Hospital

HOLYOKE MEDICAL CENTER

Holyoke, MA · CCN 220024 · Rates published

5,579 distinct procedures filed

36 distinct payers

319,096 rate rows

2025-01-22 last MRF observed · ⚠ 17 mo old

Data quality

287,882 of 319,096 rate rows are consumer-grade (90.2%)

31,214 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
professional (physician) fee — not the facility price	11,860
per-diem day rate — not a per-procedure price	9,928
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	8,506
exceeds 10× this hospital's gross charge — excluded from medians	774
placeholder amount (≤ $0.02) — excluded from medians	146

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://www.holyokehealth.com/22-2520073_holyoke-medical-center_standardcharges.csv
Found on page	https://www.holyokehealth.com/patients-visitors/cost-for-care/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	5aeb9ad8d4e0bc84… · 99,779,720 bytes · first seen 2026-05-08

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
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	$4,000.00	$1,569,023.74	$1,153,266.72	nat. median $370,174 outlier · 3.1×
7 MS_DRG	Lung Transplant	12	$4,000.00	$1,138,011.56	$836,472.77	nat. median $122,708 outlier · 6.8×
5834 APR_DRG		5	$458,840.60	$583,515.95	$469,262.22	nat. median $309,665 1.5× median
0024 APR_DRG		5	$340,153.56	$652,998.15	$455,308.70	nat. median $372,987 1.2× median
5884 APR_DRG		5	$374,994.37	$471,531.53	$436,048.99	nat. median $246,434 1.8× median
1614 APR_DRG		5	$331,534.97	$414,418.71	$366,026.28	nat. median $207,730 1.8× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	13	$4,000.00	$489,487.23	$359,807.39	nat. median $133,176 outlier · 2.7×
5833 APR_DRG		5	$287,386.94	$476,291.42	$347,949.94	nat. median $244,017 1.4× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	13	$4,000.00	$465,695.27	$342,320.30	nat. median $265,286 1.3× median
5914 APR_DRG		5	$192,819.91	$413,582.54	$298,788.22	nat. median $164,279 1.8× median
5883 APR_DRG		5	$241,585.75	$316,665.67	$292,836.71	nat. median $182,736 1.6× median
8414 APR_DRG		5	$211,798.74	$353,098.75	$284,105.41	nat. median $160,267 1.8× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	13	$4,000.00	$378,166.50	$277,986.65	nat. median $108,660 outlier · 2.6×
5832 APR_DRG		5	$116,987.01	$352,489.33	$266,345.51	nat. median $156,126 1.7× median
969 MS_DRG	HIV With Extensive O.r. Procedures With Mcc	13	$4,000.00	$359,612.74	$264,349.63	nat. median $60,185 outlier · 4.4×
0014 APR_DRG		5	$212,660.09	$303,581.98	$258,446.40	nat. median $190,591 1.4× median
0074 APR_DRG		4	$253,349.44	$316,686.80	$253,349.44	nat. median $178,275 1.4× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	13	$4,000.00	$344,244.45	$253,053.94	nat. median $202,986 1.2× median
6094 APR_DRG		5	$222,800.86	$323,863.29	$251,597.80	nat. median $162,982 1.5× median
0044 APR_DRG		5	$215,365.04	$271,904.30	$251,443.62	nat. median $195,681 1.3× median
5934 APR_DRG		5	$169,751.68	$327,740.98	$246,340.21	nat. median $151,838 1.6× median
0064 APR_DRG		5	$201,912.35	$277,180.15	$245,253.46	nat. median $98,565 outlier · 2.5×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	$4,000.00	$314,616.32	$231,277.26	nat. median $206,368 1.1× median
5831 APR_DRG		5	$74,086.53	$282,347.46	$225,753.36	nat. median $145,122 1.6× median
0023 APR_DRG		5	$220,041.45	$275,051.82	$223,478.34	nat. median $167,082 1.3× median
6304 APR_DRG		5	$157,925.14	$294,212.86	$221,455.61	nat. median $150,721 1.5× median
6034 APR_DRG		5	$198,662.32	$264,553.72	$211,642.98	nat. median $109,499 1.9× median
