Hospital

LINDSAY MUNICIPAL HOSPITAL

Lindsay, OK · CCN 370214 · Rates published

1,413 distinct procedures filed

6 distinct payers

9,654 rate rows

2025-07-11 last MRF observed · ⚠ 12 mo old

Data quality

9,324 of 9,654 rate rows are consumer-grade (96.6%)

330 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	236
exceeds 3× this hospital's gross charge for a DRG stay — excluded	79
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	8
exceeds 10× this hospital's gross charge — excluded from medians	6
placeholder amount (≤ $0.02) — excluded from medians	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://lindsayhospital.com/wp-content/uploads/2025/07/730745473_lindsay-municipal-hospital_standardcharges.csv
Found on page	https://lindsayhospital.com/patient-information/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	d566f5c734d6ba98… · 8,647,425 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
255 MS_DRG	Msdrg255	6	$24,194.50	$108,696.42	$48,091.73	nat. median $26,349 1.8× median
853 MS_DRG	Msdrg853	6	$24,108.57	$49,162.22	$40,664.16	nat. median $48,170 0.8× median
577 MS_DRG	Msdrg577	6	$24,592.47	$72,837.96	$38,694.61	nat. median $26,342 1.5× median
95 MS_DRG	Msdrg095	6	$22,309.53	$62,190.45	$34,028.49	nat. median $24,991 1.4× median
616 MS_DRG	Msdrg616	6	$22,399.49	$42,838.00	$33,772.34	nat. median $35,856 0.9× median
157 MS_DRG	Msdrg157	6	$15,779.56	$72,453.87	$31,296.86	nat. median $17,221 1.8× median
474 MS_DRG	Msdrg474	6	$16,006.64	$44,277.77	$30,142.21	nat. median $42,295 0.7× median
94 MS_DRG	Msdrg094	6	$14,051.51	$39,212.00	$29,849.23	nat. median $35,264 0.8× median
264 MS_DRG	Msdrg264	6	$16,486.14	$35,351.00	$28,832.52	nat. median $33,061 0.9× median
356 MS_DRG	Msdrg356	6	$14,519.99	$42,207.13	$28,363.56	nat. median $42,444 0.7× median
97 MS_DRG	Msdrg097	6	$18,797.39	$35,767.32	$27,282.35	nat. median $35,069 0.8× median
987 MS_DRG	Msdrg987	6	$18,886.05	$34,992.96	$26,939.51	nat. median $33,845 0.8× median
939 MS_DRG	Msdrg939	6	$15,413.39	$33,379.56	$26,691.47	nat. median $33,731 0.8× median
166 MS_DRG	Msdrg166	6	$13,672.21	$38,279.54	$25,975.88	nat. median $37,476 0.7× median
335 MS_DRG	Msdrg335	6	$14,309.30	$36,134.20	$25,221.75	nat. median $35,058 0.7× median
464 MS_DRG	Msdrg464	6	$13,600.16	$32,487.00	$25,046.32	nat. median $30,262 0.8× median
574 MS_DRG	Msdrg574	6	$14,430.18	$34,635.57	$24,532.88	nat. median $33,674 0.7× median
570 MS_DRG	Msdrg570	6	$13,930.80	$30,336.38	$23,961.25	nat. median $29,069 0.8× median
974 MS_DRG	Msdrg974	6	$16,397.83	$30,109.46	$23,253.65	nat. median $29,015 0.8× median
854 MS_DRG	Msdrg854	6	$18,879.08	$22,068.94	$20,620.50	nat. median $20,421 1.0× median
478 MS_DRG	Msdrg478	6	$10,629.86	$25,801.00	$20,010.63	nat. median $24,026 0.8× median
240 MS_DRG	Msdrg240	6	$10,317.36	$29,409.79	$19,863.58	nat. median $28,136 0.7× median
709 MS_DRG	Msdrg709	6	$13,159.81	$23,121.27	$19,579.94	nat. median $22,805 0.9× median
288 MS_DRG	Msdrg288	6	$11,217.49	$27,701.28	$19,459.38	nat. median $26,895 0.7× median
91 MS_DRG	Msdrg091	6	$17,373.16	$21,509.95	$19,403.78	nat. median $17,985 1.1× median
330 MS_DRG	Msdrg330	6	$10,436.40	$24,223.73	$19,336.29	nat. median $24,346 0.8× median
981 MS_DRG	Msdrg981	4	$10,104.03	$28,463.54	$19,283.79	nat. median $46,084 outlier · 0.4×
314 MS_DRG	Msdrg314	6	$10,878.09	$22,660.00	$18,491.93	nat. median $20,752 0.9× median
493 MS_DRG	Msdrg493	6	$12,324.12	$24,576.40	$18,450.26	nat. median $24,757 0.7× median
940 MS_DRG	Msdrg940	6	$10,273.61	$23,451.00	$18,357.62	nat. median $22,721 0.8× median
336 MS_DRG	Msdrg336	6	$9,282.54	$22,788.00	$17,947.97	nat. median $21,526 0.8× median
96 MS_DRG	Msdrg096	6	$10,520.10	$24,540.48	$17,931.03	nat. median $24,796 0.7× median
539 MS_DRG	Msdrg539	6	$11,401.97	$21,479.00	$17,764.22	nat. median $19,718 0.9× median
982 MS_DRG	Msdrg982	6	$10,444.66	$25,023.61	$17,734.13	nat. median $24,493 0.7× median
374 MS_DRG	Msdrg374	6	$8,272.03	$22,720.00	$17,674.48	nat. median $21,276 0.8× median
56 MS_DRG	Msdrg056	6	$8,904.77	$25,551.21	$17,227.99	nat. median $22,361 0.8× median
