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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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

255	MS_DRG	Msdrg255	6	6	$174,361.67	$174,361.67	$24,194.50	$108,696.42	$48,091.73	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
577	MS_DRG	Msdrg577	6	6	$125,423.55	$125,423.55	$24,592.47	$72,837.96	$38,694.61	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
854	MS_DRG	Msdrg854	6	6	$67,616.96	$67,616.96	$18,879.08	$22,068.94	$20,620.50	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
616	MS_DRG	Msdrg616	6	6	$65,200.26	$65,200.26	$22,399.49	$42,838.00	$33,772.34	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
388	MS_DRG	Msdrg388	6	6	$53,436.88	$53,436.88	$9,826.12	$15,772.86	$13,569.22	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
853	MS_DRG	Msdrg853	6	6	$48,355.04	$48,355.04	$24,108.57	$49,162.22	$40,664.16	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
280	MS_DRG	Msdrg280	6	6	$45,535.72	$45,535.72	$5,972.11	$17,394.39	$13,748.17	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
374	MS_DRG	Msdrg374	6	6	$40,546.78	$40,546.78	$8,272.03	$22,720.00	$17,674.48	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
264	MS_DRG	Msdrg264	6	6	$36,521.02	$36,521.02	$16,486.14	$35,351.00	$28,832.52	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
102	MS_DRG	Msdrg102	6	6	$33,815.13	$33,815.13	$4,493.11	$13,060.00	$10,223.74	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
939	MS_DRG	Msdrg939	6	6	$33,379.56	$33,379.56	$15,413.39	$33,379.56	$26,691.47	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
393	MS_DRG	Msdrg393	6	6	$31,397.87	$31,397.87	$7,158.61	$17,532.43	$14,142.05	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
593	MS_DRG	Msdrg593	6	6	$27,714.70	$27,714.70	$7,356.28	$13,435.58	$11,305.05	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
540	MS_DRG	Msdrg540	6	6	$25,986.19	$25,986.19	$6,050.58	$14,110.68	$11,454.26	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
940	MS_DRG	Msdrg940	6	6	$24,197.45	$24,197.45	$10,273.61	$23,451.00	$18,357.62	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
884	MS_DRG	Msdrg884	6	6	$23,478.80	$23,478.80	$5,137.03	$19,017.00	$14,068.82	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
336	MS_DRG	Msdrg336	6	6	$22,933.19	$22,933.19	$9,282.54	$22,788.00	$17,947.97	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
974	MS_DRG	Msdrg974	6	6	$21,987.65	$21,987.65	$16,397.83	$30,109.46	$23,253.65	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
330	MS_DRG	Msdrg330	6	6	$21,342.52	$21,342.52	$10,436.40	$24,223.73	$19,336.29	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
574	MS_DRG	Msdrg574	6	6	$21,131.16	$21,131.16	$14,430.18	$34,635.57	$24,532.88	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
190	MS_DRG	Msdrg190	6	6	$20,141.77	$20,141.77	$4,495.75	$12,492.92	$9,925.77	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
987	MS_DRG	Msdrg987	6	6	$20,134.99	$20,134.99	$18,886.05	$34,992.96	$26,939.51	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
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
637	MS_DRG	Msdrg637	6	6	$18,816.43	$18,816.43	$5,303.53	$15,687.00	$12,358.66	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
380	MS_DRG	Msdrg380	6	6	$18,763.93	$18,763.93	$7,337.69	$20,069.20	$15,974.09	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
602	MS_DRG	Msdrg602	6	6	$18,248.72	$18,248.72	$5,957.45	$16,101.00	$12,681.08	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
506	MS_DRG	Msdrg506	6	6	$17,704.03	$17,704.03	$6,284.71	$16,048.94	$12,878.39	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
