Hospital

SIGNATURE HEALTHCARE BROCKTON HOSPITAL

Brockton, MA · CCN 220052 · Rates published

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You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $9,397 across 10 payers · range $3,998-$12,209

Source: https://signature-healthcare.org/signature-healthcare-brockton-hospital_standardcharges_4_2026.csv · observed 2026-01-28

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.

21,524 distinct procedures filed

15 distinct payers

222,488 rate rows

2026-01-28 last MRF observed

Data quality

182,655 of 222,488 rate rows are consumer-grade (82.1%)

39,833 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	38,916
per-diem day rate — not a per-procedure price	678
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	85
placeholder amount (≤ $0.02) — excluded from medians	85
exceeds 10× this hospital's gross charge — excluded from medians	62
percent-of-charges filed in the dollar field — excluded from medians	5
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	2

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

Source MRF file	https://signature-healthcare.org/signature-healthcare-brockton-hospital_standardcharges_4_2026.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-22
Content fingerprint	853afa30d688fd55… · 110,816,095 bytes · first seen 2026-05-13

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	4	$4,414,900.00	$4,595,100.00	$4,505,000.00	nat. median $4,505,000 1.0× median
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	1	$4,192,300.00	$4,192,300.00	$4,192,300.00	nat. median $3,710,000 1.1× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	7	$3,611,561.33	$4,514,451.67	$3,734,486.00	nat. median $3,705,478 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$3,250,133.34	$4,062,666.67	$3,349,627.21	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	6	$3,183,476.80	$3,979,346.00	$3,313,414.63	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	6	$2,886,825.20	$3,608,531.50	$3,004,654.80	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	8	$2,146,250.00	$3,007,510.49	$2,455,110.61	nat. median $2,467,989 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	6	$2,285,360.00	$2,856,700.00	$2,378,640.00	nat. median $2,401,965 1.0× median
5834 APR_DRG	Apr-DRG	3	$656,080.36	$913,832.50	$779,232.65	nat. median $307,273 outlier · 2.5×
Q2057 HCPCS	Afamitresgene Autoleucel	5	$755,207.60	$944,009.50	$778,326.20	nat. median $813,967 1.0× median
24 APR_DRG	Apr-DRG	3	$496,554.39	$1,022,647.17	$734,806.22	nat. median $241,734 outlier · 3.0×
5884 APR_DRG	Apr-DRG	3	$527,467.41	$734,088.85	$635,241.68	nat. median $247,815 outlier · 2.6×
5833 APR_DRG	Apr-DRG	3	$519,628.14	$745,910.34	$617,167.09	nat. median $244,017 outlier · 2.5×
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$511,072.50	$931,764.24	$597,643.46	nat. median $739,658 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$507,195.92	$908,198.48	$571,527.64	nat. median $646,415 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$473,853.52	$850,818.37	$568,163.57	nat. median $640,950 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$484,690.30	$870,300.35	$562,891.11	nat. median $623,527 0.9× median
1614 APR_DRG	Apr-DRG	3	$466,337.38	$649,012.75	$561,621.33	nat. median $202,649 outlier · 2.8×
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$449,440.00	$806,392.07	$538,562.47	nat. median $608,239 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$449,440.00	$803,977.69	$494,197.66	nat. median $592,235 0.8× median
5832 APR_DRG	Apr-DRG	3	$383,175.91	$552,026.40	$455,101.53	nat. median $159,249 outlier · 2.9×