98 MS_DRG	Msdrg098	6	$10,827.71	$22,385.69	$16,866.31	nat. median $22,276 0.8× median
516 MS_DRG	Msdrg516	6	$12,814.06	$20,895.58	$16,854.82	nat. median $21,082 0.8× median
507 MS_DRG	Msdrg507	6	$9,412.24	$21,277.53	$16,854.55	nat. median $19,275 0.9× median
486 MS_DRG	Msdrg486	6	$9,691.37	$21,928.05	$16,509.67	nat. median $21,377 0.8× median
808 MS_DRG	Msdrg808	6	$9,405.84	$23,529.73	$16,467.78	nat. median $22,208 0.7× median
441 MS_DRG	Msdrg441	6	$10,928.87	$19,748.68	$16,444.76	nat. median $18,509 0.9× median
64 MS_DRG	Msdrg064	6	$11,753.50	$20,682.83	$16,390.00	nat. median $20,254 0.8× median
475 MS_DRG	Msdrg475	6	$10,498.58	$22,272.22	$16,385.40	nat. median $22,403 0.7× median
617 MS_DRG	Msdrg616	6	$8,656.99	$20,200.77	$16,368.18	nat. median $19,472 0.8× median
871 MS_DRG	Msdrg871	6	$7,710.74	$20,426.60	$16,319.15	nat. median $19,634 0.8× median
559 MS_DRG	Msdrg559	6	$12,285.53	$19,426.26	$16,047.47	nat. median $19,047 0.8× median
380 MS_DRG	Msdrg380	6	$7,337.69	$20,069.20	$15,974.09	nat. median $19,314 0.8× median
902 MS_DRG	Msdrg902	6	$7,112.38	$20,400.00	$15,885.71	nat. median $19,358 0.8× median
629 MS_DRG	Msdrg629	6	$8,572.16	$23,140.18	$15,856.17	nat. median $22,198 0.7× median

Other procedures at this hospital

Browse this hospital's 1,413 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

989	MS_DRG	Msdrg989	6	6	$6,640.60	$6,640.60	$4,390.59	$12,800.20	$8,595.40	2025-07-11
988	MS_DRG	Msdrg988	6	6	$15,797.78	$15,797.78	$10,159.18	$18,099.72	$14,963.62	2025-07-11
987	MS_DRG	Msdrg987	6	6	$20,134.99	$20,134.99	$18,886.05	$34,992.96	$26,939.51	2025-07-11
983	MS_DRG	Msdrg983	4	4	$4,503.18	$4,503.18	$4,503.18	$11,075.48	$7,789.33	2025-07-11
982	MS_DRG	Msdrg982	6	6	$11,581.96	$11,581.96	$10,444.66	$25,023.61	$17,734.13	2025-07-11
981	MS_DRG	Msdrg981	4	4	$10,104.03	$10,104.03	$10,104.03	$28,463.54	$19,283.79	2025-07-11
98	MS_DRG	Msdrg098	6	6	$17,125.92	$17,125.92	$10,827.71	$22,385.69	$16,866.31	2025-07-11
977	MS_DRG	Msdrg977	6	6	$6,319.97	$6,319.97	$6,319.97	$15,508.12	$10,914.05	2025-07-11
975	MS_DRG	Msdrg975	6	6	$11,958.22	$11,958.22	$6,810.84	$15,314.30	$11,510.40	2025-07-11
974	MS_DRG	Msdrg974	6	6	$21,987.65	$21,987.65	$16,397.83	$30,109.46	$23,253.65	2025-07-11
97	MS_DRG	Msdrg097	6	6	$18,797.39	$18,797.39	$18,797.39	$35,767.32	$27,282.35	2025-07-11
964	MS_DRG	Msdrg964	6	6	$8,503.74	$8,503.74	$7,561.15	$16,058.40	$11,809.77	2025-07-11
96	MS_DRG	Msdrg096	6	6	$18,331.76	$18,331.76	$10,520.10	$24,540.48	$17,931.03	2025-07-11
951	MS_DRG	Msdrg951	6	6	$5,701.48	$5,701.48	$3,128.99	$7,235.94	$5,441.97	2025-07-11
950	MS_DRG	Msdrg950	6	6	$6,818.60	$6,818.60	$3,825.99	$7,416.54	$6,181.79	2025-07-11
95	MS_DRG	Msdrg095	6	6	$116,482.52	$116,482.52	$22,309.53	$62,190.45	$34,028.49	2025-07-11
949	MS_DRG	Msdrg949	6	6	$11,725.51	$11,725.51	$5,458.74	$12,076.90	$9,873.41	2025-07-11
948	MS_DRG	Msdrg948	6	6	$8,106.04	$8,106.04	$3,611.69	$9,386.95	$7,302.68	2025-07-11
947	MS_DRG	Msdrg947	6	6	$7,475.11	$7,475.11	$6,229.89	$14,035.98	$10,132.93	2025-07-11
941	MS_DRG	Msdrg941	4	4	$6,106.36	$6,106.36	$6,106.36	$13,229.61	$9,667.99	2025-07-11
940	MS_DRG	Msdrg940	6	6	$24,197.45	$24,197.45	$10,273.61	$23,451.00	$18,357.62	2025-07-11
94	MS_DRG	Msdrg094	6	6	$48,517.63	$48,517.63	$14,051.51	$39,212.00	$29,849.23	2025-07-11
939	MS_DRG	Msdrg939	6	6	$33,379.56	$33,379.56	$15,413.39	$33,379.56	$26,691.47	2025-07-11
935	MS_DRG	Msdrg935	4	4	$3,652.41	$3,652.41	$3,652.41	$13,147.16	$8,399.78	2025-07-11
934	MS_DRG	Msdrg934	6	6	$11,565.62	$11,565.62	$5,921.33	$22,163.48	$14,042.41	2025-07-11
93	MS_DRG	Msdrg093	6	6	$6,351.72	$6,351.72	$3,367.11	$9,337.79	$6,352.45	2025-07-11
923	MS_DRG	Msdrg923	6	6	$7,795.50	$7,795.50	$2,642.19	$11,518.10	$7,437.82	2025-07-11
921	MS_DRG	Msdrg921	4	4	$1,336.15	$1,336.15	$1,336.15	$4,856.65	$3,096.40	2025-07-11
920	MS_DRG	Msdrg920	6	6	$11,215.26	$11,215.26	$4,026.14	$11,480.30	$9,094.93	2025-07-11
92	MS_DRG	Msdrg092	6	6	$12,947.67	$12,947.67	$4,302.91	$11,884.96	$9,449.22	2025-07-11
919	MS_DRG	Msdrg919	4	4	$4,839.43	$4,839.43	$4,839.43	$11,978.26	$8,408.85	2025-07-11
