|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
|
53
|
17
|
$87,825.60
|
$57,086.64
35% off
|
$24,731.35
|
$53,097.45
|
$38,914.40
|
2024-12-30
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
38
|
17
|
$133,815.50
|
$86,980.08
35% off
|
$37,381.00
|
$37,381.00
|
$37,381.00
|
2024-12-30
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
37
|
20
|
$374,498.88
|
$243,424.27
35% off
|
$41,893.72
|
$285,692.02
|
$163,792.87
|
2024-12-30
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
37
|
20
|
$368,439.73
|
$239,485.82
35% off
|
$41,893.72
|
$215,262.75
|
$117,495.55
|
2024-12-30
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
37
|
20
|
$474,877.15
|
$308,670.15
35% off
|
$20,176.43
|
$144,327.38
|
$82,251.90
|
2024-12-30
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
37
|
20
|
$357,478.87
|
$232,361.27
35% off
|
$23,394.54
|
$136,878.32
|
$80,136.43
|
2024-12-30
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
20
|
$188,536.71
|
$122,548.86
35% off
|
$14,136.49
|
$130,051.02
|
$72,093.76
|
2024-12-30
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
20
|
$90,089.24
|
$58,558.01
35% off
|
$17,868.62
|
$112,953.96
|
$65,411.29
|
2024-12-30
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With McC
|
37
|
20
|
$171,587.79
|
$111,532.06
35% off
|
$22,923.65
|
$108,743.68
|
$64,863.94
|
2024-12-30
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC
|
37
|
20
|
$152,356.01
|
$99,031.41
35% off
|
$22,923.65
|
$104,514.64
|
$62,341.38
|
2024-12-30
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC
|
37
|
20
|
$221,390.00
|
$143,903.50
35% off
|
$11,038.44
|
$113,262.16
|
$62,150.30
|
2024-12-30
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
20
|
$168,543.79
|
$109,553.46
35% off
|
$17,627.35
|
$103,330.08
|
$60,478.71
|
2024-12-30
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And McC
|
37
|
20
|
$157,997.55
|
$102,698.41
35% off
|
$23,394.54
|
$94,279.72
|
$56,236.41
|
2024-12-30
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With McC
|
37
|
20
|
$72,471.82
|
$47,106.68
35% off
|
$10,906.14
|
$96,915.50
|
$53,910.82
|
2024-12-30
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
37
|
20
|
$115,396.43
|
$75,007.68
35% off
|
$11,429.01
|
$92,567.20
|
$51,998.11
|
2024-12-30
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With McC
|
37
|
20
|
$166,160.30
|
$108,004.20
35% off
|
$10,392.72
|
$91,852.98
|
$51,122.85
|
2024-12-30
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
20
|
$123,016.56
|
$79,960.76
35% off
|
$14,136.49
|
$85,295.02
|
$49,715.75
|
2024-12-30
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator
|
37
|
20
|
$141,070.10
|
$91,695.57
35% off
|
$23,394.54
|
$83,216.68
|
$49,637.47
|
2024-12-30
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With McC
|
37
|
20
|
$102,024.56
|
$66,315.96
35% off
|
$6,316.75
|
$92,092.84
|
$49,204.79
|
2024-12-30
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without McC
|
37
|
20
|
$180,475.50
|
$117,309.08
35% off
|
$22,923.65
|
$79,711.24
|
$48,806.87
|
2024-12-30
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
37
|
20
|
$65,044.49
|
$42,278.92
35% off
|
$21,909.03
|
$85,553.13
|
$48,678.32
|
2024-12-30
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
20
|
$111,216.51
|
$72,290.73
35% off
|
$17,868.62
|
$81,409.02
|
$48,559.23
|
2024-12-30
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With McC
|
37
|
20
|
$101,368.42
|
$65,889.47
35% off
|
$22,923.65
|
$78,800.04
|
$48,098.84
|
2024-12-30
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With McC
|
37
|
20
|
$167,911.69
|
$109,142.60
35% off
|
$8,598.34
|
$83,697.74
|
$46,148.04
|
2024-12-30
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
37
|
20
|
$56,755.78
|
$36,891.26
35% off
|
$11,290.20
|
$80,401.34
|
$45,845.77
|
2024-12-30
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC
|
37
|
20
|
$102,521.98
|
$66,639.29
35% off
|
$21,530.53
|
$69,651.86
|
$45,591.19
|
2024-12-30
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
20
|
$115,106.01
|
$74,818.91
35% off
|
$17,627.35
|
$76,335.78
|
$45,533.12
|
2024-12-30
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
37
|
20
|
$122,881.32
|
$79,872.86
35% off
|
$8,751.61
|
$82,294.76
|
$45,523.18
|
2024-12-30
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
37
|
20
|
$122,418.74
|
$79,572.18
35% off
|
$11,038.44
|
$86,254.71
|
$45,310.12
|
2024-12-30
|
|
28
|
MS_DRG
|
Spinal Procedures With McC
|
37
|
20
|
$238,676.13
|
$155,139.48
35% off
|
$9,563.42
|
$80,749.74
|
$45,156.58
|
2024-12-30
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With McC
|
37
|
20
|
$221,909.95
|
$144,241.47
35% off
|
$5,960.09
|
$81,025.78
|
$43,492.93
|
2024-12-30
