Hospital

ATHOL MEMORIAL HOSPITAL

Athol, MA · CCN 221303 · Rates published

20,274 distinct procedures filed

7 distinct payers

469,544 rate rows

2025-04-16 last MRF observed · ⚠ 14 mo old

Data quality

303,634 of 469,544 rate rows are consumer-grade (64.7%)

165,910 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	150,291
per-diem day rate — not a per-procedure price	14,514
exceeds 10× this hospital's gross charge — excluded from medians	832
template filing: same amount across many unrelated codes — excluded	162
percent-of-charges filed in the dollar field — excluded from medians	59
placeholder amount (≤ $0.02) — excluded from medians	52

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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://mrfs.hyvehealthcare.com/HeywoodHealthcare/042126583_athol-memorial-hospital_standardcharges.json
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-17
Content fingerprint	bfc8df423808d6b2… · 55,868,503 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
J3399 CPT	Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge…	7	$2,146,250.00	$2,146,250.00	$2,146,250.00	nat. median $2,468,984 0.9× median
5834 APR_DRG		1	$431,974.59	$492,348.91	$482,603.56	nat. median $309,665 1.6× median
5884 APR_DRG		1	$394,123.72	$449,207.84	$440,316.41	nat. median $246,434 1.8× median
5891 APR_DRG		1	$381,093.41	$434,356.38	$425,758.91	nat. median $93,370 outlier · 4.6×
5892 APR_DRG		1	$346,448.69	$394,869.59	$387,053.72	nat. median $89,796 outlier · 4.3×
5914 APR_DRG		1	$345,687.78	$394,002.31	$386,203.59	nat. median $164,289 outlier · 2.4×
1614 APR_DRG		1	$336,906.41	$383,993.63	$376,393.03	nat. median $207,730 1.8× median
5893 APR_DRG		1	$314,953.81	$358,972.88	$351,867.50	nat. median $69,788 outlier · 5.0×
0024 APR_DRG		1	$311,498.97	$355,035.16	$348,007.75	nat. median $372,987 0.9× median
8414 APR_DRG		1	$277,898.66	$316,738.78	$310,469.38	nat. median $160,267 1.9× median
5934 APR_DRG		1	$273,938.19	$312,224.75	$306,044.72	nat. median $151,838 outlier · 2.0×
5883 APR_DRG		1	$264,681.03	$301,673.78	$295,702.59	nat. median $182,665 1.6× median
5833 APR_DRG		1	$263,177.41	$299,960.00	$294,022.72	nat. median $244,017 1.2× median
0014 APR_DRG		1	$233,597.28	$266,245.66	$260,975.70	nat. median $190,591 1.4× median
0064 APR_DRG		1	$231,677.55	$264,057.63	$258,830.98	nat. median $98,565 outlier · 2.6×
0044 APR_DRG		1	$227,267.80	$259,031.56	$253,904.39	nat. median $195,681 1.3× median
5913 APR_DRG		1	$215,026.61	$245,079.48	$240,228.48	nat. median $102,919 outlier · 2.3×
6024 APR_DRG		1	$211,110.88	$240,616.48	$235,853.81	nat. median $118,620 2.0× median
6094 APR_DRG		1	$204,032.08	$232,548.31	$227,945.36	nat. median $162,982 1.4× median
0023 APR_DRG		1	$201,991.33	$230,222.34	$225,665.42	nat. median $167,082 1.4× median
6034 APR_DRG		1	$181,926.97	$207,353.73	$203,249.45	nat. median $109,499 1.9× median
5933 APR_DRG		1	$177,245.34	$202,017.78	$198,019.13	nat. median $108,996 1.8× median
0022 APR_DRG		1	$167,925.19	$191,395.02	$187,606.63	nat. median $140,623 1.3× median
6074 APR_DRG		1	$167,368.17	$190,760.14	$186,984.31	nat. median $95,507 2.0× median
3034 APR_DRG		1	$159,425.66	$181,707.55	$178,110.91	nat. median $84,063 outlier · 2.1×
1624 APR_DRG		1	$156,491.34	$178,363.13	$174,832.69	nat. median $81,781 outlier · 2.1×