918	MS_DRG	Msdrg918	4	4	$1,664.02	$1,664.02	$1,664.02	$5,951.43	$3,807.72	2025-07-11
917	MS_DRG	Msdrg917	4	4	$4,169.14	$4,169.14	$4,169.14	$10,773.73	$7,471.43	2025-07-11
914	MS_DRG	Msdrg914	6	6	$5,783.55	$5,783.55	$3,074.56	$10,539.53	$6,807.05	2025-07-11
91	MS_DRG	Msdrg091	6	6	$66,527.44	$66,527.44	$17,373.16	$21,509.95	$19,403.78	2025-07-11
906	MS_DRG	Msdrg906	4	4	$2,513.75	$2,513.75	$2,513.75	$12,512.11	$7,512.93	2025-07-11
902	MS_DRG	Msdrg902	6	6	$31,931.81	$31,931.81	$7,112.38	$20,400.00	$15,885.71	2025-07-11
897	MS_DRG	Msdrg897	6	6	$6,957.19	$6,957.19	$2,156.73	$10,216.15	$6,571.81	2025-07-11
885	MS_DRG	Msdrg885	6	6	$7,533.11	$7,533.11	$2,115.50	$15,202.73	$8,659.11	2025-07-11
884	MS_DRG	Msdrg884	6	6	$23,478.80	$23,478.80	$5,137.03	$19,017.00	$14,068.82	2025-07-11
882	MS_DRG	Msdrg882	4	4	$2,792.78	$2,792.78	$2,402.61	$6,686.63	$4,739.70	2025-07-11
880	MS_DRG	Msdrg880	6	6	$5,437.01	$5,437.01	$2,803.35	$10,938.51	$6,870.93	2025-07-11
872	MS_DRG	Msdrg872	6	6	$17,164.09	$17,164.09	$3,584.39	$11,623.05	$9,085.07	2025-07-11
871	MS_DRG	Msdrg871	6	6	$20,095.42	$20,095.42	$7,710.74	$20,426.60	$16,319.15	2025-07-11
869	MS_DRG	Msdrg869	4	4	$1,073.60	$1,073.60	$1,073.60	$4,876.19	$2,974.89	2025-07-11
866	MS_DRG	Msdrg866	6	6	$4,318.69	$4,318.69	$1,984.79	$10,240.74	$6,112.77	2025-07-11
863	MS_DRG	Msdrg863	6	6	$14,579.00	$14,579.00	$4,213.93	$11,329.01	$9,035.28	2025-07-11
86	MS_DRG	Msdrg086	4	4	$2,818.46	$2,818.46	$2,818.46	$8,547.30	$5,682.88	2025-07-11
857	MS_DRG	Msdrg857	6	6	$10,297.48	$10,297.48	$9,022.11	$22,476.44	$15,749.27	2025-07-11
854	MS_DRG	Msdrg854	6	6	$67,616.96	$67,616.96	$18,879.08	$22,068.94	$20,620.50	2025-07-11
853	MS_DRG	Msdrg853	6	6	$48,355.04	$48,355.04	$24,108.57	$49,162.22	$40,664.16	2025-07-11
85	MS_DRG	Msdrg085	4	4	$2,977.86	$2,977.86	$2,977.86	$13,138.92	$8,058.39	2025-07-11
847	MS_DRG	Msdrg847	4	4	$1,841.45	$1,841.45	$1,841.45	$7,865.43	$4,853.44	2025-07-11
841	MS_DRG	Msdrg841	6	6	$10,033.97	$10,033.97	$9,091.83	$16,700.39	$12,896.11	2025-07-11
84	MS_DRG	Msdrg084	6	6	$8,382.66	$8,382.66	$5,068.72	$10,914.88	$8,187.23	2025-07-11
83	MS_DRG	Msdrg083	6	6	$5,479.59	$5,479.59	$5,479.59	$15,021.18	$10,250.39	2025-07-11
824	MS_DRG	Msdrg824	6	6	$8,346.50	$8,346.50	$8,346.50	$22,670.27	$15,508.39	2025-07-11
816	MS_DRG	Msdrg816	6	6	$3,341.21	$3,341.21	$2,463.33	$8,109.58	$5,286.45	2025-07-11
815	MS_DRG	Msdrg815	6	6	$20,138.46	$20,138.46	$4,229.04	$11,482.18	$9,146.98	2025-07-11
813	MS_DRG	Msdrg813	5	5	$5,484.05	$5,484.05	$5,484.05	$15,010.26	$10,997.67	2025-07-11
812	MS_DRG	Msdrg812	6	6	$8,414.70	$8,414.70	$3,471.59	$10,600.95	$7,725.49	2025-07-11
811	MS_DRG	Msdrg811	6	6	$13,284.56	$13,284.56	$5,395.03	$15,177.18	$11,785.33	2025-07-11
808	MS_DRG	Msdrg808	6	6	$9,405.84	$9,405.84	$9,405.84	$23,529.73	$16,467.78	2025-07-11
747	MS_DRG	Msdrg747	4	4	$1,818.02	$1,818.02	$1,818.02	$6,362.19	$4,090.11	2025-07-11
74	MS_DRG	Msdrg074	6	6	$15,879.54	$15,879.54	$3,877.39	$11,730.86	$9,234.27	2025-07-11
730	MS_DRG	Msdrg730	6	6	$4,693.38	$4,693.38	$2,947.38	$7,613.19	$5,280.28	2025-07-11
728	MS_DRG	Msdrg728	6	6	$16,416.80	$16,416.80	$3,399.63	$9,600.64	$7,580.07	2025-07-11
722	MS_DRG	Msdrg722	4	4	$3,680.58	$3,680.58	$3,680.58	$10,951.14	$7,315.86	2025-07-11
718	MS_DRG	Msdrg718	6	6	$9,603.84	$9,603.84	$5,982.16	$13,522.56	$9,752.36	2025-07-11
710	MS_DRG	Msdrg710	4	4	$4,178.69	$4,178.69	$4,178.69	$10,124.69	$7,151.69	2025-07-11
71	MS_DRG	Msdrg071	6	6	$17,236.10	$17,236.10	$4,982.55	$11,839.59	$9,587.17	2025-07-11
709	MS_DRG	Msdrg709	6	6	$23,656.80	$23,656.80	$13,159.81	$23,121.27	$19,579.94	2025-07-11
700	MS_DRG	Msdrg700	6	6	$4,122.82	$4,122.82	$2,815.65	$8,438.62	$5,627.14	2025-07-11
699	MS_DRG	Msdrg699	6	6	$7,526.66	$7,526.66	$4,222.35	$11,518.10	$7,870.23	2025-07-11
696	MS_DRG	Msdrg696	6	6	$5,399.38	$5,399.38	$2,596.12	$8,415.91	$5,506.02	2025-07-11
694	MS_DRG	Msdrg694	5	5	$2,830.94	$2,830.94	$2,830.94	$8,420.99	$6,047.02	2025-07-11
693	MS_DRG	Msdrg693	6	6	$16,192.87	$16,192.87	$5,891.10	$15,777.59	$12,588.80	2025-07-11
