Hospital

MUNSON HEALTHCARE CADILLAC HOSPITAL

Cadillac, MI · CCN 230081 · Rates published

Your selected procedure

You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $7,230 across 17 payers · range $3,781-$14,150

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8134/471156297_munson-healthcare-cadillac_standardcharges.csv · observed 2026-04-17

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

18,210 distinct procedures filed

33 distinct payers

1,104,578 rate rows

2026-04-17 last MRF observed

Data quality

723,648 of 1,104,578 rate rows are consumer-grade (65.5%)

380,930 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	355,217
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	20,652
per-diem day rate — not a per-procedure price	2,883
exceeds 10× this hospital's gross charge — excluded from medians	937
placeholder amount (≤ $0.02) — excluded from medians	828
percent-of-charges filed in the dollar field — excluded from medians	315
template filing: same amount across many unrelated codes — excluded	52
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	32
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	14

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

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8134/471156297_munson-healthcare-cadillac_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/MunsonHealthcareCadillacHospital/8134
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-22
Content fingerprint	8c682b3b33283ff9… · 1,543,436,979 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
J3391 HCPCS	Inj, Atidarsagene Autotemcel	14	$2,356,115.00	$4,865,400.00	$4,505,000.00	nat. median $4,505,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	15	$1,927,394.47	$3,980,088.00	$3,685,266.67	nat. median $3,705,478 1.0× median
J3389 HCPCS	Topi Adm Prad Zami Per Treat	15	$1,744,633.86	$4,722,697.86	$3,335,820.00	nat. median $3,335,820 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	14	$1,740,470.64	$3,594,088.51	$3,327,859.73	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	15	$1,701,061.72	$4,727,810.00	$3,252,508.08	nat. median $3,286,000 1.0× median
J3387 HCPCS	Inj Elivaldogene Autotemecel	14	$1,663,140.00	$3,434,400.00	$3,180,000.00	nat. median $3,180,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	16	$1,537,603.73	$4,997,947.11	$2,939,968.89	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	16	$1,354,037.18	$4,401,268.08	$2,588,981.23	nat. median $2,467,989 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	16	$1,219,636.00	$3,964,400.00	$2,332,000.00	nat. median $2,401,965 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	16	$403,034.26	$1,310,054.00	$770,620.00	nat. median $813,967 0.9× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	16	$307,340.73	$999,004.28	$587,649.57	nat. median $646,415 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	16	$296,295.87	$963,103.22	$566,531.30	nat. median $739,658 0.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	16	$294,031.25	$955,742.11	$562,201.24	nat. median $640,950 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	16	$291,876.74	$948,738.93	$558,081.73	nat. median $623,527 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	16	$278,336.54	$904,726.81	$532,192.24	nat. median $608,239 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	17	$255,982.46	$832,065.34	$489,450.20	nat. median $592,235 0.8× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	$12,067.18	$578,488.38	$340,287.28	nat. median $359,244 0.9× median
5834 APR_DRG	Neonate With Ecmo	6	$287,956.99	$287,956.99	$287,956.99	nat. median $307,273 0.9× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	16	$145,524.75	$473,025.00	$278,250.00	nat. median $319,951 0.9× median
J3403 HCPCS	Revakinagene, Per Implant	17	$138,595.00	$450,500.00	$265,000.00	nat. median $265,000 1.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$12,067.18	$553,294.54	$220,832.76	nat. median $248,541 0.9× median
J3402 HCPCS	Inj. Remestemcel-l-rknd/ Td	17	$105,472.90	$342,837.34	$201,669.02	nat. median $209,753 1.0× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$192,748.00	$192,748.00	$192,748.00	nat. median $247,815 0.8× median
114 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$177,351.35	$177,351.35	$177,351.35	nat. median $123,836 1.4× median
5833 APR_DRG	Neonate With Ecmo	6	$174,152.23	$174,152.23	$174,152.23	nat. median $244,017 0.7× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	18	$12,067.18	$377,753.85	$168,245.31	nat. median $198,115 0.8× median
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$167,258.35	$167,258.35	$167,258.35	nat. median $134,402 1.2× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	18	$12,067.18	$424,644.02	$167,257.92	nat. median $190,359 0.9× median
1614 APR_DRG	Implantable Heart Assist Systems	6	$157,444.06	$157,444.06	$157,444.06	nat. median $202,649 0.8× median
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$141,987.72	$141,987.72	$141,987.72	nat. median $165,000 0.9× median
113 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$136,685.62	$136,685.62	$136,685.62	nat. median $67,440 outlier · 2.0×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	6	$133,425.78	$133,425.78	$133,425.78	nat. median $158,104 0.8× median
E0766 HCPCS	Elec Stim Cancer Treatment	3	$29,094.63	$132,877.11	$132,877.11	nat. median $16,786 outlier · 7.9×
Q0480 HCPCS	Driver Pneumatic Vad, Rep	17	$69,103.10	$268,969.35	$132,128.29	nat. median $111,503 1.2× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	6	$122,545.98	$122,545.98	$122,545.98	nat. median $170,172 0.7× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$122,211.75	$122,211.75	$122,211.75	nat. median $154,116 0.8× median
112 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$116,005.03	$116,005.03	$116,005.03	nat. median $68,020 1.7× median
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$115,593.46	$115,593.46	$115,593.46	nat. median $151,838 0.8× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	$115,221.34	$115,221.34	$115,221.34	nat. median $163,718 0.7× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$114,157.91	$114,157.91	$114,157.91	nat. median $163,528 0.7× median
K1007 HCPCS	Bil Hkaf Pc S/d Micro Sensor	15	$59,672.86	$193,965.31	$114,097.24	nat. median $96,983 1.2× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	18	$12,067.18	$204,872.73	$109,151.21	nat. median $126,461 0.9× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$106,321.01	$106,321.01	$106,321.01	nat. median $175,429 0.6× median
7 MS_DRG	Lung Transplant	18	$12,067.18	$204,100.60	$102,049.63	nat. median $117,977 0.9× median
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$98,061.12	$98,061.12	$98,061.12	nat. median $145,061 0.7× median
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$96,699.78	$96,699.78	$96,699.78	nat. median $122,016 0.8× median
5832 APR_DRG	Neonate With Ecmo	6	$96,622.97	$96,622.97	$96,622.97	nat. median $159,249 0.6× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	18	$12,067.18	$315,746.12	$94,702.96	nat. median $110,084 0.9× median
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$91,819.63	$91,819.63	$91,819.63	nat. median $120,763 0.8× median
5892 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$90,127.17	$90,127.17	$90,127.17	nat. median $89,331 1.0× median