6 MS_DRG	Liver Transplant Without Mcc	12	$4,000.00	$286,121.00	$210,333.20	nat. median $46,260 outlier · 4.5×
1613 APR_DRG		5	$145,740.01	$317,485.97	$206,832.18	nat. median $119,796 1.7× median
8 MS_DRG	Simultaneous Pancreas And Kidney Transplant	12	$4,000.00	$275,724.88	$202,692.06	nat. median $53,171 outlier · 3.8×
1604 APR_DRG		5	$164,112.75	$256,530.11	$199,554.96	nat. median $97,957 outlier · 2.0×
0094 APR_DRG		4	$198,816.83	$248,521.04	$198,816.83	nat. median $166,008 1.2× median
6024 APR_DRG		5	$141,552.53	$252,574.09	$198,013.58	nat. median $118,620 1.7× median
5882 APR_DRG		5	$129,030.95	$295,699.31	$192,208.75	nat. median $145,336 1.3× median
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	13	$4,000.00	$261,128.91	$191,964.02	nat. median $62,134 outlier · 3.1×
5913 APR_DRG		5	$121,680.97	$257,258.88	$190,135.95	nat. median $102,636 1.9× median
0114 APR_DRG		4	$187,906.36	$234,882.94	$187,906.36	nat. median $197,700 1.0× median
570 MS_DRG	Skin Debridement With Mcc	13	$4,000.00	$254,201.95	$186,872.70	nat. median $29,069 outlier · 6.4×
5891 APR_DRG		5	$113,553.32	$455,942.01	$186,092.02	nat. median $93,260 2.0× median
0022 APR_DRG		5	$156,566.35	$200,906.52	$185,399.15	nat. median $140,623 1.3× median
268 MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	13	$4,000.00	$251,726.23	$185,053.05	nat. median $65,950 outlier · 2.8×
6074 APR_DRG		5	$153,956.72	$200,240.10	$177,437.15	nat. median $95,507 1.9× median
5933 APR_DRG		5	$132,229.92	$212,057.20	$176,463.46	nat. median $108,996 1.6× median
0043 APR_DRG		5	$143,247.34	$183,339.54	$169,543.32	nat. median $113,567 1.5× median
3034 APR_DRG		5	$124,399.87	$190,737.63	$164,795.47	nat. median $84,162 2.0× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	12	$4,000.00	$223,383.06	$164,220.82	nat. median $100,136 1.6× median
5892 APR_DRG		5	$94,267.61	$414,492.91	$163,573.94	nat. median $89,790 1.8× median
0021 APR_DRG		5	$134,219.99	$176,784.41	$163,481.46	nat. median $128,074 1.3× median
0054 APR_DRG		5	$138,976.62	$181,386.61	$163,453.94	nat. median $149,310 1.1× median
0084 APR_DRG		4	$162,564.44	$203,205.54	$162,564.44	nat. median $80,857 outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 5,579 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

18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	42	13	—	—	$4,000.00	$1,569,023.74	$1,153,266.72	2025-01-22
7	MS_DRG	Lung Transplant	36	12	—	—	$4,000.00	$1,138,011.56	$836,472.77	2025-01-22
5834	APR_DRG	—	16	5	—	—	$458,840.60	$583,515.95	$469,262.22	2025-01-22
0024	APR_DRG	—	16	5	—	—	$340,153.56	$652,998.15	$455,308.70	2025-01-22
5884	APR_DRG	—	16	5	—	—	$374,994.37	$471,531.53	$436,048.99	2025-01-22
1614	APR_DRG	—	16	5	—	—	$331,534.97	$414,418.71	$366,026.28	2025-01-22
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	42	13	—	—	$4,000.00	$489,487.23	$359,807.39	2025-01-22
5833	APR_DRG	—	16	5	—	—	$287,386.94	$476,291.42	$347,949.94	2025-01-22
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	40	13	—	—	$4,000.00	$465,695.27	$342,320.30	2025-01-22
5914	APR_DRG	—	16	5	—	—	$192,819.91	$413,582.54	$298,788.22	2025-01-22
5883	APR_DRG	—	16	5	—	—	$241,585.75	$316,665.67	$292,836.71	2025-01-22
8414	APR_DRG	—	16	5	—	—	$211,798.74	$353,098.75	$284,105.41	2025-01-22
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	40	13	—	—	$4,000.00	$378,166.50	$277,986.65	2025-01-22
5832	APR_DRG	—	16	5	—	—	$116,987.01	$352,489.33	$266,345.51	2025-01-22
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	42	13	—	—	$4,000.00	$359,612.74	$264,349.63	2025-01-22
0014	APR_DRG	—	16	5	—	—	$212,660.09	$303,581.98	$258,446.40	2025-01-22
