Hospital

SHORE MEDICAL CENTER

Somers Point, NJ · CCN 310047 · Rates published

37,359 distinct procedures filed

9 distinct payers

648,356 rate rows

2025-08-30 last MRF observed

Data quality

524,334 of 648,356 rate rows are consumer-grade (80.9%)

124,022 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	103,056
per-diem day rate — not a per-procedure price	14,584
placeholder amount (≤ $0.02) — excluded from medians	3,834
exceeds 10× this hospital's gross charge — excluded from medians	1,106
template filing: same amount across many unrelated codes — excluded	796
percent-of-charges filed in the dollar field — excluded from medians	646

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

Source MRF file	https://shoremedical.pt.panaceainc.com/MRFDownload/shoremedical/shoremedicalcenter
Found on page	https://www.shoremedicalcenter.org/patients_visitors/patients/insurance
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	e2f7e2bd04aa54d2… · 147,504,739 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
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	6	$3,486,000.00	$4,054,584.80	$4,054,584.80	nat. median $3,710,000 1.1× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	7	$3,654,350.00	$4,027,554.24	$4,027,554.24	nat. median $3,710,000 1.1× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$3,322,473.30	$3,631,064.62	$3,631,064.62	nat. median $3,325,455 1.1× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	6	$3,087,600.00	$3,952,500.00	$3,591,203.68	nat. median $3,286,000 1.1× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	6	$2,788,800.00	$3,570,000.00	$3,222,043.38	nat. median $3,006,423 1.1× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	6	$2,272,602.41	$2,648,191.66	$2,648,191.66	nat. median $2,469,189 1.1× median
J3392 HCPCS	Inj, Exagamglogene Autotem	6	$2,191,200.00	$2,548,596.16	$2,548,596.16	nat. median $2,448,600 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	6	$724,092.00	$4,126,756.41	$842,195.19	nat. median $824,563 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$518,240.68	$3,099,384.17	$632,527.38	nat. median $754,974 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$507,495.55	$2,962,283.56	$604,547.66	nat. median $675,122 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$484,690.30	$2,825,477.37	$576,628.03	nat. median $625,184 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$474,060.62	$2,765,606.30	$564,409.45	nat. median $674,188 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$459,381.45	$2,692,768.43	$549,544.58	nat. median $634,511 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$449,440.00	$2,620,787.31	$534,854.55	nat. median $620,080 0.9× median
5834 APR_DRG		5	$495,014.71	$668,269.86	$495,014.71	nat. median $309,665 1.6× median
5833 APR_DRG		5	$431,094.09	$581,977.02	$431,094.09	nat. median $244,017 1.8× median
5884 APR_DRG		5	$369,217.14	$498,443.14	$369,217.14	nat. median $246,434 1.5× median
1614 APR_DRG		5	$340,550.34	$459,742.96	$340,550.34	nat. median $207,730 1.6× median
0024 APR_DRG		5	$329,919.01	$445,390.66	$329,919.01	nat. median $372,987 0.9× median
C9301 HCPCS	Obecabtagene Car Pos T	6	$278,250.00	$1,490,059.91	$304,093.86	nat. median $459,112 0.7× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	$299,851.74	$899,555.22	$299,851.74	nat. median $370,174 0.8× median
5832 APR_DRG		5	$270,521.93	$365,204.61	$270,521.93	nat. median $156,126 1.7× median
1613 APR_DRG		5	$258,058.12	$348,378.46	$258,058.12	nat. median $119,796 outlier · 2.2×
0114 APR_DRG		5	$256,276.94	$345,973.87	$256,276.94	nat. median $197,700 1.3× median
6304 APR_DRG		5	$250,956.32	$338,791.03	$250,956.32	nat. median $150,721 1.7× median
8414 APR_DRG		5	$244,588.92	$330,195.04	$244,588.92	nat. median $160,267 1.5× median
5934 APR_DRG		5	$242,719.33	$327,671.10	$242,719.33	nat. median $151,838 1.6× median
5914 APR_DRG		5	$240,297.85	$324,402.10	$240,297.85	nat. median $164,279 1.5× median
5883 APR_DRG		5	$236,805.42	$319,687.32	$236,805.42	nat. median $182,736 1.3× median
6314 APR_DRG		5	$236,068.15	$318,692.00	$236,068.15	nat. median $122,924 1.9× median
6094 APR_DRG		5	$233,368.58	$315,047.58	$233,368.58	nat. median $162,982 1.4× median
5882 APR_DRG		5	$230,507.95	$311,185.73	$230,507.95	nat. median $145,336 1.6× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	7	$171,360.38	$672,071.25	$224,023.75	nat. median $265,286 0.8× median
0094 APR_DRG		5	$219,820.95	$296,758.28	$219,820.95	nat. median $166,008 1.3× median
5831 APR_DRG		5	$219,072.29	$295,747.59	$219,072.29	nat. median $145,122 1.5× median
0044 APR_DRG		5	$215,755.28	$291,269.63	$215,755.28	nat. median $195,681 1.1× median
0074 APR_DRG		5	$213,590.53	$288,347.22	$213,590.53	nat. median $178,275 1.2× median
0023 APR_DRG		5	$208,807.45	$281,890.06	$208,807.45	nat. median $167,082 1.2× median
0014 APR_DRG		5	$207,067.67	$279,541.35	$207,067.67	nat. median $190,591 1.1× median
1612 APR_DRG		5	$206,947.84	$279,379.58	$206,947.84	nat. median $85,406 outlier · 2.4×
1611 APR_DRG		5	$196,837.06	$265,730.03	$196,837.06	nat. median $76,806 outlier · 2.6×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	7	$104,247.61	$566,117.04	$188,705.68	nat. median $206,368 0.9× median
6034 APR_DRG		5	$182,074.40	$245,800.44	$182,074.40	nat. median $109,499 1.7× median
6024 APR_DRG		5	$175,142.33	$236,442.15	$175,142.33	nat. median $118,620 1.5× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	7	$115,279.43	$511,508.49	$170,502.83	nat. median $202,986 0.8× median
0064 APR_DRG		5	$164,984.45	$222,729.01	$164,984.45	nat. median $98,565 1.7× median
5933 APR_DRG		5	$163,487.05	$220,707.52	$163,487.05	nat. median $108,996 1.5× median
5913 APR_DRG		5	$157,323.59	$212,386.85	$157,323.59	nat. median $102,636 1.5× median
1604 APR_DRG		5	$155,281.48	$209,630.00	$155,281.48	nat. median $97,957 1.6× median
5881 APR_DRG		5	$153,313.50	$206,973.23	$153,313.50	nat. median $124,573 1.2× median

