Hospital

UOFL HEALTH - SHELBYVILLE HOSPITAL

Shelbyville, KY · CCN 180016 · Rates published

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $668 across 25 payers · range $247-$3,939

Source: https://uoflhealth.org/wp-content/uploads/2024/12/843196350_UofL-Health-Shelbyville-Hospital_standardcharges.zip · observed 2026-07-17

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.

18,962 distinct procedures filed

25 distinct payers

933,644 rate rows

2026-07-17 last MRF observed

Data quality

931,857 of 933,644 rate rows are consumer-grade (99.8%)

1,787 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
placeholder amount (≤ $0.02) — excluded from medians	958
per-diem day rate — not a per-procedure price	287
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	239
percent-of-charges filed in the dollar field — excluded from medians	176
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	61
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	58
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	8

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

Source MRF file	https://uoflhealth.org/wp-content/uploads/2026/04/843196350_UofL-Health-Shelbyville-Hospital_standardcharges1.zip
Found on page	https://uoflhealth.org/price-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-11
Content fingerprint	5c0f9a2c890db03e… · 4,774,277 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
J3391 HCPCS	Inj Atidarsagene Autotemcel	8	$4,377,500.00	$4,730,250.00	$4,505,000.00	nat. median $4,505,000 1.0× median
J1414 HCPCS	Inj Beqvez Per Tx Dose	1	$3,675,000.00	$3,710,000.00	$3,710,000.00	nat. median $3,710,000 1.0× median
J1411 HCPCS	Inj Hemgenix Per Tx Dose	17	$3,489,255.00	$4,969,916.00	$3,685,266.67	nat. median $3,705,478 1.0× median
C9172 HCPCS	Inj- Beqvez- Per Tx Dose	16	$3,424,750.00	$4,686,500.00	$3,641,050.00	nat. median $3,605,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	17	$3,159,182.02	$4,675,409.45	$3,360,000.00	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj- Lovotibeglogene Autotem	17	$3,121,700.00	$4,271,800.00	$3,286,000.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj- Betibeglogene Autotemce	17	$2,819,600.00	$3,858,400.00	$2,968,000.00	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	17	$2,231,250.00	$4,299,505.61	$2,455,110.61	nat. median $2,467,989 1.0× median
J3392 HCPCS	Inj Exagamglogene Autotem	9	$2,332,000.00	$3,031,600.00	$2,332,000.00	nat. median $2,401,965 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	9	$770,620.00	$1,001,806.00	$770,620.00	nat. median $813,967 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	17	$471,442.34	$952,547.15	$560,638.17	nat. median $739,658 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	17	$500,767.26	$948,822.17	$551,318.34	nat. median $646,415 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	17	$471,350.20	$947,857.66	$545,018.16	nat. median $623,527 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	17	$461,013.08	$930,106.94	$536,424.80	nat. median $640,950 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	17	$448,137.18	$881,020.73	$508,450.70	nat. median $608,239 0.8× median
C9098 HCPCS	Ciltacabtagene Car Pos T	1	$507,687.00	$507,687.00	$507,687.00	nat. median $32,174 outlier · 15.8×
Q2053 HCPCS	Brexucabtagene Car Pos T	17	$437,503.88	$828,954.72	$484,328.46	nat. median $592,235 0.8× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	9	$270,375.00	$361,725.00	$278,250.00	nat. median $319,951 0.9× median
5884 APR_DRG	Neonate Bwt 1500g W Major Procedure	1	$141,703.04	$382,914.09	$262,308.57	nat. median $247,815 1.1× median
J3403 HCPCS	Revakinagene Per Implant	9	$257,500.00	$334,750.00	$257,500.00	nat. median $265,000 1.0× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	17	$221,340.19	$424,344.43	$257,349.99	nat. median $359,244 0.7× median
24 APR_DRG	Heart andOR Lung Transplant	1	$147,504.23	$345,547.17	$246,525.70	nat. median $241,734 1.0× median
1614 APR_DRG	Cardiac Defibrillator And Heart Assist Implant	1	$129,112.29	$334,078.59	$231,595.44	nat. median $202,649 1.1× median
612 MS_DRG	Neonate- Birth Weight <750 Grams- Discharged Alive	1	$217,286.57	$217,286.57	$217,286.57	nat. median $53,038 outlier · 4.1×
J3402 HCPCS	Inj. Remestemcel-l-rknd/ Td	9	$205,640.00	$267,332.00	$205,640.00	nat. median $209,753 1.0× median
636 MS_DRG	Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu…	1	$199,388.70	$199,388.70	$199,388.70	nat. median $8,810 outlier · 22.6×
633 MS_DRG	Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar…	1	$179,138.52	$179,138.52	$179,138.52	nat. median $8,001 outlier · 22.4×
114 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$176,428.56	$176,428.56	$176,428.56	nat. median $123,836 1.4× median
5834 APR_DRG	Neonate W Ecmo	1	$162,247.62	$188,848.59	$175,548.10	nat. median $307,273 0.6× median
5833 APR_DRG	Neonate W Ecmo	1	$162,247.62	$188,848.59	$175,548.10	nat. median $244,017 0.7× median
631 MS_DRG	Neonate- Birth Weight 750-999 Grams- Discharged Alive	1	$174,511.45	$174,511.45	$174,511.45	nat. median $78,936 outlier · 2.2×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$20,000.00	$316,949.71	$173,929.69	nat. median $248,541 0.7× median
14 APR_DRG	Liver Transplant andOR Intestinal Transplant	1	$90,110.39	$251,928.85	$171,019.62	nat. median $137,051 1.2× median
5832 APR_DRG	Neonate W Ecmo	1	$152,626.88	$188,848.59	$170,737.73	nat. median $159,249 1.1× median
5831 APR_DRG	Neonate W Ecmo	1	$152,626.88	$188,848.59	$170,737.73	nat. median $147,206 1.2× median
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$109,115.53	$228,791.89	$168,953.71	nat. median $122,016 1.4× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	1	$92,412.49	$233,255.25	$162,833.87	nat. median $170,172 1.0× median
5914 APR_DRG	Neonate Birthwt 500749g Wo Major Procedure	1	$93,807.13	$222,706.73	$158,256.93	nat. median $163,528 1.0× median
6314 APR_DRG	Neonate Birthwt 2499g W Other Major Procedure	1	$131,839.30	$180,897.42	$156,368.36	nat. median $134,402 1.2× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	$125,326.07	$266,928.95	$146,480.23	nat. median $198,115 0.7× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	$62,431.22	$227,527.75	$144,979.48	nat. median $163,718 0.9× median
5934 APR_DRG	Neonate Birthwt 750999g Wo Major Procedure	1	$90,542.33	$199,067.82	$144,805.08	nat. median $151,838 1.0× median
6094 APR_DRG	Neonate Bwt 15002499g W Major Procedure	1	$70,877.49	$211,045.75	$140,961.62	nat. median $165,000 0.9× median
23 APR_DRG	Heart andOR Lung Transplant	1	$81,282.42	$199,358.88	$140,320.65	nat. median $110,771 1.3× median
5883 APR_DRG	Neonate Bwt 1500g W Major Procedure	1	$111,984.02	$167,639.30	$139,811.66	nat. median $175,429 0.8× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	17	$124,590.57	$241,839.93	$134,984.83	nat. median $190,359 0.7× median
22 APR_DRG	Heart andOR Lung Transplant	1	$66,841.49	$199,358.88	$133,100.18	nat. median $92,158 1.4× median
21 APR_DRG	Heart andOR Lung Transplant	1	$59,406.60	$199,358.88	$129,382.74	nat. median $73,922 1.8× median
E0766 HCPCS	Elec Stim Cancer Treatment	1	$125,257.00	$125,257.00	$125,257.00	nat. median $16,786 outlier · 7.5×
5881 APR_DRG	Neonate Bwt 1500g W Major Procedure	1	$82,259.54	$167,639.30	$124,949.42	nat. median $120,763 1.0× median