0074	APR_DRG	—	8	4	—	—	$253,349.44	$316,686.80	$253,349.44	2025-01-22
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	42	13	—	—	$4,000.00	$344,244.45	$253,053.94	2025-01-22
6094	APR_DRG	—	16	5	—	—	$222,800.86	$323,863.29	$251,597.80	2025-01-22
0044	APR_DRG	—	16	5	—	—	$215,365.04	$271,904.30	$251,443.62	2025-01-22
5934	APR_DRG	—	16	5	—	—	$169,751.68	$327,740.98	$246,340.21	2025-01-22
0064	APR_DRG	—	16	5	—	—	$201,912.35	$277,180.15	$245,253.46	2025-01-22
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	42	13	—	—	$4,000.00	$314,616.32	$231,277.26	2025-01-22
5831	APR_DRG	—	16	5	—	—	$74,086.53	$282,347.46	$225,753.36	2025-01-22
0023	APR_DRG	—	16	5	—	—	$220,041.45	$275,051.82	$223,478.34	2025-01-22
6304	APR_DRG	—	16	5	—	—	$157,925.14	$294,212.86	$221,455.61	2025-01-22
6034	APR_DRG	—	16	5	—	—	$198,662.32	$264,553.72	$211,642.98	2025-01-22
6	MS_DRG	Liver Transplant Without Mcc	36	12	—	—	$4,000.00	$286,121.00	$210,333.20	2025-01-22
1613	APR_DRG	—	16	5	—	—	$145,740.01	$317,485.97	$206,832.18	2025-01-22
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	36	12	—	—	$4,000.00	$275,724.88	$202,692.06	2025-01-22
1604	APR_DRG	—	16	5	—	—	$164,112.75	$256,530.11	$199,554.96	2025-01-22
0094	APR_DRG	—	8	4	—	—	$198,816.83	$248,521.04	$198,816.83	2025-01-22
6024	APR_DRG	—	16	5	—	—	$141,552.53	$252,574.09	$198,013.58	2025-01-22
5882	APR_DRG	—	16	5	—	—	$129,030.95	$295,699.31	$192,208.75	2025-01-22
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	42	13	—	—	$4,000.00	$261,128.91	$191,964.02	2025-01-22
5913	APR_DRG	—	16	5	—	—	$121,680.97	$257,258.88	$190,135.95	2025-01-22
0114	APR_DRG	—	8	4	—	—	$187,906.36	$234,882.94	$187,906.36	2025-01-22
570	MS_DRG	Skin Debridement With Mcc	42	13	—	—	$4,000.00	$254,201.95	$186,872.70	2025-01-22
5891	APR_DRG	—	16	5	—	—	$113,553.32	$455,942.01	$186,092.02	2025-01-22
0022	APR_DRG	—	16	5	—	—	$156,566.35	$200,906.52	$185,399.15	2025-01-22
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	42	13	—	—	$4,000.00	$251,726.23	$185,053.05	2025-01-22
6074	APR_DRG	—	16	5	—	—	$153,956.72	$200,240.10	$177,437.15	2025-01-22
5933	APR_DRG	—	16	5	—	—	$132,229.92	$212,057.20	$176,463.46	2025-01-22
0043	APR_DRG	—	16	5	—	—	$143,247.34	$183,339.54	$169,543.32	2025-01-22
3034	APR_DRG	—	16	5	—	—	$124,399.87	$190,737.63	$164,795.47	2025-01-22
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	36	12	—	—	$4,000.00	$223,383.06	$164,220.82	2025-01-22
5892	APR_DRG	—	16	5	—	—	$94,267.61	$414,492.91	$163,573.94	2025-01-22
0021	APR_DRG	—	16	5	—	—	$134,219.99	$176,784.41	$163,481.46	2025-01-22
0054	APR_DRG	—	16	5	—	—	$138,976.62	$181,386.61	$163,453.94	2025-01-22
0084	APR_DRG	—	8	4	—	—	$162,564.44	$203,205.54	$162,564.44	2025-01-22
0063	APR_DRG	—	16	5	—	—	$134,310.66	$183,956.38	$160,013.12	2025-01-22
0013	APR_DRG	—	16	5	—	—	$133,538.81	$173,692.29	$159,645.93	2025-01-22
1612	APR_DRG	—	16	5	—	—	$93,191.67	$254,914.35	$153,060.11	2025-01-22
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	42	13	—	—	$4,000.00	$208,164.71	$153,035.34	2025-01-22
8424	APR_DRG	—	16	5	—	—	$115,804.93	$210,655.03	$151,150.58	2025-01-22
6023	APR_DRG	—	16	5	—	—	$121,803.02	$179,344.98	$150,795.80	2025-01-22
163	MS_DRG	Major Chest Procedures With Mcc	42	13	—	—	$4,000.00	$203,394.27	$149,529.06	2025-01-22
6314	APR_DRG	—	16	5	—	—	$137,300.39	$212,552.44	$147,718.01	2025-01-22
4404	APR_DRG	—	16	5	—	—	$109,025.69	$176,144.90	$145,796.60	2025-01-22
5881	APR_DRG	—	16	5	—	—	$89,189.86	$194,641.42	$144,392.45	2025-01-22
653	MS_DRG	Major Bladder Procedures With Mcc	42	13	—	—	$4,000.00	$190,216.76	$139,843.59	2025-01-22
1624	APR_DRG	—	16	5	—	—	$86,013.27	$187,227.01	$139,201.74	2025-01-22