501	MS_DRG	Msdrg501	6	6	$17,407.11	$17,407.11	$8,153.95	$18,749.29	$15,248.22	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
623	MS_DRG	Msdrg623	6	6	$17,302.06	$17,302.06	$7,041.04	$19,960.47	$15,401.41	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
486	MS_DRG	Msdrg486	6	6	$17,209.64	$17,209.64	$9,691.37	$21,928.05	$16,509.67	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
418	MS_DRG	Msdrg418	6	6	$17,138.29	$17,138.29	$6,894.70	$17,555.12	$14,092.06	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
391	MS_DRG	Msdrg391	6	6	$16,998.90	$16,998.90	$5,270.05	$14,019.90	$11,195.17	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
504	MS_DRG	Msdrg504	6	6	$16,896.25	$16,896.25	$9,030.20	$18,468.47	$15,269.43	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
64	MS_DRG	Msdrg064	6	6	$16,561.84	$16,561.84	$11,753.50	$20,682.83	$16,390.00	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
728	MS_DRG	Msdrg728	6	6	$16,416.80	$16,416.80	$3,399.63	$9,600.64	$7,580.07	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
693	MS_DRG	Msdrg693	6	6	$16,192.87	$16,192.87	$5,891.10	$15,777.59	$12,588.80	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
288	MS_DRG	Msdrg288	6	6	$15,939.64	$15,939.64	$11,217.49	$27,701.28	$19,459.38	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
988	MS_DRG	Msdrg988	6	6	$15,797.78	$15,797.78	$10,159.18	$18,099.72	$14,963.62	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
442	MS_DRG	Msdrg442	6	6	$15,094.03	$15,094.03	$4,737.18	$11,010.38	$8,941.61	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
177	MS_DRG	Msdrg177	6	6	$14,911.43	$14,911.43	$6,672.48	$17,158.97	$13,413.58	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
581	MS_DRG	Msdrg581	6	6	$14,800.32	$14,800.32	$5,164.50	$15,482.59	$12,199.31	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
863	MS_DRG	Msdrg863	6	6	$14,579.00	$14,579.00	$4,213.93	$11,329.01	$9,035.28	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
629	MS_DRG	Msdrg629	6	6	$14,496.03	$14,496.03	$8,572.16	$23,140.18	$15,856.17	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
607	MS_DRG	Msdrg607	6	6	$14,193.94	$14,193.94	$2,809.53	$10,045.96	$7,780.22	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
166	MS_DRG	Msdrg166	6	6	$13,672.21	$13,672.21	$13,672.21	$38,279.54	$25,975.88	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
811	MS_DRG	Msdrg811	6	6	$13,284.56	$13,284.56	$5,395.03	$15,177.18	$11,785.33	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
92	MS_DRG	Msdrg092	6	6	$12,947.67	$12,947.67	$4,302.91	$11,884.96	$9,449.22	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
194	MS_DRG	Msdrg194	6	6	$12,712.46	$12,712.46	$3,567.82	$9,628.05	$7,675.35	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
178	MS_DRG	Msdrg178	6	6	$12,545.54	$12,545.54	$4,038.44	$11,255.27	$8,939.46	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
57	MS_DRG	Msdrg057	6	6	$12,243.91	$12,243.91	$5,677.25	$14,491.71	$11,164.19	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
975	MS_DRG	Msdrg975	6	6	$11,958.22	$11,958.22	$6,810.84	$15,314.30	$11,510.40	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
949	MS_DRG	Msdrg949	6	6	$11,725.51	$11,725.51	$5,458.74	$12,076.90	$9,873.41	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
982	MS_DRG	Msdrg982	6	6	$11,581.96	$11,581.96	$10,444.66	$25,023.61	$17,734.13	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
58	MS_DRG	Msdrg058	6	6	$11,465.08	$11,465.08	$11,465.08	$19,327.95	$15,396.51	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
439	MS_DRG	Msdrg439	6	6	$11,226.34	$11,226.34	$3,563.43	$10,008.14	$7,942.05	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
