Hospital

SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN

Brooklyn, NY · CCN 330350 · Rates published

2,962 distinct procedures filed

48 distinct payers

99,647 rate rows

2026-07-15 last MRF observed

Data quality

96,534 of 99,647 rate rows are consumer-grade (96.9%)

3,113 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
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	2,450
template filing: same amount across many unrelated codes — excluded	336
exceeds 10× this hospital's gross charge — excluded from medians	140
exceeds 3× this hospital's gross charge for a DRG stay — excluded	102
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	85

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

Source MRF file	https://www.downstate.edu/patient-care/_documents/charges/364983111_suny-university-hospital-at-downstate_standardcharges.csv
Found on page	https://www.downstate.edu/patient-care/patient-family-support/insurance-billing/hospital-charges.html
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-09-11
Content fingerprint	d3945dc58734888c… · 3,866,333 bytes · first seen 2026-05-06

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
11012 CPT	11012 - Deb Skin Bone At Fx Site	20	$226,379.00	$466,339.00	$310,422.45	nat. median $2,717 outlier · 114.2×
588 APR_DRG	Neonate Bwt <1500g W Major Procedure	14	$192,459.00	$583,553.00	$290,174.53	nat. median $381,876 0.8× median
2 APR_DRG	Heart &/or Lung Transplant	14	$120,634.00	$806,927.00	$244,017.25	nat. median $307,240 0.8× median
583 APR_DRG	Neonate W Ecmo	14	$142,761.00	$593,995.00	$237,139.80	nat. median $12,078 outlier · 19.6×
J1953 HCPCS	J1953 - Levetiracetam Inj 10mg/ml Syr	20	$156,085.00	$321,533.00	$214,295.45	nat. median $14 outlier · 15306.8×
593 APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	14	$107,700.00	$403,214.00	$172,646.49	nat. median $11,491 outlier · 15.0×
591 APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	14	$88,624.00	$448,045.00	$166,463.04	nat. median $5,085 outlier · 32.7×
3 APR_DRG	Bone Marrow Transplant	14	$66,055.00	$518,249.00	$158,380.97	—
4 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	14	$71,668.00	$417,926.00	$153,458.20	nat. median $159,438 1.0× median
841 APR_DRG	Extensive 3rd Degree Burns W Skin Graft	14	$53,505.00	$433,335.00	$149,293.79	nat. median $39,853 outlier · 3.7×
Q0163 HCPCS	Q0163 - Diphenhydramine Cap 25mg	20	$108,461.00	$223,428.00	$149,170.55	nat. median $1 outlier · 119336.4×
161 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	14	$40,021.00	$533,755.00	$140,277.68	—
1 APR_DRG	Liver Transplant &/or Intestinal Transplant	14	$61,446.00	$404,821.00	$139,141.93	nat. median $202,979 0.7× median
602 APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	$64,730.00	$349,695.00	$137,665.64	nat. median $121,245 1.1× median
607 APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	14	$60,229.00	$285,498.00	$114,060.92	nat. median $76,291 1.5× median
603 APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	14	$51,585.00	$322,134.00	$113,952.43	nat. median $17,856 outlier · 6.4×
5 APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	14	$56,788.00	$318,889.00	$112,587.40	nat. median $153,542 0.7× median
J7509 HCPCS	J7509 - Methylprednisol T 1h 6mg	20	$76,795.00	$158,196.00	$105,867.38	nat. median $5 outlier · 20596.8×
J0282 HCPCS	J0282 - Amiodarone 150mg 50mg/ml 3ml	20	$73,953.00	$152,343.00	$101,981.90	nat. median $7 outlier · 13725.7×
J1644 HCPCS	J1644 - Heparin 1000u (20,000u/ml)	20	$73,349.00	$151,099.00	$101,155.41	nat. median $10 outlier · 9859.2×
J1642 HCPCS	J1642 - Heparin Flush 10u/ml 5ml	20	$72,783.00	$149,933.00	$100,381.66	nat. median $2 outlier · 45014.2×
609 APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	14	$35,569.00	$369,180.00	$99,062.56	nat. median $243,339 outlier · 0.4×
J7611 HCPCS	J7611 - Albuterol Inh Sol 0.5% 1mg	20	$66,024.00	$136,009.00	$91,138.14	nat. median $3 outlier · 34522.0×
303 APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	14	$44,064.00	$251,941.00	$89,878.31	nat. median $27,425 outlier · 3.3×
J0330 HCPCS	J0330 - Succinylcho I 20mg/ml 10ml	20	$64,943.00	$133,782.00	$89,659.97	nat. median $10 outlier · 8755.9×
J7620 HCPCS	J7620 - Albut/iprat Inh 3ml(2.5mg/0.5)	20	$64,508.00	$132,885.00	$89,064.90	nat. median $5 outlier · 18176.5×
J2250 HCPCS	J2250 - Midazolam Inj 2mg/2ml	20	$63,709.00	$131,240.00	$87,972.90	nat. median $9 outlier · 9449.3×
6 APR_DRG	Pancreas Transplant	14	$50,401.00	$176,653.00	$86,905.02	nat. median $41,898 outlier · 2.1×
J3480 HCPCS	J3480 - Kcl Inj 2meq (20meq/10ml)	20	$60,137.00	$123,882.00	$83,088.28	nat. median $10 outlier · 7989.3×
J1100 HCPCS	J1100 - Dexamethasone 1mg(4mg/ml) Inj	20	$59,450.00	$122,467.00	$82,148.83	nat. median $5 outlier · 18015.1×
630 APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	14	$34,383.00	$282,813.00	$82,059.40	nat. median $59,608 1.4× median
J2710 HCPCS	J2710 - Neostigmine 0.5mg (10mg/10ml)	20	$58,454.00	$120,415.00	$80,786.97	nat. median $18 outlier · 4585.0×
440 APR_DRG	Kidney Transplant	14	$36,948.00	$240,138.00	$79,510.08	nat. median $112,334 0.7× median
608 APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	14	$42,315.00	$166,097.00	$77,974.25	nat. median $53,710 1.5× median
162 APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	14	$34,516.00	$217,026.00	$75,137.49	nat. median $85,583 0.9× median
J8540 HCPCS	J8540 - Dexamethasone (0.25mg)4mg Tab	20	$53,929.00	$111,093.00	$74,598.52	nat. median $3 outlier · 22537.3×
612 APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	14	$35,075.00	$195,956.00	$74,548.79	nat. median $55,259 1.3× median
J2795 HCPCS	J2795 - Ropivacaine Inj 5mg/ml 30ml	20	$53,694.00	$110,610.00	$74,277.72	nat. median $17 outlier · 4296.0×
J7614 HCPCS	J7614 - Levalbuterol Inh 0.5mg(1.25mg)	20	$53,083.00	$109,350.00	$73,441.17	nat. median $4 outlier · 16615.6×
589 APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	14	$1,132.00	$280,718.00	$72,327.87	nat. median $50,167 1.4× median
J7510 HCPCS	J7510 - Prednisolone 15mg/5ml Oral Syr	20	$52,230.00	$107,593.00	$72,275.45	nat. median $7 outlier · 10566.6×
J0461 HCPCS	J0461 - Atrop Sulf Syr 0.1mg/ml 10ml	20	$51,039.00	$105,139.00	$70,645.93	nat. median $16 outlier · 4475.5×
J0133 HCPCS	J0133 - Acyclovir Inj 500mg 50mg/ml	20	$50,334.00	$103,687.00	$69,682.10	nat. median $7 outlier · 9353.3×
304 APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	14	$30,568.00	$212,343.00	$69,420.74	nat. median $37,467 1.9× median
Q0162 HCPCS	Q0162 - Ondansetron Od Tab 4mg	20	$50,049.00	$103,101.00	$69,292.86	nat. median $22 outlier · 3171.3×
160 APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	14	$31,367.00	$229,958.00	$69,281.75	nat. median $93,331 0.7× median
611 APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	14	$24,974.00	$189,946.00	$68,471.82	nat. median $76,851 0.9× median
J7613 HCPCS	J7613 - Albutersol In Sol 0.083%	20	$48,902.00	$100,738.00	$67,724.76	nat. median $2 outlier · 31647.1×
Q0164 HCPCS	Q0164 - Prochlorperazine Tab 5mg	20	$48,114.00	$99,115.00	$66,647.17	nat. median $3 outlier · 23467.3×
J2001 HCPCS	J2001 - Lidocaine Inj 1% Per 10 Mg	20	$48,110.00	$99,107.00	$66,641.52	nat. median $11 outlier · 6153.4×

