Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Ira Davenport Memorial Hospital

Bath, NY · CCN 330144 · Rates published

53,553 distinct procedures filed
28 distinct payers
582,428 rate rows
2026-03-27 last MRF observed
Data quality

465,023 of 582,428 rate rows are consumer-grade (79.8%)

117,405 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 — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 116,867
template filing: same amount across many unrelated codes — excluded 234
placeholder amount (≤ $0.02) — excluded from medians 132
exceeds 10× this hospital's gross charge — excluded from medians 128
per-diem day rate — not a per-procedure price 42
exceeds 3× this hospital's gross charge for a DRG stay — excluded 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbIDMHBATHNY&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 110bb93075feae4d… · 53,687,226 bytes · first seen 2026-05-07

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 2 $4,730,250.00 $4,730,250.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J339100
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 —
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,869,529.99 $3,869,529.99 $3,869,529.99 nat. median
$3,710,000
1.0× median
J141400
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 —
J141100
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 —
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 2 $3,502,611.00 $3,502,611.00 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,494,252.71 $3,494,252.71 $3,494,252.71 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,415,133.47 $3,415,133.47 $3,415,133.47 nat. median
$3,286,000
1.0× median
J141300
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,392,000.00 $3,392,000.00 $3,392,000.00 —
J3387
HCPCS 		Inj Elivaldogene Autotemecel 2 $3,339,000.00 $3,339,000.00 $3,339,000.00 nat. median
$3,180,000
1.1× median
J338900
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 —
J339400
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,286,000.00 $3,286,000.00 $3,286,000.00 —
J338700
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 —
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $3,086,967.32 $3,086,967.32 $3,086,967.32 nat. median
$3,004,655
1.0× median
J339300
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,968,000.00 $2,968,000.00 $2,968,000.00 —
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,213,634.28 $2,718,430.28 $2,718,430.28 nat. median
$2,468,984
1.1× median
J339900
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,661,968.43 $2,661,968.43 $2,661,968.43 —
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,448,600.00 $2,448,600.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
J339200
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 —
Q205700
HCPCS 		Afamitresgene Autoleucel 1 $1,032,630.80 $1,032,630.80 $1,032,630.80 —
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $809,151.00 $1,155,930.00 $809,151.00 nat. median
$824,563
1.0× median
Q205600
HCPCS 		Ciltacabtagene Car-pos T 1 $787,450.42 $787,450.42 $787,450.42 —
Q204200
HCPCS 		Tisagenlecleucel Car-pos T 1 $759,151.94 $759,151.94 $759,151.94 —
Q205400
HCPCS 		Lisocabtagene Mara Car Pos T 1 $753,349.66 $753,349.66 $753,349.66 —
Q205500
HCPCS 		Idecabtagene Vicleucel Car 1 $747,829.52 $747,829.52 $747,829.52 —
Q204100
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $713,137.60 $713,137.60 $713,137.60 —
Q205300
HCPCS 		Brexucabtagene Car Pos T 1 $655,863.27 $655,863.27 $655,863.27 —