560	MS_DRG	Msdrg560	6	6	$11,215.23	$11,215.23	$5,468.85	$12,641.36	$10,135.17	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
513	MS_DRG	Msdrg513	6	6	$10,669.08	$10,669.08	$5,945.82	$16,110.41	$11,028.11	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
291	MS_DRG	Msdrg291	6	6	$10,513.58	$10,513.58	$6,837.63	$14,211.84	$10,524.74	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
256	MS_DRG	Msdrg256	6	6	$10,442.22	$10,442.22	$7,220.74	$17,888.89	$12,554.82	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
857	MS_DRG	Msdrg857	6	6	$10,297.48	$10,297.48	$9,022.11	$22,476.44	$15,749.27	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
981	MS_DRG	Msdrg981	4	4	$10,104.03	$10,104.03	$10,104.03	$28,463.54	$19,283.79	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
571	MS_DRG	Msdrg571	6	6	$10,026.97	$10,026.97	$7,260.39	$17,705.45	$12,482.92	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
419	MS_DRG	Msdrg419	6	6	$9,859.30	$9,859.30	$6,141.25	$14,332.87	$10,237.06	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
718	MS_DRG	Msdrg718	6	6	$9,603.84	$9,603.84	$5,982.16	$13,522.56	$9,752.36	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
596	MS_DRG	Msdrg596	6	6	$9,540.80	$9,540.80	$3,803.30	$12,096.76	$8,745.41	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
808	MS_DRG	Msdrg808	6	6	$9,405.84	$9,405.84	$9,405.84	$23,529.73	$16,467.78	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
563	MS_DRG	Msdrg563	6	6	$8,818.99	$8,818.99	$3,672.30	$10,325.82	$7,909.02	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
603	MS_DRG	Msdrg603	6	6	$8,602.11	$8,602.11	$3,201.17	$10,202.92	$7,652.08	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
494	MS_DRG	Msdrg494	6	6	$8,543.38	$8,543.38	$8,543.38	$19,701.40	$14,122.39	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
351	MS_DRG	Msdrg351	6	6	$8,455.32	$8,455.32	$6,050.08	$16,100.00	$11,075.04	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
552	MS_DRG	Msdrg552	6	6	$8,419.37	$8,419.37	$4,042.77	$10,987.67	$7,967.30	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
84	MS_DRG	Msdrg084	6	6	$8,382.66	$8,382.66	$5,068.72	$10,914.88	$8,187.23	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
690	MS_DRG	Msdrg690	6	6	$8,310.43	$8,310.43	$2,897.44	$9,463.53	$7,245.46	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
948	MS_DRG	Msdrg948	6	6	$8,106.04	$8,106.04	$3,611.69	$9,386.95	$7,302.68	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
293	MS_DRG	Msdrg293	6	6	$7,939.31	$7,939.31	$2,875.19	$7,062.92	$5,523.53	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
156	MS_DRG	Msdrg156	6	6	$7,936.27	$7,936.27	$1,973.38	$8,232.50	$6,098.97	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
645	MS_DRG	Msdrg645	6	6	$7,845.42	$7,845.42	$2,540.06	$9,237.57	$6,867.12	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
375	MS_DRG	Msdrg375	6	6	$7,771.75	$7,771.75	$5,259.82	$13,492.30	$9,376.06	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
885	MS_DRG	Msdrg885	6	6	$7,533.11	$7,533.11	$2,115.50	$15,202.73	$8,659.11	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
947	MS_DRG	Msdrg947	6	6	$7,475.11	$7,475.11	$6,229.89	$14,035.98	$10,132.93	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
683	MS_DRG	Msdrg683	6	6	$7,066.94	$7,066.94	$3,265.43	$10,279.51	$6,919.70	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
897	MS_DRG	Msdrg897	6	6	$6,957.19	$6,957.19	$2,156.73	$10,216.15	$6,571.81	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
950	MS_DRG	Msdrg950	6	6	$6,818.60	$6,818.60	$3,825.99	$7,416.54	$6,181.79	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
