Price Transparencybeta Hospital negotiated rates

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

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Hospital

PENN PRESBYTERIAN MEDICAL CENTER

Philadelphia, PA · CCN 390223 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $27,601 across 40 payers · range $7,452-$53,480

Source: https://www1.pennmedicine.org/images/pricing/232810852_Presbyterian-Medical-Center-of-the-University-of-Pennsylvania-Health-System-d_standardcharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

6,435 distinct procedures filed
75 distinct payers
698,565 rate rows
2026-07-15 last MRF observed
Data quality

652,326 of 698,565 rate rows are consumer-grade (93.4%)

46,239 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 21,499
per-diem day rate — not a per-procedure price 21,492
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,165
template filing: same amount across many unrelated codes — excluded 1,037
placeholder amount (≤ $0.02) — excluded from medians 508
exceeds 10× this hospital's gross charge — excluded from medians 290
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 136
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 112
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www1.pennmedicine.org/images/pricing/232810852_Presbyterian-Medical-Center-of-the-University-of-Pennsylvania-Health-System-d_standardcharges.csv
Found on page https://www.pennmedicine.org/patient-resources/policies/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint fe9099e64dfdca56… · 557,025,176 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
J1411
HCPCS 		Etranacogene Dezaparvovecdrlb 10 X 10 Ml IV Supk 66 $525,000.00 $4,569,730.67 $2,800,000.00 nat. median
$3,710,000
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 $3,121.00 $2,860,061.00 $659,192.23 nat. median
$370,165
1.8× median
7544
APR_DRG 		Depression Except Major Depressive Disorder 1 $597,400.00 $597,400.00 $597,400.00 nat. median
$11,566
outlier · 51.6×
5834
APR_DRG 		Neonate With Ecmo 10 $469,672.50 $716,791.10 $540,123.44 nat. median
$311,018
1.7× median
4804
APR_DRG 		Major Male Pelvic Procedures 10 $406,155.20 $406,155.20 $406,155.20 nat. median
$30,349
outlier · 13.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $314,040.74 $439,020.99 $360,987.88 nat. median
$254,667
1.4× median
24
APR_DRG 		Heart And/or Lung Transplant 10 $220,000.00 $462,064.35 $344,233.03 nat. median
$243,231
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 41 $3,121.00 $844,765.61 $338,445.00 nat. median
$261,939
1.3× median
5833
APR_DRG 		Neonate With Ecmo 10 $283,995.31 $408,235.61 $326,594.65 nat. median
$250,089
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 $3,121.00 $1,912,770.06 $305,209.32 nat. median
$199,832
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $50,021.00 $412,762.99 $302,973.77 nat. median
$119,243
outlier · 2.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 $3,121.00 $572,932.05 $295,787.44 nat. median
$205,166
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $231,113.16 $322,733.66 $265,573.97 nat. median
$168,174
1.6× median
7
MS_DRG 		Lung Transplant 41 $3,121.00 $1,405,850.68 $256,584.68 nat. median
$122,690
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 10 $236,590.63 $330,382.57 $252,529.41 nat. median
$209,486
1.2× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $213,464.00 $318,033.83 $252,441.93 nat. median
$67,603
outlier · 3.7×
5832
APR_DRG 		Neonate With Ecmo 10 $218,056.26 $313,450.15 $250,764.73 nat. median
$169,230
1.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $215,904.66 $301,496.04 $248,097.77 nat. median
$147,677
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $190,000.00 $305,412.36 $238,675.41 nat. median
$165,646
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $203,466.76 $287,888.23 $233,986.81 nat. median
$168,361
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $139,000.00 $318,021.12 $233,817.97 nat. median
$165,599
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $193,999.73 $270,907.31 $222,926.64 nat. median
$160,171
1.4× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $189,166.91 $264,158.60 $217,373.20 nat. median
$156,285
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $192,757.60 $269,172.75 $216,680.33 nat. median
$175,480
1.2× median
5831
APR_DRG 		Neonate With Ecmo 10 $186,014.82 $281,360.08 $213,917.07 nat. median
$154,685
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 41 $3,121.00 $616,987.33 $212,175.23 nat. median
$132,706
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $174,531.07 $292,387.89 $200,710.76 nat. median
$180,995
1.1× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $50,000.00 $269,859.18 $198,080.39 nat. median
$63,564
outlier · 3.1×
1613
APR_DRG 		Implantable Heart Assist Systems 10 $166,738.98 $239,656.10 $190,082.43 nat. median
$127,938
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 41 $3,121.00 $608,356.00 $189,887.64 nat. median
$108,240
1.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $164,074.30 $250,544.49 $188,685.46 nat. median
$147,847
1.3× median
J3398
HCPCS 		Voretigene Neparvovecrzyl 5000000000000 Vg/ml Intr 72 $2,741.25 $467,500.00 $187,000.00 nat. median
$3,393
outlier · 55.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $110,000.00 $238,595.58 $184,072.21 nat. median
$127,600
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 10 $120,000.00 $242,321.23 $181,682.99 nat. median
$137,901
1.3× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 10 $153,616.71 $214,752.92 $176,581.61 nat. median