1613 APR_DRG	Apr-DRG	3	$357,260.83	$497,208.33	$430,257.81	nat. median $120,841 outlier · 3.6×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	$385,233.76	$615,182.17	$419,625.35	nat. median $359,244 1.2× median
5883 APR_DRG	Apr-DRG	3	$339,814.73	$472,928.18	$409,247.04	nat. median $175,429 outlier · 2.3×
5882 APR_DRG	Apr-DRG	3	$332,744.72	$463,088.69	$400,732.47	nat. median $145,061 outlier · 2.8×
6094 APR_DRG	Apr-DRG	3	$336,771.89	$507,195.73	$399,987.06	nat. median $165,000 outlier · 2.4×
6304 APR_DRG	Apr-DRG	3	$331,072.06	$463,942.33	$398,718.04	nat. median $154,116 outlier · 2.6×
5834 OTHER	DRG	1	$388,265.04	$388,265.04	$388,265.04	nat. median $372,748 1.0× median
74 APR_DRG	Apr-DRG	3	$325,533.56	$495,956.78	$386,639.19	nat. median $170,172 outlier · 2.3×
5831 APR_DRG	Apr-DRG	3	$317,720.15	$442,178.63	$382,638.01	nat. median $147,206 outlier · 2.6×
5883 OTHER	DRG	1	$381,440.17	$381,440.17	$381,440.17	nat. median $168,056 outlier · 2.3×
5884 OTHER	DRG	1	$381,440.17	$381,440.17	$381,440.17	nat. median $243,175 1.6× median
44 APR_DRG	Apr-DRG	3	$302,932.66	$421,598.53	$364,829.09	nat. median $122,016 outlier · 3.0×
23 APR_DRG	Apr-DRG	3	$307,061.74	$430,753.08	$364,700.03	nat. median $110,771 outlier · 3.3×
8414 APR_DRG	Apr-DRG	3	$297,916.29	$430,974.51	$362,861.99	nat. median $158,104 outlier · 2.3×
14 APR_DRG	Apr-DRG	3	$299,127.87	$416,303.32	$360,246.89	nat. median $137,051 outlier · 2.6×
1614 OTHER	DRG	1	$348,889.37	$348,889.37	$348,889.37	nat. median $188,156 1.9× median
1612 APR_DRG	Apr-DRG	3	$286,850.20	$399,216.19	$345,460.59	nat. median $85,271 outlier · 4.1×
5914 APR_DRG	Apr-DRG	3	$271,220.65	$402,555.78	$338,934.64	nat. median $163,528 outlier · 2.1×
114 APR_DRG	Apr-DRG	3	$264,309.25	$402,038.36	$338,499.00	nat. median $123,836 outlier · 2.7×
94 APR_DRG	Apr-DRG	3	$279,655.93	$389,203.76	$336,796.35	nat. median $163,718 outlier · 2.1×
6034 APR_DRG	Apr-DRG	3	$282,132.62	$414,312.21	$335,091.50	nat. median $107,442 outlier · 3.1×
64 APR_DRG	Apr-DRG	3	$280,325.91	$395,263.56	$332,945.65	nat. median $91,239 outlier · 3.6×
5934 APR_DRG	Apr-DRG	3	$238,772.86	$416,867.57	$332,305.83	nat. median $151,838 outlier · 2.2×
1611 APR_DRG	Apr-DRG	3	$272,507.44	$379,255.04	$328,187.26	nat. median $77,028 outlier · 4.3×
5914 OTHER	DRG	1	$292,864.94	$292,864.94	$292,864.94	nat. median $157,493 1.9× median
5881 OTHER	DRG	1	$291,806.82	$291,806.82	$291,806.82	nat. median $14,035 outlier · 20.8×
5882 OTHER	DRG	1	$291,806.82	$291,806.82	$291,806.82	nat. median $138,777 outlier · 2.1×
6314 APR_DRG	Apr-DRG	3	$207,780.28	$384,004.81	$289,172.72	nat. median $134,402 outlier · 2.2×
1604 APR_DRG	Apr-DRG	3	$217,727.81	$401,746.61	$288,668.38	nat. median $98,831 outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 21,524 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	4	4	—	—	$4,414,900.00	$4,595,100.00	$4,505,000.00	2026-01-28
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	1	1	—	—	$4,192,300.00	$4,192,300.00	$4,192,300.00	2026-01-28
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	8	7	—	—	$3,611,561.33	$4,514,451.67	$3,734,486.00	2026-01-28
J1413	HCPCS	Inj Delandistrogene Mox Rokl	8	7	—	—	$3,250,133.34	$4,062,666.67	$3,349,627.21	2026-01-28
J3394	HCPCS	Inj, Lovotibeglogene Autotem	7	6	—	—	$3,183,476.80	$3,979,346.00	$3,313,414.63	2026-01-28
J3393	HCPCS	Inj, Betibeglogene Autotemce	7	6	—	—	$2,886,825.20	$3,608,531.50	$3,004,654.80	2026-01-28
J3399	HCPCS	Inj Onase Abepar-xioi Treat	9	8	—	—	$2,146,250.00	$3,007,510.49	$2,455,110.61	2026-01-28
J3392	HCPCS	Inj, Exagamglogene Autotem	7	6	—	—	$2,285,360.00	$2,856,700.00	$2,378,640.00	2026-01-28
5834	APR_DRG	Apr-DRG	5	3	—	—	$656,080.36	$913,832.50	$779,232.65	2026-01-28
