Hospital

INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL

Bloomington, IN · CCN 150051 · Rates published

27,210 distinct procedures filed

27 distinct payers

1,471,895 rate rows

2026-03-25 last MRF observed

Data quality

1,401,779 of 1,471,895 rate rows are consumer-grade (95.2%)

70,116 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	63,877
per-diem day rate — not a per-procedure price	3,088
exceeds 10× this hospital's gross charge — excluded from medians	1,696
placeholder amount (≤ $0.02) — excluded from medians	1,455

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

Source MRF file	https://cdn.iuhealth.org/resources/351720796_indiana-university-health-bloomington-inc._standardcharges.zip
Found on page	https://iuhealth.org/schedule-an-appointment/price-estimates/standard-charge-listing
Discovered via	Discovered by HANK
Last fetch	success · 2026-06-16
Content fingerprint	00b51821cfcf47df… · 65,268,833 bytes · first seen 2026-06-16

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
56552177 CDM	Delandistrogene Moxeparvovec Inj	20	$0.03	$4,955,808.00	$3,400,969.54	nat. median $3,360,000 1.0× median
56508781 CDM	Lovotibeglogene Autotemcel Inj	17	$0.03	$4,417,500.00	$3,352,650.00	nat. median $3,255,000 1.0× median
56501190 CDM	Betibeglogene Autotemcel Inj	17	$0.03	$4,336,332.00	$3,291,047.76	nat. median $3,195,192 1.0× median
56507668 CDM	Exagamglogene Autotemcel Inj	18	$849,020.70	$3,276,075.00	$2,758,800.00	nat. median $2,434,641 1.1× median
56504608 CDM	Afamitresgene Autoleucel Inj	21	$447,468.50	$1,726,625.00	$1,310,417.50	nat. median $1,235,900 1.1× median
56507262 CDM	Lifileucel Inj	18	$339,050.25	$1,533,798.75	$1,164,072.53	nat. median $1,130,168 1.0× median
56504582 CDM	Obecabtagene Autoleucel Inj	21	$232,659.00	$897,750.00	$681,345.00	nat. median $642,600 1.1× median
52590841 CDM	Tisagenlecleucel Inj (iv)(all)	17	$0.03	$866,515.05	$657,639.31	nat. median $638,485 1.0× median
0114 APR_DRG		4	$647,979.12	$647,979.12	$647,979.12	nat. median $197,700 outlier · 3.3×
5834 APR_DRG		4	$588,944.20	$588,944.20	$588,944.20	nat. median $309,665 1.9× median
5833 APR_DRG		4	$588,944.20	$588,944.20	$588,944.20	nat. median $244,017 outlier · 2.4×
52597630 CDM	Lisocabtagene Maraleucel Inj	20	$0.03	$757,174.32	$585,813.82	nat. median $585,814 1.0× median
52599552 CDM	Ciltacabtagene Autoleucel Inj	20	$0.03	$791,317.42	$583,075.96	nat. median $583,076 1.0× median
52598240 CDM	Idecabtagene Vicleucel Inj	20	$0.03	$752,845.22	$571,369.89	nat. median $571,370 1.0× median
52594413 CDM	Tisagenlecleucel Inj (iv)(dlbcl)	17	$0.03	$745,491.32	$565,788.67	nat. median $549,309 1.0× median
5832 APR_DRG		4	$558,502.30	$558,502.30	$558,502.30	nat. median $156,126 outlier · 3.6×
5831 APR_DRG		4	$558,502.30	$558,502.30	$558,502.30	nat. median $144,745 outlier · 3.9×
0024 APR_DRG		4	$537,458.68	$537,458.68	$537,458.68	nat. median $372,987 1.4× median
52590668 CDM	Axicabtagene Ciloleucel Inj (iv)	20	$0.03	$717,601.50	$528,759.00	nat. median $528,759 1.0× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	$324,782.54	$1,007,238.81	$505,238.76	nat. median $370,174 1.4× median
5884 APR_DRG		4	$503,124.62	$503,124.62	$503,124.62	nat. median $246,434 outlier · 2.0×
52596608 CDM	Brexucabtagene Autoleucel Inj (iv)	20	$0.03	$658,350.00	$485,100.00	nat. median $485,100 1.0× median
1614 APR_DRG		4	$469,930.95	$469,930.95	$469,930.95	nat. median $207,730 outlier · 2.3×
6314 APR_DRG		4	$469,136.53	$469,136.53	$469,136.53	nat. median $122,924 outlier · 3.8×
5883 APR_DRG		4	$396,403.43	$396,403.43	$396,403.43	nat. median $182,665 outlier · 2.2×
0044 APR_DRG		4	$393,435.20	$393,435.20	$393,435.20	nat. median $195,681 outlier · 2.0×
0113 APR_DRG		4	$378,177.99	$378,177.99	$378,177.99	nat. median $128,705 outlier · 2.9×
0074 APR_DRG		4	$333,375.47	$333,375.47	$333,375.47	nat. median $178,275 1.9× median
5914 APR_DRG		4	$332,614.53	$332,614.53	$332,614.53	nat. median $164,289 outlier · 2.0×
0014 APR_DRG		4	$328,688.97	$328,688.97	$328,688.97	nat. median $190,591 1.7× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	14	$211,015.43	$653,657.47	$327,879.63	nat. median $265,286 1.2× median