6093	APR_DRG	—	16	5	—	—	$121,830.36	$174,255.48	$138,570.80	2025-01-22
1611	APR_DRG	—	16	5	—	—	$69,528.33	$242,168.41	$135,640.85	2025-01-22
0062	APR_DRG	—	16	5	—	—	$115,496.89	$148,491.20	$134,828.71	2025-01-22
6114	APR_DRG	—	16	5	—	—	$102,298.77	$165,240.56	$132,534.43	2025-01-22
6084	APR_DRG	—	16	5	—	—	$90,014.32	$162,964.08	$130,629.69	2025-01-22
9104	APR_DRG	—	16	5	—	—	$84,649.75	$173,690.10	$129,270.88	2025-01-22
0012	APR_DRG	—	16	5	—	—	$112,328.13	$142,618.36	$128,850.29	2025-01-22
0073	APR_DRG	—	8	4	—	—	$127,901.07	$159,876.34	$127,901.07	2025-01-22
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	42	13	—	—	$4,000.00	$172,577.05	$126,878.40	2025-01-22
5893	APR_DRG	—	16	5	—	—	$74,980.74	$376,812.28	$126,813.05	2025-01-22
0113	APR_DRG	—	8	4	—	—	$123,676.84	$154,596.05	$123,676.84	2025-01-22
1634	APR_DRG	—	16	5	—	—	$78,516.82	$161,470.58	$122,762.18	2025-01-22
471	MS_DRG	Cervical Spinal Fusion With Mcc	42	13	—	—	$4,000.00	$165,775.44	$121,879.22	2025-01-22
1674	APR_DRG	—	16	5	—	—	$93,586.43	$137,140.21	$121,077.21	2025-01-22
3124	APR_DRG	—	16	5	—	—	$87,563.94	$158,992.59	$121,049.61	2025-01-22
0042	APR_DRG	—	16	5	—	—	$108,028.34	$135,035.42	$120,314.74	2025-01-22
5932	APR_DRG	—	16	5	—	—	$102,349.91	$149,503.91	$120,105.65	2025-01-22
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	42	13	—	—	$4,000.00	$161,774.82	$118,938.76	2025-01-22
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	42	13	—	—	$4,000.00	$161,687.26	$118,874.41	2025-01-22
0011	APR_DRG	—	16	5	—	—	$97,166.69	$140,170.85	$118,696.31	2025-01-22
5912	APR_DRG	—	16	5	—	—	$79,629.25	$181,064.35	$118,607.66	2025-01-22
3033	APR_DRG	—	16	5	—	—	$84,368.44	$142,755.21	$117,878.45	2025-01-22
0053	APR_DRG	—	16	5	—	—	$94,731.41	$127,268.82	$117,287.90	2025-01-22
6033	APR_DRG	—	16	5	—	—	$100,953.85	$132,728.13	$116,662.95	2025-01-22
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	42	13	—	—	$4,000.00	$157,806.59	$116,022.11	2025-01-22
0072	APR_DRG	—	8	4	—	—	$115,761.92	$144,702.40	$115,761.92	2025-01-22
6022	APR_DRG	—	16	5	—	—	$104,351.61	$130,439.50	$114,522.80	2025-01-22
6904	APR_DRG	—	16	5	—	—	$91,626.59	$141,590.37	$113,461.96	2025-01-22
8413	APR_DRG	—	16	5	—	—	$102,614.95	$128,268.69	$113,066.97	2025-01-22
6134	APR_DRG	—	16	5	—	—	$101,358.38	$126,697.97	$112,915.77	2025-01-22
3044	APR_DRG	—	16	5	—	—	$69,460.40	$149,964.88	$111,851.15	2025-01-22
10	MS_DRG	Pancreas Transplant	36	12	—	—	$4,000.00	$151,835.40	$111,633.29	2025-01-22
8634	APR_DRG	—	16	5	—	—	$103,780.88	$147,106.66	$111,586.51	2025-01-22
6124	APR_DRG	—	16	5	—	—	$77,922.83	$143,808.40	$111,363.91	2025-01-22
215	MS_DRG	Other Heart Assist System Implant	42	13	—	—	$4,000.00	$150,842.85	$110,903.76	2025-01-22
6804	APR_DRG	—	16	5	—	—	$92,933.15	$133,066.83	$110,285.60	2025-01-22
6303	APR_DRG	—	16	5	—	—	$74,240.40	$146,446.03	$107,858.40	2025-01-22
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	42	13	—	—	$4,000.00	$146,433.30	$107,662.74	2025-01-22
6214	APR_DRG	—	16	5	—	—	$89,523.78	$117,689.01	$107,355.05	2025-01-22
0914	APR_DRG	—	16	5	—	—	$94,432.49	$132,454.85	$105,963.88	2025-01-22
1654	APR_DRG	—	16	5	—	—	$62,119.72	$148,723.27	$105,955.09	2025-01-22
0071	APR_DRG	—	8	4	—	—	$105,836.02	$132,295.02	$105,836.02	2025-01-22
4403	APR_DRG	—	16	5	—	—	$84,829.92	$113,738.08	$104,924.53	2025-01-22
2204	APR_DRG	—	16	5	—	—	$99,865.83	$124,832.28	$103,838.57	2025-01-22
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	42	13	—	—	$4,000.00	$140,569.88	$103,353.14	2025-01-22
6083	APR_DRG	—	16	5	—	—	$81,512.38	$115,372.40	$102,855.95	2025-01-22
0214	APR_DRG	—	16	5	—	—	$72,858.16	$142,223.39	$102,546.32	2025-01-22
