Hospital

SANFORD TRACY MEDICAL CENTER

Tracy, MN · CCN 241303 · Rates published

7,677 distinct procedures filed

16 distinct payers

230,280 rate rows

2026-03-04 last MRF observed

Data quality

229,312 of 230,280 rate rows are consumer-grade (99.6%)

968 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
percent-of-charges filed in the dollar field — excluded from medians	864
per-diem day rate — not a per-procedure price	64
exceeds 10× this hospital's gross charge — excluded from medians	32
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	8

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

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8378/460388596_sanford-tracy-hospital_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordTracyHospital/8378
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	a714a189a9b21439… · 62,530,814 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
5834 APR_DRG		2	$334,575.88	$334,575.88	$334,575.88	nat. median $309,665 1.1× median
5884 APR_DRG		2	$211,464.50	$211,464.50	$211,464.50	nat. median $246,434 0.9× median
5833 APR_DRG		2	$202,008.28	$202,008.28	$202,008.28	nat. median $244,017 0.8× median
0114 APR_DRG		2	$189,487.88	$189,487.88	$189,487.88	nat. median $197,700 1.0× median
0024 APR_DRG		2	$172,083.05	$172,083.05	$172,083.05	nat. median $372,987 outlier · 0.5×
6094 APR_DRG		2	$148,702.84	$148,702.84	$148,702.84	nat. median $162,982 0.9× median
0113 APR_DRG		2	$147,895.19	$147,895.19	$147,895.19	nat. median $128,705 1.1× median
5914 APR_DRG		2	$145,500.39	$145,500.39	$145,500.39	nat. median $164,279 0.9× median
1614 APR_DRG		2	$143,083.56	$143,083.56	$143,083.56	nat. median $207,730 0.7× median
0094 APR_DRG		2	$137,704.13	$137,704.13	$137,704.13	nat. median $166,008 0.8× median
5883 APR_DRG		2	$136,888.53	$136,888.53	$136,888.53	nat. median $182,736 0.7× median
5882 APR_DRG		2	$132,020.61	$132,020.61	$132,020.61	nat. median $145,336 0.9× median
5934 APR_DRG		2	$128,434.53	$128,434.53	$128,434.53	nat. median $151,838 0.8× median
6314 APR_DRG		2	$126,917.12	$126,917.12	$126,917.12	nat. median $122,924 1.0× median
5832 APR_DRG		2	$126,764.77	$126,764.77	$126,764.77	nat. median $156,126 0.8× median
0112 APR_DRG		2	$124,976.93	$124,976.93	$124,976.93	nat. median $93,442 1.3× median
8414 APR_DRG		2	$122,407.75	$122,407.75	$122,407.75	nat. median $160,267 0.8× median
1613 APR_DRG		2	$115,135.85	$115,135.85	$115,135.85	nat. median $119,796 1.0× median
5892 APR_DRG		2	$112,311.53	$112,311.53	$112,311.53	nat. median $89,790 1.3× median
5893 APR_DRG		2	$112,311.53	$112,311.53	$112,311.53	nat. median $69,788 1.6× median
5891 APR_DRG		2	$112,311.53	$112,311.53	$112,311.53	nat. median $93,260 1.2× median
5913 APR_DRG		2	$110,553.67	$110,553.67	$110,553.67	nat. median $102,636 1.1× median
6304 APR_DRG		2	$107,845.60	$107,845.60	$107,845.60	nat. median $150,721 0.7× median
5831 APR_DRG		2	$106,957.80	$106,957.80	$106,957.80	nat. median $145,122 0.7× median
0074 APR_DRG		2	$106,006.97	$106,006.97	$106,006.97	nat. median $178,275 0.6× median
0044 APR_DRG		2	$105,198.71	$105,198.71	$105,198.71	nat. median $195,681 0.5× median
0014 APR_DRG		2	$97,562.76	$97,562.76	$97,562.76	nat. median $190,591 0.5× median
6024 APR_DRG		2	$93,807.19	$93,807.19	$93,807.19	nat. median $118,620 0.8× median
0023 APR_DRG		2	$93,056.45	$93,056.45	$93,056.45	nat. median $167,082 0.6× median
5933 APR_DRG		2	$91,751.36	$91,751.36	$91,751.36	nat. median $108,996 0.8× median
5912 APR_DRG		2	$89,768.34	$89,768.34	$89,768.34	nat. median $81,294 1.1× median
5881 APR_DRG		2	$87,808.56	$87,808.56	$87,808.56	nat. median $124,573 0.7× median
0093 APR_DRG		2	$77,902.02	$77,902.02	$77,902.02	nat. median $78,641 1.0× median
1611 APR_DRG		2	$77,817.58	$77,817.58	$77,817.58	nat. median $76,806 1.0× median
1612 APR_DRG		2	$77,817.58	$77,817.58	$77,817.58	nat. median $85,406 0.9× median
1604 APR_DRG		2	$75,648.55	$75,648.55	$75,648.55	nat. median $97,957 0.8× median
0054 APR_DRG		2	$74,832.95	$74,832.95	$74,832.95	nat. median $149,310 0.5× median
0022 APR_DRG		2	$71,826.91	$71,826.91	$71,826.91	nat. median $140,623 0.5× median
5932 APR_DRG		2	$71,338.03	$71,338.03	$71,338.03	nat. median $86,258 0.8× median
6074 APR_DRG		2	$69,826.14	$69,826.14	$69,826.14	nat. median $95,507 0.7× median
0043 APR_DRG		2	$69,734.36	$69,734.36	$69,734.36	nat. median $113,567 0.6× median
6034 APR_DRG		2	$67,846.79	$67,846.79	$67,846.79	nat. median $109,499 0.6× median
0064 APR_DRG		2	$65,792.18	$65,792.18	$65,792.18	nat. median $98,565 0.7× median
8424 APR_DRG		2	$65,459.94	$65,459.94	$65,459.94	nat. median $80,494 0.8× median
6023 APR_DRG		2	$65,389.58	$65,389.58	$65,389.58	nat. median $86,492 0.8× median
0073 APR_DRG		2	$63,159.36	$63,159.36	$63,159.36	nat. median $98,566 0.6× median
38240 CPT	Transplt Allo Hct/donor	1	$62,099.45	$62,099.45	$62,099.45	nat. median $15,912 outlier · 3.9×
6114 APR_DRG		2	$58,842.11	$58,842.11	$58,842.11	nat. median $72,694 0.8× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	1	$58,743.27	$58,743.27	$58,743.27	nat. median $66,682 0.9× median
6303 APR_DRG		2	$58,571.06	$58,571.06	$58,571.06	nat. median $72,936 0.8× median