5934 APR_DRG		4	$317,330.38	$317,330.38	$317,330.38	nat. median $151,838 outlier · 2.1×
0112 APR_DRG		4	$304,837.81	$304,837.81	$304,837.81	nat. median $93,442 outlier · 3.3×
1613 APR_DRG		4	$303,870.59	$303,870.59	$303,870.59	nat. median $119,796 outlier · 2.5×
1612 APR_DRG		4	$303,851.24	$303,851.24	$303,851.24	nat. median $85,444 outlier · 3.6×
1611 APR_DRG		4	$302,838.59	$302,838.59	$302,838.59	nat. median $76,806 outlier · 3.9×
52780152 CDM	Heartmate	21	$524.16	$407,054.10	$299,420.43	nat. median $281,939 1.1× median
0023 APR_DRG		4	$295,712.02	$295,712.02	$295,712.02	nat. median $167,082 1.8× median
5882 APR_DRG		4	$294,207.35	$294,207.35	$294,207.35	nat. median $145,336 outlier · 2.0×
5881 APR_DRG		4	$294,207.35	$294,207.35	$294,207.35	nat. median $124,573 outlier · 2.4×
6094 APR_DRG		4	$250,369.68	$250,369.68	$250,369.68	nat. median $162,982 1.5× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	14	$160,931.76	$498,000.41	$249,800.85	nat. median $206,474 1.2× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	14	$159,991.39	$495,077.79	$248,334.84	nat. median $202,976 1.2× median
6024 APR_DRG		4	$245,243.37	$245,243.37	$245,243.37	nat. median $118,620 outlier · 2.1×
0022 APR_DRG		4	$243,586.70	$243,586.70	$243,586.70	nat. median $140,623 1.7× median
1604 APR_DRG		4	$242,358.25	$242,358.25	$242,358.25	nat. median $97,957 outlier · 2.5×
6304 APR_DRG		4	$235,523.02	$235,523.02	$235,523.02	nat. median $150,721 1.6× median
0054 APR_DRG		4	$228,748.68	$228,748.68	$228,748.68	nat. median $149,310 1.5× median
0094 APR_DRG		4	$227,390.60	$227,390.60	$227,390.60	nat. median $166,008 1.4× median
0073 APR_DRG		4	$220,943.88	$220,943.88	$220,943.88	nat. median $98,566 outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 27,210 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

56552177	CDM	Delandistrogene Moxeparvovec Inj	34	20	—	$1,284,336.77	$0.03	$4,955,808.00	$3,400,969.54	2026-03-25
56508781	CDM	Lovotibeglogene Autotemcel Inj	27	17	$4,650,000.00	$1,144,830.00 75% off	$0.03	$4,417,500.00	$3,352,650.00	2026-03-25
56501190	CDM	Betibeglogene Autotemcel Inj	27	17	$4,564,560.00	$1,123,794.67 75% off	$0.03	$4,336,332.00	$3,291,047.76	2026-03-25
56507668	CDM	Exagamglogene Autotemcel Inj	36	18	$3,448,500.00	$849,020.70 75% off	$849,020.70	$3,276,075.00	$2,758,800.00	2026-03-25
56504608	CDM	Afamitresgene Autoleucel Inj	43	21	$1,817,500.00	$447,468.50 75% off	$447,468.50	$1,726,625.00	$1,310,417.50	2026-03-25
56507262	CDM	Lifileucel Inj	35	18	$1,614,525.00	$397,496.06 75% off	$339,050.25	$1,533,798.75	$1,164,072.53	2026-03-25
56504582	CDM	Obecabtagene Autoleucel Inj	43	21	$945,000.00	$232,659.00 75% off	$232,659.00	$897,750.00	$681,345.00	2026-03-25
52590841	CDM	Tisagenlecleucel Inj (iv)(all)	27	17	$912,121.10	$224,564.21 75% off	$0.03	$866,515.05	$657,639.31	2026-03-25
0114	APR_DRG	—	7	4	—	—	$647,979.12	$647,979.12	$647,979.12	2026-03-25
5834	APR_DRG	—	7	4	—	—	$588,944.20	$588,944.20	$588,944.20	2026-03-25
5833	APR_DRG	—	7	4	—	—	$588,944.20	$588,944.20	$588,944.20	2026-03-25
52597630	CDM	Lisocabtagene Maraleucel Inj	34	20	$797,025.60	$196,227.70 75% off	$0.03	$757,174.32	$585,813.82	2026-03-25
52599552	CDM	Ciltacabtagene Autoleucel Inj	34	20	$832,965.70	$205,076.16 75% off	$0.03	$791,317.42	$583,075.96	2026-03-25
52598240	CDM	Idecabtagene Vicleucel Inj	34	20	$792,468.65	$195,105.78 75% off	$0.03	$752,845.22	$571,369.89	2026-03-25
52594413	CDM	Tisagenlecleucel Inj (iv)(dlbcl)	27	17	$784,727.70	$193,199.96 75% off	$0.03	$745,491.32	$565,788.67	2026-03-25
5831	APR_DRG	—	7	4	—	—	$558,502.30	$558,502.30	$558,502.30	2026-03-25
5832	APR_DRG	—	7	4	—	—	$558,502.30	$558,502.30	$558,502.30	2026-03-25
0024	APR_DRG	—	7	4	—	—	$537,458.68	$537,458.68	$537,458.68	2026-03-25
52590668	CDM	Axicabtagene Ciloleucel Inj (iv)	34	20	$755,370.00	$185,972.09 75% off	$0.03	$717,601.50	$528,759.00	2026-03-25
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	25	14	—	—	$324,782.54	$1,007,238.81	$505,238.76	2026-03-25
5884	APR_DRG	—	7	4	—	—	$503,124.62	$503,124.62	$503,124.62	2026-03-25
