Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HALIFAX HEALTH MEDICAL CENTER

Daytona Beach, FL · CCN 100017 · Rates published

51,483 distinct procedures filed
51 distinct payers
3,547,400 rate rows
2025-07-23 last MRF observed
Data quality

2,201,321 of 3,547,400 rate rows are consumer-grade (62.1%)

1,346,079 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,185,915
placeholder amount (≤ $0.02) — excluded from medians 151,319
percent-of-charges filed in the dollar field — excluded from medians 6,490
template filing: same amount across many unrelated codes — excluded 1,779
exceeds 10× this hospital's gross charge — excluded from medians 322
per-diem day rate — not a per-procedure price 254
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://halifax.pt.panaceainc.com/MRFDownload/halifax/halifax-medical-center
Found on page https://halifaxhealth.org/patients-visitors/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint cc695143e2475acf… · 2,374,523,986 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 21 $3,165,420.23 $4,059,185.94 $3,724,023.80 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 22 $3,144,317.43 $4,032,124.71 $3,699,196.98 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 22 $2,834,777.41 $3,635,185.15 $3,335,032.25 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 23 $2,803,657.92 $4,947,631.62 $3,298,421.08 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 23 $2,515,453.94 $4,439,036.36 $2,959,357.58 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 32 $10,712.95 $4,864,581.33 $2,432,290.67 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 24 $1,989,692.72 $4,710,640.00 $2,340,814.96 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 25 $657,503.00 $1,740,449.12 $773,532.94 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 35 $24,610.06 $1,307,157.47 $580,958.87 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 35 $24,610.06 $1,249,335.63 $555,260.28 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 35 $24,610.06 $1,191,637.96 $529,616.87 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 35 $24,610.06 $1,166,387.49 $518,394.44 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 35 $24,610.06 $1,135,668.30 $504,741.47 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 35 $24,610.06 $1,105,310.45 $491,249.09 nat. median
$620,080
0.8× median
5834
APR_DRG 		10 $443,999.01 $488,398.91 $455,098.98 nat. median
$309,665
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 27 $236,480.38 $725,518.85 $304,229.32 nat. median
$370,174
0.8× median
5884
APR_DRG 		10 $289,659.20 $318,625.12 $296,900.68 nat. median
$246,434
1.2× median
5833
APR_DRG 		10 $287,636.42 $316,400.06 $294,827.33 nat. median
$244,017
1.2× median
C9301
HCPCS 		Obecabtagene Car Pos T 25 $237,406.52 $628,429.02 $279,301.79 nat. median
$459,112
0.6× median
0024
APR_DRG 		10 $256,519.18 $282,171.10 $262,932.16 nat. median
$372,987
0.7× median
0114
APR_DRG 		10 $225,558.05 $248,113.86 $231,197.00 nat. median
$197,700
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $176,631.02 $541,901.76 $227,741.87 nat. median
$265,286
0.9× median
1614
APR_DRG 		10 $219,835.98 $241,819.58 $225,331.88 nat. median
$207,730
1.1× median
6304
APR_DRG 		10 $211,296.47 $232,426.12 $216,578.88 nat. median
$150,721
1.4× median
8414
APR_DRG 		10 $208,401.80 $229,241.98 $213,611.85 nat. median
$160,267
1.3× median
6094
APR_DRG 		10 $190,451.72 $209,496.89 $195,213.02 nat. median
$162,982
1.2× median
5883
APR_DRG 		10 $188,386.59 $207,225.25 $193,096.26 nat. median
$182,736
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $148,755.24 $456,379.23 $192,116.64 nat. median
$206,368
0.9× median
6314
APR_DRG 		10 $186,976.63 $205,674.29 $191,651.04 nat. median
$122,924
1.6× median
5914
APR_DRG 		10 $184,009.72 $202,410.69 $188,609.96 nat. median
$164,279
1.1× median
0074
APR_DRG 		10 $174,662.26 $192,128.49 $179,028.82 nat. median
$178,275