Other procedures at this hospital

Browse this hospital's 2,962 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

1	APR_DRG	Liver Transplant &/or Intestinal Transplant	54	14	$179,921.00	—	$61,446.00	$404,821.00	$139,141.93	2026-07-15
11012	CPT	11012 - Deb Skin Bone At Fx Site	29	20	$382,228.00	$382,228.00	$226,379.00	$466,339.00	$310,422.45	2026-07-15
11450	CPT	11450 - Removal Sweat Gland Lesion	29	20	$29,102.00	$29,102.00	$21,268.00	$43,812.00	$29,934.83	2026-07-15
11451	CPT	11451 - Removal Sweat Gland Lesion	29	20	$29,607.00	$29,607.00	$21,280.00	$43,836.00	$29,950.97	2026-07-15
11626	CPT	11626 - Exc S/n/h/f/g Mal+mrg >4 Cm	29	20	$27,837.00	$27,837.00	$21,324.00	$43,928.00	$30,012.03	2026-07-15
11772	CPT	11772 - Remove Pilonidal Cyst Compl	29	20	$12,870.00	$12,870.00	$21,724.00	$44,752.00	$30,559.07	2026-07-15
11971	CPT	11971 - Rmvl Tis Xpndr Wo Insj Implt	29	20	$36,573.00	$36,573.00	$21,642.00	$44,582.00	$30,446.24	2026-07-15
120	APR_DRG	Major Respiratory & Chest Procedures	72	14	$62,601.00	—	$17,274.00	$140,853.00	$43,321.90	2026-07-15
121	APR_DRG	Other Respiratory & Chest Procedures	72	14	$62,255.00	—	$12,050.00	$140,073.00	$38,233.28	2026-07-15
130	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	54	14	$62,416.00	—	$34,198.00	$140,437.00	$59,862.63	2026-07-15
15273	CPT	15273 - Skin Sub Grft T/arm/lg Child	29	20	$29,166.00	$29,166.00	$24,961.00	$51,419.00	$34,985.10	2026-07-15
15734	CPT	15734 - Muscle-skin Graft Trunk	29	20	$35,460.00	$35,460.00	$25,420.00	$52,364.00	$35,612.41	2026-07-15
15769	CPT	15769 - Grfg Autol Soft Tiss Dir Exc	29	20	$103,810.00	$103,810.00	$25,310.00	$52,139.00	$35,462.45	2026-07-15
15771	CPT	15771 - Grfg Autol Fat Lipo 50 Cc/<	29	20	$50,033.00	$50,033.00	$25,294.00	$52,106.00	$35,441.14	2026-07-15
15830	CPT	15830 - Exc Skin Abd	29	20	$60,028.00	$60,028.00	$35,356.00	$72,833.00	$49,199.86	2026-07-15
15876	CPT	15876 - Suction Lipectomy Head&neck	29	20	$33,492.00	$33,492.00	$25,187.00	$51,885.00	$35,294.24	2026-07-15
160	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	72	14	$102,203.00	—	$31,367.00	$229,958.00	$69,281.75	2026-07-15
161	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	72	14	$237,224.00	—	$40,021.00	$533,755.00	$140,277.68	2026-07-15
162	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	72	14	$96,456.00	—	$34,516.00	$217,026.00	$75,137.49	2026-07-15
163	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	72	14	$72,429.00	—	$30,155.00	$162,965.00	$59,670.04	2026-07-15
165	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	72	14	$72,733.00	—	$39,216.00	$163,650.00	$64,559.76	2026-07-15
166	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	72	14	$64,044.00	—	$29,946.00	$144,100.00	$53,789.67	2026-07-15
167	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	72	14	$68,155.00	—	$24,183.00	$153,350.00	$50,745.36	2026-07-15
169	APR_DRG	Major Abdominal Vascular Procedures	72	14	$73,826.00	—	$17,779.00	$166,108.00	$48,765.58	2026-07-15
170	APR_DRG	Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock	72	14	$49,463.00	—	$26,974.00	$111,291.00	$45,138.26	2026-07-15
171	APR_DRG	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	72	14	$61,296.00	—	$17,345.00	$137,916.00	$41,812.44	2026-07-15
174	APR_DRG	Percutaneous Coronary Intervention W Ami	72	14	$39,352.00	—	$17,596.00	$88,543.00	$32,714.10	2026-07-15
175	APR_DRG	Percutaneous Coronary Intervention Without Ami	72	14	$50,472.00	—	$14,709.00	$113,562.00	$34,134.46	2026-07-15
176	APR_DRG	Cardiac Pacemaker & Defibrillator Device Replacement	72	14	$36,498.00	—	$14,286.00	$82,121.00	$35,797.24	2026-07-15
177	APR_DRG	Cardiac Pacemaker & Defibrillator Revision Except Device Replacement	72	14	$65,107.00	—	$13,900.00	$146,491.00	$39,600.86	2026-07-15
180	APR_DRG	Other Circulatory System Procedures	72	14	$49,531.00	—	$11,355.00	$111,444.00	$32,653.24	2026-07-15
181	APR_DRG	Lower Extremity Arterial Procedures #	72	14	$68,004.00	—	$14,306.00	$153,010.00	$46,972.26	2026-07-15
182	APR_DRG	Other Peripheral Vascular Procedures #	72	14	$64,464.00	—	$14,958.00	$145,043.00	$42,720.94	2026-07-15
193	APR_DRG	Acute & Subacute Endocarditis	72	14	$45,883.00	—	$10,287.00	$103,237.00	$29,407.00	2026-07-15
19325	CPT	19325 - Breast Augmentation W/implt	29	20	$60,529.00	$60,529.00	$37,959.00	$78,196.00	$52,760.10	2026-07-15
19342	CPT	19342 - Insj/rplcmt Brst Implt Sep D	29	20	$67,992.00	$67,992.00	$38,466.00	$79,239.00	$53,452.83	2026-07-15
2	APR_DRG	Heart &/or Lung Transplant	72	14	$358,634.00	—	$120,634.00	$806,927.00	$244,017.25	2026-07-15
20	APR_DRG	Craniotomy For Trauma	72	14	$68,760.00	—	$17,802.00	$154,710.00	$46,496.40	2026-07-15
20240	CPT	20240 - Bone Biopsy Open Superficial	29	20	$26,327.00	$26,327.00	$21,071.00	$43,407.00	$29,666.28	2026-07-15
21	APR_DRG	Craniotomy Except For Trauma	72	14	$74,427.00	—	$18,884.00	$167,461.00	$52,591.92	2026-07-15
21230	CPT	21230 - Rib Cartilage Graft	29	20	$41,526.00	$41,526.00	$34,411.00	$70,886.00	$47,907.76	2026-07-15
21337	CPT	21337 - Closed Tx Septal&nose Fx	29	20	$64,317.00	$64,317.00	$22,368.00	$46,078.00	$31,439.21	2026-07-15