Other procedures at this hospital

Browse this hospital's 7,677 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

5834	APR_DRG	—	4	2	—	—	$334,575.88	$334,575.88	$334,575.88	2026-03-04
5884	APR_DRG	—	4	2	—	—	$211,464.50	$211,464.50	$211,464.50	2026-03-04
5833	APR_DRG	—	4	2	—	—	$202,008.28	$202,008.28	$202,008.28	2026-03-04
0114	APR_DRG	—	4	2	—	—	$189,487.88	$189,487.88	$189,487.88	2026-03-04
0024	APR_DRG	—	4	2	—	—	$172,083.05	$172,083.05	$172,083.05	2026-03-04
6094	APR_DRG	—	4	2	—	—	$148,702.84	$148,702.84	$148,702.84	2026-03-04
0113	APR_DRG	—	4	2	—	—	$147,895.19	$147,895.19	$147,895.19	2026-03-04
5914	APR_DRG	—	4	2	—	—	$145,500.39	$145,500.39	$145,500.39	2026-03-04
1614	APR_DRG	—	4	2	—	—	$143,083.56	$143,083.56	$143,083.56	2026-03-04
0094	APR_DRG	—	4	2	—	—	$137,704.13	$137,704.13	$137,704.13	2026-03-04
5883	APR_DRG	—	4	2	—	—	$136,888.53	$136,888.53	$136,888.53	2026-03-04
5882	APR_DRG	—	4	2	—	—	$132,020.61	$132,020.61	$132,020.61	2026-03-04
5934	APR_DRG	—	4	2	—	—	$128,434.53	$128,434.53	$128,434.53	2026-03-04
6314	APR_DRG	—	4	2	—	—	$126,917.12	$126,917.12	$126,917.12	2026-03-04
5832	APR_DRG	—	4	2	—	—	$126,764.77	$126,764.77	$126,764.77	2026-03-04
0112	APR_DRG	—	4	2	—	—	$124,976.93	$124,976.93	$124,976.93	2026-03-04
8414	APR_DRG	—	4	2	—	—	$122,407.75	$122,407.75	$122,407.75	2026-03-04
1613	APR_DRG	—	4	2	—	—	$115,135.85	$115,135.85	$115,135.85	2026-03-04
5891	APR_DRG	—	4	2	—	—	$112,311.53	$112,311.53	$112,311.53	2026-03-04
5893	APR_DRG	—	4	2	—	—	$112,311.53	$112,311.53	$112,311.53	2026-03-04
5892	APR_DRG	—	4	2	—	—	$112,311.53	$112,311.53	$112,311.53	2026-03-04
5913	APR_DRG	—	4	2	—	—	$110,553.67	$110,553.67	$110,553.67	2026-03-04
6304	APR_DRG	—	4	2	—	—	$107,845.60	$107,845.60	$107,845.60	2026-03-04
5831	APR_DRG	—	4	2	—	—	$106,957.80	$106,957.80	$106,957.80	2026-03-04
0074	APR_DRG	—	4	2	—	—	$106,006.97	$106,006.97	$106,006.97	2026-03-04
0044	APR_DRG	—	4	2	—	—	$105,198.71	$105,198.71	$105,198.71	2026-03-04
0014	APR_DRG	—	4	2	—	—	$97,562.76	$97,562.76	$97,562.76	2026-03-04
6024	APR_DRG	—	4	2	—	—	$93,807.19	$93,807.19	$93,807.19	2026-03-04
0023	APR_DRG	—	4	2	—	—	$93,056.45	$93,056.45	$93,056.45	2026-03-04
5933	APR_DRG	—	4	2	—	—	$91,751.36	$91,751.36	$91,751.36	2026-03-04
5912	APR_DRG	—	4	2	—	—	$89,768.34	$89,768.34	$89,768.34	2026-03-04
5881	APR_DRG	—	4	2	—	—	$87,808.56	$87,808.56	$87,808.56	2026-03-04
0093	APR_DRG	—	4	2	—	—	$77,902.02	$77,902.02	$77,902.02	2026-03-04
1611	APR_DRG	—	4	2	—	—	$77,817.58	$77,817.58	$77,817.58	2026-03-04
1612	APR_DRG	—	4	2	—	—	$77,817.58	$77,817.58	$77,817.58	2026-03-04
1604	APR_DRG	—	4	2	—	—	$75,648.55	$75,648.55	$75,648.55	2026-03-04
0054	APR_DRG	—	4	2	—	—	$74,832.95	$74,832.95	$74,832.95	2026-03-04
0022	APR_DRG	—	4	2	—	—	$71,826.91	$71,826.91	$71,826.91	2026-03-04
5932	APR_DRG	—	4	2	—	—	$71,338.03	$71,338.03	$71,338.03	2026-03-04
6074	APR_DRG	—	4	2	—	—	$69,826.14	$69,826.14	$69,826.14	2026-03-04
0043	APR_DRG	—	4	2	—	—	$69,734.36	$69,734.36	$69,734.36	2026-03-04
6034	APR_DRG	—	4	2	—	—	$67,846.79	$67,846.79	$67,846.79	2026-03-04