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without McC
|
37
|
20
|
$113,064.57
|
$73,491.97
35% off
|
$19,809.47
|
$64,084.16
|
$41,946.82
|
2024-12-30
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With McC
|
37
|
20
|
$125,008.92
|
$81,255.80
35% off
|
$7,729.41
|
$76,153.54
|
$41,941.47
|
2024-12-30
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
20
|
$111,319.82
|
$72,357.88
35% off
|
$17,627.35
|
$70,277.64
|
$41,919.53
|
2024-12-30
|
|
834
|
MS_DRG
|
Acute Leukemia With McC
|
37
|
20
|
$146,017.34
|
$94,911.27
35% off
|
$7,790.02
|
$75,026.60
|
$41,408.31
|
2024-12-30
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With McC
|
37
|
20
|
$78,121.27
|
$50,778.83
35% off
|
$8,507.42
|
$73,769.68
|
$41,138.55
|
2024-12-30
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
37
|
20
|
$102,940.90
|
$66,911.59
35% off
|
$5,975.83
|
$75,893.58
|
$40,934.71
|
2024-12-30
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With McC
|
37
|
20
|
$111,144.84
|
$72,244.15
35% off
|
$14,136.49
|
$67,518.58
|
$40,273.80
|
2024-12-30
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With McC
|
37
|
20
|
$139,709.96
|
$90,811.47
35% off
|
$10,754.62
|
$69,500.44
|
$40,127.53
|
2024-12-30
|
|
653
|
MS_DRG
|
Major Bladder Procedures With McC
|
37
|
20
|
$181,118.74
|
$117,727.18
35% off
|
$7,461.92
|
$72,542.24
|
$40,002.08
|
2024-12-30
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With McC
|
37
|
20
|
$123,113.46
|
$80,023.75
35% off
|
$9,509.22
|
$65,914.60
|
$37,711.91
|
2024-12-30
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
20
|
$79,182.75
|
$51,468.79
35% off
|
$17,868.62
|
$60,715.40
|
$37,492.27
|
2024-12-30
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With McC
|
37
|
20
|
$92,521.95
|
$60,139.27
35% off
|
$5,951.93
|
$68,058.60
|
$37,005.26
|
2024-12-30
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC
|
37
|
20
|
$144,431.87
|
$93,880.72
35% off
|
$8,598.34
|
$65,394.68
|
$36,996.51
|
2024-12-30
|
|
799
|
MS_DRG
|
Splenic Procedures With McC
|
37
|
20
|
$162,739.10
|
$105,780.42
35% off
|
$7,572.06
|
$66,391.64
|
$36,981.85
|
2024-12-30
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC
|
37
|
20
|
$156,352.61
|
$101,629.20
35% off
|
$3,990.29
|
$69,094.42
|
$36,542.36
|
2024-12-30
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC
|
37
|
20
|
$98,711.31
|
$64,162.35
35% off
|
$7,932.80
|
$64,411.12
|
$36,171.96
|
2024-12-30
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With McC
|
37
|
20
|
$111,594.11
|
$72,536.17
35% off
|
$4,287.51
|
$67,762.46
|
$36,024.99
|
2024-12-30
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC
|
37
|
20
|
$105,907.82
|
$68,840.08
35% off
|
$7,939.79
|
$63,521.36
|
$35,730.57
|
2024-12-30
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
20
|
$100,943.44
|
$65,613.24
35% off
|
$8,744.03
|
$62,291.24
|
$35,517.64
|
2024-12-30
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without McC
|
37
|
20
|
$71,014.85
|
$46,159.65
35% off
|
$16,739.30
|
$54,152.08
|
$35,445.69
|
2024-12-30
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With McC
|
37
|
20
|
$103,117.21
|
$67,026.19
35% off
|
$11,038.44
|
$86,254.71
|
$35,296.62
|
2024-12-30
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With McC
|
37
|
20
|
$110,893.61
|
$72,080.85
35% off
|
$3,522.32
|
$66,990.62
|
$35,256.47
|
2024-12-30
|
|
163
|
MS_DRG
|
Major Chest Procedures With McC
|
37
|
20
|
$90,850.90
|
$59,053.09
35% off
|
$7,044.06
|
$63,162.24
|
$35,103.15
|
2024-12-30
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
37
|
20
|
$88,259.74
|
$57,368.83
35% off
|
$5,273.58
|
$64,909.60
|
$35,091.59
|
2024-12-30
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
37
|
20
|
$181,467.54
|
$117,953.90
35% off
|
$8,065.68
|
$62,011.18
|
$35,038.43
|
2024-12-30
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With McC
|
37
|
20
|
$95,082.66
|
$61,803.73
35% off
|
$14,136.49
|
$58,449.46
|
$34,864.21
|
2024-12-30
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With McC
|
37
|
20
|
$69,267.86
|
$45,024.11
35% off
|
$8,663.61
|
$60,525.12
|
$34,594.36
|
2024-12-30
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With McC
|
37
|
20
|
$293,825.38
|
$190,986.50
35% off
|
$5,960.09
|
$60,325.46
|
$33,142.78
|
2024-12-30
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With McC
|
37
|
20
|
$98,619.55
|
$64,102.71
35% off
|
$6,750.34
|
$59,340.56
|
$33,045.45
|
2024-12-30
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With McC
|
35
|
19
|
$139,196.11
|
$90,477.47
35% off
|
$17,868.62
|
$109,372.21
|
$63,620.42
|
2024-12-30
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With McC
|
26
|
14
|
$714,772.34
|
$464,602.02
35% off
|
$13,449.03
|
$363,121.24
|
$209,318.61
|
2024-12-30