125	MS_DRG	Msdrg125	6	6	$6,788.45	$6,788.45	$3,976.03	$9,681.96	$6,828.99	2025-07-11
989	MS_DRG	Msdrg989	6	6	$6,640.60	$6,640.60	$4,390.59	$12,800.20	$8,595.40	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
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
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
155	MS_DRG	Msdrg155	6	6	$6,381.93	$6,381.93	$4,223.08	$10,702.14	$7,462.61	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
93	MS_DRG	Msdrg093	6	6	$6,351.72	$6,351.72	$3,367.11	$9,337.79	$6,352.45	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
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
373	MS_DRG	Msdrg373	6	6	$6,324.28	$6,324.28	$2,844.30	$8,733.60	$6,056.61	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
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
389	MS_DRG	Msdrg389	6	6	$6,190.08	$6,190.08	$2,920.19	$9,454.08	$6,188.61	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
941	MS_DRG	Msdrg941	4	4	$6,106.36	$6,106.36	$6,106.36	$13,229.61	$9,667.99	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
355	MS_DRG	Msdrg355	6	6	$6,020.35	$6,020.35	$6,020.35	$14,480.36	$10,250.35	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
202	MS_DRG	Msdrg202	6	6	$5,908.59	$5,908.59	$2,552.81	$11,015.10	$6,783.95	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
437	MS_DRG	Msdrg437	6	6	$5,890.61	$5,890.61	$3,812.79	$9,299.02	$6,555.90	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
914	MS_DRG	Msdrg914	6	6	$5,783.55	$5,783.55	$3,074.56	$10,539.53	$6,807.05	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
101	MS_DRG	Msdrg101	6	6	$5,727.36	$5,727.36	$2,958.44	$10,589.63	$6,774.03	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
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
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
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
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
813	MS_DRG	Msdrg813	5	5	$5,484.05	$5,484.05	$5,484.05	$15,010.26	$10,997.67	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
880	MS_DRG	Msdrg880	6	6	$5,437.01	$5,437.01	$2,803.35	$10,938.51	$6,870.93	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
696	MS_DRG	Msdrg696	6	6	$5,399.38	$5,399.38	$2,596.12	$8,415.91	$5,506.02	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
369	MS_DRG	Msdrg369	6	6	$5,320.54	$5,320.54	$4,261.06	$11,496.36	$7,878.71	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
376	MS_DRG	Msdrg376	6	6	$5,207.63	$5,207.63	$4,287.74	$10,223.71	$7,255.73	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
535	MS_DRG	Msdrg535	6	6	$5,076.12	$5,076.12	$5,076.12	$14,449.16	$9,762.64	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
201	MS_DRG	Msdrg201	6	6	$4,909.30	$4,909.30	$2,365.19	$8,276.93	$5,321.06	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
197	MS_DRG	Msdrg197	6	6	$4,867.48	$4,867.48	$4,807.40	$11,235.42	$8,021.41	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
919	MS_DRG	Msdrg919	4	4	$4,839.43	$4,839.43	$4,839.43	$11,978.26	$8,408.85	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
517	MS_DRG	Msdrg517	4	4	$4,792.31	$4,792.31	$4,792.31	$10,390.36	$7,591.34	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
305	MS_DRG	Msdrg305	6	6	$4,713.18	$4,713.18	$3,276.27	$8,972.82	$6,124.55	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
436	MS_DRG	Msdrg436	6	6	$4,670.35	$4,670.35	$4,670.35	$12,537.35	$8,603.85	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
352	MS_DRG	Msdrg352	6	6	$4,599.26	$4,599.26	$4,599.26	$12,300.04	$8,449.65	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
