Hospital

GRADY MEMORIAL HOSPITAL

Atlanta, GA · CCN 110079 · Rates published

Your selected procedure

You selected 93350 (CPT)

Echo W/Stress Test

This hospital’s price: $546 across 18 payers · range $61-$3,721

Source: https://www.gradyhealth.org/files/263037695_GradyMemorialHospitalCorporation_standardcharges.csv · observed 2026-07-18

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.

17,330 distinct procedures filed

18 distinct payers

1,564,794 rate rows

2026-07-18 last MRF observed

Data quality

1,544,496 of 1,564,794 rate rows are consumer-grade (98.7%)

20,298 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
per-diem day rate — not a per-procedure price	8,252
template filing: same amount across many unrelated codes — excluded	5,206
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	4,644
placeholder amount (≤ $0.02) — excluded from medians	1,210
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	562
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	206
percent-of-charges filed in the dollar field — excluded from medians	206
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	12

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

Source MRF file	https://www.gradyhealth.org/files/263037695_GradyMemorialHospitalCorporation_standardcharges.csv
Found on page	https://www.gradyhealth.org/billing/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-28
Content fingerprint	56a52c7d93dfce17… · 183,519,751 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3391 HCPCS	Inj Atidarsagene Autotemcel	14	$4,250,000.00	$4,730,250.00	$4,505,000.00	nat. median $4,505,000 1.0× median
J1414 HCPCS	Inj Beqvez Per Tx Dose	2	$3,710,000.00	$3,895,500.00	$3,802,750.00	nat. median $3,710,000 1.0× median
J1411 HCPCS	Inj Hemgenix Per Tx Dose	15	$3,500,000.00	$3,869,530.00	$3,685,266.67	nat. median $3,705,478 1.0× median
C9172 HCPCS	Inj- Beqvez- Per Tx Dose	1	$3,605,000.00	$3,605,000.00	$3,605,000.00	nat. median $3,605,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	15	$3,200,000.00	$3,490,800.50	$3,316,462.59	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj Lovotibeglogene Autotem	15	$3,100,000.00	$3,424,422.75	$3,248,445.72	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj Betibeglogene Autotemce	16	$2,800,000.00	$4,897,200.00	$2,945,740.00	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	17	$2,388,614.23	$4,541,954.63	$2,455,110.61	nat. median $2,467,386 1.0× median
J3392 HCPCS	Inj Exagamglogene Autotem	17	$2,200,000.00	$4,314,200.00	$2,332,000.00	nat. median $2,401,965 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	16	$770,620.00	$1,425,647.00	$770,620.00	nat. median $813,967 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	17	$529,192.86	$1,094,693.47	$591,726.20	nat. median $739,258 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	17	$527,123.43	$1,046,857.56	$578,884.26	nat. median $646,415 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	17	$516,485.97	$1,040,695.65	$562,538.19	nat. median $640,950 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	17	$526,587.59	$1,031,038.17	$557,317.93	nat. median $622,450 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	17	$489,455.96	$986,475.81	$533,230.17	nat. median $608,239 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	17	$460,530.40	$905,213.53	$500,879.35	nat. median $591,721 0.8× median
C9301 HCPCS	Obecabtagene Car Pos T	1	$459,112.50	$459,112.50	$459,112.50	nat. median $459,112 1.0× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	14	$258,793.83	$829,681.60	$301,887.83	nat. median $359,454 0.8× median
1614 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	3	$288,366.98	$288,366.98	$288,366.98	nat. median $202,993 1.4× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	16	$262,500.00	$514,762.50	$278,250.00	nat. median $319,951 0.9× median
5834 APR_DRG	Neonate W Ecmo	3	$275,412.64	$275,412.64	$275,412.64	nat. median $307,206 0.9× median
J3403 HCPCS	Revakinagene Per Implant	13	$257,500.00	$476,375.00	$257,500.00	nat. median $265,000 1.0× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	3	$248,261.78	$248,261.78	$248,261.78	nat. median $163,587 1.5× median
5833 APR_DRG	Neonate W Ecmo	3	$218,094.16	$218,094.16	$218,094.16	nat. median $244,017 0.9× median
1613 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	3	$211,173.35	$211,173.35	$211,173.35	nat. median $120,517 1.8× median
44 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	3	$207,801.68	$207,801.68	$207,801.68	nat. median $122,016 1.7× median
6304 APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	3	$207,624.22	$207,624.22	$207,624.22	nat. median $154,011 1.3× median
J3402 HCPCS	Inj. Remestemcel-l-rknd/ Td	15	$205,640.00	$380,434.00	$205,640.00	nat. median $209,753 1.0× median
5884 APR_DRG	Neonate Bwt <1500g W Major Procedure	3	$203,542.72	$203,542.72	$203,542.72	nat. median $247,214 0.8× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	14	$186,583.87	$619,702.60	$195,913.06	nat. median $249,036 0.8× median
24 APR_DRG	Heart &/or Lung Transplant	3	$163,703.71	$163,703.71	$163,703.71	nat. median $241,437 0.7× median
5832 APR_DRG	Neonate W Ecmo	3	$160,864.41	$160,864.41	$160,864.41	nat. median $159,249 1.0× median
8414 APR_DRG	Extensive 3rd Degree Burns W Skin Graft	3	$152,346.49	$152,346.49	$152,346.49	nat. median $155,939 1.0× median
5914 APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	3	$149,152.27	$149,152.27	$149,152.27	nat. median $162,342 0.9× median
5883 APR_DRG	Neonate Bwt <1500g W Major Procedure	3	$145,514.41	$145,514.41	$145,514.41	nat. median $175,204 0.8× median
54 APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	3	$144,094.76	$144,094.76	$144,094.76	nat. median $81,521 1.8× median
5882 APR_DRG	Neonate Bwt <1500g W Major Procedure	3	$142,497.65	$142,497.65	$142,497.65	nat. median $145,061 1.0× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	14	$72.88	$287,356.38	$142,152.19	nat. median $198,418 0.7× median
114 APR_DRG	Room & Board - Private (One Bed) - Psychiatric	3	$142,054.01	$142,054.01	$142,054.01	nat. median $123,836 1.1× median
6094 APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	3	$141,344.18	$141,344.18	$141,344.18	nat. median $165,000 0.9× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	14	$141,317.94	$318,378.00	$141,317.94	nat. median $190,559 0.7× median
5831 APR_DRG	Neonate W Ecmo	3	$139,037.25	$139,037.25	$139,037.25	nat. median $146,500 0.9× median
1612 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	3	$132,826.27	$132,826.27	$132,826.27	nat. median $84,880 1.6× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	3	$131,140.43	$131,140.43	$131,140.43	nat. median $170,082 0.8× median
1611 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	3	$126,171.64	$126,171.64	$126,171.64	nat. median $76,852 1.6× median
5934 APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	3	$123,509.79	$123,509.79	$123,509.79	nat. median $151,838 0.8× median
6034 APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	3	$118,452.28	$118,452.28	$118,452.28	nat. median $107,681 1.1× median
64 APR_DRG	Pancreas Transplant	3	$117,653.73	$117,653.73	$117,653.73	nat. median $91,106 1.3× median
53 APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	3	$112,507.48	$112,507.48	$112,507.48	nat. median $50,484 outlier · 2.2×
6303 APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	3	$109,668.18	$109,668.18	$109,668.18	nat. median $75,456 1.5× median