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
26
|
14
|
$192,277.91
|
$124,980.64
35% off
|
$3,522.32
|
$93,329.66
|
$53,765.64
|
2024-12-30
|
|
3034
|
APR_DRG
|
—
|
13
|
9
|
$173,310.91
|
$112,652.09
35% off
|
$63,490.97
|
$188,621.05
|
$133,217.95
|
2024-12-30
|
|
1613
|
APR_DRG
|
—
|
13
|
9
|
$244,683.95
|
$159,044.57
35% off
|
$57,343.22
|
$673,874.06
|
$120,318.63
|
2024-12-30
|
|
1624
|
APR_DRG
|
—
|
13
|
9
|
$176,433.45
|
$114,681.74
35% off
|
$54,692.15
|
$303,013.10
|
$114,756.11
|
2024-12-30
|
|
6124
|
APR_DRG
|
—
|
13
|
9
|
$71,911.90
|
$46,742.74
35% off
|
$49,382.45
|
$146,707.00
|
$103,615.18
|
2024-12-30
|
|
0234
|
APR_DRG
|
—
|
13
|
9
|
$88,183.69
|
$57,319.40
35% off
|
$47,100.86
|
$252,046.43
|
$98,827.92
|
2024-12-30
|
|
4474
|
APR_DRG
|
—
|
13
|
9
|
$88,113.69
|
$57,273.90
35% off
|
$44,469.61
|
$222,627.64
|
$93,306.98
|
2024-12-30
|
|
6084
|
APR_DRG
|
—
|
13
|
9
|
$77,963.91
|
$50,676.54
35% off
|
$41,857.59
|
$124,351.91
|
$87,826.39
|
2024-12-30
|
|
1634
|
APR_DRG
|
—
|
13
|
9
|
$123,139.17
|
$80,040.46
35% off
|
$41,068.51
|
$122,007.67
|
$86,170.72
|
2024-12-30
|
|
1694
|
APR_DRG
|
—
|
13
|
9
|
$56,275.39
|
$36,579.00
35% off
|
$41,860.50
|
$124,360.56
|
$85,557.89
|
2024-12-30
|
|
3033
|
APR_DRG
|
—
|
13
|
9
|
$173,310.91
|
$112,652.09
35% off
|
$40,724.67
|
$120,986.18
|
$85,449.26
|
2024-12-30
|
|
3214
|
APR_DRG
|
—
|
13
|
9
|
$42,667.77
|
$27,734.05
35% off
|
$41,168.74
|
$122,305.46
|
$84,144.02
|
2024-12-30
|
|
6083
|
APR_DRG
|
—
|
13
|
9
|
$77,963.91
|
$50,676.54
35% off
|
$39,766.58
|
$118,139.85
|
$83,438.98
|
2024-12-30
|
|
0204
|
APR_DRG
|
—
|
13
|
9
|
$165,346.37
|
$107,475.14
35% off
|
$38,987.98
|
$158,088.31
|
$81,805.32
|
2024-12-30
|
|
9114
|
APR_DRG
|
—
|
13
|
9
|
$60,777.09
|
$39,505.11
35% off
|
$37,824.17
|
$112,369.29
|
$79,363.39
|
2024-12-30
|
|
6123
|
APR_DRG
|
—
|
13
|
9
|
$71,911.90
|
$46,742.74
35% off
|
$36,965.74
|
$109,819.02
|
$77,562.20
|
2024-12-30
|
|
4444
|
APR_DRG
|
—
|
13
|
9
|
$88,753.00
|
$57,689.45
35% off
|
$36,050.19
|
$242,452.58
|
$75,641.19
|
2024-12-30
|
|
1612
|
APR_DRG
|
—
|
13
|
9
|
$244,683.95
|
$159,044.57
35% off
|
$35,710.43
|
$419,654.32
|
$74,928.29
|
2024-12-30
|
|
1214
|
APR_DRG
|
—
|
13
|
9
|
$56,251.96
|
$36,563.77
35% off
|
$35,299.57
|
$104,869.12
|
$74,066.22
|
2024-12-30
|
|
3084
|
APR_DRG
|
—
|
13
|
9
|
$53,481.01
|
$34,762.66
35% off
|
$33,619.41
|
$141,261.07
|
$70,540.89
|
2024-12-30
|
|
1623
|
APR_DRG
|
—
|
13
|
9
|
$176,433.45
|
$114,681.74
35% off
|
$33,432.34
|
$185,226.51
|
$70,148.37
|
2024-12-30
|
|
6082
|
APR_DRG
|
—
|
13
|
9
|
$77,963.91
|
$50,676.54
35% off
|
$33,136.87
|
$98,444.11
|
$69,528.41
|
2024-12-30
|
|
2224
|
APR_DRG
|
—
|
13
|
9
|
$39,567.06
|
$25,718.59
35% off
|
$32,251.05
|
$95,812.47
|
$67,669.75
|
2024-12-30
|
|
8634
|
APR_DRG
|
—
|
13
|
9
|
$68,427.97
|
$44,478.18
35% off
|
$30,881.51
|
$151,760.82
|
$64,796.17
|
2024-12-30
|
|
3032
|
APR_DRG
|
—
|
13
|
9
|
$173,310.91
|
$112,652.09
35% off
|
$30,819.74
|
$91,560.29
|
$64,666.56
|
2024-12-30
|
|
0224
|
APR_DRG
|
—
|
13
|
9
|
$37,711.47
|
$24,512.46
35% off
|
$31,397.27
|
$93,276.05
|
$64,172.29
|
2024-12-30
|
|
6224
|
APR_DRG
|
—
|
13
|
9
|
$56,755.78
|
$36,891.26
35% off
|
$30,123.90
|
$89,493.07
|
$63,206.53
|
2024-12-30
|
|
3154
|
APR_DRG
|
—
|
13
|
9
|
$48,889.80
|
$31,778.37
35% off
|
$29,916.43
|
$104,568.33
|
$62,771.22
|
2024-12-30
|
|
6134
|
APR_DRG
|
—
|
13
|
9
|
$75,200.10
|
$48,880.07
35% off
|
$30,176.93
|
$89,650.62
|
$61,678.06
|
2024-12-30
|
|
6133
|
APR_DRG
|
—
|
13
|
9
|
$75,200.10
|
$48,880.07
35% off
|
$29,416.99
|
$87,392.95
|
$60,124.82
|
2024-12-30
|
|
1804
|
APR_DRG
|
—
|
13
|
9
|
$44,438.01
|
$28,884.71
35% off
|
$28,084.75
|
$83,435.10
|
$58,927.95
|
2024-12-30
|
|
6122
|
APR_DRG
|
—
|
13
|
9
|
$71,911.90
|
$46,742.74
35% off
|
$26,517.07
|
$78,777.79
|
$55,638.62
|
2024-12-30
|
|
1633
|
APR_DRG
|
—
|
13
|
9
|
$123,139.17
|
$80,040.46
35% off
|
$26,490.85
|
$78,699.88
|
$55,583.60
|
2024-12-30
|
|
1622
|
APR_DRG
|
—
|
13
|
9
|
$176,433.45
|
$114,681.74
35% off
|
$26,120.78
|
$144,718.00
|
$54,807.12
|
2024-12-30
|
|
1934
|
APR_DRG
|
—
|
13
|
9
|
$57,928.11
|
$37,653.27
35% off
|
$26,016.46
|
$110,966.75
|
$54,588.24
|
2024-12-30
|
|
3031
|
APR_DRG
|
—
|
13
|
9
|
$173,310.91
|
$112,652.09
35% off
|
$25,757.71
|
$76,521.85
|
$54,045.31
|
2024-12-30
|
|
5464
|
APR_DRG
|
—
|
13
|
9
|
$27,355.44
|
$17,781.04
35% off
|
$25,104.46
|
$74,581.02
|
$52,674.56
|
2024-12-30
|
|
0233
|
APR_DRG
|
—
|
13
|
9
|
$88,183.69
|
$57,319.40
35% off
|
$25,038.56
|
$133,986.50
|
$52,536.38
|
2024-12-30
|
|
6081
|
APR_DRG
|
—
|
13
|
9
|
$77,963.91
|
$50,676.54
35% off
|
$24,735.51
|
$73,485.08
|
$51,900.52
|
2024-12-30
|
|
0984
|
APR_DRG
|
—
|
13
|
9
|
$29,421.41
|
$19,123.92