489	MS_DRG	Msdrg489	5	5	$4,446.19	$4,446.19	$4,446.19	$12,349.11	$9,015.10	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
866	MS_DRG	Msdrg866	6	6	$4,318.69	$4,318.69	$1,984.79	$10,240.74	$6,112.77	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
309	MS_DRG	Msdrg309	6	6	$4,311.30	$4,311.30	$2,975.75	$8,865.04	$5,920.40	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
176	MS_DRG	Msdrg176	6	6	$4,225.43	$4,225.43	$3,662.36	$9,576.06	$6,619.21	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
917	MS_DRG	Msdrg917	4	4	$4,169.14	$4,169.14	$4,169.14	$10,773.73	$7,471.43	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
700	MS_DRG	Msdrg700	6	6	$4,122.82	$4,122.82	$2,815.65	$8,438.62	$5,627.14	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
312	MS_DRG	Msdrg312	6	6	$3,866.43	$3,866.43	$3,332.34	$10,113.10	$6,722.72	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
446	MS_DRG	Msdrg446	6	6	$3,812.55	$3,812.55	$3,406.20	$9,413.43	$6,409.81	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
594	MS_DRG	Msdrg594	6	6	$3,760.06	$3,760.06	$3,760.06	$9,899.42	$6,829.74	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
722	MS_DRG	Msdrg722	4	4	$3,680.58	$3,680.58	$3,680.58	$10,951.14	$7,315.86	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
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
281	MS_DRG	Msdrg281	5	5	$3,503.85	$3,503.85	$3,503.85	$9,627.79	$7,047.21	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
639	MS_DRG	Msdrg639	6	6	$3,465.73	$3,465.73	$2,546.97	$7,799.45	$5,173.21	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
816	MS_DRG	Msdrg816	6	6	$3,341.21	$3,341.21	$2,463.33	$8,109.58	$5,286.45	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
206	MS_DRG	Msdrg206	5	5	$3,172.26	$3,172.26	$3,172.26	$9,490.27	$6,805.78	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
584	MS_DRG	Msdrg584	4	4	$3,111.47	$3,111.47	$3,111.47	$12,172.29	$7,641.88	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
424	MS_DRG	Msdrg424	4	4	$2,996.54	$2,996.54	$2,996.54	$13,230.04	$8,113.29	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
85	MS_DRG	Msdrg085	4	4	$2,977.86	$2,977.86	$2,977.86	$13,138.92	$8,058.39	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
310	MS_DRG	Msdrg310	6	6	$2,857.35	$2,857.35	$2,489.39	$7,165.03	$4,827.21	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
86	MS_DRG	Msdrg086	4	4	$2,818.46	$2,818.46	$2,818.46	$8,547.30	$5,682.88	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
379	MS_DRG	Msdrg379	6	6	$2,770.20	$2,770.20	$2,770.20	$7,894.95	$5,332.57	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
204	MS_DRG	Msdrg204	4	4	$2,643.87	$2,643.87	$2,322.11	$5,932.54	$4,288.20	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
906	MS_DRG	Msdrg906	4	4	$2,513.75	$2,513.75	$2,513.75	$12,512.11	$7,512.93	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
301	MS_DRG	Msdrg301	4	4	$2,131.58	$2,131.58	$2,131.58	$5,375.87	$3,753.72	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
543	MS_DRG	Msdrg543	4	4	$1,900.04	$1,900.04	$1,900.04	$6,902.90	$4,401.47	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
847	MS_DRG	Msdrg847	4	4	$1,841.45	$1,841.45	$1,841.45	$7,865.43	$4,853.44	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
918	MS_DRG	Msdrg918	4	4	$1,664.02	$1,664.02	$1,664.02	$5,951.43	$3,807.72	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
921	MS_DRG	Msdrg921	4	4	$1,336.15	$1,336.15	$1,336.15	$4,856.65	$3,096.40	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
370	MS_DRG	Msdrg370	4	4	$1,070.42	$1,070.42	$1,070.42	$4,772.48	$2,921.45	2025-07-11

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