0063 APR_DRG		1	$153,757.63	$175,247.34	$171,778.56	nat. median $84,993 outlier · 2.0×
0043 APR_DRG		1	$153,242.06	$174,659.70	$171,202.56	nat. median $113,567 1.5× median
1604 APR_DRG		1	$150,287.86	$171,292.63	$167,902.13	nat. median $97,957 1.7× median
6023 APR_DRG		1	$149,903.25	$170,854.27	$167,472.44	nat. median $86,492 1.9× median
0021 APR_DRG		1	$147,763.03	$168,414.91	$165,081.38	nat. median $128,074 1.3× median
0054 APR_DRG		1	$147,738.16	$168,386.56	$165,053.59	nat. median $149,310 1.1× median
0013 APR_DRG		1	$145,178.52	$165,469.19	$162,193.95	nat. median $94,443 1.7× median
6304 APR_DRG		1	$144,621.50	$164,834.31	$161,571.66	nat. median $150,721 1.1× median
8424 APR_DRG		1	$144,273.36	$164,437.52	$161,182.70	nat. median $80,416 outlier · 2.0×
4404 APR_DRG		1	$142,227.64	$162,105.88	$158,897.22	nat. median $79,034 outlier · 2.0×
9104 APR_DRG		1	$139,863.61	$159,411.45	$156,256.13	nat. median $57,769 outlier · 2.7×
6084 APR_DRG		1	$136,211.48	$155,248.88	$152,175.94	nat. median $64,628 outlier · 2.4×
1634 APR_DRG		1	$134,963.16	$153,826.08	$150,781.31	nat. median $66,077 outlier · 2.3×
1613 APR_DRG		1	$133,462.84	$152,116.09	$149,105.16	nat. median $119,796 1.2× median
5912 APR_DRG		1	$126,080.66	$143,702.14	$140,857.77	nat. median $81,294 1.7× median
6314 APR_DRG		1	$125,734.18	$143,307.23	$140,470.67	nat. median $122,924 1.1× median
6114 APR_DRG		1	$125,638.03	$143,197.66	$140,363.25	nat. median $72,753 1.9× median
3044 APR_DRG		1	$125,346.26	$142,865.09	$140,037.28	nat. median $61,288 outlier · 2.3×
1654 APR_DRG		1	$124,308.48	$141,682.27	$138,877.88	nat. median $60,426 outlier · 2.3×
0062 APR_DRG		1	$124,114.51	$141,461.20	$138,661.17	nat. median $59,390 outlier · 2.3×
3124 APR_DRG		1	$121,470.32	$138,447.44	$135,707.06	nat. median $53,178 outlier · 2.6×
6124 APR_DRG		1	$120,200.45	$137,000.09	$134,288.36	nat. median $66,146 outlier · 2.0×
3033 APR_DRG		1	$119,320.16	$135,996.77	$133,304.91	nat. median $56,210 outlier · 2.4×
0012 APR_DRG		1	$119,205.77	$135,866.39	$133,177.09	nat. median $70,342 1.9× median

Other procedures at this hospital

Browse this hospital's 20,274 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

J3399	CPT	Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge…	24	7	—	—	$2,146,250.00	$2,146,250.00	$2,146,250.00	2025-04-16
5834	APR_DRG	—	6	1	—	—	$431,974.59	$492,348.91	$482,603.56	2025-04-16
5884	APR_DRG	—	6	1	—	—	$394,123.72	$449,207.84	$440,316.41	2025-04-16
5891	APR_DRG	—	6	1	—	—	$381,093.41	$434,356.38	$425,758.91	2025-04-16
5892	APR_DRG	—	6	1	—	—	$346,448.69	$394,869.59	$387,053.72	2025-04-16
5914	APR_DRG	—	6	1	—	—	$345,687.78	$394,002.31	$386,203.59	2025-04-16
1614	APR_DRG	—	6	1	—	—	$336,906.41	$383,993.63	$376,393.03	2025-04-16
5893	APR_DRG	—	6	1	—	—	$314,953.81	$358,972.88	$351,867.50	2025-04-16
0024	APR_DRG	—	6	1	—	—	$311,498.97	$355,035.16	$348,007.75	2025-04-16
8414	APR_DRG	—	6	1	—	—	$277,898.66	$316,738.78	$310,469.38	2025-04-16
5934	APR_DRG	—	6	1	—	—	$273,938.19	$312,224.75	$306,044.72	2025-04-16
5883	APR_DRG	—	6	1	—	—	$264,681.03	$301,673.78	$295,702.59	2025-04-16
5833	APR_DRG	—	6	1	—	—	$263,177.41	$299,960.00	$294,022.72	2025-04-16
0014	APR_DRG	—	6	1	—	—	$233,597.28	$266,245.66	$260,975.70	2025-04-16
0064	APR_DRG	—	6	1	—	—	$231,677.55	$264,057.63	$258,830.98	2025-04-16