35% off
|
$24,252.35
|
$72,049.80
|
$50,886.82
|
2024-12-30
|
|
8633
|
APR_DRG
|
—
|
13
|
9
|
$68,427.97
|
$44,478.18
35% off
|
$24,194.11
|
$118,896.97
|
$50,764.54
|
2024-12-30
|
|
0914
|
APR_DRG
|
—
|
13
|
9
|
$101,308.48
|
$65,850.51
35% off
|
$24,142.83
|
$105,338.01
|
$50,656.94
|
2024-12-30
|
|
1924
|
APR_DRG
|
—
|
13
|
9
|
$41,695.74
|
$27,102.23
35% off
|
$23,994.80
|
$124,289.76
|
$50,346.34
|
2024-12-30
|
|
2254
|
APR_DRG
|
—
|
13
|
9
|
$25,509.59
|
$16,581.23
35% off
|
$23,673.73
|
$74,219.03
|
$49,672.58
|
2024-12-30
|
|
1611
|
APR_DRG
|
—
|
13
|
9
|
$244,683.95
|
$159,044.57
35% off
|
$23,394.54
|
$274,923.03
|
$49,086.86
|
2024-12-30
|
|
6132
|
APR_DRG
|
—
|
13
|
9
|
$75,200.10
|
$48,880.07
35% off
|
$23,472.05
|
$69,731.53
|
$47,974.07
|
2024-12-30
|
|
6213
|
APR_DRG
|
—
|
13
|
9
|
$37,400.48
|
$24,310.31
35% off
|
$23,184.74
|
$68,877.98
|
$47,386.84
|
2024-12-30
|
|
0893
|
APR_DRG
|
—
|
13
|
9
|
$69,871.87
|
$45,416.72
35% off
|
$22,203.92
|
$126,819.77
|
$46,588.68
|
2024-12-30
|
|
1744
|
APR_DRG
|
—
|
13
|
9
|
$71,421.31
|
$46,423.85
35% off
|
$22,313.48
|
$66,289.62
|
$45,606.10
|
2024-12-30
|
|
1632
|
APR_DRG
|
—
|
13
|
9
|
$123,139.17
|
$80,040.46
35% off
|
$21,563.44
|
$64,061.39
|
$45,244.82
|
2024-12-30
|
|
0913
|
APR_DRG
|
—
|
13
|
9
|
$101,308.48
|
$65,850.51
35% off
|
$21,473.11
|
$93,689.72
|
$45,055.29
|
2024-12-30
|
|
1693
|
APR_DRG
|
—
|
13
|
9
|
$56,275.39
|
$36,579.00
35% off
|
$21,652.61
|
$64,326.28
|
$44,255.36
|
2024-12-30
|
|
3213
|
APR_DRG
|
—
|
13
|
9
|
$42,667.77
|
$27,734.05
35% off
|
$21,578.01
|
$64,104.67
|
$44,102.89
|
2024-12-30
|
|
6223
|
APR_DRG
|
—
|
13
|
9
|
$56,755.78
|
$36,891.26
35% off
|
$21,013.88
|
$62,428.73
|
$44,091.72
|
2024-12-30
|
|
1764
|
APR_DRG
|
—
|
13
|
9
|
$136,599.91
|
$88,789.94
35% off
|
$20,695.10
|
$99,320.93
|
$43,422.85
|
2024-12-30
|
|
0203
|
APR_DRG
|
—
|
13
|
9
|
$165,346.37
|
$107,475.14
35% off
|
$20,644.40
|
$83,708.82
|
$43,316.47
|
2024-12-30
|
|
6121
|
APR_DRG
|
—
|
13
|
9
|
$71,911.90
|
$46,742.74
35% off
|
$20,503.37
|
$60,912.07
|
$43,020.55
|
2024-12-30
|
|
1621
|
APR_DRG
|
—
|
13
|
9
|
$176,433.45
|
$114,681.74
35% off
|
$20,176.43
|
$111,784.25
|
$42,334.56
|
2024-12-30
|
|
0454
|
APR_DRG
|
—
|
13
|
9
|
$30,408.05
|
$19,765.23
35% off
|
$19,932.21
|
$87,952.15
|
$41,822.17
|
2024-12-30
|
|
0484
|
APR_DRG
|
—
|
13
|
9
|
$21,982.07
|
$14,288.35
35% off
|
$20,305.84
|
$60,325.15
|
$41,502.61
|
2024-12-30
|
|
1763
|
APR_DRG
|
—
|
13
|
9
|
$136,599.91
|
$88,789.94
35% off
|
$19,608.22
|
$94,104.70
|
$41,142.33
|
2024-12-30
|
|
2203
|
APR_DRG
|
—
|
13
|
9
|
$40,073.50
|
$26,047.78
35% off
|
$19,830.84
|
$58,914.11
|
$40,531.87
|
2024-12-30
|
|
2484
|
APR_DRG
|
—
|
13
|
9
|
$23,185.30
|
$15,070.45
35% off
|
$18,861.64
|
$56,034.92
|
$39,575.92
|
2024-12-30
|
|
4443
|
APR_DRG
|
—
|
13
|
9
|
$88,753.00
|
$57,689.45
35% off
|
$18,838.95
|
$126,699.79
|
$39,528.23
|
2024-12-30
|
|
4214
|
APR_DRG
|
—
|
13
|
9
|
$33,738.23
|
$21,929.85
35% off
|
$18,656.57
|
$84,658.57
|
$39,145.50
|
2024-12-30
|
|
0493
|
APR_DRG
|
—
|
13
|
9
|
$85,235.53
|
$55,403.09
35% off
|
$18,651.87
|
$195,307.60
|
$39,135.71
|
2024-12-30
|
|
4013
|
APR_DRG
|
—
|
13
|
9
|
$46,130.18
|
$29,984.62
35% off
|
$18,059.77
|
$92,463.55
|
$37,893.35
|
2024-12-30
|
|
2424
|
APR_DRG
|
—
|
13
|
9
|
$23,136.87
|
$15,038.97
35% off
|
$18,387.87
|
$54,627.27
|
$37,582.63
|
2024-12-30
|
|
6233
|
APR_DRG
|
—
|
13
|
9
|
$27,604.19
|
$17,942.72
35% off
|
$18,212.46
|
$54,106.17
|
$37,224.10
|
2024-12-30
|
|
6234
|
APR_DRG
|
—
|
13
|
9
|
$27,604.19
|
$17,942.72
35% off
|
$18,212.46
|
$54,106.17
|
$37,224.10
|
2024-12-30
|
|
1631
|
APR_DRG
|
—
|
13
|
9
|
$123,139.17
|
$80,040.46
35% off
|
$17,627.35
|
$52,367.90
|
$36,986.03
|
2024-12-30
|
|
7403
|
APR_DRG
|
—
|
13
|
9
|
$22,064.02
|
$14,341.61
35% off
|
$17,634.92
|
$52,390.41
|
$36,043.68
|
2024-12-30
|
|
7402
|
APR_DRG
|
—
|
13
|
9
|
$22,064.02
|
$14,341.61
35% off
|
$17,634.92
|
$52,390.41
|
$36,043.68
|
2024-12-30
|
|
7404
|
APR_DRG
|
—
|
13
|
9
|
$22,064.02
|
$14,341.61
35% off
|
$17,634.92
|
$52,390.41
|
$36,043.68
|
2024-12-30
|
|
7401
|
APR_DRG
|
—
|
13
|
9
|
$22,064.02
|
$14,341.61
35% off
|
$17,634.92
|
$52,390.41
|
$36,043.68
|
2024-12-30
|
|
4473
|
APR_DRG
|
—
|
13
|
9
|
$88,113.69
|
$57,273.90
35% off
|
$17,082.45
|
$85,519.64
|
$35,842.71
|
2024-12-30
|
|
3854
|
APR_DRG
|
—
|
13
|
9
|
$31,792.66
|
$20,665.23
35% off
|
$16,869.70
|
$77,908.51
|
$35,396.39
|
2024-12-30
|
|
1974
|
APR_DRG
|
—
|
13
|
9
|
$25,012.61
|
$16,258.20
35% off
|
$16,690.24
|
$68,743.82
|
$35,019.77
|
2024-12-30
|
|
0912
|
APR_DRG
|
—
|
13
|
9
|
$101,308.48
|
$65,850.51
35% off
|
$16,603.40
|
$72,442.61
|
$34,837.57
|
2024-12-30
|
|
1213
|
APR_DRG
|
—
|
13
|
9
|
$56,251.96
|
$36,563.77