Other procedures at this hospital

Browse this hospital's 18,210 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	19	14	—	—	$2,356,115.00	$4,865,400.00	$4,505,000.00	2026-04-17
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	20	15	—	—	$1,927,394.47	$3,980,088.00	$3,685,266.67	2026-04-17
J3389	HCPCS	Topi Adm Prad Zami Per Treat	20	15	—	—	$1,744,633.86	$4,722,697.86	$3,335,820.00	2026-04-17
J1413	HCPCS	Inj Delandistrogene Mox Rokl	19	14	—	—	$1,740,470.64	$3,594,088.51	$3,327,859.73	2026-04-17
J3394	HCPCS	Inj, Lovotibeglogene Autotem	20	15	—	—	$1,701,061.72	$4,727,810.00	$3,252,508.08	2026-04-17
J3387	HCPCS	Inj Elivaldogene Autotemecel	19	14	—	—	$1,663,140.00	$3,434,400.00	$3,180,000.00	2026-04-17
J3393	HCPCS	Inj, Betibeglogene Autotemce	21	16	—	—	$1,537,603.73	$4,997,947.11	$2,939,968.89	2026-04-17
J3399	HCPCS	Inj Onase Abepar-xioi Treat	21	16	—	—	$1,354,037.18	$4,401,268.08	$2,588,981.23	2026-04-17
J3392	HCPCS	Inj, Exagamglogene Autotem	21	16	—	—	$1,219,636.00	$3,964,400.00	$2,332,000.00	2026-04-17
Q2057	HCPCS	Afamitresgene Autoleucel	20	16	—	—	$403,034.26	$1,310,054.00	$770,620.00	2026-04-17
Q2056	HCPCS	Ciltacabtagene Car-pos T	20	16	—	—	$307,340.73	$999,004.28	$587,649.57	2026-04-17
Q2042	HCPCS	Tisagenlecleucel Car-pos T	20	16	—	—	$296,295.87	$963,103.22	$566,531.30	2026-04-17
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	20	16	—	—	$294,031.25	$955,742.11	$562,201.24	2026-04-17
Q2055	HCPCS	Idecabtagene Vicleucel Car	20	16	—	—	$291,876.74	$948,738.93	$558,081.73	2026-04-17
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	20	16	—	—	$278,336.54	$904,726.81	$532,192.24	2026-04-17
Q2053	HCPCS	Brexucabtagene Car Pos T	22	17	—	—	$255,982.46	$832,065.34	$489,450.20	2026-04-17
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	19	18	—	—	$12,067.18	$578,488.38	$340,287.28	2026-04-17
5834	APR_DRG	Neonate With Ecmo	6	6	—	—	$287,956.99	$287,956.99	$287,956.99	2026-04-17
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	20	16	—	—	$145,524.75	$473,025.00	$278,250.00	2026-04-17
J3403	HCPCS	Revakinagene, Per Implant	23	17	—	—	$138,595.00	$450,500.00	$265,000.00	2026-04-17
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	19	18	—	—	$12,067.18	$553,294.54	$220,832.76	2026-04-17
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	23	17	—	—	$105,472.90	$342,837.34	$201,669.02	2026-04-17
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$192,748.00	$192,748.00	$192,748.00	2026-04-17
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$177,351.35	$177,351.35	$177,351.35	2026-04-17
5833	APR_DRG	Neonate With Ecmo	6	6	—	—	$174,152.23	$174,152.23	$174,152.23	2026-04-17
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	19	18	—	—	$12,067.18	$377,753.85	$168,245.31	2026-04-17
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$167,258.35	$167,258.35	$167,258.35	2026-04-17
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	19	18	—	—	$12,067.18	$424,644.02	$167,257.92	2026-04-17
1614	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$157,444.06	$157,444.06	$157,444.06	2026-04-17
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$141,987.72	$141,987.72	$141,987.72	2026-04-17
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$136,685.62	$136,685.62	$136,685.62	2026-04-17
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$133,425.78	$133,425.78	$133,425.78	2026-04-17
E0766	HCPCS	Elec Stim Cancer Treatment	3	3	—	—	$29,094.63	$132,877.11	$132,877.11	2026-04-17
Q0480	HCPCS	Driver Pneumatic Vad, Rep	22	17	—	—	$69,103.10	$268,969.35	$132,128.29	2026-04-17
74	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$122,545.98	$122,545.98	$122,545.98	2026-04-17
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$122,211.75	$122,211.75	$122,211.75	2026-04-17
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$116,005.03	$116,005.03	$116,005.03	2026-04-17
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$115,593.46	$115,593.46	$115,593.46	2026-04-17
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$115,221.34	$115,221.34	$115,221.34	2026-04-17
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$114,157.91	$114,157.91	$114,157.91	2026-04-17
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	19	15	—	—	$59,672.86	$193,965.31	$114,097.24	2026-04-17
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	19	18	—	—	$12,067.18	$204,872.73	$109,151.21	2026-04-17