690	MS_DRG	Msdrg690	6	6	$8,310.43	$8,310.43	$2,897.44	$9,463.53	$7,245.46	2025-07-11
689	MS_DRG	Msdrg689	6	6	$29,544.43	$29,544.43	$4,618.99	$12,940.14	$10,271.66	2025-07-11
687	MS_DRG	Msdrg687	4	4	$3,415.39	$3,415.39	$3,415.39	$7,621.81	$5,518.60	2025-07-11
684	MS_DRG	Msdrg684	6	6	$4,038.37	$4,038.37	$2,305.48	$7,617.93	$4,961.70	2025-07-11
683	MS_DRG	Msdrg683	6	6	$7,066.94	$7,066.94	$3,265.43	$10,279.51	$6,919.70	2025-07-11
682	MS_DRG	Msdrg682	6	6	$7,936.47	$7,936.47	$5,874.36	$16,075.41	$10,974.89	2025-07-11
66	MS_DRG	Msdrg066	6	6	$2,988.56	$2,988.56	$2,988.56	$8,382.82	$5,685.69	2025-07-11
65	MS_DRG	Msdrg065	6	6	$16,605.50	$16,605.50	$5,022.55	$11,489.73	$9,350.67	2025-07-11
645	MS_DRG	Msdrg645	6	6	$7,845.42	$7,845.42	$2,540.06	$9,237.57	$6,867.12	2025-07-11
644	MS_DRG	Msdrg644	6	6	$4,758.10	$4,758.10	$3,721.34	$11,645.76	$7,683.55	2025-07-11
642	MS_DRG	Msdrg642	5	5	$4,399.77	$4,399.77	$4,399.77	$12,372.31	$9,004.66	2025-07-11
641	MS_DRG	Msdrg641	6	6	$4,625.68	$4,625.68	$2,489.34	$9,263.09	$5,876.22	2025-07-11
640	MS_DRG	Msdrg640	6	6	$6,913.62	$6,913.62	$4,884.75	$14,431.19	$9,657.97	2025-07-11
64	MS_DRG	Msdrg064	6	6	$16,561.84	$16,561.84	$11,753.50	$20,682.83	$16,390.00	2025-07-11
639	MS_DRG	Msdrg639	6	6	$3,465.73	$3,465.73	$2,546.97	$7,799.45	$5,173.21	2025-07-11
638	MS_DRG	Msdrg638	6	6	$11,799.93	$11,799.93	$3,373.51	$10,547.09	$8,274.28	2025-07-11
637	MS_DRG	Msdrg637	6	6	$18,816.43	$18,816.43	$5,303.53	$15,687.00	$12,358.66	2025-07-11
629	MS_DRG	Msdrg629	6	6	$14,496.03	$14,496.03	$8,572.16	$23,140.18	$15,856.17	2025-07-11
627	MS_DRG	Msdrg627	6	6	$5,096.38	$5,096.38	$5,096.38	$13,853.49	$9,474.93	2025-07-11
623	MS_DRG	Msdrg623	6	6	$17,302.06	$17,302.06	$7,041.04	$19,960.47	$15,401.41	2025-07-11
617	MS_DRG	Msdrg616	6	6	$20,200.77	$20,200.77	$8,656.99	$20,200.77	$16,368.18	2025-07-11
616	MS_DRG	Msdrg616	6	6	$65,200.26	$65,200.26	$22,399.49	$42,838.00	$33,772.34	2025-07-11
607	MS_DRG	Msdrg607	6	6	$14,193.94	$14,193.94	$2,809.53	$10,045.96	$7,780.22	2025-07-11
605	MS_DRG	Msdrg605	6	6	$9,595.87	$9,595.87	$4,160.06	$10,608.54	$8,490.09	2025-07-11
603	MS_DRG	Msdrg603	6	6	$8,602.11	$8,602.11	$3,201.17	$10,202.92	$7,652.08	2025-07-11
602	MS_DRG	Msdrg602	6	6	$18,248.72	$18,248.72	$5,957.45	$16,101.00	$12,681.08	2025-07-11
596	MS_DRG	Msdrg596	6	6	$9,540.80	$9,540.80	$3,803.30	$12,096.76	$8,745.41	2025-07-11
594	MS_DRG	Msdrg594	6	6	$3,760.06	$3,760.06	$3,760.06	$9,899.42	$6,829.74	2025-07-11
593	MS_DRG	Msdrg593	6	6	$27,714.70	$27,714.70	$7,356.28	$13,435.58	$11,305.05	2025-07-11
584	MS_DRG	Msdrg584	4	4	$3,111.47	$3,111.47	$3,111.47	$12,172.29	$7,641.88	2025-07-11
581	MS_DRG	Msdrg581	6	6	$14,800.32	$14,800.32	$5,164.50	$15,482.59	$12,199.31	2025-07-11
580	MS_DRG	Msdrg580	6	6	$17,346.58	$17,346.58	$6,739.61	$18,638.66	$14,816.69	2025-07-11
58	MS_DRG	Msdrg058	6	6	$11,465.08	$11,465.08	$11,465.08	$19,327.95	$15,396.51	2025-07-11
577	MS_DRG	Msdrg577	6	6	$125,423.55	$125,423.55	$24,592.47	$72,837.96	$38,694.61	2025-07-11
574	MS_DRG	Msdrg574	6	6	$21,131.16	$21,131.16	$14,430.18	$34,635.57	$24,532.88	2025-07-11
572	MS_DRG	Msdrg572	6	6	$18,195.40	$18,195.40	$5,428.35	$12,676.34	$10,288.15	2025-07-11
571	MS_DRG	Msdrg571	6	6	$10,026.97	$10,026.97	$7,260.39	$17,705.45	$12,482.92	2025-07-11
570	MS_DRG	Msdrg570	6	6	$25,788.92	$25,788.92	$13,930.80	$30,336.38	$23,961.25	2025-07-11
57	MS_DRG	Msdrg057	6	6	$12,243.91	$12,243.91	$5,677.25	$14,491.71	$11,164.19	2025-07-11
56740	HCPCS	ER Excision Of Bartholin's Gland/cyst	10	6	$6,225.63	$6,225.63	$278.93	$5,659.66	$2,927.93	2025-07-11
565	MS_DRG	Msdrg565	4	4	$2,951.60	$2,951.60	$2,951.60	$7,233.90	$5,092.75	2025-07-11
563	MS_DRG	Msdrg563	6	6	$8,818.99	$8,818.99	$3,672.30	$10,325.82	$7,909.02	2025-07-11
561	MS_DRG	Msdrg561	6	6	$5,744.01	$5,744.01	$3,152.52	$9,605.36	$6,378.94	2025-07-11
560	MS_DRG	Msdrg560	6	6	$11,215.23	$11,215.23	$5,468.85	$12,641.36	$10,135.17	2025-07-11
56	MS_DRG	Msdrg056	6	6	$12,550.95	$12,550.95	$8,904.77	$25,551.21	$17,227.99	2025-07-11
559	MS_DRG	Msdrg559	6	6	$16,239.04	$16,239.04	$12,285.53	$19,426.26	$16,047.47	2025-07-11