52596608	CDM	Brexucabtagene Autoleucel Inj (iv)	34	20	$693,000.00	$170,616.60 75% off	$0.03	$658,350.00	$485,100.00	2026-03-25
1614	APR_DRG	—	7	4	—	—	$469,930.95	$469,930.95	$469,930.95	2026-03-25
6314	APR_DRG	—	7	4	—	—	$469,136.53	$469,136.53	$469,136.53	2026-03-25
5883	APR_DRG	—	7	4	—	—	$396,403.43	$396,403.43	$396,403.43	2026-03-25
0044	APR_DRG	—	7	4	—	—	$393,435.20	$393,435.20	$393,435.20	2026-03-25
0113	APR_DRG	—	7	4	—	—	$378,177.99	$378,177.99	$378,177.99	2026-03-25
0074	APR_DRG	—	7	4	—	—	$333,375.47	$333,375.47	$333,375.47	2026-03-25
5914	APR_DRG	—	7	4	—	—	$332,614.53	$332,614.53	$332,614.53	2026-03-25
0014	APR_DRG	—	7	4	—	—	$328,688.97	$328,688.97	$328,688.97	2026-03-25
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	14	—	—	$211,015.43	$653,657.47	$327,879.63	2026-03-25
5934	APR_DRG	—	7	4	—	—	$317,330.38	$317,330.38	$317,330.38	2026-03-25
0112	APR_DRG	—	7	4	—	—	$304,837.81	$304,837.81	$304,837.81	2026-03-25
1613	APR_DRG	—	7	4	—	—	$303,870.59	$303,870.59	$303,870.59	2026-03-25
1612	APR_DRG	—	7	4	—	—	$303,851.24	$303,851.24	$303,851.24	2026-03-25
1611	APR_DRG	—	7	4	—	—	$302,838.59	$302,838.59	$302,838.59	2026-03-25
52780152	CDM	Heartmate	47	21	$428,478.00	$105,491.28 75% off	$524.16	$407,054.10	$299,420.43	2026-03-25
0023	APR_DRG	—	7	4	—	—	$295,712.02	$295,712.02	$295,712.02	2026-03-25
5881	APR_DRG	—	7	4	—	—	$294,207.35	$294,207.35	$294,207.35	2026-03-25
5882	APR_DRG	—	7	4	—	—	$294,207.35	$294,207.35	$294,207.35	2026-03-25
6094	APR_DRG	—	7	4	—	—	$250,369.68	$250,369.68	$250,369.68	2026-03-25
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	25	14	—	—	$160,931.76	$498,000.41	$249,800.85	2026-03-25
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	25	14	—	—	$159,991.39	$495,077.79	$248,334.84	2026-03-25
6024	APR_DRG	—	7	4	—	—	$245,243.37	$245,243.37	$245,243.37	2026-03-25
0022	APR_DRG	—	7	4	—	—	$243,586.70	$243,586.70	$243,586.70	2026-03-25
1604	APR_DRG	—	7	4	—	—	$242,358.25	$242,358.25	$242,358.25	2026-03-25
6304	APR_DRG	—	7	4	—	—	$235,523.02	$235,523.02	$235,523.02	2026-03-25
0054	APR_DRG	—	7	4	—	—	$228,748.68	$228,748.68	$228,748.68	2026-03-25
0094	APR_DRG	—	7	4	—	—	$227,390.60	$227,390.60	$227,390.60	2026-03-25
0073	APR_DRG	—	7	4	—	—	$220,943.88	$220,943.88	$220,943.88	2026-03-25
6074	APR_DRG	—	7	4	—	—	$219,132.78	$219,132.78	$219,132.78	2026-03-25
0021	APR_DRG	—	7	4	—	—	$217,018.03	$217,018.03	$217,018.03	2026-03-25
0043	APR_DRG	—	7	4	—	—	$199,957.70	$199,957.70	$199,957.70	2026-03-25
0072	APR_DRG	—	7	4	—	—	$198,437.33	$198,437.33	$198,437.33	2026-03-25
55729339	CDM	Heartmate	47	21	$276,183.00	$67,996.25 75% off	$524.16	$262,373.85	$192,996.68	2026-03-25
5933	APR_DRG	—	7	4	—	—	$191,842.30	$191,842.30	$191,842.30	2026-03-25
55727275	CDM	Implant Hvad Pump	47	21	$273,585.00	$67,356.63 75% off	$524.16	$259,905.75	$191,181.20	2026-03-25
8504	APR_DRG	—	7	4	—	—	$186,758.52	$186,758.52	$186,758.52	2026-03-25
55747844	CDM	Gammatile Therapy Device	47	21	$266,044.00	$65,500.03 75% off	$524.16	$252,741.80	$185,911.55	2026-03-25
1624	APR_DRG	—	7	4	—	—	$181,159.91	$181,159.91	$181,159.91	2026-03-25
0013	APR_DRG	—	7	4	—	—	$180,772.13	$180,772.13	$180,772.13	2026-03-25
8514	APR_DRG	—	7	4	—	—	$180,152.55	$180,152.55	$180,152.55	2026-03-25
3034	APR_DRG	—	7	4	—	—	$180,120.92	$180,120.92	$180,120.92	2026-03-25
6023	APR_DRG	—	7	4	—	—	$172,990.93	$172,990.93	$172,990.93	2026-03-25
0062	APR_DRG	—	7	4	—	—	$171,455.28	$171,455.28	$171,455.28	2026-03-25
0063	APR_DRG	—	7	4	—	—	$171,455.28	$171,455.28	$171,455.28	2026-03-25
0064	APR_DRG	—	7	4	—	—	$171,455.28	$171,455.28	$171,455.28	2026-03-25
6334	APR_DRG	—	7	4	—	—	$169,641.18	$169,641.18	$169,641.18	2026-03-25
5932	APR_DRG	—	7	4	—	—	$167,555.65	$167,555.65	$167,555.65	2026-03-25
0053	APR_DRG	—	7	4	—	—	$166,227.07	$166,227.07	$166,227.07	2026-03-25
0084	APR_DRG	—	7	4	—	—	$166,222.61	$166,222.61	$166,222.61	2026-03-25
0083	APR_DRG	—	7	4	—	—	$166,061.36	$166,061.36	$166,061.36	2026-03-25
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	25	14	—	—	$104,651.23	$323,083.91	$162,061.38	2026-03-25
6093	APR_DRG	—	7	4	—	—	$157,422.04	$157,422.04	$157,422.04	2026-03-25
55747836	CDM	Gammatile Therapy Device	47	21	$222,668.00	$54,820.86 75% off	$524.16	$211,534.60	$155,600.40	2026-03-25