Other procedures at this hospital

Browse this hospital's 18,962 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	12	8	—	—	$4,377,500.00	$4,730,250.00	$4,505,000.00	2026-07-15
J1414	HCPCS	Inj Beqvez Per Tx Dose	4	1	—	—	$3,675,000.00	$3,710,000.00	$3,710,000.00	2026-07-15
J1411	HCPCS	Inj Hemgenix Per Tx Dose	45	17	—	—	$3,489,255.00	$4,969,916.00	$3,685,266.67	2026-07-17
C9172	HCPCS	Inj- Beqvez- Per Tx Dose	24	16	—	—	$3,424,750.00	$4,686,500.00	$3,641,050.00	2026-07-17
J1413	HCPCS	Inj Delandistrogene Mox Rokl	47	17	—	—	$3,159,182.02	$4,675,409.45	$3,360,000.00	2026-07-17
J3394	HCPCS	Inj- Lovotibeglogene Autotem	39	17	—	—	$3,121,700.00	$4,271,800.00	$3,286,000.00	2026-07-17
J3393	HCPCS	Inj- Betibeglogene Autotemce	39	17	—	—	$2,819,600.00	$3,858,400.00	$2,968,000.00	2026-07-17
J3399	HCPCS	Inj Onase Abepar-xioi Treat	48	17	—	—	$2,231,250.00	$4,299,505.61	$2,455,110.61	2026-07-17
J3392	HCPCS	Inj Exagamglogene Autotem	13	9	—	—	$2,332,000.00	$3,031,600.00	$2,332,000.00	2026-07-15
Q2057	HCPCS	Afamitresgene Autoleucel	13	9	—	—	$770,620.00	$1,001,806.00	$770,620.00	2026-07-15
Q2042	HCPCS	Tisagenlecleucel Car-pos T	50	17	—	—	$471,442.34	$952,547.15	$560,638.17	2026-07-17
Q2056	HCPCS	Ciltacabtagene Car-pos T	49	17	—	—	$500,767.26	$948,822.17	$551,318.34	2026-07-17
Q2055	HCPCS	Idecabtagene Vicleucel Car	50	17	—	—	$471,350.20	$947,857.66	$545,018.16	2026-07-17
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	50	17	—	—	$461,013.08	$930,106.94	$536,424.80	2026-07-17
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	50	17	—	—	$448,137.18	$881,020.73	$508,450.70	2026-07-17
C9098	HCPCS	Ciltacabtagene Car Pos T	1	1	—	—	$507,687.00	$507,687.00	$507,687.00	2026-07-17
Q2053	HCPCS	Brexucabtagene Car Pos T	50	17	—	—	$437,503.88	$828,954.72	$484,328.46	2026-07-17
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	13	9	—	—	$270,375.00	$361,725.00	$278,250.00	2026-07-15
5884	APR_DRG	Neonate Bwt 1500g W Major Procedure	2	1	—	—	$141,703.04	$382,914.09	$262,308.57	2026-07-17
J3403	HCPCS	Revakinagene Per Implant	10	9	—	—	$257,500.00	$334,750.00	$257,500.00	2026-07-15
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	58	17	—	—	$221,340.19	$424,344.43	$257,349.99	2026-07-17
24	APR_DRG	Heart andOR Lung Transplant	2	1	—	—	$147,504.23	$345,547.17	$246,525.70	2026-07-17
1614	APR_DRG	Cardiac Defibrillator And Heart Assist Implant	2	1	—	—	$129,112.29	$334,078.59	$231,595.44	2026-07-17
612	MS_DRG	Neonate- Birth Weight <750 Grams- Discharged Alive	2	1	—	—	$217,286.57	$217,286.57	$217,286.57	2026-07-17
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	10	9	—	—	$205,640.00	$267,332.00	$205,640.00	2026-07-15
636	MS_DRG	Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu…	2	1	—	—	$199,388.70	$199,388.70	$199,388.70	2026-07-17
633	MS_DRG	Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar…	2	1	—	—	$179,138.52	$179,138.52	$179,138.52	2026-07-17
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$176,428.56	$176,428.56	$176,428.56	2026-07-15
5834	APR_DRG	Neonate W Ecmo	2	1	—	—	$162,247.62	$188,848.59	$175,548.10	2026-07-17
5833	APR_DRG	Neonate W Ecmo	2	1	—	—	$162,247.62	$188,848.59	$175,548.10	2026-07-17
631	MS_DRG	Neonate- Birth Weight 750-999 Grams- Discharged Alive	2	1	—	—	$174,511.45	$174,511.45	$174,511.45	2026-07-17
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	54	18	—	—	$20,000.00	$316,949.71	$173,929.69	2026-07-17
14	APR_DRG	Liver Transplant andOR Intestinal Transplant	2	1	—	—	$90,110.39	$251,928.85	$171,019.62	2026-07-17
5832	APR_DRG	Neonate W Ecmo	2	1	—	—	$152,626.88	$188,848.59	$170,737.73	2026-07-17
5831	APR_DRG	Neonate W Ecmo	2	1	—	—	$152,626.88	$188,848.59	$170,737.73	2026-07-17
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$109,115.53	$228,791.89	$168,953.71	2026-07-17
74	APR_DRG	Allogeneic Bone Marrow Transplant	2	1	—	—	$92,412.49	$233,255.25	$162,833.87	2026-07-17
5914	APR_DRG	Neonate Birthwt 500749g Wo Major Procedure	2	1	—	—	$93,807.13	$222,706.73	$158,256.93	2026-07-17
6314	APR_DRG	Neonate Birthwt 2499g W Other Major Procedure	2	1	—	—	$131,839.30	$180,897.42	$156,368.36	2026-07-17
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	54	17	—	—	$125,326.07	$266,928.95	$146,480.23	2026-07-17
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$62,431.22	$227,527.75	$144,979.48	2026-07-17
5934	APR_DRG	Neonate Birthwt 750999g Wo Major Procedure	2	1	—	—	$90,542.33	$199,067.82	$144,805.08	2026-07-17
6094	APR_DRG	Neonate Bwt 15002499g W Major Procedure	2	1	—	—	$70,877.49	$211,045.75	$140,961.62	2026-07-17
23	APR_DRG	Heart andOR Lung Transplant	2	1	—	—	$81,282.42	$199,358.88	$140,320.65	2026-07-17