Q2057	HCPCS	Afamitresgene Autoleucel	6	5	—	—	$755,207.60	$944,009.50	$778,326.20	2026-01-28
24	APR_DRG	Apr-DRG	5	3	—	—	$496,554.39	$1,022,647.17	$734,806.22	2026-01-28
5884	APR_DRG	Apr-DRG	5	3	—	—	$527,467.41	$734,088.85	$635,241.68	2026-01-28
5833	APR_DRG	Apr-DRG	5	3	—	—	$519,628.14	$745,910.34	$617,167.09	2026-01-28
Q2042	HCPCS	Tisagenlecleucel Car-pos T	8	7	—	—	$511,072.50	$931,764.24	$597,643.46	2026-01-28
Q2056	HCPCS	Ciltacabtagene Car-pos T	8	7	—	—	$507,195.92	$908,198.48	$571,527.64	2026-01-28
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	8	7	—	—	$473,853.52	$850,818.37	$568,163.57	2026-01-28
Q2055	HCPCS	Idecabtagene Vicleucel Car	8	7	—	—	$484,690.30	$870,300.35	$562,891.11	2026-01-28
1614	APR_DRG	Apr-DRG	5	3	—	—	$466,337.38	$649,012.75	$561,621.33	2026-01-28
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	8	7	—	—	$449,440.00	$806,392.07	$538,562.47	2026-01-28
Q2053	HCPCS	Brexucabtagene Car Pos T	8	7	—	—	$449,440.00	$803,977.69	$494,197.66	2026-01-28
5832	APR_DRG	Apr-DRG	5	3	—	—	$383,175.91	$552,026.40	$455,101.53	2026-01-28
1613	APR_DRG	Apr-DRG	5	3	—	—	$357,260.83	$497,208.33	$430,257.81	2026-01-28
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	8	—	—	$385,233.76	$615,182.17	$419,625.35	2026-01-28
5883	APR_DRG	Apr-DRG	5	3	—	—	$339,814.73	$472,928.18	$409,247.04	2026-01-28
5882	APR_DRG	Apr-DRG	5	3	—	—	$332,744.72	$463,088.69	$400,732.47	2026-01-28
6094	APR_DRG	Apr-DRG	5	3	—	—	$336,771.89	$507,195.73	$399,987.06	2026-01-28
6304	APR_DRG	Apr-DRG	5	3	—	—	$331,072.06	$463,942.33	$398,718.04	2026-01-28
5834	OTHER	DRG	1	1	—	—	$388,265.04	$388,265.04	$388,265.04	2026-01-28
74	APR_DRG	Apr-DRG	5	3	—	—	$325,533.56	$495,956.78	$386,639.19	2026-01-28
5831	APR_DRG	Apr-DRG	5	3	—	—	$317,720.15	$442,178.63	$382,638.01	2026-01-28
5883	OTHER	DRG	1	1	—	—	$381,440.17	$381,440.17	$381,440.17	2026-01-28
5884	OTHER	DRG	1	1	—	—	$381,440.17	$381,440.17	$381,440.17	2026-01-28
44	APR_DRG	Apr-DRG	5	3	—	—	$302,932.66	$421,598.53	$364,829.09	2026-01-28
23	APR_DRG	Apr-DRG	5	3	—	—	$307,061.74	$430,753.08	$364,700.03	2026-01-28
8414	APR_DRG	Apr-DRG	5	3	—	—	$297,916.29	$430,974.51	$362,861.99	2026-01-28
14	APR_DRG	Apr-DRG	5	3	—	—	$299,127.87	$416,303.32	$360,246.89	2026-01-28
1614	OTHER	DRG	1	1	—	—	$348,889.37	$348,889.37	$348,889.37	2026-01-28
1612	APR_DRG	Apr-DRG	5	3	—	—	$286,850.20	$399,216.19	$345,460.59	2026-01-28
5914	APR_DRG	Apr-DRG	5	3	—	—	$271,220.65	$402,555.78	$338,934.64	2026-01-28
114	APR_DRG	Apr-DRG	5	3	—	—	$264,309.25	$402,038.36	$338,499.00	2026-01-28
94	APR_DRG	Apr-DRG	5	3	—	—	$279,655.93	$389,203.76	$336,796.35	2026-01-28
6034	APR_DRG	Apr-DRG	5	3	—	—	$282,132.62	$414,312.21	$335,091.50	2026-01-28
64	APR_DRG	Apr-DRG	5	3	—	—	$280,325.91	$395,263.56	$332,945.65	2026-01-28
5934	APR_DRG	Apr-DRG	5	3	—	—	$238,772.86	$416,867.57	$332,305.83	2026-01-28
1611	APR_DRG	Apr-DRG	5	3	—	—	$272,507.44	$379,255.04	$328,187.26	2026-01-28
5914	OTHER	DRG	1	1	—	—	$292,864.94	$292,864.94	$292,864.94	2026-01-28
5881	OTHER	DRG	1	1	—	—	$291,806.82	$291,806.82	$291,806.82	2026-01-28
5882	OTHER	DRG	1	1	—	—	$291,806.82	$291,806.82	$291,806.82	2026-01-28
6314	APR_DRG	Apr-DRG	5	3	—	—	$207,780.28	$384,004.81	$289,172.72	2026-01-28
1604	APR_DRG	Apr-DRG	5	3	—	—	$217,727.81	$401,746.61	$288,668.38	2026-01-28
8414	OTHER	DRG	1	1	—	—	$283,249.65	$283,249.65	$283,249.65	2026-01-28
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	6	5	—	—	$272,685.00	$340,856.25	$281,032.50	2026-01-28
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	8	—	—	$250,001.21	$399,228.48	$275,324.97	2026-01-28
44	MS_DRG	DRG	1	1	—	—	$273,177.86	$273,177.86	$273,177.86	2026-01-28
22	APR_DRG	Apr-DRG	5	3	—	—	$220,226.37	$306,494.23	$265,223.91	2026-01-28
5881	APR_DRG	Apr-DRG	5	3	—	—	$219,026.23	$304,823.98	$263,778.56	2026-01-28