$120,928
1.5× median
23
APR_DRG 		Heart And/or Lung Transplant 10 $140,000.00 $225,271.51 $176,010.58 nat. median
$116,111
1.5× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $148,010.14 $217,118.35 $170,211.68 nat. median
$108,751
1.6× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 10 $144,693.37 $204,644.10 $166,397.38 nat. median
$96,420
1.7× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 10 $144,586.61 $204,644.10 $166,274.61 nat. median
$89,188
1.9× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 10 $144,481.51 $204,644.10 $166,153.76 nat. median
$71,350
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 41 $3,121.00 $553,558.00 $161,022.67 nat. median
$99,646
1.6× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 $139,111.62 $194,259.83 $159,854.27 nat. median
$123,690
1.3× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 10 $138,498.42 $193,403.53 $157,764.63 nat. median
$101,315
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 41 $3,121.00 $397,472.00 $152,823.72 nat. median
$98,002
1.6× median
J2326
HCPCS 		Nusinersen 12 Mg/5ml Intrathecal Soln 72 $1,065.29 $450,000.00 $150,007.50 nat. median
$2,353
outlier · 63.8×
2324
APR_DRG 		Gastric Fundoplication 10 $50,309.43 $249,234.15 $149,771.79 nat. median
$34,072
outlier · 4.4×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $128,734.30 $185,157.23 $148,044.45 nat. median
$112,711
1.3× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $127,954.75 $201,647.82 $145,868.42 nat. median
$80,413
1.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 10 $117,988.01 $176,340.33 $137,993.01 nat. median
$82,164
1.7× median
5104
APR_DRG 		Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 10 $137,644.70 $137,644.70 $137,644.70 nat. median
$44,909
outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 6,435 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Etranacogene Dezaparvovecdrlb 10 X 10 Ml IV Supk 85 66 $3,500,000.00 $3,500,000.00 $525,000.00 $4,569,730.67 $2,800,000.00 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 50 40 — — $3,121.00 $2,860,061.00 $659,192.23 2026-07-15
7544 APR_DRG Depression Except Major Depressive Disorder 1 1 — — $597,400.00 $597,400.00 $597,400.00 2026-07-15
5834 APR_DRG Neonate With Ecmo 10 10 — — $469,672.50 $716,791.10 $540,123.44 2026-07-15
4804 APR_DRG Major Male Pelvic Procedures 10 10 — — $406,155.20 $406,155.20 $406,155.20 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $314,040.74 $439,020.99 $360,987.88 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 10 10 — — $220,000.00 $462,064.35 $344,233.03 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 41 — — $3,121.00 $844,765.61 $338,445.00 2026-07-15
5833 APR_DRG Neonate With Ecmo 10 10 — — $283,995.31 $408,235.61 $326,594.65 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 51 42 — — $3,121.00 $1,912,770.06 $305,209.32 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $50,021.00 $412,762.99 $302,973.77 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 41 — — $3,121.00 $572,932.05 $295,787.44 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $231,113.16 $322,733.66 $265,573.97 2026-07-15
7 MS_DRG Lung Transplant 49 41 — — $3,121.00 $1,405,850.68 $256,584.68 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 10 10 — — $236,590.63 $330,382.57 $252,529.41 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $213,464.00 $318,033.83 $252,441.93 2026-07-15
5832 APR_DRG Neonate With Ecmo 10 10 — — $218,056.26 $313,450.15 $250,764.73 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $215,904.66 $301,496.04 $248,097.77 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 10 — — $190,000.00 $305,412.36 $238,675.41 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $203,466.76 $287,888.23 $233,986.81 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $139,000.00 $318,021.12 $233,817.97 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 10 — — $193,999.73 $270,907.31 $222,926.64 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $189,166.91 $264,158.60 $217,373.20 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 10 10 — — $192,757.60 $269,172.75 $216,680.33 2026-07-15
5831 APR_DRG Neonate With Ecmo 10 10 — — $186,014.82 $281,360.08 $213,917.07 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 41 — — $3,121.00 $616,987.33 $212,175.23 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $174,531.07 $292,387.89 $200,710.76 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $50,000.00 $269,859.18 $198,080.39 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 10 10 — — $166,738.98 $239,656.10 $190,082.43 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 41 — — $3,121.00 $608,356.00 $189,887.64 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $164,074.30 $250,544.49 $188,685.46 2026-07-15
J3398 HCPCS Voretigene Neparvovecrzyl 5000000000000 Vg/ml Intr 94 72 $467,500.00 $467,500.00 $2,741.25 $467,500.00 $187,000.00 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $110,000.00 $238,595.58 $184,072.21 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 10 — — $120,000.00 $242,321.23 $181,682.99 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 10 10 — — $153,616.71 $214,752.92 $176,581.61 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 10 10 — — $140,000.00 $225,271.51 $176,010.58 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $148,010.14 $217,118.35 $170,211.68 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 10 — — $144,693.37 $204,644.10 $166,397.38 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 10 — — $144,586.61 $204,644.10 $166,274.61 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 10 — — $144,481.51 $204,644.10 $166,153.76 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 49 41 — — $3,121.00 $553,558.00 $161,022.67 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $139,111.62 $194,259.83 $159,854.27 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $138,498.42 $193,403.53 $157,764.63 2026-07-15