1.0× median
0094
APR_DRG 		10 $173,787.05 $191,165.76 $178,131.72 nat. median
$166,008
1.1× median
5934
APR_DRG 		10 $170,624.17 $187,686.59 $174,889.78 nat. median
$151,838
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 $134,388.13 $412,301.12 $173,755.48 nat. median
$202,986
0.9× median
6034
APR_DRG 		10 $157,821.55 $173,603.71 $161,767.09 nat. median
$109,499
1.5× median
0014
APR_DRG 		10 $155,330.44 $170,863.48 $159,213.70 nat. median
$190,591
0.8× median
0044
APR_DRG 		10 $154,266.74 $169,693.41 $158,123.41 nat. median
$195,681
0.8× median
1613
APR_DRG 		10 $148,746.45 $163,621.10 $152,465.11 nat. median
$119,796
1.3× median
5832
APR_DRG 		10 $145,322.76 $159,855.04 $148,955.83 nat. median
$156,126
1.0× median
0023
APR_DRG 		10 $144,034.11 $158,437.52 $147,634.96 nat. median
$167,082
0.9× median
5913
APR_DRG 		10 $136,579.06 $150,236.97 $139,993.54 nat. median
$102,636
1.4× median
0113
APR_DRG 		10 $131,545.36 $144,699.90 $134,833.99 nat. median
$128,705
1.0× median
1604
APR_DRG 		10 $128,259.59 $141,085.55 $131,466.08 nat. median
$97,957
1.3× median
6024
APR_DRG 		10 $126,701.82 $139,372.00 $129,869.37 nat. median
$118,620
1.1× median
5933
APR_DRG 		10 $118,334.19 $130,167.61 $121,292.54 nat. median
$108,996
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 $88,603.01 $271,832.94 $115,242.12 nat. median
$133,176
0.9× median
0064
APR_DRG 		10 $111,741.06 $122,915.17 $114,534.58 nat. median
$98,565
1.2× median
5882
APR_DRG 		10 $108,772.56 $119,649.82 $111,491.88 nat. median
$145,336
0.8× median
8514
APR_DRG 		10 $108,345.69 $119,180.26 $111,054.33 nat. median
$70,353
1.6× median
5893
APR_DRG 		10 $107,474.63 $118,222.09 $110,161.49 nat. median
$69,788
1.6× median

Other procedures at this hospital

Browse this hospital's 51,483 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 21 21 — — $3,165,420.23 $4,059,185.94 $3,724,023.80 2025-07-23
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 22 — — $3,144,317.43 $4,032,124.71 $3,699,196.98 2025-07-23
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 22 — — $2,834,777.41 $3,635,185.15 $3,335,032.25 2025-07-23
J3394 HCPCS Inj, Lovotibeglogene Autotem 23 23 — — $2,803,657.92 $4,947,631.62 $3,298,421.08 2025-07-23
J3393 HCPCS Inj, Betibeglogene Autotemce 23 23 — — $2,515,453.94 $4,439,036.36 $2,959,357.58 2025-07-23
J3399 HCPCS Inj Onase Abepar-xioi Treat 39 32 — — $10,712.95 $4,864,581.33 $2,432,290.67 2025-07-23
J3392 HCPCS Inj, Exagamglogene Autotem 26 24 — — $1,989,692.72 $4,710,640.00 $2,340,814.96 2025-07-23
Q2057 HCPCS Afamitresgene Autoleucel 27 25 — — $657,503.00 $1,740,449.12 $773,532.94 2025-07-23
Q2042 HCPCS Tisagenlecleucel Car-pos T 43 35 — — $24,610.06 $1,307,157.47 $580,958.87 2025-07-23
Q2056 HCPCS Ciltacabtagene Car-pos T 43 35 — — $24,610.06 $1,249,335.63 $555,260.28 2025-07-23
Q2055 HCPCS Idecabtagene Vicleucel Car 43 35 — — $24,610.06 $1,191,637.96 $529,616.87 2025-07-23
Q2054 HCPCS Lisocabtagene Mara Car Pos T 43 35 — — $24,610.06 $1,166,387.49 $518,394.44 2025-07-23
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 43 35 — — $24,610.06 $1,135,668.30 $504,741.47 2025-07-23
Q2053 HCPCS Brexucabtagene Car Pos T 43 35 — — $24,610.06 $1,105,310.45 $491,249.09 2025-07-23
5834 APR_DRG — 10 10 — — $443,999.01 $488,398.91 $455,098.98 2025-07-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 36 27 — — $236,480.38 $725,518.85 $304,229.32 2025-07-23
5884 APR_DRG — 10 10 — — $289,659.20 $318,625.12 $296,900.68 2025-07-23
5833 APR_DRG — 10 10 — — $287,636.42 $316,400.06 $294,827.33 2025-07-23
C9301 HCPCS Obecabtagene Car Pos T 27 25 — — $237,406.52 $628,429.02 $279,301.79 2025-07-23
0024 APR_DRG — 10 10 — — $256,519.18 $282,171.10 $262,932.16 2025-07-23
0114 APR_DRG — 10 10 — — $225,558.05 $248,113.86 $231,197.00 2025-07-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 25 — — $176,631.02 $541,901.76 $227,741.87 2025-07-23
1614 APR_DRG — 10 10 — — $219,835.98 $241,819.58 $225,331.88 2025-07-23
