Hospital

SIGNATURE HEALTHCARE BROCKTON HOSPITAL

Brockton, MA · CCN 220052 · Rates published

21,533 distinct procedures filed

15 distinct payers

222,488 rate rows

2026-01-28 last MRF observed

Data quality

182,742 of 222,488 rate rows are consumer-grade (82.1%)

39,746 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
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

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 · 2026-05-18
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 $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$3,250,133.34	$4,062,666.67	$3,349,627.21	nat. median $3,325,455 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 $3,004,655 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 $2,468,984 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	6	$2,285,360.00	$2,856,700.00	$2,378,640.00	nat. median $2,448,600 1.0× median
5834 APR_DRG	Apr-DRG	3	$656,080.36	$913,832.50	$779,232.65	nat. median $309,665 outlier · 2.5×
Q2057 HCPCS	Afamitresgene Autoleucel	5	$755,207.60	$944,009.50	$778,326.20	nat. median $824,563 0.9× median
24 APR_DRG	Apr-DRG	3	$496,554.39	$1,022,647.17	$734,806.22	nat. median $234,729 outlier · 3.1×
5884 APR_DRG	Apr-DRG	3	$527,467.41	$734,088.85	$635,241.68	nat. median $246,434 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 $753,246 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$507,195.92	$908,198.48	$571,527.64	nat. median $674,867 0.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$473,853.52	$850,818.37	$568,163.57	nat. median $673,137 0.8× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$484,690.30	$870,300.35	$562,891.11	nat. median $625,184 0.9× median
1614 APR_DRG	Apr-DRG	3	$466,337.38	$649,012.75	$561,621.33	nat. median $207,730 outlier · 2.7×
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$449,440.00	$806,392.07	$538,562.47	nat. median $634,303 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$449,440.00	$803,977.69	$494,197.66	nat. median $619,808 0.8× median
5832 APR_DRG	Apr-DRG	3	$383,175.91	$552,026.40	$455,101.53	nat. median $156,126 outlier · 2.9×
1613 APR_DRG	Apr-DRG	3	$357,260.83	$497,208.33	$430,257.81	nat. median $119,796 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 $370,174 1.1× median
5883 APR_DRG	Apr-DRG	3	$339,814.73	$472,928.18	$409,247.04	nat. median $182,665 outlier · 2.2×
5882 APR_DRG	Apr-DRG	3	$332,744.72	$463,088.69	$400,732.47	nat. median $145,336 outlier · 2.8×
6094 APR_DRG	Apr-DRG	3	$336,771.89	$507,195.73	$399,987.06	nat. median $162,982 outlier · 2.5×
6304 APR_DRG	Apr-DRG	3	$331,072.06	$463,942.33	$398,718.04	nat. median $150,721 outlier · 2.6×
5834 MS_DRG	DRG	1	$388,265.04	$388,265.04	$388,265.04	—
74 APR_DRG	Apr-DRG	3	$325,533.56	$495,956.78	$386,639.19	nat. median $187,061 outlier · 2.1×
5831 APR_DRG	Apr-DRG	3	$317,720.15	$442,178.63	$382,638.01	nat. median $144,745 outlier · 2.6×
5883 MS_DRG	DRG	1	$381,440.17	$381,440.17	$381,440.17	—
5884 MS_DRG	DRG	1	$381,440.17	$381,440.17	$381,440.17	—
44 APR_DRG	Apr-DRG	3	$302,932.66	$421,598.53	$364,829.09	nat. median $105,658 outlier · 3.5×
23 APR_DRG	Apr-DRG	3	$307,061.74	$430,753.08	$364,700.03	nat. median $93,528 outlier · 3.9×
8414 APR_DRG	Apr-DRG	3	$297,916.29	$430,974.51	$362,861.99	nat. median $160,267 outlier · 2.3×