5883	APR_DRG	Neonate Bwt 1500g W Major Procedure	2	1	—	—	$111,984.02	$167,639.30	$139,811.66	2026-07-17
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	54	17	—	—	$124,590.57	$241,839.93	$134,984.83	2026-07-17
22	APR_DRG	Heart andOR Lung Transplant	2	1	—	—	$66,841.49	$199,358.88	$133,100.18	2026-07-17
21	APR_DRG	Heart andOR Lung Transplant	2	1	—	—	$59,406.60	$199,358.88	$129,382.74	2026-07-17
E0766	HCPCS	Elec Stim Cancer Treatment	1	1	—	—	$125,257.00	$125,257.00	$125,257.00	2026-07-17
5881	APR_DRG	Neonate Bwt 1500g W Major Procedure	2	1	—	—	$82,259.54	$167,639.30	$124,949.42	2026-07-17
5882	APR_DRG	Neonate Bwt 1500g W Major Procedure	2	1	—	—	$82,259.54	$167,639.30	$124,949.42	2026-07-17
6304	APR_DRG	Neonate Birthwt 2499g W Major Cardiovascular Procedure	2	1	—	—	$64,803.32	$178,935.22	$121,869.27	2026-07-17
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$63,880.82	$148,627.78	$106,254.30	2026-07-17
5933	APR_DRG	Neonate Birthwt 750999g Wo Major Procedure	2	1	—	—	$54,565.07	$157,910.93	$106,238.00	2026-07-17
6024	APR_DRG	Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom	2	1	—	—	$69,929.73	$142,325.55	$106,127.64	2026-07-17
Q0480	HCPCS	Driver Pneumatic Vad Rep	48	17	—	—	$72,648.53	$195,676.14	$104,999.92	2026-07-17
64	APR_DRG	Pancreas Transplant	2	1	—	—	$46,800.53	$161,856.30	$104,328.41	2026-07-17
681	MS_DRG	Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip…	2	1	—	—	$102,819.68	$102,819.68	$102,819.68	2026-07-17
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$102,798.61	$102,798.61	$102,798.61	2026-07-15
104	APR_DRG	Head Trauma With Deep Coma	1	1	—	—	$102,780.61	$102,780.61	$102,780.61	2026-07-17
6114	APR_DRG	Neonate Birthwt 15001999g W Major Anomaly	2	1	—	—	$43,232.92	$160,959.68	$102,096.30	2026-07-17
73	APR_DRG	Allogeneic Bone Marrow Transplant	2	1	—	—	$61,489.01	$140,783.91	$101,136.46	2026-07-17
J7330	HCPCS	Cultured Chondrocytes Implnt	3	2	—	—	$409.50	$100,838.18	$100,838.18	2026-07-17
6074	APR_DRG	Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom	2	1	—	—	$62,566.87	$138,533.12	$100,549.99	2026-07-17
72	APR_DRG	Allogeneic Bone Marrow Transplant	2	1	—	—	$54,798.99	$140,783.91	$97,791.45	2026-07-17
102	APR_DRG	Head Trauma With Deep Coma	1	1	—	—	$95,397.99	$95,397.99	$95,397.99	2026-07-17
101	APR_DRG	Head Trauma With Deep Coma	1	1	—	—	$95,397.99	$95,397.99	$95,397.99	2026-07-17
103	APR_DRG	Head Trauma With Deep Coma	1	1	—	—	$95,397.99	$95,397.99	$95,397.99	2026-07-17
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	2	1	—	—	$66,951.91	$121,967.26	$94,459.58	2026-07-17
6023	APR_DRG	Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom	2	1	—	—	$49,747.80	$131,516.80	$90,632.30	2026-07-17
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…	54	17	—	—	$81,306.83	$158,990.76	$88,543.21	2026-07-17
71	APR_DRG	Allogeneic Bone Marrow Transplant	2	1	—	—	$34,320.66	$140,783.91	$87,552.29	2026-07-17
6214	APR_DRG	Neonate Bwt 20002499g W Major Anomaly	2	1	—	—	$41,988.10	$132,042.19	$87,015.14	2026-07-17
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	1	—	—	$49,570.91	$121,471.46	$85,521.18	2026-07-17
635	MS_DRG	Neonate- Birth Weight 1000-1499 Grams- Died	2	1	—	—	$84,974.31	$84,974.31	$84,974.31	2026-07-17
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$55,840.60	$112,340.01	$84,090.30	2026-07-17
4404	APR_DRG	Kidney Transplant	2	1	—	—	$38,936.02	$127,826.73	$83,381.38	2026-07-17
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$82,976.94	$82,976.94	$82,976.94	2026-07-15
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$32,822.81	$131,304.67	$82,063.74	2026-07-17
1624	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	2	1	—	—	$50,327.10	$112,862.94	$81,595.02	2026-07-17
1613	APR_DRG	Cardiac Defibrillator And Heart Assist Implant	2	1	—	—	$79,064.00	$83,350.94	$81,207.47	2026-07-17
14	MS_DRG	Allogeneic Bone Marrow Transplant	54	18	—	—	$20,000.00	$147,421.45	$80,899.17	2026-07-17
7	MS_DRG	Lung Transplant	54	18	—	—	$20,000.00	$147,050.14	$80,695.40	2026-07-17
634	MS_DRG	Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc…	2	1	—	—	$80,655.19	$80,655.19	$80,655.19	2026-07-17
8634	APR_DRG	Neonatal Aftercare	2	1	—	—	$41,993.68	$118,654.58	$80,324.13	2026-07-17
62	APR_DRG	Pancreas Transplant	2	1	—	—	$46,800.53	$110,987.07	$78,893.80	2026-07-17
63	APR_DRG	Pancreas Transplant	2	1	—	—	$46,800.53	$110,987.07	$78,893.80	2026-07-17
6093	APR_DRG	Neonate Bwt 15002499g W Major Procedure	2	1	—	—	$45,106.97	$111,027.77	$78,067.37	2026-07-17
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$24,092.59	$131,304.67	$77,698.63	2026-07-17