Other procedures at this hospital

Browse this hospital's 37,359 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

J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	20	7	—	$4,631,687.37	$3,654,350.00	$4,027,554.24	$4,027,554.24	2025-08-30
J1413	HCPCS	Inj Delandistrogene Mox Rokl	20	7	—	$4,175,724.31	$3,322,473.30	$3,631,064.62	$3,631,064.62	2025-08-30
Q2042	HCPCS	Tisagenlecleucel Car-pos T	32	7	—	$727,406.49	$518,240.68	$3,099,384.17	$632,527.38	2025-08-30
Q2056	HCPCS	Ciltacabtagene Car-pos T	32	7	—	$695,229.81	$507,495.55	$2,962,283.56	$604,547.66	2025-08-30
Q2055	HCPCS	Idecabtagene Vicleucel Car	32	7	—	$663,122.24	$484,690.30	$2,825,477.37	$576,628.03	2025-08-30
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	32	7	—	$649,070.87	$474,060.62	$2,765,606.30	$564,409.45	2025-08-30
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	32	7	—	$631,976.26	$459,381.45	$2,692,768.43	$549,544.58	2025-08-30
Q2053	HCPCS	Brexucabtagene Car Pos T	32	7	—	$615,082.74	$449,440.00	$2,620,787.31	$534,854.55	2025-08-30
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	7	—	—	$299,851.74	$899,555.22	$299,851.74	2025-08-30
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	7	—	—	$171,360.38	$672,071.25	$224,023.75	2025-08-30
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	30	7	—	—	$104,247.61	$566,117.04	$188,705.68	2025-08-30
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	30	7	—	—	$115,279.43	$511,508.49	$170,502.83	2025-08-30
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	30	7	—	—	$71,463.60	$337,481.88	$112,493.96	2025-08-30
14	MS_DRG	Allogeneic Bone Marrow Transplant	30	7	—	—	$75,687.77	$312,975.72	$104,325.24	2025-08-30
7	MS_DRG	Lung Transplant	30	7	—	—	$63,334.51	$312,189.18	$104,063.06	2025-08-30
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	7	—	—	$87,783.62	$263,350.86	$87,783.62	2025-08-30
212	MS_DRG	Concomitant Aortic And Mitral Valve?procedures	28	7	—	—	$86,784.18	$260,352.54	$86,784.18	2025-08-30
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	30	7	—	—	$70,030.51	$254,525.10	$84,841.70	2025-08-30
215	MS_DRG	Other Heart Assist System Implant	30	7	—	—	$84,407.93	$253,223.79	$84,407.93	2025-08-30
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	30	7	—	—	$61,790.44	$230,731.59	$76,910.53	2025-08-30
J9029	HCPCS	Instill Adstiladrin, Tx Dose	32	7	—	$79,475.27	$63,235.61	$338,633.77	$69,108.93	2025-08-30
231	MS_DRG	Coronary Bypass With Ptca With Mcc	30	7	—	—	$50,961.67	$202,674.15	$67,558.05	2025-08-30
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	7	—	—	$61,411.11	$202,562.13	$67,520.71	2025-08-30
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	30	7	—	—	$63,702.74	$192,835.47	$64,278.49	2025-08-30
A9543	HCPCS	Y90 Ibritumomab, Rx	32	7	—	$71,417.78	$56,824.55	$304,301.83	$63,789.50	2025-08-30
10	MS_DRG	Pancreas Transplant	30	7	—	—	$28,099.56	$190,735.68	$63,578.56	2025-08-30
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	28	7	—	—	$63,215.49	$189,646.47	$63,215.49	2025-08-30
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	30	7	—	—	$48,040.00	$187,003.29	$62,334.43	2025-08-30
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	30	7	—	—	$49,351.65	$185,122.77	$61,707.59	2025-08-30
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	30	7	—	—	$42,766.64	$178,608.93	$59,536.31	2025-08-30