14 APR_DRG	Apr-DRG	3	$299,127.87	$416,303.32	$360,246.89	nat. median $129,535 outlier · 2.8×
1614 MS_DRG	DRG	1	$348,889.37	$348,889.37	$348,889.37	—
1612 APR_DRG	Apr-DRG	3	$286,850.20	$399,216.19	$345,460.59	nat. median $85,444 outlier · 4.0×
5914 APR_DRG	Apr-DRG	3	$271,220.65	$402,555.78	$338,934.64	nat. median $164,289 outlier · 2.1×
114 APR_DRG	Apr-DRG	3	$264,309.25	$402,038.36	$338,499.00	nat. median $117,173 outlier · 2.9×
94 APR_DRG	Apr-DRG	3	$279,655.93	$389,203.76	$336,796.35	nat. median $164,834 outlier · 2.0×
6034 APR_DRG	Apr-DRG	3	$282,132.62	$414,312.21	$335,091.50	nat. median $109,499 outlier · 3.1×
64 APR_DRG	Apr-DRG	3	$280,325.91	$395,263.56	$332,945.65	nat. median $91,009 outlier · 3.7×
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 $76,806 outlier · 4.3×
5914 MS_DRG	DRG	1	$292,864.94	$292,864.94	$292,864.94	—
5881 MS_DRG	DRG	1	$291,806.82	$291,806.82	$291,806.82	—
5882 MS_DRG	DRG	1	$291,806.82	$291,806.82	$291,806.82	—
6314 APR_DRG	Apr-DRG	3	$207,780.28	$384,004.81	$289,172.72	nat. median $122,924 outlier · 2.4×
1604 APR_DRG	Apr-DRG	3	$217,727.81	$401,746.61	$288,668.38	nat. median $97,957 outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 21,533 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

0100T	CPT	Prosth Retina Receive&gen	4	3	—	—	$4,799.67	$271,355.55	$140,472.27	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
11	APR_DRG	Apr-DRG	5	3	—	—	$136,560.58	$190,213.48	$162,194.25	2026-01-28
112	APR_DRG	Apr-DRG	5	3	—	—	$88,256.97	$183,614.37	$131,933.07	2026-01-28
113	APR_DRG	Apr-DRG	5	3	—	—	$166,617.93	$242,109.74	$197,893.64	2026-01-28
114	APR_DRG	Apr-DRG	5	3	—	—	$264,309.25	$402,038.36	$338,499.00	2026-01-28
12	APR_DRG	Apr-DRG	5	3	—	—	$153,807.29	$219,893.51	$182,678.33	2026-01-28
1204	APR_DRG	Apr-DRG	5	3	—	—	$100,826.04	$140,321.98	$121,427.22	2026-01-28
13	APR_DRG	Apr-DRG	5	3	—	—	$183,515.24	$261,415.53	$217,962.73	2026-01-28
1304	APR_DRG	Apr-DRG	5	3	—	—	$85,090.21	$130,129.94	$109,563.81	2026-01-28
14	APR_DRG	Apr-DRG	5	3	—	—	$299,127.87	$416,303.32	$360,246.89	2026-01-28
14	MS_DRG	Allogeneic Bone Marrow Transplant	10	9	—	—	$107,211.69	$264,611.63	$123,575.73	2026-01-28
1603	APR_DRG	Apr-DRG	5	3	—	—	$106,700.81	$148,498.04	$128,502.35	2026-01-28
1604	APR_DRG	Apr-DRG	5	3	—	—	$217,727.81	$401,746.61	$288,668.38	2026-01-28
1604	MS_DRG	DRG	1	1	—	—	$150,311.99	$150,311.99	$150,311.99	2026-01-28
1611	APR_DRG	Apr-DRG	5	3	—	—	$272,507.44	$379,255.04	$328,187.26	2026-01-28
1612	APR_DRG	Apr-DRG	5	3	—	—	$286,850.20	$399,216.19	$345,460.59	2026-01-28
1613	APR_DRG	Apr-DRG	5	3	—	—	$357,260.83	$497,208.33	$430,257.81	2026-01-28
1613	MS_DRG	DRG	1	1	—	—	$148,735.39	$148,735.39	$148,735.39	2026-01-28
1614	APR_DRG	Apr-DRG	5	3	—	—	$466,337.38	$649,012.75	$561,621.33	2026-01-28
1614	MS_DRG	DRG	1	1	—	—	$348,889.37	$348,889.37	$348,889.37	2026-01-28
1623	APR_DRG	Apr-DRG	5	3	—	—	$79,377.31	$166,929.83	$110,471.27	2026-01-28
1624	APR_DRG	Apr-DRG	5	3	—	—	$120,986.34	$243,723.44	$168,379.54	2026-01-28
1624	MS_DRG	DRG	1	1	—	—	$141,859.13	$141,859.13	$141,859.13	2026-01-28
1634	APR_DRG	Apr-DRG	5	3	—	—	$110,441.83	$207,393.69	$153,704.50	2026-01-28
1634	MS_DRG	DRG	1	1	—	—	$106,522.45	$106,522.45	$106,522.45	2026-01-28
1654	APR_DRG	Apr-DRG	5	3	—	—	$87,377.66	$189,656.94	$121,605.55	2026-01-28
1654	MS_DRG	DRG	1	1	—	—	$106,969.89	$106,969.89	$106,969.89	2026-01-28