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$23,963.59	$131,304.67	$77,634.13	2026-07-17
613	MS_DRG	Neonate- Birth Weight <750 Grams- Died	2	1	—	—	$77,067.16	$77,067.16	$77,067.16	2026-07-17
6092	APR_DRG	Neonate Bwt 15002499g W Major Procedure	2	1	—	—	$42,551.98	$111,027.77	$76,789.88	2026-07-17
6091	APR_DRG	Neonate Bwt 15002499g W Major Procedure	2	1	—	—	$41,410.33	$111,027.77	$76,219.05	2026-07-17
1612	APR_DRG	Cardiac Defibrillator And Heart Assist Implant	2	1	—	—	$67,327.79	$83,331.59	$75,329.69	2026-07-17
84	APR_DRG	Autologous Bone Marrow Transplant	2	1	—	—	$46,186.44	$102,981.64	$74,584.04	2026-07-17
453	MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	6	3	—	—	$71,748.67	$87,340.74	$73,858.93	2026-07-17
5932	APR_DRG	Neonate Birthwt 750999g Wo Major Procedure	2	1	—	—	$47,389.23	$99,497.53	$73,443.38	2026-07-17
5913	APR_DRG	Neonate Birthwt 500749g Wo Major Procedure	2	1	—	—	$42,365.74	$101,865.49	$72,115.62	2026-07-17
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$31,859.36	$112,340.01	$72,099.68	2026-07-17
C1820	HCPCS	Sensor MRI Intellis 97715	40	16	$101,640.00	$38,623.20 62% off	$13,609.60	$101,640.00	$71,656.20	2026-07-17
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	54	18	—	—	$20,000.00	$123,993.66	$69,970.02	2026-07-17
209	MS_DRG	Kidney And Urinary Tract Signs And Symptoms Age 0-17	18	12	—	—	$3,693.82	$128,966.41	$69,889.75	2026-07-17
6073	APR_DRG	Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom	2	1	—	—	$38,589.90	$100,390.44	$69,490.17	2026-07-17
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$46,512.41	$92,372.68	$69,442.54	2026-07-17
6334	APR_DRG	Neonate Birthwt 2499g W Major Anomaly	2	1	—	—	$47,510.45	$90,997.53	$69,253.99	2026-07-17
212	MS_DRG	Testes Procedures Age 0-17	60	17	—	—	$7,190.96	$123,899.50	$69,221.15	2026-07-17
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	1	—	—	$38,890.26	$98,520.74	$68,705.50	2026-07-17
1611	APR_DRG	Cardiac Defibrillator And Heart Assist Implant	2	1	—	—	$54,923.13	$82,318.94	$68,621.04	2026-07-17
1654	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	2	1	—	—	$34,824.67	$101,057.67	$67,941.17	2026-07-17
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	47	17	—	—	$62,578.15	$120,740.26	$67,847.89	2026-07-17
1634	APR_DRG	Cardiac Valve Procedures Wo Ami Or Complex Pdx	2	1	—	—	$36,692.40	$98,790.84	$67,741.62	2026-07-17
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	56	17	—	—	$11,906.58	$125,575.55	$67,592.73	2026-07-17
215	MS_DRG	Other Heart Assist System Implant	60	17	—	—	$58,446.95	$119,212.69	$67,381.87	2026-07-17
5912	APR_DRG	Neonate Birthwt 500749g Wo Major Procedure	2	1	—	—	$32,506.92	$101,865.49	$67,186.21	2026-07-17
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$21,520.40	$112,340.01	$66,930.20	2026-07-17
6022	APR_DRG	Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom	2	1	—	—	$39,097.10	$93,303.83	$66,200.46	2026-07-17
6124	APR_DRG	Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond	2	1	—	—	$44,351.21	$87,808.19	$66,079.70	2026-07-17
5911	APR_DRG	Neonate Birthwt 500749g Wo Major Procedure	2	1	—	—	$29,939.82	$101,865.49	$65,902.65	2026-07-17
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	54	18	—	—	$20,000.00	$119,827.05	$65,756.43	2026-07-17
5931	APR_DRG	Neonate Birthwt 750999g Wo Major Procedure	2	1	—	—	$31,468.80	$99,497.53	$65,483.16	2026-07-17
A9543	HCPCS	Y90 Ibritumomab Rx	48	17	—	—	$56,824.55	$117,857.84	$65,476.58	2026-07-17
13	APR_DRG	Liver Transplant andOR Intestinal Transplant	2	1	—	—	$49,313.89	$80,860.93	$65,087.41	2026-07-17
632	MS_DRG	Neonate- Birth Weight 750-999 Grams- Died	2	1	—	—	$64,772.71	$64,772.71	$64,772.71	2026-07-17
J9029	HCPCS	Instill Adstiladrin Tx Dose	50	17	—	—	$60,187.03	$114,038.59	$64,283.43	2026-07-17
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	1	—	—	$27,467.85	$98,520.74	$62,994.30	2026-07-17
61	APR_DRG	Pancreas Transplant	2	1	—	—	$14,500.62	$110,987.07	$62,743.85	2026-07-17
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	1	—	—	$24,567.88	$98,520.74	$61,544.31	2026-07-17
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	60	17	—	—	$56,643.27	$111,465.22	$61,380.03	2026-07-17
6072	APR_DRG	Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom	2	1	—	—	$30,102.51	$92,588.51	$61,345.51	2026-07-17
8633	APR_DRG	Neonatal Aftercare	2	1	—	—	$32,119.16	$89,404.09	$60,761.62	2026-07-17
6021	APR_DRG	Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom	2	1	—	—	$26,751.69	$93,303.83	$60,027.76	2026-07-17