Other procedures at this hospital

Browse this hospital's 17,330 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J3391	HCPCS	Inj Atidarsagene Autotemcel	28	14	—	—	$4,250,000.00	$4,730,250.00	$4,505,000.00	2026-07-18
J1414	HCPCS	Inj Beqvez Per Tx Dose	4	2	—	—	$3,710,000.00	$3,895,500.00	$3,802,750.00	2026-07-18
J1411	HCPCS	Inj Hemgenix Per Tx Dose	32	15	—	—	$3,500,000.00	$3,869,530.00	$3,685,266.67	2026-07-18
C9172	HCPCS	Inj- Beqvez- Per Tx Dose	2	1	—	—	$3,605,000.00	$3,605,000.00	$3,605,000.00	2026-07-18
J1413	HCPCS	Inj Delandistrogene Mox Rokl	32	15	—	—	$3,200,000.00	$3,490,800.50	$3,316,462.59	2026-07-18
J3394	HCPCS	Inj Lovotibeglogene Autotem	32	15	—	—	$3,100,000.00	$3,424,422.75	$3,248,445.72	2026-07-18
J3393	HCPCS	Inj Betibeglogene Autotemce	46	16	—	—	$2,800,000.00	$4,897,200.00	$2,945,740.00	2026-07-18
J3399	HCPCS	Inj Onase Abepar-xioi Treat	38	17	—	—	$2,388,614.23	$4,541,954.63	$2,455,110.61	2026-07-18
J3392	HCPCS	Inj Exagamglogene Autotem	46	17	—	—	$2,200,000.00	$4,314,200.00	$2,332,000.00	2026-07-18
Q2057	HCPCS	Afamitresgene Autoleucel	42	16	—	—	$770,620.00	$1,425,647.00	$770,620.00	2026-07-18
Q2042	HCPCS	Tisagenlecleucel Car-pos T	54	17	—	—	$529,192.86	$1,094,693.47	$591,726.20	2026-07-18
Q2056	HCPCS	Ciltacabtagene Car-pos T	58	17	—	—	$527,123.43	$1,046,857.56	$578,884.26	2026-07-18
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	56	17	—	—	$516,485.97	$1,040,695.65	$562,538.19	2026-07-18
Q2055	HCPCS	Idecabtagene Vicleucel Car	54	17	—	—	$526,587.59	$1,031,038.17	$557,317.93	2026-07-18
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	54	17	—	—	$489,455.96	$986,475.81	$533,230.17	2026-07-18
Q2053	HCPCS	Brexucabtagene Car Pos T	56	17	—	—	$460,530.40	$905,213.53	$500,879.35	2026-07-18
C9301	HCPCS	Obecabtagene Car Pos T	6	1	—	—	$459,112.50	$459,112.50	$459,112.50	2026-07-18
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	42	14	—	—	$258,793.83	$829,681.60	$301,887.83	2026-07-18
1614	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$288,366.98	$288,366.98	$288,366.98	2026-07-18
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	34	16	—	—	$262,500.00	$514,762.50	$278,250.00	2026-07-18
5834	APR_DRG	Neonate W Ecmo	6	3	—	—	$275,412.64	$275,412.64	$275,412.64	2026-07-18
J3403	HCPCS	Revakinagene Per Implant	26	13	—	—	$257,500.00	$476,375.00	$257,500.00	2026-07-18
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	3	—	—	$248,261.78	$248,261.78	$248,261.78	2026-07-18
5833	APR_DRG	Neonate W Ecmo	6	3	—	—	$218,094.16	$218,094.16	$218,094.16	2026-07-18
1613	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$211,173.35	$211,173.35	$211,173.35	2026-07-18
44	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	3	—	—	$207,801.68	$207,801.68	$207,801.68	2026-07-18
6304	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	6	3	—	—	$207,624.22	$207,624.22	$207,624.22	2026-07-18
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	34	15	—	—	$205,640.00	$380,434.00	$205,640.00	2026-07-18
5884	APR_DRG	Neonate Bwt <1500g W Major Procedure	6	3	—	—	$203,542.72	$203,542.72	$203,542.72	2026-07-18
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	42	14	—	—	$186,583.87	$619,702.60	$195,913.06	2026-07-18
24	APR_DRG	Heart &/or Lung Transplant	6	3	—	—	$163,703.71	$163,703.71	$163,703.71	2026-07-18
5832	APR_DRG	Neonate W Ecmo	6	3	—	—	$160,864.41	$160,864.41	$160,864.41	2026-07-18
8414	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	6	3	—	—	$152,346.49	$152,346.49	$152,346.49	2026-07-18
5914	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	6	3	—	—	$149,152.27	$149,152.27	$149,152.27	2026-07-18
5883	APR_DRG	Neonate Bwt <1500g W Major Procedure	6	3	—	—	$145,514.41	$145,514.41	$145,514.41	2026-07-18
54	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	3	—	—	$144,094.76	$144,094.76	$144,094.76	2026-07-18
5882	APR_DRG	Neonate Bwt <1500g W Major Procedure	6	3	—	—	$142,497.65	$142,497.65	$142,497.65	2026-07-18
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	34	14	—	—	$72.88	$287,356.38	$142,152.19	2026-07-18
114	APR_DRG	Room & Board - Private (One Bed) - Psychiatric	6	3	—	—	$142,054.01	$142,054.01	$142,054.01	2026-07-18
6094	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	6	3	—	—	$141,344.18	$141,344.18	$141,344.18	2026-07-18
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	34	14	—	—	$141,317.94	$318,378.00	$141,317.94	2026-07-18
5831	APR_DRG	Neonate W Ecmo	6	3	—	—	$139,037.25	$139,037.25	$139,037.25	2026-07-18
1612	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$132,826.27	$132,826.27	$132,826.27	2026-07-18