1664	APR_DRG	Apr-DRG	5	3	—	—	$81,818.45	$170,958.89	$113,868.67	2026-01-28
1664	MS_DRG	DRG	1	1	—	—	$94,190.82	$94,190.82	$94,190.82	2026-01-28
1673	APR_DRG	Apr-DRG	5	3	—	—	$70,806.32	$116,193.73	$97,830.12	2026-01-28
1674	APR_DRG	Apr-DRG	5	3	—	—	$131,638.76	$186,552.42	$158,535.72	2026-01-28
1674	MS_DRG	DRG	1	1	—	—	$100,237.22	$100,237.22	$100,237.22	2026-01-28
1694	APR_DRG	Apr-DRG	5	3	—	—	$89,954.52	$160,011.63	$125,191.82	2026-01-28
1694	MS_DRG	DRG	1	1	—	—	$108,576.72	$108,576.72	$108,576.72	2026-01-28
1704	APR_DRG	Apr-DRG	5	3	—	—	$79,287.38	$112,829.19	$95,487.69	2026-01-28
1764	APR_DRG	Apr-DRG	5	3	—	—	$93,849.23	$130,612.19	$113,024.88	2026-01-28
1774	MS_DRG	DRG	1	1	—	—	$95,753.81	$95,753.81	$95,753.81	2026-01-28
1781	APR_DRG	Apr-DRG	5	3	—	—	$85,021.54	$126,647.20	$106,631.50	2026-01-28
1782	APR_DRG	Apr-DRG	5	3	—	—	$95,324.06	$141,993.84	$119,552.71	2026-01-28
1783	APR_DRG	Apr-DRG	5	3	—	—	$102,313.94	$152,405.29	$128,318.70	2026-01-28
1784	APR_DRG	Apr-DRG	5	3	—	—	$138,300.00	$206,009.53	$173,451.16	2026-01-28
1793	APR_DRG	Apr-DRG	5	3	—	—	$83,549.98	$122,381.77	$103,040.18	2026-01-28
1794	APR_DRG	Apr-DRG	5	3	—	—	$115,324.12	$167,841.23	$141,315.09	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
1814	APR_DRG	Apr-DRG	5	3	—	—	$76,146.43	$132,299.43	$105,974.78	2026-01-28
1814	MS_DRG	DRG	1	1	—	—	$100,015.01	$100,015.01	$100,015.01	2026-01-28
1824	MS_DRG	DRG	1	1	—	—	$94,807.55	$94,807.55	$94,807.55	2026-01-28
1824	APR_DRG	Apr-DRG	5	3	—	—	$71,519.20	$112,401.07	$94,636.86	2026-01-28
1833	APR_DRG	Apr-DRG	5	3	—	—	$86,148.09	$123,490.15	$103,973.39	2026-01-28
1834	APR_DRG	Apr-DRG	5	3	—	—	$116,362.39	$175,796.90	$148,013.42	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
204	APR_DRG	Apr-DRG	5	3	—	—	$83,064.37	$137,759.93	$115,602.64	2026-01-28
209	MS_DRG	Complex Aortic Arch Procedures	9	8	—	—	$100,975.01	$161,247.62	$116,306.06	2026-01-28
21	APR_DRG	Apr-DRG	5	3	—	—	$188,793.95	$262,749.00	$227,369.10	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
214	APR_DRG	Apr-DRG	5	3	—	—	$102,482.35	$149,321.78	$125,722.51	2026-01-28
214	MS_DRG	DRG	1	1	—	—	$109,461.00	$109,461.00	$109,461.00	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
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
22	APR_DRG	Apr-DRG	5	3	—	—	$220,226.37	$306,494.23	$265,223.91	2026-01-28
2204	APR_DRG	Apr-DRG	5	3	—	—	$119,083.89	$195,497.31	$141,437.03	2026-01-28
2204	MS_DRG	DRG	1	1	—	—	$107,137.67	$107,137.67	$107,137.67	2026-01-28
2214	MS_DRG	DRG	1	1	—	—	$99,891.06	$99,891.06	$99,891.06	2026-01-28
224	APR_DRG	Apr-DRG	5	3	—	—	$86,599.37	$120,522.39	$104,293.70	2026-01-28
23	APR_DRG	Apr-DRG	5	3	—	—	$307,061.74	$430,753.08	$364,700.03	2026-01-28
2304	APR_DRG	Apr-DRG	5	3	—	—	$82,393.99	$126,768.02	$106,733.22	2026-01-28
2324	APR_DRG	Apr-DRG	5	3	—	—	$87,682.01	$126,279.54	$104,140.73	2026-01-28
234	APR_DRG	Apr-DRG	5	3	—	—	$72,866.49	$151,396.71	$101,410.02	2026-01-28
24	APR_DRG	Apr-DRG	5	3	—	—	$496,554.39	$1,022,647.17	$734,806.22	2026-01-28
2604	APR_DRG	Apr-DRG	5	3	—	—	$89,890.75	$147,422.82	$124,123.67	2026-01-28
2604	MS_DRG	DRG	1	1	—	—	$112,258.97	$112,258.97	$112,258.97	2026-01-28
2614	APR_DRG	Apr-DRG	5	3	—	—	$74,498.28	$129,581.00	$103,681.02	2026-01-28
264	APR_DRG	Apr-DRG	5	3	—	—	$91,025.48	$126,682.31	$109,624.17	2026-01-28