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	2	1	—	—	$36,472.19	$83,006.90	$59,739.54	2026-07-17
6034	APR_DRG	Neonate Birthwt 10001249g W Or Wo Other Significant Condition	2	1	—	—	$34,132.55	$83,071.03	$58,601.79	2026-07-17
6033	APR_DRG	Neonate Birthwt 10001249g W Or Wo Other Significant Condition	2	1	—	—	$33,339.20	$83,071.03	$58,205.11	2026-07-17
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	2	1	—	—	$35,220.33	$80,534.11	$57,877.22	2026-07-17
83	APR_DRG	Autologous Bone Marrow Transplant	2	1	—	—	$46,025.19	$68,706.63	$57,365.91	2026-07-17
6084	APR_DRG	Neonate Bwt 12501499g W Or Wo Other Significant Condition	2	1	—	—	$28,520.06	$85,250.29	$56,885.18	2026-07-17
850	MS_DRG	Acute Leukemia With Other Procedures	54	17	—	—	$50,830.71	$103,652.30	$56,880.35	2026-07-17
12	APR_DRG	Liver Transplant andOR Intestinal Transplant	2	1	—	—	$32,829.81	$80,860.93	$56,845.37	2026-07-17
6083	APR_DRG	Neonate Bwt 12501499g W Or Wo Other Significant Condition	2	1	—	—	$28,094.36	$85,250.29	$56,672.32	2026-07-17
4403	APR_DRG	Kidney Transplant	2	1	—	—	$37,845.97	$75,265.39	$56,555.68	2026-07-17
214	APR_DRG	Craniotomy Except For Trauma	2	1	—	—	$38,382.34	$74,122.11	$56,252.22	2026-07-17
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	1	—	—	$30,649.98	$81,557.76	$56,103.87	2026-07-17
C1767	HCPCS	Genrtr Nrstm 49.5x55.5m 3660ans	161	16	$109,350.00	$41,553.00 62% off	$8,813.30	$129,600.00	$55,766.88	2026-07-17
2604	APR_DRG	Major Pancreas Liver And Shunt Procedures	2	1	—	—	$30,605.37	$80,593.30	$55,599.34	2026-07-17
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	90	25	$2,028.76	$770.93 62% off	$271.65	$99,027.41	$55,015.23	2026-07-17
6123	APR_DRG	Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond	2	1	—	—	$31,717.13	$78,229.04	$54,973.08	2026-07-17
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	2	1	—	—	$36,326.66	$73,269.89	$54,798.28	2026-07-17
6113	APR_DRG	Neonate Birthwt 15001999g W Major Anomaly	2	1	—	—	$27,375.68	$82,173.18	$54,774.43	2026-07-17
6954	APR_DRG	Chemotherapy For Acute Leukemia	2	1	—	—	$31,058.52	$77,931.82	$54,495.17	2026-07-17
1204	APR_DRG	Major Respiratory And Chest Procedures	2	1	—	—	$25,638.37	$83,294.26	$54,466.32	2026-07-17
9114	APR_DRG	Extensive Abdominalthoracic Procedures For Mult Significant Trauma	2	1	—	—	$36,203.72	$72,184.58	$54,194.15	2026-07-17
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	54	17	—	—	$48,951.82	$102,655.38	$54,075.39	2026-07-17
3124	APR_DRG	Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses	2	1	—	—	$21,391.22	$86,462.64	$53,926.93	2026-07-17
231	MS_DRG	Coronary Bypass With Ptca With Mcc	60	17	—	—	$49,482.97	$96,144.87	$53,893.16	2026-07-17
1694	APR_DRG	Major Abdominal Vascular Procedures	2	1	—	—	$28,773.77	$78,956.70	$53,865.24	2026-07-17
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	6	3	—	—	$39,966.76	$55,279.59	$53,700.17	2026-07-17
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	60	17	—	—	$47,959.32	$95,748.34	$53,654.03	2026-07-17
1664	APR_DRG	Coronary Bypass Wo Ami Or Complex Pdx	2	1	—	—	$26,943.67	$80,082.71	$53,513.19	2026-07-17
1623	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	2	1	—	—	$24,657.19	$81,106.36	$52,881.77	2026-07-17
361	MS_DRG	Cardiac Defibrillator Implant With Mcc	2	1	—	—	$52,473.56	$52,473.56	$52,473.56	2026-07-17
9504	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	2	1	—	—	$39,095.74	$65,160.86	$52,128.30	2026-07-17
647	MS_DRG	Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With…	2	1	—	—	$52,095.87	$52,095.87	$52,095.87	2026-07-17
1814	APR_DRG	Lower Extremity Arterial Procedures	2	1	—	—	$28,777.64	$74,867.03	$51,822.33	2026-07-17
4402	APR_DRG	Kidney Transplant	2	1	—	—	$37,762.12	$65,233.62	$51,497.87	2026-07-17
5893	APR_DRG	Neonate Bwt 500g Or Ga 24 Weeks	2	1	—	—	$38,000.63	$64,600.93	$51,300.78	2026-07-17
5894	APR_DRG	Neonate Bwt 500g Or Ga 24 Weeks	2	1	—	—	$38,000.63	$64,600.93	$51,300.78	2026-07-17
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	60	17	—	—	$46,189.35	$90,837.88	$51,267.79	2026-07-17
6904	APR_DRG	Acute Leukemia	2	1	—	—	$26,716.26	$75,731.58	$51,223.92	2026-07-17
914	APR_DRG	Other Major Head And Neck Procedures	2	1	—	—	$40,034.09	$62,350.14	$51,192.11	2026-07-17
2304	APR_DRG	Major Small Bowel Procedures	2	1	—	—	$28,048.99	$74,314.51	$51,181.75	2026-07-17
6032	APR_DRG	Neonate Birthwt 10001249g W Or Wo Other Significant Condition	2	1	—	—	$20,295.91	$81,894.45	$51,095.18	2026-07-17
894	APR_DRG	Major Cranialfacial Bone Procedures	2	1	—	—	$23,893.93	$78,290.71	$51,092.32	2026-07-17
4401	APR_DRG	Kidney Transplant	2	1	—	—	$37,704.07	$63,694.45	$50,699.26	2026-07-17