35% off
|
$16,571.93
|
$49,232.44
|
$34,771.54
|
2024-12-30
|
|
2524
|
APR_DRG
|
—
|
13
|
9
|
$26,453.60
|
$17,194.84
35% off
|
$16,517.15
|
$49,069.72
|
$34,656.60
|
2024-12-30
|
|
4423
|
APR_DRG
|
—
|
13
|
9
|
$35,793.85
|
$23,266.00
35% off
|
$16,409.34
|
$72,979.14
|
$34,430.38
|
2024-12-30
|
|
0934
|
APR_DRG
|
—
|
13
|
9
|
$32,838.20
|
$21,344.83
35% off
|
$16,207.11
|
$48,148.62
|
$34,006.07
|
2024-12-30
|
|
2464
|
APR_DRG
|
—
|
13
|
9
|
$16,456.19
|
$10,696.52
35% off
|
$16,617.97
|
$49,369.22
|
$33,965.16
|
2024-12-30
|
|
3083
|
APR_DRG
|
—
|
13
|
9
|
$53,481.01
|
$34,762.66
35% off
|
$16,001.39
|
$67,234.18
|
$33,574.42
|
2024-12-30
|
|
7234
|
APR_DRG
|
—
|
13
|
9
|
$13,814.68
|
$8,979.54
35% off
|
$15,663.35
|
$46,533.28
|
$32,865.17
|
2024-12-30
|
|
1614
|
APR_DRG
|
—
|
12
|
9
|
$244,683.95
|
$159,044.57
35% off
|
$134,510.29
|
$399,607.58
|
$241,998.73
|
2024-12-30
|
|
0044
|
APR_DRG
|
—
|
12
|
9
|
$459,051.25
|
$298,383.31
35% off
|
$105,320.58
|
$312,889.86
|
$189,483.26
|
2024-12-30
|
|
0054
|
APR_DRG
|
—
|
12
|
9
|
$341,342.91
|
$221,872.89
35% off
|
$80,362.45
|
$238,743.41
|
$144,580.84
|
2024-12-30
|
|
0904
|
APR_DRG
|
—
|
12
|
9
|
$147,447.11
|
$95,840.62
35% off
|
$65,448.53
|
$194,436.63
|
$117,749.06
|
2024-12-30
|
|
0043
|
APR_DRG
|
—
|
12
|
9
|
$459,051.25
|
$298,383.31
35% off
|
$58,689.44
|
$174,356.53
|
$105,588.73
|
2024-12-30
|
|
0053
|
APR_DRG
|
—
|
12
|
9
|
$341,342.91
|
$221,872.89
35% off
|
$53,806.33
|
$159,849.61
|
$96,803.48
|
2024-12-30
|
|
3044
|
APR_DRG
|
—
|
12
|
9
|
$64,389.03
|
$41,852.87
35% off
|
$53,512.03
|
$158,975.29
|
$96,273.99
|
2024-12-30
|
|
3124
|
APR_DRG
|
—
|
12
|
9
|
$53,476.87
|
$34,759.97
35% off
|
$52,463.60
|
$155,860.60
|
$94,387.76
|
2024-12-30
|
|
6804
|
APR_DRG
|
—
|
12
|
9
|
$87,677.10
|
$56,990.12
35% off
|
$52,137.25
|
$154,891.05
|
$93,800.61
|
2024-12-30
|
|
6904
|
APR_DRG
|
—
|
12
|
9
|
$66,710.71
|
$43,361.96
35% off
|
$51,011.32
|
$151,546.10
|
$91,774.94
|
2024-12-30
|
|
4054
|
APR_DRG
|
—
|
12
|
9
|
$57,072.81
|
$37,097.33
35% off
|
$48,884.17
|
$145,226.70
|
$87,947.97
|
2024-12-30
|
|
9504
|
APR_DRG
|
—
|
12
|
9
|
$76,770.53
|
$49,900.84
35% off
|
$47,288.52
|
$140,486.28
|
$85,077.22
|
2024-12-30
|
|
8504
|
APR_DRG
|
—
|
12
|
9
|
$76,324.32
|
$49,610.81
35% off
|
$44,446.88
|
$132,044.26
|
$79,964.80
|
2024-12-30
|
|
9124
|
APR_DRG
|
—
|
12
|
9
|
$52,261.58
|
$33,970.03
35% off
|
$44,154.91
|
$131,176.86
|
$79,439.51
|
2024-12-30
|
|
2604
|
APR_DRG
|
—
|
12
|
9
|
$60,102.35
|
$39,066.53
35% off
|
$43,280.16
|
$128,578.11
|
$77,865.74
|
2024-12-30
|
|
0214
|
APR_DRG
|
—
|
12
|
9
|
$86,549.12
|
$56,256.93
35% off
|
$42,201.43
|
$125,373.40
|
$75,924.99
|
2024-12-30
|
|
0041
|
APR_DRG
|
—
|
12
|
9
|
$459,051.25
|
$298,383.31
35% off
|
$41,893.72
|
$124,459.25
|
$75,371.39
|
2024-12-30
|
|
0042
|
APR_DRG
|
—
|
12
|
9
|
$459,051.25
|
$298,383.31
35% off
|
$41,893.72
|
$124,459.25
|
$75,371.39
|
2024-12-30
|
|
1654
|
APR_DRG
|
—
|
12
|
9
|
$112,450.32
|
$73,092.71
35% off
|
$41,241.01
|
$122,520.15
|
$74,197.09
|
2024-12-30
|
|
4014
|
APR_DRG
|
—
|
12
|
9
|
$46,130.18
|
$29,984.62
35% off
|
$40,722.92
|
$120,980.98
|
$73,264.99
|
2024-12-30
|
|
2204
|
APR_DRG
|
—
|
12
|
8
|
$40,073.50
|
$26,047.78
35% off
|
$41,305.70
|
$94,460.61
|
$73,191.24
|
2024-12-30
|
|
0894
|
APR_DRG
|
—
|
12
|
9
|
$69,871.87
|
$45,416.72
35% off
|
$39,737.44
|
$118,053.29
|
$71,492.00
|
2024-12-30
|
|
4414
|
APR_DRG
|
—
|
12
|
9
|
$57,502.74
|
$37,376.78
35% off
|
$39,415.16
|
$117,095.85
|
$70,912.18
|
2024-12-30
|
|
6214
|
APR_DRG
|
—
|
12
|
8
|
$37,400.48
|
$24,310.31
35% off
|
$39,583.00
|
$90,521.03
|
$70,138.72
|
2024-12-30
|
|
1674
|
APR_DRG
|
—
|
12
|
9
|
$103,246.36
|
$67,110.13
35% off
|
$38,645.31
|
$114,808.75
|
$69,527.13
|
2024-12-30
|
|
1814
|
APR_DRG
|
—
|
12
|
9
|
$76,798.79
|
$49,919.21
35% off
|
$38,559.64
|
$114,554.24
|
$69,373.01
|
2024-12-30
|
|
2214
|
APR_DRG
|
—
|
12
|
9
|
$52,298.71
|
$33,994.16
35% off
|
$38,511.85
|
$114,412.27
|
$69,287.04
|
2024-12-30
|
|
4034
|
APR_DRG
|
—
|
12
|
8
|
$37,382.89
|
$24,298.88
35% off
|
$38,327.69
|
$87,650.31
|
$67,914.39
|
2024-12-30
|
|
3134
|
APR_DRG
|
—
|
12
|
9
|
$49,561.89
|
$32,215.23
35% off
|
$37,713.44
|
$112,040.33
|
$67,850.61
|
2024-12-30
|
|
1774
|
APR_DRG
|
—
|
12
|
9
|
$63,194.76
|
$41,076.59
35% off
|
$36,916.78
|
$109,673.59
|
$66,417.33
|
2024-12-30
|
|
6914
|
APR_DRG
|
—
|
12
|
9
|
$70,257.94
|
$45,667.66
35% off
|
$36,906.29
|
$109,642.43
|
$66,398.46
|
2024-12-30
|
|
7104
|
APR_DRG
|
—
|
12
|
9
|
$95,215.47
|
$61,890.06
35% off
|
$36,834.03
|
$109,427.74
|
$66,268.45
|
2024-12-30
|
|
3174
|
APR_DRG
|
—
|
12
|
9
|
$42,656.15
|
$27,726.50
35% off
|
$36,820.04
|
$109,386.25
|
$66,243.28
|
2024-12-30
|
|
3054
|
APR_DRG
|