74	APR_DRG	Allogeneic Bone Marrow Transplant	6	3	—	—	$131,140.43	$131,140.43	$131,140.43	2026-07-18
1611	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$126,171.64	$126,171.64	$126,171.64	2026-07-18
5934	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	6	3	—	—	$123,509.79	$123,509.79	$123,509.79	2026-07-18
6034	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	6	3	—	—	$118,452.28	$118,452.28	$118,452.28	2026-07-18
64	APR_DRG	Pancreas Transplant	6	3	—	—	$117,653.73	$117,653.73	$117,653.73	2026-07-18
53	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	3	—	—	$112,507.48	$112,507.48	$112,507.48	2026-07-18
6303	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	6	3	—	—	$109,668.18	$109,668.18	$109,668.18	2026-07-18
Q0480	HCPCS	Driver Pneumatic Vad Rep	32	15	—	—	$99,999.92	$202,235.12	$109,316.28	2026-07-18
14	APR_DRG	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$108,159.80	$108,159.80	$108,159.80	2026-07-18
13	APR_DRG	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$108,159.80	$108,159.80	$108,159.80	2026-07-18
12	APR_DRG	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$108,159.80	$108,159.80	$108,159.80	2026-07-18
5933	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	6	3	—	—	$106,651.42	$106,651.42	$106,651.42	2026-07-18
23	APR_DRG	Heart &/or Lung Transplant	6	3	—	—	$102,392.46	$102,392.46	$102,392.46	2026-07-18
1624	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	6	3	—	—	$102,037.55	$102,037.55	$102,037.55	2026-07-18
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	6	3	—	—	$98,932.05	$98,932.05	$98,932.05	2026-07-18
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	3	—	—	$98,222.23	$98,222.23	$98,222.23	2026-07-18
5881	APR_DRG	Neonate Bwt <1500g W Major Procedure	6	3	—	—	$93,785.81	$93,785.81	$93,785.81	2026-07-18
6314	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	6	3	—	—	$93,253.44	$93,253.44	$93,253.44	2026-07-18
6334	APR_DRG	Neonate Birthwt >2499g W Major Anomaly	6	3	—	—	$92,721.07	$92,721.07	$92,721.07	2026-07-18
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…	34	14	—	—	$92,222.99	$207,771.00	$92,222.99	2026-07-18
9504	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	6	3	—	—	$91,212.69	$91,212.69	$91,212.69	2026-07-18
7	MS_DRG	Lung Transplant	42	14	—	—	$86,222.77	$287,513.60	$90,533.91	2026-07-18
6344	APR_DRG	Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond	6	3	—	—	$90,502.87	$90,502.87	$90,502.87	2026-07-18
14	MS_DRG	Allogeneic Bone Marrow Transplant	42	14	—	—	$80,015.50	$288,239.60	$89,907.54	2026-07-18
69488-010-61	NDC	Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln [155407]	38	12	$147,864.54	$147,864.54	$21,883.95	$118,291.63	$87,461.88	2026-07-18
6024	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	3	—	—	$87,397.38	$87,397.38	$87,397.38	2026-07-18
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	44	14	—	—	$71,884.58	$230,458.80	$85,274.50	2026-07-18
43	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	3	—	—	$84,912.98	$84,912.98	$84,912.98	2026-07-18
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	6	3	—	—	$84,114.43	$84,114.43	$84,114.43	2026-07-18
5913	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	6	3	—	—	$83,315.87	$83,315.87	$83,315.87	2026-07-18
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	42	14	—	—	$75,447.42	$242,433.40	$79,219.79	2026-07-18
453	MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	2	1	—	—	$79,094.46	$79,094.46	$79,094.46	2026-07-18
1654	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	6	3	—	—	$79,056.92	$79,056.92	$79,056.92	2026-07-18
6023	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	3	—	—	$78,702.00	$78,702.00	$78,702.00	2026-07-18
21	APR_DRG	Heart &/or Lung Transplant	6	3	—	—	$78,258.36	$78,258.36	$78,258.36	2026-07-18
22	APR_DRG	Heart &/or Lung Transplant	6	3	—	—	$78,258.36	$78,258.36	$78,258.36	2026-07-18
5932	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	6	3	—	—	$77,459.81	$77,459.81	$77,459.81	2026-07-18
3034	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	6	3	—	—	$76,395.07	$76,395.07	$76,395.07	2026-07-18
8424	APR_DRG	Burns With Skin Graft Except Extensive 3rd Degree Burns	6	3	—	—	$76,217.61	$76,217.61	$76,217.61	2026-07-18
231	MS_DRG	Coronary Bypass With Ptca With Mcc	46	14	—	—	$56,126.50	$186,425.80	$75,635.74	2026-07-18
209	MS_DRG	Kidney And Urinary Tract Signs And Symptoms Age 0-17	30	12	—	—	$75,360.87	$169,782.00	$75,360.87	2026-07-18
212	MS_DRG	Concomitant Aortic And Mitral Valve?procedures	38	14	—	—	$72,400.04	$239,665.80	$74,756.42	2026-07-18