2644	APR_DRG	Apr-DRG	5	3	—	—	$80,955.14	$115,101.11	$97,496.23	2026-01-28
274	APR_DRG	Apr-DRG	5	3	—	—	$89,826.98	$131,619.17	$110,817.68	2026-01-28
294	APR_DRG	Apr-DRG	5	3	—	—	$79,856.38	$111,138.01	$96,172.96	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
3032	APR_DRG	Apr-DRG	5	3	—	—	$98,931.00	$137,684.61	$119,144.98	2026-01-28
3033	APR_DRG	Apr-DRG	5	3	—	—	$118,672.73	$176,424.63	$148,541.95	2026-01-28
3033	MS_DRG	DRG	1	1	—	—	$105,630.61	$105,630.61	$105,630.61	2026-01-28
3034	APR_DRG	Apr-DRG	5	3	—	—	$174,980.96	$243,525.13	$210,733.77	2026-01-28
3034	MS_DRG	DRG	1	1	—	—	$164,681.26	$164,681.26	$164,681.26	2026-01-28
304	APR_DRG	Apr-DRG	5	3	—	—	$68,661.12	$116,506.29	$95,557.30	2026-01-28
3044	MS_DRG	DRG	1	1	—	—	$138,798.14	$138,798.14	$138,798.14	2026-01-28
3044	APR_DRG	Apr-DRG	5	3	—	—	$97,703.07	$178,843.64	$135,975.67	2026-01-28
3054	MS_DRG	DRG	1	1	—	—	$95,258.01	$95,258.01	$95,258.01	2026-01-28
3104	MS_DRG	DRG	1	1	—	—	$103,426.70	$103,426.70	$103,426.70	2026-01-28
3124	APR_DRG	Apr-DRG	5	3	—	—	$123,167.51	$171,415.13	$148,333.60	2026-01-28
3124	MS_DRG	DRG	1	1	—	—	$136,078.77	$136,078.77	$136,078.77	2026-01-28
3134	MS_DRG	DRG	1	1	—	—	$97,820.17	$97,820.17	$97,820.17	2026-01-28
3174	MS_DRG	DRG	1	1	—	—	$95,502.89	$95,502.89	$95,502.89	2026-01-28
3214	MS_DRG	DRG	1	1	—	—	$106,782.45	$106,782.45	$106,782.45	2026-01-28
3614	MS_DRG	DRG	1	1	—	—	$145,121.16	$145,121.16	$145,121.16	2026-01-28
3614	APR_DRG	Apr-DRG	5	3	—	—	$113,272.33	$159,934.97	$134,534.58	2026-01-28
3624	APR_DRG	Apr-DRG	5	3	—	—	$83,190.66	$119,810.14	$98,806.30	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
4014	APR_DRG	Apr-DRG	5	3	—	—	$97,483.97	$135,670.75	$117,402.29	2026-01-28
4014	MS_DRG	DRG	1	1	—	—	$105,626.07	$105,626.07	$105,626.07	2026-01-28
4034	MS_DRG	DRG	1	1	—	—	$99,413.40	$99,413.40	$99,413.40	2026-01-28
4044	APR_DRG	Apr-DRG	5	3	—	—	$97,060.49	$135,081.38	$116,892.28	2026-01-28
4054	MS_DRG	DRG	1	1	—	—	$126,794.52	$126,794.52	$126,794.52	2026-01-28
4054	APR_DRG	Apr-DRG	5	3	—	—	$85,693.55	$119,261.73	$103,202.81	2026-01-28
41	APR_DRG	Apr-DRG	5	3	—	—	$101,304.23	$145,897.08	$120,319.97	2026-01-28
42	APR_DRG	Apr-DRG	5	3	—	—	$151,702.04	$211,476.24	$180,177.90	2026-01-28
4234	APR_DRG	Apr-DRG	5	3	—	—	$49,115.19	$131,957.04	$94,815.55	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
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
43	APR_DRG	Apr-DRG	5	3	—	—	$201,491.84	$280,420.95	$242,661.47	2026-01-28
43	MS_DRG	DRG	1	1	—	—	$152,227.19	$152,227.19	$152,227.19	2026-01-28
44	APR_DRG	Apr-DRG	5	3	—	—	$302,932.66	$421,598.53	$364,829.09	2026-01-28
44	MS_DRG	DRG	1	1	—	—	$273,177.86	$273,177.86	$273,177.86	2026-01-28
4401	APR_DRG	Apr-DRG	5	3	—	—	$94,148.14	$152,553.07	$111,820.61	2026-01-28
4402	APR_DRG	Apr-DRG	5	3	—	—	$105,437.34	$157,850.56	$125,228.89	2026-01-28
4403	APR_DRG	Apr-DRG	5	3	—	—	$119,321.85	$166,063.03	$143,702.17	2026-01-28
4404	APR_DRG	Apr-DRG	5	3	—	—	$153,355.64	$221,513.76	$186,505.05	2026-01-28
4404	MS_DRG	DRG	1	1	—	—	$156,966.06	$156,966.06	$156,966.06	2026-01-28
4414	APR_DRG	Apr-DRG	5	3	—	—	$104,650.44	$149,295.51	$126,033.05	2026-01-28
4414	MS_DRG	DRG	1	1	—	—	$102,234.04	$102,234.04	$102,234.04	2026-01-28
4424	MS_DRG	DRG	1	1	—	—	$96,378.10	$96,378.10	$96,378.10	2026-01-28