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$106,321.01	$106,321.01	$106,321.01	2026-04-17
7	MS_DRG	Lung Transplant	19	18	—	—	$12,067.18	$204,100.60	$102,049.63	2026-04-17
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$98,061.12	$98,061.12	$98,061.12	2026-04-17
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$96,699.78	$96,699.78	$96,699.78	2026-04-17
5832	APR_DRG	Neonate With Ecmo	6	6	—	—	$96,622.97	$96,622.97	$96,622.97	2026-04-17
14	MS_DRG	Allogeneic Bone Marrow Transplant	19	18	—	—	$12,067.18	$315,746.12	$94,702.96	2026-04-17
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$91,819.63	$91,819.63	$91,819.63	2026-04-17
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$90,127.17	$90,127.17	$90,127.17	2026-04-17
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$90,062.29	$90,062.29	$90,062.29	2026-04-17
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	19	18	—	—	$12,067.18	$203,728.07	$89,296.37	2026-04-17
209	MS_DRG	Complex Aortic Arch Procedures	19	18	—	—	$12,067.18	$217,016.90	$89,193.93	2026-04-17
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$88,966.17	$88,966.17	$88,966.17	2026-04-17
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$87,443.42	$87,443.42	$87,443.42	2026-04-17
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	18	—	—	$12,067.18	$147,642.94	$86,848.79	2026-04-17
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$86,059.25	$86,059.25	$86,059.25	2026-04-17
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	6	6	—	—	$85,957.52	$85,957.52	$85,957.52	2026-04-17
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	19	18	—	—	$12,067.18	$214,492.79	$85,689.62	2026-04-17
1613	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$85,331.09	$85,331.09	$85,331.09	2026-04-17
E0194	HCPCS	Air Fluidized Bed	3	1	—	—	$11,133.86	$111,338.56	$83,503.94	2026-04-17
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	19	15	—	—	$43,179.95	$140,355.49	$82,562.05	2026-04-17
5831	APR_DRG	Neonate With Ecmo	6	6	—	—	$82,449.60	$82,449.60	$82,449.60	2026-04-17
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	19	18	—	—	$12,067.18	$209,203.00	$81,248.38	2026-04-17
215	MS_DRG	Other Heart Assist System Implant	19	18	—	—	$12,067.18	$169,415.55	$78,462.73	2026-04-17
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$78,195.88	$78,195.88	$78,195.88	2026-04-17
1612	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$77,513.91	$77,513.91	$77,513.91	2026-04-17
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	17	—	—	$77,090.01	$185,269.12	$77,090.01	2026-04-17
K0606	HCPCS	Aed Garment W Elec Analysis	3	1	—	—	$7,712.67	$100,264.65	$75,198.50	2026-04-17
0266T	CPT	Professional Services	2	2	—	—	$73,466.05	$73,466.05	$73,466.05	2026-04-17
0268T	CPT	Professional Services	2	2	—	—	$73,466.05	$73,466.05	$73,466.05	2026-04-17
J7330	HCPCS	Cultured Chondrocytes Implnt	3	3	—	—	$35,329.55	$71,167.10	$71,167.10	2026-04-17
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	19	18	—	—	$12,067.18	$128,449.58	$70,997.06	2026-04-17
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$69,360.42	$69,360.42	$69,360.42	2026-04-17
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$68,845.57	$68,845.57	$68,845.57	2026-04-17
850	MS_DRG	Acute Leukemia With Other Procedures	19	18	—	—	$12,067.18	$146,247.03	$68,238.24	2026-04-17
231	MS_DRG	Coronary Bypass With Ptca With Mcc	17	17	—	—	$66,428.94	$138,171.24	$66,428.94	2026-04-17
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	17	17	—	—	$66,220.11	$120,836.62	$66,220.11	2026-04-17
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$66,032.08	$66,032.08	$66,032.08	2026-04-17
1611	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$65,353.22	$65,353.22	$65,353.22	2026-04-17
J9029	HCPCS	Instill Adstiladrin, Tx Dose	21	16	—	—	$33,615.72	$109,267.14	$64,274.79	2026-04-17
38240	CPT	Transplt Allo Hct/donor	22	17	—	—	$3,249.80	$106,547.37	$62,674.93	2026-04-17
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$62,119.85	$62,119.85	$62,119.85	2026-04-17
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	19	18	—	—	$12,067.18	$165,803.23	$62,007.39	2026-04-17
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$61,899.28	$61,899.28	$61,899.28	2026-04-17
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	17	17	—	—	$60,506.21	$134,549.89	$60,506.21	2026-04-17
