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

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You selected 93350 (CPT)

HC STRESS TTE ONLY

This hospital’s price: $1,556 across 74 payers · range $46-$9,026

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

652,309 of 698,565 rate rows are consumer-grade (93.4%)

46,256 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 148
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 117
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://tupa-q-001.sitecorecontenthub.cloud/api/public/content/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 viaCMS hospital list
Last fetch success · 2026-10-30
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
$3,705,478
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
$359,454
1.8× median
7544
APR_DRG 		Depression Except Major Depressive Disorder 1 $597,400.00 $597,400.00 $597,400.00 nat. median
$11,028
outlier · 54.2×
5834
APR_DRG 		Neonate With Ecmo 9 $469,672.50 $716,791.10 $516,639.86 nat. median
$307,206
1.7× median
4804
APR_DRG 		Major Male Pelvic Procedures 2 $406,155.20 $406,155.20 $406,155.20 nat. median
$29,401
outlier · 13.8×
24
APR_DRG 		Heart And/or Lung Transplant 9 $220,000.00 $462,064.35 $347,433.89 nat. median
$241,437
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $314,040.74 $439,020.99 $345,444.89 nat. median
$247,214
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 41 $3,121.00 $844,765.61 $321,683.08 nat. median
$249,036
1.3× median
5833
APR_DRG 		Neonate With Ecmo 9 $283,995.31 $408,235.61 $312,394.92 nat. median
$244,017
1.3× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $50,021.00 $412,762.99 $310,363.37 nat. median
$123,836
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 41 $3,121.00 $639,822.40 $300,148.49 nat. median
$190,559
1.6× median
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
$198,418
1.5× median
7
MS_DRG 		Lung Transplant 41 $3,121.00 $1,405,850.68 $256,584.68 nat. median
$117,974
outlier · 2.2×
1614
APR_DRG 		Implantable Heart Assist Systems 9 $236,590.63 $330,382.57 $255,517.87 nat. median
$202,993
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $231,113.16 $322,733.66 $254,224.53 nat. median
$165,000
1.5× median
5832
APR_DRG 		Neonate With Ecmo 9 $218,056.26 $313,450.15 $239,861.94 nat. median
$159,249
1.5× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $213,464.00 $318,033.83 $239,134.94 nat. median
$67,735
outlier · 3.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $139,000.00 $318,021.12 $239,125.38 nat. median
$163,587
1.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $215,904.66 $301,496.04 $237,495.18 nat. median
$133,164
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $190,000.00 $305,412.36 $229,644.65 nat. median
$155,939
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $203,466.76 $287,888.23 $223,813.50 nat. median
$162,342
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $193,999.73 $270,907.31 $213,399.76 nat. median
$154,011
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
$126,695
1.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $189,166.91 $264,158.60 $208,083.65 nat. median
$151,838
1.4× median
5831
APR_DRG 		Neonate With Ecmo 9 $186,014.82 $281,360.08 $204,616.35 nat. median
$146,500
1.4× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $50,000.00 $269,859.18 $202,911.61 nat. median
$67,994
outlier · 3.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $192,757.60 $269,172.75 $202,395.48 nat. median
$170,082
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $174,531.07 $292,387.89 $191,984.22 nat. median
$175,204
1.1× 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
$104,013
1.8× 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×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $120,000.00 $242,321.23 $182,205.37 nat. median
$136,566
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $164,074.30 $250,544.49 $180,481.77 nat. median
$145,061
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $166,738.98 $239,656.10 $180,078.09 nat. median
$120,517
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $110,000.00 $238,595.58 $179,403.99 nat. median
$122,016
1.5× median
23
APR_DRG 		Heart And/or Lung Transplant 9 $140,000.00 $225,271.51 $169,385.40 nat. median
$110,944
1.5× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 9 $153,616.71 $214,752.92 $168,978.41 nat. median
$120,208
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $148,010.14 $217,118.35 $162,811.19 nat. median
$101,406
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 41 $3,121.00 $553,558.00 $161,022.67 nat. median
$95,038
1.7× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $144,693.37 $204,644.10 $159,162.73 nat. median
$93,998
1.7× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $144,586.61 $204,644.10 $159,045.30 nat. median
$89,188
1.8× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $144,481.51 $204,644.10 $158,929.70 nat. median
$71,350
outlier · 2.2×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $139,111.62 $194,259.83 $153,022.81 nat. median
$118,620
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 41 $3,121.00 $397,472.00 $152,823.72 nat. median
$93,901
1.6× median
J2326
HCPCS 		Nusinersen 12 Mg/5ml Intrathecal Soln 72 $1,065.29 $450,000.00 $150,007.50 nat. median
$2,480
outlier · 60.5×
2324
APR_DRG 		Gastric Fundoplication 3 $50,309.43 $249,234.15 $149,771.79 nat. median
$30,491
outlier · 4.9×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $138,498.42 $193,403.53 $149,578.28 nat. median
$98,624
1.5× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $128,734.30 $185,157.23 $141,607.75 nat. median
$108,695
1.3× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $127,954.75 $201,647.82 $138,191.13 nat. median
$78,893
1.8× median
5104
APR_DRG 		Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 $137,644.70 $137,644.70 $137,644.70 nat. median
$42,073
outlier · 3.3×
1612
APR_DRG 		Implantable Heart Assist Systems 9 $126,631.52 $176,832.23 $136,762.04 nat. median
$84,880
1.6× median