6304 APR_DRG — 10 10 — — $211,296.47 $232,426.12 $216,578.88 2025-07-23
8414 APR_DRG — 10 10 — — $208,401.80 $229,241.98 $213,611.85 2025-07-23
6094 APR_DRG — 10 10 — — $190,451.72 $209,496.89 $195,213.02 2025-07-23
5883 APR_DRG — 10 10 — — $188,386.59 $207,225.25 $193,096.26 2025-07-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 36 27 — — $148,755.24 $456,379.23 $192,116.64 2025-07-23
6314 APR_DRG — 10 10 — — $186,976.63 $205,674.29 $191,651.04 2025-07-23
5914 APR_DRG — 10 10 — — $184,009.72 $202,410.69 $188,609.96 2025-07-23
0074 APR_DRG — 10 10 — — $174,662.26 $192,128.49 $179,028.82 2025-07-23
0094 APR_DRG — 10 10 — — $173,787.05 $191,165.76 $178,131.72 2025-07-23
5934 APR_DRG — 10 10 — — $170,624.17 $187,686.59 $174,889.78 2025-07-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 27 — — $134,388.13 $412,301.12 $173,755.48 2025-07-23
6034 APR_DRG — 10 10 — — $157,821.55 $173,603.71 $161,767.09 2025-07-23
0014 APR_DRG — 10 10 — — $155,330.44 $170,863.48 $159,213.70 2025-07-23
0044 APR_DRG — 10 10 — — $154,266.74 $169,693.41 $158,123.41 2025-07-23
1613 APR_DRG — 10 10 — — $148,746.45 $163,621.10 $152,465.11 2025-07-23
5832 APR_DRG — 10 10 — — $145,322.76 $159,855.04 $148,955.83 2025-07-23
0023 APR_DRG — 10 10 — — $144,034.11 $158,437.52 $147,634.96 2025-07-23
5913 APR_DRG — 10 10 — — $136,579.06 $150,236.97 $139,993.54 2025-07-23
0113 APR_DRG — 10 10 — — $131,545.36 $144,699.90 $134,833.99 2025-07-23
1604 APR_DRG — 10 10 — — $128,259.59 $141,085.55 $131,466.08 2025-07-23
6024 APR_DRG — 10 10 — — $126,701.82 $139,372.00 $129,869.37 2025-07-23
5933 APR_DRG — 10 10 — — $118,334.19 $130,167.61 $121,292.54 2025-07-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 27 — — $88,603.01 $271,832.94 $115,242.12 2025-07-23
0064 APR_DRG — 10 10 — — $111,741.06 $122,915.17 $114,534.58 2025-07-23
5882 APR_DRG — 10 10 — — $108,772.56 $119,649.82 $111,491.88 2025-07-23
8514 APR_DRG — 10 10 — — $108,345.69 $119,180.26 $111,054.33 2025-07-23
5893 APR_DRG — 10 10 — — $107,474.63 $118,222.09 $110,161.49 2025-07-23
8424 APR_DRG — 10 10 — — $106,729.79 $117,402.77 $109,398.04 2025-07-23
14 MS_DRG Allogeneic Bone Marrow Transplant 34 25 — — $82,155.62 $252,052.43 $107,002.36 2025-07-23
7 MS_DRG Lung Transplant 34 25 — — $81,948.69 $251,417.57 $106,737.91 2025-07-23
6303 APR_DRG — 10 10 — — $100,893.96 $110,983.36 $103,416.31 2025-07-23
0054 APR_DRG — 10 10 — — $100,624.09 $110,686.50 $103,139.69 2025-07-23
6074 APR_DRG — 10 10 — — $97,101.66 $106,811.83 $99,529.20 2025-07-23
0043 APR_DRG — 10 10 — — $96,734.64 $106,408.10 $99,153.01 2025-07-23
3034 APR_DRG — 10 10 — — $92,119.45 $101,331.40 $94,422.43 2025-07-23
6023 APR_DRG — 10 10 — — $89,874.13 $98,861.54 $92,120.99 2025-07-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 25 — — $69,099.69 $211,996.99 $90,316.88 2025-07-23
1624 APR_DRG — 10 10 — — $87,559.90 $96,315.89 $89,748.90 2025-07-23
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 27 — — $68,310.85 $209,576.85 $89,308.75 2025-07-23
0084 APR_DRG — 10 10 — — $86,570.10 $95,227.11 $88,734.36 2025-07-23
0073 APR_DRG — 10 10 — — $85,363.57 $93,899.93 $87,497.66 2025-07-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 25 — — $66,777.70 $204,873.16 $87,349.38 2025-07-23
215 MS_DRG Other Heart Assist System Implant 36 27 — — $66,435.33 $203,822.76 $86,911.83 2025-07-23
4404 APR_DRG — 10 10 — — $81,827.03 $90,009.73 $83,872.71 2025-07-23
8634 APR_DRG — 10 10 — — $80,871.28 $88,958.41 $82,893.06 2025-07-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 25 — — $65,686.62 $198,529.78 $81,861.89 2025-07-23
0063 APR_DRG — 10 10 — — $79,381.59 $87,319.75 $81,366.13 2025-07-23
6134 APR_DRG — 10 10 — — $79,068.54 $86,975.39 $81,045.26 2025-07-23
6114 APR_DRG — 10 10 — — $78,699.03 $86,568.93 $80,666.51 2025-07-23
1612 APR_DRG — 10 10 — — $78,567.03 $86,423.73 $80,531.21 2025-07-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 27 — — $60,517.80 $185,667.86 $79,349.24 2025-07-23