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	17	17	—	—	$60,245.38	$109,489.42	$60,245.38	2026-04-17
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	19	18	—	—	$12,067.18	$144,612.46	$60,046.02	2026-04-17
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$59,938.50	$59,938.50	$59,938.50	2026-04-17
90288	CPT	Botulism Ig IV	2	2	—	—	$58,905.00	$58,905.00	$58,905.00	2026-04-17
L7181	HCPCS	Electronic Elbo Simultaneous	20	16	—	—	$30,735.04	$119,659.59	$58,766.81	2026-04-17
73	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$58,508.65	$58,508.65	$58,508.65	2026-04-17
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	18	—	—	$12,067.18	$96,702.29	$56,883.70	2026-04-17
10	MS_DRG	Pancreas Transplant	19	18	—	—	$12,067.18	$96,127.61	$56,545.65	2026-04-17
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	19	18	—	—	$12,067.18	$99,167.21	$56,522.01	2026-04-17
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	19	18	—	—	$12,067.18	$133,003.36	$56,221.78	2026-04-17
72	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$56,220.90	$56,220.90	$56,220.90	2026-04-17
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	17	17	—	—	$56,188.68	$135,899.99	$56,188.68	2026-04-17
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	6	—	—	$55,818.16	$55,818.16	$55,818.16	2026-04-17
84	APR_DRG	Autologous Bone Marrow Transplant	6	6	—	—	$54,893.82	$54,893.82	$54,893.82	2026-04-17
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	6	6	—	—	$54,755.24	$54,755.24	$54,755.24	2026-04-17
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$54,594.35	$54,594.35	$54,594.35	2026-04-17
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	19	18	—	—	$12,067.18	$121,154.96	$54,466.07	2026-04-17
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	23	17	—	—	$28,453.35	$98,902.74	$54,404.11	2026-04-17
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	17	17	—	—	$54,198.94	$103,700.68	$54,198.94	2026-04-17
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$54,153.20	$54,153.20	$54,153.20	2026-04-17
111	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$53,613.96	$53,613.96	$53,613.96	2026-04-17
L7180	HCPCS	Electronic Elbow Sequential	20	16	—	—	$27,888.17	$116,220.06	$53,323.46	2026-04-17
955	MS_DRG	Craniotomy For Multiple Significant Trauma	19	18	—	—	$12,067.18	$170,521.82	$53,042.12	2026-04-17
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	19	18	—	—	$12,067.18	$104,524.74	$52,690.68	2026-04-17
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	19	18	—	—	$12,067.18	$93,748.73	$52,652.06	2026-04-17
K0743	HCPCS	Portable Home Suction Pump	1	1	—	—	$51,949.80	$51,949.80	$51,949.80	2026-04-17
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	18	—	—	$12,067.18	$124,139.63	$51,814.41	2026-04-17
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	18	—	—	$12,067.18	$99,842.27	$51,814.41	2026-04-17
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	19	18	—	—	$12,067.18	$116,752.44	$51,626.07	2026-04-17
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	19	18	—	—	$12,067.18	$124,543.76	$50,706.46	2026-04-17
8514	APR_DRG	Gender Related Procedures	6	6	—	—	$50,603.24	$50,603.24	$50,603.24	2026-04-17
8513	APR_DRG	Gender Related Procedures	6	6	—	—	$50,603.24	$50,603.24	$50,603.24	2026-04-17
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$50,286.65	$50,286.65	$50,286.65	2026-04-17
C1824	HCPCS	Generator Optimizer Ipg86302	20	19	$65,000.00	$55,250.00	$24,550.50	$55,250.00	$50,050.00	2026-04-17
8634	APR_DRG	Neonatal Aftercare	6	6	—	—	$49,937.88	$49,937.88	$49,937.88	2026-04-17
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$49,766.10	$49,766.10	$49,766.10	2026-04-17
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$48,492.99	$48,492.99	$48,492.99	2026-04-17
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$48,471.19	$48,471.19	$48,471.19	2026-04-17
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	19	18	—	—	$12,067.18	$111,385.89	$48,292.77	2026-04-17
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	19	18	—	—	$12,067.18	$127,124.31	$48,236.81	2026-04-17
71	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$48,210.65	$48,210.65	$48,210.65	2026-04-17
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$47,871.75	$47,871.75	$47,871.75	2026-04-17
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	19	18	—	—	$12,067.18	$123,787.43	$47,774.24	2026-04-17