5934	OTHER	DRG	1	1	—	—	$263,561.06	$263,561.06	$263,561.06	2026-01-28
J3403	HCPCS	Revakinagene, Per Implant	6	5	—	—	$252,350.00	$315,437.50	$260,075.00	2026-01-28
6024	APR_DRG	Apr-DRG	5	3	—	—	$199,107.92	$298,811.65	$251,586.56	2026-01-28
43	APR_DRG	Apr-DRG	5	3	—	—	$201,491.84	$280,420.95	$242,661.47	2026-01-28
6094	OTHER	DRG	1	1	—	—	$241,314.85	$241,314.85	$241,314.85	2026-01-28
54	APR_DRG	Apr-DRG	5	3	—	—	$195,484.62	$272,060.57	$235,426.83	2026-01-28
6074	APR_DRG	Apr-DRG	5	3	—	—	$193,240.98	$301,385.62	$229,514.08	2026-01-28
84	APR_DRG	Apr-DRG	5	3	—	—	$164,674.11	$318,236.09	$228,663.28	2026-01-28
6024	OTHER	DRG	1	1	—	—	$228,578.11	$228,578.11	$228,578.11	2026-01-28
63	APR_DRG	Apr-DRG	5	3	—	—	$188,921.49	$262,926.50	$227,522.69	2026-01-28
21	APR_DRG	Apr-DRG	5	3	—	—	$188,793.95	$262,749.00	$227,369.10	2026-01-28
5933	APR_DRG	Apr-DRG	5	3	—	—	$185,994.73	$268,073.72	$225,706.54	2026-01-28
8413	OTHER	DRG	1	1	—	—	$221,342.08	$221,342.08	$221,342.08	2026-01-28
5833	OTHER	DRG	1	1	—	—	$220,578.72	$220,578.72	$220,578.72	2026-01-28
13	APR_DRG	Apr-DRG	5	3	—	—	$183,515.24	$261,415.53	$217,962.73	2026-01-28
73	APR_DRG	Apr-DRG	5	3	—	—	$179,905.76	$250,379.10	$216,664.83	2026-01-28
5832	OTHER	DRG	1	1	—	—	$216,453.56	$216,453.56	$216,453.56	2026-01-28
5831	OTHER	DRG	1	1	—	—	$216,453.56	$216,453.56	$216,453.56	2026-01-28
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	9	8	—	—	$190,467.81	$304,159.22	$211,799.64	2026-01-28
3034	APR_DRG	Apr-DRG	5	3	—	—	$174,980.96	$243,525.13	$210,733.77	2026-01-28
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	9	8	—	—	$189,350.01	$302,374.20	$210,606.90	2026-01-28
6034	OTHER	DRG	1	1	—	—	$210,562.86	$210,562.86	$210,562.86	2026-01-28
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	6	5	—	—	$201,527.20	$251,909.00	$207,696.40	2026-01-28
6023	APR_DRG	Apr-DRG	5	3	—	—	$171,328.23	$238,441.55	$206,334.71	2026-01-28
5913	APR_DRG	Apr-DRG	5	3	—	—	$171,156.55	$238,202.61	$206,127.96	2026-01-28
5933	OTHER	DRG	1	1	—	—	$205,849.69	$205,849.69	$205,849.69	2026-01-28
6093	APR_DRG	Apr-DRG	5	3	—	—	$167,781.13	$272,897.97	$199,275.18	2026-01-28
6303	APR_DRG	Apr-DRG	5	3	—	—	$164,792.89	$229,346.16	$198,464.04	2026-01-28
113	APR_DRG	Apr-DRG	5	3	—	—	$166,617.93	$242,109.74	$197,893.64	2026-01-28
8424	APR_DRG	Apr-DRG	5	3	—	—	$162,891.32	$226,699.69	$196,173.93	2026-01-28
62	APR_DRG	Apr-DRG	5	3	—	—	$162,458.03	$226,096.67	$195,652.11	2026-01-28
6074	OTHER	DRG	1	1	—	—	$186,616.09	$186,616.09	$186,616.09	2026-01-28
4404	APR_DRG	Apr-DRG	5	3	—	—	$153,355.64	$221,513.76	$186,505.05	2026-01-28
6304	OTHER	DRG	1	1	—	—	$184,861.12	$184,861.12	$184,861.12	2026-01-28
5892	OTHER	DRG	1	1	—	—	$183,491.61	$183,491.61	$183,491.61	2026-01-28
5891	OTHER	DRG	1	1	—	—	$183,491.61	$183,491.61	$183,491.61	2026-01-28
12	APR_DRG	Apr-DRG	5	3	—	—	$153,807.29	$219,893.51	$182,678.33	2026-01-28
42	APR_DRG	Apr-DRG	5	3	—	—	$151,702.04	$211,476.24	$180,177.90	2026-01-28
5932	APR_DRG	Apr-DRG	5	3	—	—	$143,965.49	$212,473.34	$178,893.41	2026-01-28
5913	OTHER	DRG	1	1	—	—	$178,592.52	$178,592.52	$178,592.52	2026-01-28
72	APR_DRG	Apr-DRG	5	3	—	—	$150,063.39	$226,615.50	$178,231.66	2026-01-28
6022	APR_DRG	Apr-DRG	5	3	—	—	$146,781.06	$204,278.67	$176,771.95	2026-01-28
1784	APR_DRG	Apr-DRG	5	3	—	—	$138,300.00	$206,009.53	$173,451.16	2026-01-28
6114	APR_DRG	Apr-DRG	5	3	—	—	$143,893.54	$200,260.04	$173,294.45	2026-01-28
8634	APR_DRG	Apr-DRG	5	3	—	—	$143,964.35	$218,441.71	$170,987.78	2026-01-28
6023	OTHER	DRG	1	1	—	—	$168,726.30	$168,726.30	$168,726.30	2026-01-28
5932	OTHER	DRG	1	1	—	—	$168,423.98	$168,423.98	$168,423.98	2026-01-28
1624	APR_DRG	Apr-DRG	5	3	—	—	$120,986.34	$243,723.44	$168,379.54	2026-01-28