—
|
12
|
9
|
$55,450.02
|
$36,042.51
35% off
|
$36,725.63
|
$109,105.71
|
$66,073.43
|
2024-12-30
|
|
0264
|
APR_DRG
|
—
|
12
|
9
|
$92,015.49
|
$59,810.07
35% off
|
$36,574.69
|
$108,657.29
|
$65,801.88
|
2024-12-30
|
|
9514
|
APR_DRG
|
—
|
12
|
9
|
$70,711.88
|
$45,962.72
35% off
|
$36,570.03
|
$108,643.44
|
$65,793.48
|
2024-12-30
|
|
1824
|
APR_DRG
|
—
|
12
|
9
|
$102,932.25
|
$66,905.96
35% off
|
$36,551.96
|
$108,589.77
|
$65,760.98
|
2024-12-30
|
|
1664
|
APR_DRG
|
—
|
12
|
9
|
$86,045.34
|
$55,929.47
35% off
|
$36,314.19
|
$107,883.38
|
$65,333.19
|
2024-12-30
|
|
5114
|
APR_DRG
|
—
|
12
|
9
|
$44,711.65
|
$29,062.57
35% off
|
$36,286.21
|
$107,800.28
|
$65,282.87
|
2024-12-30
|
|
2644
|
APR_DRG
|
—
|
12
|
9
|
$58,447.45
|
$37,990.84
35% off
|
$35,867.78
|
$106,557.17
|
$64,530.06
|
2024-12-30
|
|
2614
|
APR_DRG
|
—
|
12
|
9
|
$66,271.13
|
$43,076.23
35% off
|
$35,786.19
|
$106,314.79
|
$64,383.27
|
2024-12-30
|
|
1204
|
APR_DRG
|
—
|
12
|
9
|
$53,386.18
|
$34,701.02
35% off
|
$35,495.96
|
$105,452.58
|
$63,861.12
|
2024-12-30
|
|
1304
|
APR_DRG
|
—
|
12
|
9
|
$131,401.59
|
$85,411.03
35% off
|
$35,391.06
|
$105,140.94
|
$63,672.40
|
2024-12-30
|
|
6903
|
APR_DRG
|
—
|
12
|
9
|
$66,710.71
|
$43,361.96
35% off
|
$35,333.37
|
$104,969.53
|
$63,568.60
|
2024-12-30
|
|
3014
|
APR_DRG
|
—
|
12
|
9
|
$46,102.15
|
$29,966.40
35% off
|
$35,279.75
|
$104,810.25
|
$63,472.13
|
2024-12-30
|
|
7114
|
APR_DRG
|
—
|
12
|
9
|
$53,884.86
|
$35,025.16
35% off
|
$35,176.02
|
$104,502.07
|
$63,285.51
|
2024-12-30
|
|
0494
|
APR_DRG
|
—
|
12
|
9
|
$85,235.53
|
$55,403.09
35% off
|
$34,777.40
|
$103,317.83
|
$62,568.34
|
2024-12-30
|
|
1714
|
APR_DRG
|
—
|
12
|
9
|
$48,292.48
|
$31,390.11
35% off
|
$34,755.83
|
$103,253.77
|
$62,529.55
|
2024-12-30
|
|
9524
|
APR_DRG
|
—
|
12
|
9
|
$41,639.57
|
$27,065.72
35% off
|
$34,568.18
|
$102,696.28
|
$62,191.93
|
2024-12-30
|
|
0434
|
APR_DRG
|
—
|
12
|
9
|
$46,825.42
|
$30,436.52
35% off
|
$34,487.17
|
$102,455.63
|
$62,046.20
|
2024-12-30
|
|
0052
|
APR_DRG
|
—
|
12
|
9
|
$341,342.91
|
$221,872.89
35% off
|
$34,055.33
|
$101,172.70
|
$61,269.27
|
2024-12-30
|
|
2294
|
APR_DRG
|
—
|
12
|
9
|
$92,521.95
|
$60,139.27
35% off
|
$33,724.31
|
$100,189.30
|
$60,673.73
|
2024-12-30
|
|
3094
|
APR_DRG
|
—
|
12
|
9
|
$66,069.68
|
$42,945.29
35% off
|
$33,481.29
|
$99,467.33
|
$60,236.51
|
2024-12-30
|
|
6504
|
APR_DRG
|
—
|
12
|
9
|
$41,456.16
|
$26,946.50
35% off
|
$33,235.94
|
$98,738.43
|
$59,795.10
|
2024-12-30
|
|
0051
|
APR_DRG
|
—
|
12
|
9
|
$341,342.91
|
$221,872.89
35% off
|
$33,195.73
|
$98,618.97
|
$59,722.76
|
2024-12-30
|
|
2234
|
APR_DRG
|
—
|
12
|
9
|
$35,172.13
|
$22,861.88
35% off
|
$32,510.38
|
$96,582.91
|
$58,489.74
|
2024-12-30
|
|
2244
|
APR_DRG
|
—
|
12
|
9
|
$38,593.50
|
$25,085.78
35% off
|
$32,452.69
|
$96,411.51
|
$58,385.93
|
2024-12-30
|
|
3024
|
APR_DRG
|
—
|
12
|
9
|
$43,613.69
|
$28,348.90
35% off
|
$31,719.55
|
$94,233.48
|
$57,066.94
|
2024-12-30
|
|
0504
|
APR_DRG
|
—
|
12
|
9
|
$37,271.35
|
$24,226.38
35% off
|
$31,158.28
|
$92,566.20
|
$56,057.25
|
2024-12-30
|
|
3043
|
APR_DRG
|
—
|
12
|
9
|
$64,389.03
|
$41,852.87
35% off
|
$31,048.19
|
$92,238.98
|
$55,859.08
|
2024-12-30
|
|
2274
|
APR_DRG
|
—
|
12
|
9
|
$35,880.33
|
$23,322.21
35% off
|
$30,734.07
|
$91,305.78
|
$55,293.95
|
2024-12-30
|
|
3644
|
APR_DRG
|
—
|
12
|
8
|
$23,692.04
|
$15,399.83
35% off
|
$30,941.54
|
$70,759.11
|
$54,826.57
|
2024-12-30
|
|
4434
|
APR_DRG
|
—
|
12
|
9
|
$33,032.13
|
$21,470.88
35% off
|
$29,534.12
|
$87,740.95
|
$53,135.12
|
2024-12-30
|
|
3204
|
APR_DRG
|
—
|
12
|
9
|
$31,592.10
|
$20,534.87
35% off
|
$29,159.98
|
$86,629.43
|
$52,461.99
|
2024-12-30
|
|
6604
|
APR_DRG
|
—
|
12
|
9
|
$35,980.31
|
$23,387.20
35% off
|
$29,010.74
|
$86,186.20
|
$52,193.56
|
2024-12-30
|
|
1754
|
APR_DRG
|
—
|
12
|
9
|
$146,142.50
|
$94,992.63
35% off
|
$28,618.58
|
$85,021.01
|
$51,487.96
|
2024-12-30
|
|
3464
|
APR_DRG
|
—
|
12
|
9
|
$30,795.50
|
$20,017.08
35% off
|
$28,407.66
|
$84,394.27
|
$51,108.40
|
2024-12-30
|
|
1653
|
APR_DRG
|
—
|
12
|
9
|
$112,450.32
|
$73,092.71
35% off
|
$28,331.27
|
$84,167.46
|
$50,971.05
|
2024-12-30
|
|
1704
|
APR_DRG
|
—
|
12
|
9
|
$65,793.09
|
$42,765.51
35% off
|
$28,046.29
|
$83,320.83
|
$50,458.34
|
2024-12-30
|
|
5134
|
APR_DRG
|
—
|
12
|
8
|
$25,140.30
|
$16,341.20
35% off
|
$27,982.76
|
$68,039.68
|
$50,344.08
|
2024-12-30
|
|
6614
|
APR_DRG
|
—
|
12
|
9
|
$41,165.01
|
$26,757.26
35% off
|
$26,610.32
|
$79,054.81
|
$47,874.88
|
2024-12-30
|
|
3123
|
APR_DRG
|
—
|
12
|
9
|
$53,476.87
|
$34,759.97
35% off
|
$26,386.53
|
$78,389.97
|
$47,472.26
|
2024-12-30
|
|
0213
|
APR_DRG
|
—
|
12
|
9
|
$86,549.12
|
$56,256.93
35% off
|
$25,245.45
|
$75,000.00
|
$45,419.32
|
2024-12-30
|
|
1303