28	MS_DRG	Spinal Procedures With Mcc	19	18	—	—	$12,067.18	$87,795.18	$47,346.36	2026-04-17
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	19	18	—	—	$12,067.18	$131,468.13	$47,332.95	2026-04-17
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	18	—	—	$12,067.18	$97,568.76	$46,990.17	2026-04-17
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	19	18	—	—	$12,067.18	$79,620.72	$46,835.72	2026-04-17
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	19	18	—	—	$12,067.18	$200,890.15	$46,726.97	2026-04-17
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$46,606.94	$46,606.94	$46,606.94	2026-04-17
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	19	18	—	—	$12,067.18	$93,168.51	$46,245.49	2026-04-17
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	19	18	—	—	$12,067.18	$101,551.35	$46,215.55	2026-04-17
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$45,575.17	$45,575.17	$45,575.17	2026-04-17
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	19	18	—	—	$12,067.18	$90,287.68	$45,445.66	2026-04-17
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	19	18	—	—	$12,067.18	$101,711.64	$45,155.67	2026-04-17
G0448	HCPCS	Place Perm Pacing Cardiovert	1	1	—	—	$45,004.23	$45,004.23	$45,004.23	2026-04-17
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	19	18	—	—	$12,067.18	$88,088.68	$44,971.26	2026-04-17
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	19	18	—	—	$12,067.18	$98,169.31	$44,912.96	2026-04-17
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$44,810.68	$44,810.68	$44,810.68	2026-04-17
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	18	—	—	$12,067.18	$75,313.81	$44,302.24	2026-04-17
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	19	18	—	—	$12,067.18	$87,549.09	$44,165.14	2026-04-17
64654	CPT	1st Opn Implt Bat Modulj Sys	21	16	—	—	$22,953.47	$74,609.75	$43,888.09	2026-04-17
33276	CPT	Insj Phrnc Nrv Stim Sys	21	16	—	—	$22,953.47	$74,609.75	$43,888.09	2026-04-17
64568	CPT	Opn Impltj Crnl Nrv Nea&pg	22	17	—	—	$22,953.47	$74,609.75	$43,888.09	2026-04-17
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	21	16	—	—	$22,953.47	$74,609.75	$43,888.09	2026-04-17
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	19	18	—	—	$12,067.18	$99,952.89	$43,862.53	2026-04-17
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	19	18	—	—	$12,067.18	$100,122.22	$43,522.11	2026-04-17
J3357	HCPCS	Stelara 90 mg/mL Syringe	20	19	$56,262.32	$47,822.98	$289.09	$47,822.97	$43,321.99	2026-04-17
834	MS_DRG	Acute Leukemia With Mcc	19	18	—	—	$12,067.18	$166,597.94	$43,261.29	2026-04-17
J9226	HCPCS	Supprelin La Implant	23	17	—	—	$22,585.93	$73,415.08	$43,185.34	2026-04-17
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	19	18	—	—	$12,067.18	$85,074.65	$43,108.41	2026-04-17
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	19	18	—	—	$12,067.18	$90,391.53	$43,046.94	2026-04-17
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	19	18	—	—	$12,067.18	$93,416.85	$42,979.17	2026-04-17
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	19	18	—	—	$12,067.18	$102,779.53	$42,807.39	2026-04-17
1674	APR_DRG	Other Cardiothoracic And Thoracic Circulatory Procedures	6	6	—	—	$42,212.05	$42,212.05	$42,212.05	2026-04-17
K0864	HCPCS	Pwc Gp3 Xhd Mult Pow Opt S/b	3	1	—	—	$4,318.22	$56,136.95	$42,102.72	2026-04-17
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	19	18	—	—	$12,067.18	$99,966.44	$42,023.29	2026-04-17
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	19	18	—	—	$12,067.18	$77,183.99	$41,998.09	2026-04-17
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	19	15	—	—	$21,947.26	$71,339.07	$41,964.16	2026-04-17
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	19	18	—	—	$12,067.18	$121,191.08	$41,715.99	2026-04-17
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	19	18	—	—	$12,067.18	$97,203.02	$41,578.07	2026-04-17
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	19	18	—	—	$12,067.18	$70,609.57	$41,019.35	2026-04-17
653	MS_DRG	Major Bladder Procedures With Mcc	19	18	—	—	$12,067.18	$69,612.37	$40,948.45	2026-04-17
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$40,827.36	$40,827.36	$40,827.36	2026-04-17
E0469	HCPCS	Lung Expans High Oscil Neb	1	1	—	—	$39,859.52	$39,859.52	$39,859.52	2026-04-17
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	19	18	—	—	$12,067.18	$85,487.81	$39,717.57	2026-04-17