5912	OTHER	DRG	1	1	—	—	$166,607.04	$166,607.04	$166,607.04	2026-01-28
3034	OTHER	DRG	1	1	—	—	$164,681.26	$164,681.26	$164,681.26	2026-01-28
6134	APR_DRG	Apr-DRG	5	3	—	—	$137,772.43	$198,419.12	$163,633.58	2026-01-28
5931	OTHER	DRG	1	1	—	—	$163,295.12	$163,295.12	$163,295.12	2026-01-28
6033	APR_DRG	Apr-DRG	5	3	—	—	$137,294.77	$197,627.23	$163,066.25	2026-01-28
11	APR_DRG	Apr-DRG	5	3	—	—	$136,560.58	$190,213.48	$162,194.25	2026-01-28
93	APR_DRG	Apr-DRG	5	3	—	—	$133,386.64	$185,637.34	$160,640.73	2026-01-28
53	APR_DRG	Apr-DRG	5	3	—	—	$133,249.30	$185,851.14	$160,475.34	2026-01-28
5891	APR_DRG	Apr-DRG	5	3	—	—	$105,145.44	$222,291.95	$159,724.20	2026-01-28
6314	OTHER	DRG	1	1	—	—	$158,920.55	$158,920.55	$158,920.55	2026-01-28
71	APR_DRG	Apr-DRG	5	3	—	—	$133,619.42	$207,184.55	$158,701.01	2026-01-28
1674	APR_DRG	Apr-DRG	5	3	—	—	$131,638.76	$186,552.42	$158,535.72	2026-01-28
8413	APR_DRG	Apr-DRG	5	3	—	—	$133,166.09	$200,878.99	$158,162.58	2026-01-28
914	APR_DRG	Apr-DRG	5	3	—	—	$133,053.30	$207,434.86	$158,028.63	2026-01-28
6804	APR_DRG	Apr-DRG	5	3	—	—	$130,719.86	$181,925.91	$157,429.07	2026-01-28
4404	OTHER	DRG	1	1	—	—	$156,966.06	$156,966.06	$156,966.06	2026-01-28
61	APR_DRG	Apr-DRG	5	3	—	—	$129,988.98	$180,908.74	$156,548.86	2026-01-28
1634	APR_DRG	Apr-DRG	5	3	—	—	$110,441.83	$207,393.69	$153,704.50	2026-01-28
43	MS_DRG	DRG	1	1	—	—	$152,227.19	$152,227.19	$152,227.19	2026-01-28
1604	OTHER	DRG	1	1	—	—	$150,311.99	$150,311.99	$150,311.99	2026-01-28
7594	APR_DRG	Apr-DRG	5	3	—	—	$107,997.41	$296,300.72	$150,302.55	2026-01-28
1613	OTHER	DRG	1	1	—	—	$148,735.39	$148,735.39	$148,735.39	2026-01-28
3033	APR_DRG	Apr-DRG	5	3	—	—	$118,672.73	$176,424.63	$148,541.95	2026-01-28
3124	APR_DRG	Apr-DRG	5	3	—	—	$123,167.51	$171,415.13	$148,333.60	2026-01-28
1834	APR_DRG	Apr-DRG	5	3	—	—	$116,362.39	$175,796.90	$148,013.42	2026-01-28
7404	APR_DRG	Apr-DRG	5	3	—	—	$122,533.67	$170,700.61	$145,534.37	2026-01-28
6084	APR_DRG	Apr-DRG	5	3	—	—	$122,352.34	$176,212.00	$145,318.99	2026-01-28
3614	OTHER	DRG	1	1	—	—	$145,121.16	$145,121.16	$145,121.16	2026-01-28
4403	APR_DRG	Apr-DRG	5	3	—	—	$119,321.85	$166,063.03	$143,702.17	2026-01-28
9104	APR_DRG	Apr-DRG	5	3	—	—	$119,068.41	$168,889.20	$143,396.94	2026-01-28
6022	OTHER	DRG	1	1	—	—	$143,360.14	$143,360.14	$143,360.14	2026-01-28
1624	OTHER	DRG	1	1	—	—	$141,859.13	$141,859.13	$141,859.13	2026-01-28
2204	APR_DRG	Apr-DRG	5	3	—	—	$119,083.89	$195,497.31	$141,437.03	2026-01-28
1794	APR_DRG	Apr-DRG	5	3	—	—	$115,324.12	$167,841.23	$141,315.09	2026-01-28
0100T	CPT	Prosth Retina Receive&gen	4	3	—	—	$4,799.67	$271,355.55	$140,472.27	2026-01-28
6124	APR_DRG	Apr-DRG	5	3	—	—	$109,606.31	$166,782.75	$140,423.90	2026-01-28
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	9	8	—	—	$123,568.34	$197,327.04	$140,414.34	2026-01-28
3044	OTHER	DRG	1	1	—	—	$138,798.14	$138,798.14	$138,798.14	2026-01-28
6073	OTHER	DRG	1	1	—	—	$138,297.80	$138,297.80	$138,297.80	2026-01-28
6083	APR_DRG	Apr-DRG	5	3	—	—	$114,655.38	$159,568.60	$138,082.24	2026-01-28
6214	APR_DRG	Apr-DRG	5	3	—	—	$115,205.09	$175,251.71	$136,830.14	2026-01-28
6904	APR_DRG	Apr-DRG	5	3	—	—	$114,866.75	$179,368.19	$136,428.29	2026-01-28
3124	OTHER	DRG	1	1	—	—	$136,078.77	$136,078.77	$136,078.77	2026-01-28
3044	APR_DRG	Apr-DRG	5	3	—	—	$97,703.07	$178,843.64	$135,975.67	2026-01-28
6033	OTHER	DRG	1	1	—	—	$135,719.01	$135,719.01	$135,719.01	2026-01-28
6814	OTHER	DRG	1	1	—	—	$135,608.66	$135,608.66	$135,608.66	2026-01-28
6804	OTHER	DRG	1	1	—	—	$135,232.27	$135,232.27	$135,232.27	2026-01-28
3614	APR_DRG	Apr-DRG	5	3	—	—	$113,272.33	$159,934.97	$134,534.58	2026-01-28
5911	OTHER	DRG	1	1	—	—	$134,372.17	$134,372.17	$134,372.17	2026-01-28