7114	APR_DRG	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	6	3	—	—	$74,531.77	$74,531.77	$74,531.77	2026-07-18
214	APR_DRG	Craniotomy Except For Trauma	6	3	—	—	$74,265.59	$74,265.59	$74,265.59	2026-07-18
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	42	14	—	—	$68,647.58	$234,286.80	$73,078.61	2026-07-18
850	MS_DRG	Acute Leukemia With Other Procedures	44	14	—	—	$57,655.18	$202,661.80	$72,718.54	2026-07-18
6022	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	3	—	—	$72,402.29	$72,402.29	$72,402.29	2026-07-18
73	APR_DRG	Allogeneic Bone Marrow Transplant	6	3	—	—	$72,047.38	$72,047.38	$72,047.38	2026-07-18
84	APR_DRG	Autologous Bone Marrow Transplant	6	3	—	—	$70,184.09	$70,184.09	$70,184.09	2026-07-18
83	APR_DRG	Autologous Bone Marrow Transplant	6	3	—	—	$70,184.09	$70,184.09	$70,184.09	2026-07-18
113	APR_DRG	Room & Board - Private (One Bed) - Pediatric	6	3	—	—	$69,917.90	$69,917.90	$69,917.90	2026-07-18
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	46	14	—	—	$50,901.94	$171,960.80	$69,767.08	2026-07-18
215	MS_DRG	Other Heart Assist System Implant	38	14	—	—	$66,293.97	$233,085.60	$69,608.67	2026-07-18
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	44	14	—	—	$57,235.10	$183,493.20	$68,715.70	2026-07-18
1304	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	6	3	—	—	$68,498.25	$68,498.25	$68,498.25	2026-07-18
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	32	15	—	—	$67,452.66	$124,787.42	$67,452.66	2026-07-18
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	14	—	—	$65,134.14	$212,324.20	$67,309.45	2026-07-18
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	44	14	—	—	$55,950.06	$186,322.40	$67,170.67	2026-07-18
9124	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	6	3	—	—	$67,167.32	$67,167.32	$67,167.32	2026-07-18
J9029	HCPCS	Instill Adstiladrin Tx Dose	62	17	—	—	$63,342.28	$117,183.22	$66,509.39	2026-07-18
J7330	HCPCS	Cultured Chondrocytes Implnt	6	1	—	—	$60,665.00	$65,821.53	$65,821.53	2026-07-18
1303	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	6	3	—	—	$64,860.39	$64,860.39	$64,860.39	2026-07-18
42	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	3	—	—	$64,239.29	$64,239.29	$64,239.29	2026-07-18
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	6	3	—	—	$63,884.38	$63,884.38	$63,884.38	2026-07-18
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	44	14	—	—	$52,390.68	$177,344.20	$63,634.15	2026-07-18
2204	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	6	3	—	—	$63,352.01	$63,352.01	$63,352.01	2026-07-18
4404	APR_DRG	Kidney Transplant	6	3	—	—	$62,642.18	$62,642.18	$62,642.18	2026-07-18
6074	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	3	—	—	$61,843.63	$61,843.63	$61,843.63	2026-07-18
1674	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	6	3	—	—	$61,666.17	$61,666.17	$61,666.17	2026-07-18
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	6	3	—	—	$61,666.17	$61,666.17	$61,666.17	2026-07-18
6114	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	6	3	—	—	$61,666.17	$61,666.17	$61,666.17	2026-07-18
3031	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	6	3	—	—	$61,488.71	$61,488.71	$61,488.71	2026-07-18
3033	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	6	3	—	—	$61,488.71	$61,488.71	$61,488.71	2026-07-18
3032	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	6	3	—	—	$61,488.71	$61,488.71	$61,488.71	2026-07-18
63	APR_DRG	Pancreas Transplant	6	3	—	—	$61,222.53	$61,222.53	$61,222.53	2026-07-18
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	3	—	—	$61,045.07	$61,045.07	$61,045.07	2026-07-18
6093	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	6	3	—	—	$60,778.89	$60,778.89	$60,778.89	2026-07-18
A9543	HCPCS	Y90 Ibritumomab Rx	48	15	—	—	$56,824.55	$105,125.42	$60,718.07	2026-07-18
8634	APR_DRG	Neonatal Aftercare	6	3	—	—	$60,423.97	$60,423.97	$60,423.97	2026-07-18
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	3	—	—	$60,069.06	$60,069.06	$60,069.06	2026-07-18
4403	APR_DRG	Kidney Transplant	6	3	—	—	$59,891.60	$59,891.60	$59,891.60	2026-07-18
1824	APR_DRG	Other Peripheral Vascular Procedures	6	3	—	—	$59,714.15	$59,714.15	$59,714.15	2026-07-18
304	APR_DRG	Laboratory - Non-routine Dialysis	6	3	—	—	$59,536.69	$59,536.69	$59,536.69	2026-07-18
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	2	1	—	—	$59,198.12	$59,198.12	$59,198.12	2026-07-18
72	APR_DRG	Allogeneic Bone Marrow Transplant	6	3	—	—	$59,004.32	$59,004.32	$59,004.32	2026-07-18
914	APR_DRG	Other Major Head & Neck Procedures	6	3	—	—	$58,738.13	$58,738.13	$58,738.13	2026-07-18