4474	MS_DRG	DRG	1	1	—	—	$115,344.15	$115,344.15	$115,344.15	2026-01-28
4804	APR_DRG	Apr-DRG	5	3	—	—	$79,378.20	$112,423.70	$94,278.22	2026-01-28
4844	APR_DRG	Apr-DRG	5	3	—	—	$78,458.40	$109,192.41	$94,489.34	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
51	APR_DRG	Apr-DRG	5	3	—	—	$95,114.53	$136,983.74	$112,968.39	2026-01-28
5104	APR_DRG	Apr-DRG	5	3	—	—	$106,693.42	$153,658.99	$126,720.75	2026-01-28
5104	MS_DRG	DRG	1	1	—	—	$96,882.98	$96,882.98	$96,882.98	2026-01-28
5114	APR_DRG	DRG	3	2	—	—	$92,846.94	$129,217.28	$111,817.79	2026-01-28
5124	MS_DRG	DRG	1	1	—	—	$113,421.39	$113,421.39	$113,421.39	2026-01-28
5124	APR_DRG	DRG	3	2	—	—	$87,953.20	$122,406.55	$105,924.15	2026-01-28
5144	APR_DRG	DRG	3	2	—	—	$84,961.04	$118,242.28	$102,320.62	2026-01-28
52	APR_DRG	Apr-DRG	5	3	—	—	$109,493.49	$152,384.68	$131,865.65	2026-01-28
53	APR_DRG	Apr-DRG	5	3	—	—	$133,249.30	$185,851.14	$160,475.34	2026-01-28
54	APR_DRG	Apr-DRG	5	3	—	—	$195,484.62	$272,060.57	$235,426.83	2026-01-28
5831	APR_DRG	Apr-DRG	5	3	—	—	$317,720.15	$442,178.63	$382,638.01	2026-01-28
5831	MS_DRG	DRG	1	1	—	—	$216,453.56	$216,453.56	$216,453.56	2026-01-28
5832	APR_DRG	Apr-DRG	5	3	—	—	$383,175.91	$552,026.40	$455,101.53	2026-01-28
5832	MS_DRG	DRG	1	1	—	—	$216,453.56	$216,453.56	$216,453.56	2026-01-28
5833	APR_DRG	Apr-DRG	5	3	—	—	$519,628.14	$745,910.34	$617,167.09	2026-01-28
5833	MS_DRG	DRG	1	1	—	—	$220,578.72	$220,578.72	$220,578.72	2026-01-28
5834	APR_DRG	Apr-DRG	5	3	—	—	$656,080.36	$913,832.50	$779,232.65	2026-01-28
5834	MS_DRG	DRG	1	1	—	—	$388,265.04	$388,265.04	$388,265.04	2026-01-28
5881	MS_DRG	DRG	1	1	—	—	$291,806.82	$291,806.82	$291,806.82	2026-01-28
5881	APR_DRG	Apr-DRG	5	3	—	—	$219,026.23	$304,823.98	$263,778.56	2026-01-28
5882	APR_DRG	Apr-DRG	5	3	—	—	$332,744.72	$463,088.69	$400,732.47	2026-01-28
5882	MS_DRG	DRG	1	1	—	—	$291,806.82	$291,806.82	$291,806.82	2026-01-28
5883	APR_DRG	Apr-DRG	5	3	—	—	$339,814.73	$472,928.18	$409,247.04	2026-01-28
5883	MS_DRG	DRG	1	1	—	—	$381,440.17	$381,440.17	$381,440.17	2026-01-28
5884	APR_DRG	Apr-DRG	5	3	—	—	$527,467.41	$734,088.85	$635,241.68	2026-01-28
5884	MS_DRG	DRG	1	1	—	—	$381,440.17	$381,440.17	$381,440.17	2026-01-28
5891	MS_DRG	DRG	1	1	—	—	$183,491.61	$183,491.61	$183,491.61	2026-01-28
5891	APR_DRG	Apr-DRG	5	3	—	—	$105,145.44	$222,291.95	$159,724.20	2026-01-28
5892	MS_DRG	DRG	1	1	—	—	$183,491.61	$183,491.61	$183,491.61	2026-01-28
5892	APR_DRG	Apr-DRG	5	3	—	—	$87,286.17	$184,538.25	$132,596.91	2026-01-28
5893	APR_DRG	Apr-DRG	5	3	—	—	$69,429.11	$146,782.27	$105,467.97	2026-01-28
5911	MS_DRG	DRG	1	1	—	—	$134,372.17	$134,372.17	$134,372.17	2026-01-28
5912	MS_DRG	DRG	1	1	—	—	$166,607.04	$166,607.04	$166,607.04	2026-01-28
5912	APR_DRG	Apr-DRG	5	3	—	—	$105,660.69	$155,882.21	$125,494.17	2026-01-28
5913	APR_DRG	Apr-DRG	5	3	—	—	$171,156.55	$238,202.61	$206,127.96	2026-01-28
5913	MS_DRG	DRG	1	1	—	—	$178,592.52	$178,592.52	$178,592.52	2026-01-28
5914	APR_DRG	Apr-DRG	5	3	—	—	$271,220.65	$402,555.78	$338,934.64	2026-01-28
5914	MS_DRG	DRG	1	1	—	—	$292,864.94	$292,864.94	$292,864.94	2026-01-28
5931	MS_DRG	DRG	1	1	—	—	$163,295.12	$163,295.12	$163,295.12	2026-01-28
5932	APR_DRG	Apr-DRG	5	3	—	—	$143,965.49	$212,473.34	$178,893.41	2026-01-28
5932	MS_DRG	DRG	1	1	—	—	$168,423.98	$168,423.98	$168,423.98	2026-01-28
5933	APR_DRG	Apr-DRG	5	3	—	—	$185,994.73	$268,073.72	$225,706.54	2026-01-28