52760881	CDM	Lung Acquisition-double	40	19	$210,810.00	$51,901.42 75% off	$44,270.10	$200,269.50	$154,312.92	2026-03-25
6124	APR_DRG	—	7	4	—	—	$153,859.46	$153,859.46	$153,859.46	2026-03-25
6114	APR_DRG	—	7	4	—	—	$152,229.56	$152,229.56	$152,229.56	2026-03-25
6092	APR_DRG	—	7	4	—	—	$151,921.76	$151,921.76	$151,921.76	2026-03-25
7	MS_DRG	Lung Transplant	25	14	—	—	$97,887.75	$302,063.42	$151,517.34	2026-03-25
6091	APR_DRG	—	7	4	—	—	$150,780.11	$150,780.11	$150,780.11	2026-03-25
56507742	CDM	Nadofaragene Firadenovec Inj	47	21	$182,700.00	$44,980.74 75% off	$44,980.74	$174,225.62	$150,544.80	2026-03-25
8634	APR_DRG	—	7	4	—	—	$150,117.29	$150,117.29	$150,117.29	2026-03-25
58100025	CDM	Kidney Acquisition-lrd	40	19	$204,309.00	$50,300.88 75% off	$42,904.89	$194,093.55	$149,554.19	2026-03-25
6214	APR_DRG	—	7	4	—	—	$149,016.91	$149,016.91	$149,016.91	2026-03-25
5913	APR_DRG	—	7	4	—	—	$147,993.49	$147,993.49	$147,993.49	2026-03-25
0914	APR_DRG	—	7	4	—	—	$143,859.47	$143,859.47	$143,859.47	2026-03-25
3033	APR_DRG	—	7	4	—	—	$142,378.87	$142,378.87	$142,378.87	2026-03-25
9504	APR_DRG	—	7	4	—	—	$141,031.91	$141,031.91	$141,031.91	2026-03-25
56329485	CDM	Gemcitabine Ives Sys 225mg	44	20	$216,315.00	$53,256.75 75% off	$37.28	$205,499.25	$140,961.67	2026-03-25
14	MS_DRG	Allogeneic Bone Marrow Transplant	25	14	—	—	$90,890.87	$280,317.52	$140,609.43	2026-03-25
4404	APR_DRG	—	7	4	—	—	$140,057.84	$140,057.84	$140,057.84	2026-03-25
4403	APR_DRG	—	7	4	—	—	$138,967.79	$138,967.79	$138,967.79	2026-03-25
4402	APR_DRG	—	7	4	—	—	$138,883.94	$138,883.94	$138,883.94	2026-03-25
4401	APR_DRG	—	7	4	—	—	$138,825.89	$138,825.89	$138,825.89	2026-03-25
0214	APR_DRG	—	7	4	—	—	$138,009.22	$138,009.22	$138,009.22	2026-03-25
50730332	CDM	Aicd Other Than Sing/dual	47	21	$195,559.00	$48,146.63 75% off	$82.84	$185,781.05	$136,656.63	2026-03-25
52573912	CDM	Sipuleucel-t 250 Ml	47	21	$196,489.65	$48,375.75 75% off	$48,375.75	$186,665.17	$135,577.86	2026-03-25
6022	APR_DRG	—	7	4	—	—	$135,568.66	$135,568.66	$135,568.66	2026-03-25
55747828	CDM	Gammatile Therapy Device	47	21	$193,750.00	$47,701.25 75% off	$524.16	$184,062.50	$135,392.50	2026-03-25
55748990	CDM	Cultured Chondrocyter Implnt	39	18	$148,357.00	$36,525.49 75% off	$36,525.49	$170,165.33	$134,659.96	2026-03-25
6073	APR_DRG	—	7	4	—	—	$134,562.75	$134,562.75	$134,562.75	2026-03-25
5893	APR_DRG	—	7	4	—	—	$134,367.74	$134,367.74	$134,367.74	2026-03-25
5894	APR_DRG	—	7	4	—	—	$134,367.74	$134,367.74	$134,367.74	2026-03-25
1634	APR_DRG	—	7	4	—	—	$133,236.70	$133,236.70	$133,236.70	2026-03-25
52799806	CDM	Aicd Other Than Sing/dual	47	21	$189,768.00	$46,720.88 75% off	$82.84	$180,279.60	$132,609.88	2026-03-25
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	25	14	—	—	$85,741.71	$264,314.24	$132,582.06	2026-03-25
209	MS_DRG	Complex Aortic Arch Procedures	25	14	—	—	$85,644.14	$264,011.01	$132,429.96	2026-03-25
9124	APR_DRG	—	7	4	—	—	$132,125.87	$132,125.87	$132,125.87	2026-03-25
1674	APR_DRG	—	7	4	—	—	$131,273.94	$131,273.94	$131,273.94	2026-03-25
9114	APR_DRG	—	7	4	—	—	$131,271.86	$131,271.86	$131,271.86	2026-03-25
56300825	CDM	Y-90 Zevalin, Per Dose	47	21	$153,485.10	$37,788.03 75% off	$37,788.03	$173,265.87	$130,866.95	2026-03-25
3004	APR_DRG	—	7	4	—	—	$129,752.55	$129,752.55	$129,752.55	2026-03-25
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	25	14	—	—	$83,410.67	$257,069.49	$128,948.04	2026-03-25
52596475	CDM	Botulism Immune Globulin Inj 50 mg/mL (iv)	35	18	$178,162.85	$43,863.69 75% off	$37,414.20	$169,254.71	$128,455.41	2026-03-25
5892	APR_DRG	—	7	4	—	—	$127,924.41	$127,924.41	$127,924.41	2026-03-25
5891	APR_DRG	—	7	4	—	—	$127,924.41	$127,924.41	$127,924.41	2026-03-25
9104	APR_DRG	—	7	4	—	—	$127,441.76	$127,441.76	$127,441.76	2026-03-25
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	25	14	—	—	$82,306.68	$253,638.38	$127,226.97	2026-03-25
52797297	CDM	Aicd Dual Chamber	47	21	$181,549.00	$44,697.36 75% off	$82.84	$172,471.55	$126,866.44	2026-03-25
55700751	CDM	Aicd Other Than Sing/dual	47	21	$180,610.00	$44,466.18 75% off	$82.84	$171,579.50	$126,210.27	2026-03-25