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	62	17	—	—	$55,015.23	$102,253.79	$58,035.94	2026-07-18
913	APR_DRG	Other Major Head & Neck Procedures	6	3	—	—	$58,028.31	$58,028.31	$58,028.31	2026-07-18
6134	APR_DRG	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	6	3	—	—	$57,850.85	$57,850.85	$57,850.85	2026-07-18
6033	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	6	3	—	—	$57,673.40	$57,673.40	$57,673.40	2026-07-18
11	APR_DRG	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$57,318.48	$57,318.48	$57,318.48	2026-07-18
7104	APR_DRG	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	6	3	—	—	$57,052.30	$57,052.30	$57,052.30	2026-07-18
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	44	14	—	—	$48,061.63	$156,259.40	$56,930.74	2026-07-18
6073	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	3	—	—	$56,519.93	$56,519.93	$56,519.93	2026-07-18
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	44	14	—	—	$47,474.39	$155,474.00	$56,463.12	2026-07-18
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	6	3	—	—	$56,165.01	$56,165.01	$56,165.01	2026-07-18
71	APR_DRG	Allogeneic Bone Marrow Transplant	6	3	—	—	$56,076.29	$56,076.29	$56,076.29	2026-07-18
8413	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	6	3	—	—	$55,898.83	$55,898.83	$55,898.83	2026-07-18
893	APR_DRG	Major Cranial/facial Bone Procedures	6	3	—	—	$55,810.10	$55,810.10	$55,810.10	2026-07-18
894	APR_DRG	Major Cranial/facial Bone Procedures	6	3	—	—	$55,810.10	$55,810.10	$55,810.10	2026-07-18
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	44	14	—	—	$46,018.95	$153,043.00	$55,205.86	2026-07-18
3044	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	6	3	—	—	$55,189.00	$55,189.00	$55,189.00	2026-07-18
6903	APR_DRG	Acute Leukemia	6	3	—	—	$54,834.09	$54,834.09	$54,834.09	2026-07-18
6904	APR_DRG	Acute Leukemia	6	3	—	—	$54,834.09	$54,834.09	$54,834.09	2026-07-18
10	MS_DRG	Pancreas Transplant	42	14	—	—	$47,776.00	$175,406.00	$54,712.54	2026-07-18
454	MS_DRG	Combined Anterior/posterior Spinal Fusion W Cc	2	1	—	—	$54,592.44	$54,592.44	$54,592.44	2026-07-18
1623	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	6	3	—	—	$54,567.90	$54,567.90	$54,567.90	2026-07-18
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	46	14	—	—	$40,364.95	$134,391.40	$54,524.61	2026-07-18
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	42	14	—	—	$47,502.36	$174,400.60	$54,398.94	2026-07-18
62	APR_DRG	Pancreas Transplant	6	3	—	—	$54,390.45	$54,390.45	$54,390.45	2026-07-18
61	APR_DRG	Pancreas Transplant	6	3	—	—	$54,390.45	$54,390.45	$54,390.45	2026-07-18
6032	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	6	3	—	—	$54,301.72	$54,301.72	$54,301.72	2026-07-18
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	44	14	—	—	$45,754.59	$146,687.20	$53,798.05	2026-07-18
1653	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	6	3	—	—	$53,680.62	$53,680.62	$53,680.62	2026-07-18
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	44	14	—	—	$44,486.27	$147,503.40	$53,277.46	2026-07-18
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	46	14	—	—	$5,701.60	$164,212.40	$53,270.17	2026-07-18
1302	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	6	3	—	—	$53,148.25	$53,148.25	$53,148.25	2026-07-18
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	38	14	—	—	$51,122.32	$170,225.00	$53,096.49	2026-07-18
6804	APR_DRG	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	6	3	—	—	$52,882.07	$52,882.07	$52,882.07	2026-07-18
7404	APR_DRG	Mental Illness Diagnosis W O.r. Procedure	6	3	—	—	$51,462.41	$51,462.41	$51,462.41	2026-07-18
6084	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	6	3	—	—	$51,373.69	$51,373.69	$51,373.69	2026-07-18
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	44	14	—	—	$42,842.40	$142,278.40	$51,354.50	2026-07-18
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	44	14	—	—	$42,452.49	$136,100.80	$50,981.49	2026-07-18
2604	APR_DRG	Major Pancreas, Liver & Shunt Procedures	6	3	—	—	$50,663.86	$50,663.86	$50,663.86	2026-07-18
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	44	14	—	—	$40,755.78	$139,134.60	$49,923.89	2026-07-18
9114	APR_DRG	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	6	3	—	—	$49,865.30	$49,865.30	$49,865.30	2026-07-18
6072	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	3	—	—	$49,865.30	$49,865.30	$49,865.30	2026-07-18
6814	APR_DRG	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	6	3	—	—	$49,776.58	$49,776.58	$49,776.58	2026-07-18
2304	APR_DRG	Major Small Bowel Procedures	6	3	—	—	$48,978.02	$48,978.02	$48,978.02	2026-07-18