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.

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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 9 9 — — $469,672.50 $716,791.10 $516,639.86 2026-07-15
4804 APR_DRG Major Male Pelvic Procedures 2 2 — — $406,155.20 $406,155.20 $406,155.20 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $220,000.00 $462,064.35 $347,433.89 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $314,040.74 $439,020.99 $345,444.89 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 50 41 — — $3,121.00 $844,765.61 $321,683.08 2026-07-15
5833 APR_DRG Neonate With Ecmo 9 9 — — $283,995.31 $408,235.61 $312,394.92 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $50,021.00 $412,762.99 $310,363.37 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 50 41 — — $3,121.00 $639,822.40 $300,148.49 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
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 9 9 — — $236,590.63 $330,382.57 $255,517.87 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $231,113.16 $322,733.66 $254,224.53 2026-07-15
5832 APR_DRG Neonate With Ecmo 9 9 — — $218,056.26 $313,450.15 $239,861.94 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $213,464.00 $318,033.83 $239,134.94 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $139,000.00 $318,021.12 $239,125.38 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $215,904.66 $301,496.04 $237,495.18 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $190,000.00 $305,412.36 $229,644.65 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $203,466.76 $287,888.23 $223,813.50 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $193,999.73 $270,907.31 $213,399.76 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
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $189,166.91 $264,158.60 $208,083.65 2026-07-15
5831 APR_DRG Neonate With Ecmo 9 9 — — $186,014.82 $281,360.08 $204,616.35 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $50,000.00 $269,859.18 $202,911.61 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $192,757.60 $269,172.75 $202,395.48 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $174,531.07 $292,387.89 $191,984.22 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
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
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $120,000.00 $242,321.23 $182,205.37 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $164,074.30 $250,544.49 $180,481.77 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 9 9 — — $166,738.98 $239,656.10 $180,078.09 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $110,000.00 $238,595.58 $179,403.99 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $140,000.00 $225,271.51 $169,385.40 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 9 9 — — $153,616.71 $214,752.92 $168,978.41 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $148,010.14 $217,118.35 $162,811.19 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
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $144,693.37 $204,644.10 $159,162.73 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $144,586.61 $204,644.10 $159,045.30 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $144,481.51 $204,644.10 $158,929.70 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $139,111.62 $194,259.83 $153,022.81 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 3 3 — — $50,309.43 $249,234.15 $149,771.79 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $138,498.42 $193,403.53 $149,578.28 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $128,734.30 $185,157.23 $141,607.75 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $127,954.75 $201,647.82 $138,191.13 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $137,644.70 $137,644.70 $137,644.70 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 9 9 — — $126,631.52 $176,832.23 $136,762.04 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
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $117,988.01 $176,340.33 $128,821.85 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 40 — — $78,795.53 $294,897.32 $127,977.00 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $114,149.76 $186,224.92 $125,564.76 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $115,597.95 $169,174.35 $124,845.79 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $88,000.00 $163,097.91 $122,636.04 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 49 41 — — $3,121.00 $323,321.55 $122,008.13 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $112,114.85 $156,560.69 $120,000.00 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $108,755.05 $151,868.95 $119,630.57 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $109,956.63 $153,580.66 $118,753.15 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 40 — — $67,785.72 $253,316.04 $117,253.01 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $104,585.08 $146,045.89 $115,043.61 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 49 40 — — $58,163.17 $215,419.13 $113,586.00 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 50 41 — — $3,121.00 $205,692.31 $113,436.38 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 9 9 — — $50,000.00 $150,768.82 $113,365.59 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $102,656.91 $143,353.34 $112,922.64 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $91,000.00 $159,006.27 $112,527.09 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
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
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $99,596.68 $148,927.66 $109,556.37 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 49 40 — — $64,523.00 $254,114.87 $109,396.10 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $97,963.12 $147,392.92 $107,759.46 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 49 40 — — $55,609.78 $351,490.20 $107,440.00 2026-07-15
64 APR_DRG Pancreas Transplant 9 9 — — $85,000.00 $149,120.51 $105,991.11 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 40 — — $61,998.25 $231,458.28 $105,851.22 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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 40 — — $43,747.57 $177,753.39 $104,222.07 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $91,845.14 $128,255.42 $101,029.66 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 41 — — $3,121.00 $362,687.16 $100,775.64 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 49 40 — — $49,627.57 $215,305.00 $100,105.98 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $90,929.05 $126,976.17 $100,021.97 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