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	28	7	—	—	$56,380.68	$169,142.04	$56,380.68	2025-08-30
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	30	7	—	—	$38,377.94	$166,508.40	$55,502.80	2025-08-30
955	MS_DRG	Craniotomy For Multiple Significant Trauma	30	7	—	—	$37,066.30	$163,452.87	$54,484.29	2025-08-30
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	30	7	—	—	$37,475.00	$159,892.05	$53,297.35	2025-08-30
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	30	7	—	—	$41,005.81	$159,622.74	$53,207.58	2025-08-30
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	30	7	—	—	$34,928.10	$154,846.41	$51,615.47	2025-08-30
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	30	7	—	—	$40,854.99	$154,624.74	$51,541.58	2025-08-30
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	30	7	—	—	$32,834.29	$151,440.51	$50,480.17	2025-08-30
276	MS_DRG	Cardiac Defibrillator Implant With Mcc	28	7	—	—	$49,448.16	$148,344.48	$49,448.16	2025-08-30
J9226	HCPCS	Supprelin La Implant	32	7	—	$56,823.03	$44,578.75	$242,115.54	$49,411.33	2025-08-30
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	30	7	—	—	$25,547.43	$147,481.68	$49,160.56	2025-08-30
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	22	6	—	$4,662,772.52	$3,486,000.00	$4,054,584.80	$4,054,584.80	2025-08-30
J3394	HCPCS	Inj, Lovotibeglogene Autotem	24	6	—	$4,129,884.23	$3,087,600.00	$3,952,500.00	$3,591,203.68	2025-08-30
J3393	HCPCS	Inj, Betibeglogene Autotemce	24	6	—	$3,705,349.89	$2,788,800.00	$3,570,000.00	$3,222,043.38	2025-08-30
J3399	HCPCS	Inj Onase Abepar-xioi Treat	16	6	—	$3,045,420.41	$2,272,602.41	$2,648,191.66	$2,648,191.66	2025-08-30
J3392	HCPCS	Inj, Exagamglogene Autotem	22	6	—	$2,930,885.58	$2,191,200.00	$2,548,596.16	$2,548,596.16	2025-08-30
Q2057	HCPCS	Afamitresgene Autoleucel	26	6	—	$968,524.46	$724,092.00	$4,126,756.41	$842,195.19	2025-08-30
C9301	HCPCS	Obecabtagene Car Pos T	26	6	—	$349,707.94	$278,250.00	$1,490,059.91	$304,093.86	2025-08-30
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	26	6	—	—	$83,459.33	$250,377.99	$83,459.33	2025-08-30
850	MS_DRG	Acute Leukemia With Other Procedures	26	6	—	—	$73,421.23	$220,263.69	$73,421.23	2025-08-30
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	26	6	—	—	$66,499.03	$199,497.09	$66,499.03	2025-08-30
38240	HCPCS	Transplt Allo Hct/donor	26	6	—	$74,330.79	$58,139.17	$316,713.80	$64,635.47	2025-08-30
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	26	6	—	—	$56,664.31	$169,992.93	$56,664.31	2025-08-30
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	26	6	—	—	$53,502.33	$160,506.99	$53,502.33	2025-08-30
33276	HCPCS	Insj Phrnc Nrv Stim Sys	26	6	—	$56,557.17	$49,180.15	$240,982.72	$50,249.36	2025-08-30
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	26	6	—	—	$49,384.60	$148,153.80	$49,384.60	2025-08-30
5834	APR_DRG	—	10	5	—	—	$495,014.71	$668,269.86	$495,014.71	2025-08-30
5833	APR_DRG	—	10	5	—	—	$431,094.09	$581,977.02	$431,094.09	2025-08-30
5884	APR_DRG	—	10	5	—	—	$369,217.14	$498,443.14	$369,217.14	2025-08-30
1614	APR_DRG	—	10	5	—	—	$340,550.34	$459,742.96	$340,550.34	2025-08-30
0024	APR_DRG	—	10	5	—	—	$329,919.01	$445,390.66	$329,919.01	2025-08-30
5832	APR_DRG	—	10	5	—	—	$270,521.93	$365,204.61	$270,521.93	2025-08-30
1613	APR_DRG	—	10	5	—	—	$258,058.12	$348,378.46	$258,058.12	2025-08-30
0114	APR_DRG	—	10	5	—	—	$256,276.94	$345,973.87	$256,276.94	2025-08-30