215 MS_DRG Other Heart Assist System Implant 50 41 — — $3,121.00 $397,472.00 $152,823.72 2026-07-15
J2326 HCPCS Nusinersen 12 Mg/5ml Intrathecal Soln 94 72 $450,000.00 $450,000.00 $1,065.29 $450,000.00 $150,007.50 2026-07-15
2324 APR_DRG Gastric Fundoplication 10 10 — — $50,309.43 $249,234.15 $149,771.79 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $128,734.30 $185,157.23 $148,044.45 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $127,954.75 $201,647.82 $145,868.42 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 10 10 — — $117,988.01 $176,340.33 $137,993.01 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 10 10 — — $137,644.70 $137,644.70 $137,644.70 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 10 10 — — $46,677.13 $176,832.23 $134,862.57 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 41 — — $3,121.00 $271,028.61 $133,865.93 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 10 10 — — $115,597.95 $169,174.35 $131,781.67 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $114,149.76 $186,224.92 $131,272.23 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 42 — — $3,121.00 $1,062,471.70 $127,977.00 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 10 — — $112,114.85 $156,560.69 $127,168.88 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 10 10 — — $109,956.63 $153,580.66 $125,260.90 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 10 — — $108,755.05 $151,868.95 $124,971.29 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $88,000.00 $163,097.91 $124,092.50 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 49 41 — — $3,121.00 $323,321.55 $122,008.13 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $104,585.08 $146,045.89 $120,179.55 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $91,000.00 $159,006.27 $118,765.11 2026-07-15
7543 APR_DRG Depression Except Major Depressive Disorder 1 1 — — $118,394.95 $118,394.95 $118,394.95 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 10 — — $102,656.91 $143,353.34 $117,963.88 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 52 43 — — $3,121.00 $692,840.25 $117,280.12 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 50 41 — — $3,121.00 $253,316.04 $115,589.48 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $99,596.68 $148,927.66 $114,536.20 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 51 42 — — $3,121.00 $534,409.11 $113,586.00 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $97,963.12 $147,392.92 $112,657.61 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 50 41 — — $3,121.00 $481,575.67 $112,399.31 2026-07-15
64 APR_DRG Pancreas Transplant 10 10 — — $85,000.00 $149,120.51 $111,525.68 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 43 — — $3,121.00 $502,060.92 $111,057.01 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 10 10 — — $50,000.00 $150,768.82 $110,666.41 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 48 40 — — $3,121.00 $292,729.38 $110,463.92 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 52 42 — — $3,121.00 $362,844.85 $109,824.67 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 50 41 — — $3,121.00 $254,114.87 $108,911.80 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 42 — — $3,121.00 $362,687.16 $106,693.73 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 10 — — $91,845.14 $128,255.42 $105,539.97 2026-07-15
8634 APR_DRG Neonatal Aftercare 10 10 — — $92,181.94 $128,725.75 $105,005.17 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 10 — — $90,929.05 $126,976.17 $104,487.29 2026-07-15
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 94 72 $417,150.00 $417,150.00 $4,917.75 $417,150.00 $104,287.50 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $88,028.53 $122,925.80 $100,273.98 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 41 — — $3,121.00 $177,753.39 $99,735.53 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 41 — — $3,121.00 $205,349.01 $99,607.88 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 51 42 — — $3,121.00 $401,956.86 $97,481.86 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 48 41 — — $3,121.00 $286,212.00 $96,450.24 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 10 — — $84,182.96 $117,555.72 $95,893.46 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 50 41 — — $3,121.00 $215,305.00 $94,475.02 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 42 — — $3,121.00 $457,522.71 $93,677.25 2026-07-15
4404 APR_DRG Kidney Transplant 10 10 — — $81,910.54 $115,618.85 $93,378.01 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $81,750.82 $114,159.41 $93,246.79 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $80,915.84 $112,993.41 $92,981.03 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 10 — — $81,540.63 $118,524.51 $92,956.32 2026-07-15