5933	MS_DRG	DRG	1	1	—	—	$205,849.69	$205,849.69	$205,849.69	2026-01-28
5934	APR_DRG	Apr-DRG	5	3	—	—	$238,772.86	$416,867.57	$332,305.83	2026-01-28
5934	MS_DRG	DRG	1	1	—	—	$263,561.06	$263,561.06	$263,561.06	2026-01-28
6021	MS_DRG	DRG	1	1	—	—	$98,143.65	$98,143.65	$98,143.65	2026-01-28
6022	APR_DRG	Apr-DRG	5	3	—	—	$146,781.06	$204,278.67	$176,771.95	2026-01-28
6022	MS_DRG	DRG	1	1	—	—	$143,360.14	$143,360.14	$143,360.14	2026-01-28
6023	APR_DRG	Apr-DRG	5	3	—	—	$171,328.23	$238,441.55	$206,334.71	2026-01-28
6023	MS_DRG	DRG	1	1	—	—	$168,726.30	$168,726.30	$168,726.30	2026-01-28
6024	APR_DRG	Apr-DRG	5	3	—	—	$199,107.92	$298,811.65	$251,586.56	2026-01-28
6024	MS_DRG	DRG	1	1	—	—	$228,578.11	$228,578.11	$228,578.11	2026-01-28
6032	MS_DRG	DRG	1	1	—	—	$104,277.73	$104,277.73	$104,277.73	2026-01-28
6033	APR_DRG	Apr-DRG	5	3	—	—	$137,294.77	$197,627.23	$163,066.25	2026-01-28
6033	MS_DRG	DRG	1	1	—	—	$135,719.01	$135,719.01	$135,719.01	2026-01-28
6034	APR_DRG	Apr-DRG	5	3	—	—	$282,132.62	$414,312.21	$335,091.50	2026-01-28
6034	MS_DRG	DRG	1	1	—	—	$210,562.86	$210,562.86	$210,562.86	2026-01-28
6072	MS_DRG	DRG	1	1	—	—	$113,043.49	$113,043.49	$113,043.49	2026-01-28
6072	APR_DRG	Apr-DRG	5	3	—	—	$73,296.51	$138,256.33	$102,008.49	2026-01-28
6073	MS_DRG	DRG	1	1	—	—	$138,297.80	$138,297.80	$138,297.80	2026-01-28
6073	APR_DRG	Apr-DRG	5	3	—	—	$94,204.04	$178,549.47	$131,105.99	2026-01-28
6074	APR_DRG	Apr-DRG	5	3	—	—	$193,240.98	$301,385.62	$229,514.08	2026-01-28
6074	MS_DRG	DRG	1	1	—	—	$186,616.09	$186,616.09	$186,616.09	2026-01-28
6083	APR_DRG	Apr-DRG	5	3	—	—	$114,655.38	$159,568.60	$138,082.24	2026-01-28
6083	MS_DRG	DRG	1	1	—	—	$103,145.54	$103,145.54	$103,145.54	2026-01-28
6084	APR_DRG	Apr-DRG	5	3	—	—	$122,352.34	$176,212.00	$145,318.99	2026-01-28
6084	MS_DRG	DRG	1	1	—	—	$108,569.16	$108,569.16	$108,569.16	2026-01-28
6092	APR_DRG	Apr-DRG	5	3	—	—	$79,694.43	$112,728.62	$94,653.81	2026-01-28
6093	APR_DRG	Apr-DRG	5	3	—	—	$167,781.13	$272,897.97	$199,275.18	2026-01-28
6093	MS_DRG	DRG	1	1	—	—	$110,091.34	$110,091.34	$110,091.34	2026-01-28
6094	APR_DRG	Apr-DRG	5	3	—	—	$336,771.89	$507,195.73	$399,987.06	2026-01-28
6094	MS_DRG	DRG	1	1	—	—	$241,314.85	$241,314.85	$241,314.85	2026-01-28
61	APR_DRG	Apr-DRG	5	3	—	—	$129,988.98	$180,908.74	$156,548.86	2026-01-28
6113	APR_DRG	Apr-DRG	5	3	—	—	$95,471.21	$132,869.54	$113,601.38	2026-01-28
6113	MS_DRG	DRG	1	1	—	—	$94,713.83	$94,713.83	$94,713.83	2026-01-28
6114	APR_DRG	Apr-DRG	5	3	—	—	$143,893.54	$200,260.04	$173,294.45	2026-01-28
6114	MS_DRG	DRG	1	1	—	—	$124,158.29	$124,158.29	$124,158.29	2026-01-28
6123	APR_DRG	Apr-DRG	5	3	—	—	$87,153.66	$121,293.80	$104,961.25	2026-01-28
6123	MS_DRG	DRG	1	1	—	—	$95,880.79	$95,880.79	$95,880.79	2026-01-28
6124	APR_DRG	Apr-DRG	5	3	—	—	$109,606.31	$166,782.75	$140,423.90	2026-01-28
6124	MS_DRG	DRG	1	1	—	—	$128,086.94	$128,086.94	$128,086.94	2026-01-28
6133	APR_DRG	Apr-DRG	5	3	—	—	$86,177.53	$119,935.30	$103,785.67	2026-01-28
6134	APR_DRG	Apr-DRG	5	3	—	—	$137,772.43	$198,419.12	$163,633.58	2026-01-28
6143	APR_DRG	Apr-DRG	5	3	—	—	$84,935.45	$125,565.01	$100,878.61	2026-01-28
6144	APR_DRG	Apr-DRG	5	3	—	—	$110,715.95	$159,452.55	$131,498.35	2026-01-28
62	APR_DRG	Apr-DRG	5	3	—	—	$162,458.03	$226,096.67	$195,652.11	2026-01-28
6214	APR_DRG	Apr-DRG	5	3	—	—	$115,205.09	$175,251.71	$136,830.14	2026-01-28