|
APR_DRG
|
—
|
12
|
9
|
$131,401.59
|
$85,411.03
35% off
|
$24,939.49
|
$74,091.05
|
$44,868.87
|
2024-12-30
|
|
1813
|
APR_DRG
|
—
|
12
|
9
|
$76,798.79
|
$49,919.21
35% off
|
$23,837.45
|
$70,817.08
|
$42,886.18
|
2024-12-30
|
|
0903
|
APR_DRG
|
—
|
12
|
9
|
$147,447.11
|
$95,840.62
35% off
|
$23,815.89
|
$70,753.02
|
$42,847.39
|
2024-12-30
|
|
4624
|
APR_DRG
|
—
|
12
|
9
|
$30,404.45
|
$19,762.89
35% off
|
$23,416.68
|
$69,567.05
|
$42,129.19
|
2024-12-30
|
|
1663
|
APR_DRG
|
—
|
12
|
9
|
$86,045.34
|
$55,929.47
35% off
|
$23,403.28
|
$69,527.23
|
$42,105.06
|
2024-12-30
|
|
9503
|
APR_DRG
|
—
|
12
|
9
|
$76,770.53
|
$49,900.84
35% off
|
$23,278.56
|
$69,156.72
|
$41,880.68
|
2024-12-30
|
|
1652
|
APR_DRG
|
—
|
12
|
9
|
$112,450.32
|
$73,092.71
35% off
|
$23,002.33
|
$68,336.07
|
$41,383.71
|
2024-12-30
|
|
9123
|
APR_DRG
|
—
|
12
|
9
|
$52,261.58
|
$33,970.03
35% off
|
$22,935.31
|
$68,136.96
|
$41,263.12
|
2024-12-30
|
|
1651
|
APR_DRG
|
—
|
12
|
9
|
$112,450.32
|
$73,092.71
35% off
|
$22,923.65
|
$68,102.34
|
$41,242.16
|
2024-12-30
|
|
6803
|
APR_DRG
|
—
|
12
|
9
|
$87,677.10
|
$56,990.12
35% off
|
$22,546.01
|
$66,980.43
|
$40,562.74
|
2024-12-30
|
|
3434
|
APR_DRG
|
—
|
12
|
9
|
$34,886.08
|
$22,675.95
35% off
|
$22,447.56
|
$66,687.79
|
$40,385.54
|
2024-12-30
|
|
3144
|
APR_DRG
|
—
|
12
|
9
|
$38,246.29
|
$24,860.09
35% off
|
$22,407.89
|
$66,570.10
|
$40,314.25
|
2024-12-30
|
|
6813
|
APR_DRG
|
—
|
12
|
9
|
$33,864.46
|
$22,011.90
35% off
|
$22,258.12
|
$66,125.11
|
$40,044.79
|
2024-12-30
|
|
8904
|
APR_DRG
|
—
|
12
|
9
|
$76,900.80
|
$49,985.52
35% off
|
$22,066.96
|
$65,557.26
|
$39,700.88
|
2024-12-30
|
|
6514
|
APR_DRG
|
—
|
12
|
9
|
$32,730.78
|
$21,275.01
35% off
|
$21,981.88
|
$65,304.49
|
$39,547.81
|
2024-12-30
|
|
3042
|
APR_DRG
|
—
|
12
|
9
|
$64,389.03
|
$41,852.87
35% off
|
$21,765.67
|
$64,662.16
|
$39,158.82
|
2024-12-30
|
|
0243
|
APR_DRG
|
—
|
12
|
9
|
$29,986.44
|
$19,491.19
35% off
|
$21,506.33
|
$63,891.71
|
$38,692.24
|
2024-12-30
|
|
1673
|
APR_DRG
|
—
|
12
|
9
|
$103,246.36
|
$67,110.13
35% off
|
$21,453.30
|
$63,734.16
|
$38,596.83
|
2024-12-30
|
|
2634
|
APR_DRG
|
—
|
12
|
9
|
$32,974.55
|
$21,433.46
35% off
|
$21,386.28
|
$63,535.06
|
$38,476.25
|
2024-12-30
|
|
9304
|
APR_DRG
|
—
|
12
|
9
|
$39,765.43
|
$25,847.53
35% off
|
$21,294.78
|
$63,263.27
|
$38,311.66
|
2024-12-30
|
|
2264
|
APR_DRG
|
—
|
12
|
9
|
$34,725.21
|
$22,571.39
35% off
|
$21,148.54
|
$62,828.71
|
$38,048.47
|
2024-12-30
|
|
1104
|
APR_DRG
|
—
|
12
|
9
|
$32,900.04
|
$21,385.03
35% off
|
$21,141.51
|
$62,807.86
|
$38,035.89
|
2024-12-30
|
|
7244
|
APR_DRG
|
—
|
12
|
9
|
$21,433.37
|
$13,931.69
35% off
|
$21,100.13
|
$62,684.97
|
$37,961.45
|
2024-12-30
|
|
1703
|
APR_DRG
|
—
|
12
|
9
|
$65,793.09
|
$42,765.51
35% off
|
$20,997.56
|
$62,380.25
|
$37,776.92
|
2024-12-30
|
|
6302
|
APR_DRG
|
—
|
12
|
8
|
$18,802.10
|
$12,221.37
35% off
|
$20,902.57
|
$47,801.39
|
$37,606.01
|
2024-12-30
|
|
3494
|
APR_DRG
|
—
|
12
|
9
|
$30,339.26
|
$19,720.52
35% off
|
$20,813.40
|
$61,833.15
|
$37,445.60
|
2024-12-30
|
|
6301
|
APR_DRG
|
—
|
12
|
8
|
$18,802.10
|
$12,221.37
35% off
|
$20,098.92
|
$45,963.54
|
$36,160.15
|
2024-12-30
|
|
3444
|
APR_DRG
|
—
|
12
|
9
|
$26,620.47
|
$17,303.31
35% off
|
$20,005.67
|
$59,433.51
|
$35,992.38
|
2024-12-30
|
|
1302
|
APR_DRG
|
—
|
12
|
9
|
$131,401.59
|
$85,411.03
35% off
|
$19,990.52
|
$59,388.49
|
$35,965.13
|
2024-12-30
|
|
1301
|
APR_DRG
|
—
|
12
|
9
|
$131,401.59
|
$85,411.03
35% off
|
$19,990.52
|
$59,388.49
|
$35,965.13
|
2024-12-30
|
|
3224
|
APR_DRG
|
—
|
12
|
9
|
$27,855.64
|
$18,106.17
35% off
|
$19,921.75
|
$59,184.19
|
$35,841.42
|
2024-12-30
|
|
2804
|
APR_DRG
|
—
|
12
|
9
|
$25,265.83
|
$16,422.79
35% off
|
$19,886.20
|
$59,078.58
|
$35,777.49
|
2024-12-30
|
|
2064
|
APR_DRG
|
—
|
12
|
9
|
$24,645.95
|
$16,019.87
35% off
|
$19,840.71
|
$58,943.54
|
$35,695.67
|
2024-12-30
|
|
0584
|
APR_DRG
|
—
|
12
|
9
|
$25,430.06
|
$16,529.54
35% off
|
$19,746.33
|
$58,663.09
|
$35,525.83
|
2024-12-30
|
|
0554
|
APR_DRG
|
—
|
12
|
9
|
$27,101.62
|
$17,616.05
35% off
|
$19,716.61
|
$58,574.73
|
$35,472.33
|
2024-12-30
|
|
3053
|
APR_DRG
|
—
|
12
|
9
|
$55,450.02
|
$36,042.51
35% off
|
$19,709.04
|
$58,552.26
|
$35,458.72
|
2024-12-30
|
|
6944
|
APR_DRG
|
—
|
12
|
9
|
$35,948.67
|
$23,366.64
35% off
|
$19,706.12
|
$58,543.63
|
$35,453.51
|
2024-12-30
|
|
1203
|
APR_DRG
|
—
|
12
|
9
|
$53,386.18
|
$34,701.02
35% off
|
$19,606.47
|
$58,247.54
|
$35,274.18
|
2024-12-30
|
|
3613
|
APR_DRG
|
—
|
12
|
9
|
$29,704.03
|
$19,307.62
35% off
|
$19,463.69
|
$57,823.36
|
$35,017.30
|
2024-12-30
|
|
6624
|
APR_DRG
|
—
|
12
|
9
|
$30,002.58
|
$19,501.68
35% off
|
$19,303.42
|
$57,347.27
|
$34,728.99
|
2024-12-30
|
|
6142
|
APR_DRG
