52,992.28	2026-06-18
6	MS_DRG	Liver Transplant Without Mcc	84	81	—	—	$47,340.68	$113,091.61	$52,600.75	2026-06-18
2993	APR_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	37	37	—	—	$52,521.59	$96,114.51	$52,521.59	2026-06-18
277	MS_DRG	Inpatient Ms-DRG	88	81	—	—	$18,731.00	$112,646.91	$52,393.91	2026-06-18
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	37	37	—	—	$5,587.00	$95,745.93	$52,320.18	2026-06-18
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	37	37	—	—	$5,587.00	$95,596.55	$52,238.55	2026-06-18
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	84	81	—	—	$46,933.13	$112,118.03	$52,147.92	2026-06-18
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	86	82	—	—	$46,815.40	$111,836.79	$52,017.11	2026-06-18
G0173	HCPCS	Stereotactic Radiosurgery	3	2	—	—	$7,792.12	$62,044.00	$51,925.00	2026-06-18
245	MS_DRG	Aicd Generator Procedures	89	83	—	—	$18,731.00	$111,298.36	$51,766.68	2026-06-18
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	84	81	—	—	$46,452.16	$110,969.05	$51,613.51	2026-06-18
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	86	81	—	—	$45,000.00	$110,920.97	$51,591.15	2026-06-18
799	MS_DRG	Splenectomy With Mcc	84	81	—	—	$46,252.92	$110,493.08	$51,392.13	2026-06-18
4403	APR_DRG	Kidney Transplant	37	37	—	—	$51,187.99	$93,674.02	$51,187.99	2026-06-18
163	MS_DRG	Major Chest Procedures With Mcc	84	81	—	—	$45,778.97	$109,360.87	$50,865.52	2026-06-18
31	MS_DRG	Ventricular Shunt Procedures With Mcc	84	81	—	—	$45,765.90	$109,329.65	$50,851.00	2026-06-18
3004	APR_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	37	37	—	—	$50,655.82	$92,700.15	$50,655.82	2026-06-18
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	86	81	—	—	$45,588.79	$108,906.55	$50,654.21	2026-06-18
02704E6	OTHER	Dilate 1 Cor Art, Bifurc, W 2 Intralum Dev, Perc Endo	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02704F6	OTHER	Dilate 1 Cor Art, Bifurc, W 3 Intralum Dev, Perc Endo	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02703G6	OTHER	Dilate 1 Cor Art, Bifurc, W 4+ Intralum Dev, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02704DZ	OTHER	Dilation Of 1 Cor Art With Intralum Dev, Perc Endo Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02713DZ	OTHER	Dilation Of 2 Cor Art With Intralum Dev, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02700DZ	OTHER	Dilation Of 1 Cor Art With Intralum Dev, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02700F6	OTHER	Dilate 1 Cor Art, Bifurc, W 3 Intralum Dev, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02700FZ	OTHER	Dilation Of 1 Cor Art With 3 Intralum Dev, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02713F6	OTHER	Dilate 2 Cor Art, Bifurc, W 3 Intralum Dev, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02710DZ	OTHER	Dilation Of 2 Cor Art With Intralum Dev, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02710T6	OTHER	Dilate 2 Cor Art, Bifurc, W Radioact Intralum, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02700G6	OTHER	Dilate 1 Cor Art, Bifurc, W 4+ Intralum Dev, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
0271346	OTHER	Dilate 2 Cor Art, Bifurc, W Drug-elut Intra, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02703FZ	OTHER	Dilation Of 1 Cor Art With 3 Intralum Dev, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
027134Z	OTHER	Dilation Of 2 Cor Art With Drug-elut Intra, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
0270046	OTHER	Dilate 1 Cor Art, Bifurc, W Drug-elut Intra, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
027004Z	OTHER	Dilation Of 1 Cor Art With Drug-elut Intra, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02703EZ	OTHER	Dilation Of 1 Cor Art With 2 Intralum Dev, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02703GZ	OTHER	Dilation Of 1 Cor Art With 4+ Intralum Dev, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02713EZ	OTHER	Dilation Of 2 Cor Art With 2 Intralum Dev, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