6214	MS_DRG	DRG	1	1	—	—	$102,669.38	$102,669.38	$102,669.38	2026-01-28
6224	APR_DRG	Apr-DRG	5	3	—	—	$87,457.78	$121,717.05	$105,327.51	2026-01-28
6234	APR_DRG	Apr-DRG	5	3	—	—	$83,451.60	$120,187.88	$99,116.23	2026-01-28
63	APR_DRG	Apr-DRG	5	3	—	—	$188,921.49	$262,926.50	$227,522.69	2026-01-28
6302	APR_DRG	Apr-DRG	5	3	—	—	$105,091.91	$146,258.89	$126,564.72	2026-01-28
6303	APR_DRG	Apr-DRG	5	3	—	—	$164,792.89	$229,346.16	$198,464.04	2026-01-28
6304	APR_DRG	Apr-DRG	5	3	—	—	$331,072.06	$463,942.33	$398,718.04	2026-01-28
6304	MS_DRG	DRG	1	1	—	—	$184,861.12	$184,861.12	$184,861.12	2026-01-28
6313	APR_DRG	Apr-DRG	5	3	—	—	$107,410.43	$149,485.63	$129,356.96	2026-01-28
6314	APR_DRG	Apr-DRG	5	3	—	—	$207,780.28	$384,004.81	$289,172.72	2026-01-28
6314	MS_DRG	DRG	1	1	—	—	$158,920.55	$158,920.55	$158,920.55	2026-01-28
6334	APR_DRG	Apr-DRG	5	3	—	—	$104,709.79	$173,271.98	$124,501.72	2026-01-28
64	APR_DRG	Apr-DRG	5	3	—	—	$280,325.91	$395,263.56	$332,945.65	2026-01-28
6504	APR_DRG	Apr-DRG	5	3	—	—	$73,247.46	$111,957.19	$94,263.14	2026-01-28
6514	APR_DRG	Apr-DRG	5	3	—	—	$103,869.46	$152,571.28	$123,366.71	2026-01-28
6804	APR_DRG	Apr-DRG	5	3	—	—	$130,719.86	$181,925.91	$157,429.07	2026-01-28
6804	MS_DRG	DRG	1	1	—	—	$135,232.27	$135,232.27	$135,232.27	2026-01-28
6814	MS_DRG	DRG	1	1	—	—	$135,608.66	$135,608.66	$135,608.66	2026-01-28
6814	APR_DRG	Apr-DRG	5	3	—	—	$90,039.54	$142,527.02	$120,001.62	2026-01-28
6904	APR_DRG	Apr-DRG	5	3	—	—	$114,866.75	$179,368.19	$136,428.29	2026-01-28
6904	MS_DRG	DRG	1	1	—	—	$132,311.86	$132,311.86	$132,311.86	2026-01-28
6914	MS_DRG	DRG	1	1	—	—	$95,726.60	$95,726.60	$95,726.60	2026-01-28
6954	APR_DRG	Apr-DRG	5	3	—	—	$99,022.56	$137,812.04	$119,255.25	2026-01-28
6954	MS_DRG	DRG	1	1	—	—	$111,658.87	$111,658.87	$111,658.87	2026-01-28
7	MS_DRG	Lung Transplant	9	8	—	—	$115,528.73	$184,488.55	$131,835.65	2026-01-28
71	APR_DRG	Apr-DRG	5	3	—	—	$133,619.42	$207,184.55	$158,701.01	2026-01-28
7104	APR_DRG	Apr-DRG	5	3	—	—	$71,901.81	$114,730.77	$96,598.37	2026-01-28
7104	MS_DRG	DRG	1	1	—	—	$95,539.17	$95,539.17	$95,539.17	2026-01-28
7114	APR_DRG	Apr-DRG	5	3	—	—	$79,297.19	$110,359.77	$95,499.51	2026-01-28
72	APR_DRG	Apr-DRG	5	3	—	—	$150,063.39	$226,615.50	$178,231.66	2026-01-28
73	APR_DRG	Apr-DRG	5	3	—	—	$179,905.76	$250,379.10	$216,664.83	2026-01-28
74	APR_DRG	Apr-DRG	5	3	—	—	$325,533.56	$495,956.78	$386,639.19	2026-01-28
7404	APR_DRG	Apr-DRG	5	3	—	—	$122,533.67	$170,700.61	$145,534.37	2026-01-28
7504	APR_DRG	Apr-DRG	5	3	—	—	$88,809.97	$139,046.91	$117,071.52	2026-01-28
7524	APR_DRG	Apr-DRG	5	3	—	—	$83,151.03	$207,645.84	$115,723.25	2026-01-28
7594	APR_DRG	Apr-DRG	5	3	—	—	$107,997.41	$296,300.72	$150,302.55	2026-01-28
7914	MS_DRG	DRG	1	1	—	—	$99,927.34	$99,927.34	$99,927.34	2026-01-28
7924	APR_DRG	Apr-DRG	5	3	—	—	$90,897.95	$126,504.82	$109,470.58	2026-01-28
82	APR_DRG	Apr-DRG	5	3	—	—	$86,757.64	$130,664.53	$103,042.85	2026-01-28
83	APR_DRG	Apr-DRG	5	3	—	—	$103,692.55	$156,890.28	$123,156.59	2026-01-28
84	APR_DRG	Apr-DRG	5	3	—	—	$164,674.11	$318,236.09	$228,663.28	2026-01-28
8412	MS_DRG	DRG	1	1	—	—	$107,050.00	$107,050.00	$107,050.00	2026-01-28
8413	MS_DRG	DRG	1	1	—	—	$221,342.08	$221,342.08	$221,342.08	2026-01-28
8413	APR_DRG	Apr-DRG	5	3	—	—	$133,166.09	$200,878.99	$158,162.58	2026-01-28