558	MS_DRG	Msdrg558	6	6	$10,720.39	$10,720.39	$2,882.83	$10,042.20	$7,795.89	2025-07-11
557	MS_DRG	Msdrg557	5	5	$5,420.51	$5,420.51	$4,192.86	$15,024.88	$10,360.11	2025-07-11
555	MS_DRG	Msdrg555	6	6	$13,375.67	$13,375.67	$6,539.18	$14,607.05	$11,926.13	2025-07-11
552	MS_DRG	Msdrg552	6	6	$8,419.37	$8,419.37	$4,042.77	$10,987.67	$7,967.30	2025-07-11
550	MS_DRG	Msdrg550	6	6	$54,464.60	$54,464.60	$9,114.64	$10,140.25	$9,797.22	2025-07-11
55	MS_DRG	Msdrg055	6	6	$5,897.80	$5,897.80	$5,808.98	$12,190.35	$8,999.67	2025-07-11
549	MS_DRG	Msdrg549	6	6	$33,803.80	$33,803.80	$5,682.48	$13,269.18	$10,769.36	2025-07-11
546	MS_DRG	Msdrg546	6	6	$9,422.44	$9,422.44	$8,299.50	$12,821.00	$10,560.25	2025-07-11
545	MS_DRG	Msdrg545	4	4	$5,343.84	$5,343.84	$5,343.84	$15,555.31	$10,449.57	2025-07-11
543	MS_DRG	Msdrg543	4	4	$1,900.04	$1,900.04	$1,900.04	$6,902.90	$4,401.47	2025-07-11
541	MS_DRG	Msdrg541	6	6	$21,570.35	$21,570.35	$5,447.28	$10,147.14	$8,510.94	2025-07-11
540	MS_DRG	Msdrg540	6	6	$25,986.19	$25,986.19	$6,050.58	$14,110.68	$11,454.26	2025-07-11
539	MS_DRG	Msdrg539	6	6	$46,163.01	$46,163.01	$11,401.97	$21,479.00	$17,764.22	2025-07-11
535	MS_DRG	Msdrg535	6	6	$5,076.12	$5,076.12	$5,076.12	$14,449.16	$9,762.64	2025-07-11
53	MS_DRG	Msdrg053	6	6	$10,448.25	$10,448.25	$4,474.24	$10,586.80	$8,577.44	2025-07-11
517	MS_DRG	Msdrg517	4	4	$4,792.31	$4,792.31	$4,792.31	$10,390.36	$7,591.34	2025-07-11
516	MS_DRG	Msdrg516	6	6	$14,304.78	$14,304.78	$12,814.06	$20,895.58	$16,854.82	2025-07-11
513	MS_DRG	Msdrg513	6	6	$10,669.08	$10,669.08	$5,945.82	$16,110.41	$11,028.11	2025-07-11
512	MS_DRG	Msdrg512	6	6	$7,913.85	$7,913.85	$6,898.58	$17,076.69	$11,987.64	2025-07-11
511	MS_DRG	Msdrg511	5	5	$6,585.52	$6,585.52	$6,585.52	$18,561.91	$13,501.81	2025-07-11
507	MS_DRG	Msdrg507	6	6	$21,277.53	$21,277.53	$9,412.24	$21,277.53	$16,854.55	2025-07-11
506	MS_DRG	Msdrg506	6	6	$17,704.03	$17,704.03	$6,284.71	$16,048.94	$12,878.39	2025-07-11
504	MS_DRG	Msdrg504	6	6	$16,896.25	$16,896.25	$9,030.20	$18,468.47	$15,269.43	2025-07-11
501	MS_DRG	Msdrg501	6	6	$17,407.11	$17,407.11	$8,153.95	$18,749.29	$15,248.22	2025-07-11
49422	HCPCS	Removal Of Tunneled Intraperi Cath	6	6	$6,347.35	$6,347.35	$2,802.90	$5,770.32	$3,789.98	2025-07-11
494	MS_DRG	Msdrg494	6	6	$8,543.38	$8,543.38	$8,543.38	$19,701.40	$14,122.39	2025-07-11
493	MS_DRG	Msdrg493	6	6	$12,324.12	$12,324.12	$12,324.12	$24,576.40	$18,450.26	2025-07-11
489	MS_DRG	Msdrg489	5	5	$4,446.19	$4,446.19	$4,446.19	$12,349.11	$9,015.10	2025-07-11
488	MS_DRG	Msdrg488	4	4	$5,305.65	$5,305.65	$5,305.65	$12,881.73	$9,093.69	2025-07-11
486	MS_DRG	Msdrg486	6	6	$17,209.64	$17,209.64	$9,691.37	$21,928.05	$16,509.67	2025-07-11
479	MS_DRG	Msdrg479	6	6	$9,737.06	$9,737.06	$8,480.99	$18,665.14	$13,573.07	2025-07-11
478	MS_DRG	Msdrg478	6	6	$26,117.28	$26,117.28	$10,629.86	$25,801.00	$20,010.63	2025-07-11
475	MS_DRG	Msdrg475	6	6	$12,822.92	$12,822.92	$10,498.58	$22,272.22	$16,385.40	2025-07-11
474	MS_DRG	Msdrg474	6	6	$19,645.51	$19,645.51	$16,006.64	$44,277.77	$30,142.21	2025-07-11
465	MS_DRG	Msdrg465	6	6	$19,082.19	$19,082.19	$10,919.77	$19,082.19	$15,814.02	2025-07-11
464	MS_DRG	Msdrg464	6	6	$36,924.13	$36,924.13	$13,600.16	$32,487.00	$25,046.32	2025-07-11
46255	HCPCS	ER Hemorrhoidectomy, Inter & External	10	6	$5,591.26	$5,591.26	$449.19	$5,082.96	$2,525.38	2025-07-11
446	MS_DRG	Msdrg446	6	6	$3,812.55	$3,812.55	$3,406.20	$9,413.43	$6,409.81	2025-07-11
445	MS_DRG	Msdrg445	6	6	$4,306.64	$4,306.64	$4,306.64	$12,128.91	$8,217.77	2025-07-11
443	MS_DRG	Msdrg443	6	6	$6,811.73	$6,811.73	$4,238.47	$8,518.98	$6,595.23	2025-07-11
442	MS_DRG	Msdrg442	6	6	$15,094.03	$15,094.03	$4,737.18	$11,010.38	$8,941.61	2025-07-11
441	MS_DRG	Msdrg441	6	6	$17,550.74	$17,550.74	$10,928.87	$19,748.68	$16,444.76	2025-07-11
440	MS_DRG	Msdrg440	6	6	$7,401.28	$7,401.28	$2,687.91	$7,690.72	$5,926.16	2025-07-11
439	MS_DRG	Msdrg439	6	6	$11,226.34	$11,226.34	$3,563.43	$10,008.14	$7,942.05	2025-07-11
438	MS_DRG	Msdrg438	4	4	$4,851.35	$4,851.35	$4,851.35	$11,228.28	$8,039.82	2025-07-11