0064	APR_DRG	—	4	2	—	—	$65,792.18	$65,792.18	$65,792.18	2026-03-04
8424	APR_DRG	—	4	2	—	—	$65,459.94	$65,459.94	$65,459.94	2026-03-04
6023	APR_DRG	—	4	2	—	—	$65,389.58	$65,389.58	$65,389.58	2026-03-04
0073	APR_DRG	—	4	2	—	—	$63,159.36	$63,159.36	$63,159.36	2026-03-04
38240	CPT	Transplt Allo Hct/donor	2	1	—	—	$62,099.45	$62,099.45	$62,099.45	2026-03-04
6114	APR_DRG	—	4	2	—	—	$58,842.11	$58,842.11	$58,842.11	2026-03-04
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	2	1	—	—	$58,743.27	$58,743.27	$58,743.27	2026-03-04
6303	APR_DRG	—	4	2	—	—	$58,571.06	$58,571.06	$58,571.06	2026-03-04
1624	APR_DRG	—	4	2	—	—	$57,144.22	$57,144.22	$57,144.22	2026-03-04
8634	APR_DRG	—	4	2	—	—	$56,140.77	$56,140.77	$56,140.77	2026-03-04
0063	APR_DRG	—	4	2	—	—	$55,993.93	$55,993.93	$55,993.93	2026-03-04
0021	APR_DRG	—	4	2	—	—	$55,060.24	$55,060.24	$55,060.24	2026-03-04
4404	APR_DRG	—	4	2	—	—	$54,403.11	$54,403.11	$54,403.11	2026-03-04
0013	APR_DRG	—	4	2	—	—	$53,878.75	$53,878.75	$53,878.75	2026-03-04
0111	APR_DRG	—	4	2	—	—	$52,796.99	$52,796.99	$52,796.99	2026-03-04
0053	APR_DRG	—	4	2	—	—	$52,795.15	$52,795.15	$52,795.15	2026-03-04
3034	APR_DRG	—	4	2	—	—	$52,386.43	$52,386.43	$52,386.43	2026-03-04
1634	APR_DRG	—	4	2	—	—	$50,235.76	$50,235.76	$50,235.76	2026-03-04
8514	APR_DRG	—	4	2	—	—	$49,244.55	$49,244.55	$49,244.55	2026-03-04
6073	APR_DRG	—	4	2	—	—	$49,037.14	$49,037.14	$49,037.14	2026-03-04
6022	APR_DRG	—	4	2	—	—	$47,803.02	$47,803.02	$47,803.02	2026-03-04
2994	APR_DRG	—	4	2	—	—	$47,396.14	$47,396.14	$47,396.14	2026-03-04
0062	APR_DRG	—	4	2	—	—	$47,349.03	$47,349.03	$47,349.03	2026-03-04
0072	APR_DRG	—	4	2	—	—	$47,009.45	$47,009.45	$47,009.45	2026-03-04
1784	APR_DRG	—	4	2	—	—	$46,855.87	$46,855.87	$46,855.87	2026-03-04
0084	APR_DRG	—	4	2	—	—	$46,062.91	$46,062.91	$46,062.91	2026-03-04
6093	APR_DRG	—	4	2	—	—	$45,665.20	$45,665.20	$45,665.20	2026-03-04
1654	APR_DRG	—	4	2	—	—	$45,038.05	$45,038.05	$45,038.05	2026-03-04
0042	APR_DRG	—	4	2	—	—	$43,488.22	$43,488.22	$43,488.22	2026-03-04
0012	APR_DRG	—	4	2	—	—	$43,472.31	$43,472.31	$43,472.31	2026-03-04
6124	APR_DRG	—	4	2	—	—	$43,121.72	$43,121.72	$43,121.72	2026-03-04
0092	APR_DRG	—	4	2	—	—	$42,749.10	$42,749.10	$42,749.10	2026-03-04
6334	APR_DRG	—	4	2	—	—	$42,212.50	$42,212.50	$42,212.50	2026-03-04
1834	APR_DRG	—	4	2	—	—	$41,578.01	$41,578.01	$41,578.01	2026-03-04
1623	APR_DRG	—	4	2	—	—	$40,930.67	$40,930.67	$40,930.67	2026-03-04
9104	APR_DRG	—	4	2	—	—	$40,318.81	$40,318.81	$40,318.81	2026-03-04
6214	APR_DRG	—	4	2	—	—	$40,286.99	$40,286.99	$40,286.99	2026-03-04
0071	APR_DRG	—	4	2	—	—	$39,130.59	$39,130.59	$39,130.59	2026-03-04
1664	APR_DRG	—	4	2	—	—	$38,944.58	$38,944.58	$38,944.58	2026-03-04
1794	APR_DRG	—	4	2	—	—	$38,906.65	$38,906.65	$38,906.65	2026-03-04
9114	APR_DRG	—	4	2	—	—	$38,712.69	$38,712.69	$38,712.69	2026-03-04
3044	APR_DRG	—	4	2	—	—	$38,505.88	$38,505.88	$38,505.88	2026-03-04
1674	APR_DRG	—	4	2	—	—	$38,225.04	$38,225.04	$38,225.04	2026-03-04
0061	APR_DRG	—	4	2	—	—	$38,208.52	$38,208.52	$38,208.52	2026-03-04
0914	APR_DRG	—	4	2	—	—	$38,095.33	$38,095.33	$38,095.33	2026-03-04