6814	APR_DRG	Other Or Procedures For Lymphatichematopoieticother Neoplasms	2	1	—	—	$32,328.70	$68,717.73	$50,523.21	2026-07-17
5892	APR_DRG	Neonate Bwt 500g Or Ga 24 Weeks	2	1	—	—	$36,259.18	$64,600.93	$50,430.06	2026-07-17
5891	APR_DRG	Neonate Bwt 500g Or Ga 24 Weeks	2	1	—	—	$36,259.18	$64,600.93	$50,430.06	2026-07-17
38240	CPT	Transplt Allo Hct/donor	51	17	—	—	$1,242.31	$90,986.16	$50,237.97	2026-07-17
6903	APR_DRG	Acute Leukemia	2	1	—	—	$26,716.26	$73,161.36	$49,938.81	2026-07-17
4414	APR_DRG	Major Bladder Procedures	2	1	—	—	$22,102.01	$77,734.49	$49,918.25	2026-07-17
8514	APR_DRG	Gender Related Procedures	1	1	—	—	$49,861.86	$49,861.86	$49,861.86	2026-07-15
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	60	17	—	—	$44,876.83	$88,684.87	$49,711.52	2026-07-17
6224	APR_DRG	Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond	2	1	—	—	$28,165.54	$71,049.93	$49,607.74	2026-07-17
454	MS_DRG	Combined Anterior/posterior Spinal Fusion W Cc	6	3	—	—	$47,811.23	$50,978.78	$49,522.24	2026-07-17
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	58	17	—	—	$41,879.65	$89,197.98	$49,437.87	2026-07-17
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	60	17	—	—	$45,071.13	$87,789.68	$49,209.73	2026-07-17
6344	APR_DRG	Neonate Birthwt 2499g W Resp Dist Syndoth Maj Resp Cond	2	1	—	—	$31,437.15	$66,538.47	$48,987.81	2026-07-17
10	MS_DRG	Pancreas Transplant	54	18	—	—	$20,000.00	$89,712.20	$48,939.65	2026-07-17
3043	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	1	—	—	$25,955.70	$71,609.85	$48,782.78	2026-07-17
L7181	HCPCS	Electronic Elbo Simultaneous	48	17	—	—	$37,858.44	$87,052.69	$48,632.79	2026-07-17
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	2	1	—	—	$28,163.09	$68,180.01	$48,171.55	2026-07-17
2204	APR_DRG	Major Stomach Esophageal And Duodenal Procedures	2	1	—	—	$26,992.76	$69,292.46	$48,142.61	2026-07-17
6804	APR_DRG	Major Or Procedures For Lymphatichematopoieticother Neoplasms	2	1	—	—	$30,865.43	$65,241.02	$48,053.22	2026-07-17
11	APR_DRG	Liver Transplant andOR Intestinal Transplant	2	1	—	—	$14,516.72	$80,860.93	$47,688.82	2026-07-17
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	60	17	—	—	$43,808.14	$86,821.14	$47,471.57	2026-07-17
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	1	—	—	$28,420.12	$66,348.54	$47,384.33	2026-07-17
8504	APR_DRG	Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service	2	1	—	—	$41,788.34	$52,127.35	$46,957.85	2026-07-17
646	MS_DRG	Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without…	2	1	—	—	$46,719.69	$46,719.69	$46,719.69	2026-07-17
J9226	HCPCS	Supprelin La Implant	51	17	—	—	$43,082.71	$83,579.84	$46,710.73	2026-07-17
1214	APR_DRG	Other Respiratory And Chest Procedures	2	1	—	—	$21,856.44	$70,144.68	$46,000.56	2026-07-17
204	APR_DRG	Craniotomy For Trauma	2	1	—	—	$30,929.35	$60,896.06	$45,912.71	2026-07-17
82	APR_DRG	Autologous Bone Marrow Transplant	2	1	—	—	$22,528.32	$68,706.63	$45,617.48	2026-07-17
81	APR_DRG	Autologous Bone Marrow Transplant	2	1	—	—	$22,476.72	$68,706.63	$45,591.68	2026-07-17
234	APR_DRG	Spinal Procedures	2	1	—	—	$25,085.63	$64,930.23	$45,007.93	2026-07-17
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	60	17	—	—	$40,848.29	$81,243.78	$44,945.41	2026-07-17
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	56	17	—	—	$11,460.72	$82,248.73	$44,653.15	2026-07-17
6112	APR_DRG	Neonate Birthwt 15001999g W Major Anomaly	2	1	—	—	$18,496.60	$70,258.14	$44,377.37	2026-07-17
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	60	17	—	—	$40,571.82	$78,753.05	$44,242.65	2026-07-17
6031	APR_DRG	Neonate Birthwt 10001249g W Or Wo Other Significant Condition	2	1	—	—	$14,694.92	$72,539.77	$43,617.35	2026-07-17
955	MS_DRG	Craniotomy For Multiple Significant Trauma	60	17	—	—	$39,511.13	$98,561.68	$43,427.31	2026-07-17
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$25,931.27	$60,606.23	$43,268.75	2026-07-17
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	54	17	—	—	$37,136.45	$81,725.74	$43,123.65	2026-07-17
2644	APR_DRG	Other Hepatobiliary Pancreas And Abdominal Procedures	2	1	—	—	$21,370.14	$64,665.07	$43,017.60	2026-07-17
0266T	CPT	Implt/rpl Crtd Sns Dev Total	46	17	—	—	$10,523.00	$76,794.70	$42,800.10	2026-07-17
7114	APR_DRG	Postop Posttrauma Other Device Infections W Or Procedure	2	1	—	—	$25,982.75	$59,370.45	$42,676.60	2026-07-17
33276	CPT	Insj Phrnc Nrv Stim Sys	47	17	—	—	$2,498.00	$76,794.70	$42,593.34	2026-07-17
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	60	17	—	—	$13,047.47	$78,366.79	$42,468.70	2026-07-17