|
—
|
12
|
9
|
$23,297.17
|
$15,143.16
35% off
|
$19,221.83
|
$57,104.85
|
$34,582.18
|
2024-12-30
|
|
4464
|
APR_DRG
|
—
|
12
|
9
|
$23,623.28
|
$15,355.13
35% off
|
$19,167.05
|
$56,942.14
|
$34,483.62
|
2024-12-30
|
|
1662
|
APR_DRG
|
—
|
12
|
9
|
$86,045.34
|
$55,929.47
35% off
|
$19,007.95
|
$56,469.45
|
$34,197.38
|
2024-12-30
|
|
6253
|
APR_DRG
|
—
|
12
|
8
|
$15,222.53
|
$9,894.64
35% off
|
$19,198.52
|
$43,904.45
|
$34,018.63
|
2024-12-30
|
|
6254
|
APR_DRG
|
—
|
12
|
8
|
$15,222.53
|
$9,894.64
35% off
|
$19,198.52
|
$43,904.45
|
$34,018.63
|
2024-12-30
|
|
8503
|
APR_DRG
|
—
|
12
|
9
|
$76,324.32
|
$49,610.81
35% off
|
$18,866.34
|
$56,048.73
|
$33,942.60
|
2024-12-30
|
|
1823
|
APR_DRG
|
—
|
12
|
9
|
$102,932.25
|
$66,905.96
35% off
|
$18,788.83
|
$55,818.47
|
$33,803.15
|
2024-12-30
|
|
7204
|
APR_DRG
|
—
|
12
|
9
|
$26,727.86
|
$17,373.11
35% off
|
$18,650.71
|
$55,408.14
|
$33,554.63
|
2024-12-30
|
|
4833
|
APR_DRG
|
—
|
12
|
9
|
$19,106.75
|
$12,419.39
35% off
|
$18,541.15
|
$55,082.65
|
$33,357.55
|
2024-12-30
|
|
3474
|
APR_DRG
|
—
|
12
|
9
|
$23,019.18
|
$14,962.47
35% off
|
$18,388.43
|
$54,629.03
|
$33,082.83
|
2024-12-30
|
|
4413
|
APR_DRG
|
—
|
12
|
9
|
$57,502.74
|
$37,376.78
35% off
|
$18,344.17
|
$54,497.45
|
$33,003.17
|
2024-12-30
|
|
2603
|
APR_DRG
|
—
|
12
|
9
|
$60,102.35
|
$39,066.53
35% off
|
$18,329.60
|
$54,454.17
|
$32,976.95
|
2024-12-30
|
|
5124
|
APR_DRG
|
—
|
11
|
8
|
$37,601.10
|
$24,440.72
35% off
|
$43,728.31
|
$100,000.81
|
$65,592.47
|
2024-12-30
|
|
3104
|
APR_DRG
|
—
|
11
|
8
|
$34,245.33
|
$22,259.46
35% off
|
$39,874.97
|
$91,188.74
|
$59,812.46
|
2024-12-30
|
|
7914
|
APR_DRG
|
—
|
11
|
8
|
$37,899.97
|
$24,634.98
35% off
|
$38,525.77
|
$88,103.51
|
$57,788.76
|
2024-12-30
|
|
4424
|
APR_DRG
|
—
|
11
|
8
|
$35,793.85
|
$23,266.00
35% off
|
$37,157.47
|
$84,974.17
|
$55,736.21
|
2024-12-30
|
|
2624
|
APR_DRG
|
—
|
11
|
8
|
$31,965.60
|
$20,777.64
35% off
|
$35,279.17
|
$80,678.75
|
$52,918.76
|
2024-12-30
|
|
5184
|
APR_DRG
|
—
|
11
|
8
|
$31,479.50
|
$20,461.68
35% off
|
$34,837.95
|
$79,669.86
|
$52,257.01
|
2024-12-30
|
|
6144
|
APR_DRG
|
—
|
11
|
8
|
$23,297.17
|
$15,143.16
35% off
|
$29,349.38
|
$67,118.12
|
$44,024.08
|
2024-12-30
|
|
6143
|
APR_DRG
|
—
|
11
|
8
|
$23,297.17
|
$15,143.16
35% off
|
$29,349.38
|
$67,118.12
|
$44,024.08
|
2024-12-30
|
|
2284
|
APR_DRG
|
—
|
11
|
8
|
$26,965.61
|
$17,527.65
35% off
|
$25,967.51
|
$59,384.23
|
$38,951.27
|
2024-12-30
|
|
4834
|
APR_DRG
|
—
|
11
|
8
|
$19,106.75
|
$12,419.39
35% off
|
$24,931.33
|
$57,014.62
|
$37,396.99
|
2024-12-30
|
|
6344
|
APR_DRG
|
—
|
11
|
8
|
$18,631.78
|
$12,110.66
35% off
|
$23,506.43
|
$53,756.07
|
$35,259.65
|
2024-12-30
|
|
0974
|
APR_DRG
|
—
|
11
|
8
|
$22,582.85
|
$14,678.85
35% off
|
$23,160.84
|
$52,965.79
|
$34,741.26
|
2024-12-30
|
|
2004
|
APR_DRG
|
—
|
11
|
8
|
$18,286.51
|
$11,886.23
35% off
|
$22,958.58
|
$52,503.29
|
$34,437.89
|
2024-12-30
|
|
0244
|
APR_DRG
|
—
|
10
|
7
|
$29,986.44
|
$19,491.19
35% off
|
$39,591.74
|
$89,081.42
|
$49,489.68
|
2024-12-30
|
|
3614
|
APR_DRG
|
—
|
6
|
5
|
$29,704.03
|
$19,307.62
35% off
|
$55,949.79
|
$83,924.69
|
$55,949.79
|
2024-12-30
|
|
6814
|
APR_DRG
|
—
|
6
|
5
|
$33,864.46
|
$22,011.90
35% off
|
$52,282.36
|
$78,423.54
|
$52,282.36
|
2024-12-30
|
|
0924
|
APR_DRG
|
—
|
6
|
5
|
$26,312.65
|
$17,103.22
35% off
|
$42,854.14
|
$64,281.22
|
$42,854.14
|
2024-12-30
|
|
5104
|
APR_DRG
|
—
|
6
|
5
|
$22,211.76
|
$14,437.64
35% off
|
$37,352.12
|
$56,028.18
|
$37,352.12
|
2024-12-30
|
|
5194
|
APR_DRG
|
—
|
6
|
5
|
$20,127.59
|
$13,082.93
35% off
|
$35,251.14
|
$52,876.79
|
$35,251.14
|
2024-12-30
|
|
6303
|
APR_DRG
|
—
|
6
|
5
|
$18,802.10
|
$12,221.37
35% off
|
$34,532.63
|
$51,798.94
|
$34,532.63
|
2024-12-30
|
|
3814
|
APR_DRG
|
—
|
5
|
4
|
$15,006.43
|
$9,754.18
35% off
|
$34,400.34
|
$34,400.34
|
$34,400.34
|
2024-12-30
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
2
|
2
|
$174,483.53
|
$113,414.29
35% off
|
$16,585.77
|
$73,629.74
|
$45,107.76
|
2024-12-30
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without McC
|
2
|
2
|
$36,425.91
|
$23,676.85
35% off
|
$32,638.98
|
$38,044.17
|
$35,341.57
|
2024-12-30
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
2
|
2
|
$123,496.62
|
$80,272.81
35% off
|
$31,269.80
|
$38,044.17
|
$34,656.99
|
2024-12-30
|
|
3624
|
APR_DRG
|
—
|
2
|
2
|
$67,180.88
|
$43,667.57
35% off
|
$16,922.18
|
$50,272.98
|
$33,597.58
|
2024-12-30
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
$105,626.48
|
$68,657.21
35% off
|
$54,840.88
|
$54,840.88
|
$54,840.88
|
2024-12-30
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without McC
|
1
|
1
|
$48,725.01
|
$31,671.26
35% off
|
$38,044.17
|
$38,044.17
|
$38,044.17
|
2024-12-30
|