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $617,032.05 $881,474.36 $617,032.05 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $429,813.31 $849,796.96 $594,857.87 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $590,311.30 $843,301.86 $590,311.30 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $585,985.81 $837,122.59 $585,985.81 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $395,380.00 $798,288.36 $558,801.85 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $513,922.71 $734,175.30 $513,922.71 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 $186,808.79 $530,975.80 $429,388.22 nat. median
$370,174
1.2× median
Q205800
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $351,750.00 $351,750.00 $351,750.00 —
0024
APR_DRG 		1 $351,090.41 $351,090.41 $351,090.41 nat. median
$372,987
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $292,162.50 $292,162.50 $292,162.50 nat. median
$324,450
0.9× median
J340300
HCPCS 		Revakinagene, Per Implant 1 $280,900.00 $280,900.00 $280,900.00 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $121,231.39 $344,832.31 $278,780.86 nat. median
$265,286
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 3 $278,250.00 $397,500.00 $278,250.00 nat. median
$265,000
1.1× median
5834
APR_DRG 		1 $258,444.37 $258,444.37 $258,444.37 nat. median
$309,665
0.8× median
5883
APR_DRG 		1 $253,901.47 $253,901.47 $253,901.47 nat. median
$182,665
1.4× median
5884
APR_DRG 		1 $253,901.47 $253,901.47 $253,901.47 nat. median
$246,434
1.0× median
1614
APR_DRG 		1 $232,234.39 $232,234.39 $232,234.39 nat. median
$207,730
1.1× median
0034
APR_DRG 		1 $225,487.95 $225,487.95 $225,487.95 nat. median
$267,508
0.8× median
J340200
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $213,769.16 $213,769.16 $213,769.16 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $92,362.26 $262,886.39 $212,479.02 nat. median
$206,474
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $211,752.47 $302,503.53 $211,752.47 nat. median
$209,753
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $91,820.22 $261,347.76 $211,234.12 nat. median
$202,976
1.0× median
5914
APR_DRG 		1 $194,942.34 $194,942.34 $194,942.34 nat. median
$164,289
1.2× median

Other procedures at this hospital

Browse this hospital's 53,553 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
0011 APR_DRG — 1 1 — — $62,013.89 $62,013.89 $62,013.89 2026-03-27
0012 APR_DRG — 1 1 — — $62,013.89 $62,013.89 $62,013.89 2026-03-27
0013 APR_DRG — 1 1 — — $84,182.04 $84,182.04 $84,182.04 2026-03-27
0014 APR_DRG — 1 1 — — $176,135.83 $176,135.83 $176,135.83 2026-03-27
0021 APR_DRG — 1 1 — — $121,748.78 $121,748.78 $121,748.78 2026-03-27
0022 APR_DRG — 1 1 — — $129,251.87 $129,251.87 $129,251.87 2026-03-27
0023 APR_DRG — 1 1 — — $151,619.25 $151,619.25 $151,619.25 2026-03-27
0024 APR_DRG — 1 1 — — $351,090.41 $351,090.41 $351,090.41 2026-03-27
0031 APR_DRG — 1 1 — — $66,665.46 $66,665.46 $66,665.46 2026-03-27
0032 APR_DRG — 1 1 — — $78,085.60 $78,085.60 $78,085.60 2026-03-27
0033 APR_DRG — 1 1 — — $118,961.66 $118,961.66 $118,961.66 2026-03-27
0034 APR_DRG — 1 1 — — $225,487.95 $225,487.95 $225,487.95 2026-03-27
0041 APR_DRG — 1 1 — — $72,330.25 $72,330.25 $72,330.25 2026-03-27
0042 APR_DRG — 1 1 — — $72,330.25 $72,330.25 $72,330.25 2026-03-27
0043 APR_DRG — 1 1 — — $101,328.36 $101,328.36 $101,328.36 2026-03-27
0044 APR_DRG — 1 1 — — $181,837.85 $181,837.85 $181,837.85 2026-03-27
0051 APR_DRG — 1 1 — — $57,313.01 $57,313.01 $57,313.01 2026-03-27
0052 APR_DRG — 1 1 — — $58,797.13 $58,797.13 $58,797.13 2026-03-27
0053 APR_DRG — 1 1 — — $92,897.58 $92,897.58 $92,897.58 2026-03-27
0054 APR_DRG — 1 1 — — $138,747.19 $138,747.19 $138,747.19 2026-03-27
0061 APR_DRG — 1 1 — — $50,866.42 $50,866.42 $50,866.42 2026-03-27
0062 APR_DRG — 1 1 — — $50,866.42 $50,866.42 $50,866.42 2026-03-27
0063 APR_DRG — 1 1 — — $73,594.01 $73,594.01 $73,594.01 2026-03-27
0064 APR_DRG — 1 1 — — $76,861.08 $76,861.08 $76,861.08 2026-03-27