8634 APR_DRG Neonatal Aftercare 9 9 — — $92,181.94 $128,725.75 $99,556.49 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 47 39 — — $36,093.80 $192,600.15 $96,864.03 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 50 41 — — $3,121.00 $202,905.44 $96,421.76 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $88,028.53 $122,925.80 $95,070.80 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $86,778.11 $121,179.69 $93,720.36 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $50,000.00 $124,521.68 $93,629.93 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 41 — — $3,121.00 $200,839.49 $92,856.02 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
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 9 — — $84,182.96 $117,555.72 $90,917.59 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
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $81,750.82 $114,159.41 $89,925.93 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 49 40 — — $42,499.51 $157,405.59 $89,481.82 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $80,915.84 $112,993.41 $89,007.44 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $82,058.67 $114,589.30 $88,539.62 2026-07-15
4404 APR_DRG Kidney Transplant 9 9 — — $81,910.54 $115,618.85 $88,463.38 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $81,540.63 $118,524.51 $88,063.88 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 49 40 — — $42,188.73 $302,839.44 $87,713.50 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
63 APR_DRG Pancreas Transplant 9 9 — — $82,511.34 $115,221.41 $86,636.90 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
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
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $76,853.45 $107,320.57 $84,538.81 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 49 40 — — $32,511.49 $158,851.89 $84,289.06 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 49 40 — — $40,520.58 $266,757.65 $84,232.99 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $77,484.87 $108,202.29 $83,683.65 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 49 41 — — $3,121.00 $553,558.00 $83,633.25 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $75,205.82 $105,019.77 $82,726.42 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $75,051.08 $106,106.03 $82,556.20 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 … 50 41 — — $3,121.00 $154,329.12 $82,229.07 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 49 40 — — $40,863.54 $151,346.44 $81,798.74 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $77,000.00 $116,577.34 $81,496.40 2026-07-15
574 APR_DRG Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Co… 3 3 — — $31,298.89 $131,673.31 $81,486.10 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $75,171.90 $108,151.96 $81,185.65 2026-07-15
1784 APR_DRG External Heart Assist Systems 9 9 — — $74,608.34 $104,185.43 $80,577.01 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 49 40 — — $39,253.90 $272,535.86 $78,511.21 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 49 40 — — $38,711.94 $164,197.00 $78,021.18 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 40 — — $29,993.11 $144,521.38 $77,441.64 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 9 — — $71,372.67 $99,667.04 $77,082.48 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 50 41 — — $3,121.00 $322,003.03 $76,961.76 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 47 39 — — $37,576.16 $232,912.00 $75,723.25 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 49 40 — — $37,400.57 $138,559.06 $75,367.98 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $68,135.34 $95,146.33 $74,948.89 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 9 — — $68,856.95 $96,154.01 $74,365.51 2026-07-15
62 APR_DRG Pancreas Transplant 9 9 — — $68,381.12 $99,074.81 $73,851.61 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $66,915.55 $113,339.40 $73,607.12 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 40 — — $35,062.03 $136,695.42 $73,248.11 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
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $67,452.62 $94,192.96 $72,848.83 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 41 — — $3,121.00 $148,362.04 $72,511.71 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 49 40 — — $49,102.40 $182,753.86 $71,094.00 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
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $67,473.31 $101,611.03 $70,846.98 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 3 — — $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
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 40 — — $28,938.22 $132,674.00 $69,666.10 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 9 — — $64,097.79 $89,508.15 $69,225.60 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $64,094.47 $91,596.31 $69,222.03 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $62,915.24 $87,856.80 $69,206.77 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 9 — — $63,626.09 $88,849.46 $68,716.17 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $63,612.01 $88,829.81 $68,700.98 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $63,560.71 $88,758.17 $68,645.57 2026-07-15
799 MS_DRG Splenectomy With Mcc 48 39 — — $27,412.98 $123,020.17 $68,532.46 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 49 40 — — $20,876.14 $143,010.20 $68,448.74 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $63,325.69 $95,470.91 $68,391.75 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 41 — — $3,121.00 $174,055.00 $67,472.01 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 49 40 — — $34,421.03 $146,312.79 $67,216.56 2026-07-15
C1882 HCPCS Hc Icd Other Than Sgl/dual Guidan 316 64 $170,879.00 $170,879.00 $0.68 $176,860.00 $67,206.80 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 40 — — $14,168.49 $177,753.39 $67,076.75 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 49 40 — — $16,111.04 $177,114.15 $66,835.53 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 49 40 — — $33,860.73 $125,189.98 $66,779.05 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
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $60,586.54 $84,604.94 $66,645.21 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 40 — — $19,928.12 $177,132.00 $66,585.00 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $61,572.96 $85,982.41 $66,498.80 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 9 — — $59,763.14 $83,945.86 $65,739.47 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