21720	CPT	21720 - Revision Of Neck Muscle	29	20	$34,674.00	$34,674.00	$22,772.00	$46,911.00	$31,992.45	2026-07-15
22	APR_DRG	Ventricular Shunt Procedures	72	14	$55,373.00	—	$12,709.00	$124,589.00	$35,716.82	2026-07-15
220	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	72	14	$72,847.00	—	$11,551.00	$163,907.00	$43,958.32	2026-07-15
221	APR_DRG	Major Small & Large Bowel Procedures	72	14	$67,920.00	—	$14,821.00	$152,820.00	$42,605.40	2026-07-15
222	APR_DRG	Other Stomach, Esophageal & Duodenal Procedures	72	14	$56,878.00	—	$8,204.00	$127,977.00	$31,072.17	2026-07-15
223	APR_DRG	Other Small & Large Bowel Procedures	72	14	$57,336.00	—	$11,733.00	$129,006.00	$35,801.58	2026-07-15
224	APR_DRG	Peritoneal Adhesiolysis	72	14	$57,234.00	—	$11,982.00	$128,777.00	$35,916.15	2026-07-15
22551	CPT	22551 - Arthrd Ant Ntrbdy Cervical	29	20	$248,576.00	$248,576.00	$41,526.00	$85,543.00	$57,637.69	2026-07-15
227	APR_DRG	Hernia Procedures Except Inguinal, Femoral & Umbilical	72	14	$54,203.00	—	$10,362.00	$121,957.00	$32,516.58	2026-07-15
229	APR_DRG	Other Digestive System & Abdominal Procedures	72	14	$59,477.00	—	$10,182.00	$133,823.00	$35,487.75	2026-07-15
23	APR_DRG	Spinal Procedures	72	14	$83,068.00	—	$16,360.00	$186,903.00	$52,855.42	2026-07-15
23076	CPT	23076 - Exc Shoulder Tum Deep < 5 Cm	29	20	$26,818.00	$26,818.00	$22,031.00	$45,384.00	$30,978.83	2026-07-15
24	APR_DRG	Extracranial Vascular Procedures	72	14	$69,825.00	—	$14,971.00	$157,105.00	$45,983.94	2026-07-15
25230	CPT	25230 - Partial Removal Of Radius	29	20	$23,753.00	$23,753.00	$22,677.00	$46,714.00	$31,861.69	2026-07-15
26	APR_DRG	Other Nervous System & Related Procedures	72	14	$64,504.00	—	$12,230.00	$145,133.00	$38,983.14	2026-07-15
260	APR_DRG	Major Pancreas, Liver & Shunt Procedures	72	14	$76,330.00	—	$14,554.00	$171,742.00	$45,683.38	2026-07-15
261	APR_DRG	Major Biliary Tract Procedures	72	14	$63,113.00	—	$13,941.00	$142,004.00	$41,140.36	2026-07-15
262	APR_DRG	Cholecystectomy Except Laparoscopic	72	14	$62,219.00	—	$13,097.00	$139,993.00	$38,145.31	2026-07-15
264	APR_DRG	Other Hepatobiliary, Pancreas & Abdominal Procedures	72	14	$63,257.00	—	$13,299.00	$142,328.00	$38,625.11	2026-07-15
27047	CPT	27047 - Exc Hip/pelvis Les Sc < 3 Cm	29	20	$42,420.00	$42,420.00	$21,669.00	$44,638.00	$30,483.72	2026-07-15
27328	CPT	27328 - Exc Thigh/knee Tum Deep <5cm	29	20	$64,628.00	$64,628.00	$22,163.00	$45,656.00	$31,159.00	2026-07-15
27331	CPT	27331 - Explore/treat Knee Joint	29	20	$43,856.00	$43,856.00	$22,877.00	$47,125.00	$32,134.62	2026-07-15
27335	CPT	27335 - Remove Knee Joint Lining	29	20	$35,390.00	$35,390.00	$36,401.00	$74,985.00	$50,628.86	2026-07-15
27477	CPT	27477 - Surgery To Stop Leg Growth	29	20	$119,569.00	$119,569.00	$35,854.00	$73,859.00	$49,880.83	2026-07-15
27625	CPT	27625 - Remove Ankle Joint Lining	29	20	$31,376.00	$31,376.00	$22,888.00	$47,149.00	$32,150.62	2026-07-15
28310	CPT	28310 - Revision Of Big Toe	29	20	$151,135.00	$151,135.00	$35,842.00	$73,834.00	$49,865.10	2026-07-15
28344	CPT	28344 - Repair Extra Toe(s)	29	20	$34,242.00	$34,242.00	$22,427.00	$46,200.00	$31,520.24	2026-07-15
28645	CPT	28645 - Repair Toe Dislocation	29	20	$22,271.00	$22,271.00	$22,541.00	$46,434.00	$31,675.97	2026-07-15
298	MS_DRG	298 - Cardiac Arrest, Unexplained Without Cc/mcc	3	2	$94,113.00	$94,113.00	$34,421.00	$42,682.00	$39,928.33	2026-07-15
3	APR_DRG	Bone Marrow Transplant	72	14	$230,333.00	—	$66,055.00	$518,249.00	$158,380.97	2026-07-15
301	APR_DRG	Hip Joint Replacement	72	14	$62,220.00	—	$18,398.00	$139,995.00	$40,242.81	2026-07-15
302	APR_DRG	Knee Joint Replacement	72	14	$55,941.00	—	$17,677.00	$125,867.00	$38,797.78	2026-07-15
303	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	72	14	$111,974.00	—	$44,064.00	$251,941.00	$89,878.31	2026-07-15
304	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	72	14	$94,375.00	—	$30,568.00	$212,343.00	$69,420.74	2026-07-15
305	APR_DRG	Amputation Of Lower Limb Except Toes	72	14	$64,770.00	—	$13,571.00	$145,732.00	$42,224.33	2026-07-15
308	APR_DRG	Hip And Femur Fracture Repair	72	14	$59,292.00	—	$13,315.00	$133,406.00	$38,077.12	2026-07-15
309	APR_DRG	Other Significant Hip And Femur Surgery	72	14	$59,048.00	—	$12,416.00	$132,858.00	$38,723.10	2026-07-15
310	APR_DRG	Intervertebral Disc Excision & Decompression	72	14	$70,324.00	—	$8,593.00	$158,229.00	$37,367.81	2026-07-15
312	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	72	14	$92,526.00	—	$12,152.00	$208,183.00	$55,385.65	2026-07-15
31253	CPT	31253 - Nsl/sins Ndsc Total	29	20	$43,011.00	$43,011.00	$35,772.00	$73,690.00	$49,769.24	2026-07-15
31287	CPT	31287 - Nasal/sinus Endoscopy Surg	29	20	$53,319.00	$53,319.00	$35,611.00	$73,358.00	$49,548.69	2026-07-15
31296	CPT	31296 - Nsl/sins Ndsc Surg Frnt Sins	29	20	$46,299.00	$46,299.00	$35,488.00	$73,104.00	$49,380.00	2026-07-15
313	APR_DRG	Knee & Lower Leg Procedures Except Foot	72	14	$66,512.00	—	$11,927.00	$149,652.00	$40,062.07	2026-07-15
315	APR_DRG	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	72	14	$52,761.00	—	$8,062.00	$118,712.00	$32,553.69	2026-07-15