0204 APR_DRG — 1 1 — — $67,313.44 $67,313.44 $67,313.44 2026-03-27
0214 APR_DRG — 1 1 — — $72,861.51 $72,861.51 $72,861.51 2026-03-27
0224 APR_DRG — 1 1 — — $54,207.94 $54,207.94 $54,207.94 2026-03-27
0234 APR_DRG — 1 1 — — $81,320.47 $81,320.47 $81,320.47 2026-03-27
0244 APR_DRG — 1 1 — — $68,355.84 $68,355.84 $68,355.84 2026-03-27
0264 APR_DRG — 1 1 — — $63,146.85 $63,146.85 $63,146.85 2026-03-27
0434 APR_DRG — 1 1 — — $59,542.71 $59,542.71 $59,542.71 2026-03-27
0494 APR_DRG — 1 1 — — $60,043.79 $60,043.79 $60,043.79 2026-03-27
0504 APR_DRG — 1 1 — — $53,795.41 $53,795.41 $53,795.41 2026-03-27
0894 APR_DRG — 1 1 — — $68,607.38 $68,607.38 $68,607.38 2026-03-27
0904 APR_DRG — 1 1 — — $112,998.03 $112,998.03 $112,998.03 2026-03-27
0924 APR_DRG — 1 1 — — $73,988.44 $73,988.44 $73,988.44 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $121,231.39 $344,832.31 $278,780.86 2026-03-27
10 MS_DRG Pancreas Transplant 4 4 — — $31,042.08 $88,827.13 $71,648.93 2026-03-27
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 4 4 — — $23,594.44 $67,686.77 $54,544.42 2026-03-27
1204 APR_DRG — 1 1 — — $61,284.41 $61,284.41 $61,284.41 2026-03-27
1214 APR_DRG — 1 1 — — $60,945.32 $60,945.32 $60,945.32 2026-03-27
1304 APR_DRG — 1 1 — — $61,103.29 $61,103.29 $61,103.29 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $51,989.44 $148,286.86 $119,757.37 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $25,651.88 $73,526.89 $59,269.62 2026-03-27
1604 APR_DRG — 1 1 — — $100,053.53 $100,053.53 $100,053.53 2026-03-27
1612 APR_DRG — 1 1 — — $61,654.68 $61,654.68 $61,654.68 2026-03-27
1613 APR_DRG — 1 1 — — $99,004.08 $99,004.08 $99,004.08 2026-03-27
1614 APR_DRG — 1 1 — — $232,234.39 $232,234.39 $232,234.39 2026-03-27
1623 APR_DRG — 1 1 — — $57,721.52 $57,721.52 $57,721.52 2026-03-27
1624 APR_DRG — 1 1 — — $94,426.97 $94,426.97 $94,426.97 2026-03-27
1634 APR_DRG — 1 1 — — $70,905.50 $70,905.50 $70,905.50 2026-03-27
1654 APR_DRG — 1 1 — — $71,203.33 $71,203.33 $71,203.33 2026-03-27
1664 APR_DRG — 1 1 — — $62,697.08 $62,697.08 $62,697.08 2026-03-27
1674 APR_DRG — 1 1 — — $66,721.80 $66,721.80 $66,721.80 2026-03-27
1694 APR_DRG — 1 1 — — $72,272.90 $72,272.90 $72,272.90 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $23,500.13 $67,419.07 $54,327.83 2026-03-27
1714 APR_DRG — 1 1 — — $60,006.56 $60,006.56 $60,006.56 2026-03-27
1774 APR_DRG — 1 1 — — $63,737.47 $63,737.47 $63,737.47 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 4 — — $186,808.79 $530,975.80 $429,388.22 2026-03-27
1814 APR_DRG — 1 1 — — $66,573.89 $66,573.89 $66,573.89 2026-03-27
1824 APR_DRG — 1 1 — — $63,107.60 $63,107.60 $63,107.60 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $30,864.28 $88,322.44 $71,240.60 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $49,021.37 $139,861.90 $112,940.79 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $34,040.43 $97,338.05 $78,535.05 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $27,836.51 $79,728.03 $64,286.92 2026-03-27
209 MS_DRG Complex Aortic Arch Procedures 4 4 — — $48,965.13 $139,702.27 $112,811.64 2026-03-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $22,900.98 $65,718.37 $52,951.80 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $47,041.36 $134,241.59 $108,393.44 2026-03-27
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 4 — — $24,688.05 $70,791.02 $57,056.05 2026-03-27
215 MS_DRG Other Heart Assist System Implant 4 4 — — $43,073.98 $122,980.06 $99,281.82 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $42,320.39 $120,840.98 $97,551.10 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $28,444.75 $81,454.53 $65,683.82 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $28,444.75 $81,454.53 $65,683.82 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $33,216.33 $94,998.80 $76,642.39 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $23,069.69 $66,197.27 $53,339.28 2026-03-27