0093 APR_DRG — 10 10 — — $74,895.94 $82,385.53 $76,768.34 2025-07-23
0112 APR_DRG — 10 10 — — $74,321.59 $81,753.75 $76,179.63 2025-07-23
1674 APR_DRG — 10 10 — — $73,432.83 $80,776.11 $75,268.65 2025-07-23
1634 APR_DRG — 10 10 — — $72,937.10 $80,230.81 $74,760.53 2025-07-23
0013 APR_DRG — 10 10 — — $72,664.74 $79,931.21 $74,481.36 2025-07-23
5892 APR_DRG — 10 10 — — $72,258.96 $79,484.86 $74,065.43 2025-07-23
6093 APR_DRG — 10 10 — — $71,110.29 $78,221.32 $72,888.04 2025-07-23
850 MS_DRG Acute Leukemia With Other Procedures 30 25 — — $57,763.77 $174,583.93 $72,218.65 2025-07-23
1784 APR_DRG — 10 10 — — $69,896.29 $76,885.92 $71,643.70 2025-07-23
6033 APR_DRG — 10 10 — — $69,711.95 $76,683.15 $71,454.75 2025-07-23
0053 APR_DRG — 10 10 — — $69,507.68 $76,458.45 $71,245.37 2025-07-23
5831 APR_DRG — 10 10 — — $69,493.60 $76,442.96 $71,230.94 2025-07-23
6124 APR_DRG — 10 10 — — $69,359.04 $76,294.94 $71,093.01 2025-07-23
0022 APR_DRG — 10 10 — — $68,972.98 $75,870.28 $70,697.30 2025-07-23
8504 APR_DRG — 10 10 — — $68,725.47 $75,598.02 $70,443.61 2025-07-23
7490000646-749000 CDM Tavr,reseilia Sapien 3 Implant 45 31 $117,300.00 $93,840.00 20% off $30,665.00 $117,300.00 $70,380.00 2025-07-23
7360005646-736045 CDM Tavr,reseilia Sapien 3 Implant 45 31 $117,300.00 $93,840.00 20% off $30,665.00 $117,300.00 $70,380.00 2025-07-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 27 — — $53,136.10 $163,020.89 $69,915.42 2025-07-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 27 — — $53,106.63 $162,930.47 $69,877.75 2025-07-23
5912 APR_DRG — 10 10 — — $68,150.11 $74,965.12 $69,853.86 2025-07-23
1654 APR_DRG — 10 10 — — $68,115.98 $74,927.58 $69,818.88 2025-07-23
6073 APR_DRG — 10 10 — — $67,217.52 $73,939.27 $68,897.96 2025-07-23
8413 APR_DRG — 10 10 — — $66,692.73 $73,362.00 $68,360.05 2025-07-23
6214 APR_DRG — 10 10 — — $66,621.32 $73,283.45 $68,286.86 2025-07-23
6804 APR_DRG — 10 10 — — $66,564.02 $73,220.42 $68,228.12 2025-07-23
6334 APR_DRG — 10 10 — — $65,950.38 $72,545.42 $67,599.14 2025-07-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 27 — — $50,547.61 $155,079.44 $66,607.34 2025-07-23
7360005673-736045 CDM Gore,tag Tbe Aorticcomp/branch 45 31 $110,400.00 $88,320.00 20% off $30,665.00 $110,400.00 $66,240.00 2025-07-23
7110009376-711000 CDM Endoprosth Thoracic Tag Txx 45 31 $110,400.00 $88,320.00 20% off $30,665.00 $110,400.00 $66,240.00 2025-07-23
7490000673-749000 CDM Gore,tag Tbe Aorticcomp/branch 45 31 $110,400.00 $88,320.00 20% off $30,665.00 $110,400.00 $66,240.00 2025-07-23
3044 APR_DRG — 10 10 — — $64,587.74 $71,046.51 $66,202.43 2025-07-23
10 MS_DRG Pancreas Transplant 34 25 — — $42,376.68 $153,384.57 $65,901.32 2025-07-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 25 — — $52,300.23 $158,071.05 $65,568.75 2025-07-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 25 — — $49,708.61 $152,505.40 $65,535.09 2025-07-23
5932 APR_DRG — 10 10 — — $63,775.17 $70,152.69 $65,369.55 2025-07-23
C1825 HCPCS Barostim Implantable Ipg Kit 49 34 $108,675.00 $86,940.00 20% off $30,429.00 $114,108.75 $65,205.00 2025-07-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 36 27 — — $49,013.21 $150,371.90 $64,646.37 2025-07-23
7360005539-736045 CDM Tavr Valve 45 31 $107,250.00 $85,800.00 20% off $30,030.00 $107,250.00 $64,350.00 2025-07-23
7490000539-749000 CDM Tavr Valve 45 31 $107,250.00 $85,800.00 20% off $30,030.00 $107,250.00 $64,350.00 2025-07-23
3033 APR_DRG — 10 10 — — $62,775.88 $69,053.47 $64,345.27 2025-07-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 27 — — $48,518.46 $148,854.03 $64,014.08 2025-07-23
J9029 HCPCS Instill Adstiladrin, Tx Dose 31 28 — — $53,953.44 $142,817.94 $63,499.33 2025-07-23
9104 APR_DRG — 10 10 — — $61,659.86 $67,825.85 $63,201.35 2025-07-23
6084 APR_DRG — 10 10 — — $61,349.31 $67,484.24 $62,883.04 2025-07-23
5881 APR_DRG — 10 10 — — $61,338.01 $67,471.81 $62,871.46 2025-07-23