1783	APR_DRG	—	4	2	—	—	$37,995.60	$37,995.60	$37,995.60	2026-03-04
6134	APR_DRG	—	4	2	—	—	$37,556.28	$37,556.28	$37,556.28	2026-03-04
6804	APR_DRG	—	4	2	—	—	$37,491.43	$37,491.43	$37,491.43	2026-03-04
2993	APR_DRG	—	4	2	—	—	$37,158.58	$37,158.58	$37,158.58	2026-03-04
8413	APR_DRG	—	4	2	—	—	$37,016.02	$37,016.02	$37,016.02	2026-03-04
9124	APR_DRG	—	4	2	—	—	$36,957.89	$36,957.89	$36,957.89	2026-03-04
4403	APR_DRG	—	4	2	—	—	$36,215.10	$36,215.10	$36,215.10	2026-03-04
3004	APR_DRG	—	4	2	—	—	$35,838.19	$35,838.19	$35,838.19	2026-03-04
0011	APR_DRG	—	4	2	—	—	$35,721.33	$35,721.33	$35,721.33	2026-03-04
5931	APR_DRG	—	4	2	—	—	$35,364.01	$35,364.01	$35,364.01	2026-03-04
0052	APR_DRG	—	4	2	—	—	$35,354.83	$35,354.83	$35,354.83	2026-03-04
1694	APR_DRG	—	4	2	—	—	$35,163.32	$35,163.32	$35,163.32	2026-03-04
0214	APR_DRG	—	4	2	—	—	$35,120.49	$35,120.49	$35,120.49	2026-03-04
6313	APR_DRG	—	4	2	—	—	$35,099.69	$35,099.69	$35,099.69	2026-03-04
3033	APR_DRG	—	4	2	—	—	$34,973.03	$34,973.03	$34,973.03	2026-03-04
0091	APR_DRG	—	4	2	—	—	$34,587.56	$34,587.56	$34,587.56	2026-03-04
1633	APR_DRG	—	4	2	—	—	$34,339.76	$34,339.76	$34,339.76	2026-03-04
6083	APR_DRG	—	4	2	—	—	$34,193.53	$34,193.53	$34,193.53	2026-03-04
6084	APR_DRG	—	4	2	—	—	$34,193.53	$34,193.53	$34,193.53	2026-03-04
1304	APR_DRG	—	4	2	—	—	$33,915.75	$33,915.75	$33,915.75	2026-03-04
0234	APR_DRG	—	4	2	—	—	$33,886.38	$33,886.38	$33,886.38	2026-03-04
33270	CPT	Ins/rep Subq Defibrillator	2	1	—	—	$33,664.66	$33,664.66	$33,664.66	2026-03-04
33249	CPT	Insj/rplcmt Defib W/lead(s)	2	1	—	—	$33,664.66	$33,664.66	$33,664.66	2026-03-04
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	2	1	—	—	$33,664.66	$33,664.66	$33,664.66	2026-03-04
33231	CPT	Insrt Pulse Gen W/mult Leads	2	1	—	—	$33,664.66	$33,664.66	$33,664.66	2026-03-04
6072	APR_DRG	—	4	2	—	—	$33,400.56	$33,400.56	$33,400.56	2026-03-04
69930	CPT	Implant Cochlear Device	2	1	—	—	$33,398.21	$33,398.21	$33,398.21	2026-03-04
8504	APR_DRG	—	4	2	—	—	$33,365.08	$33,365.08	$33,365.08	2026-03-04
1603	APR_DRG	—	4	2	—	—	$33,250.66	$33,250.66	$33,250.66	2026-03-04
2604	APR_DRG	—	4	2	—	—	$33,224.35	$33,224.35	$33,224.35	2026-03-04
1653	APR_DRG	—	4	2	—	—	$33,203.55	$33,203.55	$33,203.55	2026-03-04
0894	APR_DRG	—	4	2	—	—	$32,428.94	$32,428.94	$32,428.94	2026-03-04
2204	APR_DRG	—	4	2	—	—	$32,294.94	$32,294.94	$32,294.94	2026-03-04
7404	APR_DRG	—	4	2	—	—	$32,214.79	$32,214.79	$32,214.79	2026-03-04
4014	APR_DRG	—	4	2	—	—	$32,045.30	$32,045.30	$32,045.30	2026-03-04
64568	CPT	Opn Impltj Crnl Nrv Nea&pg	2	1	—	—	$31,997.27	$31,997.27	$31,997.27	2026-03-04
63685	CPT	Ins/rplc Spi Npg/rcvr Pocket	2	1	—	—	$31,997.27	$31,997.27	$31,997.27	2026-03-04
61886	CPT	Implant Neurostim Arrays	2	1	—	—	$31,997.27	$31,997.27	$31,997.27	2026-03-04
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	2	1	—	—	$31,997.27	$31,997.27	$31,997.27	2026-03-04
6904	APR_DRG	—	4	2	—	—	$31,892.34	$31,892.34	$31,892.34	2026-03-04
1204	APR_DRG	—	4	2	—	—	$31,831.15	$31,831.15	$31,831.15	2026-03-04
9504	APR_DRG	—	4	2	—	—	$31,656.16	$31,656.16	$31,656.16	2026-03-04