63 APR_DRG Pancreas Transplant 10 10 — — $82,511.34 $115,221.41 $92,751.64 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $86,778.11 $121,179.69 $92,418.69 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 49 41 — — $3,121.00 $477,817.00 $91,647.37 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $50,000.00 $124,521.68 $91,400.64 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 50 41 — — $3,121.00 $258,611.36 $90,689.10 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 10 — — $82,058.67 $114,589.30 $88,581.49 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $76,853.45 $107,320.57 $88,312.91 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 50 41 — — $3,121.00 $159,643.33 $87,391.80 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 50 41 — — $3,121.00 $302,839.44 $87,317.59 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $77,000.00 $116,577.34 $87,317.57 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 48 40 — — $3,121.00 $192,600.15 $86,988.01 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 10 — — $75,205.82 $105,019.77 $86,419.61 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $75,051.08 $106,106.03 $86,308.74 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 49 41 — — $3,121.00 $287,893.00 $85,996.32 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 10 10 — — $75,171.90 $108,151.96 $85,695.96 2026-07-15
1784 APR_DRG External Heart Assist Systems 10 10 — — $74,608.34 $104,185.43 $84,986.95 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 50 41 — — $3,121.00 $261,786.99 $84,780.51 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 50 41 — — $3,121.00 $157,405.59 $84,448.47 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 53 43 — — $3,121.00 $238,683.44 $84,289.06 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 49 41 — — $3,121.00 $553,558.00 $83,633.25 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 50 41 — — $3,121.00 $266,757.65 $83,513.90 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 10 — — $74,165.33 $108,202.29 $82,521.38 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 50 41 — — $3,121.00 $327,818.67 $82,413.80 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 51 42 — — $3,121.00 $616,799.04 $82,325.80 2026-07-15
574 APR_DRG Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Co… 10 10 — — $31,298.89 $131,673.31 $81,486.10 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 50 41 — — $3,121.00 $151,346.44 $80,551.04 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 50 41 — — $3,121.00 $164,410.95 $78,990.39 2026-07-15
C9606 HCPCS Hc Perc D-e Cor Revasc W Ami S 85 65 $154,720.00 $154,720.00 $2,060.00 $154,720.00 $78,907.20 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 52 43 — — $3,121.00 $383,356.87 $78,814.45 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 10 — — $71,372.67 $99,667.04 $78,515.29 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 10 — — $68,856.95 $96,154.01 $78,435.49 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 10 — — $68,135.34 $95,146.33 $78,294.86 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 51 42 — — $3,121.00 $322,003.03 $78,110.45 2026-07-15
62 APR_DRG Pancreas Transplant 10 10 — — $68,381.12 $99,074.81 $77,954.48 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 42 — — $3,121.00 $316,818.38 $77,441.64 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $66,915.55 $113,339.40 $76,952.89 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 10 — — $67,452.62 $94,192.96 $76,835.81 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $67,473.31 $101,611.03 $75,907.48 2026-07-15
10 MS_DRG Pancreas Transplant 49 41 — — $3,121.00 $254,735.84 $75,626.65 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 51 42 — — $3,121.00 $252,366.24 $75,367.98 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 48 40 — — $3,121.00 $232,912.00 $75,030.81 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 50 41 — — $3,121.00 $164,197.00 $73,632.49 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 51 42 — — $3,121.00 $148,362.04 $73,473.61 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 50 41 — — $3,121.00 $193,731.51 $73,106.23 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 10 — — $64,094.47 $91,596.31 $73,067.70 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 10 — — $64,097.79 $89,508.15 $73,014.29 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 41 — — $3,121.00 $136,695.42 $72,790.70 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 48 40 — — $3,121.00 $236,647.50 $72,727.21 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 10 — — $63,626.09 $88,849.46 $72,476.97 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 10 — — $63,612.01 $88,829.81 $72,460.95 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 10 — — $63,560.71 $88,758.17 $72,402.51 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 50 41 — — $3,121.00 $141,009.80 $72,367.58 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 10 — — $62,915.24 $87,856.80 $72,296.40 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 10 10 — — $63,325.69 $95,470.91 $72,191.29 2026-07-15
92941 CPT Hc Prq Card Revasc Mi 1 Vsl 88 67 $141,884.00 $141,884.00 $776.00 $141,884.00 $70,942.00 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 50 41 — — $3,121.00 $231,237.69 $70,875.74 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 10 — — $60,170.79 $81,000.00 $70,585.40 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 48 41 — — $3,121.00 $179,277.90 $70,171.02 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 10 — — $61,572.96 $85,982.41 $70,138.24 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 51 42 — — $3,121.00 $329,377.01 $69,970.98 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 42 — — $3,121.00 $354,013.72 $69,666.10 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 10 — — $60,586.54 $84,604.94 $69,620.48 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 50 41 — — $3,121.00 $182,753.86 $69,540.33 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 10 — — $59,763.14 $83,945.86 $68,727.62 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 51 41 — — $3,121.00 $143,010.20 $68,448.74 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $59,288.96 $86,469.29 $68,182.31 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $59,602.60 $86,372.86 $67,946.96 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 10 — — $59,055.59 $82,467.08 $67,270.69 2026-07-15