0271446	OTHER	Dilate 2 Cor Art, Bifurc, W Drug-elut Intra, Perc Endo	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02714DZ	OTHER	Dilation Of 2 Cor Art With Intralum Dev, Perc Endo Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
027034Z	OTHER	Dilation Of 1 Cor Art With Drug-elut Intra, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02710FZ	OTHER	Dilation Of 2 Cor Art With 3 Intralum Dev, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02710G6	OTHER	Dilate 2 Cor Art, Bifurc, W 4+ Intralum Dev, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02700E6	OTHER	Dilate 1 Cor Art, Bifurc, W 2 Intralum Dev, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02710F6	OTHER	Dilate 2 Cor Art, Bifurc, W 3 Intralum Dev, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02703E6	OTHER	Dilate 1 Cor Art, Bifurc, W 2 Intralum Dev, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
0270446	OTHER	Dilate 1 Cor Art, Bifurc, W Drug-elut Intra, Perc Endo	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02713GZ	OTHER	Dilation Of 2 Cor Art With 4+ Intralum Dev, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02713T6	OTHER	Dilate 2 Cor Art, Bifurc, W Radioact Intralum, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
027044Z	OTHER	Dilate Of 1 Cor Art With Drug-elut Intra, Perc Endo Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02700EZ	OTHER	Dilation Of 1 Cor Art With 2 Intralum Dev, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02710E6	OTHER	Dilate 2 Cor Art, Bifurc, W 2 Intralum Dev, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02703DZ	OTHER	Dilation Of 1 Cor Art With Intralum Dev, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02704FZ	OTHER	Dilate Of 1 Cor Art With 3 Intralum Dev, Perc Endo Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02704EZ	OTHER	Dilate Of 1 Cor Art With 2 Intralum Dev, Perc Endo Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02704G6	OTHER	Dilate 1 Cor Art, Bifurc, W 4+ Intralum Dev, Perc Endo	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02704T6	OTHER	Dilate 1 Cor Art, Bifurc, W Radioact Intralum, Perc Endo	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02710EZ	OTHER	Dilation Of 2 Cor Art With 2 Intralum Dev, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02713FZ	OTHER	Dilation Of 2 Cor Art With 3 Intralum Dev, Perc Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02700T6	OTHER	Dilate 1 Cor Art, Bifurc, W Radioact Intralum, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02703F6	OTHER	Dilate 1 Cor Art, Bifurc, W 3 Intralum Dev, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02703T6	OTHER	Dilate 1 Cor Art, Bifurc, W Radioact Intralum, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
027104Z	OTHER	Dilation Of 2 Cor Art With Drug-elut Intra, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02704GZ	OTHER	Dilate Of 1 Cor Art With 4+ Intralum Dev, Perc Endo Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
0270346	OTHER	Dilate 1 Cor Art, Bifurc, W Drug-elut Intra, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
0271046	OTHER	Dilate 2 Cor Art, Bifurc, W Drug-elut Intra, Open	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02700GZ	OTHER	Dilation Of 1 Cor Art With 4+ Intralum Dev, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02710GZ	OTHER	Dilation Of 2 Cor Art With 4+ Intralum Dev, Open Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02713E6	OTHER	Dilate 2 Cor Art, Bifurc, W 2 Intralum Dev, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02713G6	OTHER	Dilate 2 Cor Art, Bifurc, W 4+ Intralum Dev, Perc	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
027144Z	OTHER	Dilate Of 2 Cor Art With Drug-elut Intra, Perc Endo Approach	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18
02714E6	OTHER	Dilate 2 Cor Art, Bifurc, W 2 Intralum Dev, Perc Endo	1	1	—	—	$50,633.00	$50,633.00	$50,633.00	2026-06-18

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