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$39,507.54	$39,507.54	$39,507.54	2026-04-17
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	19	18	—	—	$12,067.18	$81,719.71	$39,301.50	2026-04-17
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	19	18	—	—	$12,067.18	$111,762.92	$38,986.28	2026-04-17
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	19	18	—	—	$12,067.18	$72,639.24	$38,916.95	2026-04-17
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	19	18	—	—	$12,067.18	$65,932.39	$38,783.76	2026-04-17
914	APR_DRG	Other Major Head And Neck Procedures	6	6	—	—	$38,776.27	$38,776.27	$38,776.27	2026-04-17
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	19	18	—	—	$12,067.18	$102,858.55	$38,622.23	2026-04-17
A9543	HCPCS	Kit Yttrium 90 Therasphere 3 Gbq36432	58	32	$45,862.50	$38,983.13	$27,517.50	$96,601.73	$38,590.00	2026-04-17
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$38,432.17	$38,432.17	$38,432.17	2026-04-17
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	6	—	—	$38,423.35	$38,423.35	$38,423.35	2026-04-17
471	MS_DRG	Cervical Spinal Fusion With Mcc	19	18	—	—	$12,067.18	$64,686.56	$38,050.92	2026-04-17
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	19	18	—	—	$12,067.18	$91,384.92	$37,858.66	2026-04-17
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	6	—	—	$37,791.21	$37,791.21	$37,791.21	2026-04-17
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$37,663.53	$37,663.53	$37,663.53	2026-04-17
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	19	18	—	—	$12,067.18	$93,477.81	$37,515.85	2026-04-17
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$37,326.18	$37,326.18	$37,326.18	2026-04-17
1784	APR_DRG	External Heart Assist Devices	6	6	—	—	$37,222.90	$37,222.90	$37,222.90	2026-04-17
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	19	18	—	—	$12,067.18	$173,368.78	$37,047.77	2026-04-17
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	19	18	—	—	$12,067.18	$100,255.43	$36,972.13	2026-04-17
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	19	18	—	—	$12,067.18	$62,665.06	$36,861.80	2026-04-17
6904	APR_DRG	Acute Leukemia	6	6	—	—	$36,767.22	$36,767.22	$36,767.22	2026-04-17
2994	APR_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	6	—	—	$36,756.84	$36,756.84	$36,756.84	2026-04-17
1704	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	6	6	—	—	$36,621.90	$36,621.90	$36,621.90	2026-04-17
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	6	—	—	$36,579.86	$36,579.86	$36,579.86	2026-04-17
6	MS_DRG	Liver Transplant Without Mcc	19	18	—	—	$12,067.18	$80,480.23	$36,540.29	2026-04-17
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	6	6	—	—	$36,410.67	$36,410.67	$36,410.67	2026-04-17
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	19	18	—	—	$12,067.18	$102,149.64	$36,394.51	2026-04-17
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	19	18	—	—	$12,067.18	$64,683.11	$36,221.16	2026-04-17
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	19	18	—	—	$12,067.18	$86,119.97	$36,128.95	2026-04-17
245	MS_DRG	Aicd Generator Procedures	19	18	—	—	$12,067.18	$82,661.17	$35,952.44	2026-04-17
913	APR_DRG	Other Major Head And Neck Procedures	6	6	—	—	$35,899.45	$35,899.45	$35,899.45	2026-04-17
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	19	18	—	—	$12,067.18	$73,393.31	$35,844.47	2026-04-17
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	19	18	—	—	$12,067.18	$87,352.67	$35,828.71	2026-04-17
799	MS_DRG	Splenic Procedures With Mcc	19	18	—	—	$12,067.18	$60,670.35	$35,688.44	2026-04-17
L6700	HCPCS	Ue Add Ext Power Myoel	19	15	—	—	$18,520.60	$60,200.79	$35,412.23	2026-04-17
K0863	HCPCS	Pwc Gp3 Vhd Mult Pow Opt S/b	3	1	—	—	$3,628.77	$47,174.05	$35,380.53	2026-04-17
K0860	HCPCS	Pwc Gp3 Vhd Sing Pow Opt S/b	3	1	—	—	$3,628.77	$47,174.05	$35,380.53	2026-04-17
1602	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$35,352.95	$35,352.95	$35,352.95	2026-04-17
163	MS_DRG	Major Chest Procedures With Mcc	19	18	—	—	$12,067.18	$65,486.85	$35,317.29	2026-04-17
31	MS_DRG	Ventricular Shunt Procedures With Mcc	19	18	—	—	$12,067.18	$89,450.07	$35,307.05	2026-04-17
L5856	HCPCS	Elec Knee-shin Swing/stance	20	16	—	—	$18,440.83	$71,691.17	$35,259.71	2026-04-17
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$35,180.12	$35,180.12	$35,180.12	2026-04-17
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	19	18	—	—	$12,067.18	$67,990.64	$35,168.35	2026-04-17