2204 APR_DRG — 1 1 — — $71,315.01 $71,315.01 $71,315.01 2026-03-27
2214 APR_DRG — 1 1 — — $66,491.39 $66,491.39 $66,491.39 2026-03-27
2224 APR_DRG — 1 1 — — $55,682.00 $55,682.00 $55,682.00 2026-03-27
2234 APR_DRG — 1 1 — — $56,129.75 $56,129.75 $56,129.75 2026-03-27
2244 APR_DRG — 1 1 — — $56,030.13 $56,030.13 $56,030.13 2026-03-27
2274 APR_DRG — 1 1 — — $53,062.91 $53,062.91 $53,062.91 2026-03-27
2294 APR_DRG — 1 1 — — $58,225.62 $58,225.62 $58,225.62 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $24,789.28 $71,078.36 $57,288.54 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $36,467.75 $104,228.06 $84,109.71 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $26,226.81 $75,158.83 $60,590.01 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 4 — — $33,073.14 $94,592.35 $76,313.53 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 4 4 — — $23,631.64 $67,792.37 $54,629.86 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $25,387.56 $72,776.61 $58,662.57 2026-03-27
2604 APR_DRG — 1 1 — — $74,723.95 $74,723.95 $74,723.95 2026-03-27
2614 APR_DRG — 1 1 — — $61,785.48 $61,785.48 $61,785.48 2026-03-27
2624 APR_DRG — 1 1 — — $60,910.11 $60,910.11 $60,910.11 2026-03-27
2644 APR_DRG — 1 1 — — $61,926.35 $61,926.35 $61,926.35 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 4 4 — — $26,511.46 $75,966.83 $61,243.76 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $29,753.80 $85,170.30 $68,690.22 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $22,825.27 $65,503.47 $52,777.93 2026-03-27
27000000S1-178 CDM Icd Maximo Ii D284trk Sc Pm C1882 Defib 5 5 $77,175.00 $15,435.00 80% off $32,313.17 $77,175.00 $65,598.75 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $30,846.11 $88,270.88 $71,198.88 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 — — $25,984.55 $74,471.19 $60,033.65 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $24,079.38 $69,063.30 $55,658.16 2026-03-27
27800000S1-11787 CDM Eterna Implantable Pulse Generator 32400 5 5 $61,726.98 $12,345.40 80% off $25,845.09 $61,726.98 $52,467.93 2026-03-27
27800000S1-11789 CDM Generator Neurostimulation Lead L60cm Proclaim Plus 5 5 5 $64,329.00 $12,865.80 80% off $26,934.55 $64,329.00 $54,679.65 2026-03-27
27800000S1-13370 CDM Stimulator 2 Lead Lumbar Scs 5 5 $61,726.98 $12,345.40 80% off $25,845.09 $61,726.98 $52,467.93 2026-03-27
27800000S1-14046 CDM Icd Generator Cd3357-40q C1882 5 5 $67,800.00 $13,560.00 80% off $28,387.86 $67,800.00 $57,630.00 2026-03-27
27800000S1-14175 CDM Icd Generator Cd3357-40c C1882 5 5 $67,800.00 $13,560.00 80% off $28,387.86 $67,800.00 $57,630.00 2026-03-27
27800000S1-15059 CDM Icd Hv Generator Cd3369-40q C1722 5 5 $74,040.00 $14,808.00 80% off $31,000.55 $74,040.00 $62,934.00 2026-03-27
27800000S1-17912 CDM Icd Itrevia 7 Hf-t 393014 C1722 5 5 $61,290.00 $12,258.00 80% off $25,662.12 $61,290.00 $52,096.50 2026-03-27
27800000S1-6378 CDM Generator Crt-d G150 C1882 5 5 $67,704.75 $13,540.95 80% off $28,347.98 $67,704.75 $57,549.04 2026-03-27
27800000S1-6385 CDM Icd Generator Cd2357-40q Fortify Assura C1721 5 5 $64,230.00 $12,846.00 80% off $26,893.10 $64,230.00 $54,595.50 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $25,991.91 $74,492.06 $60,050.54 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $91,820.22 $261,347.76 $211,234.12 2026-03-27
3014 APR_DRG — 1 1 — — $60,911.11 $60,911.11 $60,911.11 2026-03-27
3024 APR_DRG — 1 1 — — $54,764.36 $54,764.36 $54,764.36 2026-03-27
3032 APR_DRG — 1 1 — — $53,210.82 $53,210.82 $53,210.82 2026-03-27
3033 APR_DRG — 1 1 — — $70,311.85 $70,311.85 $70,311.85 2026-03-27