0044	APR_DRG	—	6	1	—	—	$227,267.80	$259,031.56	$253,904.39	2025-04-16
5913	APR_DRG	—	6	1	—	—	$215,026.61	$245,079.48	$240,228.48	2025-04-16
6024	APR_DRG	—	6	1	—	—	$211,110.88	$240,616.48	$235,853.81	2025-04-16
6094	APR_DRG	—	6	1	—	—	$204,032.08	$232,548.31	$227,945.36	2025-04-16
0023	APR_DRG	—	6	1	—	—	$201,991.33	$230,222.34	$225,665.42	2025-04-16
6034	APR_DRG	—	6	1	—	—	$181,926.97	$207,353.73	$203,249.45	2025-04-16
5933	APR_DRG	—	6	1	—	—	$177,245.34	$202,017.78	$198,019.13	2025-04-16
0022	APR_DRG	—	6	1	—	—	$167,925.19	$191,395.02	$187,606.63	2025-04-16
6074	APR_DRG	—	6	1	—	—	$167,368.17	$190,760.14	$186,984.31	2025-04-16
3034	APR_DRG	—	6	1	—	—	$159,425.66	$181,707.55	$178,110.91	2025-04-16
1624	APR_DRG	—	6	1	—	—	$156,491.34	$178,363.13	$174,832.69	2025-04-16
0063	APR_DRG	—	6	1	—	—	$153,757.63	$175,247.34	$171,778.56	2025-04-16
0043	APR_DRG	—	6	1	—	—	$153,242.06	$174,659.70	$171,202.56	2025-04-16
1604	APR_DRG	—	6	1	—	—	$150,287.86	$171,292.63	$167,902.13	2025-04-16
6023	APR_DRG	—	6	1	—	—	$149,903.25	$170,854.27	$167,472.44	2025-04-16
0021	APR_DRG	—	6	1	—	—	$147,763.03	$168,414.91	$165,081.38	2025-04-16
0054	APR_DRG	—	6	1	—	—	$147,738.16	$168,386.56	$165,053.59	2025-04-16
0013	APR_DRG	—	6	1	—	—	$145,178.52	$165,469.19	$162,193.95	2025-04-16
6304	APR_DRG	—	6	1	—	—	$144,621.50	$164,834.31	$161,571.66	2025-04-16
8424	APR_DRG	—	6	1	—	—	$144,273.36	$164,437.52	$161,182.70	2025-04-16
4404	APR_DRG	—	6	1	—	—	$142,227.64	$162,105.88	$158,897.22	2025-04-16
9104	APR_DRG	—	6	1	—	—	$139,863.61	$159,411.45	$156,256.13	2025-04-16
6084	APR_DRG	—	6	1	—	—	$136,211.48	$155,248.88	$152,175.94	2025-04-16
1634	APR_DRG	—	6	1	—	—	$134,963.16	$153,826.08	$150,781.31	2025-04-16
1613	APR_DRG	—	6	1	—	—	$133,462.84	$152,116.09	$149,105.16	2025-04-16
5912	APR_DRG	—	6	1	—	—	$126,080.66	$143,702.14	$140,857.77	2025-04-16
6314	APR_DRG	—	6	1	—	—	$125,734.18	$143,307.23	$140,470.67	2025-04-16
6114	APR_DRG	—	6	1	—	—	$125,638.03	$143,197.66	$140,363.25	2025-04-16
3044	APR_DRG	—	6	1	—	—	$125,346.26	$142,865.09	$140,037.28	2025-04-16
1654	APR_DRG	—	6	1	—	—	$124,308.48	$141,682.27	$138,877.88	2025-04-16
0062	APR_DRG	—	6	1	—	—	$124,114.51	$141,461.20	$138,661.17	2025-04-16
3124	APR_DRG	—	6	1	—	—	$121,470.32	$138,447.44	$135,707.06	2025-04-16
6124	APR_DRG	—	6	1	—	—	$120,200.45	$137,000.09	$134,288.36	2025-04-16
3033	APR_DRG	—	6	1	—	—	$119,320.16	$135,996.77	$133,304.91	2025-04-16
0012	APR_DRG	—	6	1	—	—	$119,205.77	$135,866.39	$133,177.09	2025-04-16
5882	APR_DRG	—	6	1	—	—	$118,161.35	$134,676.00	$132,010.28	2025-04-16
0011	APR_DRG	—	6	1	—	—	$117,160.04	$133,534.73	$130,891.61	2025-04-16
6073	APR_DRG	—	6	1	—	—	$116,316.22	$132,572.98	$129,948.89	2025-04-16
6093	APR_DRG	—	6	1	—	—	$115,125.92	$131,216.33	$128,619.08	2025-04-16
1674	APR_DRG	—	6	1	—	—	$114,626.92	$130,647.59	$128,061.60	2025-04-16
1664	APR_DRG	—	6	1	—	—	$110,142.57	$125,536.49	$123,051.67	2025-04-16
9124	APR_DRG	—	6	1	—	—	$109,681.71	$125,011.21	$122,536.79	2025-04-16
0042	APR_DRG	—	6	1	—	—	$108,746.71	$123,945.53	$121,492.20	2025-04-16
5932	APR_DRG	—	6	1	—	—	$108,557.72	$123,730.13	$121,281.06	2025-04-16
6022	APR_DRG	—	6	1	—	—	$108,294.13	$123,429.70	$120,986.58	2025-04-16
0100T	CPT	Insertion Of Retinal Prosthesis Receiver Pulse Generator And Retinal Electrode A…	12	4	—	—	$2,890.00	$243,801.45	$120,052.85	2025-04-16