0061	APR_DRG	—	16	5	—	—	$92,413.55	$115,516.94	$102,498.03	2025-01-22
14	MS_DRG	Allogeneic Bone Marrow Transplant	40	13	—	—	$4,000.00	$136,987.16	$100,719.83	2025-01-22
4414	APR_DRG	—	16	5	—	—	$74,399.53	$115,138.35	$98,943.14	2025-01-22
4014	APR_DRG	—	16	5	—	—	$69,304.64	$128,030.65	$98,849.98	2025-01-22
1784	APR_DRG	—	8	4	—	—	$98,322.13	$122,902.67	$98,322.13	2025-01-22
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	42	13	—	—	$4,000.00	$133,115.88	$97,874.44	2025-01-22
231	MS_DRG	Coronary Bypass With Ptca With Mcc	42	13	—	—	$4,000.00	$132,937.49	$97,743.33	2025-01-22
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	42	13	—	—	$4,000.00	$132,542.37	$97,452.91	2025-01-22
6073	APR_DRG	—	16	5	—	—	$66,972.83	$139,161.30	$97,026.72	2025-01-22
9124	APR_DRG	—	16	5	—	—	$58,816.13	$139,630.48	$96,645.71	2025-01-22
1694	APR_DRG	—	16	5	—	—	$63,951.70	$122,861.72	$96,039.32	2025-01-22
1664	APR_DRG	—	16	5	—	—	$58,167.50	$131,775.11	$95,095.41	2025-01-22
9114	APR_DRG	—	16	5	—	—	$63,089.18	$134,954.37	$95,026.86	2025-01-22
5104	APR_DRG	—	16	5	—	—	$78,493.57	$103,553.42	$94,891.58	2025-01-22
0093	APR_DRG	—	8	4	—	—	$94,829.06	$118,536.33	$94,829.06	2025-01-22
0894	APR_DRG	—	16	5	—	—	$69,397.63	$138,448.30	$94,702.77	2025-01-22
212	MS_DRG	Hip & Femur Procedures Except Major Joint Age 0-17	42	13	—	—	$4,000.00	$128,757.80	$94,671.26	2025-01-22
9504	APR_DRG	—	16	5	—	—	$67,244.83	$119,952.69	$93,854.20	2025-01-22
0112	APR_DRG	—	8	4	—	—	$93,795.67	$117,244.59	$93,795.67	2025-01-22
0204	APR_DRG	—	16	5	—	—	$59,053.26	$131,396.32	$93,121.73	2025-01-22
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	42	13	—	—	$4,000.00	$126,496.27	$93,009.03	2025-01-22
0041	APR_DRG	—	16	5	—	—	$74,528.56	$101,619.84	$92,711.32	2025-01-22
1204	APR_DRG	—	16	5	—	—	$71,680.63	$103,872.64	$92,204.01	2025-01-22
2604	APR_DRG	—	16	5	—	—	$63,906.36	$128,038.87	$91,891.66	2025-01-22
0052	APR_DRG	—	16	5	—	—	$77,842.62	$99,143.68	$91,338.83	2025-01-22
3032	APR_DRG	—	16	5	—	—	$70,333.38	$102,587.40	$90,386.49	2025-01-22
1623	APR_DRG	—	16	5	—	—	$56,432.00	$124,321.50	$90,015.32	2025-01-22
6814	APR_DRG	—	16	5	—	—	$64,012.14	$118,638.97	$89,837.01	2025-01-22
0234	APR_DRG	—	16	5	—	—	$51,803.24	$129,957.65	$89,426.82	2025-01-22
6334	APR_DRG	—	16	5	—	—	$54,953.47	$110,640.59	$88,512.47	2025-01-22
6954	APR_DRG	—	14	5	—	—	$70,398.48	$101,799.99	$87,998.10	2025-01-22
4402	APR_DRG	—	16	5	—	—	$80,634.75	$100,793.44	$87,230.44	2025-01-22
1603	APR_DRG	—	16	5	—	—	$75,857.20	$96,651.08	$86,945.97	2025-01-22
6514	APR_DRG	—	16	5	—	—	$77,937.94	$113,024.02	$85,636.46	2025-01-22
0924	APR_DRG	—	16	5	—	—	$78,628.41	$98,285.52	$85,480.55	2025-01-22
6144	APR_DRG	—	16	5	—	—	$81,453.09	$107,088.46	$84,666.20	2025-01-22
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	42	13	—	—	$4,000.00	$115,002.61	$84,561.19	2025-01-22
6113	APR_DRG	—	16	5	—	—	$67,873.70	$95,919.21	$84,235.57	2025-01-22
5114	APR_DRG	—	16	5	—	—	$66,008.02	$93,197.98	$83,787.10	2025-01-22
0051	APR_DRG	—	16	5	—	—	$69,975.36	$92,499.83	$83,588.15	2025-01-22
0224	APR_DRG	—	16	5	—	—	$61,566.41	$143,155.65	$83,313.80	2025-01-22
1834	APR_DRG	—	8	4	—	—	$82,725.95	$103,407.43	$82,725.95	2025-01-22
3214	APR_DRG	—	16	5	—	—	$42,184.22	$122,492.80	$82,266.30	2025-01-22
1304	APR_DRG	—	16	5	—	—	$60,493.50	$96,904.96	$82,032.26	2025-01-22
1794	APR_DRG	—	8	4	—	—	$81,987.81	$102,484.76	$81,987.81	2025-01-22
3614	APR_DRG	—	16	5	—	—	$77,464.55	$102,124.41	$81,699.52	2025-01-22
6224	APR_DRG	—	16	5	—	—	$62,176.69	$95,477.10	$81,607.04	2025-01-22
5144	APR_DRG	—	16	5	—	—	$60,401.67	$94,764.87	$80,998.21	2025-01-22