3034 APR_DRG — 1 1 — — $109,618.28 $109,618.28 $109,618.28 2026-03-27
3043 APR_DRG — 1 1 — — $53,605.24 $53,605.24 $53,605.24 2026-03-27
3044 APR_DRG — 1 1 — — $92,389.45 $92,389.45 $92,389.45 2026-03-27
3054 APR_DRG — 1 1 — — $63,407.45 $63,407.45 $63,407.45 2026-03-27
3084 APR_DRG — 1 1 — — $58,044.51 $58,044.51 $58,044.51 2026-03-27
3094 APR_DRG — 1 1 — — $57,806.04 $57,806.04 $57,806.04 2026-03-27
3104 APR_DRG — 1 1 — — $68,844.84 $68,844.84 $68,844.84 2026-03-27
3124 APR_DRG — 1 1 — — $90,579.34 $90,579.34 $90,579.34 2026-03-27
3134 APR_DRG — 1 1 — — $65,112.92 $65,112.92 $65,112.92 2026-03-27
3154 APR_DRG — 1 1 — — $51,651.24 $51,651.24 $51,651.24 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 4 — — $28,925.80 $82,820.01 $66,788.61 2026-03-27
3174 APR_DRG — 1 1 — — $63,570.45 $63,570.45 $63,570.45 2026-03-27
3214 APR_DRG — 1 1 — — $71,078.56 $71,078.56 $71,078.56 2026-03-27
33249 HCPCS Insertion Of Implantable Defibrillator System 114 25 $77,592.87 $77,592.87 $603.24 $294,540.26 $55,788.59 2026-03-27
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 46 25 $93,835.14 $93,835.14 $372.80 $309,074.18 $59,726.07 2026-03-27
3614 APR_DRG — 1 1 — — $96,598.31 $96,598.31 $96,598.31 2026-03-27
3644 APR_DRG — 1 1 — — $53,421.11 $53,421.11 $53,421.11 2026-03-27
3814 APR_DRG — 1 1 — — $59,392.79 $59,392.79 $59,392.79 2026-03-27
38240 HCPCS Transplt Allo Hct/donor 2 2 — — $67,476.70 $67,476.70 $67,476.70 2026-03-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $59,921.16 $170,801.30 $137,973.64 2026-03-27
4014 APR_DRG — 1 1 — — $70,308.83 $70,308.83 $70,308.83 2026-03-27
4034 APR_DRG — 1 1 — — $66,173.44 $66,173.44 $66,173.44 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $23,665.38 $67,888.15 $54,707.36 2026-03-27
4054 APR_DRG — 1 1 — — $84,399.38 $84,399.38 $84,399.38 2026-03-27
4234 APR_DRG — 1 1 — — $54,719.08 $54,719.08 $54,719.08 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $47,677.71 $136,047.89 $109,854.91 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $31,227.66 $89,353.92 $72,075.15 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $24,320.77 $69,748.50 $56,212.55 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $38,975.53 $111,346.48 $89,869.17 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $24,948.47 $71,530.25 $57,654.15 2026-03-27
4403 APR_DRG — 1 1 — — $57,074.55 $57,074.55 $57,074.55 2026-03-27
4404 APR_DRG — 1 1 — — $104,482.73 $104,482.73 $104,482.73 2026-03-27
4414 APR_DRG — 1 1 — — $68,050.97 $68,050.97 $68,050.97 2026-03-27
4424 APR_DRG — 1 1 — — $64,153.03 $64,153.03 $64,153.03 2026-03-27
4434 APR_DRG — 1 1 — — $50,991.19 $50,991.19 $50,991.19 2026-03-27
4444 APR_DRG — 1 1 — — $62,241.28 $62,241.28 $62,241.28 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $28,904.60 $82,759.83 $66,739.93 2026-03-27
4474 APR_DRG — 1 1 — — $76,777.57 $76,777.57 $76,777.57 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 4 — — $23,055.85 $66,157.97 $53,307.48 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $36,353.11 $103,902.66 $83,846.43 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $25,796.37 $73,937.03 $59,601.46 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 4 4 — — $23,892.50 $68,532.83 $55,228.96 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $24,656.04 $70,700.15 $56,982.52 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 4 — — $22,518.56 $64,632.87 $52,073.53 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $44,603.22 $127,320.87 $102,793.94 2026-03-27
5104 APR_DRG — 1 1 — — $64,489.09 $64,489.09 $64,489.09 2026-03-27
5114 APR_DRG — 1 1 — — $62,648.79 $62,648.79 $62,648.79 2026-03-27
5124 APR_DRG — 1 1 — — $75,497.71 $75,497.71 $75,497.71 2026-03-27