50721950	CDM	Bmt Allogeneic Unrelated	40	19	$172,363.00	$42,435.77 75% off	$36,196.23	$163,744.85	$126,169.72	2026-03-25
1654	APR_DRG	—	7	4	—	—	$125,385.71	$125,385.71	$125,385.71	2026-03-25
0224	APR_DRG	—	7	4	—	—	$124,923.91	$124,923.91	$124,923.91	2026-03-25
0071	APR_DRG	—	7	4	—	—	$122,893.92	$122,893.92	$122,893.92	2026-03-25
52797313	CDM	Aicd Dual Chamber	47	21	$175,811.00	$43,284.67 75% off	$82.84	$167,020.45	$122,856.73	2026-03-25
56209950	CDM	Aicd Other Than Sing/dual	47	21	$175,116.00	$43,113.56 75% off	$82.84	$166,360.20	$122,371.06	2026-03-25
0111	APR_DRG	—	7	4	—	—	$122,184.42	$122,184.42	$122,184.42	2026-03-25
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	25	14	—	—	$78,076.88	$240,492.41	$120,632.85	2026-03-25
0012	APR_DRG	—	7	4	—	—	$120,077.11	$120,077.11	$120,077.11	2026-03-25
0093	APR_DRG	—	7	4	—	—	$119,929.30	$119,929.30	$119,929.30	2026-03-25
1784	APR_DRG	—	7	4	—	—	$118,390.37	$118,390.37	$118,390.37	2026-03-25
52797305	CDM	Aicd Other Than Sing/dual	47	21	$167,818.00	$41,316.79 75% off	$82.84	$159,427.10	$117,271.22	2026-03-25
215	MS_DRG	Other Heart Assist System Implant	25	14	—	—	$75,423.88	$232,247.03	$116,496.90	2026-03-25
6814	APR_DRG	—	7	4	—	—	$116,133.18	$116,133.18	$116,133.18	2026-03-25
6034	APR_DRG	—	7	4	—	—	$115,963.34	$115,963.34	$115,963.34	2026-03-25
58100033	CDM	Heart Acquisition	40	19	$157,985.00	$38,895.91 75% off	$33,176.85	$150,085.75	$115,645.02	2026-03-25
55747810	CDM	Gammatile Therapy Device	47	21	$164,831.00	$40,581.39 75% off	$524.16	$156,589.45	$115,183.90	2026-03-25
6033	APR_DRG	—	7	4	—	—	$115,169.99	$115,169.99	$115,169.99	2026-03-25
2994	APR_DRG	—	7	4	—	—	$115,017.12	$115,017.12	$115,017.12	2026-03-25
52799947	CDM	Aicd Other Than Sing/dual	47	21	$164,467.00	$40,491.78 75% off	$82.84	$156,243.65	$114,929.54	2026-03-25
2993	APR_DRG	—	7	4	—	—	$114,901.02	$114,901.02	$114,901.02	2026-03-25
0042	APR_DRG	—	7	4	—	—	$114,623.02	$114,623.02	$114,623.02	2026-03-25
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	14	—	—	$74,116.51	$228,183.81	$114,458.76	2026-03-25
8633	APR_DRG	—	7	4	—	—	$113,807.97	$113,807.97	$113,807.97	2026-03-25
1834	APR_DRG	—	7	4	—	—	$113,743.82	$113,743.82	$113,743.82	2026-03-25
58100058	CDM	Liver Acquisition Cadaveric	40	19	$154,411.00	$38,015.99 75% off	$32,426.31	$146,690.45	$113,028.85	2026-03-25
58142134	CDM	Liver Acquistion Domino	40	19	$154,411.00	$38,015.99 75% off	$32,426.31	$146,690.45	$113,028.85	2026-03-25
58142126	CDM	Liver Acquisition Living Donor	40	19	$154,411.00	$38,015.99 75% off	$32,426.31	$146,690.45	$113,028.85	2026-03-25
5931	APR_DRG	—	7	4	—	—	$112,777.42	$112,777.42	$112,777.42	2026-03-25
5912	APR_DRG	—	7	4	—	—	$112,195.05	$112,195.05	$112,195.05	2026-03-25
50738376	CDM	Aicd Other Than Sing/dual	47	21	$160,522.00	$39,520.52 75% off	$82.84	$152,495.90	$112,172.77	2026-03-25
6344	APR_DRG	—	7	4	—	—	$111,911.47	$111,911.47	$111,911.47	2026-03-25
0204	APR_DRG	—	7	4	—	—	$111,739.26	$111,739.26	$111,739.26	2026-03-25
58100074	CDM	Pancreas Acquisition	40	19	$152,460.00	$37,535.65 75% off	$32,016.60	$144,837.00	$111,600.72	2026-03-25
6954	APR_DRG	—	7	4	—	—	$111,363.86	$111,363.86	$111,363.86	2026-03-25
6804	APR_DRG	—	7	4	—	—	$111,276.39	$111,276.39	$111,276.39	2026-03-25
3044	APR_DRG	—	7	4	—	—	$111,053.89	$111,053.89	$111,053.89	2026-03-25
2604	APR_DRG	—	7	4	—	—	$110,819.19	$110,819.19	$110,819.19	2026-03-25
55704142	CDM	Generator Neuro Non-recharg	48	21	$158,625.00	$39,053.48 75% off	$524.16	$150,693.75	$110,149.20	2026-03-25
53300687	CDM	Srs,(cerebral)1 Ses Multi Co60	47	21	$157,077.00	$38,672.36 75% off	$29,078.36	$149,223.15	$109,953.90	2026-03-25
6123	APR_DRG	—	7	4	—	—	$109,899.76	$109,899.76	$109,899.76	2026-03-25
55700744	CDM	Aicd Other Than Sing/dual	47	21	$157,265.00	$38,718.64 75% off	$82.84	$149,401.75	$109,896.78	2026-03-25
5911	APR_DRG	—	7	4	—	—	$109,627.95	$109,627.95	$109,627.95	2026-03-25
57601171	CDM	Intestine Acquisition	40	19	$149,697.00	$36,855.40 75% off	$31,436.37	$142,212.15	$109,578.20	2026-03-25
52799780	CDM	Aicd Dual Chamber	47	21	$155,189.00	$38,207.53 75% off	$82.84	$147,429.55	$108,446.07	2026-03-25