31529	CPT	31529 - Laryngoscopy And Dilation	29	20	$70,143.00	$70,143.00	$25,501.00	$52,532.00	$35,723.93	2026-07-15
31591	CPT	31591 - Laryngoplasty Medialization	29	20	$33,309.00	$33,309.00	$35,201.00	$72,513.00	$48,988.07	2026-07-15
31611	CPT	31611 - Surgery/speech Prosthesis	29	20	$61,193.00	$61,193.00	$22,415.00	$46,174.00	$31,502.93	2026-07-15
31629	CPT	31629 - Bronchoscopy/needle Bx Each	29	20	$29,607.00	$29,607.00	$25,903.00	$53,359.00	$36,272.83	2026-07-15
31653	CPT	31653 - Bronch Ebus Samplng 3/> Node	29	20	$30,785.00	$30,785.00	$26,127.00	$53,821.00	$36,579.31	2026-07-15
317	APR_DRG	Tendon, Muscle & Other Soft Tissue Procedures	72	14	$64,936.00	—	$8,971.00	$146,107.00	$36,681.65	2026-07-15
320	APR_DRG	Other Musculoskeletal System & Connective Tissue Procedures	72	14	$51,427.00	—	$10,223.00	$115,711.00	$33,134.92	2026-07-15
321	APR_DRG	Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp	72	14	$72,606.00	—	$16,267.00	$163,363.00	$47,383.11	2026-07-15
322	APR_DRG	Shoulder & Elbow Joint Replacement #	72	14	$35,134.00	—	$15,755.00	$79,052.00	$31,493.65	2026-07-15
32609	CPT	32609 - Thoracoscopy W/bx Pleura	29	20	$24,354.00	$24,354.00	$31,356.00	$64,593.00	$43,730.21	2026-07-15
33227	CPT	33227 - Remove&replace Pm Gen Singl	29	20	$75,201.00	$75,201.00	$37,018.00	$76,256.00	$51,472.41	2026-07-15
33272	CPT	33272 - Rmvl Of Subq Defibrillator	29	20	$39,147.00	$39,147.00	$26,253.00	$54,081.00	$36,751.97	2026-07-15
33273	CPT	33273 - Repos Prev Impltbl Subq Dfb	29	20	$34,376.00	$34,376.00	$26,396.00	$54,376.00	$36,948.03	2026-07-15
361	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	72	14	$98,674.00	—	$13,223.00	$222,016.00	$52,591.54	2026-07-15
362	APR_DRG	Mastectomy Procedures	72	14	$29,844.00	—	$13,596.00	$67,150.00	$28,832.61	2026-07-15
364	APR_DRG	Other Skin, Subcutaneous Tissue & Related Procedures	72	14	$54,569.00	—	$7,672.00	$122,780.00	$30,007.61	2026-07-15
36831	CPT	36831 - Open Thrombect Av Fistula	29	20	$42,214.00	$42,214.00	$31,017.00	$63,895.00	$43,267.31	2026-07-15
37212	CPT	37212 - Thrombolytic Venous Therapy	29	20	$33,887.00	$33,887.00	$23,255.00	$47,904.00	$32,651.62	2026-07-15
37231	CPT	37231 - Tib/per Revasc Stent & Ather	29	20	$48,383.00	$48,383.00	$42,023.00	$86,567.00	$58,317.00	2026-07-15
37238	CPT	37238 - Open/perq Place Stent Same	29	20	$314,776.00	$314,776.00	$40,620.00	$83,677.00	$56,398.86	2026-07-15
37242	CPT	37242 - Vasc Embolize/occlude Artery	29	20	$49,385.00	$49,385.00	$40,885.00	$84,222.00	$56,760.72	2026-07-15
37244	CPT	37244 - Vasc Embolize/occlude Bleed	29	20	$49,406.00	$49,406.00	$41,179.00	$84,828.00	$57,162.59	2026-07-15
37248	CPT	37248 - Trluml Balo Angiop 1st Vein	29	20	$40,664.00	$40,664.00	$33,569.00	$69,151.00	$46,756.45	2026-07-15
381	APR_DRG	Major Skin Disorders	72	14	$60,669.00	—	$5,927.00	$136,505.00	$30,311.53	2026-07-15
38129	CPT	38129 - Unlisted Laps Px Spleen	29	20	$37,442.00	$37,442.00	$33,487.00	$68,983.00	$46,644.52	2026-07-15
4	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	54	14	$185,745.00	—	$71,668.00	$417,926.00	$153,458.20	2026-07-15
401	APR_DRG	Pituitary & Adrenal Procedures	72	14	$71,820.00	—	$12,333.00	$161,594.00	$42,402.06	2026-07-15
403	APR_DRG	Procedures For Obesity	72	14	$67,595.00	—	$11,365.00	$152,089.00	$36,155.17	2026-07-15
405	APR_DRG	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	72	14	$86,213.00	—	$11,623.00	$193,979.00	$46,233.26	2026-07-15
42104	CPT	42104 - Excision Lesion Mouth Roof	29	20	$34,795.00	$34,795.00	$22,287.00	$45,911.00	$31,328.97	2026-07-15
423	APR_DRG	Inborn Errors Of Metabolism	72	14	$55,895.00	—	$6,125.00	$125,763.00	$28,222.82	2026-07-15
42808	CPT	42808 - Excise Pharynx Lesion	29	20	$36,759.00	$36,759.00	$22,354.00	$46,049.00	$31,420.03	2026-07-15
42870	CPT	42870 - Excision Of Lingual Tonsil	29	20	$49,019.00	$49,019.00	$33,761.00	$69,547.00	$47,018.97	2026-07-15
43	APR_DRG	Multiple Sclerosis & Other Demyelinating Diseases	72	14	$60,822.00	—	$7,815.00	$136,850.00	$32,687.94	2026-07-15
43262	CPT	43262 - Endo Cholangiopancreatograph	29	20	$380,806.00	$380,806.00	$25,483.00	$52,495.00	$35,699.07	2026-07-15
440	APR_DRG	Kidney Transplant	72	14	$106,728.00	—	$36,948.00	$240,138.00	$79,510.08	2026-07-15
441	APR_DRG	Major Bladder Procedures	72	14	$69,513.00	—	$12,765.00	$156,405.00	$43,708.88	2026-07-15
442	APR_DRG	Kidney & Urinary Tract Procedures For Malignancy	72	14	$65,532.00	—	$12,901.00	$147,446.00	$39,165.32	2026-07-15
443	APR_DRG	Kidney & Urinary Tract Procedures For Nonmalignancy	72	14	$52,087.00	—	$10,692.00	$117,195.00	$31,285.53	2026-07-15
44340	CPT	44340 - Revision Of Colostomy	29	20	$30,995.00	$30,995.00	$25,315.00	$52,150.00	$35,469.86	2026-07-15
44376	CPT	44376 - Small Bowel Endoscopy	29	20	$35,450.00	$35,450.00	$19,649.00	$40,476.00	$27,720.72	2026-07-15
444	APR_DRG	Renal Dialysis Access Device Procedure Only	72	14	$63,579.00	—	$9,794.00	$143,052.00	$39,572.15	2026-07-15
447	APR_DRG	Other Kidney, Urinary Tract & Related Procedures	72	14	$78,427.00	—	$11,931.00	$176,461.00	$42,546.62	2026-07-15