C1882 HCPCS Hc Icd Other Than Sgl/dual St. J 316 64 $170,879.00 $170,879.00 $0.68 $176,860.00 $67,206.80 2026-07-15
6904 APR_DRG Acute Leukemia 10 10 — — $58,920.70 $82,278.72 $67,117.04 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 50 41 — — $3,121.00 $123,249.83 $67,060.14 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 50 41 — — $3,121.00 $146,312.79 $67,000.78 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 50 41 — — $3,121.00 $177,114.15 $66,835.53 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 10 — — $58,512.73 $82,751.53 $66,704.51 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 50 41 — — $3,121.00 $138,206.37 $66,688.16 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 42 — — $3,121.00 $255,399.53 $66,585.00 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 10 10 — — $58,392.74 $81,541.45 $66,515.62 2026-07-15
799 MS_DRG Splenectomy With Mcc 50 41 — — $3,121.00 $123,020.17 $65,957.24 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 10 10 — — $57,502.31 $81,195.88 $65,552.62 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 10 — — $57,532.09 $80,339.63 $65,535.26 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 42 — — $1,671.27 $177,147.79 $65,511.29 2026-07-15
C1721 HCPCS Hc Aicd Dual Chamber 405 64 $128,161.00 $128,161.00 $16,252.90 $137,733.00 $65,491.14 2026-07-15
1783 APR_DRG External Heart Assist Systems 10 10 — — $57,441.90 $80,213.66 $65,432.51 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 10 — — $56,897.37 $81,043.68 $65,431.99 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 10 10 — — $50,000.00 $83,597.26 $64,828.40 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 41 — — $3,121.00 $177,753.39 $64,756.38 2026-07-15
1794 APR_DRG Defibrillator Implants 10 10 — — $56,800.55 $81,672.22 $64,752.63 2026-07-15
5101 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 10 10 — — $64,646.12 $64,646.12 $64,646.12 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 10 — — $56,220.45 $78,508.00 $64,603.37 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 51 42 — — $3,121.00 $130,340.01 $64,130.60 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $55,784.34 $77,899.00 $64,102.23 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $56,158.38 $81,547.90 $64,020.56 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $55,522.01 $78,803.74 $63,850.31 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 50 41 — — $3,121.00 $125,189.98 $63,655.98 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 51 42 — — $3,121.00 $339,830.05 $63,534.98 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 10 10 — — $55,766.96 $77,874.73 $63,524.58 2026-07-15
563 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 10 10 — — $19,601.89 $106,138.11 $62,870.00 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $55,135.55 $81,436.37 $62,854.52 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 50 41 — — $3,121.00 $146,255.02 $62,826.37 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 49 41 — — $3,121.00 $202,064.00 $62,717.62 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 10 — — $54,938.59 $76,717.97 $62,580.98 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 49 40 — — $3,121.00 $184,620.42 $62,142.35 2026-07-15
234 APR_DRG Spinal Procedures 10 10 — — $54,547.17 $76,171.38 $62,135.11 2026-07-15
245 MS_DRG Aicd Generator Procedures 50 41 — — $3,121.00 $123,916.18 $61,971.17 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 48 40 — — $3,121.00 $192,712.44 $61,949.56 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 51 42 — — $3,121.00 $421,862.54 $61,893.51 2026-07-15
4403 APR_DRG Kidney Transplant 10 10 — — $53,877.69 $78,607.39 $61,420.57 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 51 42 — — $3,121.00 $368,783.95 $61,405.71 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 50 41 — — $3,121.00 $162,588.35 $61,354.10 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 48 40 — — $3,121.00 $162,542.88 $61,336.93 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 50 41 — — $3,121.00 $126,655.01 $61,186.54 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 10 — — $53,466.40 $74,662.16 $60,903.99 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 10 10 — — $53,209.86 $74,303.92 $60,611.77 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $52,961.61 $101,206.72 $60,376.23 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 10 — — $52,516.39 $73,335.54 $60,347.00 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 10 — — $52,905.33 $74,488.81 $60,312.07 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 41 — — $3,121.00 $127,089.09 $59,856.08 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 10 — — $53,630.26 $74,890.97 $59,738.74 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 50 41 — — $3,121.00 $114,132.44 $59,641.60 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 41 — — $3,010.81 $127,377.10 $59,626.05 2026-07-15