437	MS_DRG	Msdrg437	6	6	$5,890.61	$5,890.61	$3,812.79	$9,299.02	$6,555.90	2025-07-11
436	MS_DRG	Msdrg436	6	6	$4,670.35	$4,670.35	$4,670.35	$12,537.35	$8,603.85	2025-07-11
435	MS_DRG	Msdrg435	6	6	$11,321.25	$11,321.25	$7,407.96	$19,126.55	$13,267.25	2025-07-11
433	MS_DRG	Msdrg433	6	6	$5,934.76	$5,934.76	$4,706.23	$11,989.92	$8,348.08	2025-07-11
432	MS_DRG	Msdrg432	6	6	$10,007.72	$10,007.72	$9,759.39	$20,398.24	$15,078.82	2025-07-11
424	MS_DRG	Msdrg424	4	4	$2,996.54	$2,996.54	$2,996.54	$13,230.04	$8,113.29	2025-07-11
419	MS_DRG	Msdrg419	6	6	$9,859.30	$9,859.30	$6,141.25	$14,332.87	$10,237.06	2025-07-11
41806	HCPCS	Er/removal Fb Mandible	10	6	$3,036.88	$3,036.88	$348.68	$2,760.80	$1,479.47	2025-07-11
418	MS_DRG	Msdrg418	6	6	$17,138.29	$17,138.29	$6,894.70	$17,555.12	$14,092.06	2025-07-11
395	MS_DRG	Msdrg395	6	6	$3,138.54	$3,138.54	$2,825.82	$7,892.12	$5,358.97	2025-07-11
394	MS_DRG	Msdrg394	6	6	$8,549.10	$8,549.10	$3,969.35	$10,774.95	$7,960.62	2025-07-11
393	MS_DRG	Msdrg393	6	6	$31,397.87	$31,397.87	$7,158.61	$17,532.43	$14,142.05	2025-07-11
392	MS_DRG	Msdrg392	6	6	$4,796.75	$4,796.75	$2,699.48	$9,252.68	$5,976.08	2025-07-11
391	MS_DRG	Msdrg391	6	6	$16,998.90	$16,998.90	$5,270.05	$14,019.90	$11,195.17	2025-07-11
390	MS_DRG	Msdrg390	6	6	$5,787.74	$5,787.74	$2,115.73	$7,048.72	$5,184.98	2025-07-11
389	MS_DRG	Msdrg389	6	6	$6,190.08	$6,190.08	$2,920.19	$9,454.08	$6,188.61	2025-07-11
388	MS_DRG	Msdrg388	6	6	$53,436.88	$53,436.88	$9,826.12	$15,772.86	$13,569.22	2025-07-11
387	MS_DRG	Msdrg387	6	6	$5,036.37	$5,036.37	$3,110.28	$8,212.66	$5,661.47	2025-07-11
386	MS_DRG	Msdrg386	6	6	$6,361.11	$6,361.11	$4,177.69	$11,259.05	$7,718.37	2025-07-11
385	MS_DRG	Msdrg385	6	6	$9,018.41	$9,018.41	$6,746.35	$17,237.43	$11,991.89	2025-07-11
384	MS_DRG	Msdrg384	6	6	$6,045.91	$6,045.91	$3,050.68	$10,097.03	$6,573.85	2025-07-11
380	MS_DRG	Msdrg380	6	6	$18,763.93	$18,763.93	$7,337.69	$20,069.20	$15,974.09	2025-07-11
379	MS_DRG	Msdrg379	6	6	$2,770.20	$2,770.20	$2,770.20	$7,894.95	$5,332.57	2025-07-11
378	MS_DRG	Msdrg378	6	6	$3,766.84	$3,766.84	$3,766.84	$11,196.62	$7,481.73	2025-07-11
377	MS_DRG	Msdrg377	6	6	$8,054.64	$8,054.64	$7,814.10	$19,066.02	$13,440.06	2025-07-11
376	MS_DRG	Msdrg376	6	6	$5,207.63	$5,207.63	$4,287.74	$10,223.71	$7,255.73	2025-07-11
375	MS_DRG	Msdrg375	6	6	$7,771.75	$7,771.75	$5,259.82	$13,492.30	$9,376.06	2025-07-11
374	MS_DRG	Msdrg374	6	6	$40,546.78	$40,546.78	$8,272.03	$22,720.00	$17,674.48	2025-07-11
373	MS_DRG	Msdrg373	6	6	$6,324.28	$6,324.28	$2,844.30	$8,733.60	$6,056.61	2025-07-11
372	MS_DRG	Msdrg372	6	6	$23,185.12	$23,185.12	$3,637.42	$11,606.98	$9,087.00	2025-07-11
371	MS_DRG	Msdrg371	6	6	$14,740.17	$14,740.17	$7,112.38	$18,402.28	$13,748.75	2025-07-11
370	MS_DRG	Msdrg370	4	4	$1,070.42	$1,070.42	$1,070.42	$4,772.48	$2,921.45	2025-07-11
369	MS_DRG	Msdrg369	6	6	$5,320.54	$5,320.54	$4,261.06	$11,496.36	$7,878.71	2025-07-11
368	MS_DRG	Msdrg368	4	4	$2,055.14	$2,055.14	$2,055.14	$9,859.97	$5,957.56	2025-07-11
36573	HCPCS	Picc Line Placement With US Guidance	6	6	$3,189.20	$3,189.20	$1,477.66	$2,899.27	$2,188.47	2025-07-11
36569	HCPCS	Insert Picc Cath	6	6	$3,189.20	$3,189.20	$1,383.36	$2,899.27	$1,883.37	2025-07-11
36556	HCPCS	ER Central Line Placement	10	6	$6,347.35	$6,347.35	$144.69	$5,770.32	$2,898.43	2025-07-11
357	MS_DRG	Msdrg357	4	4	$2,672.52	$2,672.52	$2,672.52	$12,920.06	$7,796.29	2025-07-11
356	MS_DRG	Msdrg356	6	6	$14,519.99	$14,519.99	$14,519.99	$42,207.13	$28,363.56	2025-07-11
355	MS_DRG	Msdrg355	6	6	$6,020.35	$6,020.35	$6,020.35	$14,480.36	$10,250.35	2025-07-11
354	MS_DRG	Msdrg354	6	6	$8,243.86	$8,243.86	$7,526.88	$17,958.85	$12,742.86	2025-07-11
352	MS_DRG	Msdrg352	6	6	$4,599.26	$4,599.26	$4,599.26	$12,300.04	$8,449.65	2025-07-11
351	MS_DRG	Msdrg351	6	6	$8,455.32	$8,455.32	$6,050.08	$16,100.00	$11,075.04	2025-07-11
345	MS_DRG	Msdrg345	6	6	$8,696.95	$8,696.95	$5,892.00	$15,950.62	$10,921.31	2025-07-11
336	MS_DRG	Msdrg336	6	6	$22,933.19	$22,933.19	$9,282.54	$22,788.00	$17,947.97	2025-07-11
335	MS_DRG	Msdrg335	6	6	$16,515.66	$16,515.66	$14,309.30	$36,134.20	$25,221.75	2025-07-11