1622	APR_DRG	—	4	2	—	—	$31,324.54	$31,324.54	$31,324.54	2026-03-04
4402	APR_DRG	—	4	2	—	—	$31,259.07	$31,259.07	$31,259.07	2026-03-04
0204	APR_DRG	—	4	2	—	—	$31,117.73	$31,117.73	$31,117.73	2026-03-04
0041	APR_DRG	—	4	2	—	—	$30,811.19	$30,811.19	$30,811.19	2026-03-04
3124	APR_DRG	—	4	2	—	—	$30,757.96	$30,757.96	$30,757.96	2026-03-04
4414	APR_DRG	—	4	2	—	—	$30,743.28	$30,743.28	$30,743.28	2026-03-04
1782	APR_DRG	—	4	2	—	—	$30,629.47	$30,629.47	$30,629.47	2026-03-04
5204	APR_DRG	—	4	2	—	—	$30,407.37	$30,407.37	$30,407.37	2026-03-04
6814	APR_DRG	—	4	2	—	—	$30,305.80	$30,305.80	$30,305.80	2026-03-04
0083	APR_DRG	—	4	2	—	—	$30,213.41	$30,213.41	$30,213.41	2026-03-04
33289	CPT	Tcat Impl Wrls P-art Prs Snr	2	1	—	—	$29,849.75	$29,849.75	$29,849.75	2026-03-04
6123	APR_DRG	—	4	2	—	—	$29,837.12	$29,837.12	$29,837.12	2026-03-04
2614	APR_DRG	—	4	2	—	—	$29,429.62	$29,429.62	$29,429.62	2026-03-04
J2350	HCPCS	Ocrelizumab Soln For IV Infusion 300 Mg/10ml	90	16	$39,310.80	$31,448.64 20% off	$60.94	$37,188.02	$29,404.48	2026-03-04
4854	APR_DRG	—	4	2	—	—	$29,340.29	$29,340.29	$29,340.29	2026-03-04
1833	APR_DRG	—	4	2	—	—	$29,296.24	$29,296.24	$29,296.24	2026-03-04
6092	APR_DRG	—	4	2	—	—	$29,241.17	$29,241.17	$29,241.17	2026-03-04
3614	APR_DRG	—	4	2	—	—	$28,962.17	$28,962.17	$28,962.17	2026-03-04
C9760	HCPCS	Non-blind Interatrial Shunt	2	1	—	—	$28,875.53	$28,875.53	$28,875.53	2026-03-04
1793	APR_DRG	—	4	2	—	—	$28,722.32	$28,722.32	$28,722.32	2026-03-04
4401	APR_DRG	—	4	2	—	—	$28,558.34	$28,558.34	$28,558.34	2026-03-04
6144	APR_DRG	—	4	2	—	—	$28,428.63	$28,428.63	$28,428.63	2026-03-04
3214	APR_DRG	—	4	2	—	—	$28,349.70	$28,349.70	$28,349.70	2026-03-04
1663	APR_DRG	—	4	2	—	—	$28,271.99	$28,271.99	$28,271.99	2026-03-04
1781	APR_DRG	—	4	2	—	—	$28,101.90	$28,101.90	$28,101.90	2026-03-04
6021	APR_DRG	—	4	2	—	—	$28,030.92	$28,030.92	$28,030.92	2026-03-04
2992	APR_DRG	—	4	2	—	—	$27,840.02	$27,840.02	$27,840.02	2026-03-04
6033	APR_DRG	—	4	2	—	—	$27,767.82	$27,767.82	$27,767.82	2026-03-04
0924	APR_DRG	—	4	2	—	—	$27,720.71	$27,720.71	$27,720.71	2026-03-04
6133	APR_DRG	—	4	2	—	—	$27,694.40	$27,694.40	$27,694.40	2026-03-04
2304	APR_DRG	—	4	2	—	—	$27,620.98	$27,620.98	$27,620.98	2026-03-04
6954	APR_DRG	—	4	2	—	—	$27,609.97	$27,609.97	$27,609.97	2026-03-04
0274	APR_DRG	—	4	2	—	—	$27,589.77	$27,589.77	$27,589.77	2026-03-04
1814	APR_DRG	—	4	2	—	—	$27,565.91	$27,565.91	$27,565.91	2026-03-04
3043	APR_DRG	—	4	2	—	—	$27,504.73	$27,504.73	$27,504.73	2026-03-04
7924	APR_DRG	—	4	2	—	—	$27,413.56	$27,413.56	$27,413.56	2026-03-04
1652	APR_DRG	—	4	2	—	—	$27,285.07	$27,285.07	$27,285.07	2026-03-04
6514	APR_DRG	—	4	2	—	—	$27,255.09	$27,255.09	$27,255.09	2026-03-04
5114	APR_DRG	—	4	2	—	—	$27,122.32	$27,122.32	$27,122.32	2026-03-04
5124	APR_DRG	—	4	2	—	—	$26,989.54	$26,989.54	$26,989.54	2026-03-04
1621	APR_DRG	—	4	2	—	—	$26,914.90	$26,914.90	$26,914.90	2026-03-04
1214	APR_DRG	—	4	2	—	—	$26,912.45	$26,912.45	$26,912.45	2026-03-04
0304	APR_DRG	—	4	2	—	—	$26,507.40	$26,507.40	$26,507.40	2026-03-04