5832	APR_DRG	—	6	1	—	—	$107,132.01	$122,105.16	$119,688.26	2025-04-16
0053	APR_DRG	—	6	1	—	—	$106,376.05	$121,243.55	$118,843.70	2025-04-16
6033	APR_DRG	—	6	1	—	—	$105,446.03	$120,183.54	$117,804.67	2025-04-16
0234	APR_DRG	—	6	1	—	—	$104,487.82	$119,091.41	$116,734.16	2025-04-16
0214	APR_DRG	—	6	1	—	—	$104,414.88	$119,008.27	$116,652.67	2025-04-16
1623	APR_DRG	—	6	1	—	—	$103,912.56	$118,435.75	$116,091.48	2025-04-16
8413	APR_DRG	—	6	1	—	—	$103,324.04	$117,764.98	$115,433.98	2025-04-16
0204	APR_DRG	—	6	1	—	—	$102,956.01	$117,345.51	$115,022.82	2025-04-16
6904	APR_DRG	—	6	1	—	—	$102,922.86	$117,307.72	$114,985.78	2025-04-16
1694	APR_DRG	—	6	1	—	—	$102,692.42	$117,045.08	$114,728.33	2025-04-16
3214	APR_DRG	—	6	1	—	—	$102,384.07	$116,693.63	$114,383.84	2025-04-16
6134	APR_DRG	—	6	1	—	—	$102,059.14	$116,323.29	$114,020.83	2025-04-16
9114	APR_DRG	—	6	1	—	—	$101,825.39	$116,056.87	$113,759.69	2025-04-16
4014	APR_DRG	—	6	1	—	—	$101,712.66	$115,928.38	$113,633.74	2025-04-16
6804	APR_DRG	—	6	1	—	—	$99,681.86	$113,613.75	$111,364.92	2025-04-16
6214	APR_DRG	—	6	1	—	—	$98,368.88	$112,117.26	$109,898.06	2025-04-16
6083	APR_DRG	—	6	1	—	—	$96,432.57	$109,910.33	$107,734.80	2025-04-16
4414	APR_DRG	—	6	1	—	—	$96,236.95	$109,687.36	$107,516.26	2025-04-16
2604	APR_DRG	—	6	1	—	—	$95,147.77	$108,445.96	$106,299.43	2025-04-16
4403	APR_DRG	—	6	1	—	—	$95,066.54	$108,353.38	$106,208.67	2025-04-16
8634	APR_DRG	—	6	1	—	—	$95,038.36	$108,321.26	$106,177.19	2025-04-16
9504	APR_DRG	—	6	1	—	—	$94,920.65	$108,187.10	$106,045.69	2025-04-16
0894	APR_DRG	—	6	1	—	—	$94,010.52	$107,149.77	$105,028.89	2025-04-16
2204	APR_DRG	—	6	1	—	—	$93,854.69	$106,972.15	$104,854.79	2025-04-16
0061	APR_DRG	—	6	1	—	—	$93,231.36	$106,261.70	$104,158.40	2025-04-16
1814	APR_DRG	—	6	1	—	—	$92,415.72	$105,332.07	$103,247.17	2025-04-16
6814	APR_DRG	—	6	1	—	—	$91,263.55	$104,018.86	$101,959.96	2025-04-16
1653	APR_DRG	—	6	1	—	—	$88,733.75	$101,135.49	$99,133.65	2025-04-16
0244	APR_DRG	—	6	1	—	—	$88,559.68	$100,937.09	$98,939.18	2025-04-16
1633	APR_DRG	—	6	1	—	—	$87,225.15	$99,416.04	$97,448.24	2025-04-16
1204	APR_DRG	—	6	1	—	—	$86,820.64	$98,955.00	$96,996.33	2025-04-16
0914	APR_DRG	—	6	1	—	—	$86,477.48	$98,563.88	$96,612.94	2025-04-16
4034	APR_DRG	—	6	1	—	—	$86,301.75	$98,363.59	$96,416.62	2025-04-16
5104	APR_DRG	—	6	1	—	—	$85,767.94	$97,755.17	$95,820.25	2025-04-16
3032	APR_DRG	—	6	1	—	—	$85,746.39	$97,730.61	$95,796.17	2025-04-16
1612	APR_DRG	—	6	1	—	—	$85,413.17	$97,350.82	$95,423.90	2025-04-16
6954	APR_DRG	—	6	1	—	—	$85,088.24	$96,980.48	$95,060.88	2025-04-16
0041	APR_DRG	—	6	1	—	—	$84,489.78	$96,298.37	$94,392.28	2025-04-16
6072	APR_DRG	—	6	1	—	—	$83,708.95	$95,408.41	$93,519.94	2025-04-16
0052	APR_DRG	—	6	1	—	—	$82,556.78	$94,095.21	$92,232.73	2025-04-16
0224	APR_DRG	—	6	1	—	—	$82,115.81	$93,592.60	$91,740.07	2025-04-16
6123	APR_DRG	—	6	1	—	—	$81,683.12	$93,099.44	$91,256.67	2025-04-16
5881	APR_DRG	—	6	1	—	—	$81,676.49	$93,091.89	$91,249.26	2025-04-16
1622	APR_DRG	—	6	1	—	—	$81,368.14	$92,740.44	$90,904.77	2025-04-16
1824	APR_DRG	—	6	1	—	—	$81,068.08	$92,398.44	$90,569.54	2025-04-16
1304	APR_DRG	—	6	1	—	—	$80,996.79	$92,317.19	$90,489.90	2025-04-16
4402	APR_DRG	—	6	1	—	—	$80,817.75	$92,113.13	$90,289.88	2025-04-16