6304	APR_DRG	—	10	5	—	—	$250,956.32	$338,791.03	$250,956.32	2025-08-30
8414	APR_DRG	—	10	5	—	—	$244,588.92	$330,195.04	$244,588.92	2025-08-30
5934	APR_DRG	—	10	5	—	—	$242,719.33	$327,671.10	$242,719.33	2025-08-30
5914	APR_DRG	—	10	5	—	—	$240,297.85	$324,402.10	$240,297.85	2025-08-30
5883	APR_DRG	—	10	5	—	—	$236,805.42	$319,687.32	$236,805.42	2025-08-30
6314	APR_DRG	—	10	5	—	—	$236,068.15	$318,692.00	$236,068.15	2025-08-30
6094	APR_DRG	—	10	5	—	—	$233,368.58	$315,047.58	$233,368.58	2025-08-30
5882	APR_DRG	—	10	5	—	—	$230,507.95	$311,185.73	$230,507.95	2025-08-30
0094	APR_DRG	—	10	5	—	—	$219,820.95	$296,758.28	$219,820.95	2025-08-30
5831	APR_DRG	—	10	5	—	—	$219,072.29	$295,747.59	$219,072.29	2025-08-30
0044	APR_DRG	—	10	5	—	—	$215,755.28	$291,269.63	$215,755.28	2025-08-30
0074	APR_DRG	—	10	5	—	—	$213,590.53	$288,347.22	$213,590.53	2025-08-30
0023	APR_DRG	—	10	5	—	—	$208,807.45	$281,890.06	$208,807.45	2025-08-30
0014	APR_DRG	—	10	5	—	—	$207,067.67	$279,541.35	$207,067.67	2025-08-30
1612	APR_DRG	—	10	5	—	—	$206,947.84	$279,379.58	$206,947.84	2025-08-30
1611	APR_DRG	—	10	5	—	—	$196,837.06	$265,730.03	$196,837.06	2025-08-30
6034	APR_DRG	—	10	5	—	—	$182,074.40	$245,800.44	$182,074.40	2025-08-30
6024	APR_DRG	—	10	5	—	—	$175,142.33	$236,442.15	$175,142.33	2025-08-30
0064	APR_DRG	—	10	5	—	—	$164,984.45	$222,729.01	$164,984.45	2025-08-30
5933	APR_DRG	—	10	5	—	—	$163,487.05	$220,707.52	$163,487.05	2025-08-30
5913	APR_DRG	—	10	5	—	—	$157,323.59	$212,386.85	$157,323.59	2025-08-30
1604	APR_DRG	—	10	5	—	—	$155,281.48	$209,630.00	$155,281.48	2025-08-30
5881	APR_DRG	—	10	5	—	—	$153,313.50	$206,973.23	$153,313.50	2025-08-30
0022	APR_DRG	—	10	5	—	—	$150,284.55	$202,884.14	$150,284.55	2025-08-30
0054	APR_DRG	—	10	5	—	—	$148,139.76	$199,988.68	$148,139.76	2025-08-30
0043	APR_DRG	—	10	5	—	—	$142,600.93	$192,511.26	$142,600.93	2025-08-30
0113	APR_DRG	—	10	5	—	—	$137,705.20	$185,902.02	$137,705.20	2025-08-30
6074	APR_DRG	—	10	5	—	—	$136,148.00	$183,799.80	$136,148.00	2025-08-30
6303	APR_DRG	—	10	5	—	—	$135,942.58	$183,522.48	$135,942.58	2025-08-30
3034	APR_DRG	—	10	5	—	—	$134,884.49	$182,094.06	$134,884.49	2025-08-30
8424	APR_DRG	—	10	5	—	—	$133,505.43	$180,232.33	$133,505.43	2025-08-30
1624	APR_DRG	—	10	5	—	—	$132,793.88	$179,271.74	$132,793.88	2025-08-30
6023	APR_DRG	—	10	5	—	—	$132,307.56	$178,615.21	$132,307.56	2025-08-30
0063	APR_DRG	—	10	5	—	—	$130,616.27	$176,331.96	$130,616.27	2025-08-30
5932	APR_DRG	—	10	5	—	—	$127,115.26	$171,605.60	$127,115.26	2025-08-30
4404	APR_DRG	—	10	5	—	—	$125,171.54	$168,981.58	$125,171.54	2025-08-30
0021	APR_DRG	—	10	5	—	—	$123,548.69	$166,790.73	$123,548.69	2025-08-30
0073	APR_DRG	—	10	5	—	—	$122,436.34	$165,289.06	$122,436.34	2025-08-30
0013	APR_DRG	—	10	5	—	—	$117,820.18	$159,057.24	$117,820.18	2025-08-30
8514	APR_DRG	—	10	5	—	—	$117,533.52	$158,670.25	$117,533.52	2025-08-30
1634	APR_DRG	—	10	5	—	—	$112,354.09	$151,678.02	$112,354.09	2025-08-30
8634	APR_DRG	—	10	5	—	—	$108,449.48	$146,406.80	$108,449.48	2025-08-30
1784	APR_DRG	—	10	5	—	—	$107,954.66	$145,738.79	$107,954.66	2025-08-30
0062	APR_DRG	—	10	5	—	—	$107,291.52	$144,843.55	$107,291.52	2025-08-30
0053	APR_DRG	—	10	5	—	—	$104,901.47	$141,616.98	$104,901.47	2025-08-30
1654	APR_DRG	—	10	5	—	—	$104,068.61	$140,492.62	$104,068.61	2025-08-30
1674	APR_DRG	—	10	5	—	—	$103,876.12	$140,232.76	$103,876.12	2025-08-30