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	44	14	—	—	$39,992.10	$136,276.80	$48,898.46	2026-07-18
6083	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	6	3	—	—	$48,889.29	$48,889.29	$48,889.29	2026-07-18
L7181	HCPCS	Electronic Elbo Simultaneous	38	17	—	—	$27,113.90	$89,970.66	$48,632.79	2026-07-18
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	44	14	—	—	$36,772.28	$135,007.40	$48,442.98	2026-07-18
6214	APR_DRG	Neonate Bwt 2000-2499g W Major Anomaly	6	3	—	—	$48,356.92	$48,356.92	$48,356.92	2026-07-18
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	44	14	—	—	$40,803.05	$131,797.60	$48,157.73	2026-07-18
28	MS_DRG	Spinal Procedures With Mcc	44	14	—	—	$40,003.42	$133,749.00	$48,133.79	2026-07-18
7594	APR_DRG	Eating Disorders	6	3	—	—	$48,090.74	$48,090.74	$48,090.74	2026-07-18
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	34	14	—	—	$72.88	$96,537.37	$47,756.03	2026-07-18
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	46	14	—	—	$36,370.80	$117,044.40	$47,486.67	2026-07-18
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome- Neonate	44	14	—	—	$39,571.98	$130,785.60	$47,306.13	2026-07-18
1673	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	6	3	—	—	$47,114.73	$47,114.73	$47,114.73	2026-07-18
955	MS_DRG	Craniotomy For Multiple Significant Trauma	46	14	—	—	$5,701.60	$150,222.60	$47,056.63	2026-07-18
1694	APR_DRG	Major Abdominal Vascular Procedures	6	3	—	—	$47,026.00	$47,026.00	$47,026.00	2026-07-18
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	44	14	—	—	$39,073.29	$129,452.40	$46,773.87	2026-07-18
3043	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	6	3	—	—	$46,671.09	$46,671.09	$46,671.09	2026-07-18
6124	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	6	3	—	—	$46,493.63	$46,493.63	$46,493.63	2026-07-18
6144	APR_DRG	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	6	3	—	—	$46,493.63	$46,493.63	$46,493.63	2026-07-18
274	APR_DRG	Medical/Surgical Supplies And Devices (Also See 062x An Extension Of 027x) - Pr…	6	3	—	—	$46,493.63	$46,493.63	$46,493.63	2026-07-18
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	44	14	—	—	$39,047.99	$128,090.60	$46,484.33	2026-07-18
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	44	14	—	—	$39,385.07	$126,266.80	$46,457.96	2026-07-18
52	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	3	—	—	$46,404.90	$46,404.90	$46,404.90	2026-07-18
J9226	HCPCS	Supprelin La Implant	60	17	—	—	$45,020.65	$83,288.20	$46,310.95	2026-07-18
3614	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	6	3	—	—	$46,049.99	$46,049.99	$46,049.99	2026-07-18
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	46	14	—	—	$35,129.74	$112,926.00	$45,815.77	2026-07-18
1764	APR_DRG	Cardiac Pacemaker & Defibrillator Device Replacement	6	3	—	—	$45,783.80	$45,783.80	$45,783.80	2026-07-18
2614	APR_DRG	Major Biliary Tract Procedures	6	3	—	—	$45,783.80	$45,783.80	$45,783.80	2026-07-18
2314	APR_DRG	Major Large Bowel Procedures	6	3	—	—	$45,695.07	$45,695.07	$45,695.07	2026-07-18
6954	APR_DRG	Chemotherapy For Acute Leukemia	6	3	—	—	$45,606.35	$45,606.35	$45,606.35	2026-07-18
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	44	14	—	—	$38,152.49	$125,512.20	$45,491.15	2026-07-18
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	14	—	—	$43,778.52	$142,073.80	$45,141.51	2026-07-18
204	APR_DRG	Craniotomy For Trauma	6	3	—	—	$44,985.25	$44,985.25	$44,985.25	2026-07-18
213	APR_DRG	Craniotomy Except For Trauma	6	3	—	—	$44,985.25	$44,985.25	$44,985.25	2026-07-18
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	14	—	—	$40,825.45	$130,884.60	$44,872.99	2026-07-18
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	6	3	—	—	$44,807.79	$44,807.79	$44,807.79	2026-07-18
0266T	CPT	Implt/rpl Crtd Sns Dev Total	50	15	—	—	$1,098.53	$82,831.34	$44,773.70	2026-07-18
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	44	14	—	—	$37,539.82	$120,351.00	$44,572.79	2026-07-18
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	3	—	—	$44,541.61	$44,541.61	$44,541.61	2026-07-18
234	APR_DRG	Spinal Procedures	6	3	—	—	$44,452.88	$44,452.88	$44,452.88	2026-07-18
5912	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	6	3	—	—	$44,364.15	$44,364.15	$44,364.15	2026-07-18
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	44	14	—	—	$37,431.42	$121,090.20	$44,215.56	2026-07-18
924	APR_DRG	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	6	3	—	—	$44,186.69	$44,186.69	$44,186.69	2026-07-18
1204	APR_DRG	Major Respiratory & Chest Procedures	6	3	—	—	$44,097.97	$44,097.97	$44,097.97	2026-07-18