1603	APR_DRG	—	6	1	—	—	$80,784.59	$92,075.34	$90,252.83	2025-04-16
6113	APR_DRG	—	6	1	—	—	$80,172.87	$91,378.11	$89,569.41	2025-04-16
5144	APR_DRG	—	6	1	—	—	$79,208.03	$90,278.42	$88,491.49	2025-04-16
3043	APR_DRG	—	6	1	—	—	$78,380.78	$89,335.56	$87,567.29	2025-04-16
6224	APR_DRG	—	6	1	—	—	$78,291.26	$89,233.53	$87,467.27	2025-04-16
7104	APR_DRG	—	6	1	—	—	$77,991.20	$88,891.53	$87,132.04	2025-04-16
6133	APR_DRG	—	6	1	—	—	$77,905.00	$88,793.27	$87,035.74	2025-04-16
5114	APR_DRG	—	6	1	—	—	$77,898.36	$88,785.72	$87,028.33	2025-04-16
6514	APR_DRG	—	6	1	—	—	$77,402.68	$88,220.76	$86,474.55	2025-04-16
0051	APR_DRG	—	6	1	—	—	$77,314.82	$88,120.61	$86,376.39	2025-04-16
1754	APR_DRG	—	6	1	—	—	$77,311.50	$88,116.83	$86,372.68	2025-04-16
0924	APR_DRG	—	6	1	—	—	$77,261.77	$88,060.15	$86,317.12	2025-04-16
6504	APR_DRG	—	6	1	—	—	$76,737.90	$87,463.07	$85,731.86	2025-04-16
6144	APR_DRG	—	6	1	—	—	$76,525.71	$87,221.21	$85,494.79	2025-04-16
2234	APR_DRG	—	6	1	—	—	$76,464.37	$87,151.30	$85,426.26	2025-04-16
4804	APR_DRG	—	6	1	—	—	$76,414.63	$87,094.61	$85,370.70	2025-04-16
1663	APR_DRG	—	6	1	—	—	$75,643.76	$86,216.00	$84,509.47	2025-04-16
6344	APR_DRG	—	6	1	—	—	$75,481.29	$86,030.82	$84,327.97	2025-04-16
2614	APR_DRG	—	6	1	—	—	$75,390.11	$85,926.90	$84,226.10	2025-04-16
7114	APR_DRG	—	6	1	—	—	$75,043.63	$85,532.00	$83,839.01	2025-04-16
2644	APR_DRG	—	6	1	—	—	$74,869.56	$85,333.60	$83,644.54	2025-04-16
4044	APR_DRG	—	6	1	—	—	$74,740.26	$85,186.22	$83,500.08	2025-04-16
4054	APR_DRG	—	6	1	—	—	$74,533.03	$84,950.03	$83,268.56	2025-04-16
3094	APR_DRG	—	6	1	—	—	$74,496.56	$84,908.46	$83,227.82	2025-04-16
A9543	CPT	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	24	7	—	—	$63,005.77	$103,434.56	$83,220.16	2025-04-16
4424	APR_DRG	—	6	1	—	—	$73,414.02	$83,674.62	$82,018.40	2025-04-16
1652	APR_DRG	—	6	1	—	—	$73,216.74	$83,449.77	$81,798.00	2025-04-16
2294	APR_DRG	—	6	1	—	—	$72,842.07	$83,022.74	$81,379.42	2025-04-16
3054	APR_DRG	—	6	1	—	—	$72,749.24	$82,916.93	$81,275.70	2025-04-16
1704	APR_DRG	—	6	1	—	—	$72,649.77	$82,803.56	$81,164.58	2025-04-16
1214	APR_DRG	—	6	1	—	—	$72,155.75	$82,240.49	$80,612.65	2025-04-16
2224	APR_DRG	—	6	1	—	—	$72,082.80	$82,157.35	$80,531.16	2025-04-16
3031	APR_DRG	—	6	1	—	—	$72,046.33	$82,115.78	$80,490.41	2025-04-16
0264	APR_DRG	—	6	1	—	—	$71,751.24	$81,779.45	$80,160.74	2025-04-16
1632	APR_DRG	—	6	1	—	—	$71,137.86	$81,080.33	$79,475.46	2025-04-16
4401	APR_DRG	—	6	1	—	—	$71,086.46	$81,021.76	$79,418.05	2025-04-16
3614	APR_DRG	—	6	1	—	—	$70,938.92	$80,853.59	$79,253.21	2025-04-16
3174	APR_DRG	—	6	1	—	—	$70,814.58	$80,711.88	$79,114.30	2025-04-16
2244	APR_DRG	—	6	1	—	—	$70,726.72	$80,611.74	$79,016.14	2025-04-16
9103	APR_DRG	—	6	1	—	—	$70,413.40	$80,254.62	$78,666.10	2025-04-16
8504	APR_DRG	—	6	1	—	—	$70,030.45	$79,818.15	$78,238.26	2025-04-16
9514	APR_DRG	—	6	1	—	—	$69,881.24	$79,648.09	$78,071.57	2025-04-16
1764	APR_DRG	—	6	1	—	—	$69,365.67	$79,060.46	$77,495.57	2025-04-16
3134	APR_DRG	—	6	1	—	—	$69,330.85	$79,020.78	$77,456.67	2025-04-16
1673	APR_DRG	—	6	1	—	—	$68,911.43	$78,542.74	$76,988.09	2025-04-16
5194	APR_DRG	—	6	1	—	—	$68,725.76	$78,331.11	$76,780.66	2025-04-16
1744	APR_DRG	—	6	1	—	—	$68,332.86	$77,883.30	$76,341.71	2025-04-16
1621	APR_DRG	—	6	1	—	—	$68,157.13	$77,683.01	$76,145.39	2025-04-16
6303	APR_DRG	—	6	1	—	—	$67,986.38	$77,488.40	$75,954.62	2025-04-16