5184 APR_DRG — 1 1 — — $60,148.43 $60,148.43 $60,148.43 2026-03-27
5194 APR_DRG — 1 1 — — $60,861.81 $60,861.81 $60,861.81 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $28,341.36 $81,161.05 $65,446.37 2026-03-27
5831 APR_DRG — 1 1 — — $144,079.94 $144,079.94 $144,079.94 2026-03-27
5832 APR_DRG — 1 1 — — $144,079.94 $144,079.94 $144,079.94 2026-03-27
5833 APR_DRG — 1 1 — — $146,825.81 $146,825.81 $146,825.81 2026-03-27
5834 APR_DRG — 1 1 — — $258,444.37 $258,444.37 $258,444.37 2026-03-27
5881 APR_DRG — 1 1 — — $194,238.01 $194,238.01 $194,238.01 2026-03-27
5882 APR_DRG — 1 1 — — $194,238.01 $194,238.01 $194,238.01 2026-03-27
5883 APR_DRG — 1 1 — — $253,901.47 $253,901.47 $253,901.47 2026-03-27
5884 APR_DRG — 1 1 — — $253,901.47 $253,901.47 $253,901.47 2026-03-27
5891 APR_DRG — 1 1 — — $122,139.18 $122,139.18 $122,139.18 2026-03-27
5892 APR_DRG — 1 1 — — $122,139.18 $122,139.18 $122,139.18 2026-03-27
5911 APR_DRG — 1 1 — — $89,443.36 $89,443.36 $89,443.36 2026-03-27
5912 APR_DRG — 1 1 — — $110,900.15 $110,900.15 $110,900.15 2026-03-27
5913 APR_DRG — 1 1 — — $118,878.15 $118,878.15 $118,878.15 2026-03-27
5914 APR_DRG — 1 1 — — $194,942.34 $194,942.34 $194,942.34 2026-03-27
5931 APR_DRG — 1 1 — — $108,695.61 $108,695.61 $108,695.61 2026-03-27
5932 APR_DRG — 1 1 — — $112,109.58 $112,109.58 $112,109.58 2026-03-27
5933 APR_DRG — 1 1 — — $137,021.59 $137,021.59 $137,021.59 2026-03-27
5934 APR_DRG — 1 1 — — $175,436.53 $175,436.53 $175,436.53 2026-03-27
6021 APR_DRG — 1 1 — — $65,328.24 $65,328.24 $65,328.24 2026-03-27
6022 APR_DRG — 1 1 — — $95,426.11 $95,426.11 $95,426.11 2026-03-27
6023 APR_DRG — 1 1 — — $112,310.81 $112,310.81 $112,310.81 2026-03-27
6024 APR_DRG — 1 1 — — $152,150.51 $152,150.51 $152,150.51 2026-03-27
6031 APR_DRG — 1 1 — — $52,061.76 $52,061.76 $52,061.76 2026-03-27
6032 APR_DRG — 1 1 — — $69,411.32 $69,411.32 $69,411.32 2026-03-27
6033 APR_DRG — 1 1 — — $90,339.87 $90,339.87 $90,339.87 2026-03-27
6034 APR_DRG — 1 1 — — $140,158.86 $140,158.86 $140,158.86 2026-03-27
6071 APR_DRG — 1 1 — — $60,785.34 $60,785.34 $60,785.34 2026-03-27
6072 APR_DRG — 1 1 — — $75,246.16 $75,246.16 $75,246.16 2026-03-27
6073 APR_DRG — 1 1 — — $92,056.41 $92,056.41 $92,056.41 2026-03-27
6074 APR_DRG — 1 1 — — $124,218.95 $124,218.95 $124,218.95 2026-03-27
6082 APR_DRG — 1 1 — — $57,211.39 $57,211.39 $57,211.39 2026-03-27
6083 APR_DRG — 1 1 — — $68,657.69 $68,657.69 $68,657.69 2026-03-27
6084 APR_DRG — 1 1 — — $72,267.87 $72,267.87 $72,267.87 2026-03-27
6093 APR_DRG — 1 1 — — $73,281.09 $73,281.09 $73,281.09 2026-03-27
6094 APR_DRG — 1 1 — — $160,628.58 $160,628.58 $160,628.58 2026-03-27
6113 APR_DRG — 1 1 — — $63,045.22 $63,045.22 $63,045.22 2026-03-27
6114 APR_DRG — 1 1 — — $82,644.60 $82,644.60 $82,644.60 2026-03-27
6123 APR_DRG — 1 1 — — $63,821.99 $63,821.99 $63,821.99 2026-03-27
6124 APR_DRG — 1 1 — — $85,259.66 $85,259.66 $85,259.66 2026-03-27
6134 APR_DRG — 1 1 — — $52,101.00 $52,101.00 $52,101.00 2026-03-27
6214 APR_DRG — 1 1 — — $68,340.75 $68,340.75 $68,340.75 2026-03-27
6224 APR_DRG — 1 1 — — $52,009.44 $52,009.44 $52,009.44 2026-03-27
6303 APR_DRG — 1 1 — — $59,621.19 $59,621.19 $59,621.19 2026-03-27
6304 APR_DRG — 1 1 — — $123,050.78 $123,050.78 $123,050.78 2026-03-27
6314 APR_DRG — 1 1 — — $105,783.72 $105,783.72 $105,783.72 2026-03-27
6334 APR_DRG — 1 1 — — $53,869.87 $53,869.87 $53,869.87 2026-03-27
6504 APR_DRG — 1 1 — — $57,382.44 $57,382.44 $57,382.44 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $22,479.63 $64,522.34 $51,984.10 2026-03-27
6804 APR_DRG — 1 1 — — $90,015.88 $90,015.88 $90,015.88 2026-03-27
6814 APR_DRG — 1 1 — — $90,266.42 $90,266.42 $90,266.42 2026-03-27
6903 APR_DRG — 1 1 — — $61,003.68 $61,003.68 $61,003.68 2026-03-27