45320	CPT	45320 - Proctosigmoidoscopy Ablate	29	20	$28,963.00	$28,963.00	$20,932.00	$43,120.00	$29,476.17	2026-07-15
45349	CPT	45349 - Sigmoidoscopy W/resection	29	20	$29,544.00	$29,544.00	$21,050.00	$43,363.00	$29,637.07	2026-07-15
45560	CPT	45560 - Repair Of Rectocele	29	20	$31,130.00	$31,130.00	$21,070.00	$43,405.00	$29,665.00	2026-07-15
46750	CPT	46750 - Repair Of Anal Sphincter	29	20	$34,982.00	$34,982.00	$21,051.00	$43,365.00	$29,638.76	2026-07-15
46754	CPT	46754 - Removal Of Suture From Anus	29	20	$30,646.00	$30,646.00	$20,979.00	$43,217.00	$29,539.93	2026-07-15
483	APR_DRG	Testes & Scrotal Procedures	72	14	$43,969.00	—	$6,298.00	$98,931.00	$30,530.38	2026-07-15
49	APR_DRG	Bacterial & Tuberculous Infections Of Nervous System	72	14	$61,334.00	—	$11,613.00	$138,001.00	$41,768.07	2026-07-15
49321	CPT	49321 - Laparoscopy Biopsy	29	20	$44,110.00	$44,110.00	$31,380.00	$64,643.00	$43,763.79	2026-07-15
49329	CPT	49329 - Unlstd Laps Px Abd Pertm&omn	29	20	$43,031.00	$43,031.00	$33,315.00	$68,629.00	$46,409.10	2026-07-15
49492	CPT	49492 - Rpr Ing Hern Premie Blocked	29	20	$43,848.00	$43,848.00	$27,080.00	$55,785.00	$37,883.21	2026-07-15
49582	CPT	49582 - Rpr Umbil Hern Block < 5 Yr	29	20	$82,391.00	$82,391.00	$47,755.00	$98,374.00	$66,154.97	2026-07-15
49591	CPT	49591 - Rpr Aa Hrn 1st < 3 Cm Rdc	29	20	$30,062.00	$30,062.00	$26,517.00	$54,626.00	$37,113.79	2026-07-15
49592	CPT	49592 - Rpr Aa Hrn 1st < 3 Ncr/strn	29	20	$44,690.00	$44,690.00	$31,792.00	$65,492.00	$44,327.00	2026-07-15
49593	CPT	49593 - Rpr Aa Hrn 1st 3-10 Rdc	29	20	$29,424.00	$29,424.00	$26,623.00	$54,842.00	$37,257.14	2026-07-15
49594	CPT	49594 - Rpr Aa Hrn 1st 3-10 Ncr/strn	29	20	$109,296.00	$109,296.00	$31,869.00	$65,650.00	$44,431.76	2026-07-15
49595	CPT	49595 - Rpr Aa Hrn 1st > 10 Rdc	29	20	$38,889.00	$38,889.00	$27,088.00	$55,800.00	$37,893.07	2026-07-15
5	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	72	14	$141,728.00	—	$56,788.00	$318,889.00	$112,587.40	2026-07-15
50	APR_DRG	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	72	14	$54,951.00	—	$7,482.00	$123,640.00	$31,448.75	2026-07-15
50593	CPT	50593 - Perc Cryo Ablate Renal Tum	29	20	$58,174.00	$58,174.00	$39,265.00	$80,886.00	$54,546.14	2026-07-15
50947	CPT	50947 - Laparo New Ureter/bladder	29	20	$37,831.00	$37,831.00	$33,183.00	$68,357.00	$46,228.93	2026-07-15
510	APR_DRG	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	72	14	$65,875.00	—	$11,210.00	$148,218.00	$37,783.85	2026-07-15
511	APR_DRG	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	72	14	$63,995.00	—	$12,770.00	$143,989.00	$37,791.28	2026-07-15
512	APR_DRG	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	72	14	$77,120.00	—	$10,918.00	$173,520.00	$39,936.62	2026-07-15
513	APR_DRG	Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma	72	14	$49,351.00	—	$8,701.00	$111,039.00	$27,893.54	2026-07-15
518	APR_DRG	Other Female Reproductive System & Related Procedures	72	14	$61,441.00	—	$7,536.00	$138,242.00	$32,364.14	2026-07-15
519	APR_DRG	Uterine & Adnexa Procedures For Leiomyoma	72	14	$62,170.00	—	$8,562.00	$139,882.00	$32,451.81	2026-07-15
52260	CPT	52260 - Cystoscopy And Treatment	29	20	$36,632.00	$36,632.00	$19,764.00	$40,714.00	$27,878.93	2026-07-15
52344	CPT	52344 - Cysto/uretero Stricture Tx	29	20	$32,166.00	$32,166.00	$23,709.00	$48,840.00	$33,273.14	2026-07-15
52630	CPT	52630 - Remove Prostate Regrowth	29	20	$49,860.00	$49,860.00	$30,222.00	$62,257.00	$42,179.79	2026-07-15
52640	CPT	52640 - Relieve Bladder Contracture	29	20	$28,147.00	$28,147.00	$23,686.00	$48,792.00	$33,240.90	2026-07-15
52648	CPT	52648 - Laser Surgery Of Prostate	29	20	$73,900.00	$73,900.00	$30,585.00	$63,005.00	$42,676.21	2026-07-15
53020	CPT	53020 - Incision Of Urethra	29	20	$28,804.00	$28,804.00	$19,670.00	$40,520.00	$27,749.48	2026-07-15
53260	CPT	53260 - Treatment Of Urethra Lesion	29	20	$3,900.00	$3,900.00	$23,439.00	$48,285.00	$32,904.38	2026-07-15
53400	CPT	53400 - Revise Urethra Stage 1	29	20	$24,328.00	$24,328.00	$30,658.00	$63,156.00	$42,776.52	2026-07-15
53450	CPT	53450 - Revision Of Urethra	29	20	$14,836.00	$14,836.00	$23,737.00	$48,897.00	$33,310.62	2026-07-15
53460	CPT	53460 - Revision Of Urethra	29	20	$41,997.00	$41,997.00	$24,026.00	$49,494.00	$33,707.34	2026-07-15
53605	CPT	53605 - Dilate Urethra Stricture	29	20	$28,696.00	$28,696.00	$23,326.00	$48,051.00	$32,748.76	2026-07-15
54300	CPT	54300 - Revision Of Penis	29	20	$29,817.00	$29,817.00	$24,191.00	$49,833.00	$33,932.34	2026-07-15
54328	CPT	54328 - Revise Penis/urethra	29	20	$29,003.00	$29,003.00	$24,623.00	$50,723.00	$34,523.03	2026-07-15
54360	CPT	54360 - Penis Plastic Surgery	29	20	$32,004.00	$32,004.00	$24,610.00	$50,697.00	$34,505.52	2026-07-15
54405	CPT	54405 - Insert Multi-comp Penis Pros	29	20	$44,347.00	$44,347.00	$43,086.00	$88,756.00	$59,770.83	2026-07-15
54410	CPT	54410 - Remove/replace Penis Prosth	29	20	$49,214.00	$49,214.00	$43,509.00	$89,629.00	$60,350.10	2026-07-15
54437	CPT	54437 - Repair Corporeal Tear	29	20	$162,457.00	$162,457.00	$24,604.00	$50,684.00	$34,496.83	2026-07-15