5831	APR_DRG	—	6	1	—	—	$67,845.47	$77,327.79	$75,797.19	2025-04-16
4834	APR_DRG	—	6	1	—	—	$67,727.76	$77,193.63	$75,665.69	2025-04-16
3634	APR_DRG	—	6	1	—	—	$67,616.69	$77,067.04	$75,541.60	2025-04-16
6234	APR_DRG	—	6	1	—	—	$67,477.43	$76,908.32	$75,386.03	2025-04-16
4474	APR_DRG	—	6	1	—	—	$67,314.97	$76,723.15	$75,204.52	2025-04-16
5184	APR_DRG	—	6	1	—	—	$67,261.92	$76,662.68	$75,145.25	2025-04-16
1651	APR_DRG	—	6	1	—	—	$67,056.35	$76,428.39	$74,915.59	2025-04-16
3154	APR_DRG	—	6	1	—	—	$65,978.78	$75,200.21	$73,711.73	2025-04-16
1774	APR_DRG	—	6	1	—	—	$65,846.16	$75,049.05	$73,563.56	2025-04-16
2274	APR_DRG	—	6	1	—	—	$65,713.53	$74,897.89	$73,415.39	2025-04-16
0494	APR_DRG	—	6	1	—	—	$65,647.22	$74,822.31	$73,341.31	2025-04-16
4844	APR_DRG	—	6	1	—	—	$65,615.72	$74,786.41	$73,306.12	2025-04-16
9304	APR_DRG	—	6	1	—	—	$65,401.87	$74,542.66	$73,067.20	2025-04-16
6082	APR_DRG	—	6	1	—	—	$64,937.68	$74,013.60	$72,548.61	2025-04-16
6254	APR_DRG	—	6	1	—	—	$64,868.06	$73,934.25	$72,470.82	2025-04-16
1611	APR_DRG	—	6	1	—	—	$64,816.66	$73,875.67	$72,413.41	2025-04-16
5124	APR_DRG	—	6	1	—	—	$64,518.26	$73,535.56	$72,080.03	2025-04-16
3224	APR_DRG	—	6	1	—	—	$63,417.48	$72,280.93	$70,850.23	2025-04-16
6143	APR_DRG	—	6	1	—	—	$63,273.25	$72,116.55	$70,689.10	2025-04-16
6032	APR_DRG	—	6	1	—	—	$62,963.24	$71,763.21	$70,342.76	2025-04-16
1662	APR_DRG	—	6	1	—	—	$62,641.63	$71,396.65	$69,983.45	2025-04-16
4444	APR_DRG	—	6	1	—	—	$62,311.73	$71,020.64	$69,614.88	2025-04-16
5134	APR_DRG	—	6	1	—	—	$62,086.27	$70,763.66	$69,363.00	2025-04-16
1714	APR_DRG	—	6	1	—	—	$61,287.21	$69,852.93	$68,470.28	2025-04-16
1631	APR_DRG	—	6	1	—	—	$61,111.48	$69,652.64	$68,273.96	2025-04-16
0213	APR_DRG	—	6	1	—	—	$61,051.80	$69,584.62	$68,207.29	2025-04-16
6092	APR_DRG	—	6	1	—	—	$60,463.28	$68,913.84	$67,549.79	2025-04-16
9524	APR_DRG	—	6	1	—	—	$59,992.47	$68,377.23	$67,023.79	2025-04-16
1804	APR_DRG	—	6	1	—	—	$59,853.21	$68,218.51	$66,868.22	2025-04-16
3204	APR_DRG	—	6	1	—	—	$59,788.56	$68,144.82	$66,795.99	2025-04-16
1303	APR_DRG	—	6	1	—	—	$59,750.43	$68,101.36	$66,753.39	2025-04-16
8444	APR_DRG	—	6	1	—	—	$59,531.60	$67,851.95	$66,508.91	2025-04-16
3104	APR_DRG	—	6	1	—	—	$59,516.68	$67,834.94	$66,492.24	2025-04-16
0504	APR_DRG	—	6	1	—	—	$59,017.68	$67,266.20	$65,934.76	2025-04-16
4434	APR_DRG	—	6	1	—	—	$58,498.79	$66,674.79	$65,355.05	2025-04-16
1693	APR_DRG	—	6	1	—	—	$58,459.00	$66,629.44	$65,310.60	2025-04-16
5424	APR_DRG	—	6	1	—	—	$58,402.64	$66,565.20	$65,247.63	2025-04-16
9123	APR_DRG	—	6	1	—	—	$57,961.66	$66,062.59	$64,754.97	2025-04-16
0233	APR_DRG	—	6	1	—	—	$57,615.18	$65,667.68	$64,367.88	2025-04-16
6122	APR_DRG	—	6	1	—	—	$57,467.64	$65,499.52	$64,203.05	2025-04-16
3084	APR_DRG	—	6	1	—	—	$56,378.46	$64,258.12	$62,986.22	2025-04-16
1661	APR_DRG	—	6	1	—	—	$56,297.23	$64,165.53	$62,895.46	2025-04-16
0913	APR_DRG	—	6	1	—	—	$55,957.38	$63,778.18	$62,515.78	2025-04-16
6364	APR_DRG	—	6	1	—	—	$55,725.29	$63,513.65	$62,256.49	2025-04-16
3624	APR_DRG	—	6	1	—	—	$55,673.90	$63,455.08	$62,199.07	2025-04-16
0984	APR_DRG	—	6	1	—	—	$55,337.36	$63,071.51	$61,823.10	2025-04-16
1602	APR_DRG	—	6	1	—	—	$55,300.89	$63,029.94	$61,782.35	2025-04-16
8412	APR_DRG	—	6	1	—	—	$55,257.79	$62,980.81	$61,734.20	2025-04-16
3042	APR_DRG	—	6	1	—	—	$55,159.98	$62,869.33	$61,624.92	2025-04-16