7404	APR_DRG	—	16	5	—	—	$29,436.67	$108,998.67	$80,607.97	2025-01-22
347	MS_DRG	Anal And Stomal Procedures With Mcc	42	13	—	—	$4,000.00	$109,603.21	$80,592.63	2025-01-22
4044	APR_DRG	—	16	5	—	—	$69,003.58	$89,419.61	$80,572.79	2025-01-22
0083	APR_DRG	—	8	4	—	—	$80,144.21	$100,180.27	$80,144.21	2025-01-22
6123	APR_DRG	—	16	5	—	—	$61,960.48	$97,726.09	$79,465.31	2025-01-22
0264	APR_DRG	—	16	5	—	—	$64,713.08	$101,085.48	$79,383.84	2025-01-22
970	MS_DRG	HIV With Extensive O.r. Procedures Without Mcc	42	13	—	—	$4,000.00	$107,604.18	$79,123.35	2025-01-22
4054	APR_DRG	—	16	5	—	—	$60,922.43	$96,601.74	$78,771.16	2025-01-22
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	42	13	—	—	$4,000.00	$112,410.85	$78,720.23	2025-01-22
197	MS_DRG	Interstitial Lung Disease With Cc	42	13	—	—	$4,000.00	$106,744.39	$78,491.40	2025-01-22
0092	APR_DRG	—	8	4	—	—	$78,070.45	$97,588.07	$78,070.45	2025-01-22
4401	APR_DRG	—	16	5	—	—	$76,810.49	$97,410.80	$77,928.64	2025-01-22
4034	APR_DRG	—	16	5	—	—	$48,925.10	$121,041.15	$77,698.49	2025-01-22
4804	APR_DRG	—	16	5	—	—	$57,429.36	$96,560.64	$77,615.33	2025-01-22
6072	APR_DRG	—	16	5	—	—	$52,108.96	$100,149.80	$77,014.14	2025-01-22
2644	APR_DRG	—	16	5	—	—	$57,553.74	$111,251.57	$76,849.48	2025-01-22
1764	APR_DRG	—	16	5	—	—	$66,720.58	$87,313.65	$76,744.51	2025-01-22
8504	APR_DRG	—	16	5	—	—	$61,200.25	$107,241.37	$76,486.40	2025-01-22
0244	APR_DRG	—	16	5	—	—	$44,652.04	$110,449.20	$76,260.64	2025-01-22
7114	APR_DRG	—	16	5	—	—	$56,375.05	$104,160.13	$76,207.83	2025-01-22
6313	APR_DRG	—	16	5	—	—	$46,472.21	$95,452.12	$75,039.72	2025-01-22
1704	APR_DRG	—	16	5	—	—	$56,368.08	$86,966.72	$74,896.43	2025-01-22
6234	APR_DRG	—	16	5	—	—	$61,395.54	$80,730.33	$74,655.40	2025-01-22
7104	APR_DRG	—	16	5	—	—	$51,117.42	$99,964.13	$74,531.17	2025-01-22
6504	APR_DRG	—	16	5	—	—	$52,074.09	$93,137.41	$74,444.79	2025-01-22
1633	APR_DRG	—	16	5	—	—	$47,665.03	$104,356.59	$74,369.04	2025-01-22
2614	APR_DRG	—	16	5	—	—	$52,963.34	$90,197.10	$74,264.70	2025-01-22
3094	APR_DRG	—	16	5	—	—	$53,179.55	$89,128.05	$73,911.95	2025-01-22
2224	APR_DRG	—	16	5	—	—	$54,777.88	$97,323.55	$73,593.00	2025-01-22
6133	APR_DRG	—	16	5	—	—	$61,266.51	$93,205.91	$73,468.43	2025-01-22
4834	APR_DRG	—	16	5	—	—	$57,697.88	$90,886.50	$73,040.18	2025-01-22
1783	APR_DRG	—	8	4	—	—	$72,738.43	$90,923.04	$72,738.43	2025-01-22
6344	APR_DRG	—	16	5	—	—	$48,640.31	$95,851.98	$71,612.57	2025-01-22
3174	APR_DRG	—	16	5	—	—	$52,625.08	$87,211.71	$71,555.06	2025-01-22
5124	APR_DRG	—	16	5	—	—	$62,528.89	$79,454.37	$71,381.45	2025-01-22
3043	APR_DRG	—	16	5	—	—	$46,610.72	$93,775.15	$71,147.61	2025-01-22
4844	APR_DRG	—	16	5	—	—	$55,778.72	$81,310.67	$70,687.54	2025-01-22
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	42	13	—	—	$4,000.00	$95,644.73	$70,333.14	2025-01-22
9103	APR_DRG	—	16	5	—	—	$50,437.40	$84,242.93	$69,968.71	2025-01-22
2294	APR_DRG	—	16	5	—	—	$48,006.78	$87,148.61	$69,775.62	2025-01-22
849	MS_DRG	Radiotherapy	42	13	—	—	$4,000.00	$94,357.86	$69,387.30	2025-01-22
1214	APR_DRG	—	16	5	—	—	$47,728.97	$94,169.97	$69,227.26	2025-01-22
9514	APR_DRG	—	16	5	—	—	$49,429.58	$87,187.05	$69,048.28	2025-01-22
6143	APR_DRG	—	16	5	—	—	$64,142.34	$80,177.92	$69,018.36	2025-01-22
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	42	13	—	—	$4,000.00	$93,332.85	$68,633.92	2025-01-22
1653	APR_DRG	—	16	5	—	—	$43,199.01	$106,161.49	$68,482.57	2025-01-22
1622	APR_DRG	—	16	5	—	—	$43,867.41	$97,349.24	$68,445.70	2025-01-22
1673	APR_DRG	—	16	5	—	—	$50,338.60	$82,445.97	$68,401.89	2025-01-22
3054	APR_DRG	—	16	5	—	—	$45,430.86	$87,037.55	$68,114.99	2025-01-22
6254	APR_DRG	—	16	5	—	—	$56,559.87	$77,608.46	$68,048.96	2025-01-22