C2624	HCPCS	System Delivery Pa Sensor60810	19	18	$45,000.00	$38,250.00	$16,996.50	$38,250.00	$35,100.00	2026-04-17
204	APR_DRG	Open Craniotomy For Trauma	6	6	—	—	$35,062.31	$35,062.31	$35,062.31	2026-04-17
L6880	HCPCS	Elec Hand Ind Art Digits	20	16	—	—	$18,331.80	$71,352.65	$35,051.25	2026-04-17
3124	APR_DRG	Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	6	6	—	—	$34,905.57	$34,905.57	$34,905.57	2026-04-17
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	19	18	—	—	$12,067.18	$64,608.60	$34,615.96	2026-04-17
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$34,582.23	$34,582.23	$34,582.23	2026-04-17
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$34,568.74	$34,568.74	$34,568.74	2026-04-17
K0880	HCPCS	Pwc Gp4 Vhd Sing Pow Opt S/b	3	1	—	—	$3,512.92	$45,668.18	$34,251.15	2026-04-17
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	6	6	—	—	$34,176.37	$34,176.37	$34,176.37	2026-04-17
0686T	CPT	Histotripsy Mal Hepatcel Tis	20	16	—	—	$17,852.76	$58,029.99	$34,135.29	2026-04-17
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	19	18	—	—	$12,067.18	$94,046.75	$34,100.60	2026-04-17
K0854	HCPCS	Pwc Gp 3 Xhd Seat/back	3	1	—	—	$3,478.78	$45,224.13	$33,918.10	2026-04-17
L5969	HCPCS	Ak/ft Power Asst Incl Motors	1	1	—	—	$33,913.67	$33,913.67	$33,913.67	2026-04-17
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	19	18	—	—	$12,067.18	$72,307.36	$33,828.73	2026-04-17
140	MS_DRG	Major Head And Neck Procedures With Mcc	19	18	—	—	$12,067.18	$75,660.04	$33,611.24	2026-04-17
C1767	HCPCS	Controller Medtronic Dbs79104	400	19	$52,250.00	$44,412.50	$1,071.72	$87,819.88	$33,511.93	2026-04-17
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	19	18	—	—	$12,067.18	$59,508.46	$33,418.18	2026-04-17
83	APR_DRG	Autologous Bone Marrow Transplant	6	6	—	—	$33,310.68	$33,310.68	$33,310.68	2026-04-17
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	19	18	—	—	$12,067.18	$65,053.37	$33,279.49	2026-04-17
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	19	18	—	—	$12,067.18	$93,326.54	$33,222.74	2026-04-17
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	19	18	—	—	$12,067.18	$68,665.69	$33,206.19	2026-04-17
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	19	18	—	—	$12,067.18	$62,493.14	$33,109.28	2026-04-17
901	MS_DRG	Wound Debridements For Injuries With Mcc	19	18	—	—	$12,067.18	$63,752.93	$33,069.87	2026-04-17
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	19	18	—	—	$12,067.18	$74,115.78	$33,008.39	2026-04-17
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	18	—	—	$12,067.18	$92,832.11	$32,880.74	2026-04-17
793	MS_DRG	Full Term Neonate With Major Problems	19	18	—	—	$4,842.77	$55,857.05	$32,857.09	2026-04-17
69930	CPT	Implant Cochlear Device	22	17	—	—	$17,182.41	$92,153.97	$32,853.56	2026-04-17
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$32,794.28	$32,794.28	$32,794.28	2026-04-17
37227	CPT	Professional Services	3	3	—	—	$16,637.04	$32,762.45	$32,762.45	2026-04-17
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	19	18	—	—	$12,067.18	$73,616.82	$32,726.29	2026-04-17
4414	APR_DRG	Major Bladder Procedures	6	6	—	—	$32,672.31	$32,672.31	$32,672.31	2026-04-17
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$32,593.94	$32,593.94	$32,593.94	2026-04-17
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	19	18	—	—	$12,067.18	$66,516.36	$32,509.59	2026-04-17
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	6	—	—	$32,479.76	$32,479.76	$32,479.76	2026-04-17
924	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	6	6	—	—	$32,398.80	$32,398.80	$32,398.80	2026-04-17
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	6	—	—	$32,354.68	$32,354.68	$32,354.68	2026-04-17
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$32,216.11	$32,216.11	$32,216.11	2026-04-17
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$32,113.35	$32,113.35	$32,113.35	2026-04-17
K0855	HCPCS	Pwc Gp 3 Xhd Cap Chair	3	1	—	—	$3,286.20	$42,720.67	$32,040.51	2026-04-17
791	MS_DRG	Prematurity With Major Problems	19	18	—	—	$11,184.65	$54,375.47	$31,985.57	2026-04-17
8412	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$31,914.05	$31,914.05	$31,914.05	2026-04-17
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	6	6	—	—	$31,760.43	$31,760.43	$31,760.43	2026-04-17
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$31,705.93	$31,705.93	$31,705.93	2026-04-17