54440	CPT	54440 - Repair Of Penis	29	20	$39,907.00	$39,907.00	$24,184.00	$49,818.00	$33,921.86	2026-07-15
54660	CPT	54660 - Revision Of Testis	29	20	$39,820.00	$39,820.00	$29,828.00	$61,446.00	$41,640.93	2026-07-15
54860	CPT	54860 - Removal Of Epididymis	29	20	$24,210.00	$24,210.00	$23,700.00	$48,823.00	$33,261.45	2026-07-15
55150	CPT	55150 - Removal Of Scrotum	29	20	$43,069.00	$43,069.00	$23,944.00	$49,324.00	$33,594.10	2026-07-15
55175	CPT	55175 - Revision Of Scrotum	29	20	$45,470.00	$45,470.00	$23,452.00	$48,311.00	$32,921.90	2026-07-15
57120	CPT	57120 - Closure Of Vagina	29	20	$38,195.00	$38,195.00	$28,709.00	$59,140.00	$40,110.24	2026-07-15
57220	CPT	57220 - Revision Of Urethra	29	20	$29,649.00	$29,649.00	$28,577.00	$58,869.00	$39,930.31	2026-07-15
57289	CPT	57289 - Repair Bladder & Vagina	29	20	$48,461.00	$48,461.00	$36,721.00	$75,646.00	$51,067.48	2026-07-15
57320	CPT	57320 - Repair Bladder-vagina Lesion	29	20	$26,335.00	$26,335.00	$29,172.00	$60,094.00	$40,743.76	2026-07-15
583	APR_DRG	Neonate W Ecmo	54	14	$263,998.00	—	$142,761.00	$593,995.00	$237,139.80	2026-07-15
588	APR_DRG	Neonate Bwt <1500g W Major Procedure	36	14	$259,357.00	—	$192,459.00	$583,553.00	$290,174.53	2026-07-15
58805	CPT	58805 - Drainage Of Ovarian Cyst(s)	29	20	$38,821.00	$38,821.00	$22,229.00	$45,791.00	$31,248.76	2026-07-15
589	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	54	14	$124,764.00	—	$1,132.00	$280,718.00	$72,327.87	2026-07-15
591	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	72	14	$199,131.00	—	$88,624.00	$448,045.00	$166,463.04	2026-07-15
59160	CPT	59160 - D & C After Delivery	29	20	$23,766.00	$23,766.00	$22,193.00	$45,717.00	$31,199.59	2026-07-15
593	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	72	14	$179,206.00	—	$107,700.00	$403,214.00	$172,646.49	2026-07-15
6	APR_DRG	Pancreas Transplant	54	14	$78,513.00	—	$50,401.00	$176,653.00	$86,905.02	2026-07-15
602	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	72	14	$155,420.00	—	$64,730.00	$349,695.00	$137,665.64	2026-07-15
60240	CPT	60240 - Removal Of Thyroid	29	20	$52,529.00	$52,529.00	$31,901.00	$65,715.00	$44,475.28	2026-07-15
603	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	72	14	$143,170.00	—	$51,585.00	$322,134.00	$113,952.43	2026-07-15
607	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	72	14	$126,888.00	—	$60,229.00	$285,498.00	$114,060.92	2026-07-15
608	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	72	14	$73,821.00	—	$42,315.00	$166,097.00	$77,974.25	2026-07-15
609	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	72	14	$164,080.00	—	$35,569.00	$369,180.00	$99,062.56	2026-07-15
611	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	72	14	$84,420.00	—	$24,974.00	$189,946.00	$68,471.82	2026-07-15
612	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	72	14	$87,092.00	—	$35,075.00	$195,956.00	$74,548.79	2026-07-15
613	APR_DRG	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	72	14	$53,221.00	—	$26,560.00	$119,746.00	$55,109.82	2026-07-15
614	APR_DRG	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	54	14	$51,761.00	—	$19,885.00	$116,462.00	$44,863.02	2026-07-15
621	APR_DRG	Neonate Bwt 2000-2499g W Major Anomaly	72	14	$69,809.00	—	$9,049.00	$157,071.00	$44,863.32	2026-07-15
622	APR_DRG	Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond	72	14	$53,127.00	—	$19,314.00	$119,536.00	$43,463.89	2026-07-15
623	APR_DRG	Neonate Bwt 2000-2499g W Congenital/perinatal Infection	54	14	$32,120.00	—	$14,505.00	$72,270.00	$29,266.69	2026-07-15
625	APR_DRG	Neonate Bwt 2000-2499g W Other Significant Condition	54	14	$33,859.00	—	$15,949.00	$76,182.00	$32,494.78	2026-07-15
630	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	72	14	$125,695.00	—	$34,383.00	$282,813.00	$82,059.40	2026-07-15
63045	CPT	63045 - Lam Facetec & Foramot Crv	29	20	$81,335.00	$81,335.00	$36,698.00	$75,597.00	$51,035.14	2026-07-15
63047	CPT	63047 - Lam Facetec & Foramot Lumbar	29	20	$46,714.00	$46,714.00	$36,686.00	$75,573.00	$51,019.48	2026-07-15
631	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	72	14	$108,057.00	—	$16,232.00	$243,128.00	$64,993.28	2026-07-15
633	APR_DRG	Neonate Birthwt >2499g W Major Anomaly	72	14	$55,027.00	—	$2,809.00	$123,812.00	$29,130.93	2026-07-15
64575	CPT	64575 - Opn Impltj Nea Perph Nerve	29	20	$74,938.00	$74,938.00	$41,378.00	$85,239.00	$57,435.90	2026-07-15
650	APR_DRG	Splenectomy	72	14	$58,615.00	—	$12,954.00	$131,885.00	$37,064.47	2026-07-15
651	APR_DRG	Other Procedures Of Blood & Blood-forming Organs	72	14	$38,768.00	—	$10,381.00	$87,227.00	$28,670.43	2026-07-15
65235	CPT	65235 - Remove Foreign Body From Eye	29	20	$45,719.00	$45,719.00	$20,344.00	$41,909.00	$28,671.48	2026-07-15
661	APR_DRG	Coagulation & Platelet Disorders	72	14	$46,930.00	—	$10,065.00	$105,593.00	$28,397.12	2026-07-15
66920	CPT	66920 - Extraction Of Lens	29	20	$21,710.00	$21,710.00	$20,647.00	$42,532.00	$29,085.62	2026-07-15
66930	CPT	66930 - Extraction Of Lens	29	20	$25,014.00	$25,014.00	$28,128.00	$57,944.00	$39,316.14	2026-07-15