330	MS_DRG	Msdrg330	6	6	$21,342.52	$21,342.52	$10,436.40	$24,223.73	$19,336.29	2025-07-11
315	MS_DRG	Msdrg315	5	5	$3,495.14	$3,495.14	$3,495.14	$9,975.91	$7,234.32	2025-07-11
314	MS_DRG	Msdrg314	6	6	$22,676.05	$22,676.05	$10,878.09	$22,660.00	$18,491.93	2025-07-11
313	MS_DRG	Msdrg313	6	6	$4,874.31	$4,874.31	$2,833.18	$8,620.16	$5,726.67	2025-07-11
312	MS_DRG	Msdrg312	6	6	$3,866.43	$3,866.43	$3,332.34	$10,113.10	$6,722.72	2025-07-11
310	MS_DRG	Msdrg310	6	6	$2,857.35	$2,857.35	$2,489.39	$7,165.03	$4,827.21	2025-07-11
309	MS_DRG	Msdrg309	6	6	$4,311.30	$4,311.30	$2,975.75	$8,865.04	$5,920.40	2025-07-11
305	MS_DRG	Msdrg305	6	6	$4,713.18	$4,713.18	$3,276.27	$8,972.82	$6,124.55	2025-07-11
302	MS_DRG	Msdrg302	6	6	$13,101.95	$13,101.95	$5,679.95	$12,873.95	$10,490.27	2025-07-11
301	MS_DRG	Msdrg301	4	4	$2,131.58	$2,131.58	$2,131.58	$5,375.87	$3,753.72	2025-07-11
300	MS_DRG	Msdrg300	6	6	$11,603.94	$11,603.94	$3,972.10	$11,997.48	$9,445.80	2025-07-11
299	MS_DRG	Msdrg299	6	6	$6,131.82	$6,131.82	$6,131.82	$17,169.36	$11,650.59	2025-07-11
297	MS_DRG	Msdrg297	6	6	$42,831.46	$42,831.46	$3,420.87	$8,535.05	$6,868.55	2025-07-11
296	MS_DRG	Msdrg296	6	6	$15,404.80	$15,404.80	$10,840.40	$17,366.02	$14,754.00	2025-07-11
293	MS_DRG	Msdrg293	6	6	$7,939.31	$7,939.31	$2,875.19	$7,062.92	$5,523.53	2025-07-11
292	MS_DRG	Msdrg292	6	6	$12,175.70	$12,175.70	$3,757.68	$10,017.59	$7,997.27	2025-07-11
291	MS_DRG	Msdrg291	6	6	$10,513.58	$10,513.58	$6,837.63	$14,211.84	$10,524.74	2025-07-11
289	MS_DRG	Msdrg289	6	6	$34,145.17	$34,145.17	$5,567.94	$16,782.66	$13,216.13	2025-07-11
288	MS_DRG	Msdrg288	6	6	$15,939.64	$15,939.64	$11,217.49	$27,701.28	$19,459.38	2025-07-11
282	MS_DRG	Msdrg282	4	4	$1,882.74	$1,882.74	$1,882.74	$5,306.77	$3,594.75	2025-07-11
28193	HCPCS	ER Remove Fb Foot Complicated	10	6	$3,228.53	$3,228.53	$452.27	$2,935.03	$1,492.03	2025-07-11
28192	HCPCS	ER Remove Fb Foot-deep	10	6	$3,228.53	$3,228.53	$397.26	$2,935.03	$1,492.03	2025-07-11
281	MS_DRG	Msdrg281	5	5	$3,503.85	$3,503.85	$3,503.85	$9,627.79	$7,047.21	2025-07-11
280	MS_DRG	Msdrg280	6	6	$45,535.72	$45,535.72	$5,972.11	$17,394.39	$13,748.17	2025-07-11
27372	HCPCS	ER Removal Fb Thigh Region	10	6	$5,658.37	$5,658.37	$507.36	$5,143.97	$2,635.57	2025-07-11
27323	HCPCS	Op Biopsy Thigh/knee; Superficial	6	6	$3,228.53	$3,228.53	$1,442.85	$2,935.03	$1,942.13	2025-07-11
27086	HCPCS	ER Remove Fb Pelvis/hip Sub-q	10	6	$5,658.37	$5,658.37	$243.87	$5,143.97	$2,635.57	2025-07-11
26705	HCPCS	ER Closed Tx Mcp Dislocation; W Anesthes	10	6	$3,200.48	$3,200.48	$391.73	$2,909.53	$1,473.76	2025-07-11
264	MS_DRG	Msdrg264	6	6	$36,521.02	$36,521.02	$16,486.14	$35,351.00	$28,832.52	2025-07-11
26080	HCPCS	ER Removal Fb Interphalangeal Joi	10	6	$3,200.48	$3,200.48	$354.41	$2,909.53	$1,473.76	2025-07-11
26075	HCPCS	ER Removal Loose Fb Finger	10	6	$6,445.63	$6,445.63	$301.13	$5,859.66	$2,987.86	2025-07-11
26070	HCPCS	ER Removal Fb/hand	10	6	$3,200.48	$3,200.48	$287.83	$2,909.53	$1,473.76	2025-07-11
26011	HCPCS	ER Drain Finger Abscess Complicat	10	6	$3,228.53	$3,228.53	$268.43	$2,935.03	$1,492.03	2025-07-11
25605	HCPCS	ER Clsd Distal Radial Fx W/manip	10	6	$3,200.48	$3,200.48	$483.82	$2,909.53	$1,473.76	2025-07-11
256	MS_DRG	Msdrg256	6	6	$10,442.22	$10,442.22	$7,220.74	$17,888.89	$12,554.82	2025-07-11
255	MS_DRG	Msdrg255	6	6	$174,361.67	$174,361.67	$24,194.50	$108,696.42	$48,091.73	2025-07-11
24605	HCPCS	ER Trtmt Closed Elbow Dislocation W Ane	10	6	$3,200.48	$3,200.48	$425.67	$2,909.53	$1,473.76	2025-07-11
24200	HCPCS	ER Remove Fb Up Arm/elbow Sub-q	10	6	$3,228.53	$3,228.53	$190.02	$2,935.03	$1,618.26	2025-07-11
240	MS_DRG	Msdrg240	6	6	$10,317.36	$10,317.36	$10,317.36	$29,409.79	$19,863.58	2025-07-11
23605	HCPCS	ER Closed Rt Elbow Reduct W/anest	6	6	$3,200.48	$3,200.48	$1,425.19	$2,909.53	$1,920.97	2025-07-11
23330	HCPCS	ER Remove Fb/shoulder Sub-q	10	6	$3,228.53	$3,228.53	$241.80	$2,935.03	$1,492.03	2025-07-11
21320	HCPCS	ER Closed Tx Nose Fx W/manipulat	10	6	$6,411.33	$6,411.33	$185.88	$5,828.48	$2,110.19	2025-07-11