5892	APR_DRG	Apr-DRG	5	3	—	—	$87,286.17	$184,538.25	$132,596.91	2026-01-28
6904	OTHER	DRG	1	1	—	—	$132,311.86	$132,311.86	$132,311.86	2026-01-28
112	APR_DRG	Apr-DRG	5	3	—	—	$88,256.97	$183,614.37	$131,933.07	2026-01-28
52	APR_DRG	Apr-DRG	5	3	—	—	$109,493.49	$152,384.68	$131,865.65	2026-01-28
7	MS_DRG	Lung Transplant	9	8	—	—	$115,528.73	$184,488.55	$131,835.65	2026-01-28
6144	APR_DRG	Apr-DRG	5	3	—	—	$110,715.95	$159,452.55	$131,498.35	2026-01-28
6073	APR_DRG	Apr-DRG	5	3	—	—	$94,204.04	$178,549.47	$131,105.99	2026-01-28
8424	OTHER	DRG	1	1	—	—	$130,567.47	$130,567.47	$130,567.47	2026-01-28
6313	APR_DRG	Apr-DRG	5	3	—	—	$107,410.43	$149,485.63	$129,356.96	2026-01-28
1603	APR_DRG	Apr-DRG	5	3	—	—	$106,700.81	$148,498.04	$128,502.35	2026-01-28
1783	APR_DRG	Apr-DRG	5	3	—	—	$102,313.94	$152,405.29	$128,318.70	2026-01-28
6124	OTHER	DRG	1	1	—	—	$128,086.94	$128,086.94	$128,086.94	2026-01-28
4054	OTHER	DRG	1	1	—	—	$126,794.52	$126,794.52	$126,794.52	2026-01-28
5104	APR_DRG	Apr-DRG	5	3	—	—	$106,693.42	$153,658.99	$126,720.75	2026-01-28
6302	APR_DRG	Apr-DRG	5	3	—	—	$105,091.91	$146,258.89	$126,564.72	2026-01-28
92	APR_DRG	Apr-DRG	5	3	—	—	$106,118.45	$152,830.69	$126,037.86	2026-01-28
4414	APR_DRG	Apr-DRG	5	3	—	—	$104,650.44	$149,295.51	$126,033.05	2026-01-28
214	APR_DRG	Apr-DRG	5	3	—	—	$102,482.35	$149,321.78	$125,722.51	2026-01-28
5912	APR_DRG	Apr-DRG	5	3	—	—	$105,660.69	$155,882.21	$125,494.17	2026-01-28
4402	APR_DRG	Apr-DRG	5	3	—	—	$105,437.34	$157,850.56	$125,228.89	2026-01-28
1694	APR_DRG	Apr-DRG	5	3	—	—	$89,954.52	$160,011.63	$125,191.82	2026-01-28
924	APR_DRG	Apr-DRG	5	3	—	—	$105,258.22	$153,922.96	$125,016.15	2026-01-28
6334	APR_DRG	Apr-DRG	5	3	—	—	$104,709.79	$173,271.98	$124,501.72	2026-01-28
6114	OTHER	DRG	1	1	—	—	$124,158.29	$124,158.29	$124,158.29	2026-01-28
2604	APR_DRG	Apr-DRG	5	3	—	—	$89,890.75	$147,422.82	$124,123.67	2026-01-28
14	MS_DRG	Allogeneic Bone Marrow Transplant	10	9	—	—	$107,211.69	$264,611.63	$123,575.73	2026-01-28
9114	APR_DRG	Apr-DRG	5	3	—	—	$88,741.30	$159,557.25	$123,503.36	2026-01-28
6514	APR_DRG	Apr-DRG	5	3	—	—	$103,869.46	$152,571.28	$123,366.71	2026-01-28
83	APR_DRG	Apr-DRG	5	3	—	—	$103,692.55	$156,890.28	$123,156.59	2026-01-28
9504	OTHER	DRG	1	1	—	—	$122,655.76	$122,655.76	$122,655.76	2026-01-28
1654	APR_DRG	Apr-DRG	5	3	—	—	$87,377.66	$189,656.94	$121,605.55	2026-01-28
1204	APR_DRG	Apr-DRG	5	3	—	—	$100,826.04	$140,321.98	$121,427.22	2026-01-28
41	APR_DRG	Apr-DRG	5	3	—	—	$101,304.23	$145,897.08	$120,319.97	2026-01-28
6814	APR_DRG	Apr-DRG	5	3	—	—	$90,039.54	$142,527.02	$120,001.62	2026-01-28
8504	APR_DRG	Apr-DRG	5	3	—	—	$86,084.33	$151,785.44	$119,805.59	2026-01-28
1782	APR_DRG	Apr-DRG	5	3	—	—	$95,324.06	$141,993.84	$119,552.71	2026-01-28
6954	APR_DRG	Apr-DRG	5	3	—	—	$99,022.56	$137,812.04	$119,255.25	2026-01-28
3032	APR_DRG	Apr-DRG	5	3	—	—	$98,931.00	$137,684.61	$119,144.98	2026-01-28
894	APR_DRG	Apr-DRG	5	3	—	—	$97,614.78	$140,480.98	$118,278.94	2026-01-28
4014	APR_DRG	Apr-DRG	5	3	—	—	$97,483.97	$135,670.75	$117,402.29	2026-01-28
9504	APR_DRG	Apr-DRG	5	3	—	—	$94,586.64	$139,096.81	$117,113.53	2026-01-28
7504	APR_DRG	Apr-DRG	5	3	—	—	$88,809.97	$139,046.91	$117,071.52	2026-01-28
4044	APR_DRG	Apr-DRG	5	3	—	—	$97,060.49	$135,081.38	$116,892.28	2026-01-28
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	8	—	—	$101,090.99	$161,432.82	$116,429.80	2026-01-28
209	MS_DRG	Complex Aortic Arch Procedures	9	8	—	—	$100,975.01	$161,247.62	$116,306.06	2026-01-28
7524	APR_DRG	Apr-DRG	5	3	—	—	$83,151.03	$207,645.84	$115,723.25	2026-01-28
204	APR_DRG	Apr-DRG	5	3	—	—	$83,064.37	$137,759.93	$115,602.64	2026-01-28
4474	OTHER	DRG	1	1	—	—	$115,344.15	$115,344.15	$115,344.15	2026-01-28
8504	OTHER	DRG	1	1	—	—	$115,285.20	$115,285.20	$115,285.20	2026-01-28