2004	APR_DRG	—	7	4	—	—	$107,954.58	$107,954.58	$107,954.58	2026-03-25
58100017	CDM	Lung Acquisition-single	40	19	$146,611.00	$36,095.63 75% off	$30,788.31	$139,280.45	$107,319.25	2026-03-25
50751577	CDM	Aicd Other Than Sing/dual	47	21	$153,226.00	$37,724.24 75% off	$82.84	$145,564.70	$107,074.33	2026-03-25
56208754	CDM	Aicd Dual Chamber	47	21	$151,037.00	$37,185.31 75% off	$82.84	$143,485.15	$105,544.66	2026-03-25
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	25	14	—	—	$68,313.67	$210,148.92	$105,412.32	2026-03-25
50736792	CDM	Aicd Dual Chamber	47	21	$150,462.00	$37,043.74 75% off	$82.84	$142,938.90	$105,142.85	2026-03-25
55747802	CDM	Gammatile Therapy Device	47	21	$150,373.00	$37,021.83 75% off	$524.16	$142,854.35	$105,080.65	2026-03-25
52798253	CDM	Aicd Dual Chamber	47	21	$150,270.00	$36,996.47 75% off	$82.84	$142,756.50	$105,008.68	2026-03-25
6072	APR_DRG	—	7	4	—	—	$104,674.53	$104,674.53	$104,674.53	2026-03-25
1694	APR_DRG	—	7	4	—	—	$104,651.81	$104,651.81	$104,651.81	2026-03-25
1814	APR_DRG	—	7	4	—	—	$103,777.96	$103,777.96	$103,777.96	2026-03-25
52794633	CDM	Aicd Dual Chamber	47	21	$148,184.00	$36,482.90 75% off	$82.84	$140,774.80	$103,550.98	2026-03-25
52550092	CDM	Histrelin Inj 50 Mg (Supprelin La)	47	21	$125,577.35	$30,917.14 75% off	$30,917.14	$124,713.11	$103,475.74	2026-03-25
50755347	CDM	Aicd Dual Chamber	47	21	$146,622.00	$36,098.34 75% off	$82.84	$139,290.90	$102,459.45	2026-03-25
50751544	CDM	Aicd Dual Chamber	47	21	$146,622.00	$36,098.34 75% off	$82.84	$139,290.90	$102,459.45	2026-03-25
1304	APR_DRG	—	7	4	—	—	$102,054.57	$102,054.57	$102,054.57	2026-03-25
850	MS_DRG	Acute Leukemia With Other Procedures	25	14	—	—	$65,686.18	$201,982.84	$101,316.15	2026-03-25
7104	APR_DRG	—	7	4	—	—	$101,277.72	$101,277.72	$101,277.72	2026-03-25
3032	APR_DRG	—	7	4	—	—	$101,038.94	$101,038.94	$101,038.94	2026-03-25
2304	APR_DRG	—	7	4	—	—	$100,576.91	$100,576.91	$100,576.91	2026-03-25
55737928	CDM	Aicd Dual Chamber	47	21	$143,732.00	$35,386.82 75% off	$82.84	$136,545.40	$100,439.92	2026-03-25
58100041	CDM	Kidney Acquisition-cadaveric	40	19	$137,181.00	$33,773.96 75% off	$28,808.01	$130,321.95	$100,416.49	2026-03-25
231	MS_DRG	Coronary Bypass With Ptca With Mcc	25	14	—	—	$63,963.03	$196,627.42	$98,629.83	2026-03-25
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	14	—	—	$63,764.15	$196,009.31	$98,319.78	2026-03-25
52534120	CDM	Sod Benzo-sod Phenylac Inj 100mg/mL	35	18	$136,187.30	$33,529.31 75% off	$28,599.33	$129,377.94	$98,191.04	2026-03-25
6224	APR_DRG	—	7	4	—	—	$98,064.99	$98,064.99	$98,064.99	2026-03-25
1664	APR_DRG	—	7	4	—	—	$97,549.52	$97,549.52	$97,549.52	2026-03-25
6084	APR_DRG	—	7	4	—	—	$97,374.00	$97,374.00	$97,374.00	2026-03-25
52749710	CDM	Aicd Dual Chamber	47	21	$139,326.00	$34,302.06 75% off	$82.84	$132,359.70	$97,361.01	2026-03-25
2204	APR_DRG	—	7	4	—	—	$97,069.40	$97,069.40	$97,069.40	2026-03-25
3214	APR_DRG	—	7	4	—	—	$97,040.10	$97,040.10	$97,040.10	2026-03-25
6083	APR_DRG	—	7	4	—	—	$96,948.30	$96,948.30	$96,948.30	2026-03-25
50736800	CDM	Aicd Single Chamber	47	21	$138,633.00	$34,131.44 75% off	$82.84	$131,701.35	$96,876.74	2026-03-25
3213	APR_DRG	—	7	4	—	—	$96,872.40	$96,872.40	$96,872.40	2026-03-25
6303	APR_DRG	—	7	4	—	—	$96,758.04	$96,758.04	$96,758.04	2026-03-25
6302	APR_DRG	—	7	4	—	—	$96,758.04	$96,758.04	$96,758.04	2026-03-25
6301	APR_DRG	—	7	4	—	—	$96,758.04	$96,758.04	$96,758.04	2026-03-25
55737936	CDM	Aicd Single Chamber	47	21	$137,983.00	$33,971.41 75% off	$82.84	$131,083.85	$96,422.52	2026-03-25
55720247	CDM	Pmkr Other Than Sing/dual	47	21	$137,883.00	$33,946.79 75% off	$82.84	$130,988.85	$96,352.64	2026-03-25
55729305	CDM	Generator Neuro Non-recharg	48	21	$138,541.00	$34,108.79 75% off	$524.16	$131,613.95	$96,202.87	2026-03-25
55700736	CDM	Aicd Dual Chamber	47	21	$137,666.00	$33,893.37 75% off	$82.84	$130,782.70	$96,201.00	2026-03-25
6903	APR_DRG	—	7	4	—	—	$95,802.54	$95,802.54	$95,802.54	2026-03-25
6904	APR_DRG	—	7	4	—	—	$95,802.54	$95,802.54	$95,802.54	2026-03-25
6113	APR_DRG	—	7	4	—	—	$94,985.80	$94,985.80	$94,985.80	2026-03-25
55747794	CDM	Gammatile Therapy Device	47	21	$135,915.00	$33,462.27 75% off	$524.16	$129,119.25	$94,977.40	2026-03-25