1834 APR_DRG — 10 10 — — $60,912.53 $67,003.78 $62,435.35 2025-07-23
6814 APR_DRG — 10 10 — — $60,653.46 $66,718.81 $62,169.79 2025-07-23
3124 APR_DRG — 10 10 — — $60,484.89 $66,533.38 $61,997.01 2025-07-23
7404 APR_DRG — 10 10 — — $60,405.18 $66,445.70 $61,915.31 2025-07-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 27 — — $46,804.71 $143,596.28 $61,823.92 2025-07-23
6904 APR_DRG — 10 10 — — $60,083.82 $66,092.20 $61,585.92 2025-07-23
1664 APR_DRG — 10 10 — — $59,650.37 $65,615.41 $61,141.63 2025-07-23
Q2043 HCPCS Sipuleucel-t Susp 250 Ml Bag 75 50 $165,909.00 $132,727.20 $15,400.68 $157,613.55 $60,094.26 2025-07-23
3614 APR_DRG — 10 10 — — $58,604.11 $64,464.52 $60,069.21 2025-07-23
0914 APR_DRG — 10 10 — — $58,428.90 $64,271.79 $59,889.62 2025-07-23
38240 HCPCS Transplt Allo Hct/donor 43 35 — — $2,682.10 $133,573.25 $59,365.89 2025-07-23
9114 APR_DRG — 10 10 — — $57,826.88 $63,609.57 $59,272.55 2025-07-23
0214 APR_DRG — 10 10 — — $57,474.80 $63,222.28 $58,911.67 2025-07-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 27 — — $44,314.05 $135,954.95 $58,640.84 2025-07-23
7594 APR_DRG — 10 10 — — $56,721.66 $62,393.83 $58,139.70 2025-07-23
1794 APR_DRG — 10 10 — — $56,645.27 $62,309.80 $58,061.40 2025-07-23
6144 APR_DRG — 10 10 — — $56,627.00 $62,289.70 $58,042.68 2025-07-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 27 — — $43,621.15 $133,829.15 $57,755.32 2025-07-23
6313 APR_DRG — 10 10 — — $56,144.55 $61,759.01 $57,548.17 2025-07-23
1623 APR_DRG — 10 10 — — $55,937.79 $61,531.57 $57,336.24 2025-07-23
6254 APR_DRG — 10 10 — — $55,399.71 $60,939.68 $56,784.71 2025-07-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 27 — — $42,817.26 $131,362.84 $56,727.95 2025-07-23
1204 APR_DRG — 10 10 — — $55,136.49 $60,650.14 $56,514.90 2025-07-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 25 — — $44,537.91 $134,610.37 $56,120.89 2025-07-23
2604 APR_DRG — 10 10 — — $54,693.90 $60,163.29 $56,061.25 2025-07-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 36 27 — — $41,880.44 $128,488.68 $55,530.70 2025-07-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 27 — — $41,809.59 $128,271.29 $55,440.15 2025-07-23
9124 APR_DRG — 10 10 — — $54,076.94 $59,484.63 $55,428.87 2025-07-23
0274 APR_DRG — 10 10 — — $53,873.50 $59,260.85 $55,220.34 2025-07-23
2324 APR_DRG — 10 10 — — $53,508.13 $58,858.94 $54,845.83 2025-07-23
6954 APR_DRG — 10 10 — — $53,244.91 $58,569.40 $54,576.04 2025-07-23
2204 APR_DRG — 10 10 — — $52,913.59 $58,204.95 $54,236.43 2025-07-23
0234 APR_DRG — 10 10 — — $52,767.44 $58,044.18 $54,086.62 2025-07-23
1694 APR_DRG — 10 10 — — $52,568.16 $57,824.98 $53,882.37 2025-07-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 27 — — $40,552.97 $124,415.99 $53,834.18 2025-07-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 27 — — $40,494.65 $124,237.08 $53,759.65 2025-07-23
1603 APR_DRG — 10 10 — — $51,946.21 $57,140.83 $53,244.86 2025-07-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 25 — — $42,042.22 $127,067.47 $53,083.29 2025-07-23
0204 APR_DRG — 10 10 — — $51,492.00 $56,641.20 $52,779.30 2025-07-23
1783 APR_DRG — 10 10 — — $51,484.52 $56,632.97 $52,771.63 2025-07-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 27 — — $39,656.90 $121,666.88 $52,689.01 2025-07-23
7901030018-790103 CDM Kt Cadaveric Double Organ Chg 44 30 $86,840.00 $69,472.00 20% off $24,315.20 $86,840.00 $52,104.00 2025-07-23
9504 APR_DRG — 10 10 — — $50,824.38 $55,906.82 $52,094.99 2025-07-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 27 — — $38,842.36 $119,167.87 $51,648.03 2025-07-23
A9543 HCPCS Zevalin- Yttrium 90 75 50 $79,085.00 $63,268.00 20% off $23,186.52 $147,322.31 $51,405.25 2025-07-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 27 — — $38,615.36 $118,471.45 $51,357.93 2025-07-23
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 36 27 — — $38,480.55 $118,057.83 $51,185.63 2025-07-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 27 — — $38,304.97 $117,519.17 $50,961.25 2025-07-23