1782	APR_DRG	—	8	4	—	—	$67,769.09	$84,711.36	$67,769.09	2025-01-22
1814	APR_DRG	—	14	5	—	—	$54,135.06	$110,566.62	$67,668.83	2025-01-22
4474	APR_DRG	—	16	5	—	—	$49,051.80	$91,231.78	$67,410.99	2025-01-22
4234	APR_DRG	—	16	5	—	—	$28,600.93	$84,259.47	$67,407.57	2025-01-22
6092	APR_DRG	—	16	5	—	—	$57,585.12	$72,338.57	$66,895.12	2025-01-22
5184	APR_DRG	—	16	5	—	—	$50,392.07	$80,472.49	$66,839.61	2025-01-22
3134	APR_DRG	—	16	5	—	—	$46,268.97	$84,344.22	$66,772.38	2025-01-22
0082	APR_DRG	—	8	4	—	—	$66,747.32	$83,434.15	$66,747.32	2025-01-22
1754	APR_DRG	—	16	5	—	—	$47,983.54	$92,495.86	$66,628.26	2025-01-22
3031	APR_DRG	—	16	5	—	—	$43,422.20	$86,196.58	$66,089.99	2025-01-22
4424	APR_DRG	—	16	5	—	—	$41,424.00	$94,120.64	$65,973.67	2025-01-22
5194	APR_DRG	—	16	5	—	—	$51,685.84	$82,223.83	$65,612.70	2025-01-22
0494	APR_DRG	—	16	5	—	—	$46,672.33	$78,540.66	$65,013.24	2025-01-22
7924	APR_DRG	—	8	4	—	—	$64,622.42	$80,778.02	$64,622.42	2025-01-22
3634	APR_DRG	—	16	5	—	—	$44,317.26	$80,896.94	$64,616.64	2025-01-22
6302	APR_DRG	—	16	5	—	—	$46,522.90	$93,391.73	$64,519.71	2025-01-22
2324	APR_DRG	—	8	4	—	—	$64,507.33	$80,634.17	$64,507.33	2025-01-22
0091	APR_DRG	—	8	4	—	—	$64,071.43	$80,089.28	$64,071.43	2025-01-22
2234	APR_DRG	—	16	5	—	—	$35,625.85	$93,199.89	$64,015.29	2025-01-22
0274	APR_DRG	—	8	4	—	—	$63,861.03	$79,826.29	$63,861.03	2025-01-22
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	42	13	—	—	$4,000.00	$86,571.20	$63,664.10	2025-01-22
1824	APR_DRG	—	14	5	—	—	$50,845.41	$96,990.24	$63,556.76	2025-01-22
6032	APR_DRG	—	16	5	—	—	$46,342.20	$85,541.20	$63,341.46	2025-01-22
4444	APR_DRG	—	16	5	—	—	$45,665.67	$75,567.47	$62,562.92	2025-01-22
5134	APR_DRG	—	16	5	—	—	$45,828.41	$74,280.31	$62,541.52	2025-01-22
2274	APR_DRG	—	16	5	—	—	$42,609.67	$81,340.27	$62,510.28	2025-01-22
1303	APR_DRG	—	16	5	—	—	$47,373.27	$71,485.70	$62,231.71	2025-01-22
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	42	13	—	—	$4,000.00	$84,225.93	$61,940.33	2025-01-22
2244	APR_DRG	—	16	5	—	—	$37,289.27	$84,617.79	$61,922.21	2025-01-22
3624	APR_DRG	—	16	5	—	—	$60,795.31	$79,025.23	$61,799.90	2025-01-22
9524	APR_DRG	—	16	5	—	—	$46,162.02	$75,838.77	$61,606.83	2025-01-22
1804	APR_DRG	—	16	5	—	—	$45,964.42	$77,417.21	$61,407.29	2025-01-22
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	42	13	—	—	$4,000.00	$83,380.57	$61,318.99	2025-01-22
3104	APR_DRG	—	16	5	—	—	$46,034.15	$73,423.44	$61,267.14	2025-01-22
1833	APR_DRG	—	8	4	—	—	$61,245.59	$76,556.98	$61,245.59	2025-01-22
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	42	13	—	—	$4,000.00	$82,913.05	$60,975.37	2025-01-22
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	42	13	—	—	$4,000.00	$82,841.64	$60,922.88	2025-01-22
0913	APR_DRG	—	16	5	—	—	$48,241.59	$66,947.68	$60,703.43	2025-01-22
0504	APR_DRG	—	16	5	—	—	$45,247.20	$77,438.58	$60,502.84	2025-01-22
1781	APR_DRG	—	8	4	—	—	$60,444.68	$75,555.85	$60,444.68	2025-01-22
6364	APR_DRG	—	16	5	—	—	$47,905.65	$81,169.27	$60,366.74	2025-01-22
3154	APR_DRG	—	16	5	—	—	$38,859.70	$78,937.34	$60,311.38	2025-01-22
277	MS_DRG	Cellulitis Age >17 W Cc	42	13	—	—	$4,000.00	$81,822.71	$60,173.96	2025-01-22
7594	APR_DRG	—	16	5	—	—	$12,260.75	$95,973.75	$59,875.10	2025-01-22
0984	APR_DRG	—	16	5	—	—	$47,111.72	$66,205.89	$59,658.73	2025-01-22
1652	APR_DRG	—	16	5	—	—	$42,437.63	$87,596.86	$59,498.79	2025-01-22
1621	APR_DRG	—	16	5	—	—	$37,821.66	$81,543.52	$59,487.04	2025-01-22
1793	APR_DRG	—	8	4	—	—	$59,398.50	$74,248.13	$59,398.50	2025-01-22
2304	APR_DRG	—	8	4	—	—	$58,576.67	$73,220.84	$58,576.67	2025-01-22