3032	APR_DRG	—	4	2	—	—	$26,140.29	$26,140.29	$26,140.29	2026-03-04
7104	APR_DRG	—	4	2	—	—	$26,107.25	$26,107.25	$26,107.25	2026-03-04
1632	APR_DRG	—	4	2	—	—	$26,099.91	$26,099.91	$26,099.91	2026-03-04
8633	APR_DRG	—	4	2	—	—	$25,988.55	$25,988.55	$25,988.55	2026-03-04
4054	APR_DRG	—	4	2	—	—	$25,986.71	$25,986.71	$25,986.71	2026-03-04
1602	APR_DRG	—	4	2	—	—	$25,957.96	$25,957.96	$25,957.96	2026-03-04
1704	APR_DRG	—	4	2	—	—	$25,804.99	$25,804.99	$25,804.99	2026-03-04
4284	APR_DRG	—	4	2	—	—	$25,791.53	$25,791.53	$25,791.53	2026-03-04
4034	APR_DRG	—	4	2	—	—	$25,786.64	$25,786.64	$25,786.64	2026-03-04
93654	CPT	Compre Ep Eval Tx Vt	2	1	—	—	$25,758.92	$25,758.92	$25,758.92	2026-03-04
93656	CPT	Compre Ep Eval Abltj Atr Fib	2	1	—	—	$25,758.92	$25,758.92	$25,758.92	2026-03-04
93653	CPT	Compre Ep Eval Tx Svt	2	1	—	—	$25,758.92	$25,758.92	$25,758.92	2026-03-04
6113	APR_DRG	—	4	2	—	—	$25,579.83	$25,579.83	$25,579.83	2026-03-04
1754	APR_DRG	—	4	2	—	—	$25,510.08	$25,510.08	$25,510.08	2026-03-04
2644	APR_DRG	—	4	2	—	—	$25,421.97	$25,421.97	$25,421.97	2026-03-04
1303	APR_DRG	—	4	2	—	—	$25,363.23	$25,363.23	$25,363.23	2026-03-04
0294	APR_DRG	—	4	2	—	—	$25,343.65	$25,343.65	$25,343.65	2026-03-04
0224	APR_DRG	—	4	2	—	—	$25,324.69	$25,324.69	$25,324.69	2026-03-04
7114	APR_DRG	—	4	2	—	—	$25,239.64	$25,239.64	$25,239.64	2026-03-04
6224	APR_DRG	—	4	2	—	—	$25,184.57	$25,184.57	$25,184.57	2026-03-04
1651	APR_DRG	—	4	2	—	—	$24,909.85	$24,909.85	$24,909.85	2026-03-04
4044	APR_DRG	—	4	2	—	—	$24,890.27	$24,890.27	$24,890.27	2026-03-04
6504	APR_DRG	—	4	2	—	—	$24,796.66	$24,796.66	$24,796.66	2026-03-04
4474	APR_DRG	—	4	2	—	—	$24,638.19	$24,638.19	$24,638.19	2026-03-04
4424	APR_DRG	—	4	2	—	—	$24,574.55	$24,574.55	$24,574.55	2026-03-04
3003	APR_DRG	—	4	2	—	—	$24,483.39	$24,483.39	$24,483.39	2026-03-04
0082	APR_DRG	—	4	2	—	—	$24,452.18	$24,452.18	$24,452.18	2026-03-04
6234	APR_DRG	—	4	2	—	—	$24,208.05	$24,208.05	$24,208.05	2026-03-04
0913	APR_DRG	—	4	2	—	—	$24,197.04	$24,197.04	$24,197.04	2026-03-04
2314	APR_DRG	—	4	2	—	—	$24,170.12	$24,170.12	$24,170.12	2026-03-04
9514	APR_DRG	—	4	2	—	—	$24,066.71	$24,066.71	$24,066.71	2026-03-04
1764	APR_DRG	—	4	2	—	—	$24,006.14	$24,006.14	$24,006.14	2026-03-04
1832	APR_DRG	—	4	2	—	—	$23,962.70	$23,962.70	$23,962.70	2026-03-04
0213	APR_DRG	—	4	2	—	—	$23,929.66	$23,929.66	$23,929.66	2026-03-04
4484	APR_DRG	—	4	2	—	—	$23,923.54	$23,923.54	$23,923.54	2026-03-04
6344	APR_DRG	—	4	2	—	—	$23,911.30	$23,911.30	$23,911.30	2026-03-04
1693	APR_DRG	—	4	2	—	—	$23,899.06	$23,899.06	$23,899.06	2026-03-04
6032	APR_DRG	—	4	2	—	—	$23,889.89	$23,889.89	$23,889.89	2026-03-04
9103	APR_DRG	—	4	2	—	—	$23,875.81	$23,875.81	$23,875.81	2026-03-04
1673	APR_DRG	—	4	2	—	—	$23,724.69	$23,724.69	$23,724.69	2026-03-04
2991	APR_DRG	—	4	2	—	—	$23,691.65	$23,691.65	$23,691.65	2026-03-04
3254	APR_DRG	—	4	2	—	—	$23,669.62	$23,669.62	$23,669.62	2026-03-04
1792	APR_DRG	—	4	2	—	—	$23,610.88	$23,610.88	$23,610.88	2026-03-04
7524	APR_DRG	—	4	2	—	—	$23,568.66	$23,568.66	$23,568.66	2026-03-04