0084	APR_DRG	—	10	5	—	—	$103,677.87	$139,965.12	$103,677.87	2025-08-30
6114	APR_DRG	—	10	5	—	—	$103,259.99	$139,400.99	$103,259.99	2025-08-30
6022	APR_DRG	—	10	5	—	—	$102,642.54	$138,567.43	$102,642.54	2025-08-30
6073	APR_DRG	—	10	5	—	—	$102,452.86	$138,311.36	$102,452.86	2025-08-30
6093	APR_DRG	—	10	5	—	—	$101,788.32	$137,414.23	$101,788.32	2025-08-30
0093	APR_DRG	—	10	5	—	—	$99,545.14	$134,385.94	$99,545.14	2025-08-30
6124	APR_DRG	—	10	5	—	—	$99,252.79	$133,991.27	$99,252.79	2025-08-30
0112	APR_DRG	—	10	5	—	—	$98,362.94	$132,789.97	$98,362.94	2025-08-30
0012	APR_DRG	—	10	5	—	—	$98,300.18	$132,705.24	$98,300.18	2025-08-30
3044	APR_DRG	—	10	5	—	—	$97,972.20	$132,262.47	$97,972.20	2025-08-30
1834	APR_DRG	—	10	5	—	—	$96,511.91	$130,291.08	$96,511.91	2025-08-30
0072	APR_DRG	—	10	5	—	—	$96,441.98	$130,196.67	$96,441.98	2025-08-30
5912	APR_DRG	—	10	5	—	—	$92,995.23	$125,543.56	$92,995.23	2025-08-30
0042	APR_DRG	—	10	5	—	—	$92,841.18	$125,335.59	$92,841.18	2025-08-30
1794	APR_DRG	—	10	5	—	—	$92,484.66	$124,854.29	$92,484.66	2025-08-30
9104	APR_DRG	—	10	5	—	—	$92,346.36	$124,667.59	$92,346.36	2025-08-30
3033	APR_DRG	—	10	5	—	—	$92,219.44	$124,496.24	$92,219.44	2025-08-30
1664	APR_DRG	—	10	5	—	—	$91,609.08	$123,672.26	$91,609.08	2025-08-30
6804	APR_DRG	—	10	5	—	—	$90,381.19	$122,014.61	$90,381.19	2025-08-30
1623	APR_DRG	—	10	5	—	—	$89,941.96	$121,421.65	$89,941.96	2025-08-30
0914	APR_DRG	—	10	5	—	—	$89,343.06	$120,613.13	$89,343.06	2025-08-30
0061	APR_DRG	—	10	5	—	—	$89,127.73	$120,322.44	$89,127.73	2025-08-30
6033	APR_DRG	—	10	5	—	—	$87,918.40	$118,689.84	$87,918.40	2025-08-30
5891	APR_DRG	—	10	5	—	—	$87,848.55	$118,595.54	$87,848.55	2025-08-30
0011	APR_DRG	—	10	5	—	—	$87,614.66	$118,279.79	$87,614.66	2025-08-30
8504	APR_DRG	—	10	5	—	—	$86,255.64	$116,445.11	$86,255.64	2025-08-30
6134	APR_DRG	—	10	5	—	—	$84,127.93	$113,572.71	$84,127.93	2025-08-30
1783	APR_DRG	—	10	5	—	—	$82,720.41	$111,672.55	$82,720.41	2025-08-30
9124	APR_DRG	—	10	5	—	—	$82,393.83	$111,231.67	$82,393.83	2025-08-30
9114	APR_DRG	—	10	5	—	—	$82,295.45	$111,098.86	$82,295.45	2025-08-30
1694	APR_DRG	—	10	5	—	—	$82,112.86	$110,852.36	$82,112.86	2025-08-30
6214	APR_DRG	—	10	5	—	—	$80,652.57	$108,880.97	$80,652.57	2025-08-30
8413	APR_DRG	—	10	5	—	—	$80,401.61	$108,542.17	$80,401.61	2025-08-30
0214	APR_DRG	—	10	5	—	—	$80,383.06	$108,517.13	$80,383.06	2025-08-30
0234	APR_DRG	—	10	5	—	—	$79,948.11	$107,929.95	$79,948.11	2025-08-30
1204	APR_DRG	—	10	5	—	—	$78,845.74	$106,441.75	$78,845.74	2025-08-30
4403	APR_DRG	—	10	5	—	—	$78,216.91	$105,592.83	$78,216.91	2025-08-30
6814	APR_DRG	—	10	5	—	—	$77,451.09	$104,558.97	$77,451.09	2025-08-30
2204	APR_DRG	—	10	5	—	—	$77,426.85	$104,526.25	$77,426.85	2025-08-30
6313	APR_DRG	—	10	5	—	—	$77,418.27	$104,514.66	$77,418.27	2025-08-30
6904	APR_DRG	—	10	5	—	—	$76,860.69	$103,761.93	$76,860.69	2025-08-30
2604	APR_DRG	—	10	5	—	—	$76,846.43	$103,742.68	$76,846.43	2025-08-30
0071	APR_DRG	—	10	5	—	—	$76,062.06	$102,683.78	$76,062.06	2025-08-30
6334	APR_DRG	—	10	5	—	—	$75,896.70	$102,460.55	$75,896.70	2025-08-30
0894	APR_DRG	—	10	5	—	—	$75,799.72	$102,329.62	$75,799.72	2025-08-30
3124	APR_DRG	—	10	5	—	—	$75,565.84	$102,013.88	$75,565.84	2025-08-30
9504	APR_DRG	—	10	5	—	—	$75,515.94	$101,946.52	$75,515.94	2025-08-30
0204	APR_DRG	—	10	5	—	—	$75,504.48	$101,931.05	$75,504.48	2025-08-30