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	54	17	—	—	$39,220.56	$76,130.15	$42,360.77	2026-07-17
6144	APR_DRG	Neonate Bwt 15001999g W Or Wo Other Significant Condition	2	1	—	—	$24,064.99	$59,943.95	$42,004.47	2026-07-17
224	APR_DRG	Ventricular Shunt Procedures	2	1	—	—	$35,043.46	$48,950.19	$41,996.82	2026-07-17
7924	APR_DRG	Extensive Or Procedures For Other Complications Of Treatment	2	1	—	—	$23,014.91	$60,815.90	$41,915.40	2026-07-17
1653	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	2	1	—	—	$24,264.54	$59,454.32	$41,859.43	2026-07-17
6143	APR_DRG	Neonate Bwt 15001999g W Or Wo Other Significant Condition	2	1	—	—	$22,413.79	$59,943.95	$41,178.87	2026-07-17
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	60	17	—	—	$37,771.28	$73,316.97	$41,130.75	2026-07-17
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	60	17	—	—	$37,902.06	$78,193.17	$41,071.60	2026-07-17
6082	APR_DRG	Neonate Bwt 12501499g W Or Wo Other Significant Condition	2	1	—	—	$20,714.94	$61,388.15	$41,051.54	2026-07-17
3214	APR_DRG	Cervical Spinal Fusion And Other Backneck Proc Exc Disc Excisdecomp	2	1	—	—	$26,890.71	$55,109.36	$41,000.04	2026-07-17
1754	APR_DRG	Percutaneous Coronary Intervention Wo Ami	2	1	—	—	$17,277.65	$64,013.88	$40,645.76	2026-07-17
4054	APR_DRG	Other Procedures For Endocrine Nutritional And Metabolic Disorders	2	1	—	—	$22,769.01	$58,415.87	$40,592.44	2026-07-17
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	60	17	—	—	$34,917.04	$74,918.97	$40,504.32	2026-07-17
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	60	17	—	—	$36,143.09	$74,646.65	$40,452.67	2026-07-17
1764	APR_DRG	Cardiac Pacemaker And Defibrillator Device Replacement	2	1	—	—	$14,367.73	$66,368.27	$40,368.00	2026-07-17
317	MS_DRG	Endovascular Cardiac Valve Replacement With Mcc	56	17	—	—	$36,308.60	$76,185.98	$40,278.16	2026-07-17
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	60	17	—	—	$35,931.64	$71,161.02	$40,221.92	2026-07-17
6122	APR_DRG	Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond	2	1	—	—	$20,022.42	$59,403.75	$39,713.08	2026-07-17
1324	APR_DRG	Bpd And Oth Chronic Respiratory Diseases Arising In Perinatal Period	2	1	—	—	$5,848.78	$73,412.96	$39,630.87	2026-07-17
9514	APR_DRG	Moderately Extensive Procedure Unrelated To Principal Diagnosis	2	1	—	—	$25,872.85	$52,574.90	$39,223.88	2026-07-17
L7180	HCPCS	Electronic Elbow Sequential	48	17	—	—	$25,912.94	$70,183.07	$39,208.42	2026-07-17
1763	APR_DRG	Cardiac Pacemaker And Defibrillator Device Replacement	2	1	—	—	$11,945.88	$66,368.27	$39,157.08	2026-07-17
1633	APR_DRG	Cardiac Valve Procedures Wo Ami Or Complex Pdx	2	1	—	—	$21,165.22	$57,144.32	$39,154.77	2026-07-17
924	APR_DRG	Facial Bone Procedures Except Major Cranialfacial Bone Procedures	2	1	—	—	$15,665.32	$62,625.17	$39,145.24	2026-07-17
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	60	17	—	—	$31,382.58	$69,699.39	$38,978.21	2026-07-17
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	60	17	—	—	$35,587.07	$69,309.31	$38,850.72	2026-07-17
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	60	17	—	—	$32,419.66	$69,050.15	$38,839.34	2026-07-17
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	48	17	—	—	$35,816.41	$69,105.31	$38,832.52	2026-07-17
4034	APR_DRG	Procedures For Obesity	2	1	—	—	$16,752.67	$60,893.60	$38,823.13	2026-07-17
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$17,010.57	$60,606.23	$38,808.40	2026-07-17
213	APR_DRG	Craniotomy Except For Trauma	2	1	—	—	$21,721.79	$55,642.15	$38,681.97	2026-07-17
28	MS_DRG	Spinal Procedures With Mcc	60	17	—	—	$33,400.31	$68,458.57	$38,477.32	2026-07-17
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	60	17	—	—	$35,160.60	$69,826.99	$38,100.89	2026-07-17
3174	APR_DRG	Tendon Muscle And Other Soft Tissue Procedures	2	1	—	—	$15,799.41	$59,821.85	$37,810.63	2026-07-17
3024	APR_DRG	Knee Joint Replacement	1	1	—	—	$37,442.15	$37,442.15	$37,442.15	2026-07-17
3023	APR_DRG	Knee Joint Replacement	1	1	—	—	$37,439.68	$37,439.68	$37,439.68	2026-07-17
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	60	17	—	—	$34,448.31	$66,866.83	$37,422.92	2026-07-17
6303	APR_DRG	Neonate Birthwt 2499g W Major Cardiovascular Procedure	2	1	—	—	$26,640.32	$48,163.34	$37,401.83	2026-07-17
6301	APR_DRG	Neonate Birthwt 2499g W Major Cardiovascular Procedure	2	1	—	—	$26,640.32	$48,163.34	$37,401.83	2026-07-17
6302	APR_DRG	Neonate Birthwt 2499g W Major Cardiovascular Procedure	2	1	—	—	$26,640.32	$48,163.34	$37,401.83	2026-07-17
244	APR_DRG	Extracranial Vascular Procedures	2	1	—	—	$16,424.59	$58,174.14	$37,299.37	2026-07-17