33263	CPT	Rmvl & Rplcmt Dfb Gen 2 Lead	2	1	—	—	$23,568.50	$23,568.50	$23,568.50	2026-03-04
33262	CPT	Rmvl& Replc Pulse Gen 1 Lead	2	1	—	—	$23,568.50	$23,568.50	$23,568.50	2026-03-04
33230	CPT	Insrt Pulse Gen W/dual Leads	2	1	—	—	$23,568.50	$23,568.50	$23,568.50	2026-03-04
33240	CPT	Insrt Pulse Gen W/singl Lead	2	1	—	—	$23,568.50	$23,568.50	$23,568.50	2026-03-04
6143	APR_DRG	—	4	2	—	—	$23,563.77	$23,563.77	$23,563.77	2026-03-04
6091	APR_DRG	—	4	2	—	—	$23,536.85	$23,536.85	$23,536.85	2026-03-04
1662	APR_DRG	—	4	2	—	—	$23,391.84	$23,391.84	$23,391.84	2026-03-04
0264	APR_DRG	—	4	2	—	—	$23,197.88	$23,197.88	$23,197.88	2026-03-04
3134	APR_DRG	—	4	2	—	—	$23,159.94	$23,159.94	$23,159.94	2026-03-04
0434	APR_DRG	—	4	2	—	—	$23,123.84	$23,123.84	$23,123.84	2026-03-04
6302	APR_DRG	—	4	2	—	—	$23,071.22	$23,071.22	$23,071.22	2026-03-04
3031	APR_DRG	—	4	2	—	—	$23,063.88	$23,063.88	$23,063.88	2026-03-04
1744	APR_DRG	—	4	2	—	—	$23,019.83	$23,019.83	$23,019.83	2026-03-04
6254	APR_DRG	—	4	2	—	—	$22,995.35	$22,995.35	$22,995.35	2026-03-04
2294	APR_DRG	—	4	2	—	—	$22,891.34	$22,891.34	$22,891.34	2026-03-04
8423	APR_DRG	—	4	2	—	—	$22,830.76	$22,830.76	$22,830.76	2026-03-04
2244	APR_DRG	—	4	2	—	—	$22,672.29	$22,672.29	$22,672.29	2026-03-04
0893	APR_DRG	—	4	2	—	—	$22,617.23	$22,617.23	$22,617.23	2026-03-04
1831	APR_DRG	—	4	2	—	—	$22,611.72	$22,611.72	$22,611.72	2026-03-04
1631	APR_DRG	—	4	2	—	—	$22,595.20	$22,595.20	$22,595.20	2026-03-04
2224	APR_DRG	—	4	2	—	—	$22,578.68	$22,578.68	$22,578.68	2026-03-04
64590	CPT	Ins/rpl Prph Sac/gstr Npg/r	2	1	—	—	$22,516.61	$22,516.61	$22,516.61	2026-03-04
61885	CPT	Insrt/redo Neurostim 1 Array	2	1	—	—	$22,516.61	$22,516.61	$22,516.61	2026-03-04
63655	CPT	Implant Neuroelectrodes	2	1	—	—	$22,516.61	$22,516.61	$22,516.61	2026-03-04
64580	CPT	Opn Impltj Nea Neuromuscular	2	1	—	—	$22,516.61	$22,516.61	$22,516.61	2026-03-04
2274	APR_DRG	—	4	2	—	—	$22,437.95	$22,437.95	$22,437.95	2026-03-04
1714	APR_DRG	—	4	2	—	—	$22,426.33	$22,426.33	$22,426.33	2026-03-04
3094	APR_DRG	—	4	2	—	—	$22,397.57	$22,397.57	$22,397.57	2026-03-04
1824	APR_DRG	—	4	2	—	—	$22,238.49	$22,238.49	$22,238.49	2026-03-04
1804	APR_DRG	—	4	2	—	—	$22,208.51	$22,208.51	$22,208.51	2026-03-04
5194	APR_DRG	—	4	2	—	—	$22,165.07	$22,165.07	$22,165.07	2026-03-04
3054	APR_DRG	—	4	2	—	—	$22,087.36	$22,087.36	$22,087.36	2026-03-04
0233	APR_DRG	—	4	2	—	—	$22,049.43	$22,049.43	$22,049.43	2026-03-04
9123	APR_DRG	—	4	2	—	—	$21,942.35	$21,942.35	$21,942.35	2026-03-04
4444	APR_DRG	—	4	2	—	—	$21,933.17	$21,933.17	$21,933.17	2026-03-04
5184	APR_DRG	—	4	2	—	—	$21,826.71	$21,826.71	$21,826.71	2026-03-04
2234	APR_DRG	—	4	2	—	—	$21,805.30	$21,805.30	$21,805.30	2026-03-04
3154	APR_DRG	—	4	2	—	—	$21,741.05	$21,741.05	$21,741.05	2026-03-04
4844	APR_DRG	—	4	2	—	—	$21,685.98	$21,685.98	$21,685.98	2026-03-04
5134	APR_DRG	—	4	2	—	—	$21,660.29	$21,660.29	$21,660.29	2026-03-04
0984	APR_DRG	—	4	2	—	—	$21,654.78	$21,654.78	$21,654.78	2026-03-04
3234	APR_DRG	—	4	2	—	—	$21,600.32	$21,600.32	$21,600.32	2026-03-04
9524	APR_DRG	—	4	2	—	—	$21,422.27	$21,422.27	$21,422.27	2026-03-04