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	42	13	—	—	$4,000.00	$79,414.92	$58,404.24	2025-01-22
1602	APR_DRG	—	16	5	—	—	$44,874.07	$66,162.26	$58,240.29	2025-01-22
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	42	13	—	—	$4,000.00	$78,908.31	$58,031.88	2025-01-22
6924	APR_DRG	—	16	5	—	—	$44,804.32	$65,081.30	$57,703.39	2025-01-22
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	42	13	—	—	$4,000.00	$78,352.05	$57,623.03	2025-01-22
745	MS_DRG	D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc	42	13	—	—	$4,000.00	$78,306.65	$57,589.66	2025-01-22
0213	APR_DRG	—	16	5	—	—	$38,223.86	$73,042.67	$57,223.87	2025-01-22
6082	APR_DRG	—	16	5	—	—	$35,822.30	$77,691.76	$57,094.73	2025-01-22
9102	APR_DRG	—	16	5	—	—	$44,800.83	$63,833.75	$57,033.82	2025-01-22
0294	APR_DRG	—	8	4	—	—	$56,772.59	$70,965.74	$56,772.59	2025-01-22
1714	APR_DRG	—	16	5	—	—	$37,053.30	$73,324.32	$56,620.80	2025-01-22
0734	APR_DRG	—	16	5	—	—	$50,270.02	$81,900.94	$56,574.36	2025-01-22
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	42	13	—	—	$4,000.00	$76,644.12	$56,367.70	2025-01-22
3204	APR_DRG	—	16	5	—	—	$37,612.43	$77,423.78	$56,152.00	2025-01-22
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	42	13	—	—	$4,000.00	$76,231.43	$56,064.37	2025-01-22
0893	APR_DRG	—	16	5	—	—	$42,545.73	$64,313.73	$55,941.48	2025-01-22
0974	APR_DRG	—	16	5	—	—	$42,358.58	$80,944.02	$55,925.89	2025-01-22
1744	APR_DRG	—	16	5	—	—	$31,352.79	$81,753.77	$55,796.69	2025-01-22
1663	APR_DRG	—	16	5	—	—	$35,395.69	$90,500.56	$55,726.49	2025-01-22
6091	APR_DRG	—	16	5	—	—	$21,866.61	$69,623.15	$55,698.52	2025-01-22
0233	APR_DRG	—	16	5	—	—	$38,651.63	$69,395.15	$55,614.85	2025-01-22
6213	APR_DRG	—	16	5	—	—	$52,768.06	$65,960.07	$55,581.04	2025-01-22
6122	APR_DRG	—	16	5	—	—	$43,574.47	$68,754.56	$55,314.54	2025-01-22
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	42	13	—	—	$4,000.00	$74,810.18	$55,019.75	2025-01-22
432	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Mcc	42	13	—	—	$4,000.00	$78,404.26	$54,915.62	2025-01-22
1632	APR_DRG	—	16	5	—	—	$34,657.55	$85,109.68	$54,899.32	2025-01-22
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	42	13	—	—	$4,000.00	$74,476.32	$54,774.37	2025-01-22
3224	APR_DRG	—	14	5	—	—	$43,781.38	$75,872.98	$54,726.73	2025-01-22
276	MS_DRG	Non-maligant Breast Disorders	42	13	—	—	$4,000.00	$74,382.14	$54,705.15	2025-01-22
1651	APR_DRG	—	16	5	—	—	$41,764.59	$80,226.55	$54,587.01	2025-01-22
8444	APR_DRG	—	16	5	—	—	$35,246.90	$119,073.04	$54,533.25	2025-01-22
8423	APR_DRG	—	16	5	—	—	$40,089.54	$76,726.64	$54,482.39	2025-01-22
3164	APR_DRG	—	16	5	—	—	$40,975.31	$63,193.11	$54,448.55	2025-01-22
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	42	13	—	—	$4,000.00	$73,986.28	$54,414.18	2025-01-22
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	42	13	—	—	$4,000.00	$73,986.28	$54,414.18	2025-01-22
1693	APR_DRG	—	16	5	—	—	$38,023.92	$69,940.63	$54,301.05	2025-01-22
4434	APR_DRG	—	16	5	—	—	$35,665.37	$83,461.29	$54,230.89	2025-01-22
9304	APR_DRG	—	16	5	—	—	$29,091.89	$80,889.75	$53,891.50	2025-01-22
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	42	13	—	—	$4,000.00	$73,262.55	$53,882.24	2025-01-22
6914	APR_DRG	—	16	5	—	—	$41,068.30	$72,078.48	$53,867.64	2025-01-22
6903	APR_DRG	—	16	5	—	—	$49,922.64	$67,291.04	$53,832.84	2025-01-22
0434	APR_DRG	—	16	5	—	—	$44,629.95	$61,951.85	$53,766.27	2025-01-22
955	MS_DRG	Craniotomy For Multiple Significant Trauma	42	13	—	—	$4,000.00	$72,951.37	$53,653.53	2025-01-22
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	42	13	—	—	$4,000.00	$72,773.69	$53,522.94	2025-01-22

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