6904 APR_DRG — 1 1 — — $88,071.94 $88,071.94 $88,071.94 2026-03-27
6914 APR_DRG — 1 1 — — $63,719.36 $63,719.36 $63,719.36 2026-03-27
6954 APR_DRG — 1 1 — — $74,324.50 $74,324.50 $74,324.50 2026-03-27
7 MS_DRG Lung Transplant 4 4 — — $56,022.57 $159,735.02 $129,019.99 2026-03-27
7104 APR_DRG — 1 1 — — $63,594.60 $63,594.60 $63,594.60 2026-03-27
7114 APR_DRG — 1 1 — — $60,732.01 $60,732.01 $60,732.01 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $25,711.58 $73,696.35 $59,406.73 2026-03-27
7914 APR_DRG — 1 1 — — $66,515.54 $66,515.54 $66,515.54 2026-03-27
8 MS_DRG Simultaneous Pancreas/kidney Transplant 4 4 — — $24,245.50 $69,534.83 $56,039.68 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $25,371.12 $72,729.95 $58,624.82 2026-03-27
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 4 — — $23,749.31 $68,126.37 $54,900.10 2026-03-27
8411 APR_DRG — 1 1 — — $53,999.66 $53,999.66 $53,999.66 2026-03-27
8412 APR_DRG — 1 1 — — $71,256.66 $71,256.66 $71,256.66 2026-03-27
8413 APR_DRG — 1 1 — — $147,333.93 $147,333.93 $147,333.93 2026-03-27
8414 APR_DRG — 1 1 — — $188,542.03 $188,542.03 $188,542.03 2026-03-27
8424 APR_DRG — 1 1 — — $86,910.80 $86,910.80 $86,910.80 2026-03-27
8444 APR_DRG — 1 1 — — $51,110.92 $51,110.92 $51,110.92 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $37,461.00 $107,047.44 $86,390.85 2026-03-27
8634 APR_DRG — 1 1 — — $53,317.47 $53,317.47 $53,317.47 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $29,900.45 $85,586.57 $69,027.02 2026-03-27
9028800 HCPCS Botulism Ig IV 2 1 — — $81,774.00 $81,774.00 $81,774.00 2026-03-27
9104 APR_DRG — 1 1 — — $72,268.87 $72,268.87 $72,268.87 2026-03-27
9114 APR_DRG — 1 1 — — $65,304.10 $65,304.10 $65,304.10 2026-03-27
9124 APR_DRG — 1 1 — — $76,234.23 $76,234.23 $76,234.23 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $92,362.26 $262,886.39 $212,479.02 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 4 — — $31,029.10 $88,790.29 $71,619.13 2026-03-27
9504 APR_DRG — 1 1 — — $81,644.46 $81,644.46 $81,644.46 2026-03-27
9514 APR_DRG — 1 1 — — $63,138.80 $63,138.80 $63,138.80 2026-03-27
9524 APR_DRG — 1 1 — — $59,682.57 $59,682.57 $59,682.57 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $29,118.74 $83,367.67 $67,231.73 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $32,963.69 $94,281.68 $76,062.17 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $26,480.74 $75,879.65 $61,173.22 2026-03-27
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $56,746.93 $59,665.77 $59,665.77 2026-03-27
A954300 HCPCS Y90 Ibritumomab, Rx 2 1 — — $71,875.11 $71,875.11 $71,875.11 2026-03-27
E076600 HCPCS Elec Stim Cancer Treatment 2 1 — — $83,988.32 $83,988.32 $83,988.32 2026-03-27
E0766NU HCPCS Elec Stim Cancer Treatment 2 1 — — $83,988.32 $83,988.32 $83,988.32 2026-03-27
E0766UE HCPCS Elec Stim Cancer Treatment 2 1 — — $62,991.19 $62,991.19 $62,991.19 2026-03-27
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,869,529.99 $3,869,529.99 $3,869,529.99 2026-03-27
J141100 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,494,252.71 $3,494,252.71 $3,494,252.71 2026-03-27
J141300 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,392,000.00 $3,392,000.00 $3,392,000.00 2026-03-27
J141400 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-27
J3387 HCPCS Inj Elivaldogene Autotemecel 2 2 — — $3,339,000.00 $3,339,000.00 $3,339,000.00 2026-03-27
J338700 HCPCS Inj Elivaldogene Autotemecel 2 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-27
J3389 HCPCS Topi Adm Prad Zami Per Treat 2 2 — — $3,502,611.00 $3,502,611.00 $3,502,611.00 2026-03-27
J338900 HCPCS Topi Adm Prad Zami Per Treat 2 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-27
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,730,250.00 $4,730,250.00 $4,730,250.00 2026-03-27