0244	APR_DRG	—	4	2	—	—	$21,226.48	$21,226.48	$21,226.48	2026-03-04
3224	APR_DRG	—	4	2	—	—	$21,194.05	$21,194.05	$21,194.05	2026-03-04
54401	CPT	Insert Self-contd Prosthesis	2	1	—	—	$21,134.99	$21,134.99	$21,134.99	2026-03-04
54410	CPT	Remove/replace Penis Prosth	2	1	—	—	$21,134.99	$21,134.99	$21,134.99	2026-03-04
54405	CPT	Insert Multi-comp Penis Pros	2	1	—	—	$21,134.99	$21,134.99	$21,134.99	2026-03-04
53447	CPT	Remove/replace Ur Sphincter	2	1	—	—	$21,134.99	$21,134.99	$21,134.99	2026-03-04
54411	CPT	Remov/replc Penis Pros Comp	2	1	—	—	$21,134.99	$21,134.99	$21,134.99	2026-03-04
53444	CPT	Insert Tandem Cuff	2	1	—	—	$21,134.99	$21,134.99	$21,134.99	2026-03-04
53445	CPT	Insert Uro/ves Nck Sphincter	2	1	—	—	$21,134.99	$21,134.99	$21,134.99	2026-03-04
54416	CPT	Remv/repl Penis Contain Pros	2	1	—	—	$21,134.99	$21,134.99	$21,134.99	2026-03-04
1661	APR_DRG	—	4	2	—	—	$21,061.28	$21,061.28	$21,061.28	2026-03-04
6071	APR_DRG	—	4	2	—	—	$20,877.11	$20,877.11	$20,877.11	2026-03-04
7934	APR_DRG	—	4	2	—	—	$20,875.28	$20,875.28	$20,875.28	2026-03-04
3204	APR_DRG	—	4	2	—	—	$20,766.98	$20,766.98	$20,766.98	2026-03-04
3244	APR_DRG	—	4	2	—	—	$20,738.22	$20,738.22	$20,738.22	2026-03-04
1302	APR_DRG	—	4	2	—	—	$20,696.00	$20,696.00	$20,696.00	2026-03-04
9113	APR_DRG	—	4	2	—	—	$20,688.05	$20,688.05	$20,688.05	2026-03-04
0081	APR_DRG	—	4	2	—	—	$20,640.32	$20,640.32	$20,640.32	2026-03-04
6082	APR_DRG	—	4	2	—	—	$20,626.25	$20,626.25	$20,626.25	2026-03-04
0203	APR_DRG	—	4	2	—	—	$20,595.66	$20,595.66	$20,595.66	2026-03-04
3213	APR_DRG	—	4	2	—	—	$20,343.57	$20,343.57	$20,343.57	2026-03-04
1774	APR_DRG	—	4	2	—	—	$20,093.32	$20,093.32	$20,093.32	2026-03-04
0504	APR_DRG	—	4	2	—	—	$20,079.86	$20,079.86	$20,079.86	2026-03-04
3104	APR_DRG	—	4	2	—	—	$20,034.59	$20,034.59	$20,034.59	2026-03-04
4434	APR_DRG	—	4	2	—	—	$20,026.02	$20,026.02	$20,026.02	2026-03-04
33274	CPT	Tcat Insj/rpl Perm Ldls Pm	2	1	—	—	$20,024.72	$20,024.72	$20,024.72	2026-03-04
33229	CPT	Remv&replc Pm Gen Mult Leads	2	1	—	—	$20,024.72	$20,024.72	$20,024.72	2026-03-04
33221	CPT	Insert Pulse Gen Mult Leads	2	1	—	—	$20,024.72	$20,024.72	$20,024.72	2026-03-04
5144	APR_DRG	—	4	2	—	—	$19,959.33	$19,959.33	$19,959.33	2026-03-04
3042	APR_DRG	—	4	2	—	—	$19,921.39	$19,921.39	$19,921.39	2026-03-04
6803	APR_DRG	—	4	2	—	—	$19,903.04	$19,903.04	$19,903.04	2026-03-04
1791	APR_DRG	—	4	2	—	—	$19,885.29	$19,885.29	$19,885.29	2026-03-04
0734	APR_DRG	—	4	2	—	—	$19,696.23	$19,696.23	$19,696.23	2026-03-04
4413	APR_DRG	—	4	2	—	—	$19,691.34	$19,691.34	$19,691.34	2026-03-04
2324	APR_DRG	—	4	2	—	—	$19,663.80	$19,663.80	$19,663.80	2026-03-04
6122	APR_DRG	—	4	2	—	—	$19,643.61	$19,643.61	$19,643.61	2026-03-04
1203	APR_DRG	—	4	2	—	—	$19,587.32	$19,587.32	$19,587.32	2026-03-04
0273	APR_DRG	—	4	2	—	—	$19,489.42	$19,489.42	$19,489.42	2026-03-04
1692	APR_DRG	—	4	2	—	—	$19,452.71	$19,452.71	$19,452.71	2026-03-04
0303	APR_DRG	—	4	2	—	—	$19,402.54	$19,402.54	$19,402.54	2026-03-04
4834	APR_DRG	—	4	2	—	—	$19,401.93	$19,401.93	$19,401.93	2026-03-04

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