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $59,288.96 $86,469.29 $65,217.87 2026-07-15
5101 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $64,646.12 $64,646.12 $64,646.12 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $59,602.60 $86,372.86 $64,370.80 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 9 9 — — $59,055.59 $82,467.08 $63,780.04 2026-07-15
6904 APR_DRG Acute Leukemia 9 9 — — $58,920.70 $82,278.72 $63,634.36 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 49 40 — — $24,101.92 $113,923.87 $63,534.98 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 9 — — $58,512.73 $82,751.53 $63,193.74 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 9 9 — — $58,392.74 $81,541.45 $63,064.15 2026-07-15
563 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 3 3 — — $19,601.89 $106,138.11 $62,870.00 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $50,000.00 $83,597.26 $62,858.17 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
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $56,897.37 $81,043.68 $62,587.12 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 48 41 — — $3,121.00 $202,064.00 $62,580.87 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
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 9 — — $57,532.09 $80,339.63 $62,134.67 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 9 9 — — $57,502.31 $81,195.88 $62,102.48 2026-07-15
1783 APR_DRG External Heart Assist Systems 9 9 — — $57,441.90 $80,213.66 $62,037.24 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
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $56,220.45 $78,508.00 $61,842.51 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 50 41 — — $3,121.00 $123,496.25 $61,840.22 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $55,784.34 $77,899.00 $61,362.79 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 50 41 — — $3,121.00 $162,588.35 $61,354.10 2026-07-15
1794 APR_DRG Defibrillator Implants 9 9 — — $56,800.55 $81,672.22 $61,344.59 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 47 39 — — $13,427.67 $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
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $55,522.01 $78,803.74 $61,074.22 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $56,158.38 $81,547.90 $60,651.05 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 9 9 — — $55,766.96 $77,874.73 $60,228.31 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
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
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $55,135.55 $81,436.37 $59,546.39 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 9 — — $54,938.59 $76,717.97 $59,333.68 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
234 APR_DRG Spinal Procedures 9 9 — — $54,547.17 $76,171.38 $58,910.94 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 50 41 — — $3,121.00 $103,543.21 $58,418.50 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
4403 APR_DRG Kidney Transplant 9 9 — — $53,877.69 $78,607.39 $58,187.90 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 49 40 — — $27,299.51 $117,267.40 $58,060.00 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 9 9 — — $53,630.26 $74,890.97 $57,920.67 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
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $52,516.39 $73,335.54 $57,768.04 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 9 — — $53,466.40 $74,662.16 $57,743.71 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
894 APR_DRG Major Cranial Or Facial Bone Procedures 9 9 — — $53,209.86 $74,303.92 $57,466.65 2026-07-15
D020DZZ 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
D726JZZ 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
D728HZZ 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
D921JZZ 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
D92BJZZ 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
D720DZZ 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
D724DZZ 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
D929HZZ 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
D021DZZ 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
D027HZZ 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
D725DZZ 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
D726HZZ 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
D728DZZ 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
D724HZZ 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
D92DDZZ 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
DB21DZZ 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
D726DZZ 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
D721DZZ 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
D720HZZ 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
D921HZZ 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
D820JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
D020HZZ 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
D928DZZ 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
DB22DZZ 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
D924DZZ 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
D927DZZ 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
D026DZZ 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
D027JZZ 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
D728JZZ 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
D929JZZ 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
D722DZZ 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
D722HZZ 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
D921DZZ 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
DB20HZZ 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
D925JZZ 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
DB20JZZ 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
D723JZZ 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
D721HZZ 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
D926DZZ 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
D021HZZ 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
DB20DZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
DB21HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
DB21JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
DB22HZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
DB22JZZ OTHER Gamma Knife Ip 2 2 — — $54,631.00 $60,195.00 $57,413.00 2026-07-15
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