20822	HCPCS	ER Replantation, Digit, Comp Amputation	10	6	$3,200.48	$3,200.48	$1,522.34	$2,909.53	$2,002.08	2025-07-11
208	MS_DRG	Msdrg208	4	4	$2,207.18	$2,207.18	$2,207.18	$14,728.73	$8,467.95	2025-07-11
206	MS_DRG	Msdrg206	5	5	$3,172.26	$3,172.26	$3,172.26	$9,490.27	$6,805.78	2025-07-11
20520	HCPCS	Er/ Removal Fb Forearm	10	6	$3,228.53	$3,228.53	$188.48	$2,935.03	$1,492.03	2025-07-11
204	MS_DRG	Msdrg204	4	4	$2,643.87	$2,643.87	$2,322.11	$5,932.54	$4,288.20	2025-07-11
202	MS_DRG	Msdrg202	6	6	$5,908.59	$5,908.59	$2,552.81	$11,015.10	$6,783.95	2025-07-11
201	MS_DRG	Msdrg201	6	6	$4,909.30	$4,909.30	$2,365.19	$8,276.93	$5,321.06	2025-07-11
199	MS_DRG	Msdrg199	4	4	$4,312.69	$4,312.69	$4,312.69	$11,439.27	$7,875.98	2025-07-11
197	MS_DRG	Msdrg197	6	6	$4,867.48	$4,867.48	$4,807.40	$11,235.42	$8,021.41	2025-07-11
195	MS_DRG	Msdrg195	6	6	$8,430.85	$8,430.85	$2,549.11	$7,762.58	$5,963.42	2025-07-11
194	MS_DRG	Msdrg194	6	6	$12,712.46	$12,712.46	$3,567.82	$9,628.05	$7,675.35	2025-07-11
193	MS_DRG	Msdrg193	6	6	$14,896.13	$14,896.13	$4,374.98	$14,359.00	$11,198.86	2025-07-11
192	MS_DRG	Msdrg192	6	6	$16,944.53	$16,944.53	$3,196.40	$7,994.24	$6,271.16	2025-07-11
191	MS_DRG	Msdrg191	6	6	$6,993.21	$6,993.21	$3,530.46	$9,997.74	$6,878.66	2025-07-11
190	MS_DRG	Msdrg190	6	6	$20,141.77	$20,141.77	$4,495.75	$12,492.92	$9,925.77	2025-07-11
189	MS_DRG	Msdrg189	6	6	$16,156.55	$16,156.55	$4,563.38	$13,574.57	$10,704.75	2025-07-11
181	MS_DRG	Msdrg181	6	6	$13,919.47	$13,919.47	$4,895.31	$12,372.84	$9,941.06	2025-07-11
179	MS_DRG	Msdrg179	6	6	$15,084.14	$15,084.14	$2,800.82	$9,152.46	$7,119.32	2025-07-11
178	MS_DRG	Msdrg178	6	6	$12,545.54	$12,545.54	$4,038.44	$11,255.27	$8,939.46	2025-07-11
177	MS_DRG	Msdrg177	6	6	$14,911.43	$14,911.43	$6,672.48	$17,158.97	$13,413.58	2025-07-11
176	MS_DRG	Msdrg176	6	6	$4,225.43	$4,225.43	$3,662.36	$9,576.06	$6,619.21	2025-07-11
166	MS_DRG	Msdrg166	6	6	$13,672.21	$13,672.21	$13,672.21	$38,279.54	$25,975.88	2025-07-11
159	MS_DRG	Msdrg159	4	4	$1,509.48	$1,509.48	$1,509.48	$4,810.48	$3,159.98	2025-07-11
158	MS_DRG	Msdrg158	6	6	$4,149.04	$4,149.04	$3,397.33	$10,768.32	$7,082.82	2025-07-11
157	MS_DRG	Msdrg157	6	6	$128,157.58	$128,157.58	$15,779.56	$72,453.87	$31,296.86	2025-07-11
156	MS_DRG	Msdrg156	6	6	$7,936.27	$7,936.27	$1,973.38	$8,232.50	$6,098.97	2025-07-11
155	MS_DRG	Msdrg155	6	6	$6,381.93	$6,381.93	$4,223.08	$10,702.14	$7,462.61	2025-07-11
153	MS_DRG	Msdrg153	6	6	$3,842.02	$3,842.02	$1,778.29	$8,604.07	$5,191.18	2025-07-11
149	MS_DRG	Msdrg149	6	6	$7,652.26	$7,652.26	$3,331.21	$8,942.56	$6,894.57	2025-07-11
147	MS_DRG	Msdrg147	6	6	$10,228.55	$10,228.55	$3,939.74	$13,644.54	$9,510.34	2025-07-11
137	MS_DRG	Msdrg137	6	6	$10,660.27	$10,660.27	$10,067.56	$15,098.72	$12,583.14	2025-07-11
125	MS_DRG	Msdrg125	6	6	$6,788.45	$6,788.45	$3,976.03	$9,681.96	$6,828.99	2025-07-11
12047	HCPCS	ER Interm Repair N/h/f >30cm	10	6	$3,631.44	$3,631.44	$471.93	$3,301.31	$1,684.48	2025-07-11
12037	HCPCS	ER Interm Repair >30cm	10	6	$3,631.44	$3,631.44	$421.52	$3,301.31	$1,684.48	2025-07-11
11626	HCPCS	ER Exc Mal Les F/e/e/n/l >4 Cm	10	6	$5,658.37	$5,658.37	$352.86	$5,143.97	$2,635.57	2025-07-11
11426	HCPCS	ER Exc Benign Lesion; >4.0 Cm	10	6	$5,658.37	$5,658.37	$287.01	$5,143.97	$2,635.57	2025-07-11
11406	HCPCS	ER Excision Of Lesion Over 4.0 Cm	10	6	$3,228.53	$3,228.53	$277.78	$2,935.03	$1,492.03	2025-07-11
11404	HCPCS	ER Excision Lesion 3.1-4.0cm	6	6	$3,228.53	$3,228.53	$1,442.85	$2,935.03	$1,942.13	2025-07-11
11044	HCPCS	ER Debridment Bn Ms Fac 20 Cm	10	6	$3,228.53	$3,228.53	$271.97	$2,935.03	$1,492.03	2025-07-11
103	MS_DRG	Msdrg103	6	6	$3,733.89	$3,733.89	$3,658.71	$9,913.61	$6,786.16	2025-07-11
102	MS_DRG	Msdrg102	6	6	$33,815.13	$33,815.13	$4,493.11	$13,060.00	$10,223.74	2025-07-11
10121	HCPCS	ER Inc/removal Fb Sub-q Comp	10	6	$3,228.53	$3,228.53	$229.66	$2,935.03	$1,492.03	2025-07-11
101	MS_DRG	Msdrg101	6	6	$5,727.36	$5,727.36	$2,958.44	$10,589.63	$6,774.03	2025-07-11
100	MS_DRG	Msdrg100	4	4	$2,557.23	$2,557.23	$2,557.23	$11,601.59	$7,079.41	2025-07-11

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