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	19	18	—	—	$12,067.18	$55,735.84	$31,682.17	2026-04-17
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	6	—	—	$31,571.51	$31,571.51	$31,571.51	2026-04-17
6954	APR_DRG	Chemotherapy For Acute Leukemia	6	6	—	—	$31,484.84	$31,484.84	$31,484.84	2026-04-17
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	19	18	—	—	$12,067.18	$54,938.87	$31,395.34	2026-04-17
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	22	17	—	—	$16,357.34	$89,590.65	$31,275.99	2026-04-17
33270	CPT	Ins/rep Subq Defibrillator	22	17	—	—	$16,357.34	$106,583.10	$31,275.99	2026-04-17
0915T	CPT	Insj Perm Ccm-d Sys Pg&eltrd	21	16	—	—	$16,357.34	$53,169.18	$31,275.99	2026-04-17
33231	CPT	Insrt Pulse Gen W/mult Leads	22	17	—	—	$16,357.34	$77,590.23	$31,275.99	2026-04-17
0408T	CPT	Insj/rplc Cardiac Modulj Sys	21	16	—	—	$16,357.34	$53,169.18	$31,275.99	2026-04-17
33249	CPT	Insj/rplcmt Defib W/lead(s)	22	17	—	—	$16,357.34	$83,897.76	$31,275.99	2026-04-17
0571T	CPT	Insj/rplcmt Icds Ss Eltrd	22	17	—	—	$16,357.34	$63,451.14	$31,275.99	2026-04-17
894	APR_DRG	Major Cranial Or Facial Bone Procedures	6	6	—	—	$31,072.24	$31,072.24	$31,072.24	2026-04-17
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	6	6	—	—	$30,925.88	$30,925.88	$30,925.88	2026-04-17
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	19	18	—	—	$12,067.18	$79,008.21	$30,826.39	2026-04-17
0908T	CPT	Opn Imp Int Nstm Sys Vgs Nrv	19	15	—	—	$16,080.54	$52,269.45	$30,746.74	2026-04-17
33287	CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	21	16	—	—	$16,080.54	$52,269.45	$30,746.74	2026-04-17
63685	CPT	Ins/rplc Spi Npg/rcvr Pocket	22	17	—	—	$16,080.54	$69,358.92	$30,746.74	2026-04-17
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	20	16	—	—	$16,080.54	$52,269.45	$30,746.74	2026-04-17
0674T	CPT	Laps Insj Nw/rpcmt Prm Isdss	19	15	—	—	$16,080.54	$52,269.45	$30,746.74	2026-04-17
0909T	CPT	Rplcmt Int Nstim Sys Vgs Nrv	19	15	—	—	$16,080.54	$52,269.45	$30,746.74	2026-04-17
61891	CPT	Rev/rplcmt Sk-mnt Crnl Nstm	22	17	—	—	$16,080.54	$52,269.45	$30,746.74	2026-04-17
61886	CPT	Implant Neurostim Arrays	22	17	—	—	$16,080.54	$69,692.54	$30,746.74	2026-04-17
61885	CPT	Insrt/redo Neurostim 1 Array	22	17	—	—	$16,080.54	$52,790.01	$30,746.74	2026-04-17
64656	CPT	Revj/rplcmt Bat Mod Sys Pg	21	16	—	—	$16,080.54	$52,269.45	$30,746.74	2026-04-17
37231	CPT	Professional Services	3	3	—	—	$18,802.50	$30,695.15	$30,695.15	2026-04-17
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	19	18	—	—	$12,067.18	$52,167.75	$30,686.91	2026-04-17
37229	CPT	Professional Services	3	3	—	—	$13,568.67	$30,588.88	$30,588.88	2026-04-17
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	19	18	—	—	$12,067.18	$60,278.33	$30,501.73	2026-04-17
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	19	18	—	—	$12,067.18	$51,775.25	$30,456.03	2026-04-17
C9606	HCPCS	Perc D-e Cor Revasc W Ami S	1	1	—	—	$30,451.19	$30,451.19	$30,451.19	2026-04-17
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	19	18	—	—	$12,067.18	$58,673.11	$30,426.86	2026-04-17
1204	APR_DRG	Major Respiratory And Chest Procedures	6	6	—	—	$30,309.82	$30,309.82	$30,309.82	2026-04-17
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	19	18	—	—	$12,067.18	$61,711.97	$30,254.29	2026-04-17
7404	APR_DRG	Mental Illness Diagnosis With O.r. Procedure	6	6	—	—	$30,195.64	$30,195.64	$30,195.64	2026-04-17
37230	CPT	Professional Services	3	3	—	—	$14,000.22	$30,157.76	$30,157.76	2026-04-17
E0764	HCPCS	Functional Neuromuscularstim	3	1	—	—	$3,089.45	$40,162.91	$30,122.18	2026-04-17
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$29,923.17	$29,923.17	$29,923.17	2026-04-17
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$29,880.61	$29,880.61	$29,880.61	2026-04-17
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	6	—	—	$29,816.26	$29,816.26	$29,816.26	2026-04-17
1694	APR_DRG	Major Abdominal Vascular Procedures	6	6	—	—	$29,801.72	$29,801.72	$29,801.72	2026-04-17
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	19	18	—	—	$12,067.18	$105,263.00	$29,653.04	2026-04-17
1622	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$29,617.48	$29,617.48	$29,617.48	2026-04-17
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	19	18	—	—	$12,067.18	$70,011.28	$29,523.78	2026-04-17

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