5891	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	6	3	—	—	$44,097.97	$44,097.97	$44,097.97	2026-07-18
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	44	14	—	—	$37,062.89	$118,822.00	$44,026.33	2026-07-18
653	MS_DRG	Major Bladder Procedures With Mcc	44	14	—	—	$34,597.77	$122,641.20	$44,005.78	2026-07-18
4014	APR_DRG	Adrenal Procedures	6	3	—	—	$43,920.51	$43,920.51	$43,920.51	2026-07-18
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	44	14	—	—	$36,551.90	$121,600.60	$43,857.34	2026-07-18
303	APR_DRG	Laboratory - Renal Patient (Home)	6	3	—	—	$43,831.78	$43,831.78	$43,831.78	2026-07-18
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	44	14	—	—	$35,246.26	$121,600.60	$43,632.39	2026-07-18
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	34	14	—	—	$42,258.97	$98,271.00	$43,619.39	2026-07-18
1693	APR_DRG	Major Abdominal Vascular Procedures	6	3	—	—	$43,565.60	$43,565.60	$43,565.60	2026-07-18
6514	APR_DRG	Other Procedures Of Blood & Blood-forming Organs	6	3	—	—	$43,565.60	$43,565.60	$43,565.60	2026-07-18
1214	APR_DRG	Other Respiratory & Chest Procedures	6	3	—	—	$43,388.14	$43,388.14	$43,388.14	2026-07-18
405	MS_DRG	Pancreas- Liver And Shunt Procedures With Mcc	44	14	—	—	$36,422.73	$119,431.40	$43,349.49	2026-07-18
1632	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	6	3	—	—	$43,210.68	$43,210.68	$43,210.68	2026-07-18
11	MS_DRG	Tracheostomy For Facemouth & Neck Diagnoses W Mcc	44	14	—	—	$36,313.54	$118,709.80	$43,145.79	2026-07-18
4044	APR_DRG	Thyroid, Parathyroid & Thyroglossal Procedures	6	3	—	—	$43,121.95	$43,121.95	$43,121.95	2026-07-18
41	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	3	—	—	$42,500.86	$42,500.86	$42,500.86	2026-07-18
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	44	14	—	—	$35,505.92	$116,527.40	$42,279.07	2026-07-18
6123	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	6	3	—	—	$42,234.67	$42,234.67	$42,234.67	2026-07-18
1631	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	6	3	—	—	$42,057.21	$42,057.21	$42,057.21	2026-07-18
C1767	HCPCS	Generator Esurg Demipulse Ncp	114	12	$78,750.00	$78,750.00	$8,456.87	$70,000.00	$41,850.07	2026-07-18
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	44	14	—	—	$34,333.78	$110,072.60	$41,785.50	2026-07-18
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	44	14	—	—	$35,341.16	$113,302.20	$41,613.62	2026-07-18
16	MS_DRG	Autolous Bone Marrow Transplant With Cc/mcc	42	14	—	—	$39,480.10	$132,789.80	$41,454.10	2026-07-18
17	MS_DRG	Autolous Bone Marrow Transplant Without Cc/mcc	42	14	—	—	$36,168.40	$132,789.80	$41,419.72	2026-07-18
7924	APR_DRG	Extensive Or Procedures For Other Complications Of Treatment	6	3	—	—	$41,258.66	$41,258.66	$41,258.66	2026-07-18
3154	APR_DRG	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	6	3	—	—	$41,258.66	$41,258.66	$41,258.66	2026-07-18
455	MS_DRG	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	2	1	—	—	$41,108.34	$41,108.34	$41,108.34	2026-07-18
3054	APR_DRG	Amputation Of Lower Limb Except Toes	6	3	—	—	$41,081.20	$41,081.20	$41,081.20	2026-07-18
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	44	14	—	—	$34,657.69	$112,081.20	$40,931.80	2026-07-18
1814	APR_DRG	Lower Extremity Arterial Procedures	6	3	—	—	$40,815.02	$40,815.02	$40,815.02	2026-07-18
5114	APR_DRG	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	6	3	—	—	$40,460.10	$40,460.10	$40,460.10	2026-07-18
1663	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	6	3	—	—	$40,371.38	$40,371.38	$40,371.38	2026-07-18
224	APR_DRG	Ventricular Shunt Procedures	6	3	—	—	$40,371.38	$40,371.38	$40,371.38	2026-07-18
6082	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	6	3	—	—	$40,105.19	$40,105.19	$40,105.19	2026-07-18
326	MS_DRG	Stomach- Esophageal And Duodenal Procedures With Mcc	44	14	—	—	$33,206.24	$111,738.00	$40,100.17	2026-07-18
51	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	3	—	—	$39,927.74	$39,927.74	$39,927.74	2026-07-18
1704	APR_DRG	Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock	6	3	—	—	$39,839.01	$39,839.01	$39,839.01	2026-07-18
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	44	14	—	—	$32,768.81	$110,811.80	$39,761.18	2026-07-18
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	44	14	—	—	$32,881.33	$110,028.60	$39,582.82	2026-07-18
1622	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	6	3	—	—	$39,572.82	$39,572.82	$39,572.82	2026-07-18
6504	APR_DRG	Splenectomy	6	3	—	—	$39,572.82	$39,572.82	$39,572.82	2026-07-18
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	44	14	—	—	$32,939.92	$109,632.60	$39,533.25	2026-07-18