4403 APR_DRG — 10 10 — — $49,589.62 $54,548.58 $50,829.36 2025-07-23
0924 APR_DRG — 10 10 — — $49,559.73 $54,515.70 $50,798.73 2025-07-23
28 MS_DRG Spinal Procedures With Mcc 36 27 — — $38,121.87 $116,957.42 $50,727.24 2025-07-23
1611 APR_DRG — 10 10 — — $49,247.34 $54,172.07 $50,478.52 2025-07-23
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 25 — — $37,848.47 $116,118.64 $50,377.85 2025-07-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 25 — — $37,848.47 $116,118.64 $50,377.85 2025-07-23
5891 APR_DRG — 10 10 — — $48,983.85 $53,882.24 $50,208.44 2025-07-23
6083 APR_DRG — 10 10 — — $48,849.76 $53,734.74 $50,071.01 2025-07-23
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 36 27 — — $37,565.67 $115,251.01 $50,016.42 2025-07-23
6113 APR_DRG — 10 10 — — $48,621.41 $53,483.55 $49,836.95 2025-07-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 27 — — $37,305.44 $114,452.63 $49,683.85 2025-07-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 36 27 — — $37,277.23 $114,366.06 $49,647.79 2025-07-23
4414 APR_DRG — 10 10 — — $48,321.65 $53,153.82 $49,529.69 2025-07-23
7360005504-736045 CDM Ventriculr Assist Device 44 30 $82,500.00 $66,000.00 20% off $23,100.00 $82,500.00 $49,500.00 2025-07-23
7490000504-749000 CDM Ventriculr Assist Device 44 30 $82,500.00 $66,000.00 20% off $23,100.00 $82,500.00 $49,500.00 2025-07-23
6133 APR_DRG — 10 10 — — $47,988.67 $52,787.54 $49,188.38 2025-07-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 27 — — $36,897.23 $113,200.24 $49,162.16 2025-07-23
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 25 — — $38,792.19 $117,244.65 $49,127.54 2025-07-23
0894 APR_DRG — 10 10 — — $47,856.64 $52,642.30 $49,053.06 2025-07-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 27 — — $36,509.08 $112,009.41 $48,666.10 2025-07-23
2614 APR_DRG — 10 10 — — $47,409.07 $52,149.98 $48,594.29 2025-07-23
6022 APR_DRG — 10 10 — — $47,292.77 $52,022.05 $48,475.09 2025-07-23
1764 APR_DRG — 10 10 — — $47,058.66 $51,764.53 $48,235.12 2025-07-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 27 — — $35,989.25 $110,414.58 $48,001.76 2025-07-23
6234 APR_DRG — 10 10 — — $46,675.86 $51,343.45 $47,842.76 2025-07-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 27 — — $35,774.17 $109,754.71 $47,726.89 2025-07-23
1633 APR_DRG — 10 10 — — $46,545.49 $51,200.04 $47,709.12 2025-07-23
1304 APR_DRG — 10 10 — — $46,453.32 $51,098.65 $47,614.65 2025-07-23
5144 APR_DRG — 10 10 — — $46,107.06 $50,717.77 $47,259.74 2025-07-23
7924 APR_DRG — 10 10 — — $46,011.56 $50,612.72 $47,161.85 2025-07-23
5104 APR_DRG — 10 10 — — $45,923.54 $50,515.89 $47,071.63 2025-07-23
1814 APR_DRG — 10 10 — — $45,760.79 $50,336.87 $46,904.81 2025-07-23
1653 APR_DRG — 10 10 — — $45,585.58 $50,144.14 $46,725.22 2025-07-23
653 MS_DRG Major Bladder Procedures With Mcc 36 27 — — $34,955.86 $107,244.15 $46,681.09 2025-07-23
6514 APR_DRG — 10 10 — — $45,536.59 $50,090.25 $46,675.00 2025-07-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 27 — — $34,659.27 $106,334.20 $46,302.04 2025-07-23
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 36 27 — — $34,659.27 $106,334.20 $46,302.04 2025-07-23
0072 APR_DRG — 10 10 — — $45,042.19 $49,546.41 $46,168.25 2025-07-23
0224 APR_DRG — 10 10 — — $44,538.49 $48,992.34 $45,651.95 2025-07-23
8 MS_DRG Simultaneous Pancreas/kidney Transplant 34 25 — — $34,118.74 $104,675.88 $45,611.25 2025-07-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 36 27 — — $34,040.99 $104,437.33 $45,511.88 2025-07-23
J9226 HCPCS Supprelin La Implant 43 35 — — $15,400.68 $102,111.62 $45,382.94 2025-07-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 27 — — $33,867.29 $103,904.44 $45,289.90 2025-07-23
7584 APR_DRG — 10 10 — — $44,179.77 $48,597.75 $45,284.26 2025-07-23
0083 APR_DRG — 10 10 — — $44,170.64 $48,587.70 $45,274.90 2025-07-23