1653	APR_DRG	—	10	5	—	—	$74,691.66	$100,833.74	$74,691.66	2025-08-30
3614	APR_DRG	—	10	5	—	—	$74,573.31	$100,673.97	$74,573.31	2025-08-30
6072	APR_DRG	—	10	5	—	—	$74,537.61	$100,625.77	$74,537.61	2025-08-30
4414	APR_DRG	—	10	5	—	—	$74,356.50	$100,381.28	$74,356.50	2025-08-30
6084	APR_DRG	—	10	5	—	—	$74,355.10	$100,379.39	$74,355.10	2025-08-30
1633	APR_DRG	—	10	5	—	—	$74,012.85	$99,917.35	$74,012.85	2025-08-30
1304	APR_DRG	—	10	5	—	—	$73,539.39	$99,278.18	$73,539.39	2025-08-30
1782	APR_DRG	—	10	5	—	—	$73,419.57	$99,116.42	$73,419.57	2025-08-30
1603	APR_DRG	—	10	5	—	—	$73,345.42	$99,016.32	$73,345.42	2025-08-30
6083	APR_DRG	—	10	5	—	—	$72,696.55	$98,140.34	$72,696.55	2025-08-30
0274	APR_DRG	—	10	5	—	—	$71,264.80	$96,207.48	$71,264.80	2025-08-30
6144	APR_DRG	—	10	5	—	—	$70,454.78	$95,113.95	$70,454.78	2025-08-30
1622	APR_DRG	—	10	5	—	—	$70,272.27	$94,867.56	$70,272.27	2025-08-30
2614	APR_DRG	—	10	5	—	—	$69,914.35	$94,384.37	$69,914.35	2025-08-30
0052	APR_DRG	—	10	5	—	—	$69,586.29	$93,941.49	$69,586.29	2025-08-30
1814	APR_DRG	—	10	5	—	—	$69,285.44	$93,535.34	$69,285.44	2025-08-30
7404	APR_DRG	—	10	5	—	—	$69,147.06	$93,348.53	$69,147.06	2025-08-30
4402	APR_DRG	—	10	5	—	—	$68,769.18	$92,838.39	$68,769.18	2025-08-30
1764	APR_DRG	—	10	5	—	—	$68,563.83	$92,561.17	$68,563.83	2025-08-30
4014	APR_DRG	—	10	5	—	—	$68,335.64	$92,253.11	$68,335.64	2025-08-30
5104	APR_DRG	—	10	5	—	—	$67,256.11	$90,795.75	$67,256.11	2025-08-30
0041	APR_DRG	—	10	5	—	—	$67,197.64	$90,716.81	$67,197.64	2025-08-30
1781	APR_DRG	—	10	5	—	—	$67,120.69	$90,612.93	$67,120.69	2025-08-30
3032	APR_DRG	—	10	5	—	—	$66,919.55	$90,341.39	$66,919.55	2025-08-30
6302	APR_DRG	—	10	5	—	—	$66,324.94	$89,538.67	$66,324.94	2025-08-30
6954	APR_DRG	—	10	5	—	—	$66,109.61	$89,247.97	$66,109.61	2025-08-30
7924	APR_DRG	—	10	5	—	—	$65,774.46	$88,795.52	$65,774.46	2025-08-30
2304	APR_DRG	—	10	5	—	—	$65,148.43	$87,950.38	$65,148.43	2025-08-30
3214	APR_DRG	—	10	5	—	—	$64,733.44	$87,390.14	$64,733.44	2025-08-30
1793	APR_DRG	—	10	5	—	—	$64,549.45	$87,141.76	$64,549.45	2025-08-30
5114	APR_DRG	—	10	5	—	—	$64,483.89	$87,053.25	$64,483.89	2025-08-30
1833	APR_DRG	—	10	5	—	—	$64,465.33	$87,028.20	$64,465.33	2025-08-30
0924	APR_DRG	—	10	5	—	—	$64,282.75	$86,781.71	$64,282.75	2025-08-30
5892	APR_DRG	—	10	5	—	—	$63,979.01	$86,371.66	$63,979.01	2025-08-30
3043	APR_DRG	—	10	5	—	—	$63,743.72	$86,054.02	$63,743.72	2025-08-30
1214	APR_DRG	—	10	5	—	—	$63,196.12	$85,314.76	$63,196.12	2025-08-30
2324	APR_DRG	—	10	5	—	—	$62,859.56	$84,860.41	$62,859.56	2025-08-30
1673	APR_DRG	—	10	5	—	—	$62,841.01	$84,835.36	$62,841.01	2025-08-30
6123	APR_DRG	—	10	5	—	—	$62,421.73	$84,269.34	$62,421.73	2025-08-30
1663	APR_DRG	—	10	5	—	—	$62,294.81	$84,097.99	$62,294.81	2025-08-30
0083	APR_DRG	—	10	5	—	—	$62,132.26	$83,878.55	$62,132.26	2025-08-30
1652	APR_DRG	—	10	5	—	—	$62,127.98	$83,872.77	$62,127.98	2025-08-30
6113	APR_DRG	—	10	5	—	—	$61,952.56	$83,635.96	$61,952.56	2025-08-30
4401	APR_DRG	—	10	5	—	—	$61,661.69	$83,243.28	$61,661.69	2025-08-30
0304	APR_DRG	—	10	5	—	—	$61,601.82	$83,162.46	$61,601.82	2025-08-30
1704	APR_DRG	—	10	5	—	—	$61,231.03	$82,661.89	$61,231.03	2025-08-30
3254	APR_DRG	—	10	5	—	—	$61,061.31	$82,432.77	$61,061.31	2025-08-30
1621	APR_DRG	—	10	5	—	—	$61,021.40	$82,378.89	$61,021.40	2025-08-30
2644	APR_DRG	—	10	5	—	—	$60,663.40	$81,895.59	$60,663.40	2025-08-30