67039	CPT	67039 - Laser Treatment Of Retina	29	20	$45,375.00	$45,375.00	$28,346.00	$58,392.00	$39,613.72	2026-07-15
67420	CPT	67420 - Explore/treat Eye Socket	29	20	$32,694.00	$32,694.00	$26,473.00	$54,534.00	$37,052.76	2026-07-15
67808	CPT	67808 - Remove Eyelid Lesion(s)	29	20	$29,817.00	$29,817.00	$19,847.00	$40,885.00	$27,991.90	2026-07-15
67900	CPT	67900 - Repair Brow Defect	29	20	$26,080.00	$26,080.00	$19,987.00	$41,174.00	$28,183.69	2026-07-15
67903	CPT	67903 - Repair Eyelid Defect	29	20	$73,780.00	$73,780.00	$20,125.00	$41,458.00	$28,372.48	2026-07-15
67909	CPT	67909 - Revise Eyelid Defect	29	20	$28,824.00	$28,824.00	$19,980.00	$41,158.00	$28,173.72	2026-07-15
67911	CPT	67911 - Revise Eyelid Defect	29	20	$27,200.00	$27,200.00	$19,981.00	$41,161.00	$28,174.97	2026-07-15
67923	CPT	67923 - Repair Eyelid Defect	29	20	$28,275.00	$28,275.00	$19,874.00	$40,940.00	$28,028.59	2026-07-15
67935	CPT	67935 - Repair Eyelid Wound	29	20	$76,898.00	$76,898.00	$19,907.00	$41,008.00	$28,073.48	2026-07-15
680	APR_DRG	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	72	14	$91,950.00	—	$13,798.00	$206,888.00	$53,361.11	2026-07-15
681	APR_DRG	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	72	14	$92,206.00	—	$9,453.00	$207,463.00	$49,919.46	2026-07-15
68100	CPT	68100 - Biopsy Of Eyelid Lining	29	20	$25,808.00	$25,808.00	$19,820.00	$40,828.00	$27,954.41	2026-07-15
68320	CPT	68320 - Revise/graft Eyelid Lining	29	20	$18,962.00	$18,962.00	$19,864.00	$40,920.00	$28,015.55	2026-07-15
690	APR_DRG	Acute Leukemia	72	14	$89,964.00	—	$13,326.00	$202,420.00	$61,474.61	2026-07-15
691	APR_DRG	Lymphoma, Myeloma & Non-acute Leukemia	72	14	$65,089.00	—	$10,196.00	$146,449.00	$36,980.46	2026-07-15
695	APR_DRG	Chemotherapy For Acute Leukemia #	72	14	$75,922.00	—	$9,022.00	$170,823.00	$37,904.71	2026-07-15
69670	CPT	69670 - Remove Mastoid Air Cells	29	20	$60,870.00	$60,870.00	$34,678.00	$71,437.00	$48,273.55	2026-07-15
710	APR_DRG	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	72	14	$64,961.00	—	$10,806.00	$146,162.00	$39,240.39	2026-07-15
711	APR_DRG	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	72	14	$62,037.00	—	$11,548.00	$139,583.00	$37,962.14	2026-07-15
740	APR_DRG	Mental Illness Diagnosis W O.r. Procedure	18	14	$31,101.00	—	$30,168.00	$69,978.00	$39,429.33	2026-07-15
75833	CPT	75833 - Vein X-ray Kidneys	29	20	$48,043.00	$48,043.00	$23,144.00	$47,677.00	$32,500.76	2026-07-15
791	APR_DRG	O.r. Procedure For Other Complications Of Treatment	72	14	$67,945.00	—	$8,454.00	$152,876.00	$37,644.68	2026-07-15
841	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	72	14	$192,593.00	—	$53,505.00	$433,335.00	$149,293.79	2026-07-15
842	APR_DRG	Burns With Skin Graft Except Extensive 3rd Degree Burns	72	14	$88,778.00	—	$21,487.00	$199,751.00	$58,605.97	2026-07-15
844	APR_DRG	Partial Thickness Burns Without Skin Graft	72	14	$52,209.00	—	$6,473.00	$117,471.00	$28,258.38	2026-07-15
850	APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	72	14	$78,387.00	—	$11,576.00	$176,371.00	$44,572.81	2026-07-15
863	APR_DRG	Neonatal Aftercare	72	14	$54,463.00	—	$9,077.00	$122,542.00	$40,883.00	2026-07-15
89	APR_DRG	Major Cranial/facial Bone Procedures	72	14	$70,082.00	—	$13,593.00	$157,684.00	$46,108.10	2026-07-15
90	APR_DRG	Major Larynx & Trachea Procedures	72	14	$115,426.00	—	$7,563.00	$259,709.00	$59,768.68	2026-07-15
91	APR_DRG	Other Major Head & Neck Procedures	72	14	$42,579.00	—	$13,306.00	$95,802.00	$39,126.18	2026-07-15
910	APR_DRG	Craniotomy For Multiple Significant Trauma	54	14	$73,822.00	—	$37,480.00	$166,099.00	$64,364.96	2026-07-15
911	APR_DRG	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	54	14	$66,707.00	—	$18,657.00	$150,091.00	$47,450.81	2026-07-15
912	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	72	14	$77,872.00	—	$23,568.00	$175,213.00	$52,908.83	2026-07-15
92	APR_DRG	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	72	14	$75,578.00	—	$10,484.00	$170,051.00	$38,923.50	2026-07-15
950	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	72	14	$83,399.00	—	$13,583.00	$187,647.00	$50,915.89	2026-07-15
951	APR_DRG	Moderately Extensive Procedure Unrelated To Principal Diagnosis	72	14	$64,495.00	—	$9,183.00	$145,115.00	$36,805.81	2026-07-15
952	APR_DRG	Nonextensive Procedure Unrelated To Principal Diagnosis	72	14	$60,965.00	—	$7,825.00	$137,171.00	$33,737.12	2026-07-15
99000	CPT	99000 - Specimen Handling Office-lab	2	1	$72,711.00	$72,711.00	$30,032.00	$30,032.00	$30,032.00	2026-07-15
99241	CPT	99241 - Office Consultation	29	20	$184,337.00	$184,337.00	$47,801.00	$98,470.00	$66,219.03	2026-07-15
C1721	HCPCS	C1721 - Icd Evera # Ddmb1d4	29	20	$55,399.00	$55,399.00	$44,156.00	$90,961.00	$61,234.14	2026-07-15
C1722	HCPCS	C1722 - Icd-sc # A219	29	20	$56,716.00	$56,716.00	$47,021.00	$96,862.00	$65,151.90	2026-07-15
C1764	HCPCS	C1764 - Loop Recorders Reveal Linq	29	20	$77,046.00	$77,046.00	$30,967.00	$63,793.00	$43,198.90	2026-07-15
C1767	HCPCS	C1767 - Sentiva Nerve Generator	29	20	$112,915.00	$112,915.00	$37,431.00	$77,107.00	$52,037.41	2026-07-15