7110007940-711000 CDM Tag Conform Thorac Stent Tgm/r 45 31 $75,425.00 $60,340.00 20% off $21,119.00 $75,425.00 $45,255.00 2025-07-23
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 36 27 — — $33,835.31 $103,806.32 $45,249.03 2025-07-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 36 27 — — $33,831.55 $103,794.78 $45,244.22 2025-07-23
33276 HCPCS Insj Phrnc Nrv Stim Sys 31 28 — — $38,395.01 $101,633.85 $45,170.60 2025-07-23
0266T HCPCS Implt/rpl Crtd Sns Dev Total 43 35 — — $12,436.05 $101,633.85 $45,170.60 2025-07-23
2644 APR_DRG — 10 10 — — $44,005.39 $48,405.93 $45,105.53 2025-07-23
3634 APR_DRG — 10 10 — — $43,840.15 $48,224.17 $44,936.15 2025-07-23
5114 APR_DRG — 10 10 — — $43,757.94 $48,133.73 $44,851.89 2025-07-23
0264 APR_DRG — 10 10 — — $43,718.09 $48,089.90 $44,811.04 2025-07-23
1214 APR_DRG — 10 10 — — $43,700.65 $48,070.72 $44,793.17 2025-07-23
4044 APR_DRG — 10 10 — — $43,665.77 $48,032.35 $44,757.41 2025-07-23
3214 APR_DRG — 10 10 — — $43,630.90 $47,993.99 $44,721.68 2025-07-23
2304 APR_DRG — 10 10 — — $43,621.76 $47,983.94 $44,712.31 2025-07-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 36 27 — — $33,360.63 $102,350.01 $44,642.39 2025-07-23
C1822 HCPCS Senza Omnia Neurostim Kt Hf10c 95 34 $74,175.00 $59,340.00 20% off $20,769.00 $81,144.00 $44,505.00 2025-07-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 27 — — $33,213.28 $101,897.91 $44,454.06 2025-07-23
6123 APR_DRG — 10 10 — — $43,210.73 $47,531.80 $44,291.00 2025-07-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 25 — — $34,513.79 $104,313.70 $43,920.11 2025-07-23
5184 APR_DRG — 10 10 — — $42,782.26 $47,060.49 $43,851.82 2025-07-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 25 — — $34,303.10 $103,676.92 $43,663.67 2025-07-23
0304 APR_DRG — 10 10 — — $42,382.02 $46,620.22 $43,441.57 2025-07-23
1673 APR_DRG — 10 10 — — $42,196.02 $46,415.62 $43,250.92 2025-07-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 27 — — $32,186.78 $98,748.65 $43,142.21 2025-07-23
4054 APR_DRG — 10 10 — — $41,990.92 $46,190.01 $43,040.69 2025-07-23
8633 APR_DRG — 10 10 — — $41,892.10 $46,081.31 $42,939.40 2025-07-23
0062 APR_DRG — 10 10 — — $41,823.96 $46,006.36 $42,869.56 2025-07-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 27 — — $31,945.99 $98,009.91 $42,834.48 2025-07-23
1824 APR_DRG — 10 10 — — $41,775.02 $45,952.52 $42,819.39 2025-07-23
0021 APR_DRG — 10 10 — — $41,730.88 $45,903.97 $42,774.15 2025-07-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 27 — — $31,848.17 $97,709.80 $42,709.46 2025-07-23
3043 APR_DRG — 10 10 — — $41,542.52 $45,696.77 $42,581.08 2025-07-23
6224 APR_DRG — 10 10 — — $41,444.54 $45,588.99 $42,480.65 2025-07-23
4014 APR_DRG — 10 10 — — $41,398.87 $45,538.76 $42,433.84 2025-07-23
9103 APR_DRG — 10 10 — — $41,348.21 $45,483.03 $42,381.92 2025-07-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 36 27 — — $31,584.18 $96,899.88 $42,372.09 2025-07-23
4034 APR_DRG — 10 10 — — $41,306.69 $45,437.36 $42,339.35 2025-07-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 36 27 — — $31,397.95 $96,328.51 $42,134.07 2025-07-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 27 — — $31,373.49 $96,253.49 $42,102.82 2025-07-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 27 — — $31,360.95 $96,215.01 $42,086.79 2025-07-23
7104 APR_DRG — 10 10 — — $41,003.61 $45,103.97 $42,028.70 2025-07-23
1793 APR_DRG — 10 10 — — $40,997.80 $45,097.58 $42,022.75 2025-07-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 27 — — $31,248.08 $95,868.73 $41,942.54 2025-07-23
1833 APR_DRG — 10 10 — — $40,794.36 $44,873.80 $41,814.22 2025-07-23
7360005672-736045 CDM Gore, C Tag 45 31 $69,500.00 $55,600.00 20% off $19,460.00 $69,500.00 $41,700.00 2025-07-23
7110009526-711000 CDM Stent Gore Thoracic Conform 45 31 $69,500.00 $55,600.00 20% off $19,460.00 $69,500.00 $41,700.00 2025-07-23
7490000672-749000 CDM Gore, C Tag 45 31 $69,500.00 $55,600.00 20% off $19,460.00 $69,500.00 $41,700.00 2025-07-23