6133	APR_DRG	—	10	5	—	—	$60,359.66	$81,485.54	$60,359.66	2025-08-30
4054	APR_DRG	—	10	5	—	—	$60,018.81	$81,025.39	$60,018.81	2025-08-30
4044	APR_DRG	—	10	5	—	—	$59,797.79	$80,727.02	$59,797.79	2025-08-30
7104	APR_DRG	—	10	5	—	—	$59,712.27	$80,611.56	$59,712.27	2025-08-30
5124	APR_DRG	—	10	5	—	—	$59,685.14	$80,574.94	$59,685.14	2025-08-30
6514	APR_DRG	—	10	5	—	—	$59,521.11	$80,353.50	$59,521.11	2025-08-30
1824	APR_DRG	—	10	5	—	—	$59,267.35	$80,010.92	$59,267.35	2025-08-30
1754	APR_DRG	—	10	5	—	—	$59,022.00	$79,679.70	$59,022.00	2025-08-30
1632	APR_DRG	—	10	5	—	—	$59,020.60	$79,677.81	$59,020.60	2025-08-30
0051	APR_DRG	—	10	5	—	—	$58,732.53	$79,288.92	$58,732.53	2025-08-30
4034	APR_DRG	—	10	5	—	—	$58,467.31	$78,930.87	$58,467.31	2025-08-30
0264	APR_DRG	—	10	5	—	—	$58,313.26	$78,722.90	$58,313.26	2025-08-30
0092	APR_DRG	—	10	5	—	—	$58,119.29	$78,461.04	$58,119.29	2025-08-30
2314	APR_DRG	—	10	5	—	—	$57,969.60	$78,258.96	$57,969.60	2025-08-30
6092	APR_DRG	—	10	5	—	—	$57,835.51	$78,077.94	$57,835.51	2025-08-30
8633	APR_DRG	—	10	5	—	—	$57,757.08	$77,972.06	$57,757.08	2025-08-30
9103	APR_DRG	—	10	5	—	—	$57,578.86	$77,731.46	$57,578.86	2025-08-30
6504	APR_DRG	—	10	5	—	—	$57,409.14	$77,502.34	$57,409.14	2025-08-30
4474	APR_DRG	—	10	5	—	—	$57,206.68	$77,229.02	$57,206.68	2025-08-30
5144	APR_DRG	—	10	5	—	—	$57,176.66	$77,188.49	$57,176.66	2025-08-30
4424	APR_DRG	—	10	5	—	—	$56,969.91	$76,909.38	$56,969.91	2025-08-30
0224	APR_DRG	—	10	5	—	—	$56,567.78	$76,366.50	$56,567.78	2025-08-30
1303	APR_DRG	—	10	5	—	—	$56,254.07	$75,942.99	$56,254.07	2025-08-30
3031	APR_DRG	—	10	5	—	—	$56,225.53	$75,904.47	$56,225.53	2025-08-30
0244	APR_DRG	—	10	5	—	—	$55,926.01	$75,500.11	$55,926.01	2025-08-30
3094	APR_DRG	—	10	5	—	—	$55,903.24	$75,469.37	$55,903.24	2025-08-30
0913	APR_DRG	—	10	5	—	—	$55,723.54	$75,226.78	$55,723.54	2025-08-30
6224	APR_DRG	—	10	5	—	—	$55,586.64	$75,041.96	$55,586.64	2025-08-30
1832	APR_DRG	—	10	5	—	—	$55,551.01	$74,993.86	$55,551.01	2025-08-30
0294	APR_DRG	—	10	5	—	—	$55,502.52	$74,928.40	$55,502.52	2025-08-30
3134	APR_DRG	—	10	5	—	—	$55,462.53	$74,874.42	$55,462.53	2025-08-30
2294	APR_DRG	—	10	5	—	—	$55,264.35	$74,606.87	$55,264.35	2025-08-30
9514	APR_DRG	—	10	5	—	—	$55,245.80	$74,581.83	$55,245.80	2025-08-30
0091	APR_DRG	—	10	5	—	—	$55,212.97	$74,537.51	$55,212.97	2025-08-30
4804	APR_DRG	—	10	5	—	—	$54,930.68	$74,156.42	$54,930.68	2025-08-30
6143	APR_DRG	—	10	5	—	—	$54,634.03	$73,755.94	$54,634.03	2025-08-30
7114	APR_DRG	—	10	5	—	—	$54,452.93	$73,511.46	$54,452.93	2025-08-30
1831	APR_DRG	—	10	5	—	—	$54,368.81	$73,397.89	$54,368.81	2025-08-30
2244	APR_DRG	—	10	5	—	—	$54,156.29	$73,110.99	$54,156.29	2025-08-30
5893	APR_DRG	—	10	5	—	—	$53,727.03	$72,531.49	$53,727.03	2025-08-30
3104	APR_DRG	—	10	5	—	—	$53,507.42	$72,235.02	$53,507.42	2025-08-30
1651	APR_DRG	—	10	5	—	—	$53,504.61	$72,231.22	$53,504.61	2025-08-30
6254	APR_DRG	—	10	5	—	—	$53,433.28	$72,134.93	$53,433.28	2025-08-30
0893	APR_DRG	—	10	5	—	—	$53,409.03	$72,102.19	$53,409.03	2025-08-30
6234	APR_DRG	—	10	5	—	—	$53,199.39	$71,819.18	$53,199.39	2025-08-30
1792	APR_DRG	—	10	5	—	—	$53,132.35	$71,728.67	$53,132.35	2025-08-30
1744	APR_DRG	—	10	5	—	—	$53,038.25	$71,601.64	$53,038.25	2025-08-30
1631	APR_DRG	—	10	5	—	—	$52,828.61	$71,318.62	$52,828.61	2025-08-30
1662	APR_DRG	—	10	5	—	—	$52,707.38	$71,154.96	$52,707.38	2025-08-30