9124	APR_DRG	Apr-DRG	5	3	—	—	$82,730.82	$155,023.91	$115,138.43	2026-01-28
9124	OTHER	DRG	1	1	—	—	$114,527.89	$114,527.89	$114,527.89	2026-01-28
1664	APR_DRG	Apr-DRG	5	3	—	—	$81,818.45	$170,958.89	$113,868.67	2026-01-28
6113	APR_DRG	Apr-DRG	5	3	—	—	$95,471.21	$132,869.54	$113,601.38	2026-01-28
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	9	8	—	—	$98,320.13	$157,008.02	$113,473.15	2026-01-28
5124	OTHER	DRG	1	1	—	—	$113,421.39	$113,421.39	$113,421.39	2026-01-28
6072	OTHER	DRG	1	1	—	—	$113,043.49	$113,043.49	$113,043.49	2026-01-28
1764	APR_DRG	Apr-DRG	5	3	—	—	$93,849.23	$130,612.19	$113,024.88	2026-01-28
51	APR_DRG	Apr-DRG	5	3	—	—	$95,114.53	$136,983.74	$112,968.39	2026-01-28
2604	OTHER	DRG	1	1	—	—	$112,258.97	$112,258.97	$112,258.97	2026-01-28
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	9	—	—	$40,468.56	$154,912.43	$112,072.87	2026-01-28
4401	APR_DRG	Apr-DRG	5	3	—	—	$94,148.14	$152,553.07	$111,820.61	2026-01-28
5114	APR_DRG	DRG	3	2	—	—	$92,846.94	$129,217.28	$111,817.79	2026-01-28
6954	OTHER	DRG	1	1	—	—	$111,658.87	$111,658.87	$111,658.87	2026-01-28
924	MS_DRG	DRG	1	1	—	—	$111,153.99	$111,153.99	$111,153.99	2026-01-28
274	APR_DRG	Apr-DRG	5	3	—	—	$89,826.98	$131,619.17	$110,817.68	2026-01-28
1623	APR_DRG	Apr-DRG	5	3	—	—	$79,377.31	$166,929.83	$110,471.27	2026-01-28
6093	OTHER	DRG	1	1	—	—	$110,091.34	$110,091.34	$110,091.34	2026-01-28
264	APR_DRG	Apr-DRG	5	3	—	—	$91,025.48	$126,682.31	$109,624.17	2026-01-28
1304	APR_DRG	Apr-DRG	5	3	—	—	$85,090.21	$130,129.94	$109,563.81	2026-01-28
7924	APR_DRG	Apr-DRG	5	3	—	—	$90,897.95	$126,504.82	$109,470.58	2026-01-28
214	MS_DRG	DRG	1	1	—	—	$109,461.00	$109,461.00	$109,461.00	2026-01-28
1694	OTHER	DRG	1	1	—	—	$108,576.72	$108,576.72	$108,576.72	2026-01-28
9104	OTHER	DRG	1	1	—	—	$108,570.67	$108,570.67	$108,570.67	2026-01-28
6084	OTHER	DRG	1	1	—	—	$108,569.16	$108,569.16	$108,569.16	2026-01-28
Q0480	HCPCS	Driver Pneumatic Vad, Rep	8	7	—	—	$48,896.18	$136,259.27	$107,182.14	2026-01-28
2204	OTHER	DRG	1	1	—	—	$107,137.67	$107,137.67	$107,137.67	2026-01-28
8412	OTHER	DRG	1	1	—	—	$107,050.00	$107,050.00	$107,050.00	2026-01-28
1654	OTHER	DRG	1	1	—	—	$106,969.89	$106,969.89	$106,969.89	2026-01-28
3214	OTHER	DRG	1	1	—	—	$106,782.45	$106,782.45	$106,782.45	2026-01-28
2304	APR_DRG	Apr-DRG	5	3	—	—	$82,393.99	$126,768.02	$106,733.22	2026-01-28
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	9	8	—	—	$91,979.97	$146,883.38	$106,707.85	2026-01-28
1781	APR_DRG	Apr-DRG	5	3	—	—	$85,021.54	$126,647.20	$106,631.50	2026-01-28
1634	OTHER	DRG	1	1	—	—	$106,522.45	$106,522.45	$106,522.45	2026-01-28
1814	APR_DRG	Apr-DRG	5	3	—	—	$76,146.43	$132,299.43	$105,974.78	2026-01-28
5124	APR_DRG	DRG	3	2	—	—	$87,953.20	$122,406.55	$105,924.15	2026-01-28
3033	OTHER	DRG	1	1	—	—	$105,630.61	$105,630.61	$105,630.61	2026-01-28
4014	OTHER	DRG	1	1	—	—	$105,626.07	$105,626.07	$105,626.07	2026-01-28
5893	APR_DRG	Apr-DRG	5	3	—	—	$69,429.11	$146,782.27	$105,467.97	2026-01-28
6224	APR_DRG	Apr-DRG	5	3	—	—	$87,457.78	$121,717.05	$105,327.51	2026-01-28
6123	APR_DRG	Apr-DRG	5	3	—	—	$87,153.66	$121,293.80	$104,961.25	2026-01-28
224	APR_DRG	Apr-DRG	5	3	—	—	$86,599.37	$120,522.39	$104,293.70	2026-01-28
6032	OTHER	DRG	1	1	—	—	$104,277.73	$104,277.73	$104,277.73	2026-01-28
2324	APR_DRG	Apr-DRG	5	3	—	—	$87,682.01	$126,279.54	$104,140.73	2026-01-28
1833	APR_DRG	Apr-DRG	5	3	—	—	$86,148.09	$123,490.15	$103,973.39	2026-01-28
6133	APR_DRG	Apr-DRG	5	3	—	—	$86,177.53	$119,935.30	$103,785.67	2026-01-28
2614	APR_DRG	Apr-DRG	5	3	—	—	$74,498.28	$129,581.00	$103,681.02	2026-01-28
91	APR_DRG	Apr-DRG	5	3	—	—	$87,089.35	$125,426.21	$103,436.82	2026-01-28
3104	OTHER	DRG	1	1	—	—	$103,426.70	$103,426.70	$103,426.70	2026-01-28