C1777	HCPCS	C1777 - Plexa Dx 65/15 Ref 436909	29	20	$37,419.00	$37,419.00	$42,626.00	$87,809.00	$59,141.69	2026-07-15
C1778	HCPCS	C1778 - Stimulator Lead # Sc-231650e	29	20	$23,519.00	$23,519.00	$20,831.00	$42,913.00	$29,338.14	2026-07-15
C1780	HCPCS	C1780 - Lens Alcon Pcl # Sn60wf 23.5d	29	20	$125,857.00	$125,857.00	$27,489.00	$56,627.00	$38,442.00	2026-07-15
C1785	HCPCS	C1785 - Ppm Accolade #l331	29	20	$186,953.00	$186,953.00	$36,761.00	$75,727.00	$51,121.10	2026-07-15
C1786	HCPCS	C1786 - Mcra Leadless Pacemaker Kit	29	20	$48,533.00	$48,533.00	$39,494.00	$81,357.00	$54,858.38	2026-07-15
C1813	HCPCS	C1813 - Implant Penile Reservoir 125ml	29	20	$54,319.00	$54,319.00	$38,840.00	$80,009.00	$53,964.28	2026-07-15
C1815	HCPCS	C1815 - Ams 800 Urinary Cuff 4.5	29	20	$31,361.00	$31,361.00	$31,050.00	$63,963.00	$43,312.14	2026-07-15
C1818	HCPCS	C1818 - Implant, Corneal Level 26	29	20	$20,004.00	$20,004.00	$28,476.00	$58,661.00	$39,792.52	2026-07-15
C1882	HCPCS	C1882 - Resonate Icd G447	29	20	$48,291.00	$48,291.00	$45,687.00	$94,115.00	$63,327.93	2026-07-15
C1895	HCPCS	C1895 - Ppm Lead Durata #7122-65	29	20	$19,500.00	$19,500.00	$27,724.00	$57,110.00	$38,762.86	2026-07-15
C1896	HCPCS	C1896 - Emblem S-icd Lead 3501	29	20	$19,464.00	$19,464.00	$31,028.00	$63,917.00	$43,281.72	2026-07-15
C1900	HCPCS	C1900 - Pacemaker Lead 1458q-86	29	20	$25,647.00	$25,647.00	$20,689.00	$42,620.00	$29,143.62	2026-07-15
C2621	HCPCS	C2621 - Pacemaker	29	20	$36,516.00	$36,516.00	$35,311.00	$72,741.00	$49,138.90	2026-07-15
J0133	HCPCS	J0133 - Acyclovir Inj 500mg 50mg/ml	29	20	$87,605.00	$87,605.00	$50,334.00	$103,687.00	$69,682.10	2026-07-15
J0282	HCPCS	J0282 - Amiodarone 150mg 50mg/ml 3ml	29	20	$97,444.00	$97,444.00	$73,953.00	$152,343.00	$101,981.90	2026-07-15
J0330	HCPCS	J0330 - Succinylcho I 20mg/ml 10ml	29	20	$108,848.00	$108,848.00	$64,943.00	$133,782.00	$89,659.97	2026-07-15
J0461	HCPCS	J0461 - Atrop Sulf Syr 0.1mg/ml 10ml	29	20	$106,419.00	$106,419.00	$51,039.00	$105,139.00	$70,645.93	2026-07-15
J0585	HCPCS	J0585 - Botulinum Toxin Typa 1u(100 U)	2	1	$98,379.00	$98,379.00	$44,616.00	$44,616.00	$44,616.00	2026-07-15
J0712	HCPCS	J0712 - Ceftaroline 10mg (400mg Vl)	2	1	$12,808.00	$12,808.00	$28,060.00	$28,060.00	$28,060.00	2026-07-15
J1100	HCPCS	J1100 - Dexamethasone 1mg(4mg/ml) Inj	29	20	$12,210.00	$12,210.00	$59,450.00	$122,467.00	$82,148.83	2026-07-15
J1642	HCPCS	J1642 - Heparin Flush 10u/ml 5ml	29	20	$127,925.00	$127,925.00	$72,783.00	$149,933.00	$100,381.66	2026-07-15
J1644	HCPCS	J1644 - Heparin 1000u (20,000u/ml)	29	20	$87,205.00	$87,205.00	$73,349.00	$151,099.00	$101,155.41	2026-07-15
J1953	HCPCS	J1953 - Levetiracetam Inj 10mg/ml Syr	29	20	$218,790.00	$218,790.00	$156,085.00	$321,533.00	$214,295.45	2026-07-15
J2001	HCPCS	J2001 - Lidocaine Inj 1% Per 10 Mg	29	20	$57,534.00	$57,534.00	$48,110.00	$99,107.00	$66,641.52	2026-07-15
J2250	HCPCS	J2250 - Midazolam Inj 2mg/2ml	29	20	$131,887.00	$131,887.00	$63,709.00	$131,240.00	$87,972.90	2026-07-15
J2597	HCPCS	J2597 - Desmopressin I 4mcg/ml	2	1	$87,360.00	$87,360.00	$41,600.00	$41,600.00	$41,600.00	2026-07-15
J2710	HCPCS	J2710 - Neostigmine 0.5mg (10mg/10ml)	29	20	$105,962.00	$105,962.00	$58,454.00	$120,415.00	$80,786.97	2026-07-15
J2795	HCPCS	J2795 - Ropivacaine Inj 5mg/ml 30ml	29	20	$60,953.00	$60,953.00	$53,694.00	$110,610.00	$74,277.72	2026-07-15
J3480	HCPCS	J3480 - Kcl Inj 2meq (20meq/10ml)	29	20	$69,622.00	$69,622.00	$60,137.00	$123,882.00	$83,088.28	2026-07-15
J7509	HCPCS	J7509 - Methylprednisol T 1h 6mg	29	20	$69,144.00	$69,144.00	$76,795.00	$158,196.00	$105,867.38	2026-07-15
J7510	HCPCS	J7510 - Prednisolone 15mg/5ml Oral Syr	29	20	$76,267.00	$76,267.00	$52,230.00	$107,593.00	$72,275.45	2026-07-15
J7512	HCPCS	J7512 - Prednisone Tab 1mg (20mg)	29	20	$133,873.00	$133,873.00	$47,959.00	$98,796.00	$66,435.21	2026-07-15
J7611	HCPCS	J7611 - Albuterol Inh Sol 0.5% 1mg	29	20	$27,863.00	$27,863.00	$66,024.00	$136,009.00	$91,138.14	2026-07-15
J7613	HCPCS	J7613 - Albutersol In Sol 0.083%	29	20	$46,396.00	$46,396.00	$48,902.00	$100,738.00	$67,724.76	2026-07-15
J7614	HCPCS	J7614 - Levalbuterol Inh 0.5mg(1.25mg)	29	20	$158,755.00	$158,755.00	$53,083.00	$109,350.00	$73,441.17	2026-07-15
J7620	HCPCS	J7620 - Albut/iprat Inh 3ml(2.5mg/0.5)	29	20	$58,919.00	$58,919.00	$64,508.00	$132,885.00	$89,064.90	2026-07-15
J8540	HCPCS	J8540 - Dexamethasone (0.25mg)4mg Tab	29	20	$81,621.00	$81,621.00	$53,929.00	$111,093.00	$74,598.52	2026-07-15
J9266	HCPCS	J9266 - Pegaspargase Inj 750u/ml 5ml	29	20	$35,443.00	$35,443.00	$44,694.00	$92,070.00	$61,970.45	2026-07-15
J9312	HCPCS	J9312 - Rituximab 10mg (10mg/ml 50ml)	29	20	$55,750.00	$55,750.00	$38,775.00	$79,876.00	$53,875.69	2026-07-15
Q0162	HCPCS	Q0162 - Ondansetron Od Tab 4mg	29	20	$73,650.00	$73,650.00	$50,049.00	$103,101.00	$69,292.86	2026-07-15
Q0163	HCPCS	Q0163 - Diphenhydramine Cap 25mg	29	20	$130,292.00	$130,292.00	$108,461.00	$223,428.00	$149,170.55	2026-07-15
Q0164	HCPCS	Q0164 - Prochlorperazine Tab 5mg	29	20	$66,309.00	$66,309.00	$48,114.00	$99,115.00	$66,647.17	2026-07-15

See an error in this hospital's data? Submit a correction