52794617	CDM	Aicd Dual Chamber	47	21	$135,882.00	$33,454.15 75% off	$82.84	$129,087.90	$94,954.34	2026-03-25
52799913	CDM	Aicd Dual Chamber	47	21	$135,516.00	$33,364.04 75% off	$82.84	$128,740.20	$94,698.58	2026-03-25
3043	APR_DRG	—	7	4	—	—	$94,520.97	$94,520.97	$94,520.97	2026-03-25
52730017	CDM	Aicd Dual Chamber	47	21	$134,984.00	$33,233.06 75% off	$82.84	$128,234.80	$94,326.82	2026-03-25
6021	APR_DRG	—	7	4	—	—	$93,687.08	$93,687.08	$93,687.08	2026-03-25
7114	APR_DRG	—	7	4	—	—	$93,332.37	$93,332.37	$93,332.37	2026-03-25
9514	APR_DRG	—	7	4	—	—	$93,047.62	$93,047.62	$93,047.62	2026-03-25
0052	APR_DRG	—	7	4	—	—	$92,323.37	$92,323.37	$92,323.37	2026-03-25
1204	APR_DRG	—	7	4	—	—	$92,232.30	$92,232.30	$92,232.30	2026-03-25
58100066	CDM	Pancreas Acq-combined W/kidney	40	19	$125,917.00	$31,000.77 75% off	$26,442.57	$119,621.15	$92,171.24	2026-03-25
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	25	14	—	—	$59,751.99	$183,539.76	$92,064.96	2026-03-25
55737332	CDM	Anchor/screw Bn/bntis/bn	47	21	$131,399.00	$32,350.43 75% off	$524.16	$124,829.05	$91,821.62	2026-03-25
52794377	CDM	Aicd Single Chamber	47	21	$131,301.00	$32,326.31 75% off	$82.84	$124,735.95	$91,753.14	2026-03-25
55748008	CDM	System Circulatory Assist	47	21	$130,130.00	$32,038.01 75% off	$524.16	$123,623.50	$90,934.84	2026-03-25
3031	APR_DRG	—	7	4	—	—	$90,448.37	$90,448.37	$90,448.37	2026-03-25
1783	APR_DRG	—	7	4	—	—	$90,339.64	$90,339.64	$90,339.64	2026-03-25
2992	APR_DRG	—	7	4	—	—	$90,231.60	$90,231.60	$90,231.60	2026-03-25
0234	APR_DRG	—	7	4	—	—	$90,204.57	$90,204.57	$90,204.57	2026-03-25
53403796	CDM	Lu-177 Psma Pluvicto 200 Mci	40	19	$122,902.00	$30,258.47 75% off	$25,809.42	$116,756.90	$89,964.26	2026-03-25
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	14	—	—	$58,322.30	$179,096.35	$89,836.11	2026-03-25
52738143	CDM	Cochlear Device	40	19	$122,280.00	$30,105.34 75% off	$25,678.80	$116,166.00	$89,508.96	2026-03-25
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	25	14	—	—	$58,073.88	$178,324.29	$89,448.84	2026-03-25
1623	APR_DRG	—	7	4	—	—	$89,298.56	$89,298.56	$89,298.56	2026-03-25
55751507	CDM	Device Ventricular Assist	47	21	$127,767.00	$31,456.24 75% off	$121.68	$121,378.65	$89,283.58	2026-03-25
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	25	14	—	—	$57,884.01	$177,734.17	$89,152.83	2026-03-25
0092	APR_DRG	—	7	4	—	—	$88,620.13	$88,620.13	$88,620.13	2026-03-25
0091	APR_DRG	—	7	4	—	—	$88,491.13	$88,491.13	$88,491.13	2026-03-25
50743699	CDM	Generator Neuro Non-recharg	48	21	$126,739.00	$31,203.14 75% off	$524.16	$120,402.05	$88,007.56	2026-03-25
1653	APR_DRG	—	7	4	—	—	$87,793.50	$87,793.50	$87,793.50	2026-03-25
54899992	CDM	Tis Cgen Car Anomal 1st Shnt	47	21	$127,110.00	$31,294.48 75% off	$1,854.49	$120,754.50	$87,705.90	2026-03-25
0304	APR_DRG	—	7	4	—	—	$87,568.42	$87,568.42	$87,568.42	2026-03-25
55718399	CDM	Generator Neuro Rechg Bat Sy	47	21	$125,124.00	$30,805.53 75% off	$524.16	$118,867.80	$87,436.65	2026-03-25
52794609	CDM	Aicd Single Chamber	47	21	$124,112.00	$30,556.37 75% off	$82.84	$117,906.40	$86,729.47	2026-03-25
9304	APR_DRG	—	7	4	—	—	$85,912.30	$85,912.30	$85,912.30	2026-03-25
52738135	CDM	Cochlear Device	40	19	$117,220.00	$28,859.56 75% off	$24,616.20	$111,359.00	$85,805.04	2026-03-25
55737894	CDM	Cochlear System	47	21	$122,652.00	$30,196.92 75% off	$524.16	$116,519.40	$85,709.22	2026-03-25
1794	APR_DRG	—	7	4	—	—	$85,673.79	$85,673.79	$85,673.79	2026-03-25
0894	APR_DRG	—	7	4	—	—	$85,568.88	$85,568.88	$85,568.88	2026-03-25
55729362	CDM	Berlin Heart	47	21	$122,434.00	$30,143.25 75% off	$524.16	$116,312.30	$85,556.88	2026-03-25
55709984	CDM	Aicd Dual Chamber	47	21	$121,901.00	$30,012.03 75% off	$82.84	$115,805.95	$85,184.42	2026-03-25
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	25	14	—	—	$54,872.26	$168,373.85	$84,457.62	2026-03-25
0274	APR_DRG	—	7	4	—	—	$84,403.30	$84,403.30	$84,403.30	2026-03-25
50751635	CDM	Aicd Single Chamber	47	21	$120,391.00	$29,640.26 75% off	$82.84	$114,371.45	$84,129.23	2026-03-25
50734425	CDM	Aicd Single Chamber	47	21	$120,357.00	$29,631.89 75% off	$82.84	$114,339.15	$84,105.47	2026-03-25