455	MS_DRG	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	6	3	—	—	$34,801.36	$38,387.24	$37,290.46	2026-07-17
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	54	18	—	—	$20,000.00	$67,915.95	$37,269.63	2026-07-17
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	54	18	—	—	$20,000.00	$67,915.95	$37,269.63	2026-07-17
893	APR_DRG	Major Cranialfacial Bone Procedures	2	1	—	—	$15,476.86	$58,718.03	$37,097.44	2026-07-17
608	MS_DRG	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	2	1	—	—	$37,076.11	$37,076.11	$37,076.11	2026-07-17
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	60	17	—	—	$34,171.66	$66,823.53	$37,029.25	2026-07-17
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	60	17	—	—	$33,685.11	$67,943.56	$36,820.12	2026-07-17
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome- Neonate	53	17	—	—	$5,463.16	$67,720.24	$36,707.12	2026-07-17
1622	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	2	1	—	—	$20,138.37	$53,222.39	$36,680.38	2026-07-17
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	60	17	—	—	$33,483.80	$65,291.04	$36,283.87	2026-07-17
6213	APR_DRG	Neonate Bwt 20002499g W Major Anomaly	2	1	—	—	$20,128.86	$52,262.87	$36,195.87	2026-07-17
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	2	1	—	—	$18,047.58	$53,773.68	$35,910.63	2026-07-17
3004	APR_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	1	1	—	—	$35,863.70	$35,863.70	$35,863.70	2026-07-15
648	MS_DRG	Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With…	2	1	—	—	$35,817.67	$35,817.67	$35,817.67	2026-07-17
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	54	17	—	—	$32,106.91	$65,710.34	$35,467.40	2026-07-17
653	MS_DRG	Major Bladder Procedures With Mcc	60	17	—	—	$30,502.54	$62,725.40	$35,374.26	2026-07-17
213	MS_DRG	Splenectomy Age 0-17	18	12	—	—	$13,686.10	$65,024.42	$35,238.17	2026-07-17
3042	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	1	—	—	$16,636.84	$53,808.21	$35,222.52	2026-07-17
9123	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	2	1	—	—	$17,966.20	$52,457.74	$35,211.97	2026-07-17
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	60	17	—	—	$31,699.01	$64,940.10	$35,192.48	2026-07-17
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	60	17	—	—	$32,225.36	$66,388.46	$35,153.08	2026-07-17
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	60	17	—	—	$31,074.27	$71,277.25	$35,153.08	2026-07-17
1824	APR_DRG	Other Peripheral Vascular Procedures	2	1	—	—	$19,447.03	$50,773.03	$35,110.03	2026-07-17
1652	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	2	1	—	—	$19,850.46	$50,277.24	$35,063.85	2026-07-17
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	2	1	—	—	$17,626.27	$52,002.64	$34,814.46	2026-07-17
3213	APR_DRG	Cervical Spinal Fusion And Other Backneck Proc Exc Disc Excisdecomp	2	1	—	—	$26,723.01	$42,900.79	$34,811.90	2026-07-17
3014	APR_DRG	Hip Joint Replacement	1	1	—	—	$34,807.79	$34,807.79	$34,807.79	2026-07-17
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	56	17	—	—	$9,066.86	$64,057.07	$34,713.94	2026-07-17
8	MS_DRG	Simultaneous Pancreas/kidney Transplant	54	18	—	—	$20,000.00	$61,223.26	$34,605.68	2026-07-17
405	MS_DRG	Pancreas- Liver And Shunt Procedures With Mcc	60	17	—	—	$31,861.58	$62,330.88	$34,525.99	2026-07-17
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	47	17	—	—	$31,806.86	$61,369.15	$34,485.33	2026-07-17
1744	APR_DRG	Percutaneous Coronary Intervention W Ami	2	1	—	—	$16,394.96	$52,545.30	$34,470.13	2026-07-17
6313	APR_DRG	Neonate Birthwt 2499g W Other Major Procedure	2	1	—	—	$22,766.06	$46,098.77	$34,432.42	2026-07-17
1663	APR_DRG	Coronary Bypass Wo Ami Or Complex Pdx	2	1	—	—	$17,330.83	$51,436.55	$34,383.69	2026-07-17
11	MS_DRG	Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc	60	17	—	—	$31,669.08	$62,144.02	$34,317.39	2026-07-17
C1772	HCPCS	Pump Synch Iii 20ml 8667-20	27	16	$68,610.00	$26,071.80 62% off	$9,186.88	$68,610.00	$34,305.00	2026-07-15
2314	APR_DRG	Major Large Bowel Procedures	2	1	—	—	$16,909.48	$51,504.38	$34,206.93	2026-07-17
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	60	17	—	—	$28,769.73	$60,707.92	$34,147.00	2026-07-17
2244	APR_DRG	Peritoneal Adhesiolysis	2	1	—	—	$18,594.83	$49,627.28	$34,111.06	2026-07-17
6223	APR_DRG	Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond	2	1	—	—	$21,702.40	$46,421.90	$34,062.15	2026-07-17
1303	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	1	—	—	$17,042.40	$50,676.83	$33,859.62	2026-07-17
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	60	17	—	—	$31,224.79	$62,242.00	$33,835.94	2026-07-17

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