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	44	14	—	—	$31,987.16	$110,158.40	$39,526.74	2026-07-18
L7180	HCPCS	Electronic Elbow Sequential	38	17	—	—	$21,859.60	$72,535.58	$39,208.42	2026-07-18
8	MS_DRG	Simultaneous Pancreas/kidney Transplant	42	14	—	—	$37,315.57	$119,704.20	$39,181.35	2026-07-18
3084	APR_DRG	Hip & Femur Fracture Repair	6	3	—	—	$39,129.18	$39,129.18	$39,129.18	2026-07-18
264	APR_DRG	Other Nervous System & Related Procedures	6	3	—	—	$39,040.45	$39,040.45	$39,040.45	2026-07-18
1652	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	6	3	—	—	$38,863.00	$38,863.00	$38,863.00	2026-07-18
8633	APR_DRG	Neonatal Aftercare	6	3	—	—	$38,774.27	$38,774.27	$38,774.27	2026-07-18
3214	APR_DRG	Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp	6	3	—	—	$38,774.27	$38,774.27	$38,774.27	2026-07-18
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	32	15	—	—	$38,606.32	$71,421.69	$38,606.32	2026-07-18
3094	APR_DRG	Other Significant Hip & Femur Surgery	6	3	—	—	$38,596.81	$38,596.81	$38,596.81	2026-07-18
245	MS_DRG	Aicd Generator Procedures	44	14	—	—	$30,376.58	$107,509.60	$38,576.30	2026-07-18
471	MS_DRG	Cervical Spinal Fusion With Mcc	44	14	—	—	$32,149.61	$106,860.60	$38,556.02	2026-07-18
2644	APR_DRG	Other Hepatobiliary, Pancreas & Abdominal Procedures	6	3	—	—	$38,508.08	$38,508.08	$38,508.08	2026-07-18
4402	APR_DRG	Kidney Transplant	6	3	—	—	$38,153.17	$38,153.17	$38,153.17	2026-07-18
6224	APR_DRG	Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond	6	3	—	—	$38,153.17	$38,153.17	$38,153.17	2026-07-18
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	44	14	—	—	$31,515.47	$101,037.20	$38,113.99	2026-07-18
4414	APR_DRG	Major Bladder Procedures	6	3	—	—	$38,064.44	$38,064.44	$38,064.44	2026-07-18
213	MS_DRG	Splenic Procedures Age 0-17	30	12	—	—	$37,996.69	$85,603.50	$37,996.69	2026-07-18
2234	APR_DRG	Other Small & Large Bowel Procedures	6	3	—	—	$37,975.71	$37,975.71	$37,975.71	2026-07-18
6133	APR_DRG	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	6	3	—	—	$37,709.53	$37,709.53	$37,709.53	2026-07-18
8423	APR_DRG	Burns With Skin Graft Except Extensive 3rd Degree Burns	6	3	—	—	$37,709.53	$37,709.53	$37,709.53	2026-07-18
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	44	14	—	—	$31,144.92	$105,061.00	$37,697.69	2026-07-18
267	MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	44	14	—	—	$31,697.53	$103,503.40	$37,637.65	2026-07-18
1602	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	3	—	—	$37,620.80	$37,620.80	$37,620.80	2026-07-18
9503	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	6	3	—	—	$37,620.80	$37,620.80	$37,620.80	2026-07-18
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	44	14	—	—	$31,238.13	$104,585.80	$37,616.03	2026-07-18
799	MS_DRG	Splenic Procedures With Mcc	44	14	—	—	$30,153.54	$104,605.60	$37,534.29	2026-07-18
112	APR_DRG	Room & Board - Private (One Bed) - Obstetrics (ob)	6	3	—	—	$37,088.43	$37,088.43	$37,088.43	2026-07-18
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	44	14	—	—	$30,525.72	$102,949.00	$36,939.88	2026-07-18
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	6	3	—	—	$36,910.97	$36,910.97	$36,910.97	2026-07-18
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	44	14	—	—	$30,750.09	$102,341.80	$36,904.60	2026-07-18
2324	APR_DRG	Gastric Fundoplication	6	3	—	—	$36,822.24	$36,822.24	$36,822.24	2026-07-18
1813	APR_DRG	Lower Extremity Arterial Procedures	6	3	—	—	$36,733.52	$36,733.52	$36,733.52	2026-07-18
5892	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	6	3	—	—	$36,644.79	$36,644.79	$36,644.79	2026-07-18
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	44	14	—	—	$30,603.62	$101,021.80	$36,559.93	2026-07-18
6333	APR_DRG	Neonate Birthwt >2499g W Major Anomaly	6	3	—	—	$36,556.06	$36,556.06	$36,556.06	2026-07-18
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	3	—	—	$36,556.06	$36,556.06	$36,556.06	2026-07-18
163	MS_DRG	Major Chest Procedures With Mcc	44	14	—	—	$29,839.94	$101,402.40	$36,384.93	2026-07-18
3134	APR_DRG	Knee & Lower Leg Procedures Except Foot	6	3	—	—	$36,289.87	$36,289.87	$36,289.87	2026-07-18
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	44	14	—	—	$30,285.36	$99,255.20	$36,034.47	2026-07-18
4424	APR_DRG	Kidney & Urinary Tract Procedures For Malignancy	6	3	—	—	$36,023.69	$36,023.69	$36,023.69	2026-07-18
5124	APR_DRG	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	6	3	—	—	$35,934.96	$35,934.96	$35,934.96	2026-07-18
1662	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	6	3	—	—	$35,757.50	$35,757.50	$35,757.50	2026-07-18

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