7110005452-711000 CDM Aortoiliac Artery 10mm*7.5cm 45 31 $69,000.00 $55,200.00 20% off $19,320.00 $69,000.00 $41,400.00 2025-07-23
C1826 HCPCS Neurostimulator Incept 977119 48 33 $69,000.00 $55,200.00 20% off $19,320.00 $72,450.00 $41,400.00 2025-07-23
C2624 HCPCS Pressure Sensor (mems) 49 34 $68,830.00 $55,064.00 20% off $19,272.40 $72,271.50 $41,298.00 2025-07-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 25 — — $32,294.01 $97,604.70 $41,218.33 2025-07-23
245 MS_DRG Aicd Generator Procedures 36 27 — — $30,642.97 $94,012.26 $41,169.22 2025-07-23
471 MS_DRG Cervical Spinal Fusion With Mcc 36 27 — — $30,457.99 $93,444.74 $40,932.81 2025-07-23
6 MS_DRG Liver Transplant Without Mcc 34 25 — — $30,407.20 $93,288.91 $40,867.90 2025-07-23
6504 APR_DRG — 10 10 — — $39,669.21 $43,636.13 $40,660.94 2025-07-23
3254 APR_DRG — 10 10 — — $39,471.58 $43,418.74 $40,458.37 2025-07-23
7114 APR_DRG — 10 10 — — $39,415.94 $43,357.53 $40,401.34 2025-07-23
8423 APR_DRG — 10 10 — — $39,409.30 $43,350.23 $40,394.54 2025-07-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 27 — — $29,945.06 $91,871.07 $40,277.29 2025-07-23
0042 APR_DRG — 10 10 — — $39,277.78 $43,205.56 $40,259.72 2025-07-23
6344 APR_DRG — 10 10 — — $39,219.15 $43,141.07 $40,199.63 2025-07-23
799 MS_DRG Splenic Procedures With Mcc 36 27 — — $29,815.26 $91,472.84 $40,111.40 2025-07-23
4474 APR_DRG — 10 10 — — $39,126.15 $43,038.77 $40,104.31 2025-07-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 27 — — $29,809.62 $91,455.53 $40,104.18 2025-07-23
6143 APR_DRG — 10 10 — — $38,873.71 $42,761.08 $39,845.56 2025-07-23
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 36 27 — — $29,501.10 $90,509.02 $39,709.91 2025-07-23
5124 APR_DRG — 10 10 — — $38,706.81 $42,577.49 $39,674.48 2025-07-23
4424 APR_DRG — 10 10 — — $38,679.41 $42,547.35 $39,646.40 2025-07-23
1704 APR_DRG — 10 10 — — $38,554.85 $42,410.34 $39,518.72 2025-07-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 27 — — $29,343.09 $90,024.22 $39,507.96 2025-07-23
0012 APR_DRG — 10 10 — — $38,410.11 $42,251.12 $39,370.37 2025-07-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 36 27 — — $29,170.02 $89,493.25 $39,286.78 2025-07-23
1663 APR_DRG — 10 10 — — $38,318.20 $42,150.02 $39,276.15 2025-07-23
7110006111-711000 CDM Stent Freeflo Thor Vnmf 223-29 45 31 $65,260.00 $52,208.00 20% off $18,272.80 $65,260.00 $39,156.00 2025-07-23
9514 APR_DRG — 10 10 — — $38,144.65 $41,959.12 $39,098.26 2025-07-23
7360001991-736045 CDM Gore,thoracic Stent Endograft 45 31 $65,155.00 $52,124.00 20% off $18,243.40 $65,155.00 $39,093.00 2025-07-23
7310001991-731000 CDM Gore,thoracic Stent Endograft 45 31 $65,155.00 $52,124.00 20% off $18,243.40 $65,155.00 $39,093.00 2025-07-23
7310001991-731007 CDM Gore,thoracic Stent Endograft 45 31 $65,155.00 $52,124.00 20% off $18,243.40 $65,155.00 $39,093.00 2025-07-23
7934 APR_DRG — 10 10 — — $38,005.15 $41,805.67 $38,955.28 2025-07-23
1754 APR_DRG — 10 10 — — $38,003.49 $41,803.84 $38,953.57 2025-07-23
163 MS_DRG Major Chest Procedures With Mcc 36 27 — — $28,902.27 $88,671.79 $38,944.59 2025-07-23
6302 APR_DRG — 10 10 — — $37,991.03 $41,790.13 $38,940.81 2025-07-23
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 25 — — $28,890.35 $85,273.86 $38,929.37 2025-07-23
7901030020-790103 CDM Kt Living Donor Organ 44 30 $64,800.00 $51,840.00 20% off $18,144.00 $64,800.00 $38,880.00 2025-07-23
7901030017-790103 CDM Kt Cadaveric Single Organ Chg 44 30 $64,800.00 $51,840.00 20% off $18,144.00 $64,800.00 $38,880.00 2025-07-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 27 — — $28,798.17 $88,352.44 $38,811.56 2025-07-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 27 — — $28,793.78 $88,338.97 $38,805.95 2025-07-23
3154 APR_DRG — 10 10 — — $37,833.26 $41,616.59 $38,779.09 2025-07-23
0294 APR_DRG — 10 10 — — $37,810.84 $41,591.92 $38,756.11 2025-07-23
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