3213	APR_DRG	—	6	1	—	—	$55,133.45	$62,839.10	$61,595.29	2025-04-16
2634	APR_DRG	—	6	1	—	—	$54,914.63	$62,589.69	$61,350.81	2025-04-16
J9029	CPT	Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	24	7	—	—	$61,200.00	$61,200.00	$61,200.00	2025-04-16
6924	APR_DRG	—	6	1	—	—	$54,397.39	$62,000.16	$60,772.96	2025-04-16
0974	APR_DRG	—	6	1	—	—	$53,941.50	$61,480.55	$60,263.63	2025-04-16
8423	APR_DRG	—	6	1	—	—	$53,895.08	$61,427.65	$60,211.77	2025-04-16
0893	APR_DRG	—	6	1	—	—	$53,755.82	$61,268.93	$60,056.19	2025-04-16
9102	APR_DRG	—	6	1	—	—	$53,354.64	$60,811.67	$59,607.99	2025-04-16
6803	APR_DRG	—	6	1	—	—	$52,953.45	$60,354.41	$59,159.78	2025-04-16
1672	APR_DRG	—	6	1	—	—	$52,926.92	$60,324.18	$59,130.14	2025-04-16
3164	APR_DRG	—	6	1	—	—	$52,819.17	$60,201.36	$59,009.76	2025-04-16
3144	APR_DRG	—	6	1	—	—	$52,444.50	$59,774.33	$58,591.18	2025-04-16
1203	APR_DRG	—	6	1	—	—	$52,237.28	$59,538.15	$58,359.67	2025-04-16
3123	APR_DRG	—	6	1	—	—	$52,235.62	$59,536.26	$58,357.82	2025-04-16
6223	APR_DRG	—	6	1	—	—	$51,973.69	$59,237.71	$58,065.19	2025-04-16
9503	APR_DRG	—	6	1	—	—	$51,933.90	$59,192.37	$58,020.74	2025-04-16
2284	APR_DRG	—	6	1	—	—	$51,877.54	$59,128.12	$57,957.77	2025-04-16
0203	APR_DRG	—	6	1	—	—	$51,749.88	$58,982.63	$57,815.15	2025-04-16
6914	APR_DRG	—	6	1	—	—	$51,648.76	$58,867.37	$57,702.18	2025-04-16
1813	APR_DRG	—	6	1	—	—	$51,605.66	$58,818.25	$57,654.02	2025-04-16
0734	APR_DRG	—	6	1	—	—	$51,134.84	$58,281.63	$57,128.02	2025-04-16
6213	APR_DRG	—	6	1	—	—	$50,750.23	$57,843.26	$56,698.34	2025-04-16
6334	APR_DRG	—	6	1	—	—	$50,324.18	$57,357.66	$56,222.35	2025-04-16
5174	APR_DRG	—	6	1	—	—	$50,291.02	$57,319.87	$56,185.31	2025-04-16
8411	APR_DRG	—	6	1	—	—	$50,233.00	$57,253.74	$56,120.48	2025-04-16
2203	APR_DRG	—	6	1	—	—	$50,196.53	$57,212.17	$56,079.74	2025-04-16
0404	APR_DRG	—	6	1	—	—	$50,150.11	$57,159.26	$56,027.88	2025-04-16
2603	APR_DRG	—	6	1	—	—	$49,951.17	$56,932.52	$55,805.63	2025-04-16
0564	APR_DRG	—	6	1	—	—	$49,714.11	$56,662.33	$55,540.77	2025-04-16
4413	APR_DRG	—	6	1	—	—	$49,700.84	$56,647.21	$55,525.96	2025-04-16
1703	APR_DRG	—	6	1	—	—	$49,616.30	$56,550.85	$55,431.50	2025-04-16
8633	APR_DRG	—	6	1	—	—	$49,314.58	$56,206.96	$55,094.42	2025-04-16
5414	APR_DRG	—	6	1	—	—	$49,200.19	$56,076.58	$54,966.62	2025-04-16
0434	APR_DRG	—	6	1	—	—	$48,596.75	$55,388.80	$54,292.46	2025-04-16
1601	APR_DRG	—	6	1	—	—	$48,169.04	$54,901.31	$53,814.62	2025-04-16
3644	APR_DRG	—	6	1	—	—	$48,142.51	$54,871.08	$53,784.98	2025-04-16
4013	APR_DRG	—	6	1	—	—	$48,087.80	$54,808.73	$53,723.86	2025-04-16
Q2043	CPT	Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	24	7	—	—	$53,017.58	$53,426.66	$53,222.12	2025-04-16
L7181	CPT	Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…	24	7	—	—	$51,938.39	$54,389.41	$53,163.90	2025-04-16
1924	APR_DRG	—	6	1	—	—	$47,374.95	$53,996.24	$52,927.46	2025-04-16
4824	APR_DRG	—	6	1	—	—	$47,326.87	$53,941.45	$52,873.75	2025-04-16
1302	APR_DRG	—	6	1	—	—	$47,250.62	$53,854.53	$52,788.55	2025-04-16
1671	APR_DRG	—	6	1	—	—	$47,059.97	$53,637.24	$52,575.56	2025-04-16
3041	APR_DRG	—	6	1	—	—	$46,821.25	$53,365.15	$52,308.86	2025-04-16
1823	APR_DRG	—	6	1	—	—	$46,741.67	$53,274.45	$52,219.96	2025-04-16
4454	APR_DRG	—	6	1	—	—	$46,658.78	$53,179.98	$52,127.35	2025-04-16
6112	APR_DRG	—	6	1	—	—	$46,421.72	$52,909.78	$51,862.50	2025-04-16