4414 APR_DRG Major Bladder Procedures 10 10 — — $52,311.99 $73,050.10 $59,588.99 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 10 10 — — $52,206.89 $73,778.94 $59,515.85 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 50 41 — — $3,121.00 $161,104.36 $59,163.97 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 48 41 — — $3,121.00 $155,080.00 $59,087.46 2026-07-15
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 5 5 — — $58,960.47 $58,960.47 $58,960.47 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $51,616.85 $77,732.55 $58,843.21 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 10 10 — — $51,642.51 $72,115.21 $58,826.39 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 10 10 — — $51,760.85 $72,280.47 $58,377.82 2026-07-15
7542 APR_DRG Depression Except Major Depressive Disorder 1 1 — — $58,323.45 $58,323.45 $58,323.45 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 10 — — $50,988.75 $75,593.67 $58,127.18 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 50 41 — — $3,121.00 $105,415.89 $57,874.59 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 48 40 — — $3,121.00 $219,147.25 $57,554.07 2026-07-15
D020HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D721JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D723DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D722JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D726JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D027HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D820JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D920HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D026DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D721DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D726HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D920JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D724HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D925DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D928JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D92BHZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D722DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D727HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D920DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D026JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D720JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D720DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D725DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D927JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D027JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D925JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D720HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D721HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D927HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D92BJZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D92CJZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D021HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D723HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D728JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D723JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D924DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D926HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D929DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D727JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D725HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D726DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D928DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D92CDZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D92DDZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D724DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D921JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D021JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D924JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D921DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D027DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D925HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D021DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D020JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D026HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D921HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D926DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D929JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D724JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D728HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D924HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D020DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D820HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D728DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D926JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D927DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D929HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D727DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D722HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D820DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D725JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D928HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D92BDZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D92CHZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D92DHZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D92DJZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
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