5194	APR_DRG	—	10	5	—	—	$52,643.22	$71,068.35	$52,643.22	2025-08-30
6091	APR_DRG	—	10	5	—	—	$52,463.52	$70,825.75	$52,463.52	2025-08-30
4844	APR_DRG	—	10	5	—	—	$52,360.84	$70,687.13	$52,360.84	2025-08-30
5184	APR_DRG	—	10	5	—	—	$52,340.88	$70,660.19	$52,340.88	2025-08-30
1693	APR_DRG	—	10	5	—	—	$52,302.37	$70,608.20	$52,302.37	2025-08-30
6082	APR_DRG	—	10	5	—	—	$52,276.72	$70,573.57	$52,276.72	2025-08-30
3154	APR_DRG	—	10	5	—	—	$52,121.27	$70,363.71	$52,121.27	2025-08-30
0082	APR_DRG	—	10	5	—	—	$51,900.25	$70,065.34	$51,900.25	2025-08-30
3054	APR_DRG	—	10	5	—	—	$51,873.19	$70,028.81	$51,873.19	2025-08-30
7934	APR_DRG	—	10	5	—	—	$51,870.31	$70,024.92	$51,870.31	2025-08-30
2224	APR_DRG	—	10	5	—	—	$51,600.80	$69,661.08	$51,600.80	2025-08-30
3204	APR_DRG	—	10	5	—	—	$51,529.46	$69,564.77	$51,529.46	2025-08-30
0984	APR_DRG	—	10	5	—	—	$51,480.97	$69,499.31	$51,480.97	2025-08-30
9524	APR_DRG	—	10	5	—	—	$51,459.61	$69,470.47	$51,459.61	2025-08-30
1714	APR_DRG	—	10	5	—	—	$51,376.89	$69,358.80	$51,376.89	2025-08-30
3224	APR_DRG	—	10	5	—	—	$51,238.59	$69,172.10	$51,238.59	2025-08-30
0213	APR_DRG	—	10	5	—	—	$51,220.04	$69,147.05	$51,220.04	2025-08-30
2274	APR_DRG	—	10	5	—	—	$51,127.34	$69,021.91	$51,127.34	2025-08-30
2234	APR_DRG	—	10	5	—	—	$50,949.04	$68,781.20	$50,949.04	2025-08-30
0233	APR_DRG	—	10	5	—	—	$50,605.39	$68,317.28	$50,605.39	2025-08-30
7524	APR_DRG	—	10	5	—	—	$50,452.82	$68,111.31	$50,452.82	2025-08-30
7594	APR_DRG	—	10	5	—	—	$50,169.04	$67,728.20	$50,169.04	2025-08-30
3634	APR_DRG	—	10	5	—	—	$49,602.89	$66,963.90	$49,602.89	2025-08-30
3624	APR_DRG	—	10	5	—	—	$49,540.13	$66,879.18	$49,540.13	2025-08-30
0504	APR_DRG	—	10	5	—	—	$49,515.88	$66,846.44	$49,515.88	2025-08-30
6344	APR_DRG	—	10	5	—	—	$49,229.22	$66,459.45	$49,229.22	2025-08-30
0111	APR_DRG	—	10	5	—	—	$49,159.37	$66,365.15	$49,159.37	2025-08-30
1804	APR_DRG	—	10	5	—	—	$49,119.45	$66,311.26	$49,119.45	2025-08-30
3234	APR_DRG	—	10	5	—	—	$49,085.22	$66,265.05	$49,085.22	2025-08-30
C9790	HCPCS	Kidney Histotripsy W/image	10	2	—	—	$19,541.76	$88,289.66	$88,289.66	2025-08-30
0616T	HCPCS	Insertion Of Iris Prosthesis	10	2	—	—	$18,458.49	$83,395.48	$83,395.48	2025-08-30
0617T	HCPCS	Insj Iris Prosth W/rmvl&insj	10	2	—	—	$18,458.49	$83,395.48	$83,395.48	2025-08-30
0618T	HCPCS	Insj Iris Prosth Sec Io Lens	10	2	—	—	$18,458.49	$83,395.48	$83,395.48	2025-08-30
0786T	HCPCS	Insj/rplcmt Prq Ra Sac Nstim	10	2	—	—	$14,492.81	$65,478.54	$65,478.54	2025-08-30
0398T	HCPCS	Mrgfus Strtctc Les Abltj	10	2	—	—	$14,492.81	$65,478.54	$65,478.54	2025-08-30
Q04800	HCPCS	Driver Pneumatic Vad, Rep	2	1	—	—	$77,899.99	$77,899.99	$77,899.99	2025-08-30
453	MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	2	1	—	—	$74,627.48	$74,627.48	$74,627.48	2025-08-30
J90290	HCPCS	Instill Adstiladrin, Tx Dose	2	1	—	$79,475.27	$63,505.40	$63,505.40	$63,505.40	2025-08-30
A95430	HCPCS	Y90 Ibritumomab, Rx	2	1	—	$71,417.78	$63,005.77	$63,005.77	$63,005.77	2025-08-30
J73300	HCPCS	Cultured Chondrocytes Implnt	2	1	—	—	$57,294.42	$57,294.42	$57,294.42	2025-08-30
Q20430	HCPCS	Sipuleucel-t Auto Cd54+	2	1	—	$71,659.78	$55,453.57	$55,453.57	$55,453.57	2025-08-30
C91500	HCPCS	Xe129 Xenon, Diagnostic	2	1	—	—	$53,040.00	$53,040.00	$53,040.00	2025-08-30
454	MS_DRG	Combined Anterior/posterior Spinal Fusion W Cc	2	1	—	—	$52,686.59	$52,686.59	$52,686.59	2025-08-30

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