3464	APR_DRG	—	6	1	—	—	$46,360.38	$52,839.87	$51,793.98	2025-04-16
6021	APR_DRG	—	6	1	—	—	$46,300.70	$52,771.85	$51,727.30	2025-04-16
6233	APR_DRG	—	6	1	—	—	$46,141.55	$52,590.45	$51,549.50	2025-04-16
6071	APR_DRG	—	6	1	—	—	$45,990.69	$52,418.51	$51,380.96	2025-04-16
1301	APR_DRG	—	6	1	—	—	$45,851.43	$52,259.79	$51,225.38	2025-04-16
1763	APR_DRG	—	6	1	—	—	$45,770.20	$52,167.21	$51,134.63	2025-04-16
6903	APR_DRG	—	6	1	—	—	$45,717.15	$52,106.74	$51,075.36	2025-04-16
9101	APR_DRG	—	6	1	—	—	$45,627.63	$52,004.71	$50,975.35	2025-04-16
L7180	CPT	Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device	24	7	—	—	$49,701.46	$52,046.93	$50,874.19	2025-04-16
9113	APR_DRG	—	6	1	—	—	$45,473.45	$51,828.99	$50,803.10	2025-04-16
8434	APR_DRG	—	6	1	—	—	$45,078.90	$51,379.28	$50,362.30	2025-04-16
8904	APR_DRG	—	6	1	—	—	$45,055.69	$51,352.83	$50,336.37	2025-04-16
3814	APR_DRG	—	6	1	—	—	$44,984.40	$51,271.58	$50,256.73	2025-04-16
6614	APR_DRG	—	6	1	—	—	$44,802.05	$51,063.74	$50,053.00	2025-04-16
1743	APR_DRG	—	6	1	—	—	$44,763.92	$51,020.28	$50,010.40	2025-04-16
0554	APR_DRG	—	6	1	—	—	$44,634.61	$50,872.90	$49,865.94	2025-04-16
4464	APR_DRG	—	6	1	—	—	$44,614.71	$50,850.22	$49,843.72	2025-04-16
6964	APR_DRG	—	6	1	—	—	$44,510.27	$50,731.19	$49,727.03	2025-04-16
2264	APR_DRG	—	6	1	—	—	$44,356.10	$50,555.46	$49,554.79	2025-04-16
0243	APR_DRG	—	6	1	—	—	$44,354.44	$50,553.57	$49,552.94	2025-04-16
6394	APR_DRG	—	6	1	—	—	$44,354.44	$50,553.57	$49,552.94	2025-04-16
6132	APR_DRG	—	6	1	—	—	$44,077.59	$50,238.03	$49,243.63	2025-04-16
2824	APR_DRG	—	6	1	—	—	$43,593.51	$49,686.29	$48,702.82	2025-04-16
6253	APR_DRG	—	6	1	—	—	$43,389.60	$49,453.88	$48,475.01	2025-04-16
1934	APR_DRG	—	6	1	—	—	$43,200.61	$49,238.48	$48,263.87	2025-04-16
1753	APR_DRG	—	6	1	—	—	$43,182.37	$49,217.70	$48,243.50	2025-04-16
0464	APR_DRG	—	6	1	—	—	$42,898.89	$48,894.59	$47,926.79	2025-04-16
6302	APR_DRG	—	6	1	—	—	$42,603.80	$48,558.26	$47,597.12	2025-04-16
6313	APR_DRG	—	6	1	—	—	$42,557.38	$48,505.35	$47,545.26	2025-04-16
0444	APR_DRG	—	6	1	—	—	$42,555.73	$48,503.47	$47,543.41	2025-04-16
2613	APR_DRG	—	6	1	—	—	$42,413.16	$48,340.97	$47,384.13	2025-04-16
5404	APR_DRG	—	6	1	—	—	$42,282.19	$48,191.70	$47,237.81	2025-04-16
5103	APR_DRG	—	6	1	—	—	$42,043.47	$47,919.61	$46,971.11	2025-04-16
0514	APR_DRG	—	6	1	—	—	$41,743.40	$47,577.61	$46,635.88	2025-04-16
6264	APR_DRG	—	6	1	—	—	$41,622.38	$47,439.68	$46,500.67	2025-04-16
6604	APR_DRG	—	6	1	—	—	$41,552.76	$47,360.32	$46,422.89	2025-04-16
3093	APR_DRG	—	6	1	—	—	$41,436.71	$47,228.05	$46,293.24	2025-04-16
1914	APR_DRG	—	6	1	—	—	$41,144.94	$46,895.50	$45,967.27	2025-04-16
0212	APR_DRG	—	6	1	—	—	$41,113.44	$46,859.60	$45,932.08	2025-04-16
1762	APR_DRG	—	6	1	—	—	$41,067.02	$46,806.69	$45,880.22	2025-04-16
1702	APR_DRG	—	6	1	—	—	$40,924.45	$46,644.20	$45,720.94	2025-04-16
1314	APR_DRG	—	6	1	—	—	$40,811.72	$46,515.71	$45,595.00	2025-04-16
6813	APR_DRG	—	6	1	—	—	$40,743.75	$46,438.24	$45,519.06	2025-04-16
7103	APR_DRG	—	6	1	—	—	$40,718.88	$46,409.90	$45,491.28	2025-04-16
0424	APR_DRG	—	6	1	—	—	$40,715.57	$46,406.12	$45,487.58	2025-04-16
0954	APR_DRG	—	6	1	—	—	$40,450.32	$46,103.80	$45,191.24	2025-04-16
2243	APR_DRG	—	6	1	—	—	$40,226.52	$45,848.72	$44,941.21	2025-04-16

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