8414	APR_DRG	Apr-DRG	5	3	—	—	$297,916.29	$430,974.51	$362,861.99	2026-01-28
8414	MS_DRG	DRG	1	1	—	—	$283,249.65	$283,249.65	$283,249.65	2026-01-28
8424	APR_DRG	Apr-DRG	5	3	—	—	$162,891.32	$226,699.69	$196,173.93	2026-01-28
8424	MS_DRG	DRG	1	1	—	—	$130,567.47	$130,567.47	$130,567.47	2026-01-28
8504	APR_DRG	Apr-DRG	5	3	—	—	$86,084.33	$151,785.44	$119,805.59	2026-01-28
8504	MS_DRG	DRG	1	1	—	—	$115,285.20	$115,285.20	$115,285.20	2026-01-28
8634	APR_DRG	Apr-DRG	5	3	—	—	$143,964.35	$218,441.71	$170,987.78	2026-01-28
894	APR_DRG	Apr-DRG	5	3	—	—	$97,614.78	$140,480.98	$118,278.94	2026-01-28
91	APR_DRG	Apr-DRG	5	3	—	—	$87,089.35	$125,426.21	$103,436.82	2026-01-28
9104	APR_DRG	Apr-DRG	5	3	—	—	$119,068.41	$168,889.20	$143,396.94	2026-01-28
9104	MS_DRG	DRG	1	1	—	—	$108,570.67	$108,570.67	$108,570.67	2026-01-28
9114	APR_DRG	Apr-DRG	5	3	—	—	$88,741.30	$159,557.25	$123,503.36	2026-01-28
9114	MS_DRG	DRG	1	1	—	—	$98,107.37	$98,107.37	$98,107.37	2026-01-28
9124	APR_DRG	Apr-DRG	5	3	—	—	$82,730.82	$155,023.91	$115,138.43	2026-01-28
9124	MS_DRG	DRG	1	1	—	—	$114,527.89	$114,527.89	$114,527.89	2026-01-28
914	APR_DRG	Apr-DRG	5	3	—	—	$133,053.30	$207,434.86	$158,028.63	2026-01-28
92	APR_DRG	Apr-DRG	5	3	—	—	$106,118.45	$152,830.69	$126,037.86	2026-01-28
924	APR_DRG	Apr-DRG	5	3	—	—	$105,258.22	$153,922.96	$125,016.15	2026-01-28
924	MS_DRG	DRG	1	1	—	—	$111,153.99	$111,153.99	$111,153.99	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
93	APR_DRG	Apr-DRG	5	3	—	—	$133,386.64	$185,637.34	$160,640.73	2026-01-28
94	APR_DRG	Apr-DRG	5	3	—	—	$279,655.93	$389,203.76	$336,796.35	2026-01-28
9504	MS_DRG	DRG	1	1	—	—	$122,655.76	$122,655.76	$122,655.76	2026-01-28
9504	APR_DRG	Apr-DRG	5	3	—	—	$94,586.64	$139,096.81	$117,113.53	2026-01-28
9514	MS_DRG	DRG	1	1	—	—	$94,854.41	$94,854.41	$94,854.41	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
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	1	1	—	—	$4,192,300.00	$4,192,300.00	$4,192,300.00	2026-01-28
J3391	HCPCS	Inj, Atidarsagene Autotemcel	4	4	—	—	$4,414,900.00	$4,595,100.00	$4,505,000.00	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
J3393	HCPCS	Inj, Betibeglogene Autotemce	7	6	—	—	$2,886,825.20	$3,608,531.50	$3,004,654.80	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
J3399	HCPCS	Inj Onase Abepar-xioi Treat	9	8	—	—	$2,146,250.00	$3,007,510.49	$2,455,110.61	2026-01-28
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	6	5	—	—	$201,527.20	$251,909.00	$207,696.40	2026-01-28
J3403	HCPCS	Revakinagene, Per Implant	6	5	—	—	$252,350.00	$315,437.50	$260,075.00	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
Q0480	HCPCS	Driver Pneumatic Vad, Rep	8	7	—	—	$48,896.18	$136,259.27	$107,182.14	2026-01-28
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	8	7	—	—	$449,440.00	$806,392.07	$538,562.47	2026-01-28
Q2042	HCPCS	Tisagenlecleucel Car-pos T	8	7	—	—	$511,072.50	$931,764.24	$597,643.46	2026-01-28
Q2053	HCPCS	Brexucabtagene Car Pos T	8	7	—	—	$449,440.00	$803,977.69	$494,197.66	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
Q2056	HCPCS	Ciltacabtagene Car-pos T	8	7	—	—	$507,195.92	$908,198.48	$571,527.64	2026-01-28
Q2057	HCPCS	Afamitresgene Autoleucel	6	5	—	—	$755,207.60	$944,009.50	$778,326.20	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

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