52738085	CDM	Cochlear Device	40	19	$114,882.00	$28,283.95 75% off	$24,125.22	$109,137.90	$84,093.62	2026-03-25
10	MS_DRG	Pancreas Transplant	25	14	—	—	$54,550.30	$167,373.20	$83,955.69	2026-03-25
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	25	14	—	—	$54,527.78	$167,303.23	$83,920.59	2026-03-25
55748479	CDM	Implant Cardiovascular Anytype	47	21	$120,009.00	$29,546.22 75% off	$524.16	$114,008.55	$83,862.29	2026-03-25
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	25	14	—	—	$54,241.85	$166,414.55	$83,474.82	2026-03-25
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	25	14	—	—	$54,210.32	$166,316.58	$83,425.68	2026-03-25
52545092	CDM	Carmustine Wafer	40	19	$113,749.00	$28,005.00 75% off	$23,887.29	$108,061.55	$83,264.27	2026-03-25
7924	APR_DRG	—	7	4	—	—	$83,239.52	$83,239.52	$83,239.52	2026-03-25
0294	APR_DRG	—	7	4	—	—	$81,963.38	$81,963.38	$81,963.38	2026-03-25
56304686	CDM	Brachytx Non-stryttrium-90	47	21	$116,646.00	$28,718.25 75% off	$524.16	$110,813.70	$81,512.22	2026-03-25
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	25	14	—	—	$52,569.74	$161,217.74	$80,868.06	2026-03-25
4054	APR_DRG	—	7	4	—	—	$80,814.58	$80,814.58	$80,814.58	2026-03-25
0082	APR_DRG	—	7	4	—	—	$80,603.23	$80,603.23	$80,603.23	2026-03-25
0081	APR_DRG	—	7	4	—	—	$80,551.63	$80,551.63	$80,551.63	2026-03-25
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	25	14	—	—	$52,315.32	$160,427.02	$80,471.43	2026-03-25
52749603	CDM	Aicd Single Chamber	47	21	$114,556.00	$28,203.69 75% off	$524.16	$108,828.20	$80,051.73	2026-03-25
6313	APR_DRG	—	7	4	—	—	$79,950.34	$79,950.34	$79,950.34	2026-03-25
6902	APR_DRG	—	7	4	—	—	$79,314.45	$79,314.45	$79,314.45	2026-03-25
55756027	CDM	Anchor/screw Bn/bntis/bn	47	21	$113,458.00	$27,933.36 75% off	$524.16	$107,785.10	$79,284.45	2026-03-25
4414	APR_DRG	—	7	4	—	—	$79,252.26	$79,252.26	$79,252.26	2026-03-25
955	MS_DRG	Craniotomy For Multiple Significant Trauma	25	14	—	—	$51,213.59	$157,002.91	$78,753.87	2026-03-25
6144	APR_DRG	—	7	4	—	—	$78,591.47	$78,591.47	$78,591.47	2026-03-25
55756548	CDM	Valve Aortic	47	21	$112,338.00	$27,657.62 75% off	$524.16	$106,721.10	$78,501.79	2026-03-25
1214	APR_DRG	—	7	4	—	—	$78,448.14	$78,448.14	$78,448.14	2026-03-25
0213	APR_DRG	—	7	4	—	—	$78,298.23	$78,298.23	$78,298.23	2026-03-25
4284	APR_DRG	—	7	4	—	—	$78,294.40	$78,294.40	$78,294.40	2026-03-25
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	25	14	—	—	$50,878.87	$155,962.61	$78,232.05	2026-03-25
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	25	14	—	—	$50,842.09	$155,848.32	$78,174.72	2026-03-25
0041	APR_DRG	—	7	4	—	—	$78,058.12	$78,058.12	$78,058.12	2026-03-25
4474	APR_DRG	—	7	4	—	—	$77,900.70	$77,900.70	$77,900.70	2026-03-25
55725543	CDM	Conn Tiss Non-human	47	21	$111,123.00	$27,358.48 75% off	$524.16	$105,566.85	$77,652.75	2026-03-25
0554	APR_DRG	—	7	4	—	—	$77,121.40	$77,121.40	$77,121.40	2026-03-25
6143	APR_DRG	—	7	4	—	—	$76,940.27	$76,940.27	$76,940.27	2026-03-25
1633	APR_DRG	—	7	4	—	—	$76,935.52	$76,935.52	$76,935.52	2026-03-25
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	14	—	—	$50,044.32	$153,368.87	$76,931.01	2026-03-25
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	14	—	—	$50,044.32	$153,368.87	$76,931.01	2026-03-25
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	25	14	—	—	$49,864.95	$152,811.41	$76,651.38	2026-03-25
2644	APR_DRG	—	7	4	—	—	$76,544.35	$76,544.35	$76,544.35	2026-03-25
3124	APR_DRG	—	7	4	—	—	$76,239.22	$76,239.22	$76,239.22	2026-03-25
6223	APR_DRG	—	7	4	—	—	$75,527.18	$75,527.18	$75,527.18	2026-03-25
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	25	14	—	—	$48,989.12	$150,089.38	$75,285.99	2026-03-25
3134	APR_DRG	—	7	4	—	—	$75,266.96	$75,266.96	$75,266.96	2026-03-25
52799939	CDM	Aicd Single Chamber	47	21	$107,115.00	$26,371.71 75% off	$82.84	$101,759.25	$74,851.96	2026-03-25
55747786	CDM	Gammatile Therapy Device	47	21	$106,995.00	$26,342.17 75% off	$524.16	$101,645.25	$74,768.11	2026-03-25
51708105	CDM	Generator Neuro Rechg Bat Sy	47	21	$106,712.00	$26,272.49 75% off	$524.16	$101,376.40	$74,570.35	2026-03-25

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