J339100 HCPCS Inj, Atidarsagene Autotemcel 2 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-27
J3392 HCPCS Inj, Exagamglogene Autotem 2 2 — — $2,448,600.00 $2,448,600.00 $2,448,600.00 2026-03-27
J339200 HCPCS Inj, Exagamglogene Autotem 2 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-27
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $3,086,967.32 $3,086,967.32 $3,086,967.32 2026-03-27
J339300 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2026-03-27
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,415,133.47 $3,415,133.47 $3,415,133.47 2026-03-27
J339400 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,286,000.00 $3,286,000.00 $3,286,000.00 2026-03-27
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 2 — — $2,213,634.28 $2,718,430.28 $2,718,430.28 2026-03-27
J339900 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $2,661,968.43 $2,661,968.43 $2,661,968.43 2026-03-27
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 3 — — $211,752.47 $302,503.53 $211,752.47 2026-03-27
J340200 HCPCS Inj. Remestemcel-l-rknd/ Td 2 1 — — $213,769.16 $213,769.16 $213,769.16 2026-03-27
J3403 HCPCS Revakinagene, Per Implant 3 3 — — $278,250.00 $397,500.00 $278,250.00 2026-03-27
J340300 HCPCS Revakinagene, Per Implant 2 1 — — $280,900.00 $280,900.00 $280,900.00 2026-03-27
J733000 HCPCS Cultured Chondrocytes Implnt 2 1 — — $73,958.32 $73,958.32 $73,958.32 2026-03-27
J9029 HCPCS Instill Adstiladrin, Tx Dose 3 3 — — $67,488.53 $96,412.19 $67,488.53 2026-03-27
J902900 HCPCS Instill Adstiladrin, Tx Dose 2 1 — — $86,128.22 $86,128.22 $86,128.22 2026-03-27
J922600 HCPCS Supprelin La Implant 2 1 — — $57,868.36 $57,868.36 $57,868.36 2026-03-27
K100700 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $61,802.67 $61,802.67 $61,802.67 2026-03-27
Q048000 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $70,358.18 $70,358.18 $70,358.18 2026-03-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $395,380.00 $798,288.36 $558,801.85 2026-03-27
Q204100 HCPCS Axicabtagene Ciloleucel Car+ 2 1 — — $713,137.60 $713,137.60 $713,137.60 2026-03-27
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $429,813.31 $849,796.96 $594,857.87 2026-03-27
Q204200 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $759,151.94 $759,151.94 $759,151.94 2026-03-27
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $49,671.77 $81,606.16 $57,124.31 2026-03-27
Q204300 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $72,901.51 $72,901.51 $72,901.51 2026-03-27
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $513,922.71 $734,175.30 $513,922.71 2026-03-27
Q205300 HCPCS Brexucabtagene Car Pos T 2 1 — — $655,863.27 $655,863.27 $655,863.27 2026-03-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $590,311.30 $843,301.86 $590,311.30 2026-03-27
Q205400 HCPCS Lisocabtagene Mara Car Pos T 2 1 — — $753,349.66 $753,349.66 $753,349.66 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $585,985.81 $837,122.59 $585,985.81 2026-03-27
Q205500 HCPCS Idecabtagene Vicleucel Car 2 1 — — $747,829.52 $747,829.52 $747,829.52 2026-03-27
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $617,032.05 $881,474.36 $617,032.05 2026-03-27
Q205600 HCPCS Ciltacabtagene Car-pos T 2 1 — — $787,450.42 $787,450.42 $787,450.42 2026-03-27
Q2057 HCPCS Afamitresgene Autoleucel 3 3 — — $809,151.00 $1,155,930.00 $809,151.00 2026-03-27
Q205700 HCPCS Afamitresgene Autoleucel 2 1 — — $1,032,630.80 $1,032,630.80 $1,032,630.80 2026-03-27
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 2 — — $292,162.50 $292,162.50 $292,162.50 2026-03-27
Q205800 HCPCS Obecbtge Autol Up To 400 Mil 2 1 — — $351,750.00 $351,750.00 $351,750.00 2026-03-27
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