215	MS_DRG	Other Heart Assist System Implant	9	8	—	—	$88,826.40	$141,847.42	$103,342.82	2026-01-28
4054	APR_DRG	Apr-DRG	5	3	—	—	$85,693.55	$119,261.73	$103,202.81	2026-01-28
6083	OTHER	DRG	1	1	—	—	$103,145.54	$103,145.54	$103,145.54	2026-01-28
82	APR_DRG	Apr-DRG	5	3	—	—	$86,757.64	$130,664.53	$103,042.85	2026-01-28
1793	APR_DRG	Apr-DRG	5	3	—	—	$83,549.98	$122,381.77	$103,040.18	2026-01-28
6214	OTHER	DRG	1	1	—	—	$102,669.38	$102,669.38	$102,669.38	2026-01-28
5144	APR_DRG	DRG	3	2	—	—	$84,961.04	$118,242.28	$102,320.62	2026-01-28
4414	OTHER	DRG	1	1	—	—	$102,234.04	$102,234.04	$102,234.04	2026-01-28
6072	APR_DRG	Apr-DRG	5	3	—	—	$73,296.51	$138,256.33	$102,008.49	2026-01-28
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	9	8	—	—	$87,272.36	$139,365.77	$101,684.58	2026-01-28
234	APR_DRG	Apr-DRG	5	3	—	—	$72,866.49	$151,396.71	$101,410.02	2026-01-28
6143	APR_DRG	Apr-DRG	5	3	—	—	$84,935.45	$125,565.01	$100,878.61	2026-01-28
1674	OTHER	DRG	1	1	—	—	$100,237.22	$100,237.22	$100,237.22	2026-01-28
1814	OTHER	DRG	1	1	—	—	$100,015.01	$100,015.01	$100,015.01	2026-01-28
7914	OTHER	DRG	1	1	—	—	$99,927.34	$99,927.34	$99,927.34	2026-01-28
2214	OTHER	DRG	1	1	—	—	$99,891.06	$99,891.06	$99,891.06	2026-01-28
4034	OTHER	DRG	1	1	—	—	$99,413.40	$99,413.40	$99,413.40	2026-01-28
6234	APR_DRG	Apr-DRG	5	3	—	—	$83,451.60	$120,187.88	$99,116.23	2026-01-28
3624	APR_DRG	Apr-DRG	5	3	—	—	$83,190.66	$119,810.14	$98,806.30	2026-01-28
6021	OTHER	DRG	1	1	—	—	$98,143.65	$98,143.65	$98,143.65	2026-01-28
9114	OTHER	DRG	1	1	—	—	$98,107.37	$98,107.37	$98,107.37	2026-01-28
1673	APR_DRG	Apr-DRG	5	3	—	—	$70,806.32	$116,193.73	$97,830.12	2026-01-28
3134	OTHER	DRG	1	1	—	—	$97,820.17	$97,820.17	$97,820.17	2026-01-28
2644	APR_DRG	Apr-DRG	5	3	—	—	$80,955.14	$115,101.11	$97,496.23	2026-01-28
5104	OTHER	DRG	1	1	—	—	$96,882.98	$96,882.98	$96,882.98	2026-01-28
7104	APR_DRG	Apr-DRG	5	3	—	—	$71,901.81	$114,730.77	$96,598.37	2026-01-28
4424	OTHER	DRG	1	1	—	—	$96,378.10	$96,378.10	$96,378.10	2026-01-28
294	APR_DRG	Apr-DRG	5	3	—	—	$79,856.38	$111,138.01	$96,172.96	2026-01-28
6123	OTHER	DRG	1	1	—	—	$95,880.79	$95,880.79	$95,880.79	2026-01-28
1774	OTHER	DRG	1	1	—	—	$95,753.81	$95,753.81	$95,753.81	2026-01-28
6914	OTHER	DRG	1	1	—	—	$95,726.60	$95,726.60	$95,726.60	2026-01-28
304	APR_DRG	Apr-DRG	5	3	—	—	$68,661.12	$116,506.29	$95,557.30	2026-01-28
7104	OTHER	DRG	1	1	—	—	$95,539.17	$95,539.17	$95,539.17	2026-01-28
3174	OTHER	DRG	1	1	—	—	$95,502.89	$95,502.89	$95,502.89	2026-01-28
7114	APR_DRG	Apr-DRG	5	3	—	—	$79,297.19	$110,359.77	$95,499.51	2026-01-28
1704	APR_DRG	Apr-DRG	5	3	—	—	$79,287.38	$112,829.19	$95,487.69	2026-01-28
3054	OTHER	DRG	1	1	—	—	$95,258.01	$95,258.01	$95,258.01	2026-01-28
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	7	6	—	—	$91,352.37	$119,690.24	$95,081.03	2026-01-28
9514	OTHER	DRG	1	1	—	—	$94,854.41	$94,854.41	$94,854.41	2026-01-28
4234	APR_DRG	Apr-DRG	5	3	—	—	$49,115.19	$131,957.04	$94,815.55	2026-01-28
1824	OTHER	DRG	1	1	—	—	$94,807.55	$94,807.55	$94,807.55	2026-01-28
6113	OTHER	DRG	1	1	—	—	$94,713.83	$94,713.83	$94,713.83	2026-01-28
6092	APR_DRG	Apr-DRG	5	3	—	—	$79,694.43	$112,728.62	$94,653.81	2026-01-28
1824	APR_DRG	Apr-DRG	5	3	—	—	$71,519.20	$112,401.07	$94,636.86	2026-01-28
4844	APR_DRG	Apr-DRG	5	3	—	—	$78,458.40	$109,192.41	$94,489.34	2026-01-28
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	9	8	—	—	$80,374.64	$128,350.76	$94,324.35	2026-01-28
4804	APR_DRG	Apr-DRG	5	3	—	—	$79,378.20	$112,423.70	$94,278.22	2026-01-28
6504	APR_DRG	Apr-DRG	5	3	—	—	$73,247.46	$111,957.19	$94,263.14	2026-01-28
1664	OTHER	DRG	1	1	—	—	$94,190.82	$94,190.82	$94,190.82	2026-01-28

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